[38M] Experiencing facial flushing, hot red ears, tingling, and rapid pulse

Patient Description

A 38-year-old male reports an episode of facial flushing, hot red ears, tingling sensation throughout the body, and a rapid pulse. These symptoms have occurred twice, with the most recent episode subsiding after the patient performed a breathing exercise and splashed cold water on his face. The patient suspects these episodes may be panic attacks, as the tingling sensation is not persistent and was resolved with self-administered calming techniques. There is no further information on the duration or triggers of these episodes.

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Arora's Assessment

What might be happening

Based on the information you provided, here are some possible explanations for your symptoms:

  • Panic Attack: This is a type of anxiety disorder where you have sudden episodes of intense fear that trigger severe physical reactions when there is no real danger or apparent cause. Symptoms can include rapid heart rate, tingling sensations, and flushing.

    • Treatment usually involves psychotherapy, medication, or both. Lifestyle changes, like regular physical activity and reducing caffeine intake, can also help.
  • Carcinoid Syndrome: This is a group of symptoms associated with carcinoid tumors, which are rare, slow-growing tumors usually found in the gastrointestinal tract. Symptoms can include flushing, rapid heart rate, and a feeling of warmth.

    • Treatment usually involves surgery to remove the tumor, if possible, and medication to manage symptoms.
  • Hyperthyroidism: This is a condition where your thyroid gland produces too much thyroid hormone, which can speed up your body's metabolism causing rapid heart rate, flushing, and feeling hot.

    • Treatment usually involves medication to slow down your thyroid, and in some cases, surgery may be needed.

What you can do

It's important to consult a doctor about your symptoms so they can provide a formal assessment and order relevant tests if necessary. In the meantime, here are some things you can do:

  1. If you suspect you're having a panic attack, try to find a quiet place and practice deep breathing exercises.
  2. Keep a symptom diary. Write down when your symptoms occur, what you're doing at the time, and how long they last. This can help your doctor identify a pattern and make a diagnosis.
  3. Stay hydrated and maintain a balanced diet. This can help your body function at its best.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

  • Severe chest pain or discomfort
  • Trouble breathing or feeling like you're choking
  • Feeling detached from reality
  • Fear of dying

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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1 yr ago

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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, a feeling of impending doom, and tingling sensations. These episodes can occur suddenly and without warning.


How can I differentiate between a panic attack and a more serious condition like a heart attack?

While both panic attacks and heart attacks can cause chest pain and rapid heart rate, a heart attack often includes symptoms like pain radiating to the arm or jaw, nausea, and a feeling of pressure in the chest. It's important to seek medical attention if you're unsure.


What lifestyle changes can help reduce the frequency of panic attacks?

Lifestyle changes that can help reduce panic attacks include regular physical exercise, practicing relaxation techniques like deep breathing or meditation, reducing caffeine and alcohol intake, and ensuring adequate sleep.


What are the potential causes of facial flushing and rapid heart rate?

Facial flushing and rapid heart rate can be caused by panic attacks, hyperthyroidism, carcinoid syndrome, or even reactions to certain foods or medications. It's important to consult a healthcare provider for an accurate diagnosis.


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