I am a 35 year old male and on some days, I wake up with mild chest pain and palpitations. My heart rate is not very high when this happens, it is around 80-90. But I can feel each heart beat more than usual and it feels like a trembling sensation. My ecg is normal and stress echo is normal. What should be my next course of action?

Dr. Col V C GoyalGeneral Physician47yrs exp

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Get bp checked. In the mean time when ever you have this problem take a glass of water, sprinkle ice cold water on face and take deep breath and force the air out with nose and mouth closed as you do when you r constipated 1.no alcohol 3. No smoking/ tobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water medicine can not be advised for open question ,for medicine and further advise contact on private chat. Up load ecg and echo report good luck.  

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