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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Nausea And Anxiety

I have epigastric flutters with some nausea. I have been on Valium for anxiety but do not take it regularly. Gaviscon will stop the flutters for the most part. I am so afraid it is my heart and then I get all upset about that. I might add that my husband recently passed away of a massive MI in his sleep. He was 51. Well I just turned 54 and am very overweight but have been trying to eat better over the last few years. I have type 2 diabetes...not good but well controlled with meds. I take nexium in the morning for reflux and zantac at night. I am pretty sure I get palpations from time to time and was in the hospital for SVT's in 2008. No problems since then. I noticed in my 30's that I was experiencing PVC's but no problems. Had echo with no adverse dx. Should I be concerned and if so where should I start.
posted on Wed, 28 Jan 2015
Twitter Mon, 23 Feb 2015 Answered on
Twitter Tue, 24 Feb 2015 Last reviewed on
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Psychiatrist,  's  Response
Hello thanks for asking from HCM

You have lost your husband and this was a serious trauma to you. The symptoms like epigastric flutters, anxiety, fear etc could be occurring due to anxiety. You are on antacids for epigastric discomfort still the symptoms are persisting. I would advise you to visit a psychiatrist for evaluation. Also get your ECG done to rule out any cardiac problem. SVT or PVC can get aggravated in anxiety also and may present even with anxiety as chief presentation.

For anxiety symptoms medicines like low dose benzodiazepines can help like you are already taking Valium on SOS basis. For proper treatment of anxiety medicines like SSRIs as Sertraline can be used. The drug is even cardiovascular safe drug and can help to reduce the anxiety. It will also help in controlling the symptoms of gastric upset. Visit a psychiatrist for prescription.

Thanks, hope this helps you. Take care
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Suggest Treatment For Nausea And Anxiety

Hello thanks for asking from HCM You have lost your husband and this was a serious trauma to you. The symptoms like epigastric flutters, anxiety, fear etc could be occurring due to anxiety. You are on antacids for epigastric discomfort still the symptoms are persisting. I would advise you to visit a psychiatrist for evaluation. Also get your ECG done to rule out any cardiac problem. SVT or PVC can get aggravated in anxiety also and may present even with anxiety as chief presentation. For anxiety symptoms medicines like low dose benzodiazepines can help like you are already taking Valium on SOS basis. For proper treatment of anxiety medicines like SSRIs as Sertraline can be used. The drug is even cardiovascular safe drug and can help to reduce the anxiety. It will also help in controlling the symptoms of gastric upset. Visit a psychiatrist for prescription. Thanks, hope this helps you. Take care