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Asking for Self, Female, 18 years old, Multan
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. 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 activitie 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 I would like your opinion on: Whet
Dear sister,palpitations is most of the time physiological response and it’s normal ,Don’t worry about it and don’t visit to any cardiologist further,it’s not need any medication.take tab Methycobal bd for 20 days, tab Osso D OD for 1 month .don’t be panic.not need to be anxious,enjoy life enjoy time
You may start tablet Tenormin 25 mg once daily (for palpitations)
Tab Neurobion 1+0+1
Aoa.
based on your history quite a few patients especially females have symptoms of palpitations and tachycardia post viral infection, we experienced this quite a lot in post COVID patients as well and Alhamdulillah they got well with proper treatment.
my suggestion would be to book an online video consultation appointment for proper evaluation and further management plan
it's completely treatable after taking some medicine don't you worry detailed history required kindly book appointment with me
Sinus tachycardia could be with simple anxiety too but ur Crp is significantly high so kindly rule out RA n SLE etc meanwhile
These look like post viral syndrome type of symptoms. CRP is a bit high . There is a post covid syndrome called long covid syndrome. I think a similar type of treatment as in long covid syndrome should be given.
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