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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Rapid Heart Beat,palpitation And Trembling Of Hands And Body?

I keep getting this feeling like Im going to pass out, my body starts shaking, my hands trembleing, heart racing. I get palpitations nightly. But these panik like attacks just started a week ago and every evening they come on. Im currently being treated for posterior uveitis.
Wed, 13 Sep 2017
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Internal Medicine Specialist 's  Response
Hi,

Probably you are having a panic attack. It is characterized recurrent and unexpected intense fear. To diagnose panic attack a patient should have 4 out of the following 10 symptoms:
-Rapid breathing (tachypnea)
-Heart racing (palpitations)
-Trembling
-Diaphoresis
-Nausea
-Fear of dying
-Chest pain
-Dizziness
-Hot flashes
-Depersonalization
The symptoms will start abruptly and peak about 10 minutes and lasts less than 30 mins. Also it is important to ensure that thyroid disease, hypoglycemia, and cardiac disease have been ruled out.
You should visit your doctor for confirming the diagnosis and starting the treatment.
For the immediate relief benzodiazepins such as clonazepam is prescribed. Benzodiazepins dose tapered after the long term treatment is initiated. For the long term treatment selective serotonin re-uptake inhibitors (eg, fluoxetine) or tricyclic antidepressants are prescribed. Behavioral therapy in conjunction with medications is also helpful.

Thank you.
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What Causes Rapid Heart Beat,palpitation And Trembling Of Hands And Body?

Hi, Probably you are having a panic attack. It is characterized recurrent and unexpected intense fear. To diagnose panic attack a patient should have 4 out of the following 10 symptoms: -Rapid breathing (tachypnea) -Heart racing (palpitations) -Trembling -Diaphoresis -Nausea -Fear of dying -Chest pain -Dizziness -Hot flashes -Depersonalization The symptoms will start abruptly and peak about 10 minutes and lasts less than 30 mins. Also it is important to ensure that thyroid disease, hypoglycemia, and cardiac disease have been ruled out. You should visit your doctor for confirming the diagnosis and starting the treatment. For the immediate relief benzodiazepins such as clonazepam is prescribed. Benzodiazepins dose tapered after the long term treatment is initiated. For the long term treatment selective serotonin re-uptake inhibitors (eg, fluoxetine) or tricyclic antidepressants are prescribed. Behavioral therapy in conjunction with medications is also helpful. Thank you.