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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Heart Palpitations, Black Outs. Diagnosed As Stress. Prescribed Valium, Burping A Lot. Suggestions?

I have been having episodes where my heart would race and I would feel like I would blackout... I went to my doctor and did and EKG but my heart structure is fine and my brain is fine. He stated it could be stress and prescribed me Valium . I still have episodes but now Im burping a lot and certain foods seem to make the episodes worse. I don t know what to do.
Sat, 10 Nov 2012
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Emergency Medicine Specialist 's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

It is possible that these episodes could be indicative of a panic disorder. The usual symptoms of panic attacks are "out-of the blue" episodes of anxiety, racing of the heart, increased sweating, shaking of the hands, dizziness, tightness of the chest, difficulty in breathing, feeling like you are going to pass out or die, etc. Valium (Diazepam) is a sedative and anti-anxiety medication. If these episodes are persistent or causing you disturbances in social, occupational or day-to day functioning, then I would suggest that you consult a psychiatrist for further evaluation and specialist management.

The excessive burping and associated symptoms could be indicative of a gastric acidity problem. You can avoid this by having your meals on time and avoiding spicy or oily foods, carbonated or caffeinated drinks, etc. You can take an over the counter antacid for quick relief. If the symptoms don't subside with these simple measures, then you may need to see a doctor for further treatment.

Wish you all the best.
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Psychiatrist Dr. Gourav Monga's  Response
hello

welcome to health care magic

There is a possibility of anxiety disorder (probably panic disorder) as per your details for which first line treatment is SSRIs and psychotherapy as well as relaxation techniques. I advise you to consult a psychiatrist for detailed evaluation. I hope this will help you a lot.

Good luck

Thanks
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Heart Palpitations, Black Outs. Diagnosed As Stress. Prescribed Valium, Burping A Lot. Suggestions?

Hello and welcome to Healthcare Magic. Thanks for your query. It is possible that these episodes could be indicative of a panic disorder. The usual symptoms of panic attacks are out-of the blue episodes of anxiety, racing of the heart, increased sweating, shaking of the hands, dizziness, tightness of the chest, difficulty in breathing, feeling like you are going to pass out or die, etc. Valium (Diazepam) is a sedative and anti-anxiety medication. If these episodes are persistent or causing you disturbances in social, occupational or day-to day functioning, then I would suggest that you consult a psychiatrist for further evaluation and specialist management. The excessive burping and associated symptoms could be indicative of a gastric acidity problem. You can avoid this by having your meals on time and avoiding spicy or oily foods, carbonated or caffeinated drinks, etc. You can take an over the counter antacid for quick relief. If the symptoms don t subside with these simple measures, then you may need to see a doctor for further treatment. Wish you all the best.