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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Anxiety And Heart Palpitations Causing Sleeplessness

Hello iam unable to sleep during the night due fear that something would happen to me relating to heart disease... This thought developed when i have a fast heart beats right after 5 to 10 min falling asleep and its nowadays its continues in regular nights ... While this happens my upper body and left hand will shake and i feel beats in my throat...please help me sir im so scared and its disturbing my daily routine life ... Previously two times i consult cardiologist they performed some tests and said it as normal and some deficiency... But i started again sir please help me.. My age is 23 and weight is 80
Sat, 3 Sep 2016
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General & Family Physician,  's  Response
This is called palpitation. Common causes of palpitation include: strong emotional responses, such as fear, stress or anxiety, strenuous exercise, caffeine, nicotine, fever, taking cold and cough medications that contain pseudoephedrine, a stimulant and taking some asthma inhaler medications that contain stimulants. Occasionally heart palpitations can be a sign of a serious health problem, such as an overactive thyroid gland (hyperthyroidism) or an abnormal heart rhythm (cardiac arrhythmia). Arrhythmias may include very fast heart rates (tachycardia), unusually slow heart rates (bradycardia) or an irregular heart rhythm.
Advice
1.     Take rest and avoid all sorts of strenuous activity
2.     Alprazolam 0.25 mg at bed time per oral for 1 month
3.     Avoid tea, coffee, alcohol and smoking
4.     Lose weight if you are overweight
5.     Regularly check your blood pressure
6.     Investigation – ECG at the time of heart palpitation, Hb%
Thanks
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Suggest Treatment For Anxiety And Heart Palpitations Causing Sleeplessness

This is called palpitation. Common causes of palpitation include: strong emotional responses, such as fear, stress or anxiety, strenuous exercise, caffeine, nicotine, fever, taking cold and cough medications that contain pseudoephedrine, a stimulant and taking some asthma inhaler medications that contain stimulants. Occasionally heart palpitations can be a sign of a serious health problem, such as an overactive thyroid gland (hyperthyroidism) or an abnormal heart rhythm (cardiac arrhythmia). Arrhythmias may include very fast heart rates (tachycardia), unusually slow heart rates (bradycardia) or an irregular heart rhythm. Advice 1. Take rest and avoid all sorts of strenuous activity 2. Alprazolam 0.25 mg at bed time per oral for 1 month 3. Avoid tea, coffee, alcohol and smoking 4. Lose weight if you are overweight 5. Regularly check your blood pressure 6. Investigation – ECG at the time of heart palpitation, Hb% Thanks