[43M] Experiencing palpitations and arm pain at rest
Patient Description
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Arora's Assessment
What might be happening
Based on the information you've provided, possible diagnoses include:
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Premature Ventricular Contractions (PVCs): These are extra heartbeats that begin in one of your heart's two lower pumping chambers (ventricles). These extra beats disrupt your regular heart rhythm, sometimes causing you to feel a fluttering or a skipped beat in your chest. PVCs are common, often occur in young people, and are typically harmless.
- Treatment: Most people with PVCs don't need treatment. If you have frequent PVCs, your doctor might recommend lifestyle changes or medications.
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Gastroesophageal Reflux Disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing symptoms like heartburn and chest pain. GERD can also cause gas pains and may be associated with palpitations.
- Treatment: Lifestyle changes and over-the-counter medications are often the first line of treatment. If these don't help, your doctor might recommend prescription medications or surgery.
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Anxiety: Stress and anxiety can also cause palpitations. If you're often stressed, or if you have panic attacks, you may be more likely to have palpitations.
- Treatment: Lifestyle modifications, therapy, and medications can all be used to treat anxiety.
What you can do
- Try to identify any lifestyle factors that may be causing your symptoms. This could include caffeine, alcohol, or high levels of stress. Try to limit these as much as possible.
- Practice good sleep hygiene. This includes maintaining a regular sleep schedule, making your bedroom a quiet, dark, and cool environment, and avoiding large meals, caffeine, and alcohol before bedtime.
- Stay hydrated and maintain a balanced diet. Dehydration and certain nutritional deficiencies can cause palpitations.
- Over-the-counter antacids can help with gas pains. If these don't help, talk to your doctor about other options.
What you should look out for
If you experience any of the following symptoms, seek medical attention immediately:
- Severe chest pain or discomfort
- Trouble breathing or shortness of breath
- Fainting or loss of consciousness
- Prolonged rapid heart rate
Remember, while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare professional who can evaluate your individual situation and provide guidance.
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10 mo ago