Conversation: The conversation between human and AI assistant.
[|Human|] Hi i dont no if you can help me but im a 24 year old female and at night when i fall asleep i wake up with my heart beating so fast my whole body is shaking and also this past few days i have had a few flutter like feelings its scaring me so much i cant sleep at night.
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! Your symptoms seem to be related to nightmares and anxiety. You should know that some sleep disorders (like nightmares), can be associated with a hyper reaction of autonomic nervous system leading to tachycardia, sweating, body shaking etc. I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x-ray and some blood lab tests (thyroid hormone levels, fasting glucose, blood electrolytes, etc.). A polysomnography and an ambulatory 24-48 hour ECG monitoring are necessary to exclude a sleeping disorder or a cardiac arrhythmia. If all the above tests result normal, you should consult with an anxiety specialist, to help you manage your anxiety. Anxiolytic and behavioral therapy would be helpful in your situation. Hope to have been helpful! Best regards,