I noticed that, my son (4.5 years) heart beat is very fast while also he is sleeping, 180-200 (dhik-dhik sound), pulse rate also normal 100 click per min, child is very active and sweating a lot even during sleeping. During last 3-4 years I noticed, always same . I checked 2 pediatrician, but nothing tell about that, maybe mild asthma.
Answers (21)
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A sleeping heart rate of 180â200 is abnormally high for a 4.5-year-old and needs proper evaluation. Since this has been persistent for years along with sweating, it should not be ignored. Please get a pediatric cardiology opinion and basic tests (ECG, echocardiography, thyroid etc.) to rule out underlying causes. Once the diagnosis is clear, supportive treatment including homeopathy can definitely help in managing symptoms, but first a thorough evaluation is very important.
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Your child has a fast heartbeat sensation during sleep and sweats a lot, but pulse around 100/min is within the normal range. Since this has been happening for 3–4 years and doctors haven’t found anything specific, it’s likely related to either mild asthma, high metabolism, or constitutional sensitivity.
Basic tests like ECG, thyroid profile, or a sleep-time pulse check may help rule out anything serious.
If all tests are normal, homeopathy can help regulate sweating, sleep, and nervous system balance naturally.
Let me know when you’d like to start a proper case-taking.
A consistent heart rate of 180–200 bpm during sleep in a 4.5-year-old is unusually high and needs further evaluation. Occasional fast heartbeats can occur in children, but persistent tachycardia, especially with sweating during sleep, may suggest an underlying cardiac or metabolic issue, or possibly autonomic imbalance.
It’s good that asthma was considered, but I recommend a pediatric cardiology evaluation with ECG and possibly a Holter monitor to rule out conditions like SVT (supraventricular tachycardia).
Please don’t ignore this — early diagnosis ensures better outcomes. You’re welcome to consult me for guidance.
Potential causes of tachycardia include fever, electrolyte imbalances, thyroid issues, dehydration, and certain medications or substances.
A homoeopathic treatment will give best results naturally
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115-120 beats per minute could be considered normal for your child. A constant resting heart rate of 180-200 is certainly abnormal. Get his blood checked for Haemoglobin and Thyroid levels. If that turns out to be normal a 2 D echo is advisable. For further evaluation and treatment consult online in private with details of the condition.
A heart rate of 180 to 200 while sleeping is significantly above the expected range for a 4.5 year old child. Even in children, the normal sleeping heart rate should generally be between 70 and 110 beats per minute. If the pulse rate you are counting by hand is around 100, but you are hearing or sensing a "dhik dhik" or fast pounding sound, it could be due to strong cardiac awareness or episodes of paroxysmal tachycardia. Excessive sweating during sleep, especially if chronic over several years, is not typical and may point to an underlying autonomic or metabolic imbalance, or rarely, a congenital rhythm issue. The suggestion of mild asthma may explain exertional symptoms but does not fully account for persistent nighttime rapid heart activity.
Next Steps
You should request a 24 hour Holter monitor to document his heart rhythm during sleep and activity. A simple resting ECG may not catch intermittent episodes of fast rhythm. Also ask for an echocardiogram to rule out structural issues. If his pediatricians have not taken this seriously, please consider a pediatric cardiology consult. In homeopathy, if rhythm is persistently elevated without structural defect, constitutional remedies such as Phosphorus, Tuberculinum, or Lycopodium have been used in children with high metabolic drive, restlessness, and sympathetic overactivity. But this must follow a full case assessment and should not delay basic cardiac workup.
Health Tips
Ensure his room is cool and well ventilated during sleep. Give him light, early dinners free from sugar and heavy fried food. A warm bath before bed and a gentle oil massage with coconut or sesame oil can help reduce sympathetic drive. Let him sleep on a cotton sheet without heavy blankets. Offer natural calming herbs like tulsi water or a few drops of Brahmi extract in honey if advised by your doctor. Track his heart rate during different situationsâsleep, play, and restâand keep a log for review.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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