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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Heart Beat More, Asthma, Thyroid. Using Clonazepam. X-rays And Tests Normal. Remedy?

I have a racing heart and my dr. Says its anxiety, but its all the time, now my asthma is worse and prednisone, advair xopenex ventolin don't work. I'm on clonozapam which only allows me to sleep 3-4 hours per night and then my racing heart wakes me. Was on thryoid meds last year which caused thryoid storm and had severe heart pounding. My dr. Said it was thryoid storm, the ER doc said it was panic attacks, had several heart tests, lung X-ray all normal, why does it seem that my heart racing and asthma coincide. I started taking 1500 mg of magnesium and 1200 mg calcium to help with the cough spasms . It helps. I'm fine during the night and morning with no asthma symptoms, but it starts around 3pm until bedtime. No one seems to have answers for me. They even sent me to a psychiatrist and all he did was double the clonazapam at night so the panic attacks didn't wake me which worked for awhile, now I hardly sleep at all and my heart races constantly but not pounding like when I was in thryoid drugs. I'm tired of feeling this way. I've had a long history of asthma in the past, but no occurrence in about 5 years after having my stomach stapled around my esophogus due to severe reflux which fixed the problem. I know I have allergies. Ever since working outside in the spring, it's been bad and can't seem to calm the asthma down.
Tue, 23 Jul 2013
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General & Family Physician 's  Response
Hi, Thanks for using HCM.
Racing heart beats may due to cardiac cause, thyroid hormone imbalance or due to hypoxia due to asthma. So get done ECG, echo cardiography, thyroid profile, blood sugar level, serum electrolytes, Hemogram and spirometry once to diagnose the cause.. Keep checking TSH levels once every 6 months.
For Asthma it seems you are not controlled. So get back with the symptoms and your treatment history and drugs so that we can discuss on its management. If we cure asthma then all other problems will be cured with this if this is the basic problem.
Have adequate regular sleep, plenty of fluids, nutritious diet with required calorie and regular outdoor exercises for your wellbeing. Hope I answered your question. Get back with the reports. Consult your doctor for further management.
Feel free to ask me if you have any further queries.
Wish you good health. Take care.

Regards
Dr. Lohit K
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General & Family Physician Dr. Chirag Soni's  Response
Welcome to HCM.
You have to go for inhalation therapy by rotacaps or inhaler.Now a days it is more helpful and recommended.
Long acting and short acting micronized dose of steroid with bronchodilators are available,so you can adjust the dose according to your severity.You can take it anywhere you just keep it with you in your pocket.
Inhaler is also helpful.Take montelucast with levocetrizine during episodes.
Avoid triggering factors.
Ask your doctor about rotacaps and inhaler.
I find this answer helpful

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Heart Beat More, Asthma, Thyroid. Using Clonazepam. X-rays And Tests Normal. Remedy?

Hi, Thanks for using HCM. Racing heart beats may due to cardiac cause, thyroid hormone imbalance or due to hypoxia due to asthma. So get done ECG, echo cardiography, thyroid profile, blood sugar level, serum electrolytes, Hemogram and spirometry once to diagnose the cause.. Keep checking TSH levels once every 6 months. For Asthma it seems you are not controlled. So get back with the symptoms and your treatment history and drugs so that we can discuss on its management. If we cure asthma then all other problems will be cured with this if this is the basic problem. Have adequate regular sleep, plenty of fluids, nutritious diet with required calorie and regular outdoor exercises for your wellbeing. Hope I answered your question. Get back with the reports. Consult your doctor for further management. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards Dr. Lohit K