<human>: My daughter is type two diabetic and slightly overweight. She is taking metformin for diabetes and amnitriptolin for IBS. She has had her gallbladder out. My question is: she has tried to give blood and they wont let her because her pulse rate runs between 107 and 116. What may cause this. Before she was on the meds. it was fast then too.
<bot>: Hello! Thank you for asking on Chat Doctor! I carefully passed through your question and would explain that it is important performing some tests to investigate for the possible cause of her elevated heart rate: - a complete blood count for chronic anemia-blood electrolytes for possible imbalance-thyroid hormone levels for possible thyroid gland dysfunction- a cardiac ultrasound to examine her heart function and structure- a cardiac stress test to investigate for possible coronary artery disease (as she has coronary risk factors like diabetes)- an ambulatory 24-48 hours ECG monitoring to exclude possible cardiac arrhythmia. You should discuss with her attending physician on the above tests. Hope you will find this answer helpful! Greetings!