What should I do about my occasional palpitations?

Question #27034

45 days ago

131

What should I do about my occasional palpitations? - #27034

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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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

44 days ago

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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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

44 days ago

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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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

44 days ago

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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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

44 days ago

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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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

43 days ago

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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