Stress, anxiety, caffeine, nicotine, dehydration, hormonal changes, certain medications, sleep deprivation, underlying heart conditions, stimulants, and medical conditions like anemia and hyperthyroidism can all cause heart palpitations, which are abnormal heartbeats that can feel like fluttering, pounding, or skipping beats.

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Can help you with the next course of action and treatment plan. Would like to discuss in details. Kindly consult via whatsapp on nine zero two nine six zero zero four seven zero.

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ECG showing the skipped beats is a benign condition at this age.In case of feeling skipped beats and palpitations consider the following thoughts. -See if there is a recent sudden loss of weight and complains like that excessive sweating and heat intolerance , these symptoms might point towards hyperthyroidism, consider getting a thyroid profile done . -If you have experience a recent trauma or loss and feeling like something bad is going to happen with me or if you are afraid to enter in places where escape would seem difficult that would oint towards adjustment disorders or PTSD, In such cases please consider an appointment with a psychiatrist. Since all the cardiac work up is within normal limits and considering that you are young it would be wise to rule out cardiac causes.

Kindly review with your ECG. May be due to gastritis also. Take Tab pantoprazole 40mg before food morning and evening for 3 days

Avoid fried food and spicy Water intake more Green leafy vegetables and fruits Fiber meal plan Do connect and consult

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Might be due to Anxiety Check thyroid profile, ECG too

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Due to anxiety

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

According to your query and sign and  know about the disease and cause and it's best Treatment as you have mentioned as above . Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history. Please follow any medicine or advise after consultation only from a good doctor. 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 please keep positive  attitude to fight any disease and any problem of your life

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