Conversation: The conversation between human and AI assistant.
[|Human|] Hi, im a 21 year old female and have on a few occasions woken up in the middle of the night with a feeling like my heart is unsteady/palpitating or beating heavily, followed by nausea, shakiness, and feeling chilled. This especially seems to happen after having alcoholic beverages (though not in excess).
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. These palpitation has to do with a rhythm issue. There are some electrical impulses that generates from parts of the heart different from normal sinus rhythm. They cause a premature heart contraction that it's not a normal one. You feel this like e palpitation, a skipped beat or a fluttering sensation.Also, you might experience dizziness, difficulties in breathing deeply, anxiety. There might be different causes of this rhythm issues from simple emotional stress, coffee or energy Chat Doctor. If you have noticed this palpitation after alcohol consumption, then it might be the cause. In these circumstances you can try to avoid it. If it happens again than I would recommend some examination like a cardiac echo to evaluate heart function and valves, a full blood analyze to exclude anemia, hyperthyroidism or electrolyte imbalance and of course a holder rhythm monitoring to see what are this palpitation and their frequency. After these we can judge how to deal with them. Hope I was helpful. Best regards,