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Cause of palpitation dn faster heart beats - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3391 Questions
User :   I have palpitations and my heart beats little harder than usual for about 3 months now and i felt a little dizzy too
Doctor :   Hi
User :   Hello
Doctor :   How can I help you?
Doctor :   May I know your age and gender?
Doctor :   Have you lost consciousness during any of such events?
User :   my heart seems to beat a little harder than usual and i felt a little dizzy today
User :   i am a male and 32 years old
User :   never lost consciousness
Doctor :   Ok
Doctor :   For how long do the episodes of palpitation last?
User :   infact just today i felt a little week .. i experienced it for the first time about 3 months ago after consuming alchohol
User :   initially an hour or so
Doctor :   Ok
User :   later i think it lasted a lot more than that
User :   i work in shifts for a long time now .. my night sleep isnt very good but i manage to sleep atleast 7 hours every day
Doctor :   Have you been woken up in the middle of the night due to these palpitations during these 3 months?
User :   only after consuming alchohol ..
User :   not otherwise
Doctor :   Ok
User :   twice it happened and i stopped drinking hard liquour
User :   i had a health checkup done three months ago too .. just coincidentally and not because of the problem
User :   ECG and treadmill test came out fine
Doctor :   Do you have chest pain, breathing difficulties associated with the palpitation?
User :   wont say chest pain .. but i have gasterointestinal problems .. again because of irregular shifts perhaps ..
Doctor :   Ok
User :   so the acids kick up .. an year ago i had endoscopy done and doctor said that i have a grade A tear in GE junction
Doctor :   Do you feel the palpitations are regular in rhythm?
User :   he said nothing to worry
User :   no arrythmic
User :   i workout too ..
Doctor :   Ok
User :   and some times i probably workout a little too much and strain myself .. perhaps dehydration can cause it ?
Doctor :   Do you have any other medical illness?
User :   no .. i was operated for hammerhoids in 2005 Dec
Doctor :   Ok
User :   thats all and when i had the healthcheck up done .. they daignosed a small kidney stone .. 3mm and i got it removed
User :   through electric shocks
User :   is it just a panic attack ? i mean the palpitations
Doctor :   Ok. Let me brief you about palpitation which can help deal with your problem.
User :   Sure
User :   can i call you instead please ?
User :   just once
Doctor :   Palpitations occur when there heart starts pumping more than what it has to normally.
Doctor :   They are harmful when the rate of heart beats are more than 150 beats per minute or if they are irregular.
Doctor :   These kind of situations are very well picked up on ECG/Holter monitor/thread mill.
User :   Last time they werent .. may be a holter monitor .. but its so sporadic
Doctor :   since you have got this test and are normal, you may not be suffering from the dangerous forms of palpitations.
Doctor :   There are few other physiological causes of palpitations too, which may be causing your problems.
User :   Acidity ?
Doctor :   This includes alcohol, stress factors, anxiety, dehydration and so on.
Doctor :   Apart from this are hormonal factors and anaemia which can be corrected if present.
Doctor :   Acidity is not a cause of palpitation.
User :   hormonal factors like ? / Anaemia can be ruled out for sure
User :   ok
Doctor :   Excessive physical exercises are also one of the causes of increase in heart rate.
Doctor :   Hence the symptoms that you have are probably related to excessive exercises, alcohol , anxiety and stress factors.
User :   but i understand if it happens during the workout or may be after a while but not after a day or so
Doctor :   You need not worry about them.
Doctor :   I shall suggest you few measures which will help you in times of palpitations.
User :   Ok thats a relief ..
Doctor :   1. Take a cool shower.
Doctor :   2. Try gulping one or two glasses of water.
Doctor :   3. An act of passing stool also help in reducing the palpitations.
Doctor :   (the second and the 3rd points help by reflexely lowering the heart rate.
User :   ok
Doctor :   Apart from this,
User :   Yes
Doctor :   Try deep breathe exercise along with counting the breathes.
User :   Ok
Doctor :   You can also include meditations and yoga, which will help you in preventing these attacts in the future.
User :   now can you explain how the chest pain would be .. because of the acidity .. i am used to mild naggin pain in shoulder area and also in the chest ..but i fear i will never tell the difference ..i may ignore some real bad symptoms
Doctor :   Finally, restriction alcohol, smoking caffeine.
User :   i dont smoke .. control the caffeine intake very much
User :   alchohol has been almost cut down to zilch after this issue
Doctor :   A cardiac pain are similar but more intense then reflux acidity.
User :   to the point that you become breathless ?
Doctor :   you would feel like some one standing on your chest or someone squeezing the chest.
User :   ok
Doctor :   Yes, you would feel shortness of breathess too.
Doctor :   However, if you are tensed and anxious you would also have these symptoms/
User :   I understand
User :   palpitations / heart beating harder .. that you can actually feel it .. are they the same ?
Doctor :   so the best treatment, if you have this condition is lying down, and practising the deep breathing or counting breathing.
Doctor :   Your symptoms would reduce with this.
Doctor :   But if they are persisting inspite of this, consult your doctor.
Doctor :   finally, if the palpitations are persisting through out the day and is disturbing your daily activities, you would need
Doctor :   some medical drugs to lower the heart rate.
Doctor :   They can be prescribed by a cardiologist after examination.
Doctor :   Hence if they are persisting inspite of the measures that I have suggested, do not hesitate to consult your cardiologist.
Doctor :   Have you followed what i have suggested?
User :   I think i do .. so its benign atleast with the symptoms that i seem to have ..
User :   Yoga can help ..
User :   breathing etc ..
Doctor :   Yes, the problem that you have is benign one, probably related to the physiological factors including alcohol.
User :   lastly i have the ECG and TM report with me ... is there something that you would want to know ?
User :   dont mean to pester ..
Doctor :   And yoga and meditation can help in a great way in treating this problem.
User :   but i am paranoid ..
Doctor :   Probably yes, the stress and anxiety are adding to your symptom.
Doctor :   You would need to include the measures suggested in your lifestyle.
User :   Try having one of these .. i tell you its difficult not to worry about it
User :   :D
User :   but thanks for the help
Doctor :   It should be better with it, only if they are persisting you may need medical drugs.
User :   Sure
Doctor :   The fact is more the worry, the more the symptoms would be.
User :   Right
User :   can i work out like normal ?
User :   or should i stop physical activity
Doctor :   Hence the more calm you remain during these episodes, the faster you will find.
Doctor :   You can work out normally.
User :   Hmm
User :   Alright
Doctor :   stop the exercises, when ever you feel that you ate
Doctor :   * are going to have the symptoms.
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