[27M] Experiencing persistent heart palpitations and abdominal pain

Patient Description

A 27-year-old male reports experiencing persistent heart palpitations for the past two weeks, which seem to improve with the intake of potassium-rich foods. Additionally, he experiences bouts of dizziness, especially when moving around, and abdominal pain just below the ribs that flares up to a severity of 6-7 on a scale of 10. The abdominal pain appeared suddenly one morning. The patient also notes frequent bowel movements that are small and stringy. He reports muscle weakness and fatigue accompanying the palpitations. There have been no recent blood tests to check potassium or other electrolyte levels, but he has started taking vitamin B supplements. Other symptoms include tooth pain located towards the back of the jaw, which he believes to be unrelated.

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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. Electrolyte Imbalance: Your heart palpitations and dizziness, which improve with potassium-rich foods, suggest a possible electrolyte imbalance. Potassium is crucial for heart and muscle function, and low levels can lead to palpitations and muscle weakness. It's important to have your electrolyte levels checked by a healthcare provider.

  2. Gastrointestinal Issues: The abdominal pain and changes in bowel movements could be related to gastrointestinal issues such as irritable bowel syndrome (IBS) or another digestive condition. Stress and diet can often influence these symptoms.

  3. Dental Issues: The tooth pain you mentioned, especially if it's in the back near the jaw, could be related to a dental issue such as a cavity or an impacted wisdom tooth. This might not be directly related to your other symptoms but should be evaluated by a dentist.

What you can do

Heart Palpitations and Dizziness:

  • See a healthcare provider: It's important to have your symptoms evaluated, especially since they have persisted for two weeks. A doctor can perform tests to check your heart and electrolyte levels.
  • Monitor your diet: Continue to consume potassium-rich foods like bananas, oranges, and spinach, but do so under the guidance of a healthcare provider to avoid excessive intake.
  • Stay hydrated: Ensure you're drinking enough fluids, as dehydration can also affect electrolyte balance.

Abdominal Pain and Bowel Changes:

  • Consult a healthcare provider: They can help determine if there's an underlying gastrointestinal condition that needs to be addressed.
  • Track your symptoms: Use MDandMe to journal your symptoms, dietary habits, and bowel movements. This information can be helpful for your healthcare provider.

Tooth Pain:

  • Visit a dentist: It's important to have your tooth pain evaluated to rule out any dental issues that may require treatment.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or worsening abdominal pain
  • Fainting or severe dizziness
  • Persistent or worsening heart palpitations
  • Any new or concerning symptoms

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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1 mo ago


People Also Ask


What could be causing my heart palpitations and dizziness?

Your heart palpitations and dizziness could be due to an electrolyte imbalance, particularly low potassium levels. It's important to have your electrolyte levels checked by a healthcare provider.


How can I manage my abdominal pain and changes in bowel movements?

Abdominal pain and changes in bowel movements could be related to gastrointestinal issues such as irritable bowel syndrome (IBS). It's advisable to consult a healthcare provider for a proper diagnosis and to track your symptoms and dietary habits.


Is my tooth pain related to my other symptoms?

The tooth pain you are experiencing is likely unrelated to your other symptoms and could be due to a dental issue such as a cavity or an impacted wisdom tooth. It's important to visit a dentist for an evaluation.


What should I do if my symptoms worsen or new symptoms appear?

If you experience severe or worsening abdominal pain, fainting, severe dizziness, persistent or worsening heart palpitations, or any new concerning symptoms, seek medical attention promptly.


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