This is most probably anxiety neurosis. But organic causes needs to be excluded.

If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation

Need proper evaluation please consult for assessment and treatment

Please consult a physician physically for clinical evaluation.

Cipla 40 one at night

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That's a Panic Attack.

kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Need evaluation

Night-time fast heartbeat, shivering and breathlessness can occur with panic attacks, but after four years we should not assume anxiety alone. Please arrange an in-person review for examination, BP, ECG and basic tests such as CBC and thyroid, and review any current anxiety treatment. Seek urgent care for chest pain, fainting, severe breathlessness or a sustained very fast/irregular pulse. Book a consultation with me so we can separate medical causes from anxiety and make a proper plan.

Hello, Take Balanced diet. For diet details and ePrescription consult by practo app or contact me at WhatsApp at +91959508739nine. In future if consultations are required than consult by practo app or contact me at WhatsApp at +91959508739nine. Thanks.

Avoid fried and spicy food Water intake more Green leafy vegetables Fiber meal Do connect and consult Will help you

Need a few more details please consult for further evaluation and treatment

Kindly consult with me on practo app

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Four years of nighttime breathlessness, fast heartbeat, and shivering, especially alongside your anxiety history, is a pattern worth having formally evaluated rather than living with.