Hello dear See as per clinical history it seems combination of both heart related impact and post viral impact. Since there is already presence of sinus tachycardia so definitely medication are required to control it. Bp is fine but joint pain and lethargy/ weakness could be attributed to post dengue effects probably due to recovery. Iam suggesting some tests for confirmation Please share the result with cardiologist in person for better clarity Also take medication only on confirmation of exact diagnosis by concerned physician Serum troponin Serum LDH ECG echo repeat X ray chest Esr repeat CBC repeat Crp Cck Mb Lft Rft Serum ferritin Regards
Based on the symptoms you’re experiencing—heart palpitations, a high resting heart rate, body aches, and neurological symptoms—it seems reasonable to consider several potential causes. The prior history of dengue fever might suggest a post-viral syndrome could be contributing to these ongoing issues. Such syndromes sometimes involve autonomic dysregulation, which might lead to your symptoms like sinus tachycardia, palpitations, and tingling sensations. However, given your age and the normal echocardiogram, structural heart conditions seem unlikely.
The elevated inflammatory markers (CRP and ESR) indicate some ongoing inflammation, which can sometimes be related to post-viral states or other conditions. Low-normal levels of vitamin B12 might also account for some neurological symptoms, such as tingling and numbness. Supplementation with vitamin B12, either through dietary sources like meat, fish, dairy, or supplements, might be beneficial. Deferring to your physician about initiating B12 injections might also be worthwhile for faster restoration if there’s significant deficiency.
As for lifestyle measures, adequate hydration, balanced nutrition, regular light physical activity, and stress management techniques such as meditation or breathing exercises can support autonomic function and overall health. Gradual reconditioning exercise—like swimming or cycling—can also be helpful for potential autonomic dysfunction like POTS. Given your symptoms and test results, further evaluation with a tilt table test or continuous heart rate monitoring could provide more insight into whether autonomic dysfunction plays a significant role.
It’s also vital to address anxiety if it’s a contributing factor. Cognitive-behavioral therapy (CBT) or discussions with a psychologist or psychiatrist might be strategies worth considering. Most importantly, if these symptoms escalates or new alarming symptoms arise like chest pain or significant shortness of breath, further immediate medical evaluation would be essential to rule out any serious conditions. Check with your doctors to tailor these strategies to your needs, and ensure regular follow-ups to monitor your condition’s progression.
