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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Anxiety, Heart Palpitations And Numb Arms

I am a 29 year old male in good health and eat very well. I suffer from anxiety and i am on 10mg of lexapro daily.Two years ago I started experiencing increased anxiety the day after having a few drinks. I am not what you would call a big drinker. I Have maybe 8 drinks max if I am having a big night and maybe. The drinks are usually beer and red or white wine. As I don’t drink often 8 drinks Makes me intoxicated but not overly. I go to bed and the next morning I wake up at 4am with a racing heart. It doesn’t go away and when I stand up And walk around I lose sensation in my arms and feel faint as my heart is beating so fast. I go into tachycardia when I am hungover. I naturally have a fast resting heart rate of about 80 beats per min When I am relaxed and in bed. Then when I walk around it can be 80 to 100. And exercising or power walking 110 to 168. I went to see a cardiologist as I was told that a normal resting heart rate was 60 beats per min And 130 when exercising. I when and had a stress eco and a normal eco and just to rule out any electrical issues an ep study. My cardiologist said there is nothing electrical or structurally wrong with my heart. I want to know if having a high resting heart rate is an issue? If there is nothing wrong why is it not 60? I have asked friends and they have said their heart rate increases when they are hungover but not to 130 Beats a min lying down the day after a few alcoholic drinks. I want to ask if I could have a neurological issue with too much adrenaline after consuming alcohol and also is tachycardia the next day dangerous? I take valium and that calms me but doesn’t lower my heart rate at all when hungover.
Mon, 21 Sep 2020
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Internal Medicine Specialist 's  Response
Hello,

The normal resting heart rate can range from 60 up to 100 beats per minute so a heart rate for you of 80 is still within a normal value. The sensation of numbness or loss of feeling in your arms and legs is caused by both residual alcohol and its metabolites in your body. These chemicals effect nerves and can cause them to slow their functions particularly in the brain. This causes feeling of numbness, heart fluttering and loss of balance.

One thing that assists in resolution of this effect besides reduction of alcohol use would be to increase your hydration. Drinking more water will increase the elimination of the alcohol and its metabolites and lessen these symptoms. I do not believe this to be an abnormal neurological condition but rather a normal response to alcohol consumption at high doses.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. David Girardi, Internal Medicine Specialist
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Suggest Treatment For Anxiety, Heart Palpitations And Numb Arms

Hello, The normal resting heart rate can range from 60 up to 100 beats per minute so a heart rate for you of 80 is still within a normal value. The sensation of numbness or loss of feeling in your arms and legs is caused by both residual alcohol and its metabolites in your body. These chemicals effect nerves and can cause them to slow their functions particularly in the brain. This causes feeling of numbness, heart fluttering and loss of balance. One thing that assists in resolution of this effect besides reduction of alcohol use would be to increase your hydration. Drinking more water will increase the elimination of the alcohol and its metabolites and lessen these symptoms. I do not believe this to be an abnormal neurological condition but rather a normal response to alcohol consumption at high doses. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. David Girardi, Internal Medicine Specialist