[36F] Experiencing rapid heartbeat in stomach post-hysterectomy

Patient Description

A 36-year-old female reports a sudden onset of rapid heartbeat sensation in the stomach for the past four days. This is accompanied by fatigue, dizziness, swelling in the legs or feet, weight gain, and loss of appetite. The patient has a history of bradycardia diagnosed two years ago and underwent a hysterectomy six years ago. There is a family history of heart disease. The patient denies chest pain, shortness of breath, or increased stress. No recent caffeine, alcohol, or medication changes. Allergic to naproxen and morphine. Currently not on any medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possibilities:

  • Palpitations: The sensation of a rapid heartbeat in your stomach could be due to palpitations. These can be caused by stress, anxiety, caffeine, or other stimulants, but since you haven't had these, it might be related to your heart condition.

  • Fluid Retention: Swelling in your legs and feet, along with weight gain, might suggest fluid retention. This can sometimes be related to heart issues, especially given your history of bradycardia.

  • Heart-Related Concerns: Given your family history of heart disease and your symptoms, it's important to consider heart-related causes. Bradycardia and palpitations can sometimes indicate an underlying heart rhythm issue.

Typical treatments or tests might include:

  • Electrocardiogram (ECG): To check your heart's rhythm.
  • Blood Tests: To assess for any underlying conditions.
  • Echocardiogram: To look at your heart's structure and function.

What you can do

  • Monitor Symptoms: Keep track of when the palpitations occur and any other symptoms using MDandMe. This can help your healthcare provider understand your condition better.

  • Lifestyle Adjustments: Ensure you're eating a balanced diet and staying hydrated. Avoid any known triggers like caffeine or stress.

  • Consult a Doctor: It's important to see a healthcare provider to discuss your symptoms and possibly undergo some tests.

What you should look out for

  • Seek Immediate Care: If you experience chest pain, severe shortness of breath, or fainting, seek medical attention right away.

  • Monitor Changes: If your symptoms worsen or new symptoms develop, contact your healthcare provider.

Remember, this information is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment plan.

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2 mo ago

People Also Ask

What could cause a rapid heartbeat sensation in the stomach?

A rapid heartbeat sensation in the stomach, often described as palpitations, can be caused by stress, anxiety, or stimulants like caffeine. However, in the absence of these factors, it may be related to heart conditions, especially if there is a history of bradycardia or other heart rhythm issues.

How can fluid retention be related to heart issues?

Fluid retention, which can cause swelling in the legs and feet, may be related to heart issues because the heart is not pumping blood effectively, leading to fluid buildup in the body. This is often seen in conditions like heart failure.

What tests are typically recommended for heart-related symptoms like palpitations and dizziness?

For heart-related symptoms such as palpitations and dizziness, doctors typically recommend an electrocardiogram (ECG) to check the heart's rhythm, blood tests to identify any underlying conditions, and an echocardiogram to assess the heart's structure and function.

What lifestyle changes can help manage symptoms like palpitations and fatigue?

To manage symptoms like palpitations and fatigue, it is important to maintain a balanced diet, stay hydrated, and avoid known triggers such as caffeine and stress. Monitoring symptoms and consulting with a healthcare provider for personalized advice is also crucial.

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