Complex medical situatuon. Can help me?

Can help you with your concern. Your concern need to be evaluated in detail with history and possible examinations. Can contact for consultation via chat

Consultation for detailed discussion is advisable

Advice given by Dr Anmol ir excellent. N worth. Follow an endocrinologist as history of pcos, may be pulmonary hypertension u need a corporate hospital with very super speciality tests. U r a rare complicated case.  In corporate hospital all doctors as a team work n  settle under one roof.

Your case is complex and requires a multidisciplinary approach, but based on your symptoms and medical history, I would recommend consulting the following specialists: 1. Endocrinologist •Why? Your history of PCOS, persistent high blood pressure, and irregular heavy bleeding suggests a possible hormonal disorder beyond just PCOS. Conditions like pheochromocytoma, Cushing’s syndrome, primary aldosteronism, or thyroid dysfunction could explain your symptoms. •Tests to consider: •Plasma metanephrines (to rule out pheochromocytoma) •Cortisol levels (24-hour urine or dexamethasone suppression test) (for Cushing’s syndrome) •Aldosterone-renin ratio (for primary aldosteronism) •Thyroid function tests (TSH, Free T3, Free T4) 2. Geneticist or Metabolic Specialist •Why? Given your history of IUGR (intrauterine growth restriction), birth asphyxia, and childhood dyspnea with fainting, an underlying genetic or metabolic disorder may be contributing. Rare conditions like Ehlers-Danlos syndrome, Marfan syndrome, or mitochondrial disorders could explain your symptoms. •Tests to consider: •Whole exome sequencing (WES) or targeted genetic panels •Lactate, pyruvate, and ammonia levels (for metabolic disorders) 3. Pulmonologist with Cardiologist (for Pulmonary Hypertension Evaluation) •Why? Your history of dyspnea, fainting, and high blood pressure could suggest pulmonary arterial hypertension (PAH), especially since you had respiratory issues as a child. •Tests to consider: •Echocardiography with pulmonary pressure assessment •Right heart catheterization (if needed for definitive PAH diagnosis) •Pulmonary function tests (PFTs) and arterial blood gases (ABG) 4. Hematologist •Why? Your heavy menstrual bleeding unresponsive to treatment may indicate a clotting disorder or platelet dysfunction rather than just a gynecological issue. •Tests to consider: •Von Willebrand factor assay (for Von Willebrand disease) •Platelet function tests •Coagulation panel (PT, APTT, INR, fibrinogen levels, D-dimer, Factor VIII, Factor IX, etc.) 5. Rheumatologist •Why? Autoimmune disorders like systemic lupus erythematosus (SLE) or vasculitis could cause fluctuating high blood pressure, cardiac symptoms, and abnormal bleeding. •Tests to consider: •ANA, anti-dsDNA, antiphospholipid antibodies •Complement levels (C3, C4) 6. Neurologist (for Autonomic Dysfunction Evaluation) •Why? Your palpitations, inconsistent high blood pressure, and history of fainting could be due to dysautonomia or postural orthostatic tachycardia syndrome (POTS). •Tests to consider: •Tilt table test •24-hour Holter monitor or continuous ECG monitoring

Since multiple doctors have already evaluated you without finding a clear answer, a referral to a major university hospital or a specialized diagnostic center would be ideal. They often have multidisciplinary teams that can work together on complex cases like yours.

Kindly connect Will suggest.

Need few more details Kindly consult

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Needs to be evaluated. Do consult.

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Avoid fried food and spicy food Water intake more Green leafy vegetables and fruits and Do connect and consult Will help you