Conversation: The conversation between human and AI assistant.
[|Human|] I am a 49 year old female. About once or twice a month I wake from a sound sleep feeling warm, I get very flushed all over, I cant breathe through my nose, my hands are hot and itchy and my heart feels like its going to pound right out of my chest.  I try to lay very still and slow my heartbeat down, any movement makes it beat harder.  If I am not successful slowing it back down and going back to sleep I will end up in the bathroom sick to my stomach and very light headed.  I am successful about 30% of the time.  I am not in perimenopause (Ive been tested).  My thyroid is at 0.96.  I dont think its a panic attack or I would get when awake too. Any ideas?
[|AI|]  Hi thanks for asking question. Here are few possibilities in your case.1. First as headache, blocked nose are main complaint on first impression most probably it is simple viral infection. Treat it symptomatically. For blocked nose take antihistamines Chat Doctor. 2. Second according to history, although you are not suspecting but because of stress full work during day time may lead anxiety and subsequent panic attack. Try to be relaxed and try to avoid situation that leaf stress. Do regular exercise.3. You are also complaining some heartbeat related problem that can be due to stress. But still to rule out cardiac condition you can do electrocardiography.4. If fever is also present with described features chest x-ray, complete blood counted liver enzyme study done. I hope my suggestion will helpful to you.