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Heart blood values rhythm disturbances

Dear Dr. Hoelling,

As I have already mentioned in another question, I experienced heart palpitations twice, and I would like to show you my blood test results. According to my doctor, my values are completely normal, except for my blood being slightly thick and my hemoglobin levels being slightly elevated. He suggested that this could be due to excessive exercise and dehydration. However, I find it hard to believe as I eat and drink a lot daily, around 3-4 liters. I do sweat a lot due to anxiety, but could this be related? I run approximately 16 km daily and also do strength training. I have reduced my exercise intensity due to my fear of heart palpitations and arrhythmias. I read on the internet that an elevated hemoglobin level could indicate a brain tumor. I am really worried about what this could be. Everything happened so suddenly; I used to feel fine and had a lot of endurance and energy. I was an athlete for 7 years and never had any issues, as mentioned in my previous question. However, currently, fear is consuming me, and I feel incapable of doing anything. I constantly fear experiencing heart palpitations again, which does happen at times. As a result, my blood pressure is almost constantly at 151/81, and I sweat due to excitement and stress. It only drops to normal values when I sleep. I am worried that my blood test results could indicate a brain tumor or something else. Should I be concerned? I have a form of social phobia and sweat heavily in public; I am afraid of disappointing others. This also affects me during leisure activities. Added to this continuous stress is the ongoing fear that grips me, making me feel like I cannot breathe. Do you think it could be a brain tumor? Can I continue normal exercise and calm down? I need reassurance as I cannot bear it any longer. I do not want to go to the doctor again because I get so anxious there that my pulse reaches 120-130 during an EKG, and my blood pressure goes up to 180/90. The thought that I might have something organic does not leave my mind. However, I cannot explain why this should suddenly occur. Before my arrhythmias in November, I always had enough energy and could perform exceptionally well despite fatigue. It felt like my heart rate was unbelievably high, 300 beats per minute, which you said is not easily possible, and my heartbeat was completely irregular. I felt normal, except for the panic in my eyes and extreme nervousness. It was only when I calmed down and took deep breaths that I could feel my pulse again. I can still exercise now, but I consciously hold back as I immediately get scared and have panic attacks when my heart rate increases. Thoughts of paramedics trying to save me, but failing, or blood pressure monitors showing values over 200, constantly flood my mind. The constant fear of never getting better... Yes, it is a real fear of death that I have been experiencing for the past 3 months. I have job interviews coming up, and I am terrified of passing out there or having heart problems again. I can't find any peace anymore; I cannot do anything in public without feeling like I am about to collapse. It's only when I am at home that I feel better. I cannot imagine that it is psychological because I feel the symptoms physically. Also, my blood pressure is often high. Can this be caused by anxiety? When I wasn't concerned, I thought I was one of the healthiest people on earth, as my heart rate returned to normal within 30 seconds after exercise, and my resting heart rate was 54-65. Here are my blood test results. Blood was taken twice within a 2-week interval. Here are both sets of results:

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Thank you very much for your time!

Dr. med. Frauke Gehring

Hello again,

the values show that, because only the hematocrit, but not the hemoglobin level, is minimally elevated, it is an indication that you are most likely suffering from dehydration. Since you sweat so excessively, this can be explained, as up to 1.5 liters can be lost per day. The values are too good for something malignant.

You urgently need psychiatric help because the anxiety is making your life so difficult! Of course, anxiety can be the reason for a fast heart rate. If someone gets diarrhea due to nervousness (which happens to some people), it is also psychologically related, yet still a physical symptom. Similarly, inner restlessness can cause a fast heart rate. The body and mind always work together.

You should start here. Anxiety disorders are not uncommon, but can be treated successfully!

Sincerely, Dr. Höllering

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Experte für Internal medicine

Dr. med. Frauke Gehring

Dr. med. Frauke Gehring

Arnsberg

Staatsexamen 1984 in Kiel, seit 1992 in eigener Praxis niedergelassen. Onlineberatung seit 2001 bei Almeda, Focus (als ärztliche Leiterin), Onmeda, Bild der Frau. Moderatorin, Dozentin für medizinische Themen.

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