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

### input:
Hi, my daughter is 13 years old. She has went to the doctor and they are basiclly at a loss. She has been having these spells that started at the begining of summer at first she would get hot and her heart rate wold go up to around 130-160 resting. Now she also has shortness of breath and one she had the other day her legs were twitching. Her blood pressure and stuff is normal and her heart rate only stays elevated for 5 minutes from 130-160 resting for 5 minutes or so. She also gets very dizzy and lightheaded, once she has these all she wants to do is sleep. Do you have any idea what may be wrong. We have seen a cardiolgigst and they ran all kinds of stuff EKG s echocardiogram she was on a event monitor for 30 days and they ruled out her heart and told her she would have to deal with it since her heart rate didnt go over 170 resting. Please HELP. I don t know what to do and since we have been to the doctor so much lately I don y have an extra $15.00 to pay. But I really need an answer, I d like to know what s going on with my daughter. If I pay th $15 thats less food I get to buy this month. Could you please email me at YYYY@YYYY I know you proably can t but if you could email me and point me in the right direction even if you don t give an answer. Also my brother, her uncle, has stills diease if you know what that is and if its helpful at all,

### output:

Hello! Welcome and thank you for asking on Chat Doctor! I read your question carefully and understand your concern. I agree with her doctor in the fact that based on her cardiac tests, we can exclude a cardiac disorder related to this symptomatology. Furthermore, I would recommend consulting with a neurologist for a careful physical examination and a prolonged EEG, coupled with ECG. These symptoms may be related to epilepsy seizures. You should know that epilepsy seizures are commonly related to tachycardia. The twitching in her legs may be another sign of the seizures. Even the fact that she feels tired and wants to sleep after these episodes is another argument in favor of seizures. Further lab tests (complete blood count, liver and kidney function tests, thyroid hormones, calcium plasma levels, blood electrolytes, fasting glucose, inflammation tests, etc.) may be necessary to exclude metabolic and inflammatory disorders that may cause a similar clinical scenario. Hope to have been of help!p.s.: You do not need to pay for public questions, so don't worry about it. Best wishes, 