[39M] Experiencing heart palpitations, fatigue, and neurological symptoms

Patient Description

A 39-year-old male reports having heart palpitations described as a fluttering sensation that occurs when relaxing or sitting still, with episodes lasting from minutes to hours. These episodes have been occurring for years and are not influenced by exercise. The patient also experiences fatigue, increased appetite, tingling in the arms that is alleviated by keeping them straight, lightheadedness, and loss of balance, particularly when walking. Symptoms of dizziness and loss of balance have been present for years and are improved by lying down. The patient has not reported any chest pain, shortness of breath, fainting spells, or stress as associated factors. There is no mention of recent weight loss.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Anxiety or Panic Disorder: These conditions can cause symptoms such as heart palpitations, dizziness, and tingling in the arms. They can occur even when you're not feeling anxious and can last for several minutes or longer.

    • Treatment typically involves a combination of therapy and medication.
  • Hyperthyroidism: This is a condition where your thyroid gland produces too much thyroid hormone. It can cause symptoms such as heart palpitations, increased appetite, and fatigue.

    • Treatment typically involves medication to slow down your thyroid, and in some cases, surgery may be required.
  • Arrhythmia: This is a condition where your heart beats irregularly. It can cause symptoms such as heart palpitations and dizziness.

    • Treatment can involve medication, lifestyle changes, and in some cases, surgery or a medical procedure.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

  1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may want to perform some tests to help determine the cause of your symptoms.
  2. Try to identify any triggers for your symptoms and avoid them if possible.
  3. Practice good sleep hygiene, as fatigue can sometimes make symptoms like dizziness and heart palpitations worse.
  4. Stay hydrated and eat a balanced diet. This can also help manage your symptoms.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe chest pain or discomfort
  • Trouble breathing or shortness of breath
  • Fainting or loss of consciousness
  • Severe dizziness or a rapid or irregular heartbeat

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare provider for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are heart palpitations and what causes them?

Heart palpitations are sensations of a fast-beating, fluttering, or pounding heart. They can be caused by stress, anxiety, caffeine, nicotine, or certain medications. Sometimes, they may indicate an underlying heart condition.


How can hyperthyroidism affect my body and what are its symptoms?

Hyperthyroidism occurs when the thyroid gland produces too much thyroid hormone, leading to symptoms like increased appetite, weight loss, fatigue, heart palpitations, and nervousness. It can affect metabolism and overall energy levels.


What is an arrhythmia and how is it treated?

An arrhythmia is an irregular heartbeat that can be too fast, too slow, or erratic. Treatment may include medications, lifestyle changes, or procedures like cardioversion or ablation, depending on the type and severity of the arrhythmia.


Can anxiety cause physical symptoms like dizziness and tingling?

Yes, anxiety can manifest physically, causing symptoms such as dizziness, tingling, heart palpitations, and even gastrointestinal issues. These symptoms can occur even when you don't feel anxious and may require therapy or medication to manage.


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