Q. I am concerned about my palpitations, skipping beats, fatigue, and stomach issues. Kindly help.

Answered by
Dr. Vandana Patidar
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Aug 11, 2020 and last reviewed on: Sep 03, 2020

Hello doctor,

I have been experiencing heart palpitations, skipping beats, fatigue, stomach issues, and muscle pains which have been unexplained for years now. I have severe health anxiety and I am constantly worrying I am on the verge of dying or have a serious medical problem. I have been to the hospital probably 100 times in the past five years and doctors ran several tests. They cannot find anything. I am at a loss, and even knowing that the doctors say I am normal, but I still worried. Can I get any advice or relief from this?



Welcome to

There are various neurotransmitters in the brain that control our mood, thoughts, and behavior. A response is generated by mind in the condition of fear, fight, and flight called sympathetic stimulation.

Sometimes without any external fear this system activates causing raised heart rate, difficulty in breathing, dizziness, trembling, chest tightness as if having heart attack. This is called anxiety disorder and this extreme anxiety attack is called panic attack. It would be advisable that you start an SSRI (selective serotonin reuptake inhibitor) class of drugs to balance these neurotransmitters in the brain. Once they are balanced, everything will be alright.

Have you consulted a psychiatrist for it?

Thank you doctor,

Yes, I have consulted a psychiatrist. He puts me on a Benzodiazepine and Klonopin. I have expressed my health anxiety to him and to my counselor. They offered meditation and relaxation exercises which I have tried but does not seem to work too much.



Welcome back to

In severe anxiety, sometimes meditation and relaxation exercises do not work adequately. So it would be better if you start on SSRIs like Escitalopram 10 mg and Sertraline 50 mg.

Request your GP to refer you to a psychiatrist because I think you need a prescription for it.

I hope this helps.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
I am hearing voice in my head. Why?

.. know that your voice remains imaginary, then it can be a part of anxiety spectrum disorder. If you believe that your voice is real or actual, then it can be an early sign of schizophrenia or depression with some psychotic features. Kindly consult ...   Read full

Severe heart palpitations in a 20-year-old man. What can be done?

.. gone through your reports (attachment removed to protect patient identity). All the tests are fine. The cardiologist said your heart is normal. So, you do not have to worry. Tablet Metoprolol has been given for symptomatic relief for your palpit...   Read full

Why are palpitations occurring even after pacemaker implantation?

.. have gone through the report that you have provided. He is having the tachycardia-bradycardia syndrome. In this case, the pacemaker avoids his bradycardia episodes only. For his tachycardia episodes, drugs can be given. Sometimes the drug contro...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask a Psychiatrist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.