How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask RAJESH CHAUHAN Your Own Question

RAJESH  CHAUHAN
RAJESH CHAUHAN, Doctor
Category: Health
Satisfied Customers: 1460
Experience:  + 26 yr experience; amongst 'Top 100 Scientists', 'Top 100 Health Professionals', & Who's W
Type Your Health Question Here...
RAJESH CHAUHAN is online now
A new question is answered every 9 seconds

I am a 32 year old female. I am experiencing palplitations

Resolved Question:

I am a 32 year old female. I am experiencing palplitations for the past 6 months. Lately they have become very frequent, through out the day & night. My bloods came back low in B12 & Iron, thyroid came back normal. I have cut out Gluten and started taking B12 & iron tabs a month ago but no change, I gave up caffeine and cut back on alcohol 2 weeks ago but no change. Had a Holter monitor fitted for 24hrs yesterday - had palps all day long, heart feels like it stops for halve a second and then pounds back with the next beat. My fear is the monitor will come back as "normal palps" and I'll still be left with them, I'm hardly sleeping and very worried, I feel my heart is racing all the time
Submitted: 4 years ago.
Category: Health
Expert:  RAJESH CHAUHAN replied 4 years ago.

Hello & Welcome to Just Answer,

Has an echocardiography been done? Any valvular defects of the heart / cardiomyopathy?

How low was your hemoglobin level?

When do you have these palpitations more often?

Do you smoke?

Any anxiety/ stress?

Have you had blackouts/ fainted anytime?

Any family history?

Any other medical issues/ significant history?

Thanks. Shall be waiting for your reply.

Customer: replied 4 years ago.

 

 

No Echo done as yet

My B12/Iron were send to be bordering on low

I experience more palpitations in the evenings & at night

I smoke approx 20 per day

I have a fairly stressful job

I have not fainted but feel light headed a lot

No family history

no other medical issues

Expert:  RAJESH CHAUHAN replied 4 years ago.

Thanks for the additional details. Having gone through your descriptions, it seems that now (after having discontinued alcohol as well as caffeine, and having started taking B12 and iron supplements) the palpitations may be resulting from:

(a) Stress/ anxiety

(b) Smoking

Having said that, your doctors would surely want to exclude any structural defect within your heart like a prolapsed valve or conduction abnormalities as a cause for the palpitations.

You would need to stop smoking and caffeinated beverages as well and it would do you well if you could reduce your stress/ anxiety levels as well. You may seek expert help for reducing/ managing stress/ anxiety.

Kindly have a look at this web resource which provides authentic details about the effects of anxiety/ stress and the modalities available for managing it, as I think it would be quite helpful:

http://www.mayoclinic.com/health/stress-symptoms/SR00008_D

I hope that this information helps. Best wishes. Kindly feel free to enquire if you have any remaining concerns or doubts and it would be my privilege to try helping you as much as I can.

Customer: replied 4 years ago.
Many thanks for your reply. Can you explain to me why now after many years of smoking & a stressful job I am now experiencing these symtoms? Would beta blockers help "re-set" the electricity in my heart and therefore stop these palpitations? Will the results from the monitor indicate the type of palps I am experiencing? I have read there are many different types, some serious and some not.
Expert:  RAJESH CHAUHAN replied 4 years ago.

Thanks. As to your query about having this problem now, I think that it would a combination of so many factors like increased stress and anxiety, associated and aggravated by factors like caffeine, alcohol, smoking, a low hemoglobin, etc. There are many patients who present like this (and have been normal throughout their life). Your doctors would also like to evaluate your heart for its rhythm and any associated abnormalities. Hormonal changes and electrolyte disturbances are also found implicated in some patients and your doctors would surely be examining you in details before they come to a conclusion.

Yes a Beta blocker is helpful in some select patients, but the doctor has to first determine the cause for your palpitations and if you do fall in that ‘select’ category who could benefit with a beta-blocker. Please do not take beta-blockers without consulting your doctors first.

I hope that it helps. Best wishes.

RAJESH CHAUHAN, Doctor
Category: Health
Satisfied Customers: 1460
Experience: + 26 yr experience; amongst 'Top 100 Scientists', 'Top 100 Health Professionals', & Who's W
RAJESH CHAUHAN and 4 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 

Related Health Questions