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A 29-year-old female asked:

Tachycardic with occasional high bp and anxiety. today i had major pressure behind eyes/nose after exercise..lasted 10 min. made me a bit concerned...

2 doctor answers2 doctors weighed in
Dr. Matthew Cahill
Internal Medicine 27 years experience
Get an evaluation: You know something isn't right. It's NOT impossible that anxiety can cause all these findings, but it seems unlikely. Perhaps you have a heart rhythm disturbance, or more concerning an Endocrine disturbance. Ignore it at your own peril. Get seen and get well soon.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Krishna Kumar
Psychiatry 57 years experience
Anxiety: I understand your concern. I admire you for doing exercise to improve cardio-vascular Health. It is likely that your Tachycardia is due to Anxiety. Putting pressure on yourself for exercise, doing exercise when you are stressed, continuing exercise when you are exhausted can lead to pressure behind the eyes. See a Psychiatrist for Therapy for stress. Do Breathing Relaxation, Yoga, Meditation
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Matthew Cahill
Internal Medicine 27 years experience
As I noted a young otherwise healthy person is relatively unlikely to have hypertension and tachycardia from anxiety alone although it is possible as an alternative. I personally would not forego cardiac evaluation, nor do I think psychiatric care is the first step in the evaluation. Any responsible psychiatrist would insist on a medical evaluation first- particularly of thyroid abnormalities
Oct 29, 2015
Last updated Nov 11, 2015

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