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How to understand if is stress or something else?
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Cardiac & Vascular Health
Question #18645
69 days ago
176

How to understand if is stress or something else? - #18645

Thodoris

It's many nights when I go to sleepi have a very strong heartbeat! I feel it in all my body!Iwas at doctors three timesi did everything for heart expect holder! everything was fine and my blood tests also! but I suffer from stress and they all say me it's from stress!do you have anything to tell me or to think to do more for heart?

Age: 34
Stress
Strong heartbeat
300 INR (~3.53 USD)
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
69 days ago
5

Hello,

Your tests (ECG, echo, blood work) are normal- heart disease is very unlikely.

Strong heartbeat at night is commonly caused by stress/anxiety and increased adrenaline.

🛑Adrenaline makes the heart beat stronger and faster

Stress-related palpitations usually: Happen at rest or at night Come and go Feel strong but not dangerous Improve with relaxation or distraction

Warning signs to recheck urgently: Fainting Chest pain with exertion Severe breathlessness Long-lasting irregular heartbeat

🛑What helps: Reduce caffeine/nicotine 👍Slow breathing when it starts Good sleep routine Stress management

This sounds like stress-related palpitations, not a heart problem. A Holter test is optional for peace of mind.

👍If you want 100% reassurance, a Holter monitor is reasonable - not because something is likely wrong, but because it can help your mind rest.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
68 days ago
5

Hello dear See after careful evaluation it seems anxiety only However for the safer side iam suggesting some tests Please share the result with cardiologist for better clarity ECG echo Serum ferritin Serum troponin Serum LDH Serum TSH Crp Esr In addition please follow below precautions Do meditation daily for mental health Do physical exercise atleast half an hour daily Indulge in social media for good entertainment Engage in hobbies for better creativity Hopefully improvement will occur In case of no improvement consult psychiatrist in person for better clarity Regards

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If you’ve already seen a doctor multiple times, and tests like ECGs, echocardiograms, and relevant blood work have come back normal, it’s likely that the strong heartbeat you’re experiencing at night is related to stress or anxiety. Stress can lead to an increased heart rate or heightened awareness of your heartbeat, often called palpitations, which are usually harmless when your heart is otherwise healthy. However, some steps can help reduce this awareness and improve your situation. First, consider lifestyle changes that address stress. Incorporating relaxation techniques, like deep breathing exercises or mindfulness meditation, may be beneficial. Regular physical activity can also reduce stress levels; aim for at least 150 minutes of moderate exercise per week. Limiting caffeine, nicotine, and alcohol intake, especially in the afternoon or evening, could help, as these can sometimes trigger or worsen palpitations. Ensure you’re practicing good sleep hygiene: establish a regular sleep schedule, make your bedroom conducive to sleep, and limit screen time before bed. Since you haven’t tried a Holter monitor yet, you might discuss this with your healthcare provider; it can capture heart rhythms over 24 to 48 hours, potentially providing additional insights. If these lifestyle adjustments don’t seem to alleviate your symptoms or if they worsen, consider revisiting your healthcare provider. While stress may be the primary factor, other possibilities like thyroid issues sometimes present similar symptoms, so a comprehensive assessment remains key. Maintaining open communication with your doctor helps ensure that any change in your symptoms gets appropriately evaluated. Remember, acknowledging and managing stress is often as important as monitoring physical health, and both should be addressed in an integrated manner.

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
68 days ago
5

This sounds like health anxiety + stress, not a heart problem. Treating anxiety often completely stops these symptoms.

Visit a psychiatrist. You need few counselling.

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
68 days ago
5

Hello Thodoris It sounds really distressing to experience a strong heartbeat, especially when you’re trying to sleep. Since you’ve already seen doctors and had tests done that came back normal, it’s good to know that your heart health is being monitored.

Here are a few suggestions to help manage your symptoms: 1. Stress Management: Since stress is a significant factor, consider incorporating relaxation techniques into your routine. Practices like deep breathing, meditation, yoga, or mindfulness can help calm your mind and body. 2. Regular Exercise: Engaging in regular physical activity can help reduce stress and improve overall heart health. Even simple activities like walking or stretching can be beneficial. 3. Sleep Hygiene: Create a calming bedtime routine. Avoid screens before bed, keep your sleeping environment comfortable, and try to go to bed at the same time each night. 4. Limit Stimulants: Reduce or avoid caffeine and nicotine, especially in the hours leading up to bedtime, as they can increase heart rate and disrupt sleep. 5. Talk to Your Doctor: If your symptoms persist or worsen, it might be worth discussing with your doctor again. They may consider additional tests or refer you to a specialist for further evaluation.

Thank you

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