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
Given your current symptoms and medical history, it seems likely you’re dealing with a combination of post-viral effects and potential autonomic dysfunction, such as Postural Orthostatic Tachycardia Syndrome (POTS) or inappropriate sinus tachycardia (IST). Post-viral syndromes can occur after infections like dengue fever, leading to autonomic nervous system issues and emphasizing symptoms of palpitations, body aches, and other disturbances. Your slightly elevated CRP and ESR levels suggest some ongoing inflammation, which might be expected post-infection. The tingling and numbness, along with the cold extremities, could be related to circulation and autonomic function but might also be influenced by nutritional deficiencies, especially since your Vitamin B12 level is on the lower side.
To get a clearer picture of your autonomic function, a tilt table test could be beneficial if a specific autonomic disorder is suspected. Another consideration is checking for iron deficiency since your ferritin is on the lower end, though not dangerously so. Working on improving your B12 status through dietary changes or supplementation might help alleviate some neurological symptoms.
Addressing these issues might include practical lifestyle modifications. Staying hydrated with water and electrolytes can aid in maintaining circulation and autonomic stability. Regular but moderate exercise, like walking or cycling, and slowly increasing activity over time can improve tolerance and reduce palpitations. Ensuring a balanced diet with adequate nutrient intake is key, especially focusing on foods rich in B12 and iron. Practicing stress-management techniques such as guided relaxation or mindfulness can alleviate anxiety, which may also be contributing to your symptoms.
Medication might also be appropriate, especially if lifestyle adjustments don’t bring relief. Beta-blockers or ivabradine could be considered for managing heart rate after consultation with a cardiologist. The symptoms you’re experiencing could be multifaceted, and collaboration with specialists like a neurologist or rheumatologist might be helpful if your symptoms persist or worsen. It’s essential to continue regular follow-up with your healthcare providers to monitor your progress and adjust treatment as needed, especially if any red-flag symptoms like severe chest pain or breathing difficulties develop.
