Suggest treatment for palpitations and abdominal pain
Cardiac arrhythmia to be ruled out
Thank you for your query.
I'm Dr. Shuba Hariprasad and will be answering your query today.
Based on your symptoms I would like to rule out cardiac arrhythmia (paroxysmal supra ventricular tachycardia, atrial fibrillation).
Would you clarify a few things for me please?
*what is your height and weight?
*how much caffeine do you have a day?
*do you have any other medical issues or take any medications?
*have you changed your diet in any way? Or take any supplements?
*did you have sweat during the episodes?
*any family history of heart disease?
*could you please attach any reports that you have so that I may be able to get a better idea?
*are your menstrual cycles normal?
*do you have children?
*any surgeries in the past?
*do you smoke or consume alcohol?
I recommend :
-a physician and cardiologist opinion.
-blood tests (complete blood count, Thyroid stimulating hormone, free t3 and free t4, cardiac enzymes, clotting parameters, kidney and liver function tests, electrolytes, blood glucose panel and lipid profile)
-an electrocardiogram and echocardiogram
-Holter monitoring to detect the heart rhythm disturbances while at home.
-ultrasound abdomen and pelvis
-limit caffeine to one small cup (100ml) a day.
-monitor the circumstances in which these symptoms appear. The food you ate, the physical activity, social/emotional events.
-avoid sudden movements, sudden turning and bending.
Based on these tests and clinical findings, a treatment plan will be made.
Heart rhythm disturbances can be intermittent and difficult to detect. I urge you to consider my suggestions in order to prevent complications.
Caught on time, treatment is based on the cause and will help minimize risk of complications.
Hope this helps. Please let me know if there is anything else I can help you with.
Wish you good health.
Dr. Shuba Hariprasad
Im 162 cm tall, weigh around 50 kg, before I got sick I used to drink strong coffee twice a day- quite big portions. I dont have any medical issues as far as i know, but have occasionally faint, especially in the mornings, about an hour after breakfast. I only take Paracetamol once a month for menstrual pains, and usually only for 24 first hours. I have what I call ' a nervous stomach'- cant eat when im
stressed, and I'm generally an anxious person, so my diet is erratic from time to time. I avoid highly processed foods, though, sometimes indulge in the evenings.I don't take any supplements. During the episodes I was quite hot but not sweating- in fact, I have slways produced only a little bit of sweat, even in hot weather or when excercising. There is a history of heart disease in my family, but so far it was only my male relatives who had it. All the reports are still at the A&E department in Barnet Hospital.My menstrual cycles are normal.I dont have children.I have had a blood transfusion at the age of 3, following a toxic shock reaction to Penicillin. Prior to this illness I have been smoking some marihuana rolled with tobacco. I don't drink alcohol- very ocasionally, once in few years, when there is a wedding.
I will do all the tests that you recommend as soon as I'm able to stand on my feet and leave the house. I hope it won't be too late for that. Thank you.
Tobacco, caffeine and marijuana have been shown to increase heart rate
Thank you for the follow up and clarifications.
*have you lost consciousness during the fainting? Recovered quickly? Any loss of memory of eve to that happened around these episodes?
*what heart problems did member of your family have?
*how much coffee do you have now?
*how long have you been using marijuana & tobacco? Do you still use it?
Caffeine and tobacco are not good for the body, especially the cardiovascular system, both increase heart rate & increase its excitability
Marijuana has been linked with increased heart rate, however not enough studies are there to establish all the effects of marijuana on the heart.
Please do consider my recommendations. Practice meditation, yoga and deep breathing exercises to calm your mind & body.
Take a vitamin C supplement 500mg every day after breakfast or lunch (not dinner) .
If this irritates your stomach, stop.
Hope I've helped. I sincerely hope you feel better soon.
Please let me know if there is anything else I can help you with.
Wish you good health
Dr. Shuba Hariprasad
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