Conversation: The conversation between human and AI assistant.
[|Human|] I have skipped heart beats. Sometimes once or twice in every minute and some times once in an hour. No other feelings and symptoms. No rise  or down in pulse rate. I have gas trouble. There is a twitch like action at abdomen at the same moment of skipping. What is this?
[|AI|]  Hello! Thank you for being with us on Chat Doctor! Regarding your concern, I would explain that probably we have to do with some isolated extrasystoles, triggered by several factors like bowel distension or spasms (leading to vegetative nervous system involvement), diaphragm implication, anxiety in the context of an IBS (irritable bowel syn Chat Doctor. Meanwhile, I would like to assure you that nothing dangerous is going to happen with your heart, so relax and don't worry! I recommend you to consult your cardiologist or internist for a careful physical exam, a resting ECG, some lab tests like complete blood count, thyroid hormone levels, blood electrolytes, etc. An ambulatory 24 to 48 hours ECG monitoring (Holder), is advisable to make a qualitative and quantitative evaluation of your possible extrasystoles, their day-night trend, and guide through an appropriate medical management. Hope to have been helpful to you! Best regards!