Conversation: The conversation between human and AI assistant.
[|Human|] Well i have shortness of breath,high pulse rate and sometime have a wierd feeling in my thorat.my doc said i had enlarged lymph nodes earlier but they r ok now.My esr is high and sometime just sitting i can feel my heart beating fast or sometimes as if food is stuck in the narrow tube below my neck.
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry.I'll try to explain you something and give you my opinion. Normal heart rate range between 50-100 beat for minute. When it exceeds 100 beats for minute in normal sinus rhythm we call it sinus tachycardia. There are different causes of sinus tachycardia. Simple emotional stress, during physical activity or after coffee or energy Chat Doctor. Also, there are different pathologies like anemia, hyperthyroidism, active infections, heart anomalies that might be responsible for fast heart beat. When you have excessive heart rate it is normal to feel palpitation all over, in your head, neck. You might feel difficulty in breathing deeply, anxiety. So, if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and walls, a full blood analyze to exclude anemia, hyperthyroidism or active infection. You mention that your ERS is high, it might be an infection somewhere that keeps the frequency high. Also, I will recommend a holder rhythm monitoring to see your rhythm tendency. Only after this we can judge what we should do and if it is necessary to treat it medical. Hope I was helpful. Best regards.