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I'm A Healthy 30 Year Old Male With No Heart
Question: I'm a healthy 30 year old male with no heart history; except for tachycardia from my anxiety attacks. When I bend over, I feel my face go red, and sometimes when I stand i get faint and feel dizzy. certain positions like tying my shoes or bending over can make my heart race and face feel like it goes red. I'm on 400mg Lamictal, 60mg Ritalin, 4mg Diazepam a day. it seems to be when I'm tired or hot. My feet sometimes feel itchy and sometimes there is a lack of circulation around my body and veins slightly protrude. I don't exercise much and have had 2 ECG's; all clear and blood pressure normal each time. i think Lamictal and Valium causes a lot of this fatigue and dizziness. I'm extremely concerned, although when my heart has raced in the past I have had clear ECG's and it has been put down to stress. I'm worried I will die or there is something else wrong with me? is this normal?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I passed carefully through your question and would explain that your symptoms are not suggestive of any serious cardiac disorders or at any increased risk for sudden death.
In my opinion, your symptoms are suggestive of fluctuations in blood pressure during these changes in body position. Orthostatic hypotension , probably triggered by diazepam can lead to this clinical situation.
For this reason, I would recommend avoiding Diazepam use for a long time, as it can also lead to addiction and tolerance as common adverse effects. Instead, I would recommend switching to clonazepam, which is better tolerated and without such adverse effects.
Regarding your heart, I would recommend also performing a cardiac ultrasound in order to examine better your heart structure and function.
I would also recommend trying an antiacid, because acid reflux can trigger this symptomatology when bending over.
It is also advisable checking complete blood count for anemia and thyroid hormone levels for thyroid gland dysfunction.
Regarding the protrusion of veins and the itchy feet, I think that they are not indicative of any serious medical disorders, but could be related to prolonged standing up position, tight socks or shoes or a fungal infection ( fungal infections in the feet can cause persistent itching).
For this reason, there is no reason to panic!
Hope you will find this information helpful!
I recommend discussing with your doctor on the above tests and issues.
I remain at your disposal for any further questions whenever you need!
Kind regards,
Dr. Ilir Sharka, Cardiologist
I would explain as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I passed carefully through your question and would explain that your symptoms are not suggestive of any serious cardiac disorders or at any increased risk for sudden death.
In my opinion, your symptoms are suggestive of fluctuations in blood pressure during these changes in body position. Orthostatic hypotension , probably triggered by diazepam can lead to this clinical situation.
For this reason, I would recommend avoiding Diazepam use for a long time, as it can also lead to addiction and tolerance as common adverse effects. Instead, I would recommend switching to clonazepam, which is better tolerated and without such adverse effects.
Regarding your heart, I would recommend also performing a cardiac ultrasound in order to examine better your heart structure and function.
I would also recommend trying an antiacid, because acid reflux can trigger this symptomatology when bending over.
It is also advisable checking complete blood count for anemia and thyroid hormone levels for thyroid gland dysfunction.
Regarding the protrusion of veins and the itchy feet, I think that they are not indicative of any serious medical disorders, but could be related to prolonged standing up position, tight socks or shoes or a fungal infection ( fungal infections in the feet can cause persistent itching).
For this reason, there is no reason to panic!
Hope you will find this information helpful!
I recommend discussing with your doctor on the above tests and issues.
I remain at your disposal for any further questions whenever you need!
Kind regards,
Dr. Ilir Sharka, Cardiologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Why does my heart race when I bend over and it feels like I'm out of breath but not? I do smoke heavily; so guess it could be this. Also, my heart rate is usually easily over 100, but I move around a lot and have constant anxiety. resting rate is around 70bpm? Also, last time I went to the hospital my heart was at 180bpm which was from anxiety. if my heart always runs fast and I always panic will I have a stroke? I did a genetic test and it says I have Factor V Leiden and MFTHR I think which on the test said im high risk for heart disease, DVT or other events. How much weight would you put into this? I know it's an online genetic place but still scares me!
Brief Answer:
My opinion as follows:
Detailed Answer:
Hello again!
I don't think that this genetic test result is related to this clinical situation.
If you were a female, pregnancy could be risky.
Regarding DVT, you should know that there are more risk factors that contribute to this situation besides the Leiden factor, like immobilization, varicose veins, etc.. So, as long as you are active, there is no reason to panic about this disorder.
Anyway, the increased heart rates during anxiety (even 180 bpm or more), is quite normal in every healthy individual and doesn't indicate any increased risk of sudden cardiac death.
The increased heart rate when bending over could be related to different possible causes: a toll constitution, acid reflux, or orthostatic hypotension.
No one of these disorders is serious.
So, please try to relax and don't worry about it!
I hope you will find this information helpful!
Wishing good health,
Dr.Iliri
My opinion as follows:
Detailed Answer:
Hello again!
I don't think that this genetic test result is related to this clinical situation.
If you were a female, pregnancy could be risky.
Regarding DVT, you should know that there are more risk factors that contribute to this situation besides the Leiden factor, like immobilization, varicose veins, etc.. So, as long as you are active, there is no reason to panic about this disorder.
Anyway, the increased heart rates during anxiety (even 180 bpm or more), is quite normal in every healthy individual and doesn't indicate any increased risk of sudden cardiac death.
The increased heart rate when bending over could be related to different possible causes: a toll constitution, acid reflux, or orthostatic hypotension.
No one of these disorders is serious.
So, please try to relax and don't worry about it!
I hope you will find this information helpful!
Wishing good health,
Dr.Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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