apollo
  • Female
  • 19 Years
  • 29/01/2025

I've been dealing with a super fast heartbeat whenever I lie down in bed for the last 56 days. It's weird because I don't feel any pain or like my chest is congested, but I do feel a lot of anxiety. I'm 24, my height is 5'9", and I weigh about 80kgs. Whenever I'm walking or sitting, my heartbeat seems normal; it's just when I'm laying down that it speeds up. Do you have any idea what could be going on? Is it something serious?

Doctor 1

Answered by 1 Apollo Doctors

It sounds like you may be experiencing a condition called orthostatic intolerance, where your heart rate increases when you change positions, such as lying down. This can be due to various reasons such as dehydration, anemia, or autonomic nervous system dysfunction. However, it's important to rule out any underlying heart conditions. I recommend you consult a doctor for a thorough evaluation. In the meantime, you can try increasing your fluid intake and consuming electrolytes. If symptoms persist or worsen, please seek medical advice promptly.

Dr. Mubarak Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm working from home and I've had some episodes of heart palpitations like 4 or 5 times, along with mild giddiness, but I was able to walk around during those times. That's really all I felt back then. Just to be safe, I went through all the heart tests twiceECG, echo, TMT, chest X-ray, and blood testsand they all came back normal. But my blood pressure and LDL are a bit high, around 140. I've never experienced this before working from home, and nothing's happened for the last 67 months. However, I've been having these symptoms lately: a pinpoint mild pain in my left chest that only lasts a few seconds, sometimes a fluttering or pounding feeling in my left chest or other body parts, and occasionally I feel dizzy, lightheaded, or like I'm floating. So, I'm wondering if this is a heart-related issue or something else entirely, and whatever it is, what can I do to make these symptoms stop? I'm really worried that something bad might happen to me.

Based on your description, it is good that you have already undergone several heart tests which came back normal. The symptoms you are experiencing could be related to anxiety or stress. However, it is important to continue monitoring your blood pressure and LDL levels and make necessary lifestyle changes to improve them. To address the occasional mild chest pain and flutteringpounding sensation in your left chest, you can try taking a low dose of a beta-blocker medication like Metoprolol (25mg) once daily to help with palpitations and chest discomfort. Additionally, for the giddiness and lightheadedness, you can take a daily dose of Aspirin (75mg) to improve blood flow. It is also advisable to practice stress-reducing techniques such as deep breathing exercises, yoga, or meditation to help manage your symptoms. If the symptoms persist or worsen, it would be beneficial to consult with a cardiologist for further evaluation and management.

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I'm feeling worried because I've been experiencing chest discomfort and shortness of breath for the past three months. I recently got my blood report back, and it shows my lymphocytes level is at 55. Should I be concerned about that? Also, my ECG, echocardiogram, PFT, and chest X-rays came back normal. Can you help me understand what's going on?

Based on your symptoms and normal test results, a high percentage of lymphocytes in the blood may indicate an underlying infection or inflammation. However, since your other tests are normal, it is less likely to be related to a serious heart or lung condition. To address the chest discomfort and shortness of breath, you can try taking over-the-counter antacids for possible acid reflux or GERD symptoms. Additionally, you can take a short course of antibiotics like Azithromycin 500mg once daily for 3 days to cover any potential infection. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.