[26F] Experiencing throat fullness with heart palpitations and other symptoms

Patient Description

A 26-year-old female presents with a sudden onset of throat fullness accompanied by heart palpitations, which has been occurring for the past two days. The sensation is alleviated by drinking water, exposure to cool air, and standing up. The patient also reports experiencing shortness of breath and wheezing, particularly when lying down. Additional symptoms include fatigue, gas, throbbing in the arms and legs, nausea, abdominal pain, and muscle pain. The patient is under high stress and is one week away from her menstrual period. She has a history of irritable bowel syndrome, diagnosed this year but has been experiencing symptoms for over 10 years. There is a family history of small cell lung cancer. The patient is not currently taking any medications and has known allergies to penicillin and codeine.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations:

  1. Anxiety or Stress-Related Symptoms: The feeling of throat fullness, heart palpitations, and shortness of breath can sometimes be linked to anxiety or stress, especially since you mentioned high stress levels. Stress can also exacerbate symptoms of irritable bowel syndrome (IBS), such as nausea and abdominal pain.

  2. Gastroesophageal Reflux Disease (GERD): This condition can cause a sensation of fullness in the throat, along with heart palpitations and shortness of breath, particularly when lying down. GERD is often associated with IBS and can be triggered by stress.

  3. Hormonal Changes: The timing of your symptoms in relation to your menstrual cycle suggests that hormonal fluctuations might be contributing to your symptoms, including nausea and fatigue.

  4. Respiratory or Cardiac Issues: While less likely given your age and lack of previous diagnoses, the combination of throat fullness, palpitations, and shortness of breath warrants consideration of respiratory or cardiac conditions. However, these are less common in young individuals without a history of heart or lung disease.

Typical treatments or testing might include lifestyle modifications, stress management techniques, medications to manage reflux or anxiety, and possibly further evaluation by a healthcare provider to rule out any serious conditions.

What you can do

Throat Fullness and Heart Palpitations:

  • Practice stress-reduction techniques such as deep breathing exercises, meditation, or yoga.
  • Avoid large meals, caffeine, and alcohol, which can exacerbate reflux and palpitations.
  • Elevate the head of your bed to help reduce symptoms when lying down.
  • Keep a symptom journal using MDandMe to track when these symptoms occur and any potential triggers.

Fatigue and Nausea:

  • Ensure you are getting adequate rest and hydration.
  • Eat small, frequent meals to help manage nausea and maintain energy levels.
  • Continue taking ondansetron as prescribed for nausea relief.

Throbbing in Arms and Legs:

  • Gentle stretching and regular movement can help alleviate discomfort.
  • Consider using heat or cold therapy to soothe muscle pain.

What you should look out for

While your symptoms may be related to stress or hormonal changes, it's important to monitor for any worsening or new symptoms. Seek medical attention if you experience:

  • Severe or persistent chest pain
  • Difficulty breathing that worsens or does not improve with position changes
  • Fainting or severe dizziness
  • Swelling in your legs or ankles

Remember, it's always best to consult with a healthcare professional for a formal diagnosis and treatment plan. If your symptoms persist or worsen, consider scheduling an appointment with your doctor.

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3 mo ago

People Also Ask


Can stress and anxiety cause physical symptoms like throat fullness and heart palpitations?

Yes, stress and anxiety can manifest as physical symptoms, including throat fullness, heart palpitations, and shortness of breath. These symptoms are part of the body's 'fight or flight' response and can be exacerbated by high stress levels.


What is the relationship between GERD and symptoms like shortness of breath and heart palpitations?

GERD can cause symptoms such as throat fullness, heart palpitations, and shortness of breath, especially when lying down. This is due to stomach acid irritating the esophagus and potentially affecting the vagus nerve, which can influence heart rate and breathing.


How can hormonal changes related to the menstrual cycle affect symptoms like nausea and fatigue?

Hormonal changes during the menstrual cycle can lead to symptoms like nausea and fatigue due to fluctuations in estrogen and progesterone levels. These changes can affect mood, energy levels, and gastrointestinal function.


When should someone with these symptoms seek medical attention?

Medical attention should be sought if symptoms are severe, persistent, or worsening, such as experiencing severe chest pain, difficulty breathing that does not improve, fainting, or significant swelling in the legs or ankles. These could indicate more serious underlying conditions.


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2 Comments


Anonymous#4896

3 mo ago

I have EoE but stress / anxiety goes directly with it acting up. Also anxiety goes hand in had with any stomach issues...I have just gone nuts with anti inflammatory food to just have a better baseline along with gut friendly food...so there's just a lot of proactiveness about it.

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Arora (Bot)#28060

3 mo ago

It's great to hear that you've found ways to proactively manage your symptoms through dietary changes and stress management! It can be really empowering to take steps that help you feel more in control of your health. Creating a supportive environment for your gut and reducing inflammation is such a smart approach, especially with conditions like EoE and IBS. If you have any tips or recipes you'd like to share, I'm sure others would find them helpful too. It's always inspiring to see how different strategies can make a positive impact. 😊

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