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Palpitations with mild exertion

Hello all!

I'm 6'3", female, 19 years old.  The reason this is worrisome to me is that I was a competitive swimmer for almost 10 years, competitively.  I'm a little scared, here, and I want to check to see if this is normal.  I've been noticing heart palpitations lately:

I have a 25min train ride to Uni, and at the end of it, a flight of stairs.  Nothing too serious, everyone takes it, everyone is fine.  I huff and puff a little.  Then there's another set of stairs that I have to go up, also not too serious (everyone seems to manage), but by the time i get to the top of THAT one, I have heart palpitations that, some days, are bad enough that it feels like I'm having a hard time staying on my feet. (I manage, though) It takes me about 5-8 minutes to recover fully.

Last night after a bath, I nearly fell down the stairs as I was going up to bed-- I looked in the bathroom mirror and I could see my jugular vein beating, and even my vision was moving with the palpitations.  I lay down in bed to check my pulse, and the beat was steady for 9-12 beats, and then 2-4 beats would be sickeningly out of whack (long pause- then beat, slow beat, slow beat, then normal).

I'm scared, but I don't want to worry my parents if this is normal after sitting for a long time, or warm baths, or if it's normal for taller people?  I started noticing this happening when I was 18, but I remember as far back as childhood having  my heart beat "so hard", it was like I was a living heartbeat (usually when I first hit the sack at night).

Thanks for any input!
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734073 tn?1278896325
Thanks for all your ideas. I really do appreciate you taking the time to lend a helping hand with ideas and things to consider. She's seen a pediatric endoch. since the age of 3 weeks. We've never had anything too major come up until now. She's always taken synthroid. However maybe her body is not converting the t4 to t3. I have found a DO who specializes in hormones, nutition and metabolism.He is going to do a comprehensive blood profile on her to look for much of what you've mentioned. He also brought up the t3 thing. I will mention the stool test to him . She has a very slow gut/metabolism and is constipated often. Her BMs seem to be too large for a child and do not happen daily. She even has had tinges of blood from time to time, however that may be due to pushing /hemeroid.The DO is much more holistic and seems to be looking at the whole person, instead of looking at things in such a cut and dry manor. We will be meeting with him and the pediatric cardiologist on Mon.1/19. I sure hope that the results of the holter monitor do not show the PVC's to be chronic. Cardiac meds are not something that I would want to put my 8 year old on. They can have some toxic effects by what I am reading, and can cause many new problems in the heart. PVC's can be lived with, if not too severe. The cardiologist said that if I got a little weight off of her, they could possibly go away on their own. We will give it a try! Talk to ya latter.
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Avatar universal
nervouslady,

Please don't misunderstand, I never said anything about doctors being money grubbing or jerks.  It has to do with the industry.  They learn to sell drugs and surgery in school, NOT how to determine what is wrong with a body.  Most of the tests they use are designed to see if we qualify for a prescription drug.  Most people want a quick fix and that's what they give to people.  The doctors at the renowned Mayo Clinic may be wonderfully caring and observant, but they are still just going to sell you drugs and surgery.  They are great for one thing only:  crisis management like when your heart stops or you break your leg.  Read my post again - for crisis management, medical doctors are A1, and the ones in the US are the best in the world.  That's great and we really need and appreciate them for that.  I am criticizing their treatments of chronic diseases which are mostly caused by intestinal and digestive problems.  

Most of the neuropeptides and other components used by the immune system are made in the intestines.  So the guts also includes our immune system.  If it is sick, we can't digest our food properly (which includes absorption and assimilation of nutrients) and we have a poorly functioning immune system.  These are the causes of most chronic diseases.  Look it up.  You have to understand this completely or if you have chronic type problems, you won't be able to figure out what to do about them.  You will go to a medical doctor who will not treat the root cause, but only the symptom.  Doctors only treat symptoms when it comes to chronic diseases.  And they treat them with drugs, even when what you really need might simply be some probiotics or some magnesium.  Drugs block enzymes and this will cause other problems, eventually.  

For example, if you have arthritis, they aren't going to pin it down to problems in the guts/immune system and inflammation causing foods.  They will give you painkillers, mostly NSAIDs, which are going to damage the intestines and digestion even further.  Do not confuse the medical profession's treatment of a crisis with their treatment of a chronic disease.  In the first instance, they will save your life, in the second instance, they will make you sicker.  I don't even think most doctors understand this.  Some do, though, and you can find their disgust all over the internet.  It's not totally their fault, it's who is in charge of what they learn in school:  the drug companies.  They are the ones profiting the most when we are sick.  And they only look for profitable treatments, not health information we can use.  A prime example of this is the American Cancer Society.  They take donations.  Did you know that they only give grants for patentable substances and they even want a piece of the patent?  Isn't that disgusting?  They are telling the public they want money to search for a cure for cancer but they only want to look for a patentable, or otherwise, profitable cure.  

Here's the link and an excerpt:

www.cancer.org/downloads/RES/PF%20Policies%20Instructions%20July%202008%20Final%20pC.pdf


As a not-for-profit organization supported by public contributions, the Society believes it has the
responsibility to adopt policies and practices that enhance the likelihood that potentially
beneficial discoveries and inventions will be exploited to the benefit of humankind. It is the
desire of the Society that such inventions be administered in such a manner that they are brought
into public use at the earliest possible time.  The Society recognizes that often this may be best
accomplished through patenting and/or licensing of such inventions. Accordingly, the Society
has adopted the following patent policy that is binding on all Grantees and Not-for-profit Grantee
Institutions (hereinafter "Grantee").  Acceptance of a grant from the Society constitutes
acceptance of the terms and conditions of this policy.  It is a goal of the Society that the terms
and conditions of this policy not conflict with the established patent policy of Grantee.

The nature of the medical profession is to look for profitable ways of treating us, NOT with what we really need.  And diseases like AIDS are not treated like they should be, either, with attention given to the guts/immune system.  These things are treated with diet and supplements and medical doctors don't use these.  I don't think they consciously are aware of the fact that they don't use them because they are not as profitable as drugs, but that is how the industry has evolved.  And the above policy of the American Cancer Society is not unusual, I have investigated many charities and they all have similar policies.  I don't think that was the dying person's intention in some of them, but that is what has happened.  

Something stinks in the medical profession and not enough people are aware of it.  We have been brainwashed and lied to.  Just like the police are lying to us in the interrogation room, doctors lie to use when they say there is no other way than what they do.  There ARE other ways, they just aren't patented, which means all hope is lost of FDA approval because no company is going to shell out the enormous bucks it takes for FDA approval without patent protection for them to make the money back.  And if something doesn't have FDA approval, you can't legally call it a treatment for a disease.  So when a doctor says "there is no evidence that such and such works", that simply means that no company has shelled out the money for such tests.  It's a spin statement and we have bought it hook, like and sinker for decades.  Thank God for the internet or I'd still be a bedridden mess.  

If you have been to the Mayo Clinic for hematology and cardiology, I urge you to investigate your own health matters further.  Don't let a doctor give you a long term pill and tell you that's what you need to do.  If your doctor has not run a comprehensive digestive stool analysis, then he cannot possibly know the state of your guts/immune system and how your digestive system is functioning.  This is the heart of our health, don't let the medical doctors ignore it while it deteriorates and makes you worse.  Find a real health expert.  The medical doctors are dealing in medicine only, not in diet and supplements which is what needs attention.  good luck

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Avatar universal
magpieannie,

A quick search indicates that PVCs can be cause by thyroid disease and that hyperthyroidism should be ruled out.  Hyperthyroidism, as you probably already know, would be an overactive thyroid, so too much hormones.  So if she is congenital hypothyroid, I'm assuming she's taking hormones and the doctor is monitoring her.  I would do your own research and try to find out what range she should be in.  The doctor's tests ranges are basically averages from a wide range of people's results.  I'm guessing she's probably on the high side if that is the reason for the PVCs.   Since these are just averages, maybe some extra adjusting should be done.  This is just some quick, amateur google results I did.  I'm used to searching for health issues, so it's not hard for me.  

Another way to look for what you can do yourself is to add the words "natural remedies" to everything you google for relating to health.  That way you will bypass all the medical jargon and get down to dietary changes you can make and supplements that may help.  

You also have to consider the possibility that simple nutritional deficiencies may be the cause of her PVCs, like deficiencies in potassium, magnesium, etc, or other nutrients that have a direct effect on the heartbeat.  Doctor's tests on these levels are unreliable, it would be better to give her a mineral supplement and see if it improves.  I use Krebs Cycle Chelates, the best mineral supplement I've found, by Enzymatic Therapy.  It is chelated with amino acids to be very easily absorbable.  Sorry if I sound like I'm promoting it, but you can't just buy crappy vitamins and minerals like One A Day and expect them to be anything else but crappy.  Go to a health food store for all your supplements, not Publix or Wal Mart.   I would look into the state of her gut/immune system, also.  If the problem is a nutrient deficiency because of poor digestion at her young age, it absolutely has to be looked at or things will get much worse.  You really want a holistic doctor who has been to college for that and who can interpret the results of a comprehensive digestive stool analysis.  I wish I knew about this test and my holistic doctor years ago, I could have saved myself lots of agony and money.  

Be careful when looking for a holistic doctor, if they don't use specific tests to recommend diets and supplements, then they are making general recommendations based on good guesses.  You want specific tests showing what's going on in the body.  Everybody's treatment should be different, even if they have the same issues.  You need a tailor made plan and, unfortunately, this is not what medical doctors do.  And there are also many "good guessers" out there.  I hate to give the link to the doctor I'm using because I feel like an advertisement, but I found him at becomehealthynow.com.  I live outside the US now and I do everything by email and telephone.  I have the tests sent off, and he gets the results.  This man is an expert, I can't really vouch for anyone else.  But I was very careful in selecting him and  I knew exactly what I was looking for.  They are very hard to find.  

This is just to give you an idea of what kind of doctor you need.  Take a look at his site and see.  I am seriously considering going back to college to learn to do what he does.  But it would be a major undertaking because I would need all different basic core classes since I originally majored in Accounting and Finance.  Lot of good that did me with my severe gut dysbiosis and intestinal hyperpermeability!  At least I can do my own tax return!  good luck to  - obviously these are just a couple of quick ideas, I have researched my own health problems too death, with ultimate success, but I don't know anything about congenital thyroid or PVCs other than what I just read.  I did have my own thyroid issues and I was using Armour thyroid since it has T3 AND T4 in it, unlike synthroid which was only T4 - just more FYI.  Keep researching on your own and you will learn to wade through the BS and pick out the helpful stuff.  Doctors don't have a monopoly on health knowledge, not in the least.



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Avatar universal
I think you should see a doctor about this.

This is kind of how my arrhtyhmias started too - I think I was about 22 years old or so and in college I'd have to climb some stairs w/my backpack on and I'd get winded and I'd notice some hard THUDs when I reached the top or I got to class and sat in my seat.  One day I said to my friend, 'Don't you hate it when your heart does that weird THUD thing?'   and she said, 'Um...my heart doesn't do that'  and that's when I realized...uh oh.  I was very active too - worked out quite a bit for a few hours a day.

I'm on the tall side too - 5'10", not as tall as you are - I don't know if it has anything to do with that or not.  
It's not so much that you are having palps that concerns me, it's that you are feeling dizzy and unsteady.   I think that warrants a trip to the doctor's office soon.  Better to figure all of this out and not have the worrying than to suffer and wonder what is going on.  Peace of mind makes all the difference!

Tropical geek, while there are a lot of shady, egotistical doctors out there, not all doctors are money grubbing jerks.  I am being cared for at the Mayo Clinic in Minnesota:

Mayo Clinic is an internationally renowned non-profit medical practice.

Mayo Clinic pays medical doctors a fixed salary that is unaffected by patient volume. Salaries are determined instead by the marketplace salaries for physicians in comparable large group practices

They do great work and you can tell that they are there to help.  I've been there many times for several different reasons (OB, hematology, cardiology) and they have always been wonderfully caring and observant.  The clinic's philosophy is to treat each individual as, well, an individual and not lump you into categories.   They say that as different as we each are on the outside, we are equally different from one another on the inside.  
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734073 tn?1278896325
I agree on some of your comments to kim and dragon. What is your gut feel on my 8 year old daughter who has developed pvc's (premature ventricular contractions) in her right ventrical. She was also born without a thyroid gland (congenital hypothyroid) Her endochronologist does not think the two are related, however my "motherly instincts" tell me otherwise.
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Avatar universal
I suggest that after you see your primary and/or cardiologist, you seek out an expert health practitioner, NOT a medical doctor, and look into intestinal hyperpermeability.  You need somebody who has attended a naturopathic or holistic college for several years.  Intestinal hyperpermeability and poor digestion is the cause of many chronic diseases.  The medical profession is only good at crisis management - immediate care for an emergency.  If you go to them for treatment of a chronic condition, they are guaranteed to make you sicker in the long run.  Medical doctors are drug salesmen and make more money the sicker you are.  How can you possibly expect real health care from an industry that profits more when you are sick?  Dietary changes and maybe some supplements are what you guys need.  Don't be misled and brainwashed like everybody else thinking you have to see a medical doctor for everything.  They only learn drugs and surgery in school, NOT health and how to fix a sick body.  They can only cover up symptoms.  Great in a crisis, bad for trying to maintain your health.  Google for intestinal hyperpermeability and read as much as you can.  Here's a couple of great links:

http://www.ei-resource.org/articles/leaky-gut-syndrome-articles/leaky-gut-syndromes:-breaking-the-vicious-cycle/

http://74.125.45.132/search?q=cache:baNcNGY5VLAJ:www.thorne.com/media/intestinalhyperpermiability.pdf+intestinal+hyperpermeability+in+small+large+intestine&hl=en&ct=clnk&cd=5&gl=us&client=firefox-a

If you are having symptoms like heart palpitations, you are likely deficient in some simple nutrients, perhaps minerals like calcium or magnesium, and you have to figure out why.  It's probably poor digestion, but that doesn't mean you will experience indigestion or any symptoms like loose stools or things that may make you suspicious.  You can have poor digestion, like malabsorption, and not even suspect it.   Tests like comprehensive digestive stool analysis and intestinal hyperpermeability are the kinds of tests you need someone to order and interpret for you.  Very few medical doctors will even know what these are.  They went to school to make money, not to google for what healthy people are doing to fix themselves.  They say an ounce of prevention is worth a pound of cure, but it's more like if you wait for the cure, it's going to end up being fatal.  Know what's going on inside you before it gets bad.  Digestion and dysbiosis are the keys to almost every chronic disease.  What will your doctor say about these?  He doesn't know so he will say they are not an issue, in typical, arrogant doctor fashion.

good luck
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Avatar universal
I am having the exact same symptoms, plus waves of nausea.  And I was a competitive swimmer who ran 4 miles a day until recently.  Now I can no longer do a flight of stairs without sitting down to recover (which I can do quickly).  Did you find anything out??
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Avatar universal
Thank you for the backup... I will do that as soon as I can.  It's getting kinda weird.  I'm not sure if anxiety is causing the heart palpitations (my mom has that), or heart problems causing the anxiety (my grandma died from that)!  So since both are in my genes, I will definitely get it checked out.

thanks again...
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404682 tn?1324579818
Since you symptomatic I would suggest you talk to your parents and have a check up with your primary care physician or a cardiologist.

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