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Can loneliness and insomnia cause heart problems?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My heart has been beating faster than usual (not that fast but faster than normal- if it starts in the evening it goes on like that till the next day) on and off. Also, loud noises (like kids screaming or playing, someone loudly entering my room, someone talking loudly) make it beat faster as well I do not know if that is normal but it happens to me; Also, if it is already beating fast, then it makes it difficult for normal functioning, like even listening to a video in a 2x speed makes it faster or thinking also makes it beat more faster. With overthinking at peak- I could not stop my brain, so I am suffering from inflicted minor self-harm, suicidal thoughts, emotional sensitivity, and difficulty sleeping- cannot sleep till 3 or 4 am. Even after sleeping for one to two hours, I do not feel sleepy until noon the next day. I also have a loss in appetite and I barely eat lunch, I end up crying for no reason (if not every day then every alternate day), I have lost interest in activities, and feel numb. I do not have a good relationship with my family (as I had an abusive and emotionally unavailable dad) living with them is also triggering, overthinking leads to crying and it triggers asthma. I also feel vibrations or sensations in my hands like fidgety hands when my heart is beating faster.

I am constantly feeling like a 'backup', a backup friend, a backup child, a backup classmate, who is just there when people need me without any worth or feelings or meaning. I constantly feel unloved and for once, I wish to be someone's priority to be vulnerable. I have never shared with anyone how I have felt because previously I had no one to share with, and now it is kind of a habit. A lot of it is about family or friends so I cannot share, and I feel uncomfortable sharing because I do not know if anyone even wants to know or hear. I do not think people care. I have major trust issues so I cannot share stuff; I attempted suicide twice seven to eight years back, and I clearly remember feeling all this. I have not felt like myself in years now, I am just constantly faking happiness, in fact, at this point, I do not know if something can even make me happy.

I also feel very worthless, like I am wasting my life, I am a failure. I do not feel comfortable and confident within myself including my body, my skin, and my face. All of this has been going on for three months now, and these symptoms have been on and off and recurring before, so it is like they have been going on for four to five years now. This is my first time discussing all of this, so I genuinely hope I get a proper, precise explanation as to what has been going on with me for years and how I can handle it. Kindly suggest.

Thank you.

Hello,

Welcome to icliniq.com.

I understand your concern.

You may have a borderline personality disorder with anxiety disorder. It is a type of personality. You may have a chronic feeling of emptiness, emotional outbursts, overwhelming behavior, and self-harming behavior like suicide attempts. You mostly feel that no one understands you in this world. You may have difficulty keeping the relationship going for a long time. You may have frequent job-related issues. You may have anger outbursts. There is non-pharmacological management for it. You should try to follow the below guidelines for it.

  • Exercise daily for 30 to 45 minutes like at least going for a walk. It will uplift your mood.

  • Meditate for 20 minutes daily. Just sit in one place in a comfortable position and try to concentrate on your normal breathing, do not stop or force yourself to stop your thoughts, just let it be. This will help you to relax and reduce palpitation.

  • Eat healthy home-cooked foods, and avoid junk foods.

  • Spend quality time with friends and family daily.

  • Spend time on creative hobbies like reading good books, writing journals, painting, drawing, and learning new skills or language or musical instruments.

  • Get seven to eight hours of sleep daily.

  • Avoid tobacco alcohol or any substance abuse.

  • Live your life, do not just spend it.

  • Be bold and confident.

  • You need to start a capsule of Fluoxetine 20 mg daily in the morning after breakfast and a tablet of Clonazepam 0.5 mg at night.

  • You need some blood tests and investigations to be done.

I hope you find this helpful.

Thank you.

Investigations to be done

CBC (complete blood count), thyroid profile, vitamin D3, vitamin B12, RBS (random blood sugar), and ECG (electrocardiogram).

Medically reviewed byiCliniq medical review team

Published At July 2, 2024
Reviewed AtJuly 2, 2024

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