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Anxiety, Stress and high pulse rate. - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   hi , my pulse currently is 104 , what shall I do ?
Doctor :   hi
Doctor :   ok
Doctor :   shall i ask you some Q
User :   I had half of epitril
User :   yes
Doctor :   what is your age
User :   31
Doctor :   wt is your occupation
User :   banking
Doctor :   why did you take eptril

User :   It was earlier reffered by a doctor , I though it is due to some stress..
Doctor :   so you are suffering from stress

Doctor :   now tell me what is that stress
User :   yes sometimes ..
Doctor :   is it occupational or personal
User :   There is no stress but there is some unknown worry that remains in mind..
User :   something in subconcious mind...may be I feel that I am not well..
Doctor :   ya that it is. what is that you feel

Doctor :   what is that un well feel can you put it in words
User :   feeling dizzy , I have got MRI brain done and other tests but nothing is diagonized..
Doctor :   who suggested mri of brain and why

User :   I was consistently feeling dizzy about a year back and I had shown to a neurologist , who had given injections of trineurosol and also got the MRI dome..
Doctor :   ok

Doctor :   any other information you like to share with me
User :   presently I am feeling as if my pulse is going do i control it ?
Doctor :   first and foremost you relax

User :   ok
Doctor :   take deep breath hold it for as long as possible now
Doctor :   you did it
User :   ok
Doctor :   how you feel now
User :   better
Doctor :   now i want to educate you some thing
User :   ok
Doctor :   see your suffering from nervousness
Doctor :   other term is anxiety
Doctor :   since you are a banker the job itself has its part adding to it
Doctor :   now i will tell you how to cope the stress
User :   pls
Doctor :   first and foremost you try to be calm and composed

Doctor :   try to control your emotions
Doctor :   drugs has very little role in the management of stress
Doctor :   identify what events or situations will put you into stress
Doctor :   try to avoid them
Doctor :   if you feel u cannot avoid and you are streseed
Doctor :   sit at one place
Doctor :   close your eyes
Doctor :   take deep breath hold as long as possible
Doctor :   repeat it for few more times
Doctor :   this will solve your acute stress episode
User :   ..just wanted to know , that pulse rate going up is only due to anxiety or it could be due to some heart problem also..?
Doctor :   pulse doesnt go up by itself
Doctor :   it depends on situation
Doctor :   now describe me the incident after your pulse went up
User :   ok...
User :   I felt some heaviness in my chest for 3 4 secs and I though it is some heart problem , earlier also it had happened and I had got ECG , TMT and holter done but there was no problem in heart but TMT results said fatigue and breathlessness.
Doctor :   ok
signs and symptoms of anxiety i will tel you
Doctor :   felling of something wrong in stomach and heart part
Doctor :   pulse will go up
Doctor :   restlesness
Doctor :   hand will start shaking
Doctor :   sweating
Doctor :   you feel your own heart beat louder
User : do we avoid it ?
Doctor :   now you are experienced some of them
Doctor :   ok
Doctor :   you are tored of work and stress
Doctor :   i mean tired
Doctor :   you need rest for some days
User :   any medication can help in this ?
Doctor :   why dont you take leave for some days from work and spend holiday with your family
Doctor :   medications can help only 5%
User :   ok... I will have to see and check feasibility of the same..
Doctor :   its the stress management exercise. rest and family support
Doctor :   do you believe in god
User :   ok..
User :   I have started believing from last 1 rear..earlier I had a diffrent kind of thinking..
User :   *year
Doctor :   which religion you belong to
User :   Hindu
Doctor :   ok
Doctor :   are you married
User :   yes
Doctor :   any issues?
Doctor :   i mean kids
User :   yes ...son
Doctor :   you have an happy family
User :   yes
Doctor :   you need to settle down little
Doctor :   now follow this
Doctor :   get up in morning take bath play with your son
Doctor :   go to office greet every body
Doctor :   get into your worh
Doctor :   work
Doctor :   if you feel stressed take a deep breath exercise
Doctor :   or count in reverse order from 100
Doctor :   keep this in mind you are absolutely fine
Doctor :   have your food regularly
Doctor :   talk to your office staff with a smile
Doctor :   go back home in evening relax for a while
Doctor :   try to have dinner as far as possible with your family
Doctor :   start from today only
Doctor :   no need of big big drugs or investigations
User :   ok...thanks for giving so much of time and sure this will help..
Doctor :   please fill the feed back form

User :   done
Doctor :   Is there any thing else I can help you with?
Doctor :   ya i need to tell some more
Doctor :   think of youga also if possible
User :   plzzzz
Doctor :   Is there any thing else I can help you with?

User :   no as of now..thanks for your time..
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   ok..
Doctor :   ok bye for now
User :   bye
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