Conversation: The conversation between human and AI assistant.
[|Human|] Hello Doctor.. i am 32 years old..single and working.. I am having an irregular hearbeat problem since the past 10 years.. it comes and goes once in a while but when it comes it stays for 1 - 2 week. Its very discomforting as I feel like my heart is finding it hard to pump..its like myheart beats 5times and the 6th times it slows down and the 7th beat is fast which also gives me headache.. i feel tired due to this problem.. i dont feel this when i am actively working but i get this strongly when i am resting/lying down or just seated doing light work... its also strong after taking my meals.. i am anemic and i have anxiety too..but i dont get panic or anxiety attacks.. never took treatment for anxiety before.. kindly advice me on what could be the possible reason for this and what should i do about it? thank you.
[|AI|]  Hello, I passed carefully through your question and would explain that your symptoms could be related to cardiac arrhythmia.  Anxiety and anemia can trigger this clinical situation too.  Coming to this point, I would recommend first taking iron supplements and vitamins to treat anemia.  If your symptoms persist, I would recommend checking thyroid hormone levels in order to exclude thyroid gland dysfunction and performing an ambulatory 24-48 hours ECG monitoring in order to exclude possible cardiac arrhythmia.  You should discuss with your doctor on the above tests.  Hope I have answered your query. Let me know if I can assist you further.