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Suggest Treatment For Watery Mouth, Elevated Heart Rate And Fatigue

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Posted on Mon, 21 Nov 2016
Question: My test on the 31st of October 2016 revealed elevated Noradrenaline (2340 pmol/L and Adrenalin (346 pmol/L). This was four days after an infection that hospitalised me, it is also important to note that two days prior to the infection I had two sinus tachycardia events (please see medical history). Since my infection and until yesterday when I was prescribed 2.5mg of bisoprolol my heart rate was elevated and erratic (85-120bpm). My symptoms now are a constant watery mouth and fatigue. My question is; could the catecholamines continue to be elevated after the infection has subsided, or is it something else. Could I still have the infection? Or is it something else?
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Answered by Dr. Elona (3 hours later)
Brief Answer:
Stress can be the culprit

Detailed Answer:
Hi dear,
I have gone through your question and the report.
I can understand your concern

The normal range for adrenaline is 0 to 900 pg/mL and for norepinephrine is 0 to 600 pg/mL.
From your results, I deduct that you have a high level of noradrenaline and this can explain you high and erratic heart rate.

Higher-than-normal levels of blood catecholamines may suggest:
Acute anxiety
Severe stress
Pheochromocytoma (rare tumor)
Neuroblastoma (rare tumor)
Ganglioblastoma (very rare tumor)
Ganglioneuroma (very rare tumor)

You don't have symptoms of pheochromocytoma and the other very rare tumors of the list,so stress and anxiety can be potential causes that can explain your test results.
At the other side infection is a stressful condition for our body and can cause high catecholamin levels.

If the catecolamines continue to be high after the infection ,this means that is another cause that produce the high level of noradrenaline (it is necessary to repeat the catecholamines test in blood and urine after the infection.)

If you don't have fever, it is important to do the white blood cells test(TLC and DLC with absolute count), to understand if you still have infection or not.

In my opinion stress and acute anxiety can be potential cause of your actual condition.

Hope I have answered your question. If you have any further questions I will be happy to help.
Thank you for using HCM.
Wish you good health.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

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

Endocrinologist

Practicing since :2008

Answered : 941 Questions

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Suggest Treatment For Watery Mouth, Elevated Heart Rate And Fatigue

Brief Answer: Stress can be the culprit Detailed Answer: Hi dear, I have gone through your question and the report. I can understand your concern The normal range for adrenaline is 0 to 900 pg/mL and for norepinephrine is 0 to 600 pg/mL. From your results, I deduct that you have a high level of noradrenaline and this can explain you high and erratic heart rate. Higher-than-normal levels of blood catecholamines may suggest: Acute anxiety Severe stress Pheochromocytoma (rare tumor) Neuroblastoma (rare tumor) Ganglioblastoma (very rare tumor) Ganglioneuroma (very rare tumor) You don't have symptoms of pheochromocytoma and the other very rare tumors of the list,so stress and anxiety can be potential causes that can explain your test results. At the other side infection is a stressful condition for our body and can cause high catecholamin levels. If the catecolamines continue to be high after the infection ,this means that is another cause that produce the high level of noradrenaline (it is necessary to repeat the catecholamines test in blood and urine after the infection.) If you don't have fever, it is important to do the white blood cells test(TLC and DLC with absolute count), to understand if you still have infection or not. In my opinion stress and acute anxiety can be potential cause of your actual condition. Hope I have answered your question. If you have any further questions I will be happy to help. Thank you for using HCM. Wish you good health.