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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Rapid Heart Rate With Dry Mouth Suggest?

Hi, i have been having a heartbeat of 93 beats per minute. I felt like i was going to pass out earlier today, Had a severe head ache and and at one point felt like I was going to throw up. Not to mention my mouth became very dry. I ve been having a sharp pain in the left side of my chest on and off for the past week mostly when I breath. Today it was much worse I almost felt like I could not breath.
Wed, 16 Sep 2015
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Cardiologist,  's  Response
Hello!

Thank you for asking on HCM!

I understand your concern and would explain that a careful differential diagnosis between different disorders that can cause this clinical scenario should be done.

Regarding the chest pain, the fact that it is induced by the respiratory movements, is a fact in favor of musculo-skeletal pain ( maybe costochondritis).

A cardiac related cause can be excluded by this symptomatology.

From the other hand tachycardia and dry mouth, seem to be related to an autonomic system dysfunction or other metabolic disorders (thyroid dysfunction, chronic anemia, etc.).

Anxiety could also be the cause of your symptomatology.

I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x ray study and some blood lab tests :

- complete blood count
- fasting glucose
- inflammation tests (PCR, sedimentation rate)
- thyroid hormone levels
- kidney and liver function tests
- blood electrolytes, etc.

If the inflammation tests result abnormal, it would be indicative for costochondritis. In such case ibuprofen taken three times daily for 10 days would help.

Hope to have been helpful!

Best regards,

Dr. Iliri
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What Could Rapid Heart Rate With Dry Mouth Suggest?

Hello! Thank you for asking on HCM! I understand your concern and would explain that a careful differential diagnosis between different disorders that can cause this clinical scenario should be done. Regarding the chest pain, the fact that it is induced by the respiratory movements, is a fact in favor of musculo-skeletal pain ( maybe costochondritis). A cardiac related cause can be excluded by this symptomatology. From the other hand tachycardia and dry mouth, seem to be related to an autonomic system dysfunction or other metabolic disorders (thyroid dysfunction, chronic anemia, etc.). Anxiety could also be the cause of your symptomatology. I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x ray study and some blood lab tests : - complete blood count - fasting glucose - inflammation tests (PCR, sedimentation rate) - thyroid hormone levels - kidney and liver function tests - blood electrolytes, etc. If the inflammation tests result abnormal, it would be indicative for costochondritis. In such case ibuprofen taken three times daily for 10 days would help. Hope to have been helpful! Best regards, Dr. Iliri