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Increased pulse rate, low basal body temperature, tired, giddiness, breathlessness. What's going on ?

Hi, I have a normal blood pressure rate most of the time but a pulse rate of 41 a lot of the time. I have low basal body temperature much of the time, e.g 34.9. My doctor has referred me for investigation as he says he can detect a heart murmur . I went to the doctor in the first place because I was feeling exhausted a lot of the time, feeling faint and giddy, breathless at times and occasional slight pains in my chest (although mostly on my right hand side). I also experience extreme cold in my feet a lot and sometimes so much so in my fingers that the tips of my little fingers feel numb and do not hurt if I bite them. I also sometimes experience pins and needles in my hands now with no known cause. I have had quite a busy and stressful year but no more so than normal (have had quite a few stressful years but don t tend to be bothered by it) but I am a normal, healthy and very active 34 year old woman - I go to exercise classes/swimming/gym about 4 times per week and walk a great deal at the weekends and don t tend to experience more of my symptoms during exercise. I have never really suffered much with illnesses and am a very rare visitor to the doctors. Can you help with me with suggestions of what might be going on and anything I could do that might help? Many thanks.
Asked On : Wed, 13 Feb 2013
Answers:  1 Views:  95
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Psychiatrist 's  Response
Hi there, thanks for asking. The symptoms you mentioned (low pulse rate, numbness in the fingers, low body temperature, etc) are described as constitutional instability especially if no other medical problem has been identified in the investigations. This could be related to a chronic sleep problem or chronic fatigue syndrome. It could be also related to chronic exposure to some stressors at work or at home while somebody feels does not know exactly how to deal with them. You should talk with your doctor to find which of the mentioned items could be responsible for your situation. I wish you the best health.
Answered: Wed, 13 Feb 2013
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