[33F] Experiencing multiple symptoms including rapid heart rate, heavy chest, and nausea

Patient Description

A 33-year-old female reports suffering from a rapid heart rate, a heavy feeling in the chest, a foggy head, and nausea after eating, persisting for several days. The nausea is described as a pit in the stomach with a desire to vomit, rated 4 out of 10 in severity, with no relief from any interventions. The heavy chest sensation, which has been present for about a week, is accompanied by difficulty in catching breath or taking deep breaths, and is rated 5 out of 10 in severity. The patient also experiences a foggy head, described as a dream-like state with transient foggy vision and off-balance sensation, lasting for a couple of days. Additionally, the patient has had insomnia for years, with difficulty turning off thoughts and getting comfortable. The patient's medical history includes polycystic ovary syndrome (PCOS), anxiety, depression, and asthma, diagnosed over a decade ago. Known allergies include reactions to Doxycycline, Humira, most antibiotics, and most pain medications. Current medications are Valacyclovir, birth control, and occasional Alprazolam.

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Arora's Assessment

What might be happening

Based on the information you've provided, several conditions could be causing your symptoms:

  • Anxiety Disorder: Your symptoms of rapid heart rate, heavy chest, foggy head, and insomnia could be related to your diagnosed anxiety disorder. Anxiety can cause physical symptoms like the ones you're experiencing. It's important to note that even if you don't feel particularly stressed, anxiety can still cause these symptoms.

    • Treatment typically involves a combination of psychotherapy (talk therapy), cognitive behavioral therapy, and medication.
  • Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause nausea after eating.

    • Treatment typically involves lifestyle changes and over-the-counter medications. In severe cases, prescription medications or surgery might be needed.
  • Asthma: Your symptoms of chest heaviness and shortness of breath could be related to your diagnosed asthma. Asthma symptoms can vary over time and often worsen at night or after exercise.

    • Treatment typically involves long-term asthma control medications, inhaled corticosteroids, and rescue inhalers for immediate symptom relief.

What you can do

  1. Consult with your healthcare provider. They can provide a formal assessment and order relevant tests if necessary.
  2. Monitor your symptoms. If they worsen or you develop new symptoms, seek medical attention immediately.
  3. Try to identify any triggers for your symptoms. This could be certain foods, activities, or stressors.
  4. Continue taking your prescribed medications as directed by your healthcare provider.
  5. Practice good sleep hygiene. This includes maintaining a regular sleep schedule, creating a comfortable sleep environment, and avoiding caffeine and electronic devices before bed.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen or you develop new symptoms.
  • You experience severe chest pain or pressure.
  • You have difficulty breathing or shortness of breath that is not relieved with your usual asthma medications.
  • You have a high fever, severe headache, neck stiffness, or sensitivity to light.
  • You have sudden or severe abdominal pain, or your nausea and vomiting are so severe that you can't keep down liquids.

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What could be causing my rapid heart rate and heavy feeling in the chest?

Your rapid heart rate and heavy feeling in the chest could be related to anxiety or asthma. Anxiety can cause physical symptoms like a rapid heart rate and chest heaviness, while asthma can cause chest tightness and difficulty breathing. It's important to consult with your healthcare provider for a proper assessment.


Why do I feel nauseous after eating, and what can I do about it?

Nausea after eating could be a symptom of Gastroesophageal Reflux Disease (GERD), where stomach acid flows back into the esophagus. Treatment typically involves lifestyle changes, such as avoiding trigger foods, and over-the-counter medications. Consult your healthcare provider for a tailored treatment plan.


How can anxiety affect my physical health, and what are some treatment options?

Anxiety can manifest physically, causing symptoms like a rapid heart rate, chest heaviness, and insomnia. Treatment options include psychotherapy, cognitive behavioral therapy, and medication. It's important to work with a healthcare provider to find the best approach for you.


What steps can I take to improve my insomnia and sleep quality?

Improving insomnia involves practicing good sleep hygiene, such as maintaining a regular sleep schedule, creating a comfortable sleep environment, and avoiding caffeine and electronic devices before bed. If insomnia persists, consult with a healthcare provider for further evaluation and treatment options.


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