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Palpitations
I have been experiencing palpitations after morning breakfast, it starts within 10minutes of eating breakfast.
My heart test are normal ecg echo tmt all normal. This all started when i started taking anxiety disorder medicines 7 months ago meanwhile palpitations had stopped once for two months but past 20 days they started again. Every day palpitations starts after breakfast i dont know what is the cause what doctor should i consult
Answers (20)
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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
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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
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Get thyroid function tests done and share results. Please consult your psychiatrist to review the meds.
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Visit a psychiatrist for councelling. Will help you better.
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Maybe because of dosage changes of your anxiety medicine. Consult your psychiatrist
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You need someone to talk to without judging you. Kindly consult with me on 94 two six eight six 78 nine six.
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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
Next Steps
If possible get an ECG done. Reduce caffiene intake and practice meditation with proper rest and sleep.
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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 â 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.
Next Steps
Discuss this with your psychiatrist â a dose adjustment or switch to a different anxiety medication may resolve it. Also try eating a smaller, lighter breakfast. Consult me on Practo for a detailed review of your symptoms and medications.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Consult with your prescribed doctor.
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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.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Aslam K Yoosuf
General Physician
1 yrs exp
Ernakulam
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.
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vinodhni
General Practitioner
14 yrs exp
Chengalpattu
Proper history and need Ur opinion about mental status
So do.consult through app
And send Ur anxiety medication
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.