Q. I have some heart palpitations with mild pain. What should I do?

Answered by
Dr. Ankush Gupta
and medically reviewed by Dr.Nithila A
This is a premium question & answer published on Sep 30, 2019 and last reviewed on: Oct 04, 2019

Hello doctor,

I want your opinion on the symptoms I am experiencing. I am a 73-year-old female with 8.4 kilos, and height 5'3". I have been trying to fast during the day for the last two weeks. But have been taking an optimum diet shake in 250 ml morning and afternoon, and having a main meal in the evening. My weight when I started this diet was approximately 9.4 kilos.

I am taking medically prescribed tablets for cholesterol, for high blood pressure (Olmetec), and Sertraline for chemical imbalance (depression). None of these is a high dose. However, over the last six to eight hours, I have been experiencing some degree of heart palpitations and feeling unwell. I have been trying to stay cool indoors and decided to snack on some salty biscuits with salty cheese. This did help somewhat, but the heart palpitations, although not severe, are still noticeable, with a little pain when taking deep breaths. I do not want to go to the hospital but would appreciate some advice regarding these symptoms.

Dr. Ankush Gupta

Critical Care Physician Diabetology


Welcome to icliniq.com.I read your symptoms and as far as losing weight is concerned fasting is the worst way to do that. But symptoms like these should not be overlooked, and you should visit a nearby hospital. Looking at your symptoms and the history that you provided it looks like as a hypoglycemic and hypotensive attack which happens when required amount of glucose does not reach the brain, and you might have felt unwell, and palpitations can be the presentation of that. From the drug history, you provided drugs can have palpitations as a side effect which seems quite unlikely, but you can recheck your drug dose from your family physician.

So taking adequate and proper diet at regular intervals is the key here. Take small frequent meals which will keep your weight under check and would not make you feel unwell as well. A daily walk and small nutritious meals at regular intervals will give you a feeling of well-being. I hope this answer will help you in some way.

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