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Suggest Treatment For Arrhythmia At Night In An Elderly Person

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Posted on Fri, 31 Jul 2015
Question: Hi I an 66 years old and reasonable fit and still working well. last night during the
night I had a feeling as though my heart was stopping then going again. BPM was still under the resting heart rate of 73 but associated with this is a feeling of trapped gas in the chest as well. i do have a very bad vertebra and locked c2 and get very regular chiropractic which does seem to relieve. My blood pressure check not long ago at all was 180 over 79 whicjh I was informed was very good for my age. Any suggestions please.
doctor
Answered by Dr. Riyanka Chail (23 minutes later)
Brief Answer:
Kindly visit a cardiologist for investigations

Detailed Answer:
Hello Sir ,
Thank you for writing to HCM.
This is Dr. Riyanka Chail answering your query.
I have read your problems and will try my best to help you out.

Going by your age it is essential to rule out any cardiovascular problems therefore, kindly visit a cardiologist for the given symptoms as the below stated investigations may be useful:
1. A Normal ECG and Holter ECG (to know the electrical events in the heart).
2. Echocardiography (to know the mechanical events in the heart).
3. Lipid profile

Over the counter medications like omeprazole 20 mg half an hour before breakfast daily one tablet for 4 weeks has shown beneficial effects in lowering stomach acidity which will relive the trapped gas sensation in the chest.

Since your BP was found to be 180/79 mmHg previously, a regular monitoring of your BP on three different timings of the day in lying down posture after 5 minutes of rest will help in diagnosing hypertension. You may be put on antihypertensive medications if required.

Kindly continue with regular chiropractic exercise since it relieves your pain.
Panadine fort contains Paracetamol and Codiene which is used as a pain killer.

Hope this answers your query.
Please do write back for any more doubts.

Regards,
Dr. Riyanka


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Riyanka Chail (46 minutes later)
OK I know all that but was I was asking is what could be the main causes of the problem eh. I am about to go to bed now so will be hoping for a lot quicker answer this time please.
doctor
Answered by Dr. Riyanka Chail (48 minutes later)
Brief Answer:
Acid reflux is most likely

Detailed Answer:
Hi,
Thanks for writing back with an update.

Your problems might most possibly be due to trapped gas in the stomach feeling because of acid reflux. This is common in the elderly.

Another possibility might be due to the variation in your blood pressure. This might also affect the heart rhythm..

The cervical spine is unlikely to cause your symptoms.

Please consult your doctor tomorrow for required investigations.

Wishing you good health.

Please do write back if you have any doubts.

Regards,
Dr.Riyanka
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Riyanka Chail

General & Family Physician

Practicing since :2009

Answered : 818 Questions

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Suggest Treatment For Arrhythmia At Night In An Elderly Person

Brief Answer: Kindly visit a cardiologist for investigations Detailed Answer: Hello Sir , Thank you for writing to HCM. This is Dr. Riyanka Chail answering your query. I have read your problems and will try my best to help you out. Going by your age it is essential to rule out any cardiovascular problems therefore, kindly visit a cardiologist for the given symptoms as the below stated investigations may be useful: 1. A Normal ECG and Holter ECG (to know the electrical events in the heart). 2. Echocardiography (to know the mechanical events in the heart). 3. Lipid profile Over the counter medications like omeprazole 20 mg half an hour before breakfast daily one tablet for 4 weeks has shown beneficial effects in lowering stomach acidity which will relive the trapped gas sensation in the chest. Since your BP was found to be 180/79 mmHg previously, a regular monitoring of your BP on three different timings of the day in lying down posture after 5 minutes of rest will help in diagnosing hypertension. You may be put on antihypertensive medications if required. Kindly continue with regular chiropractic exercise since it relieves your pain. Panadine fort contains Paracetamol and Codiene which is used as a pain killer. Hope this answers your query. Please do write back for any more doubts. Regards, Dr. Riyanka