Feeling Dizzy and Heart Palpitations: Neurological Symptoms

Lying down, I feel my body swaying, and my heartbeat is noticeably strong?

When sitting in a chair, I feel a noticeable swaying sensation, even though there is no earthquake, and both the chair and the floor are stable.
When lying down to rest, I distinctly feel as if I am spinning in circles.
I can also feel my heartbeat very clearly, thumping strongly.
This condition has persisted for two weeks.
For the past two months, I have frequently stayed up late, averaging about six hours of sleep per day, and I consume three cups of coffee.
My BMI is normal, I do not have high blood pressure, and I do not drink sugary beverages.

Mr. Jiang, 30~39 year old female. Ask Date: 2024/05/07

Dr. Jiang Junyi reply Neurology

Dear Mr.
Jiang,
You mentioned that "when lying down to rest, I have a distinct sensation of my entire body spinning, almost like going in circles.
I can also feel my heartbeat very clearly, thumping strongly." Your symptoms may suggest benign paroxysmal positional vertigo (BPPV).
The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, leaning back, lying down, getting up, turning over, or suddenly turning your head, which can trigger vertigo.
This may be accompanied by symptoms such as nausea, vomiting, palpitations, cold sweats, and feelings of weakness.
The exact cause is often unclear, but it may be related to inflammation, degeneration, or head trauma.
It is essential to rule out electrolyte imbalances or dehydration that could lead to insufficient cerebral circulation.
Symptoms may improve with hydration, vitamin B supplementation, and electrolyte replenishment.
Adequate rest is also crucial.
I recommend consulting an otolaryngologist or a neurologist for further evaluation and treatment.
Thank you for your inquiry, and feel free to reach out for further discussion.
Wishing you good health and peace.
Dr.
Jiang Jun-yi
Department of Neurology
Hua Medical/Tao Medical

Reply Date: 2024/05/07

More Info

Feeling dizzy and experiencing heart palpitations can be concerning symptoms that may indicate underlying health issues. Based on your description, it seems that you are experiencing a combination of dizziness, a sensation of spinning (which is often referred to as vertigo), and noticeable heartbeats. These symptoms can be linked to various factors, including lifestyle choices, anxiety, and potential neurological or cardiovascular issues.

Firstly, let's consider the lifestyle factors you mentioned. Chronic sleep deprivation, such as getting only six hours of sleep per night, can significantly impact your overall health. Lack of sleep can lead to increased stress levels, anxiety, and can exacerbate feelings of dizziness and heart palpitations. Additionally, consuming three cups of coffee daily can contribute to these symptoms, as caffeine is a stimulant that can increase heart rate and potentially lead to feelings of jitteriness or anxiety. If you are sensitive to caffeine, it might be beneficial to reduce your intake and observe if your symptoms improve.

The sensation of dizziness and the feeling of your surroundings spinning could be indicative of vestibular issues, which are related to the inner ear and balance. Conditions such as benign paroxysmal positional vertigo (BPPV), vestibular neuritis, or even Meniere's disease can cause such symptoms. These conditions often require specific diagnostic tests, such as a hearing test or balance assessments, to determine the underlying cause.

Heart palpitations, characterized by the feeling of your heart racing or pounding, can occur for various reasons. They can be benign and related to anxiety, stress, or lifestyle factors like caffeine consumption. However, they can also indicate more serious conditions, such as arrhythmias or other heart-related issues. Since you mentioned that you do not have high blood pressure and maintain a normal BMI, it is less likely that your symptoms are related to a significant cardiovascular issue, but it is still essential to rule out any potential heart problems.

Anxiety can also play a significant role in both dizziness and heart palpitations. The body's response to stress can trigger the release of adrenaline, which can lead to increased heart rate and feelings of dizziness. If you have been under stress or experiencing anxiety, it could explain the symptoms you are experiencing.

Given that your symptoms have persisted for two weeks, it is advisable to consult a healthcare professional for a thorough evaluation. They may recommend tests such as an electrocardiogram (ECG) to assess your heart's rhythm, blood tests to check for any underlying conditions, or imaging studies to evaluate your brain and inner ear.
In the meantime, consider implementing lifestyle changes that may help alleviate your symptoms. Prioritize sleep by establishing a regular sleep schedule and creating a relaxing bedtime routine. Reducing caffeine intake and incorporating relaxation techniques, such as deep breathing exercises or mindfulness meditation, can also be beneficial in managing anxiety and improving overall well-being.

In summary, while your symptoms may be related to lifestyle factors, anxiety, or vestibular issues, it is crucial to seek medical advice to rule out any serious conditions. A healthcare professional can provide a comprehensive evaluation and guide you toward appropriate treatment options. Remember, taking care of your mental and physical health is essential, and addressing these symptoms early can lead to better outcomes.

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