apollo
  • Female
  • 26 Years
  • 29/01/2025

I've noticed that almost every time I shout or scream while at church, I start feeling really lightheaded and dizzy, almost like I might pass out. It's like I have to close my eyes and hold onto something just to stay steady. Is this normal, or could it be a sign of something more? What's going on with my body when this happens?

Doctor 1

Answered by 1 Apollo Doctors

The symptoms of lightheadedness, dizziness, and feeling like passing out after shouting or screaming at church may be related to a vasovagal response, a common condition where the nervous system overreacts to stress or excitement, causing a temporary drop in blood pressure and heart rate, and it's recommended to consult a md medicine to rule out other potential causes, such as dehydration, anxiety, or underlying heart conditions.

Dr. Chandra Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm 30 years old and my blood pressure is 130100 with a pulse rate of 90. I've been experiencing palpitations constantly and it's making it hard for me to sleep due to anxiety. What could be causing this, and what steps can I take to address it?

Your blood pressure of 130100 is slightly elevated, and your pulse rate of 90 is also on the higher side. Feeling palpitations and having difficulty sleeping due to anxiety can be concerning. I recommend you start with lifestyle modifications such as reducing caffeine intake, practicing relaxation techniques, and regular exercise. For your palpitations and anxiety, you can take Propranolol 10mg twice a day to help with both symptoms. Additionally, you can consider taking Lorazepam 0.5mg at bedtime to help with sleep and anxiety. It's important to follow up with a healthcare provider before starting any medication.

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I've been experiencing this weird sensation where I can feel my heartbeat or pulse when I'm lying down on my pillow. It usually happens in the side of my neck or at the back of my head. This has been going on for about three months now. I've had an ECG and an echo, and they were normal, except the ECG showed sinus tachycardia. I also got a thyroid test, which came back normal. My blood pressure is fine too, and I dont have any other symptoms. Its just strange that it only happens when Im lying down. I did have COVID nine months ago, but that feels like ages ago now. What should I do next?

It sounds like you may be experiencing palpitations, which can be concerning. Since your ECG and echo were normal and your thyroid test was also normal, it is good news that there are no major issues detected so far. Sinus tachycardia can sometimes cause palpitations, especially when lying down. One possible next step could be to monitor your heart rate with a Holter monitor to see if there are any irregularities in your heart rhythm over a longer period of time. In the meantime, you can try to avoid caffeine, alcohol, and stress, as these can sometimes trigger palpitations. If the symptoms persist or worsen, it would be best to follow up with your healthcare provider for further evaluation and management.

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I'm noticing a visible pulse on the right side of my neck, and I'm worried it might mean somethings wrong with my heart. Could it be related to my thyroid issues? What other symptoms should I keep an eye out for, and what tests would you recommend I get done? Any guidance would be really helpful.

yes it is a concern immediate cardiologist opinion is required.

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