instruction: hello doctor for the past two months I have had a pretty consistent elevated heart rate not by a lot but noticeable for me compared to what I was coming from I cut out alcohol and caffeine and that helped but it always returns my resting heart rate I wear an apple watch is pretty consistent in the 53 58 range but when I get up go up or downstairs it will jump to 100 pretty fast then average out in the 80 as I move about my day when I am sitting at work it is 78 85 bum this is a good 10 bum faster than when I am at peak health I am not sure what is going on I did a fair bit of cocaine and took some ed pills a few times with the cocaine before three months so I wondered if maybe there is a connection I have not done anything like that since then I am a runner but now when I run or jump it goes up to 150 bum and higher pretty fast if I push myself anywhere close to hard I am at 170 180 bum pretty easily so I slow down and it seems my body does not recover quite as fast so I have stopped running hard and just do light jogs and play tennis I recover pretty easily there but it is annoying as I want to run and push myself I will go two to three days with no caffeine alcohol and then I notice my walking around rate is lower like what it used to be mid 70 when it is like that I can feel it noticeably I feel much more complete and whole I feel great and no shortness of breath so then I will have a few glasses of wine that night and maybe a dessert I like sugar at night and I will lay down to sleep and my heart seems to jump up to 85 95 bum for a while and it takes two to three hours before it rests at 53 58 bum and then the cycle starts again I am so confused I do not know what the deal is it the alcohol or sugar I drink this one type of white wine a lot but I have noticed my heart rate does not react as much when I just drink beer one night I had white wine then tequila and my resting rate was like 68 78 bum all night I saw a doctor about three weeks ago and they did an egg and listened to my heart and it showed no issues or irregularities I do not have heart pain though I did have a few sharp pains over the past two months maybe two to three times all lasting about one second and then it is gone all when I am lying down in bed trying to go to sleep I do have shortness of breath due to the elevated heart rate when I am carrying stuff going upstairs etc I do not have pain in my chest jaw left arm etc sorry this is so long but I really would love to discuss this with someone who maybe has heard of this before to be clear what is annoying and confusing me is that my heart rate will steadily be 10 bum higher at all times aside from resting rate for like a 10 days before it feels like it goes back to normal but then there is always something that sets it off again I never see it spike over 105 or so
output: hello welcome to icliniq com I understand your concern but I assure you that there is nothing to worry about it is normal for the human heart rate to fluctuate for instance during exercise the heart rate can go as high as 350 bum in some people it does not mean there is a problem it is normal it is also normal for the heart rate to slow down when laying down but it can increase while laying down in cases where you take alcohol just like in your case you are having issues with anxiety probably because of the cocaine you used I advise you to resume your exercise start jogging it will help with your situation you can only worry if you begin to experience shortness of breath chest pain or fainting