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Palpitations
For the past 3 days I've been feeling palpitations for an hour for 3-4 times a day along with bloating, no chest pain or pressure, bp 122/88, sugar and spo2 is normal, have had ecg 2 months ago which was normal. I have been on escitalopram for 3 years, no difficulties in breathing, no shortness of breath. I'm just over weight 89kgs
Answers (31)
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Palpitations can be due to anxiety, stress, caffeine, dehydration, thyroid issues, anemia, electrolyte imbalance, or sometimes medication side effects. Escitalopram is generally safe, it can sometimes cause palpitations, especially if it affects the heart rhythm.
Holter monitor (24–48 hrs) or event monitor to catch abnormal rhythms when they happen.
Blood work up: thyroid function, electrolytes, hemoglobin. Review caffeine, alcohol, stimulant, or nicotine use. Assess stress/anxiety, since they can mimic or worsen palpitations
Next Steps
Blood workup and Holter monitoring is suggested
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Hii
As u mentioned about escitalopram
We need to know for what exact reason are u you taking these medication and the dose??
As what you are facing can be related to the medication on wich you are curruntly taking and what is the dose
For now -
Take small frequent meals
Avoid heavy fried food excess caffine and carbohydrate
Gentle walking and deep breathing excersise give temporary relief
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What work are you in ?
Lots of late night jobs can cause cortisol levels to raise in morning which may cause your problem
Anxiety or Panic Attacks: This is a very common cause of palpitations, especially in someone taking an antidepressant like escitalopram. Anxiety can also lead to physical symptoms like bloating and a feeling of being on edge.
Gastrointestinal Issues: Conditions such as acid reflux (GERD), gastritis, or irritable bowel syndrome (IBS) can cause bloating and sometimes trigger palpitations
Have you ever been evaluated for hypothyroidism? If not kindly evaluate for that
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Check out
Complete blood counts
TSH levels
Ecg
Chest xray
2d echocardiogram
Serum sodium,potassium,calcium /magnesium levels
If all are normal palpitations could be due to anxiety or just being overweight
Next Steps
Check out
Complete blood counts
TSH levels
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Hi there, probably the medication dosage might not be working for your anxiety, get ecg done if not done recently and see psychiatrist for any medication chage
Health Tips
please try to maintain healthy lifestyle,try lossing few kilos eat healthy meditate,and stay away from triggers till you are all well
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You’re having palpitations quite often in the past few days. Since your blood pressure, oxygen, and sugars are fine, it doesn’t look urgent, but the best next step is to get a check with a cardiologist. They can do an ECG or a Holter test, which records your heartbeat over 24 hours, to see if the rhythm is normal.
since you’re on the heavier side, check with a house inmate whether you snores during sleep if yes get in contact with me for evaluation.
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Tab. Pantoprazole 40 mg OD (empty stomach) × 10 days
• Tab. Simethicone 80 mg TDS (after meals) × 5 days
• Avoid excess caffeine, alcohol, smoking
• Small frequent meals; avoid late-night heavy meals, carbonated drinks
• Stress reduction: breathing exercises / meditation
• Continue Escitalopram as prescribed by psychiatrist
• Investigations: ECG (repeat), Serum electrolytes, Thyroid profile
• Review with physician if palpitations persist >1 week, worsen, or associated with chest pain, syncope, severe breathlessness
⸻
Palpitations may be linked to gas/bloating, anxiety, or rarely drug side effects. Since ECG was normal recently and there are no red flags, supportive treatment + monitoring is usually sufficient.
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Palpitations are less common but yet one of the most notable side effects of escitalopram.Need More information regarding the dosage and frequency of the drug intake.
Next Steps
Get an ECG done again (AS SOON AS POSSIBLE) as it is always almost associated with QT prolongation and other arrhythmias.
Health Tips
Avoid strenuous and exhausting exercises.
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May be anxiety or panic attacks
Any sudden stress or increased work load
Get a
cbc
thyroid profile
Ecg again
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-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life . ...
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