### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, Lately i have had som odd symptoms. I feel my heartrate has been more irregulare lately. Also i have had alot os muscle twitches. They kan be big or small, from one to a prolonged twitching. I have also felt creeping in my skin, usally going from my neck to my head. Sometimes other places. I have also felt inner tremors at night. I usally wake upp i the middle of the night feeling vibrations coming from inside my body. Usally the chest area and armes. My puls feels normal though. I have had these symptoms ( exept for the tremors) before but alot these last weeks. I also hade rashes before but nothing like that lately. I have felt som anxiety about my university applikation and my fathers death this year. I have thought it might be psychological but ime scared it might be something else. I havent seen a doctor about it yet. I saw a doctor about the rashes before and they said it might be som sort of allergic reaction. What could these symptoms be related to do you think and what can i do about it?

### output:

Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you're all symptoms are mostly due to stress and anxiety. But better to first rule out heart related diseases like arrhythmia (rhythm disturbances in heart) as this can cause similar symptoms. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia and other heart diseases. Possibility of stress and anxiety is more in your case. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic and other supportive Chat Doctor.  Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks