<s>[INST] I m inquiring re my daughter: She is currently experiencing rapid pulse with normal activities: lying in bed, standing, sitting. This along with sleeplessness for more than 1 month, not sleeping more than an hour each night. She feels anxious when the pulse is fast...91-116. She has a normal pulse rate in the low 70 s. She is a 43 yo female. Also she has had a low grade elevated temperature...99-100.2 per ear scan. She had a recent cellulitis below the right eye on the maxillary area. This was treated by two different antibiotics (oral) and steroid. She was using a topical antibiotic (OTC neomycin) but developed an allergic response which spread to the upper/lower eye lids. This has subsided considerably. Prior to the cellulitis she experienced a stone in the left parotid gland. Antibiotic had been given for this as well. The area is minimally swollen (1 month plus) presently. She has gone to the ER, Walk-in clinics and finally her primary care physician. Most of the episodes occurred while her PCP was not available for a routine appoinment. Blood work by her PCP came back negative for hyperthyroidism (she may have had a reaction to the iodine contrast with the CT scan while evaluating the cellulitis and subsequent eye infection. Today she is exhausted, persistent elevated pulse, awakens her when she does finally falls asleep, shortness of breath and anxiety. I encouraged her to go to the ER for a workup of the presenting symptoms. She is in IL and I am in TN traveling home to TX. [/INST] Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Above symptoms can be doe to a wide range of diagnoses ranging from anemia to anxiety disorders. She needs an extensive history and blood work. Hope I have answered your query. Let me know if I can assist you further. </s>