### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have high blood pressure, a heart murmur, an enlarged left ventricle, sleep apnea, and panic attacks. I am also anemic. I have daily nausea and migraines. I am only prescribed hct and iron. The high blood pressure is not controlled. For almost a year now, I have been having muscle spasms and they are becoming worse. It is becoming difficult to get through the work day. The air conditioning is out at work, so the heat seems to be aggravating my symptoms. I have been having female problems. My gynecologist has performed several procedures, including an abdominal myomectomy to remove fibroid tumors and a leep to remove abnormal cells. However, the fibroids and the abnormal cells have returned. He wants to repeat the surgeries. My hormones are completely out of whack. My blemish free skin is now cover with acne and I have extremely heavy menstrual cycles that last 12-13 days every 28 day cycle. Can all this be a sign of something worse, as these symptoms have been escalating over the past five years?

### output:

what's your age? Is it approaching menopause. So all your symptoms like nausea vomiting headaches etc. can be explained by your anemia, which can be taken care by iron supplements. However under medical supervision iv iron can also be given so that u quickly recover from anemia. Panic attacks can be due to your hormonal problems however u should seek psychiatrist for the symptomatic relief. You’re hormonal problems can be taken care by gynecologist and endocrinologist so u seek both. Hypertension can be treated with beta blockers which will be helpful for both hypertension and anxiety. Or else other antihypertensive can be tried. The prerequisites are u should make the BP chart and show it to local physician. U should also get your sugars, Sr cortisol levels tested.