 [ Symptoms ] my 15 year old daughter has tricuspid valve regurgitation nausea getting worse [ Disease ] fatigue can be the only symptom related to tricuspid regurgitation but left shoulder pain and chest pain are not also migraine can cause nausea and and dizziness but those symptoms altogether may refer to another internal pathology which i think could be pancreas or anxiety disorder get amylase tested vagus nerve hyperactivity is a possible cause is there any abdominal pains