Palpitations/gut issues

Without knowing anything about you, your history, your medical history, new workups by physician specialists, my guess is that you have begun to slip somehow and you're heart is letting you know it's working too hard when you are at rest, especially when you are asleep and your heart can kick back and unlax for the night. If I were your earnest physician, I would order blood assay, pulmonary workups, kidney assessment, liver assessment, cardiac assessment, and probably suggest very, very, strongly that you should consider an over night sleep lab....a polysomnography....to see if you have undiagnosed, and very dangerous, obstructive or central sleep apnea....or the dreaded combo called 'complex sleep apnea' where both of those intruders are resident in your body.

You need a concerted and serious look at your overall health picture. Your heart is already heading towards arrhythmia, which the palpitations warn of (I'm assuming they are just bigeminal/trigeminal PACs/SVTs, which you can look up or ask your PCP or cardiologist about). If you are experiencing nocturnal atrial fibrillation, and it doesn't wake you up (how do we know it isn't that and that you head to the can because many patients find they need to pee as soon as their hearts begin to fibrillate! Yes, it's actually a thing!). If you ARE fibrillating, even for a few minutes, your risk of a stroke climbs, almost five times what it was an hour earlier. Your cardiologist would want you on a direct-acting oral anti-coagulant right away, taken twice each day usually.

Please see a physician right away.

Without knowing anything about you, your history, your medical history, new workups by physician specialists, my guess is that you have begun to slip somehow and you're heart is letting you know it's working too hard when you are at rest, especially when you are asleep and your heart can kick back and unlax for the night. If I were your earnest physician, I would order blood assay, pulmonary workups, kidney assessment, liver assessment, cardiac assessment, and probably suggest very, very, strongly that you should consider an over night sleep lab....a polysomnography....to see if you have undiagnosed, and very dangerous, obstructive or central sleep apnea....or the dreaded combo called 'complex sleep apnea' where both of those intruders are resident in your body.

You need a concerted and serious look at your overall health picture. Your heart is already heading towards arrhythmia, which the palpitations warn of (I'm assuming they are just bigeminal/trigeminal PACs/SVTs, which you can look up or ask your PCP or cardiologist about). If you are experiencing nocturnal atrial fibrillation, and it doesn't wake you up (how do we know it isn't that and that you head to the can because many patients find they need to pee as soon as their hearts begin to fibrillate! Yes, it's actually a thing!). If you ARE fibrillating, even for a few minutes, your risk of a stroke climbs, almost five times what it was an hour earlier. Your cardiologist would want you on a direct-acting oral anti-coagulant right away, taken twice each day usually.

Please see a physician right away.

@gloaming understandable i hope it isn’t arrhythmia or stroke. I went to the cardiologist 2x now and each time they gave me a heart monitor to wear for 2 weeks and said things looked good. I had low heart rate but mostly it will stay at like 55-85bp and also I got bloodwork done about 3-4 times this year and I have had lab tests as in for electrolytes and tests for urine they came back fine my white blood cells were low or something I forgot but that’s all could find. I even also gotten stool tests to see if I have any inflammation or anything and didn’t find anything. But I’m still in this position so it’s hard to believe I’m just fine. I’m a 18 year old male and I always try to keep up with my health ever since I was like 200 something pounds and I lost the weight and am now i60ibs. One thing else i noticed was thy the palpitations started feeling very noticeable when I was working this one time and I was in the middle of finishing the workout and that’s when the palpitations hit like, thuds , skips , fluttering. And I’m still trying to find a way to mange the palpitations, can it really be fibrillation would I need surgery and does this point to something serious?

@gloaming are you a physician or have any experience in the medical field?

@deevon I don't know what to make of your descriptions, but something is obviously not right. I also don't know if your previous weight is a factor, but only now becoming manifest....it can happen.

When you had the episode at the tail end of the workout and had the palpitations, did you make it a goal to replicate those events when you wore the Holter or whatever device you were given?

@gloaming my cardiologist reaffirmed me that “Based on your recent cardiac evaluation and testing, our team did not feel that you were at imminent risk for developing a dangerous arrhythmia or fibrillation. If there had been concerning findings suggesting this possibility, it would have prompted additional evaluation and follow-up immediately at that time”

And about the working out well I worked out when I was wearing the monitor and during sleep around laying down also I had some palpitations such as thuds , skips , flutters. And I also would try my best to log each sensation I felt to keep my cardiologist informed. There was some days where I wore the monitor and had about 3-4 probably a few more palpitations and I told the cardiologist about it and after the 2-weeks was up they said it looked fine.. but they did find a right Bundle Branch Block but they said it was a arrhythmia type or something like that. But know of course I’m worried about if it is stroke, arrhythmia , fibrillation, sleep apnea and trying to think over everything and make sure I didn’t leave anything out when I wore the monitor those 2 times.

@deevon I understand. Reading posts by many members of different fora, it is odd.....but....some of us really have no idea anything is amiss or going on. We have no symptoms, and don't learn we have a problem until an annual physical and our PCP raises and eyebrow and says, 'You're fibrillating....or whatever.' You and I, though, we are exactly horribly symptomatic and we KNOW something is amiss. It's an awful place to be, especially if there's no letup, no formal diagnosis because nothing shows up, and there's little or no room for optimism.

I'm pretty sure those thumps are PACs. They are a missed beat followed by a powerful make-up beat, usually two or three of them. AF just feels like a swelling, a rapid vibration in the left chest wall, and feeling generally blaaah. PACs let their hosts know it's going on in the heavy majority of cases because of those powerful thumps.

PACs are mostly benign. I know....I know...it's not what you want to hear, but it's true. If they happen five-ten times each hour, that's not normal, but it's also not dangerous, and most cardiologists will point you to the door. Instead, (and remember that I am only assuming it IS PACs...I could be wrong...) it when you are so highly symptomatic and truly miserable, or when what is called the 'burden' becomes so large, that you would be placed on medication, or watched more closely, or referred to an electrophysiologist, a cardiac electrician, for relief. The procedure is called an 'ablation', and it works well for most patients. But you may have to walk on a few hot coals to get to the point where someone says, 'Okay, you've suffered enough and here is what we are gonna do for ya.'

Don't be afraid to seek the services of yet another cardiologist, or find an EP and ask for a consultation. Between you, and your cardiologist and EP, you may find enough common understanding and appreciation that you will know where to go and what to do when you get there.