[39F] Experiencing daily heart palpitations and internal shaking

What might be happening

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

• Heart Palpitations: These can be caused by a variety of factors, including stress, anxiety, caffeine intake, and certain heart conditions. Given your family history of coronary artery disease, it's important to rule out any serious heart conditions. Typical tests to evaluate heart palpitations include an EKG (electrocardiogram), Holter monitor (a portable device worn to record heart activity over 24-48 hours), and possibly an echocardiogram (an ultrasound of the heart).

• Internal Shaking and Weird Breathing: These symptoms could be related to anxiety or panic attacks, especially since they occur without a clear trigger and are accompanied by dizziness and shortness of breath. However, they could also be related to other conditions such as thyroid issues or neurological disorders. Blood tests to check thyroid function and other relevant markers might be recommended.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Monitor Your Symptoms: Keep a journal of your symptoms, noting when they occur, their duration, and any potential triggers. This information can be very helpful for your doctor. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

2. Reduce Caffeine Intake: Since caffeine can sometimes trigger heart palpitations, consider reducing or eliminating your coffee intake to see if your symptoms improve.

3. Practice Relaxation Techniques: Stress and anxiety can exacerbate symptoms. Techniques such as deep breathing exercises, meditation, and yoga can help manage stress levels.

4. Stay Hydrated and Maintain a Healthy Diet: Proper hydration and a balanced diet can help support overall health and potentially reduce symptoms.

5. Avoid Lying Down Immediately After Eating: Since your palpitations occur more frequently when you lay down, try to avoid lying down immediately after meals.

What you should look out for

It's important to seek medical attention if you experience any of the following:

• Severe Chest Pain: If you experience severe or persistent chest pain, seek emergency medical care immediately, as this could be a sign of a heart attack.

• Fainting or Near-Fainting Episodes: If you start to experience fainting or near-fainting episodes, it's important to see a doctor promptly.

• Worsening Symptoms: If your symptoms worsen or become more frequent, consult a healthcare professional.

• New Symptoms: If you develop new symptoms such as swelling in your legs, persistent shortness of breath, or significant changes in your health, seek medical advice.

Remember, while this information can help guide you, it is not a substitute for professional medical advice. Please consult a healthcare provider for a thorough evaluation and personalized treatment plan.