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Constant palpitations - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 636 Questions
User :   iv been getting constant palpitations all day and im scared im going to have a heart attack.
Doctor :   Hi
Doctor :  
May i know your age and gender?
User :   female aged 35
Doctor :  
Since when are you having palpitations? - Is it only on this day or since a long time?
User :   iv had them for years but since yesterday they have been all the time
Doctor :  
Do the palpitations happening regularly or are the beats occuring in a irregular fashion?
Doctor :  
Do you have chest pain, breathlessness, cough?
Doctor :  
Are you any medications that you have been using regularly?
User :   iv had slight pain in chest forabout three weeks now and palps are irregular
Doctor :  
Have you seen any doctor for this problem in the past?
Doctor :  
Do you have weakness?
Doctor :  
How is your appetite?
User :   yes i had some tests done a few months back an ecg and stress test and all was fine but no palps were picked up
Doctor :  
Ok
User :   appetite fine no weakness just tired as was woken by palps in night
Doctor :  
Ok.
Doctor :  
Do you have any other medical problems like diabetes or hypertension?
Doctor :  
Are you on any regular medications?
Doctor :  
Are you there?
User :   nonone and no meds
Doctor :   Ok.
Doctor :  
Have you got any blood tests done?
User :   no
Doctor :   I shall explain to you.
Doctor :  
The cause for palpitations may be broadly of two types.
Doctor :  
1. That is induced as a physiological response to anxiety and extreme stress.
Doctor :  
2. The other is related to medical problems
Doctor :  
medical problems could be heart related and since the ECG and Stress test are fine
Doctor :  
These may not be the issue in you
Doctor :  
The other can be due to other medical problems like an anaemia or due to a few endocrine disorders.
Doctor :  
Because i am not able to get a clear picture on the brief history given, i would suggest an examination and a few tests
Doctor :  
that could give a better picture of what may be the actual cause.
Doctor :  
Have you followed?
User :   yes so would you think its an emergency
Doctor :  
And since the ECG and Stress test have been done and is normal.
Doctor :  
I do not think it could be heart related and not an emergency.
Doctor :  
I would suggest you to relax.
Doctor :  
Take deep breaths and try counting breaths.
User :   they seem to still come even when i think i am relaxed
Doctor :  
this helps in reducing the palpitations
User :   can palps kill you
Doctor :   No, if it is not arising from the heart.
Doctor :  
And since it is been since all this day, it definitely will not cause harm.
Doctor :  
If you have tried the above measure and if it has not helped you, I shall suggest you few other tips.
Doctor :  
1. Just place your finger over the side of the neck at the place of the neck muscle in the centre and try slow massage there.
Doctor :  
It is know as carotid massage, this help in reducing palpitations.
Doctor :  
You need to do this on only one side.
Doctor :  
2. Take a fresh shower
Doctor :  
3. In some an act of defecation helps in reducing the papitations
Doctor :  
All this methods help by means of reflux nervous action.
Doctor :  
Lastly since you have been evaluated for the heart problem and
Doctor :  
the reports have been normal.
Doctor :  
Relax and you will be alright.
Doctor :  
Have you followed?
User :   yes thankyou very much you have reassured me greatly and given some great advice
Doctor :  
Do you have any other query?
Doctor :  
Please do fill the feed back form too
User :   no
User :   yes hae done thankyou
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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