Anxiety is accompanied by fear, increased heart rate, sweating, and heavy breathing. It is normal to feel anxious once in a while. But, when the feeling of worry does not go away and gets worse with time, it requires to be treated.

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I am suffering from severe health anxiety and panic disorder.please help me to stay calm.

Query: Hello doctor, I hope you can help me with my anxiety. I am a 35-year-old female who has severe health anxiety and panic disorder with agoraphobia. I have been doing good until this past month. Then, I got sick and had a fever. My heart rate was high during the time of fever. I became extremely an...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I passed carefully through your medical history. Considering your clinical symptoms and performed medical test I would explain as follows: Your heart rate increase recently is defined by your condition of high body temperature and systemic inflammation respons...  Read Full »

What causes the heart to skip a beat in an healthy individual?

Query: Hello doctor, I sometimes feel like my heart has skipped a beat. It happens suddenly and goes away in a second like a beat is mismatched. It only happens once or twice in two to three days or a day. So it is not persistent. I am not obese. I neither smoke nor drink. I have been facing this since I ...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I passed carefully through your concern and would like to explain that those skipped beats may be exacerbated by anxiety. Coming to this point, I would recommend finding effective measures to control anxiety. Activities like cycling, swimming, yoga could be helpful ...  Read Full »

I have the history of OCD and anxiety, and recently had arrhythmia. Could it be due to stress?

Query: Hello doctor,I am 27 years old, and I have been suffering from OCD and health anxiety for many years. For about a year now I have been having arrhythmia (mostly extrasystoles) they have been chiefly eased up since I started my new job, but something has been going on. I have been feeling angina for ...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome on Regarding your concern, I would explain that it is necessary a direct review of your ECG recordings to accurately judge the clinical importance.  Read Full »

My heart rate has increased to 220 beats per minute. What should I do?

Query: Hi doctor, The day before yesterday, my heart rate went up to 220 beats per minute which maintained for about three hours and my BP was quite low. I have not done any physical work on that day. The same problem occurred before eight years which maintained for half an hour. Suddenly, this happened to...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I can understand your concern and your symptoms could be due to anxiety or cardiac arrhythmia. I would recommend consulting your doctor and getting these tests done: A resting ECG (electrocardiogram) and cardiac ultrasound. An ambulatory 24 to 48 hours of ECG mon...  Read Full »

I have white coat hypertension. Should I take Xanax before an appointment?

Query: Hello doctor, I am a 71-year-old female. I have white coat hypertension. I have had this all my life. I have been to numerous psychologists and therapists. I am in good health and take 1 mg of Synthroid daily. When I go to the doctor's office my BP goes sky high. At home, it is around 120/70. I wen...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to These blood pressure spikes related to white coat syndrome are not dangerous and do not cause any permanent damage to your heart or blood vessels. They are caused by the anxiety when consulting with your doctor. These spikes do not need to be treated. There is no n...  Read Full »

I experience heart palpitations and skipped beat. Do I need medicine?

Query: Hello doctor, I am 22 years old. I experience heart palpitations with a skipped beat for three years. When I exercise (run), I experience heart palpitations and I cannot breathe freely and naturally (exercise intolerance). I consulted a cardiologist and he says nothing is wrong with my health. Afte...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to Your symptoms could be related to anxiety. I agree with your doctor that mitral valve prolapse is not a serious medical disorder. Anyway, it can trigger ectopic heart beats especially during straining physical activity. Anyway, if the problem persists, I would recom...  Read Full »

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