• question-icon

    What causes elevated heart rate, heartburn, excessive gas and face flushing?

Posted on Wed, 1 Jun 2016 in Hypertension and Heart Disease
Question: my heart rate is over 100, my face feels flush, but i'm breathing normally. I've got lots of heartburn and gas and took .5mg of xanax two hours ago in case this is a panic attack. I'm not feeling anxious but the heart rate hasn't slowed to near normal. No pressure or pain in the center of chest except followed by a belch. There is also heartburn feeling on the left side of the chest near the top part of the stomach. The ER is 20 miles away and i do have a cardiologist appointment for a first visit two days from now to check things out but I don't want to wait to go to the ER if it's something I should look into. Every morning between 5 and 6 a.m. the heart beat is strong enough to wake me up. It's either really fast or faster than normal but with a really strong beat. this evening the rate is hovering between 85-110
Answered by Dr. Ilir Sharka 51 minutes later
Brief Answer:
There is nothing to worry about!

Detailed Answer:

Welcome and thank you for asking on HCM!

I carefully passed through your question and would explain that your symptoms seem to be related to anxiety.

Your elevated heart rate is related to sympathetic nervous system activation (also called fight or flight response), which causes increased production of chatecholamines (adrenaline and noradrenaline) which are directly released in your blood, causing this symptomatology.

These substances are metabolized in a short period by your body, but in case of prolonged emotional stress (even the persistent thought that something is wrong with your heart), their levels remain high because of prolonged production.

You should just try not to think about it and relax! Close your eyes and take a deep breath!
Your symptoms are not related to any cardiac disorder, I can assure you this!

Regarding the belching and burning sensation in your chest, it may be related to gastritis or gastro-esophageal reflux. You should know that anxiety can exacerbate these symptoms. I would recommend trying an antiacid or a PPI (omeprazole, lansoprazole, etc.), which will help you manage these symptoms.

Regarding the fact the elevated heart rate during the morning, I agree with your doctors that these may be nocturnal panic attacks.

Nevertheless, I would recommend performing these tests:

- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during the day and night
- thyroid homone levels. Thyroid imbalance can lead to similar symptoms.
- a polysomnography. If these symptoms occur only during sleep, they could be related to a sleep disorder. This examination would exclude a sleep disorder.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Answered by
Dr. Ilir Sharka


Practicing since :2001

Answered : 7358 Questions


The User accepted the expert's answer

Share on

Recent questions on  Xanax

doctor1 MD

I am 39 years old. This begn with fatigue. I thought i got food poisoning and it warranted a trip to gastro doctor. Told doctor I felt tired and...

doctor1 MD

HI ,
i'm 27 years old,i did varicocele surgery 2 years ago and i went through panic attack that let me take prozac and xanax for 19 years by Dr...

doctor1 MD

I was choked,I heard something click,one hour later it hurt,hard to swollow,and no solid food or pills,went to emergency room,X ray show nothing...

doctor1 MD

I am over weight and have very heavy feeling legs and numbness/tingling in them. I sit for long hours in my job. I have anxiety issues and take...

doctor1 MD

I'm interested in trying a benzo medication called clonazolam. I suffer from severe anxiety/panic attacks. Xanax works ok. Do you have any...

doctor1 MD

I have anxiety attacks, fatigue and major depression , I am hot and cold, sick to stomach but no vomiting . Thyroid tests (THS, T3, T4) are normal....

doctor1 MD

Hi, this morning inwas suddenly dizzy and resally sweaty. And ive been blurry ever since and had a sore tummy and been in and out of anxiety...

Get personalised answers from verified doctor in minutes across 80+ specialties

148 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Ilir Sharka
  • Q - What do the following stress tests, echo and holter monitor test result...

  • Q - Suggest alternative treatment for congestive heart failure

  • Q - Suggest treatment for hypertension and GERD

  • Q - Suggest treatment for high BP and tingling in arms

  • Q - What causes sharp pain in chest area relieved by burping?

  • Q - Suggest treatment for afib, severe sleep apnea and high heart rate?

  • Q - What causes shortness of breath with normal chest X-ray?

  • Q - What causes severe pain in my calf muscle in Tietze syndrome?

  • Q - What causes altered sense of smell when diagnosed with sinus tachycardia?

  • Q - Does page syndrome increase the risk of heart attack?