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Tachycardia with night cough, mucus and anxiety
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Infectious Illnesses
Question #19586
61 days ago
153

Tachycardia with night cough, mucus and anxiety - #19586

Zaid siddiqui

My brother has cold and cough with mucus for the past few days. Last night he suddenly woke up from sleep with severe coughing, ghabrahat (anxiety) and fast heartbeat (tachycardia). He felt some chest tightness but no severe chest pain. The heart rate increased during panic and reduced after sitting upright and calming down. He does not have high fever. Symptoms seem worse at night, especially while lying down. We are concerned whether this episode was caused by post-nasal drip, mucus blockage, acid reflux, anxiety, or something more serious involving the heart or lungs. Please advise the possible cause, safe medicines to take, and warning signs for which we should seek urgent medical care.

Age: 27
Chronic illnesses: No
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Doctors' responses

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.
60 days ago
5

Hello dear See as per clinical history it seems chances of either myocardial infarction or respiratory issues I think there is need to get clinical evaluation done for exact clarification Iam suggesting some tests Please get them done Serum ferritin Serum TSH CBC Esr Random rbs Lft Rft Serum troponin Serum LDH Echo Spirometry Please share the result with cardiologist in person for better clarity Please donot take any medication without consulting the concerned physician Regards

1847 answered questions
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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.
60 days ago
5

Hello,

Rx; Syp Ambroxol 30mg/5ml - 10 ml 1-0-1 after food Tab Allegra 120mg 0-0-1 after food Tab Pantop 1-0-0 before food if gastric irritation Do steam Inhalation You can use Saline spray

These for 5 days

If symptoms persist >4–5 days, repeated night episodes, yellow-green sputum, fever, or history of asthma/smoking please consult a physician in person

I trust this helps Thank you

1026 answered questions
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The symptoms your brother is experiencing, including nighttime coughing, anxiety, and a fast heartbeat, could possibly be related to several factors. Post-nasal drip or mucus due to an upper respiratory infection might cause irritation and coughing, especially when lying flat, which could trigger anxiety and a temporary increase in heart rate. Alternatively, gastroesophageal reflux disease (GERD) is another potential cause, as acid reflux can lead to nighttime coughing and chest discomfort.

Considering these possibilities, he might find relief by using over-the-counter remedies like saline nasal sprays or decongestants to manage mucus, and antacids or proton-pump inhibitors if GERD is suspected. Elevating the head of his bed slightly could also reduce nighttime symptoms caused by post-nasal drip or acid reflux.

However, it is essential to be alert for warning signs that indicate the need for urgent medical care. If he experiences persistent or worsening chest pain, difficulty breathing, severe wheezing, a high fever, or if his heart rate does not return to normal after calming down, it’s crucial to seek immediate medical evaluation. These could suggest more serious conditions, such as a respiratory infection or cardiac issues. Make sure he stays hydrated, avoids smoking or exposure to irritants, and monitors his symptoms. If symptoms persist more than a few days or worsen, consulting a healthcare provider for a thorough evaluation would be prudent. A medical professional might recommend diagnostic tests like chest X-rays or an EKG to rule out any serious underlying conditions.

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Dr. Bheruram Netar
I am working in general medicine opd from 3 years now and that gave me wide exposure to all kind of patients walking in with different complain, sometimes mild, sometimes really serious. Most common I handle are seasonal allergies, gestational issues during pregnancy, diabetes and hypertension, but I also see cases of infections like dengue or malaria that need quick attention. In OPD you never know what the next case will be, one moment its a child with fever and next a adult with uncontrolled blood sugar, and I learnt to switch fast and think clear. I focus on proper diagnosis first, using detailed history and examination rather than rushing, cause many conditions overlap and can confuse. For example a viral fever might look like dengue in early days, or hypertension can stay hidden till it shows as headache or dizziness. I try to explain to patients in simple words what is happening with their health, as many come with fear and half information. Making them comfortable and giving them trust matters more than only prescribing medicines. Over these years I also developed a flexible approach in management, not every patient need same treatment plan. Like gestational diabetes require a very diff care compared to a young person with type 1 diabetes. Lifestyle counselling became important part of my practice, talking about diet, exercise, sleep routine and follow-up. Even with allergies or seasonal flu, guiding them on prevention and hygiene reduce re-occurence a lot. In opd practice volume is high and decision making has to be quick but safe. Sometimes you only have a few minutes, still I try to balance efficiency with personal care. Seeing patients recover and come back with gratitude motivate me everyday. Working across such diverse case made me more confident, but also humble because medicine is never fully predictable. There are times I doubt, recheck, ask for labs before final call, and I think that caution is also strength.
60 days ago
5

Hello As your history it’s worsen night time it’s likely asthma attack which trigger from cold and producing mild mucus As start coughing it’s increase heart rate so called tachycardia Kindly follow instructions Nebulization with duolin and Budacort Tab mucinac ab once a day Tab zerodol sp twice a day Tab montas L 1 od hs Syrup ascoril 2 tsp twice a day Tab zithral 500mg 1 once a day Consult to respiratory medicine for spirometery

Kindly take this and you will get relief Thanks

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