Conversation: The conversation between human and AI assistant.
[|Human|] I am 51 years old in relatively good health, except for heart palpitations and anxieties. night before last I woke up feeling a little queasy and weak, the next morning I was belching what I had eaten the day before. I went to the bathroom 4 times successively that morning. Last night I had cramps and a slight queasy feeling in my stomach, I went to the bathroom this morning and did a small but regular stoll, felt better after. Now I have eaten only chicken and rice soup and applesauce and toast with ginger ale. The cramps come and go especially after I eat, and I cant pass gas or very little and cant go to bathroom even thought I feel I have to. I am belching Ok. The only change is that I started taking digestive enzymes about 1 and a half weeks ago.
[|AI|]  Hi, Increased heart rate & palpitations can have a lot of causes. It can be normal sinus tachycardia due to anxiety or stress, or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation & tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ECG monitoring (Holder Monitor). You also need to do a 2D Echo & thyroid function test to see for any associated abnormality if any. Looking at your symptoms, you also seem to have gastritis. So you can take Tab Pantoprazole 40 mg once daily before breakfast. Thanks Chat Doctor.