Always experiencing palpation on my heart during the mid of the night. Waking up from nightmare, throat feeling sore, feet feels on fire, stomach rumbling, and neck feels tight! Especially during a cold weather day, or after I am extremely tired during the day time. To me it's more like a heart attack, but I've even appeared in the emergency room, they told me my heart looked OK. This pattern has been repetitively occurred like a myth for four years without an accurate diagnose. All I can say is that I self- diagnose myself as Chronic fatigue syndrome for 4 years too. Could you tell me what is wrong with me (chances of anxiety is very low), I'm waiting for a more reasonable answer!

Dr. Amit NagarkarPsychiatrist13yrs exp

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Though rare this could be a partial seizure, abdominal epilepsy, some endocrinological abnormality or some kind of sleep disorder like OSA. You need to get yourself investigated accordingly, since these are just some possible rare diagnoses, since you reportedly claim that your heart status was OK on examination. 

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Dr. Sujata VaidyaNon-Invasive Conservative Cardiac Care Specialist16yrs exp

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Dear lybrate-user, Please try the suggestions below and do tell us if it has helped you in about a week to 10 days time. Eat your dinner before 8 pm. Meaning you have a clear 2 hours waking time before sleep. Take a bath before sleeping and rub common salt all over your body, especially sole of feet, palms of hands, back and any other part which you know is troubled as you wake up. Cut any form of non veg from your diet in this trial period. Chew your food thoroughly and slowly to aid digestion. Take at least one glass of butter milk during day time to consume natural pro-biotic. Other foods that can cause such kind of discomfort, exp midnight (considering the biorhythms) are peas, too much bread, alcohol, rajma family of beans, excess rice and dry foods. Eat fruit before meals to get those vital vitamins. Begin your day with hot water with lots of ginger and a squeeze of lemon and pinch of rock salt. At least 2 glasses of hot water should help hydrate the body well. Get some sunlight. Get atleast 45 mins of exercise which makes you sweat. Begin with brisk walking untill you can do something more strenuous. I take it you are not on any medication. If you are unable to sleep well, getting into CFS is apparent. Do inform how you are progressing. Regards. 

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Dr. Sameer MehrotraCardiologist19yrs exp

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To rule whether it is from heart or not, you will need a Stress Echo and for the palpitations a Electrophysiology Study, in this we study your heart rhythm to see if you are having any abnormally fast or slow heart beat and if we find any we can treat it. A mere ECg will not be able to diagnose all this. So my advise is that instead of self diagnosing yourself get your self properly evaluated. Get your TSH, lipid profile done as well. 

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