I have been having palpitations for nearly 5-6 months. I did an echo, TMT, ECG and 24 hour holter monitor. All results were normal. However, echo showed trivial mitral regurgitation and trivial tricuspid regurgitation. Avg heart rate was 90bpm in the holter monitor result. I often get palpitations after eating lunch or dinner. I am also easily startled when a phone rings etc. Overall I've been having some anxiety issues for past 6 months. I feel tensed and on the edge for most part of the day. I had got married and moved countries and had to quit my job during this time. So I was at home for most part of the day without much to do. I also suffer from upper body pain - shoulder and front chest. Sometimes this in muscular pain and some other times I feel it's internal pain due to bloating or gas whenever I breathe. I also did a chest X Ray and it was normal. I am on supplements for vitamin D insufficiency. Please advise how to deal with these issues. Any follow up for regurgitation?