Heartbeat Issues: What Your Symptoms Might Mean - Cardiology

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Heart rate issues?


Doctor, sometimes when I sit on the sofa playing on my phone during the weekends, I get so into it that I unconsciously hold my breath.
Then my heart rate gradually slows down, and the key point is that each heartbeat feels very strong, especially in the area between my ribs and throat where I can feel the strong heartbeat.
However, when I become aware and start breathing again, that sensation disappears.
Recently, I have also been experiencing irregular bowel movements and poor digestion; my stomach often feels bloated after meals.
Additionally, while sitting on the sofa, I sometimes burp, similar to when I eat too much.
I would like to ask you, doctor, what could be the issue? When I check my pulse, it’s neither too fast nor too slow, and it doesn’t feel irregular.
This situation makes me very anxious.
I keep telling myself not to overthink it, but I am afraid something might suddenly happen.
Please help me, doctor.

Lao San, 10~19 year old female. Ask Date: 2020/08/01

Dr. Wu Xueming reply Cardiology


Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages.
If this condition does not improve and becomes more frequent, it is recommended to visit a cardiology clinic for a 24-hour Holter monitor test.

Reply Date: 2020/08/01

More Info


Your symptoms suggest a combination of anxiety and possibly some physical responses to stress. The experience of feeling your heartbeat strongly, especially when you are focused on something like using your phone, can be linked to heightened awareness of your body during moments of concentration or stress. This is not uncommon, especially if you are feeling anxious or if you have been under stress.
When you mentioned that you sometimes hold your breath while concentrating, this can lead to a sensation of your heart racing or pounding. Holding your breath can cause a temporary increase in heart rate and can also lead to feelings of lightheadedness or discomfort. It's essential to remember that your body reacts to stress and anxiety in various ways, and these physical sensations can be alarming, especially if you are not familiar with them.

Additionally, your digestive issues, such as constipation and bloating, can also be linked to stress and anxiety. The gut-brain connection is well-documented; stress can significantly impact your digestive system. When you are anxious, your body may divert blood flow away from the digestive system, leading to symptoms like bloating, discomfort, and irregular bowel movements.
It's also worth noting that the act of focusing intensely on something, like your phone, can lead to a lack of awareness of your body's natural rhythms, including your breathing. When you become aware of your heartbeat or breathing, it can create a feedback loop of anxiety, making you more aware of these sensations and potentially leading to increased anxiety.

To address these symptoms, consider the following strategies:
1. Breathing Exercises: Practice deep breathing techniques. When you notice that you are holding your breath or feeling anxious, take a moment to focus on your breathing. Inhale deeply through your nose, hold for a few seconds, and exhale slowly through your mouth. This can help calm your nervous system and reduce the sensation of a racing heart.

2. Mindfulness and Relaxation Techniques: Engage in mindfulness practices such as meditation or yoga. These practices can help you become more aware of your body and reduce anxiety. They can also improve your overall emotional well-being.

3. Physical Activity: Regular exercise can help reduce anxiety and improve digestive health. It can also help regulate your heart rate and improve your overall cardiovascular health.

4. Dietary Adjustments: Pay attention to your diet. Eating smaller, more frequent meals can help with bloating and digestive discomfort. Avoiding excessive caffeine and alcohol can also reduce anxiety symptoms.

5. Seek Professional Help: If your symptoms persist or worsen, it may be beneficial to consult with a healthcare professional. A doctor can help rule out any underlying medical conditions and may recommend therapy or medication if necessary.

6. Limit Screen Time: If you find that using your phone or other devices contributes to your anxiety, consider setting limits on your screen time, especially before bed.

In summary, your symptoms appear to be related to anxiety and stress, which can manifest physically in various ways. By implementing some of the strategies mentioned above and seeking professional guidance if needed, you can work towards alleviating these symptoms and improving your overall well-being. Remember, it’s essential to listen to your body and seek help when you feel overwhelmed.

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