HomeAnswersAnesthesiologypalpitationsWhat causes heart palpitations feeling in the chest and head?

I get heart palpitations that I can feel all day and night in my chest and head. What is the cause?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At September 11, 2020
Reviewed AtMarch 8, 2021

Patient's Query

Hi doctor,

I am a 25-year-old female with a weight of 58 kilograms and a height of five feet. Before three months, I went to the doctor with a thumping chest. I had a similar feeling in my head and ears with headache and tiredness. The Holter monitor result was normal. ECG and brain MRI were normal. All the blood result was normal except iron with a value of 13 g/dL. I started taking Maltofer. My symptoms went away and I was feeling normal. Before two months, all my symptoms returned back. I did the blood tests again.

My iron level remained low with a value of 19 g/dL. After that, an iron infusion was done. Stool examination and blood test were done. All the results came back normal. FOBT test was positive. The doctor advised me to have a colonoscopy though I seem to be normal. They told me that these symptoms will get cleared when the iron level becomes normal.

Now I am having heart palpitations and I can feel it during the day and night in my chest and head. I can hear my heartbeat in my ears too. It disturbs my sleep and all my symptoms are really noticeable when I am lying quietly in my bed. The doctor prescribed me Mirtazipine to have good sleep. I have not taken it. I need a second opinion.

Hi,

Welcome to icliniq.com.

I think that you have iron-deficiency anemia. I strongly suspect that you have it. Do Holter monitoring test again while having palpitations. Please mention whether you get palpitations while doing exercise or having brisk walking. If you do not have it, then there is nothing to be worried. Do meditation and pranayama. Keep a diary and record your palpitations when you get them. Please mention the measures taken by you to reduce it. Please mention whether you have proper sleep. Monitor hemoglobin levels every three months. Have iron-rich foods.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kiran Kumar Kolla Gopalkrishna
Dr. Kiran Kumar Kolla Gopalkrishna

Anesthesiology

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