How to reduce Palpitations body aches numbness cramps - #22201
Hello Doctor, I am an 18-year-old female seeking guidance regarding ongoing symptoms for the past 2 months. My main concern is heart palpitations and high heart rate. I have recorded a maximum HR of 150 bpm on ECG, around 110 bpm during doctor visits, and 90–100 bpm at rest normally, and bp 135 85 sometime normal 120 80 but most of the time 135 87 or sometime 140.90. I have undergone 4 ECGs, all showing sinus tachycardia. I have been evaluated by two cardiologists. My echocardiography is normal, and no structural heart disease was found. Along with this, I experience full body aches, mainly in the neck, shoulders, arms, calves, and sometimes joint discomfort. I also have tingling sensations, cold hands and feet, and occasional numbness, especially with sitting or activity. I had pulsation in everypart specially head legs back. Sometimes I feel a lump/tightness in the throat, with a sensation of difficulty breathing, though oxygen levels are normal. Relevant history: Had dengue fever 3 months ago These symptoms started about 2 months ago and persist Investigations done: Echocardiography: Normal Abdomen & pelvis ultrasound: Normal TSH: 1.28 CBC: WBC 11,000; Hb 13.1; RBC 5.1; Platelets 371,000 CRP: 11 ESR: 42 Vitamin D: 36 Ferritin: 46 Vitamin B12: 198 Cholesterol: 166 Evening cortisol: 10 hbA1c 5.1 Random blood sugar 101 I would like your opinion on: Whether these symptoms could be due to circulation issues, autonomic dysfunction (e.g., IST/POTS-like), post-viral effects, or anxiety-related causes Whether any further tests are needed Whether treatment or lifestyle measures should be started at this stage Thank you for your time and guidance. Kind regards, [Your bisma]
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Doctors’ responses
Hello
Based on your reports, this is NOT heart disease.
Your symptoms fit best with post-viral autonomic dysfunction (IST / POTS-like) after dengue, with anxiety amplification
What helps right now
Lifestyle Increase fluids (2.5–3 L/day) Increase salt intake (unless doctor said no) Small frequent meals Avoid caffeine, energy drinks Gentle walking + stretching daily (don’t over-rest) Good sleep routine
Supplements Vitamin B12 supplementation (oral or injections as advised) Magnesium can help palpitations & muscle pain
For palpitations/anxiety loop Slow breathing (4–6 breaths/min) Reassurance reduces HR significantly in IST
Do you need more tests?
Only if symptoms worsen: Orthostatic vitals / Tilt table test (to confirm POTS if suspected) Repeat CRP/ESR after a few weeks Otherwise no urgent tests needed
This condition is reversible Many young patients improve over 3–6 months You are not in danger
I trust this helps Take care Thank you
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
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