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As you have mentioned your ECG, echo and TMT are all normal, this could be a possibility of postprandial palpitations. When you consume a meal, your body redirects a significant amount of blood flow to your stomach and intestines to assist with digestion. To compensate for this sudden shift and maintain stable blood pressure elsewhere, your heart naturally pumps faster and harder, which can feel like palpitations. Postprandial palpitations—the sensation of a racing, fluttering, or pounding heart after eating—are very common and frequently harmless. They are typically caused by normal changes in blood flow during digestion, specific dietary ingredients, or digestive reflexes. However, frequent episodes can sometimes point to underlying medical or heart conditions. Anti anxiety medicine, if dose is high even then it may cause palpitations. Just check dosing with prescribed doctor

Do you have breathlessness and feeling of losing control flushing of face suggestive of panic attacks When you have palpitations do an ecg.do you have stress at work any family history of psychiatric disorders. See a psychiatrist if no relief see a cardiologist and do ecg and electro physiological tests of the heart

Get thyroid function tests done and share results.  Please consult your psychiatrist to review the meds.

Visit a psychiatrist for councelling. Will help you better.

Maybe because of dosage changes of your anxiety medicine. Consult your psychiatrist

You need someone to talk to without judging you. Kindly consult with me on 94 two six eight six 78 nine six.

Hi , there might be alot of causes for palpitations at your age, but the most common ones could be Stress and Increased intake of caffiene. A detailed history and examination is required for further evaluation

Post-meal palpitations with normal ECG/echo/TMT strongly suggests a non-cardiac cause. Since this started with your anxiety medication, it's very likely a side effect — many anxiety medications (SSRIs, SNRIs) can cause palpitations, especially postprandially when absorption peaks. The fact that it stopped for 2 months and returned suggests a dose change or medication switch may have triggered it again.

kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Consult with your prescribed doctor.

Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance. Feel free to consult me for further assistance.

Need a few more details please consult for further evaluation and treatment

You should consult your prescribing psychiatrist or a general practitioner (GP) first, as well as a gastroenterologist. Since your cardiac workup (ECG, Echocardiogram, and TMT) returned normal, your heart is structurally healthy. Post-meal palpitations occurring within 10 minutes are often driven by non-cardiac triggers related to digestion, medication timing, or autonomic responses: ​Potential Causes ​Gastrointestinal & Vagal Responses: Eating triggers the parasympathetic nervous system and redirects blood flow toward the digestive tract (postprandial response), which can temporarily elevate heart rate or cause benign extra heartbeats. Gastric distension or reflux can also stimulate the vagus nerve. ​Medication Effects or Timing: Certain anxiety medications (or dose adjustments/changes) can affect blood pressure, heart rate, or autonomic nervous system regulation, especially when taking them near meal times or with food. ​Dietary Triggers: High-carbohydrate, sugary, heavy meals, or caffeine/beverages consumed during morning breakfast can trigger a rapid insulin response or autonomic spike, causing heart palpitations. ​Recommended Next Steps ​Consult Your Psychiatrist: Review your current anxiety medication, dosage, and administration instructions to see if timing relative to breakfast plays a role. Do not stop or alter your medication without guidance. ​Consult a Gastroenterologist or GP: To evaluate gastrointestinal issues like acid reflux, Hiatal hernia, or stomach sensitivity influencing the vagus nerve. ​Track Symptoms: Keep a daily log of what you eat for breakfast, when you take your medication, and when the palpitations occur to share with your doctor. ​Seek immediate emergency medical attention if your palpitations are accompanied by chest pain, shortness of breath, dizziness, or fainting.

Do consult

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Proper history and need Ur opinion about mental status So do.consult through app And send Ur anxiety medication

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help you