[26F] Experiencing heart palpitations, sleepiness, and sharp headache

Patient Description

A 26-year-old female reports experiencing heart palpitations that make it difficult to catch her breath and allow her to feel an extra beat. These palpitations have been occurring off and on since last Friday and are not affected by exercise. She also experiences a sharp headache behind her eyes and nose, which has lasted for about 30 minutes and is rated as a 6 out of 10 in intensity. The headache and palpitations contribute to a feeling of sleepiness that has also been present since Friday. Additionally, she has mentioned intermittent sharp chest pain and shortness of breath. The patient takes Adderall (30mg, Monday through Friday) and Linzess (72mcg, every morning), as well as a One A Day Women's multivitamin daily. She has no known allergies or adverse reactions to medications and no pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Arrhythmia: This refers to abnormal heart rhythms, which can cause palpitations, shortness of breath, and dizziness. Certain medications, like Adderall, can sometimes cause arrhythmias.

    • Treatment usually involves addressing the underlying cause, and in some cases, specific medications or procedures to restore normal heart rhythm.
  • Anxiety or Panic Disorder: These conditions can cause symptoms like palpitations, shortness of breath, chest pain, and dizziness. However, your lack of reported stress or overwhelming situations makes this less likely.

    • Treatment often involves a combination of therapy and medication.
  • Migraine: This is a type of headache that can cause severe throbbing pain usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can cause significant pain for hours to days.

    • Treatment typically involves pain relieving medications and preventive medications.
  • Side effects of medication: Both Adderall and Linzess can cause some of the symptoms you're experiencing, including palpitations, dizziness, and headaches.

    • Treatment would involve discussing these side effects with your doctor, who may adjust the dosage or try a different medication.

What you can do

  1. It's important to seek immediate medical attention, especially given your symptoms of chest pain and shortness of breath. These could be signs of a serious condition.
  2. Try to rest and stay hydrated. Avoid any strenuous activities until you've been evaluated by a doctor.
  3. Keep track of your symptoms and anything that might trigger them. This can help your doctor determine what's causing your symptoms.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe chest pain
  • Difficulty breathing
  • Fainting or loss of consciousness
  • Severe headache
  • Confusion or difficulty speaking

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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10 mo ago

People Also Ask


Can Adderall cause heart palpitations and other cardiovascular symptoms?

Yes, Adderall can cause heart palpitations and other cardiovascular symptoms such as increased heart rate and blood pressure. It's important to discuss these side effects with your doctor, who may adjust your dosage or consider alternative treatments.


What are the common symptoms of arrhythmia, and how is it treated?

Common symptoms of arrhythmia include palpitations, dizziness, shortness of breath, and chest pain. Treatment often involves addressing the underlying cause, and may include medications, lifestyle changes, or procedures to restore normal heart rhythm.


Could my headaches be related to migraines, and what are the typical treatments?

Headaches behind the eyes and nose could be related to migraines, which are often characterized by severe throbbing pain, nausea, and sensitivity to light and sound. Treatment typically involves pain-relieving medications and preventive strategies to reduce the frequency and severity of attacks.


What should I do if I experience chest pain and shortness of breath?

If you experience chest pain and shortness of breath, it's important to seek immediate medical attention, as these could be signs of a serious condition. Rest, avoid strenuous activities, and keep track of your symptoms to provide detailed information to your healthcare provider.


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