Conversation: The conversation between human and AI assistant.
[|Human|] hi recently i have terrible palpitation. when i am standing feel the gravity is get me down i have no energy to do anything and also sometimes i cant see good seems every were is smoky . i feel preasure on my chest at nights. would u please tell me the reason. thanks nana
[|AI|]  Hello, This can be an anxiety, anemia or, cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. ECG should be done and is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need also 24 hour holder monitoring if ECG is not informative. So visit nearby cardiologist for this investigation.  Also, hemoglobin and thyroid test should be done. Ln order to abort such episodes you should try to cough hard.  Is there any stress or anxiety associated, as it can also cause this. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day.  Do you have any upper abdominal pain, nausea, bloating, burping etc. if yes it could indicate gastritis and acidity?