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Suggest Treatment For Anxiety And Breathlessness
Question: Hello
I have noticed that for the past 24 hours my pulse is lower than normal at around 51 RHR. When I get up and walk around it goes a bit higher into the 60-80 range and above 120 if I exert myself. Last night when sleeping i also felt some anxiety and fuzzyness on the front right side of my head.
I have been otherwise fit although i get breathless when i run for the first 1-2 miles and then much better after that for mile 3 and 4.
I particularly get breahtless when i run when i feel bloated, even say 4 hours after a heavy meal or do even moderate activity after 1 beer
Is this cause for concern?
I have noticed that for the past 24 hours my pulse is lower than normal at around 51 RHR. When I get up and walk around it goes a bit higher into the 60-80 range and above 120 if I exert myself. Last night when sleeping i also felt some anxiety and fuzzyness on the front right side of my head.
I have been otherwise fit although i get breathless when i run for the first 1-2 miles and then much better after that for mile 3 and 4.
I particularly get breahtless when i run when i feel bloated, even say 4 hours after a heavy meal or do even moderate activity after 1 beer
Is this cause for concern?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
I carefully passed through your question and would like to explain that your heart rate seems to be within the normal ranges.
It is quite normal to have a lower heart rate during rest and a higher heart rate during physical activity.
The resting heart rate sometimes can be lower, especially in active persons, who make regularly a lot of physical activity.
But, as long as you do not have any shortness of breath, chronic fatigue and your heart rhythm is normal (regular), there is nothing to be concerned about.
Regarding the shortness of breath during physical activity, it is normal, and happens in every normal person.
The shortness of breath after a heavy meal is related to gastro-esophageal reflux or indigestion.
But, all your complaints are not indicative of any serious medical disorder.
I would just recommend avoiding large meals and spicy food. Trying to eat more frequently and in small portions will help avoid the shortness of breath after eating or during physical exertion. I would also advice avoid soda drinks and alcohol, which can trigger this clinical situation.
Taking an anti-acid could also be helpful.
Hope to have clarified some of your uncertainties!
I remain at your disposal for any other questions whenever you need!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
I carefully passed through your question and would like to explain that your heart rate seems to be within the normal ranges.
It is quite normal to have a lower heart rate during rest and a higher heart rate during physical activity.
The resting heart rate sometimes can be lower, especially in active persons, who make regularly a lot of physical activity.
But, as long as you do not have any shortness of breath, chronic fatigue and your heart rhythm is normal (regular), there is nothing to be concerned about.
Regarding the shortness of breath during physical activity, it is normal, and happens in every normal person.
The shortness of breath after a heavy meal is related to gastro-esophageal reflux or indigestion.
But, all your complaints are not indicative of any serious medical disorder.
I would just recommend avoiding large meals and spicy food. Trying to eat more frequently and in small portions will help avoid the shortness of breath after eating or during physical exertion. I would also advice avoid soda drinks and alcohol, which can trigger this clinical situation.
Taking an anti-acid could also be helpful.
Hope to have clarified some of your uncertainties!
I remain at your disposal for any other questions whenever you need!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello Dr lliri
Good to hear from you again. I felt the pulse was lower than my normal RHR. It is usually in the 60s but this last day or so has been consistently in the low 50s when sitting. Also what about the dull fuzzy headache, is that related to the lower heart rate at all? That was in my original question as well. It is perhaps 1-2 out of ten with one being lowest pain. Also see attached how my RHR has dropped recently. Thank you again, please let me know your guidance again.
Good to hear from you again. I felt the pulse was lower than my normal RHR. It is usually in the 60s but this last day or so has been consistently in the low 50s when sitting. Also what about the dull fuzzy headache, is that related to the lower heart rate at all? That was in my original question as well. It is perhaps 1-2 out of ten with one being lowest pain. Also see attached how my RHR has dropped recently. Thank you again, please let me know your guidance again.
Brief Answer:
My answer as follows:
Detailed Answer:
Hello again!
I carefully reviewed your uploaded reports and would explain that they are not indicative of any serious medical disorder.
The lower heart rate can be explained with the regular physical activity that you have been performing all this time. You should know that sportsmen have a lower resting heart rate, related to the new balance that their body has achieved.
I don't think that your headache is related to the lower heart rate.
The headache in this region could be explained with sinus infection or tension type headache. Tension type headache is related to the emotional stress during the day.
Regarding the sinuses, I would recommend performing a sinus X ray study to exclude a possible sinus infection.
What about your blood pressure? I would also like to know more about your blood pressure values lately.
Let me know about everything!
Regards,
Dr. Iliri
My answer as follows:
Detailed Answer:
Hello again!
I carefully reviewed your uploaded reports and would explain that they are not indicative of any serious medical disorder.
The lower heart rate can be explained with the regular physical activity that you have been performing all this time. You should know that sportsmen have a lower resting heart rate, related to the new balance that their body has achieved.
I don't think that your headache is related to the lower heart rate.
The headache in this region could be explained with sinus infection or tension type headache. Tension type headache is related to the emotional stress during the day.
Regarding the sinuses, I would recommend performing a sinus X ray study to exclude a possible sinus infection.
What about your blood pressure? I would also like to know more about your blood pressure values lately.
Let me know about everything!
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you, yesterday it dropped to 45 or so briefly when resting but after yoga it went from 150 down to 70-80 range until bed time when it dropped to 60s, so everything was normal. How quickly should it drop after say a 120-130 BPM spike? Mine from 122 to 72 in 2 minutes - is that normal? My BP was 120/80 as of yesterday, so normal. Kindly advise
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello again!
I am glad to confirm that these heart rate fluctuations are quite normal. They are related to the release and degradation of adrenaline and noradrenaline.
There is not a specific time for the heart rate to slow down. It is related to the circulating adrenaline degradation from the liver, which is different in different persons.
Usually it takes some minutes for the heart rate to slow down. You should know that the mean time needed to reduce into half the dose of circulating adrenaline or noradrenaline is 2 minutes.
This makes sense in your case.
But, there is no reason to worry about!
Hope to have clarifies some of your uncertainties!
Wishing good health,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello again!
I am glad to confirm that these heart rate fluctuations are quite normal. They are related to the release and degradation of adrenaline and noradrenaline.
There is not a specific time for the heart rate to slow down. It is related to the circulating adrenaline degradation from the liver, which is different in different persons.
Usually it takes some minutes for the heart rate to slow down. You should know that the mean time needed to reduce into half the dose of circulating adrenaline or noradrenaline is 2 minutes.
This makes sense in your case.
But, there is no reason to worry about!
Hope to have clarifies some of your uncertainties!
Wishing good health,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you doctor - today i was in a meeting and felt this sharp pain in my sternum area for about 30 seconds and within a few hours it is an inflammed
Bump. See attached. I did extensive yoga yesterday so wondering if this is due to that. Thank you for all hour help, ive tried to be objective and not anxious but a few events have occured one after another. Bump is tender and red, no pain when breathing and no other symptoms at all, HR is good at 64 BPM all day. Please advice.
Bump. See attached. I did extensive yoga yesterday so wondering if this is due to that. Thank you for all hour help, ive tried to be objective and not anxious but a few events have occured one after another. Bump is tender and red, no pain when breathing and no other symptoms at all, HR is good at 64 BPM all day. Please advice.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello again!
The sharp pain and the Bump are not related to your heart. They indicate only musculo-skeletal pain and inflammation, probably related to a stretched muscle during Yoga.
The red and tender bump is typical of inflammation.
I would just recommend putting some cold packs in this area. Ibuprofen can also help with the pain as it has anti-inflammatory effects.
The bump will probably resolve spontaneously in the next days.
Hope you will find this answer helpful!
Let me know about everything!
Regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello again!
The sharp pain and the Bump are not related to your heart. They indicate only musculo-skeletal pain and inflammation, probably related to a stretched muscle during Yoga.
The red and tender bump is typical of inflammation.
I would just recommend putting some cold packs in this area. Ibuprofen can also help with the pain as it has anti-inflammatory effects.
The bump will probably resolve spontaneously in the next days.
Hope you will find this answer helpful!
Let me know about everything!
Regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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