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What would make me wake up to racing heart rate, nausea and unsteady feeling leading to vertigo?

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Posted on Wed, 17 Feb 2021
Question: Hello i woke up, Suddenly i felt my heart was rushing it was around 128 BPM and i felt unsteady and nausea and i wanted to visit the bathroom. Suddenly after that vertigo started. The whole episode lasted around 5-10 I have anxiety and panic attacks. Is this a panic attack? Cuz it was very severe and can it be something else?
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Answered by Dr. Seikhoo Bishnoi (16 minutes later)
Brief Answer:
This occurred most likely due to panic.

Detailed Answer:

Hello,

I can understand your concern. Sudden onset rapid heart beat, nausea, feeling of uneasiness could be due to onset of panic. You have history of anxiety and panic and this also points towards panic. The episode lasted for 10-15 minutes and this also supports possibility of panic attack.

But since this started suddenly on waking up so any cardiac cause should be ruled out. You are 31 and at this age cardiac issues are not seen commonly. You can get one ECG done and this will grossly rule out any cardiac cause. Though there is no urgent need for this.

Thanks and take care

Please don’t hesitate to ask again for more clarifications.


Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Seikhoo Bishnoi (1 hour later)
I noticed it happened after i drank coffee for a week consecutively. Can coffee affect?
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Answered by Dr. Seikhoo Bishnoi (2 hours later)
Brief Answer:
Yes coffee can worsen anxiety

Detailed Answer:
Hello again,
Thanks for asking...

Yes, Coffee is known to worsen anxiety. High caffeine intake can precipitate panic attacks.

Thanks.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5188 Questions

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What would make me wake up to racing heart rate, nausea and unsteady feeling leading to vertigo?

Brief Answer: This occurred most likely due to panic. Detailed Answer: Hello, I can understand your concern. Sudden onset rapid heart beat, nausea, feeling of uneasiness could be due to onset of panic. You have history of anxiety and panic and this also points towards panic. The episode lasted for 10-15 minutes and this also supports possibility of panic attack. But since this started suddenly on waking up so any cardiac cause should be ruled out. You are 31 and at this age cardiac issues are not seen commonly. You can get one ECG done and this will grossly rule out any cardiac cause. Though there is no urgent need for this. Thanks and take care Please don’t hesitate to ask again for more clarifications.