
Hands Shaking, Increased Heart Beat, Heavy Feeling Above Breast Up To Neck, Head Feels Full, Dizziness, Hot

Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.
Important aspects of your query are:
• 19 year old female
• Complaints of: hand tremors, palpitation, heaviness near right breast/neck, feeling hot and dizziness.
I would like to consider multiple possibilities in following hierarchy:
• Thyroid related problem: get thyroid hormonal assay done
• Anxiety disorder: need to be rule out by detailed interview by psychiatrist. Other symptoms of anxiety which may or may not be present in your case: nervousness, restlessness, mild irritability, excessive worry regarding own health, tremor, muscle spasm, heaviness in body, easy fatigability, headache, sleep disturbance, palpitation and dry mouth.
• Vitamin deficiency: Get serum B12 level. Start multi vitamins as they are easily available.
• Side effect of substance use: so stop use if present specially alcohol.
Final message to you: Do not worry about symptoms, follow above advice, stop substance use if any and take multi vitamins.
I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.
Wish you good health.
Regards,

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