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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bradycardia Along With Insomnia And Anxiety?

Hi! Doctor. Nice to have opportunity to discuss my problems. I have a few health discomfort and recently they placed me increasing disturbances in my daily works/life.My difficulties are:1. HTN, Anxiety-taking Alpazolum 0.5 mg at night 2. Insomnia- It takes longer time for falling asleep, very light sleep, dreaming through out the night,3. High BP- taking coversyl 4mg in the morning 4. Sometimes gets blood glucose in the higher side 8-9; but at most tests demonstrate normal 5. Vertigi, giddines, pain on back side of the neck, ears block specifically left ear 6. Sway tendency during walks, sometimes giddiness in the whole body 7. Chronic high level of SGPT but other LFT are normal- doctors some times say fatty liver 8. Heavy gas problems with frequent belching, excessive flatulence, gas pressure under the ribs & left rib pains, chest burning, pinching etc- I used to take omiprazole/esomiprazole frequently 9. I undergone all sorts of Cardiac test like, ECG, Echo and TMT and found no abnormalities 10. Holter test long ago says Bradycardia 11. When there is disturbances in sleep I found very difficult to balance my body. Sometimes difficult to work at my office desk, discomfort, sweating etc happens.
Fri, 26 Mar 2021
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General & Family Physician,  's  Response
Hi,

It seems you have multiple related as well as unrelated symptoms. Anxiety and hypertension may have a correlation as anxiety can increase the blood pressure transiently when you are anxious. Alprazolam is fine for anxiety and it would help you in getting some sleep as well however if you still feel troubled then you should consider taking some counselling sessions and if needed change of medication.

Sleep disturbances and rest of the symptoms would disappear once your anxiety problem is resolved. Continue taking anti-hypertensives for your raised blood pressure and keep monitoring it regularly. Please get your sugar levels under control with diabetic medications by a physician as they are deranged and can be kept under control with healthy diet and proper medication. You can continue taking omeprazole for your bowel symptoms however I would advise you to take a healthy and fibre rich diet for getting rid of your bowel problems.

Mild elevation of SGPT is not significant especially when rest of LFT is normal. Fatty liver is found in many people and can be taken as a normal finding however you need to avoid alcohol consumption if you consume it. Some people have a low heart rate. If bradycardia is within normal limits (not below 60) then there is nothing to worry. Vertigo and giddiness may be related to your blocked ear. Pl get it checked with an ENT specialist as ear is related with balancing and giddiness.

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

Regards,
Dr. Anoop Kumar, General & Family Physician
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What Causes Bradycardia Along With Insomnia And Anxiety?

Hi, It seems you have multiple related as well as unrelated symptoms. Anxiety and hypertension may have a correlation as anxiety can increase the blood pressure transiently when you are anxious. Alprazolam is fine for anxiety and it would help you in getting some sleep as well however if you still feel troubled then you should consider taking some counselling sessions and if needed change of medication. Sleep disturbances and rest of the symptoms would disappear once your anxiety problem is resolved. Continue taking anti-hypertensives for your raised blood pressure and keep monitoring it regularly. Please get your sugar levels under control with diabetic medications by a physician as they are deranged and can be kept under control with healthy diet and proper medication. You can continue taking omeprazole for your bowel symptoms however I would advise you to take a healthy and fibre rich diet for getting rid of your bowel problems. Mild elevation of SGPT is not significant especially when rest of LFT is normal. Fatty liver is found in many people and can be taken as a normal finding however you need to avoid alcohol consumption if you consume it. Some people have a low heart rate. If bradycardia is within normal limits (not below 60) then there is nothing to worry. Vertigo and giddiness may be related to your blocked ear. Pl get it checked with an ENT specialist as ear is related with balancing and giddiness. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Anoop Kumar, General & Family Physician