[21F] Experiencing tachycardia and leg weakness

Patient Description

A 21-year-old female is reporting difficulty sleeping due to a racing heartbeat and sweating. She experiences leg weakness and tremors coinciding with the onset of her tachycardia. The patient describes her heart as racing significantly faster than usual, causing panic. She also mentions having symptoms of Premenstrual Dysphoric Disorder (PMDD), which she suspects might be related to her current condition. There are no recent injuries or accidents reported that could account for the weakness, and she rates the severity as mild but noticeable. The symptoms are not associated with a specific time of day but have been significant enough to interrupt her sleep and cause distress.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible explanations for your symptoms include:

  • Panic Disorder: This is a type of anxiety disorder characterized by recurrent unexpected panic attacks. Panic attacks are sudden periods of intense fear that may include palpitations, sweating, shaking, shortness of breath, numbness, or a feeling that something terrible is going to happen.

    • Treatment for panic disorder often involves a combination of cognitive behavioral therapy and medication.
  • Premenstrual Dysphoric Disorder (PMDD): You mentioned that you have symptoms of PMDD. This is a severe form of premenstrual syndrome that can cause physical and behavioral symptoms, including mood swings, irritability, depression, anxiety, bloating, and breast tenderness.

    • Treatment for PMDD can include lifestyle changes, such as regular exercise and a healthy diet, as well as medications like birth control pills or antidepressants.
  • Hyperthyroidism: This is a condition in which your thyroid gland produces too much thyroid hormone, which can accelerate your body's metabolism, causing unintentional weight loss and a rapid or irregular heartbeat.

    • Treatment for hyperthyroidism can include medication, radioactive iodine, and surgery.

What you can do

  1. Seek immediate medical attention if your symptoms worsen or you experience chest pain, shortness of breath, fainting, or severe weakness.
  2. Try to relax and calm down. Deep breathing exercises, yoga, and meditation can help manage panic attacks.
  3. Maintain a healthy lifestyle. Regular exercise and a balanced diet can help manage symptoms of PMDD.
  4. Keep a symptom diary. This can help you identify any patterns or triggers related to your symptoms.

What you should look out for

  • If your symptoms persist or worsen, seek medical attention.
  • If you experience chest pain, shortness of breath, fainting, or severe weakness, seek immediate medical attention.

Remember, this advice is intended to be helpful and informative, but it's not a substitute for professional medical advice. You should always seek the advice of your doctor or other qualified health provider with any questions you may have regarding a medical condition.

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10 mo ago

People Also Ask


What are the common symptoms of panic disorder?

Common symptoms of panic disorder include sudden periods of intense fear or discomfort, palpitations, sweating, shaking, shortness of breath, and a feeling of impending doom. These symptoms can occur unexpectedly and may be accompanied by physical symptoms like chest pain or dizziness.


How can PMDD affect my daily life and what are the treatment options?

PMDD can cause severe mood swings, irritability, depression, anxiety, and physical symptoms like bloating and breast tenderness. It can significantly impact daily life, especially in the days leading up to menstruation. Treatment options include lifestyle changes, such as regular exercise and a healthy diet, as well as medications like birth control pills or antidepressants.


What are the signs of hyperthyroidism and how is it treated?

Signs of hyperthyroidism include unintentional weight loss, rapid or irregular heartbeat, increased appetite, nervousness, and sweating. Treatment options include medication to reduce thyroid hormone production, radioactive iodine to shrink the thyroid gland, and surgery in some cases.


How can I manage anxiety-related symptoms like a racing heartbeat and sweating?

To manage anxiety-related symptoms like a racing heartbeat and sweating, try relaxation techniques such as deep breathing exercises, yoga, and meditation. Maintaining a healthy lifestyle with regular exercise and a balanced diet can also help. If symptoms persist, consult a healthcare professional for further evaluation and treatment options.


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