Male child of age 15 *Chief Complaints* Sleeplessness Increased heart beat often Weakness Loss of appetite Constipation Often sweat come from both hand Since 5 months *History* History of icterus five months ago Birth history: Normal *Vitals* Bp:100/70 Pulse:106 Rbs:94 Temp:98.7 Weight: 33.2 kg *Physical Examination* Weak Anemic *Investigations* Cbc: hb 10.2 Esr:12 Montoux negetive Sgot sgpt wnl S.bil 1.8 Ecg finding :sinua arrythemia *Diagnosis* Funtional dyspepsia?? Anxiety?? Arrythemia?? *Management* Need to be discuss