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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Should Unusual Behavior Of Shouting And High Pulse Rate Be Treated?

sir, my sister will shout sometimes very harshly at very higher voice.. her pulse rate is more than 130 at that time..she doesnt know what she is shouting......she becomes partly unconsious too...she says that something is distubing in her mind & making her tensed before such act..
Wed, 20 Jun 2018
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Cardiologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Regarding your concern, I would explain that it is important performing a comprehensive differential diagnosis between two possible causes that may lead to this clinical scenario: epilepsy seizures or psychogenic seizures. For this reason, I would recommend consulting with a neurologist for a physical exam, an EEG, a brain MRI and some blood lab tests (complete blood count, thyroid hormone levels, fasting glucose, etc.). In the meantime, I would recommend you to video record her during these episodes and show the video to the doctor in order to have a more professional opinion on the nature of these episodes.

Hope I have answered your query. Let me know if I can assist you further.
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How Should Unusual Behavior Of Shouting And High Pulse Rate Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Regarding your concern, I would explain that it is important performing a comprehensive differential diagnosis between two possible causes that may lead to this clinical scenario: epilepsy seizures or psychogenic seizures. For this reason, I would recommend consulting with a neurologist for a physical exam, an EEG, a brain MRI and some blood lab tests (complete blood count, thyroid hormone levels, fasting glucose, etc.). In the meantime, I would recommend you to video record her during these episodes and show the video to the doctor in order to have a more professional opinion on the nature of these episodes. Hope I have answered your query. Let me know if I can assist you further.