/ Where can I get URGENT health consultation in London (heart)?
I will be very quick:
I am in mid 20s and need to know whether I did something wrong to my heart ASAP.
I live in London since 2 years and have been generally quite sedentary due to my work. About a year ago I started hiking and brisk walking at least once a week as I felt it would keep me fit. I also have an issue with my back but that's not the problem. I soon started climbing.
But I have been overweight for the past 2 years now and I realized that my walking and hiking however was not enough. My weight pulls me when climbin.
This weekend I started a new routine hoping it would help me burn more fat for the rest of the week (I have no time for fitness during weekdays):
- brisk walking during morning (cardio)
- climbing wall for 3-4 hours right after that (anaerobic)
- midnight walking up and down stairs for an hour.
Saturday was great and I felt invincible on Sunday.
Sunday after finishing I felt good, too, but at night my heart rate stayed the same... and I feel very weird, lightheaded, difficult to breathe...easily tired.
And Monday too.
I dont know what to do. I started reading some info online and it's written that it is very dangerous for people who are normally to suddenly do strenous exercise.
I am scared as hell now, really really afraid, and I need to talk to a doctor as soon as possible - no matter the money, I just want to make sure all is ok....
Please if you have any info please help!
*but at night my heart pounding stayed the same as during the exercising
*I know it's dangerous for people who are normally sedentary to suddenly start strenuous exercise.
Or go to A&E now.
(just googled it -don't know anything about it )
As long as you don't feel like that NOW and don't have chest pains at the moment, just lay off the exercise and ask your GP for an appointment. If you DO feel breathless and light headed now, and/or have chest pains, then go to A&E.
What she said.
If you're feeling like that, you need to go to A+E. It could be any number of things, and you can't diagnose anything over the internet. Go to someone who can check you out today, at least a GP. However, I should add a well done for tackling your fitness, its really difficult, but try not to be too obsessive about it, just enjoy it!
their usual advice (ime!) is either
take an aspirin and call your GP in the morning
go to A&E
both bits of advice might be good in your case!*
*or they might not. none of the above is medical advice to be relied on or believed. get advice from a trained person, or the internet.
Like has been said; in pain/shortness of breath/history of cardiac problems call an ambulance or go to A&E, otherwise get a GP appointment.
Let us know the outcome.
BTW, very unlikely to be a heart problem, despite what you might read on the internet.
I *think* low blood sugar (from all that activity) can cause that sort of thing. But to be sure, go to the doctor.
> their usual advice (ime!) is either
> take an aspirin and call your GP in the morning
> go to A&E
> both bits of advice might be good in your case!*
> *or they might not. none of the above is medical advice to be relied on or believed. get advice from a trained person, or the internet.
When I called NHS direct with very minor discomfort (I thought heartburn or similar) they had fast responder ambulance with me before I put the phone down.
Give them a call, and they will advise you what to do. Do not panic if they take it very seriously (I was in the cardiac care unit for 3 nights - despite being given the all clear after a range of tests - I have been fine ever since)
That's a good response! Glad to hear that you're well.
> Give them a call, and they will advise you what to do. Do not panic if they take it very seriously (I was in the cardiac care unit for 3 nights - despite being given the all clear after a range of tests - I have been fine ever since)
Yes, always better to play it safe. Likely to be better doctors in A+E than in GP land in London.
Also, stress and anxiety, caused by worry about heart conditions can cause your pulse to race.
Something like this happened to me recently and caused me to pass out. It felt very real at the time although when I got to A&E I was told there was nothing wrong with my heart! Going back to the GP on Friday to make absolutely sure nothing is wrong.
To the OP, get yourself to hospital. It's best to be sure.
It can be stress. It can also be drinking too much coffee!
I first asked the GP who told she was booked for the following two days (...I kinda expected this...).
Then I went to an A&E. After waiting a bit, a doctor and a lady came and held my wrist/pulse, then said I am completely fine and look good, and if I wanted to I could go to a walk-in center elsewhere just to make sure.
I went there as well and after waiting a bit again, the doctor there measured my pressure, pulse and used the stethoscope. She said everything was fine, but to go to the GP if it happened again and ask for "further investigation". She said she "could not comment" on what exactly happened as I was totally fine when she checked me.
I am half reassured, half not. I am a bit worried that these doctors might not know well about how the body reacts to changes in physical activity such as what I described (and explained to each doctor the same way I wrote here).
This is not the first time I speak to a doctor and it seems like I talk to a wall...
As of now I still feel/hear the blood being pumped around different parts of the body in a very "deep" way, which also causes a little bit of anxiety.
I truly hope it is nothing bad.
P.S.: I think the main reason I came to ask here is because, for some reason, I feel I can relate to people in this community more than with anyone else online - and I want to as informed opinions as possible.
During my experiences, and still now sometimes if I've felt a twinge, I think I can hear my heart pounding away, especially if I'm trying to sleep. I think this is just a symptom of being worried about my heart - an anxious/paranoid reaction, possibly exacerbated by adrenaline (released due to stress)
If you are not in pain, try to take your mind off it by doing something else. When trying to sleep put some music on or even better a talking book at a volume you can only just hear, and concentrate on listening to that.
If the docs have listened to your heart, checked your BP and pulse and are not concerned, then it really is nothing to worry about. It would take them all of 10 minutes to have put you on an ECG if they were at all concerned, and they didn't.
IF your original symptoms return, then phone NHS direct and they will advise you (and they are more cautious than anyone else as they can't actually examine you)
Re reading your OP, those symptoms could well be just post exercise fatigue especially if you aren't used to it. Looking up symptoms on the net is generally a bad idea, and very easy to convince your self you have something nasty.
I'm not going to say what, if anything, is wrong with you over the internet, because its just impossible to be in anyway accurate - and you have to realise that. However, marsbar raises a genuine possibility, and I'll enlighten that further with a personal anecdote. When I was in my later teens I started getting ectopic heart beats (basically a premature ventricular contraction followed by a compensatory pause). Sometimes they would occur every other beat, sometimes frequently and randomly, sometimes only sporadically, but whatever the case I found them deeply unnerving. Having seen a specialist and been noted to have small abortive runs of these beats (ventricular ectopics), I was offered a beta blocker, which I turned down. Incidentally, as an aside, I still wonder whether climbing may have caused these, in particular because of a bad tendency to breathhold (which appears to me to simulate a valsalvas manouever - see wiki) particularly when training on overhanging 30deg steep boards for power or power endurance and exacerbated by body tension (this is only a hypothesis). Anyway, alone at uni, I found it difficult to concentrate on work and difficult to sleep, because being skinny, I could always feel my heart beat whacking against my chestwall and hearing it in my ear. I therefore had a constant reminder of this irregularity, and frequently had the thought, "what if my heart stops" etc. Well it got to the point where I became very anxious about it, and started feeling breathless, and light headed. One night, it got really bad, and I thought I would keel over. Then this strange thought occured to me that if this breathlessness and dizziness was due to my heart, if I tried to run I wouldn't be able to. So I went on a 3 mile run, and realised that my heart must be fundamentally working if I could do that!! I did some relaxation techniques and it seemed to help. Now I'm not suggesting this course of action for you, but just that it is possible that the mind can be rather non-constructive when it wants to be. I'd agree that avoiding sugary caffeinated drinks is a good idea, and limit the tea and coffee. Try not to get too tired as well. These things, as well as alcohol, can really make you feel anxious. Eating alot of simple sugars can result in sugar highs and lows, and the lows can feel quite anxiety inducing - try to switch to more complex carbs. Don't suddenly diet either, as that can make you feel pretty weird! You can also try "diaphragmatic breathing" first and then "progressive muscular relaxation" which you may find helpful. Indeed, its pretty helpful thing to do anyway. As you said, follow up with the GP, and try to be reassured by the doctors you have seen. I hope that helps, but remember, that as informed as people are over the internet, if you can't speak to interactively, and examine / test a patient, you really can't give an accurate opinion as to what might be happening.
Nice post: interesting, and helpful.
Sounds like you are really anxious about this, and I'd say that was causing the problem most likely. Listen to the doctors not peoples scare stories on here.
It sounds like you're fine, try and relax and stop reading the internet!
"Then I went to an A&E. After waiting a bit, a doctor and a lady came and held my wrist/pulse, then said I am completely fine and look good, and if I wanted to I could go to a walk-in center elsewhere just to make sure."
Did they really say this? As in they weren't sure, or is this either your interpretation or because you hassled them so much and you were obviously very anxious so they said go somewhere else for another voice to set your mid at rest?
Also a bit surprised they didn't do an ECG. Like someone said, it takes a few minutes and gives you details a taking of the pulse won't. If they didn't they were either being very remiss, or 100% happy you were fine.
When I had the ECG done at an NHS centre, the technician/operator said she saw nothing either, but that I can "discuss the results with my GP in 2 weeks".
(Does anybody know what is the rationale for such long waiting times? I mean, if they already have the photo/snapshot, does it really take 2 weeks to process it?)
Meanwhile, I tried doing some brisk walking again, for about half an hour today. And I got the same symptoms again... :(
Anyway, thanks for all your suggestions. I am going to research into this a bit more and might ask my GP to let me do a blood test or similar.
If you don't mind me asking, what were you hoping to learn from the blood test?
If you felt the abnormal heart rate and the unusual symptoms at the exact time you had the ecg, and the ecg is normal then there is no rhythm abnormality and the problem is anxiety/psychological.
If you felt fine when you had the ecg then it tells you only that when you feel normal, your heart rate is normal.
bloods would check if your thyroid, calcium, potassium or magnesium levels are normal. Take a close look at yourself, any coke, amphetamines, ecstacy high alcohol or caffiene levels any of these could cause your problem.....
Lets say you have no bad habits and you feel weird only after exertion and when your heart is beating fast.
If so we need to record your heart tracing after exertion.
Options exercise ecg-run on a treadmill whilst attached see if rythm goes funny.
Two ask your gp for referral to cardiology for a 24 or 72 hour tape or a 'king of hearts'. These are rhythm recording devices that either record your ecg for 24 or 72 hours or in the case of king of hearts, when you press a button.
If you experience the abnormal sensation or heart rhythm whilst attached your cardiologist can analyse and tell you if it is a problem.
Do get it investigated as above. A small proportion of young fit people have dangerous heart rythm issues. e.g fabrice muamba etc
cheers, you have spoken to a doctor and don't worry about the money!
I am not a doctor but I'd say don't panic! As an example of something less serious that can cause you to put on weight and have a low heartbeat and one which will not pick up enough to allow full exertion I suffered these symptoms when my thyroxine level was too low as I have a thyroid condition. My metabolism could not keep up with the demands exercise required. Also going too long without eating and it took excessively long to get my energy levels back which left me feeling weak.
This may not apply to you but it shows that non life threatening conditions can affect drastically how you feel and how your heart behaves too.
btw thyroid dysfunction is surprisingly common so might be worth getting tested for it
My uncle has high blood pressure at 140/90...
A blood test won't diagnose hypertension, but as mentioned above there are some situations where they can be helpful in ruling out other issues. However, the maths behind the definition of a "normal result" means that often sending multiple blood tests can throw up "out of normal range" results in completely normal people. Which in itself can cause all sorts of trouble, depending on the test.
Happy to discuss by pm if it would help.
I just keep feeling worse and worse every day.
As a precaution I adopted a strict diet. No fastfood, etc and only home-cooked food for the past 2-3 days. Also checked on what food is good to reduce cholesterol and blood pressure just in case.
I feel the palpitations are getting harder and harder, even when at rest and before sleeping, and my body feels like it's burning.
I would like to believe what the doctors said, but the last time a doctor told me "don't worry, you're young" my spine got disabled, which is one of the reasons why I couldn't do any heavy physical activity, which indirectly also contributed to my sedentary life...
And now I feel worse and worse, my heart pumping louder even when I am being calm and happy, even at work, even when thinking about entirely different stuff - and once again the doctors are telling there's nothing wrong...
I thought this wouldn't happen again yet I feel helpless and angered by this whole situation.
What TimMD said.
If you are that concerned either get to an A&E ASAP, or at least call NHS Direct
Mate your posts are wicked even if you are definately taking the piss.
How do you manage to do scientific experiments of walking into fit girls when you have a "disabled spine?"
PS how is the "midnight walking up and down the stairs for an hour" going?
> Mate your posts are wicked even if you are definately taking the piss.
> How do you manage to do scientific experiments of walking into fit girls when you have a "disabled spine?"
^^^^what he said
Do you drink coffee? If so drink less or give it up.
If not, go to A&E when it is happening.
> Mate your posts are wicked even if you are definately taking the piss.
> How do you manage to do scientific experiments of walking into fit girls when you have a "disabled spine?"
Dr OneLife and Mr Hyde
They checked ECG, blood pressure, heart rate, did a blood test - all fine again (I am not unhappy about that, but still unsure...).
After repeating my story many times, they suggested I could try doing a test where I wear something the whole day so they can check how the heart works while I am exercising. That way they could rule out physical exercise. But I need to ask the GP next week.
How can I walk, hike and climb with a disabled spine?
Maybe my words were misleading, but a part of my spine is definitely irreversibly injured/damaged (it cannot heal itself naturally) and a source of chronic pain that persists since 6 years.
I learned to live with it quite soon, but had to stop any kind of sport involving hard stress on the back (anything involving running).
My opinion is you really need to calm down and stop worrying. You've been told your heart is fine.
Last night I tried to completely forget everything, and tried to eat outside at a restaurant. My heart started beating really really hard again (I say "hard", not "fast", i.e. I literally feel the blood being pumped into the body, brain, neck, and with strong pressure).
I feel the blood all inside me, very hard.
FYI I am not worried, just describing what's happening :( :( :(
You need to get a routine appointment with your GP, and I suspect you will need to see someone who knows about cognitive behavioural therapy, as even if you describe not being worried about it, you are clearly very preoccupied with it.
Let things wash over you and get some sleep. Avoid alcohol, caffeine and ALL recreational drugs, and pop along to see your GP next week - good luck
Elsewhere on the site
2012 saw the release of the beautiful first volume of definitive Yorkshire Gritstone climbing, produced by the YMC with Robin... Read more
The Christmas Gift Guide at Outside.co.uk Check out our top selection of Christmas Gift Ideas for climbers,... Read more
Make the most of this months HALF PRICE OFFER on the Five Ten Guide Tennie Mid!! Designed as a hybrid approach and... Read more
Halifax-based John Colton (see his UKC Gallery here) has an art exhibition in Courmayeur, Italy (the Italian side of Mont Blanc)... Read more
Skiing Baffin’s couloirs has been on my to do list ever since I saw Andrew McLean and Brad Barlage’s inspirational... Read more