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Hello There This Is For Dr Sharka I Am Just
Question: Hello there this is for dr Sharka I am just now experiencing what feels like a double beat or palpitation but not sure if it is gas as well I am due to menstrate this week and it started recently like maybe 1 he ago my last blood pressure reading was fine and my last complete blood work was fine in end of XXXXXXX should I be concerned of cardiac event no other symptoms I am achy in chest and it does hurt to touch under left breast where heart is that can be Costo but I feel like either extra beat or skipped
Brief Answer:
Your symptoms are not related to the heart.
Detailed Answer:
Dear XXXXXXX
Welcome back on Ask a Doctor service!
I understand your concern and would explain that your symptoms could be related to anxiety or acid reflux.
As you are in the premenstrual period, premenstrual syndrome ( which is characterised by anxiety and psychological stress) can not be excluded.
Anyway, I don't think that your symptoms are indicative of any cardiac disorders.
So just try to relax and don't worry about it.
I recommend taking some deep breaths, use an antiacid. Camomille tea can help.
Hope you will find this answer helpful!
If you have any other questions, please don't hesitate to ask me again!
Wishing good health,
Dr.Iliri
Your symptoms are not related to the heart.
Detailed Answer:
Dear XXXXXXX
Welcome back on Ask a Doctor service!
I understand your concern and would explain that your symptoms could be related to anxiety or acid reflux.
As you are in the premenstrual period, premenstrual syndrome ( which is characterised by anxiety and psychological stress) can not be excluded.
Anyway, I don't think that your symptoms are indicative of any cardiac disorders.
So just try to relax and don't worry about it.
I recommend taking some deep breaths, use an antiacid. Camomille tea can help.
Hope you will find this answer helpful!
If you have any other questions, please don't hesitate to ask me again!
Wishing good health,
Dr.Iliri
Above answer was peer-reviewed by :
Dr. Prasad
Hello thanks so u don’t think it is cardiac related I have had it on and off for since yesterday I k is it could be gas or muscle spasm also not sure if it makes a difference I take mertazapine started 15 mg then went down to 7.5 mg now down to 3.75 so I can get off it my last blood work was XXXXXXX 2018 include colesterol was normal my last echo was March 2018 normal again I do feel abit gassy ans I do have to menstrate and it comes and goes no other symptoms
Can I continue toe work out please advise
Can I continue toe work out please advise
Brief Answer:
I would explain as follows:
Detailed Answer:
Dear XXXXXXX
As a cardiologist I would exclude any possible cardiac issues, based on the description of your symptoms.
In my opinion it could be acid reflux or gas.
Another possible causes could be anxiety, considering the fact that you are reducing the dose of mirtazapine.
So, there is nothing serious going on.
For this reason you can continue your normal daily activities, including workout.
Hope you will find this answer helpful!
If you have any other questions, please don't hesitate to ask me again!
Kind regards,
Dr.Iliri
I would explain as follows:
Detailed Answer:
Dear XXXXXXX
As a cardiologist I would exclude any possible cardiac issues, based on the description of your symptoms.
In my opinion it could be acid reflux or gas.
Another possible causes could be anxiety, considering the fact that you are reducing the dose of mirtazapine.
So, there is nothing serious going on.
For this reason you can continue your normal daily activities, including workout.
Hope you will find this answer helpful!
If you have any other questions, please don't hesitate to ask me again!
Kind regards,
Dr.Iliri
Above answer was peer-reviewed by :
Dr. Raju A.T
Hello thank u so much I have had it a few times today and hope it isn’t anything to bad also u me ruined it could be because I have reduced the mert I didn’t think about that because when it happens I am not anxious I am sitting or standing but never feel short breath it is still happening again on and off but no other symptom as long as u think it is not cardiac
Brief Answer:
I would explain as follows:
Detailed Answer:
Dear XXXXXXX
You should know that anxiety may lead to this clinical situation.
Besides, you should know that the reduction in Mirtazapine dose, may cause rebound symptoms like anxiety.
Anyway, a gradual tapper in Mirtazapine doze can help reduce these withdrawal symptoms.
But, I don't think that your symptoms are related to the heart.
So, just try not to think about it!
Hope to have been helpful!
Wishing good health,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Dear XXXXXXX
You should know that anxiety may lead to this clinical situation.
Besides, you should know that the reduction in Mirtazapine dose, may cause rebound symptoms like anxiety.
Anyway, a gradual tapper in Mirtazapine doze can help reduce these withdrawal symptoms.
But, I don't think that your symptoms are related to the heart.
So, just try not to think about it!
Hope to have been helpful!
Wishing good health,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi thank u again I think it is worth mentioning that I am not anxious or having anxiety when they occur I am sitting or standing I am hoping you are correct in saying that it could be the gradual lower does of mert otherwise I am not sure what it is my heart rate is below 100
Brief Answer:
I would explain as follows:
Detailed Answer:
Dear XXXXXXX
You should know that anxiety can mimic this clinical situation, although you have not a typical panic attack.
From the other hand, acid reflux or gas can cause such symptoms.
But, I can assure you that it is not related to your heart.
So, try to relax and don't think about it!
I don't think that you need to perform any additional tests.
Hope to have been helpful!
Wishing good health,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Dear XXXXXXX
You should know that anxiety can mimic this clinical situation, although you have not a typical panic attack.
From the other hand, acid reflux or gas can cause such symptoms.
But, I can assure you that it is not related to your heart.
So, try to relax and don't think about it!
I don't think that you need to perform any additional tests.
Hope to have been helpful!
Wishing good health,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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