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What should I do about my occasional palpitations?
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Cardiac & Vascular Health
Question #27034
135 days ago
249

What should I do about my occasional palpitations?

Client_24ebe3

I have problem of palpitation, Then I went toa cardiologist, he tested ECG, echo, TMT, thyroid,LIPID PROFILE and said everything is normal and said that it's may be due to acidity and you are thin so you easily feel the heart beats. Then he prescribed Inder 40. For some days. But it happens sometimes. Now what shouldn I do. Please reply . I am 21 Yr old

How often do you experience palpitations?:

- A few times a week

Do you notice any specific triggers for your palpitations?:

- Stress or anxiety

Have you made any changes to your diet or lifestyle since the symptoms started?:

- Not sure
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Doctors' responses

Since you are 21 years old and your cardiologist has already done a full work-up (ECG, echo, TMT, thyroid, lipid profile) and all results were normal, your occasional palpitations are very unlikely to be due to a serious heart disease. In young, thin individuals, heightened awareness of normal heartbeats, stress, anxiety, caffeine, acidity, and poor sleep commonly cause benign palpitations, sometimes related to Benign cardiac arrhythmia or anxiety-related palpitations. Inder 40 is often given short-term to reduce symptoms and is safe when prescribed. What you should do now is focus on lifestyle measures: avoid excess tea/coffee and energy drinks, eat small regular meals to reduce acidity, manage stress (breathing exercises, yoga), maintain hydration, and get adequate sleep. If palpitations become very frequent, last longer, are associated with dizziness, fainting, chest pain, or breathlessness, then you should revisit your cardiologist for further monitoring such as a Holter test. In summary, your condition appears benign, manageable with lifestyle changes and reassurance, and does not indicate heart disease

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Hello dear I think probably it is anxiety only. At 40 if lipid profile and other cardiac tests are ok then no need to worry. I think you must have a follow up within 5-6 months for maintaining good health I n addition please get routine tests done to know the exact body status Serum ferritin Serum troponin Serum troponin Serum LDH Ecg echo Crp Regards

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Hello

Since your ECG, Echo, TMT, thyroid, and lipid tests are normal, your palpitations are most likely benign (harmless) — especially at age 21 and triggered by stress/anxiety.

What to do:

✅ Reduce caffeine (coffee, tea, energy drinks) ✅ Eat regularly (avoid acidity, don’t skip meals) ✅ Stay hydrated ✅ Improve sleep ✅ Practice stress control (deep breathing, exercise) ✅ Take Inderal 40 mg only if your doctor advised it when needed

⚠️ See a doctor urgently if you have: • Fainting • Severe chest pain • Breathlessness • Very fast heart rate lasting >15–20 minutes

Otherwise, occasional palpitations with normal tests are common and usually not dangerous.

I trust this helps Thank you Take care

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Hello Thanks for sharing all these details. Since your ECG, echo, TMT, thyroid, and lipid profile are normal, and your cardiologist has ruled out any heart disease, your palpitations are most likely benign—especially since they’re triggered by stress or anxiety and you’re thin (which can make heartbeats more noticeable).

Here’s what you can do next:

1. Lifestyle and Self-Care Tips: - Try relaxation techniques like deep breathing, meditation, or yoga to manage stress. - Avoid excess caffeine, energy drinks, and smoking, as these can trigger palpitations. - Make sure you’re eating regular, balanced meals and staying hydrated. - Get enough sleep and regular exercise (but don’t overdo it).

2. When to See a Doctor Again: - If you ever feel chest pain, fainting, severe shortness of breath, or your palpitations become much more frequent or severe, see a doctor immediately. - If anxiety is a big trigger, consider talking to a mental health professional for support.

3. About Inder 40 (propranolol): - Only take it as prescribed by your doctor. Don’t start, stop, or change the dose on your own.

Summary:
Your symptoms are common in young, thin people and are often related to stress or acidity, as your doctor mentioned. Focus on stress management and healthy habits. If you’re still worried or your symptoms change, check in with your doctor for reassurance.

Thank you

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If your cardiologist has assessed that there’s no serious underlying heart condition, and tests like ECG, echo, TMT, and thyroid function have all returned normal results, it does suggest that the palpitations might not stem from a heart disease. The prescription of inderal (propranolol) suggests the doctor is addressing symptoms potentially caused by stress, anxiety, or physical factors like your lean physique, which can make heartbeat sensations more noticeable. The suggestion that acidity might be a contributor is also plausible, as gastrointestinal issues can sometimes cause sympathetic nervous responses that mimic palpitations. If you’re still experiencing these symptoms occasionally, you might want to consider monitoring dietary habits that could contribute to acidity – like reducing caffeine, alcohol, and spicy foods. Ensure regular meal timing to prevent acid build-up. Stay hydrated, and avoid lying down immediately after eating. If stress or anxiety seems like it might be a contributor, techniques like deep breathing, yoga, or meditation could help manage those triggers. It’d be advisable to maintain a symptom diary to observe any patterns related to lifestyle or diet that might be connected with the episodes; jot down activities, food intake, and emotional states when you notice palpitations – this can aid further discussions with your healthcare provider. If your symptoms change or worsen, especially if you experience shortness of breath, dizziness, or chest pain, you should seek medical attention promptly. Remember, direct communication with your doctor is best for ongoing issues like this. Adjustments to your treatment or further investigations might be necessary if symptoms persist.

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