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Regarding exercise tolerance
I have exercise intolerance always feel uncomfortable in doing dancing or any thing after two minutes i am not able to do but walking no problem echo done one year ago normal is normal is there any problem in heart or what not able to do exercise feel uneasiness symptoms
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You need proper evaluation by a General Physician or by a Cardiologist. Please don't go for sketchy investigations. All should be done in a definite sequence.
2D ECHO is done by a Cardiologist. It is not possible that a Cardiologist will do a 2 D Echo without talking to you. It is quite possible that the 2 D Echo was done by a Cardic Technician and you didn't consult a Cardiologist with the report.
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Most people struggle with anything more than walking due to poor aerobic reserve.
Treadmill with an incline is a great way to build aerobic reserve.
All the best.
www.jgsr-health-education.in
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There are lots of reasons for exercise intolerance. Can be problem in heart, lungs, musculoskeletal conditions, diabetes, anemia.
Please share details of your symptoms, get Haemoglobin, blood sugar, thyroid profile, X ray chest done and share results. Then I can help you.
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Lot of doctors gives you reasons for intolerance.
No heart problem as u go for test.
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Wat are ur other blood investigations. BP and pulse. Chest x ray? Kindly consult with me on 94 two six eight six 78 nine six.
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Dear Patient,
If your Echo was normal and you can walk comfortably, serious heart disease is unlikely.
Exercise intolerance with uneasiness after 1–2 minutes can be due to:
• Low stamina / deconditioning
• Anxiety or over-breathing
• Anemia
• Thyroid disorder
• Vitamin D / B12 deficiency
advise:
• CBC (to rule out anemia)
• TSH (thyroid test)
• Vitamin D & B12 levels
• Start gradual exercise (slow increase, not sudden intense activity)
If you develop chest pain, breathlessness at rest, fainting, or palpitations, consult a physician/cardiologist for re-evaluation.
Most cases at your age are non-cardiac and improve with conditioning and correction of deficiencies.
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At 27 years old, with:
• Normal echocardiogram (1 year ago)
• Able to walk without problem
• Difficulty only with higher-intensity activity (dancing, bursts of effort)
• Feeling uneasiness within 2 minutes
Significant structural heart disease is unlikely.
This pattern is more commonly due to:
• Physical deconditioning
• Anxiety-related exercise intolerance
• Low hemoglobin or vitamin deficiency
• Thyroid imbalance
• Poor breathing pattern during exertion
If walking is fine but higher intensity causes discomfort, it usually suggests low aerobic conditioning, not heart failure.
Serious cardiac causes typically produce:
• Chest tightness with exertion
• Breathlessness on walking
• Fainting
• Strong family history of sudden cardiac death
If these are absent, heart disease is less likely.
Next Steps
I recommend:
✔ Check Hemoglobin
✔ Check TSH (thyroid)
✔ Check Vitamin B12 & Vitamin D
✔ Consider ECG if not done recently
If anxiety is suspected:
✔ Try controlled breathing during activity
✔ Monitor heart rate objectively rather than by sensation
If still concerned:
✔ Do a TMT (Treadmill Stress Test) for objective assessment
This will clearly show whether your exercise capacity is normal.
Health Tips
✔ Start gradual conditioning:
• Week 1–2: Brisk walking 20 minutes
• Week 3–4: Add light jogging intervals
✔ Practice diaphragmatic breathing
✔ Avoid sudden high-intensity bursts
✔ Stay hydrated
✔ Improve sleep quality
Most young adults with this pattern improve significantly with structured conditioning.
If you share whether you experience palpitations, dizziness, or chest tightness during episodes, I can assess your risk more precisely. Booking an online consultation would allow a structured cardiovascular evaluation and help you safely return to full exercise capacity with confidence.
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Heart disease is less likely because echo is normal .you need to evaluate properly first and consult with general physician locally because you need physical examination and some routine test required for proper evaluation.
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If your Echo was normal, serious heart disease is less likely.
Exercise intolerance at your age can happen due to:
• Low physical conditioning
• Anxiety or stress
• Low hemoglobin or vitamin deficiency
• Breathing issues like mild asthma
Since you feel discomfort with exertion, it is better to do a basic evaluation such as ECG, hemoglobin and thyroid test.
Meanwhile start light exercise gradually and increase intensity slowly.
Based on your symptoms, this may require proper clinical assessment and prescription. You may book an online consultation with me for detailed evaluation and personalised treatment plan.
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Dr. Koushik
MBBS
4 yrs exp
Karimnagar
I understand your concern. However, giving specific medical advice without a proper evaluation may not be safe or accurate. A brief consultation will allow me to understand your symptoms, medical history, and any reports you may have, so I can guide you properly. Please feel free to consult me here and I’ll be glad to assist you.
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Due to muscle pain/fatigue
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Due to muscle problem
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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. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindly do connect and consult
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