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Dr. Muneeb Ali
Dr. Muneeb Ali, Intensivist
Category: Medical
Satisfied Customers: 3154
Experience:  MBBS, MD, MCCM.Currently working in Critical Care Medicine with 10 year experience in Medicine
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I woke with a headache and got some water and went to the

Customer Question

I woke with a headache and got some water and went to the bathroom. went back to bed but my heart was about to jump out of my body? took BP and it was 113/78 with heart rate of 138. just took potassium and magnesium plus lots of water. anything else i can do. don't feel dizzy or lightheaded. just scared I'm 74 years old
JA: Is the headache episodic or daily? Any nausea along with the headache?
Customer: episodic and no nausea.
JA: Anything else in your medical history you think the doctor should know?
Customer: my egg's have all been normal and my echo about one and half yr ago was very good. have high cholesterol and take zetia.
JA: OK. Got it. I'm sending you to a secure page on JustAnswer so you can place the $5 fully-refundable deposit now. While you're filling out that form, I'll tell the Doctor about your situation and then connect you two.
Submitted: 5 months ago.
Category: Medical
Expert:  Dr. Muneeb Ali replied 5 months ago.

Hi,

Im sorry to hear about your symptoms. Now there are a number of conditions which can cause this problem. The first one which comes to mind is that you could be having an abnormal heart rhythm. This is known as heart arrhythmia. This is a condition in which the heart beats rapidly and irregularly and can lead to symptoms like headaches, palpitations, dizziness, lightheadedness, chest pain, shortness of breath, sweating etc. Not all symptoms need to be present in order to have an aryhthmia. This would need to be diagnosed with the help of an EKG, echocardiography and a 24 hour holter monitor. A 24 hour holter monitor is necessary as it can monitor your heart for a whole day instead of the EKG which ONLY detects problems in the heart when it being done. Even if your last EKGs and echos were normal, they should be repeated nonetheless.

Secondly, its good that you took some potassium and magnesium as that can lead to irregular heart rhythms but i wouldnt recommend taking it anymore without getting your levels tested. Get serum electrolyte levels tested by visiting your doctor and then use supplements. Too high levels of either of these electrolytes can also cause heart rhythm problems.

Lastly, i think this can be due to anxiety (only if the palpitations started after you woke up) because of the headache. If this is the case then behavioural therapy and relaxation techniques can be helpful as well.

Now for now i would suggest that you do some breathing exercises and try to relax, take some OTC motrin or aleve for the headache but if the palpitations and raised heart rate is persistent, then you need to go to urgent care to have this evaluated.

Do you have any more questions?

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Expert:  Dr. Muneeb Ali replied 5 months ago.

Would you to know anything else? If done for now, please remember to leave a positive rating as that is the only way we are compensated for our time spent helping you. You can ask followup questions after the rating.

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