I'm experiencing these odd palpitations when I'm trying to sleep, but as soon as I wake up and move around a bit, they stop. I've had GERD since last September, and my recent endoscopy showed a grade 2. I've been keeping up with my health; did a TMT and checked my lipid profiles, and everything was normal. No blood pressure issues either, and I quit smoking 4 or 5 years ago, though I still have a drink now and then. My echo showed a grade 2, which makes me wonder if there's something going on with my heart or if it's all related to my esophagus issues. Also, I just started meds for fatty liverUdiliv 300, Darolac, Rifaximin 400mg, and Moza Plusand my SGPT was at 109. With a weight of 100 kg and being 5'10", I'm a bit worried. Is the grade 2 thing a sign of heart trouble, or could it be from the GERD? And is it possible for the grade 2 to be reversible?

1. AM I having any heart issues? Since grade 2 came in echo and sleeping palpitations are there. OR are these due to loose lower esophagus valve? Based on your symptoms and medical history, the palpitations you are experiencing while sleeping could be related to your grade 2 echo findings. It is important to further investigate the cause of these palpitations to rule out any underlying heart issues. I recommend you consult with a cardiologist for a thorough evaluation. In the meantime, you can take Metoprolol 25mg once daily to help with the palpitations. 2. Is grade 2 reversible? Grade 2 findings in an echocardiogram indicate mild abnormalities in the heart structure or function. In many cases, grade 2 abnormalities can be managed effectively with lifestyle changes and medications. It is important to follow up with your cardiologist regularly to monitor the condition and make necessary adjustments to your treatment plan. With proper management, some grade 2 abnormalities can show improvement over time.