Hello,
It looks like panic attacks are causing you palpitations. Panic attacks are triggered by stress, over-reactive thyroid, coffee(caffeine),
amphetamines &
drug abuse. Stay away from alcohol or any type of addictions(cocaine, meth, heroin, etc).
Other factors causing palpitations are irregular heartbeats that complicate to Atrial
fibrillation or Supraventricular tachycardia/
Sinus tachycardia. You are recommended to get CBC, Ecg, Lipid function tests, stress tests done to rule out any congenital or any other developing cardiac pathology.
Avoid stress & oily food. Take adequate rest & keep yourself well hydrated with soups or juices. Twitching & tightness (take Tylenol) for relieve)are due to
dehydration, maintain the electrolyte balance of your body.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Nupur K, General & Family Physician