apollo
  • female
  • 30 Years
  • 22/01/2025

I sometimes get this weird shock-like feeling in my throat, and it kind of feels like its coming from my heart. I've already done some heart tests like an ECG and 2D echo, and both results were normal. This sensation just hits me out of nowhere. Could you help me figure out what this might be?

Doctor 1

Answered by 1 Apollo Doctors

This sensation you are experiencing could be due to a condition called esophageal spasms. Esophageal spasms are abnormal contractions of the muscles in the esophagus, which is the tube that carries food from the mouth to the stomach. These spasms can sometimes cause a sensation of a shock-like feeling in the throat. To help alleviate these symptoms, you can try taking a medication like Diltiazem (brand name Cardizem) under the guidance of your doctor. The usual dosage for esophageal spasms is around 30-60 mg three to four times a day. Additionally, avoiding triggers such as hot or cold foods, caffeine, and alcohol may also help reduce the frequency of these spasms. If the symptoms persist or worsen, it is important to follow up with your healthcare provider for further evaluation and management.

Dr. Dr Khaleel Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm feeling like there's an earthquake happening inside me all day long and I've got this little chest pain that's worrying me. I went to a cardiologist a few days back, and they did an ECG and an echo, both of which turned out normal. They prescribed some anxiety meds for the night, but they haven't helped at all and I'm still feeling the same. I'm really anxious about whether this could cause any serious heart issues in the long run. Do you have any advice or solutions that could help me out?

It sounds like you may be experiencing palpitations along with chest pain. Since your ECG and echo were normal, it is less likely to be related to a serious heart problem. However, persistent symptoms should be further evaluated. I recommend trying a beta-blocker medication such as Metoprolol (25-50mg) once daily to help with the palpitations and chest pain. Additionally, practicing relaxation techniques such as deep breathing exercises or meditation may also help alleviate your symptoms. If the symptoms persist, it would be best to follow up with your cardiologist for further evaluation and management.

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I'm experiencing this odd sensation in my chest where it feels like my heart is having a spasm or beating irregularly for a few seconds. It's not exactly painful, just really weird, and it's been happening every few months. Sometimes it even feels like its happening in my right chest or arm, which made me think it might be nerve-related. I've had heart tests done in the past, and everything came back normal, but this sensation worries me. Also, whenever I stand up or walk upstairs, my heart rate jumps up to 150 bpm and then drops back to 100 bpm shortly after, which makes me wonder if I could have POTS. I often forget to check my pulse when this happens because it scares me so much. Could these spasms be related to muscles or nerves instead of my heart? Is it normal to experience this kind of chest pain and heart sensations for just a few seconds?

It sounds like you may be experiencing palpitations and chest pain, possibly related to your heart or nervous system. Given your history of normal heart tests and symptoms like random spasms and irregular heartbeats, it may be worth considering a condition called supraventricular tachycardia (SVT). SVT can cause sudden, rapid heartbeats and chest discomfort. In your case, since you also mention the possibility of POTS (Postural Orthostatic Tachycardia Syndrome) and nerve-related symptoms, it would be important to discuss these new symptoms with your healthcare provider. For symptomatic relief, you can consider taking a beta-blocker medication like Metoprolol (e.g., Lopressor) at a starting dose of 25mg once daily, as it can help regulate your heart rate and reduce palpitations. However, it is crucial to consult with your doctor before starting any new medication to ensure it is safe and appropriate for you.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.