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

### input:
ood day, im sheila from philippines. i try to send here just to know the answer about the symptoms that i feel. it was two weeks that i started of having difficulty of breathing. actually, on last tuesday, i had difficulty of breathing, for the reason that i did not able to take prelim exam. in the result of my ecg was unspecified changes of wave and in which the doctor (university physician) told me that i had slow beat of my heart. what do you think the reason? currently, i cannot stand stand long because i feel vomit, still have difficulty of breathing, also, cold sweat,and feel dizzy.actually, last year, the gynecology doctor told me that i had hormonal imbalance.she added that anytime, my cbc became imbalance even i had healthy cbc result.the only thing ill do was to maintain to take hemarate.but now i stop taking because i suspected that hemarate is the reason of my weakening of breathing. also, i am worried because its now three months that my menstrual period does not come. i am worried what if when my period come, i will hospitalized again because of the heavy flow of my menstrual period and that was the reason that i was hospitalized last year because i almost lost my hemoglobin.now i wanna ask, what do you the reason of not feeling well, is it because of my heart or because of my problem in my blood. ill wait for the answer.

### output:

Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out heart blocks in your case. You said that your ECG was showing slow rhythm. This is seen in heart blocks. And if this is present then you're all symptoms like weakness, dizziness, breathlessness etc. are explained. In heart blocks, pumping of heart is reduced and hence blood supply to organs is reduced. And hence all these symptoms occur. So first consult cardiologist and get done repeat ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). If all these are normal then no need to worry about heart blocks. Another possibility is hormonal imbalance and anemia due to menstrual abnormality. So get done hormone levels and hemoglobin estimation to rule out this. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.