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Dear Doctors I'm a 25-year-old female with a persistent high heart rate (95-105 bpm). I've been experiencing chest pain, left arm pain, and shoulder/back pain. Despite multiple ER visits, my tests (ECG, Echo, TMT, and Troponin) have been done & all the tests were normal I'm concerned about the cause. Could my symptoms be related to anxiety or is there another underlying issue? I'd appreciate your guidance.
Answers (26)
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Hi,
The best way ahead would be a detailed clinical interview to understand the symptoms and your comprehensive history.
For a personalized plan, find me by searching "Dr Abhinav Tewari Neuropsychiatrist Lucknow" on Google Maps — my details are listed there.
ẄĤÃŤŠÅPP available on nine four one five three nine four three seven nine
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Consultant Neuro-Psychiatrist
MBBS (A.I.I.M.S., New Delhi)
MD (Psychiatry) (A.I.I.M.S., New Delhi)
DNB (NBEMS)
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Check thyroid profile and vitd3 levels
Cervical spine x ray ap view nd laterala view
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Your test results (ECG, Echo, TMT, Troponin) being normal effectively rule out serious cardiac causes. A persistent heart rate of 95–105 bpm, along with chest and arm pain, is commonly seen in anxiety spectrum disorders, panic attacks, or autonomic dysfunction (like POTS)—especially in young females. Musculoskeletal strain and acid reflux can also mimic these symptoms.
However, to be certain, we need to review your blood work (thyroid profile, hemoglobin, electrolytes) and lifestyle pattern (sleep, caffeine, stress levels). Once these are evaluated, management becomes straightforward with guided therapy, breathing techniques, and medication only if required.
You can connect with me directly on WhatsApp at nine three two six zero two zero five nine six for a personalized assessment and step-by-step plan to get your symptoms under control quickly.
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Kindly send all reports on dm. Also if your ecg, trop i and every other reports are normal its possible that the symptoms can be likely from severe gastritis as well as anxiety induced. Happy to help 🩺 consult for more help.
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Hello,
For consultation
1. Pay ( ₹ 500 only, 50 % off ) and consult by practo.
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Take a glass of milk daily.
Thanks.
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Consult with cardiologist and psychiatrist
Needed detailed history for further evaluation
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Please consult a Cardiologist and ask for a referral to a Psychiatrist.
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You can consult me directly on Practo, or reach out via WhatsApp:
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I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
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Hello mam
I’m available to discuss your problems in detail. Please feel free to message me on WhatsApp at 9133 seven seven 996 seven (@ ₹95)
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Hello
Yes if all your tests are normal then it's because of Anxiety.
Don't worry.
Try to indulge in recreational activities.
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Reach out on video call consultation.
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Hello, I am Dr. Romain Rajan, General Physician.
I understand your concern. A persistently high heart rate and chest discomfort can be worrying, especially when heart-related causes have been ruled out by tests like ECG, Echo, TMT, and Troponin. Since all these reports are normal, it is highly likely that your symptoms are due to anxiety-related tachycardia, stress, or lifestyle factors rather than a structural heart disease.
â
Advices
⢠Keep a daily record of your heart rate and note when it increases â anxiety, caffeine, poor sleep, dehydration, and hormonal changes can all raise heart rate.
⢠Reduce stimulants like tea, coffee, and energy drinks. Ensure proper hydration and regular balanced meals.
⢠Practice deep breathing, meditation, or guided relaxation for at least 10 minutes daily to control anxiety-driven heart rate surges.
What to Monitor
⢠Frequency and duration of palpitations or pain.
⢠Any association with exertion, stress, or rest.
⢠New symptoms such as fainting, severe breathlessness, or swelling in legs.
Management
You may take Magnesium and B-complex supplements after meals, as mild electrolyte or vitamin deficiency can increase heart rate sensitivity.
If anxiety is significant, short-term use of mild anxiolytics or beta-blockers (like propranolol) may be considered after in-person evaluation.
Also, ensure adequate sleep of 7 to 8 hours daily, as poor rest keeps the sympathetic system overactive.
When to Consult a Doctor Immediately
⢠Sudden severe chest pain radiating to the jaw or arm
⢠Fainting or near-fainting episodes
⢠Heart rate persistently above 120 bpm at rest
Every patientâs situation is unique. For accurate diagnosis and lasting recovery, it is important to discuss your detailed medical history, stress pattern, and lifestyle habits.
ð You can reach out to me directly for this case, and also connect with me in future for any medical consultation.
I am available on Practo or on WhatsApp at 85271646seven seven for a one-on-one consultation, where you will receive:
A personalized treatment plan
Safe medicine adjustments if required
Quick follow-ups to track your recovery
Take care, wishing you good health.
Best regards,
Dr. Romain Rajan
General Physician
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Since you are a young female and also a student and all your tests are coming normal, it could be other underlying issue. Kindly consult with me on 94 two six eight six 78 nine six.
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Your reports are normal, which is very reassuring. A heart rate around 95–105 bpm is often seen with stress, anxiety, dehydration, or thyroid imbalance, and usually isn’t dangerous.
Keep yourself well-hydrated, reduce caffeine, and try light exercise or breathing relaxation.
You can check thyroid and blood counts if not done yet.
If it persists, a 24-hour Holter test can help.
Most likely, your heart is healthy — it’s just beating a bit faster than usual.
Next Steps
consultant online for further discussion
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It appears that you are suffering from anxiety
Proper psychiatric evaluation is needed
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In first instant as all test related to heart normal its stress, anxiety, may be gastritis.
Change life style n diet plan drastically first no therapy gives u proper results otherwise.
Nexpro RD40 ONE IN EMPTY STOMACH FOR 7 days.
Mucain gel 10 ml without water nothing by mouth till 30min can be taken 3to 4times specially when u feel symptoms.
Tab nexito10 one at night for ten days after dinner.
Tab Ciplar LA 20 oneafter breakfast for ten days.
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Anxiety issue, Do meditation every day
Or yoga daily
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Quite possible it may be generalised anxiety… certain other possibilities must be ruled out
Is there is any history of syncope/ dizziness
Is there change in bp
Is there any history of caffeine intake / smoking
Next Steps
Try deep breathing exercises / vagal activation meditation and notice any changes n whether helpful
Consult for further guidance.
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Can be FMS
Next Steps
duloxetine
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If you want to discuss your problem in more detail, feel free to message me on Whats App at nine one one nine two five five six nine nine for al free detailed discussion
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It could be anxiety or muscular pain
Need more details
Kindly book consultation so that i can be discussed in detail
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Dr. Ishwa Vaderia
General Physician
1 yrs exp
Rajkot
Need to consult
Contact on 9three28010077
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
U hav anxiety
Rest, calm down
Avoid stress ,overthinking
Consult online
Take tab ciplar la
Contact will guide you
Need a psychiatrist opinion
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