Conversation: The conversation between human and AI assistant.
[|Human|] hello im 22 years old,weigh 68kg and im 1.58m,experience painful sudden accelaration of heart beat and i started experiencing this burning sensation when urinating and even after that i always felt like i needed to urinate but i started using gyna guard and i didnt feel anything until i stopped using it,i am sexually active so it might be an infection because the intimate wash product could have just been suppressing it and i sometimes have thir dry brown discharge which looks like the things after a menstrual cycle but im usually not on my periods at that time...so any ideas?
[|AI|]  Hi, This is Chat Doctor. Increased heart rate & palpitations can have a lot of causes. It can be normal sinus tachycardia due to anxiety or stress, or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation & tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ECG monitoring (Holder Monitor). You also need to do a 2D Echo & thyroid function test to see for any associated abnormality if any. Infection & fever can also increase the heart rate. Thanks