Conversation: The conversation between human and AI assistant.
[|Human|] hi i am 34 years old now i want to ask question, i need to know why my heart pound so hard then suddenly dissappear,then after few hours it will pound again,i remember this started when i did not eat for two consecutive meals then after i ate food my heart pound hard.hope you will help me bec it annoys me everyday.im worried.thank you
[|AI|]  Hello! Thank you for asking on Chat Doctor! Your symptoms could be related to anxiety. Besides, after a large meal, the stomach distention can cause elevation of the diaphragm leading to skipped heart beats or palpitations. Anyway, considering the fact that these phenomena is repeating frequently, I would recommend performing some tests to investigate for the possible underlying causes: - a resting ECG and a cardiac ultrasound to examine your heart function and structure- a chest X-ray study for possible hiatal hernia that may trigger these symptoms-complete blood count for anemia-thyroid hormone levels for possible dysfunction- blood electrolytes for possible imbalance ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia. If all the above tests result normal, there is nothing to worry about! It may be just a little anxiety. You should discuss with your doctor on the above issues. Hope to have been helpful! Best wishes,