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Palpitaion - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Smoking and Alcohol Addiction
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3621 Questions
User :   I'm female and 21. My family has a history of diabetes on both sides. I was diagnosed with high cholesterol at the age of 13. The last time I went to get checked out, which was last year around this time, my cholesterol levels were good, and everything was normal. I moved to Colorado from Miami in April, and I began having heart palpitations that were lasting 3-10 seconds and were accompanied by dizziness. I've experienced them 3 times since April. I've never had palpitations before, so I thought they might be from the altitude adjustment. A week ago I began exercising (something I have never regularly done), and near the end of my two mile jog, I began to feel a sharp pain above my left breast, near the armpit. The pain subsided with rest. The day after, I experienced something I thought of as a panic attack. Suddenly, while sitting down, a chill overcame my entire body. I stood up and felt my heart beating faster, I was dizzy, confused and for a second I thought I was having a heart attack. After lying down on a couch, I was still very jittery, still very scared and had chills but felt simultaneously hot and sweaty. Since then, I have not felt well. My chest has felt tight, and I feel as if I have to breathe deeper. When I'm lying down, the sensation is almost like having a weight in the middle of my chest, in between my breasts. Besides this discomfort, I have not felt pain anywhere else, but I am constantly conscious of the tight sensation in my chest that's been going on for almost four days. The last thing I should mention is that I've been under a lot of stress since moving. I have a history of depression and have always been somewhat of an anxious person. I'm going through a rough time with the move and am under a lot of pressure in my job, and personal life. I plan to visit a doctor soon, but I wanted an opinion in the meantime.
Doctor :   Hello.
Doctor :   Let me read your query.
Doctor :   Do you smoke or consume alcohol?
User :   Neither one, but I do smoke marijuana occasionally when offered
Doctor :   How often do you smoke?
User :   One to two times a week
Doctor :   Ok.
Doctor :   It is also a possible reason for palpitation.
Doctor :   Do you consume coffee in excess?
User :   no, i don't drink coffee. usually it's tea
Doctor :   Ok.
Doctor :   Are you on any medications? like for stress, depression, etc?
User :   none. i've never taken medication for either. i should also mention i've been caughing up a moderate amount of phlegm this past week, and a few weeks before that. it's always been clear, but since i haven't experienced any other cold symptoms, i find it a little odd
Doctor :   Ok.
Doctor :   Any other associated symptoms? like fever, blocked nose, etc?
User :   none. i have very few physical symptoms. i just have an intense amount of anxiety i can't get rid of
Doctor :   Ok.
Doctor :   Do you have any family history of thyroid problems?
User :   no thyroid problems. i have an aunt that's had some serious kidney issues, related to her diabetes
Doctor :   Ok.
Doctor :   Any complaints of anemia?
User :   i've been treated for it before. maybe when i was eleven or twelve. i'm not sure what the symptoms really are
Doctor :   Feeling fatigue too soon.
Doctor :   Palpitation.
Doctor :   increased heart rate.
User :   fatigue i do feel. but it's more of a mental fatigue than a physical one
User :   my body doesn
User :   doesn
Doctor :   Ok.
User :   oops
User :   doesn't feel it
Doctor :   Ok.
Doctor :   When was the last time you checked your blood glucose?
User :   last year when i got checked out
Doctor :   Ok.
Doctor :   What was the report?
User :   i don't remember the specifics but i do remember being told everything was normal. just now.. talking about this to you i'm beginning to feel weak and anxious. i had to stand up and take deep breaths because the situation is a little scary
Doctor :   Any other complaints like sweating, dizziness, etc?
User :   my palms are sweaty
Doctor :   Ok.
Doctor :   Do you have any problem with breathing?
User :   no
Doctor :   Ok.
Doctor :   This could be related to any condition of the heart, thyroid, diabetes.
Doctor :   Discuss with your doctor about EKG, echo of the heart.
User :   ok
User :   thank you
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