[29F] Experiencing nausea and tachycardia upon waking

Patient Description

A 29-year-old female woke up feeling nauseous and noticed her heart racing at 100 beats per minute. These symptoms started spontaneously after waking up from sleep, with the patient reporting no prior physical exertion, stress, or stimulant use that could explain the symptoms. The nausea was rated a 3 out of 10 in severity, and there was no noted relief from any interventions. Additionally, the patient mentioned waking up with drool, which is not typical for her. No chest pain, difficulty breathing, or other symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Panic Attack: This is a type of anxiety disorder that can cause symptoms such as a rapid heart rate, feeling of impending doom, sweating, trembling, shortness of breath, and nausea. However, you did not mention any feelings of intense fear or anxiety.

    • Treatment typically involves cognitive behavioral therapy and medication.
  • Hyperthyroidism: This is a condition where your thyroid gland produces too much thyroid hormone, which can speed up your metabolism and cause a rapid heart rate, sweating, and feeling hot.

    • Treatment typically involves medication to slow down the production of thyroid hormones.
  • Cardiac Arrhythmia: This is a group of conditions characterized by an abnormal heart rate or rhythm. It can cause symptoms such as a rapid heart rate, palpitations, and feeling faint.

    • Treatment typically involves medication, lifestyle changes, and sometimes procedures to correct the rhythm.

Please note that these are just possibilities and not a definitive diagnosis. You should seek immediate medical attention to get a proper diagnosis and treatment.

What you can do

  1. Try to stay calm and take slow, deep breaths.
  2. Sit down and try to relax.
  3. If your symptoms persist or worsen, seek immediate medical attention.

What you should look out for

  • If you experience severe chest pain, difficulty breathing, or fainting, these are signs of a serious condition and you should seek immediate medical attention.
  • If your symptoms persist or worsen, you should also seek medical attention.

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9 mo ago


People Also Ask


What are the common symptoms of a panic attack?

Common symptoms of a panic attack include a rapid heart rate, sweating, trembling, shortness of breath, nausea, and a feeling of impending doom or intense fear.


How can hyperthyroidism affect heart rate?

Hyperthyroidism can increase the production of thyroid hormones, which speeds up metabolism and can lead to symptoms like a rapid heart rate, palpitations, and feeling hot or sweaty.


What are the signs of cardiac arrhythmia?

Signs of cardiac arrhythmia include an irregular or rapid heart rate, palpitations, dizziness, fainting, and sometimes chest pain or shortness of breath.


What should I do if I experience a rapid heart rate upon waking up?

If you experience a rapid heart rate upon waking up, try to stay calm, take slow deep breaths, and sit down to relax. If the symptoms persist or worsen, seek immediate medical attention.

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