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You might feel like a fluttering in your chest or lightheaded feeling could be a passing moment that youll get over. Heart palpitations can cause a fluttering sensation in the chest or a feeling that your heart has skipped a beat.You may also feel like your heart is beating too fast or is pumping harder than normal. A "flip-flopping" sensation. Dehydration, stress, alcohol, and nicotine promotes this fluttering in the chest. A thyroid storm, dangerously high levels of thyroid hormone, causes fever, racing heartbeat, sweating, and more. Heart flutter is a nonspecific term often used by people when describing an abnormal sensation in their chest that may refer to one of several conditions which may be benign or may be concerning, including premature ventricular contractions (PVCs), premature atrial contractions (PACs), heart block, atrial fibrillation, atrial flutter, ventricular tachycardia, POTS, or muscle spasms in the . 3. Answered by : Dr. Ilir Sharka ( Cardiologist) You may also experience a pounding sensation from a racing heartbeat or a slow heartbeat. The Patient's Guide to Heart Valve Surgery was written by Adam Pick, a double heart valve surgery patient, to address this troubling issue and prepare the patient and caregiver for the challenges and opportunities of valve surgery - from Chemical pneumonia is an irritation of the lungs that can cause a dry cough, headache, chest pain and more. What could this possibly be? it will catch it. It could be some sort of irregularity with your heart or it could be a run of flutters in the muscles of the chest wall. Croup is a childhood viral respiratory infection causing swelling that can make breathing difficult and noisy. WebMD Symptom Checker helps you find the most common medical conditions indicated by the symptoms palpitations (fluttering in chest) and pulsating sensation including Atrial fibrillation, Panic attack, and Generalized anxiety disorder. When I go to the doctor with fleeting chest pain, they see my low blood pressure and my young age and tell me Im fine even though nearly everyone on my moms side of the family has had a stroke or an embolism. 2. Small cell lung cancer is the least common type of lung cancer and can cause a cough, chest pain, and more. 7. My doctor had me wear a heart monitor which showed nothing. hide. WebMD Symptom Checker helps you find the most common medical conditions indicated by the symptoms palpitations (fluttering in chest) and pulsating sensation including Atrial fibrillation, Panic attack, and Generalized anxiety disorder. A sinking feeling in the chest may also mean that you are having palpitations, or flutters in the chest caused by . Exercise. Mesenteric lymphadenitis is an inflammation of abdominal lymph nodes causing pain, diarrhea, fever, and more. West1992. Set goals and get tips with our app. Track your pain levels, triggers, and treatments. Sarcoidosis is a rare disease that can cause swelling and hard lumps in the lymph nodes and organs. Fluttering in the throat, neck or chest need not cause you undue panic. Ischemia or the decrease in the flow of the blood towards the heart which is caused by coronary heart disease, heart attack, or atherosclerosis or when the arteries become hard. The feeling that your heart has just skipped a beat is often nothing to worry about: heart palpitations are common, and all it can take is a fright or bout of exercise to bring on a "hiccup" in your heart rhythm. Totally i had experienced 2 times only till now. This records and reports all abnormal activity for a 30 day period. New Features: 1548 full-color illustrations and 578 tables. Companion DVD with image bank includes key figures and tables from the text. Radiation sickness is caused by a high dose of radiation, and causes vomiting, diarrhea, hair loss, and more. Your symptoms are present in a wide variety of medical conditions, including anemia and sleep deprivation. If feelings of these symptoms come and go quickly, Dr. Jahangir says you should tell your doctor. Over-the-counter medications such as diet pills or allergy medicine. Feeling anxious, uncertain, overwhelmed? In some places, wearing a mask when you're indoors or can't keep distance from others is the law. Afterward, I will often feel a slight headache or mild pressure in my head. If it starts with a very high frequency, lipothymia (fainting) or even syncope may occur - the patient loses consciousness because there is no cardiac output for cerebral circulation. Found insideAlex Award-winning author P. Djl Clark, A Dead Djinn in Cairo is a Tor.com original historcal fantasy set in an alternate early twentieth century infused with the otherworldly. Get these health and wellness insights emailed to you daily. Today i felt some fluttering sensation in left chest for about 6-7 sec and gone. Some people feel palpitations as a pounding in the chest or neck; others feel them as a general sense of unease. Pneumonitis is any inflammation of the lung and causes trouble breathing, cough, and fever. Fluttering sensation in the left side of the chest can indicate the irregular beating of the heart. Answer Question. Set goals and get tips with our app. Generalized anxiety disorder is a condition in which a person has nearly constant anxiety. If it is irregular then is is a heart . It turns out there are many different causes of palpitations . What causes a fluttering sensation in the chest? If you've ever felt fluttering in your chest or like your heart is pounding, you know it can be a little shocking or scary. How to Treat Childhood Skin Problems. These are quite normal and common with or without heart disease, and can be provoked or aggravated by caffeine, nicotine, anxiety, stress, sleep deprivation, inhalation of noxious fumes, etc. Found inside Page 406Feeling of compression of the chest and great weight ; a feeling as if the heart symptoms appeared ; sudden fluttering of the heart , after walking A pulmonary embolism, a blood clot lodged in the lung, causes shortness of breath, chest pain, and more. All rights reserved. I don't believe it has helped the fluttering. It is similar to heart palpitations. Asthma is a lung condition that makes it hard to breathe, an asthma attack can be life threatening. Atrial fibrillation is a heart condition that causes heart palpitations, confusion, dizziness and more. The fluttering in the chest or atrial flutter occurs when the electrical impulses generated by the sinoatrial node takes an abnormal path thus, causing the rapid contraction of the atria.Palpitations (rapid heartbeat or a pounding or fluttering sensation in the chest)."I have this weird fluttering sensation in my chest. Our pill identification tool will display pictures that you can compare to your pill. Found inside Page 537Full feeling in chest , with distended abdomen . Fluttering , general faint feeling , hurried and forced feeling about the apex ; better sitting still . People with congestive heart failure can have shortness of breath, fatigue, irregular heartbeat and more. A fluttering sensation in the chest is most likely a type of heart palpitation, according to WebMD. But from yesterday my stomach is not feeling well, gas trouble is more, feeling of something in stomach,burping and frequent gas . And you could feel this sensation in your chest or your neck. Premature ventricular contractions are extra heartbeats that start in one of the lower chambers of your heart. Heart palpitations may feel like your heart is beating too quickly, beating irregularly, fluttering in a strange way, or thumping hard in your chest, according to the Mayo Clinic. Nausea or vomiting: it's not uncommon for women to feel sick to their stomach or vomit during a heart attack. Cough And Palpitations (Fluttering In Chest) Reviewed on 6/15/2020. Palpitations make you feel like your heart is beating too hard or too fast, skipping a beat, or fluttering. Symptoms of heartburn and GERD are a burning feeling in the chest, throat, or mouth, nausea, and more. Found insideToo much exercise can kill you. The Haywire Heart is the first book to examine heart conditions in athletes. The links below will provide you with more detailed information on these medical conditions from the WebMD Symptom Checker and help provide a better understanding of causes and treatment of these related conditions. Heart palpitations are heartbeats that suddenly become more noticeable. It was really strange, could not put it to words how it felt. GERD can often feel like chest tightness or a burning sensation in the chest. In the last year or so, I have noticed that about two or three times a month, I get a fluttering sensation in my chest, this is immediately followed by what I would describe as a 'catch' in my breath, and then a need to cough to 'set things right again". Found inside Page 372Three months ' itching of face and scalp ; bruised feeling there ; twisting pains of abdomen ; fluttering feeling in chest ; painful menses and leucorrhea . Fluttering rapidly; Beating too fast; Pounding; Flip-flopping; You might feel heart palpitations in your throat or neck as well as your chest. Aortic regurgitation, when the aortic valve doesn't close completely, can cause severe heart symptoms. Histoplasmosis is a fungal infection of the lungs causing muscle aches, fever, chest pain, cough, and more. I've been feeling a fluttering in my upper abdomen/lower. I am not diagnosed with an anxiety disorder but I am a very anxious person especially about my health, I haven't been able to sleep or think about anything else and bc . Found inside Page 60Constant feeling of load or weight in l . chest ; smothering sensation . ISharp and quick pain in l . side of chest , with fluttering of heart . Esophageal cancer starts in the lining of the esophagus and can cause difficulty swallowing. Hyperparathyroidism can cause fatigue and weakness, increased thirst, impaired thinking, and bone fractures. What's That Rash? Want to learn more about your risk for heart disease? The sensation of a fluttering may fit different descriptions. Known as AFib, the condition means that blood isnt flowing properly from the top chambers of your heart, and its becoming more common as the U.S. population gets older. These symptoms don't usually last too long. With this, your airway passages narrow due to inflammation and excessive mucus production. Some people may mistake it for heart pain (angina). Fever. Mark Anderson, MD, DABFM, of Executive Medicine of Texas and who is board certified in family medicine. Some causes are very benign and related to emotions, reactions to fear or love, or something you ate or drank. Whats the difference between yoga and Pilates? Found insideSymptoms of arrhythmias, or an abnormal heart rhythm, include: palpitations (a feeling of skipped heartbeats, fluttering or flipflops in your chest) 2005-2019 WebMD LLC. I've been really worried recently about symptoms I've been having in my chest. Heart fluttering - strange feeling in my chest. By . Keep track of how you are feeling. A fluttering sensation in your chest. Signs of endocarditis, an infection of the heart, include swelling, rash, sinus congestion, nausea, and more. Respiratory syncytial virus (RSV) is a virus that causes symptoms similar to the common cold. Hay fever, an allergic reaction to outdoor pollens and molds, causes nasal congestion, itchy eyes, and more. Read Responses. Other treatment options are available and should be discussed with your physician. Asthma flare-ups can be triggered by the . Follow. Other causes may be something more serious and worthy of a doctor's visit. A heart fluttering feeling means that you feel that your heartbeat is irregular, and going very fast. [color=blue]I'm a 47 year old female in good health. Neurologist first thought related to migraine and later to muscle spasms. When to see a doctor. Some uncommon causes include diaphragmatic flutter, cardiac arrhythmias, surgical injury, phrenic nerve irritation, and inflammation, etc. Fluttering feeling in chest when lying down. R & James Dean, You are your own best Advocate and yo need to see the right specialist. Just because youre young doesnt mean youre automatically healthy.I wish you good health& answers. About 2 percent of Americans under age 65 and 9 percent over that age have a type of irregular heartbeat called atrial fibrillation, according to the Centers for Disease Control and Prevention. Get organized and track baby's weekly development. All rights reserved. Palpitations may seem alarming, but in most cases they're . This complete reference work thoroughly covers the pathophysiology of cardiology-related diseases, and compares, juxtaposes, and integrates Western and traditional Chinese medicine (TCM). There are different causes such as diabetes, trauma, vitamin b12 deficiency, ms, alcohol use, exposure to toxins, side effect of medication. A thyroid storm, dangerously high levels of thyroid hormone, causes fever, racing heartbeat, sweating, and more. The big day is coming! Pleural effusion is buildup of fluid in the pleura and can cause difficulty breathing or chest pain. I've been feeling a fluttering in my upper abdomen/lower chest for the last two days. Cystic fibrosis is an inherited disease that causes the body to produce abnormally thick and sticky mucus. Bubbling in chest is one of the milder symptoms of asthma as breathing becomes shallow and difficult during an asthma attack . Most palpitations are caused by a harmless hiccup in the heart's rhythm. An abnormally fast, or racing, heartbeat. The big day is coming! Viral pneumonia is a lung infection caused by viruses, and causes coughing, wheezing, fever, chills, and more. There are 13 conditions associated with . Heart flutters or palpitations are a perception of irregularity of the pulse, frequently described as a faster heartbeat than normal, a skipped beat, an extra beat, a flip-flop in the chest or a . If I could describe it best, it almost . [color=blue]I'm a 47 year old female in good health. Drug, supplement, and vitamin information on the go. He enjoys bicycles, home repair, flannel shirts and being outside. An abnormally fast, or racing, heartbeat. Weird fluttering/twitching feeling in top centre of chest. Others have dozens of these heart flutters a day, sometimes so strong that they feel like a heart attack. But now these fluttering feeling are worrisome. I know clearly when it comes from an arrhythmia like Atrial Flutter because I know the flutter like sensation it creates and I can also tell when it is caused by this arrhythmia because of my racing "regular" heart rhythm which it produces as opposed . Heart disease: Heart disease or history of a heart attack makes the heart more prone to irregular heart rhythms. Heartburn/GERD. Palpitations that are infrequent and last only a few seconds usually don't need to be evaluated. Pulmonary fibrosis is a serious chronic lung condition where the lungs become scarred and stiff. See what your medical symptoms could mean, and learn about possible conditions. Afterward, I will often feel a slight headache or mild pressure in my head. See additional information. This is most commonly noticed in the chest region but can also be felt in your throat or neck. Whooping cough, a contagious respiratory infection, causes a runny nose, a mild fever, and a severe cough. A pounding or throbbing sensation - like your heart is beating too hard. Tuberculosis usually infects the lungs, causing a bad cough with blood, chest pain, fever, chills, and fatigue. Found insideThis all-inclusive and natural guide to gut health also features 150 nutritious recipes to promote healthy gut flora, including: Fluffy Coconut Pancakes Garlicky Veggie-Packed Omelet Old-Fashioned Sweet Potato Hash Browns Romaine and You may feel like your heartbeat is fluttering or like your heart skipped a beat. WebMD does not provide medical advice, diagnosis or treatment. Fluttering sensation in the left side of the chest can indicate the irregular beating of the heart. I tell them that and they just shrug. On feb-2021 i had undergone ECG and TMT for slight chest pain, ecg and tmt were normal. Some heart rhythm disorders can cause a fluttering in the chest, shortness of breath, chest pain or dizziness. View answer. An atrial fibrillation results in poor blood flow to the rest of the body, and while the condition itself is . Exposure to smoke can cause coughing, wheezing, shortness of breath, chest tightness, chest pain, and more. Get organized and track baby's weekly development. A heart palpitation occurs when there is a disturbance in . It contributes to 130,000 deaths each year. Common symptoms of arrhythmias include a . "Irregular heartbeats, also known as arrhythmias, can feel like a flutter in the center of the chest and are quite common," says J. West Nile virus is an infection spread by mosquitoes, and can cause diarrhea, fever, abdominal pain, and more. Often they can be attributed to stress, exercise or unusual activities. Hi R,I have numerous health issues where I spent years trying to get answers,only to pretty much be told,Its all in my head!Once I had a Dr. prescribe me a med.,that should have never been given to me due to another med I was on.I honestly ended up dying&coming back!Ever since then I realized I am in charge of my health care!Tell your Dr. this REALLY concerns you&you are demanding that the correct tests be done!If they dont follow through tell them you will need to see a different Dr. who will listen to you! See what your medical symptoms could mean, and learn about possible conditions. You may also feel these sensations in your throat or neck. " Kathryn Jacob OBE - CEO at Pearl & Dean. You can use the book as a long term tool for success or as a quick reference to pinpoint areas of focus. Buy this book now and start to change the way you and your people present forever. The fluttering continued off and on, mainly without the dizziness. It is a commonly seen manifestation in a lot of people; on the other hand, if the fluttering is becoming apparent on a regular basis and is associated with any other symptom, you need to visit your doctor. They can occur when you're active or at rest. Bubbling Feeling in Chest Causes 1. Dehydration, stress, alcohol, and nicotine promotes this fluttering in the chest. is the fluttering normal? A spasm may feel like a twitch or flutter and can occur with or without pain. 2. You may feel this in your neck, throat or through your ear when you're lying down. Fluttering sensation in chest. 777. Atrial flutter is the main condition that brings about a fluttering feeling in the chest and heart. Bronchitis, an inflammation of the bronchial tubes, causes cough, dark or yellow mucus, chest pain and more. Factors that could increase your risk for AFib include obesity, diabetes, high blood pressure, heavy alcohol use and presence of underlying heart disease. Heart palpitations can cause a sensation of a pounding heart or a racing pulse. Found inside Page 67He holds tight and a fluttering feeling rises in my chest and all I want is for him to drop my hand . ' Let go , ' I say . That hurts . ' ' What's wrong ? report. Get information and reviews on prescription drugs, over-the-counter medications, vitamins, and supplements. Hello Ddoerr, It is hard to know where this sensation is coming from. A diaphragm spasm is an involuntary contraction of the muscle that divides the upper abdomen and chest. When someone has a panic attack, that person feels a sudden, intense fear that can't be controlled. Vitamin B12 deficiency symptoms include fatigue, pale skin, weakness, sleepiness, numbness, weakness, and more. The links below will provide you with more detailed information on these medical conditions from the WebMD Symptom Checker and help provide a better understanding of causes and treatment of these related conditions. I also get a lot of fluttering that I'm not sure is my heart or can gas cause it? But from yesterday my stomach is not feeling well, gas trouble is more, feeling of . Found insideNew editor William G. Stevenson, highly regarded in the EP community, brings a fresh perspective to this award-winning text. WebMD does not provide medical advice, diagnosis or treatment. 2005-2015 WebMD, LLC. If the level of potassium in your blood drops below normal, it may cause low energy, leg cramps, and more. I have a fluttering sensation in my chest that feels like an ectopic beat. Heart flutters, also known as heart palpitations, feel like a fluttering in the chest or an unusually fast heart rate. Search by name or medical condition. Our pill identification tool will display pictures that you can compare to your pill. The fluttering continued off and on, mainly without the dizziness. Found inside Page 6incomplete deglutition ; sense of swelling in throat with feeling of constriction Chest . Rough feeling in chest ; unnatural fluttering in chest Although heart flutters may be of concern and feel like they are extremely serious, they usually are a minor health event. Answer: I thought I was having heart palpitations right in the center of my chest, it wold take my breath away, along with terrible anxiety. Dr. Karen Butler answered Family Medicine 21 years experience Found inside Page 100 drawing sensation in the left side of the chest , extending upward to the forcing feeling about the apex of the heart , with fluttering and general The chest flutter is called fibrillation. Ten years later, the book continues to change lives. In honor of the book's 10th anniversary, Hyperion is proud to be releasing the book with a new afterword by the author, and to share this wonderful book with an even larger audience. Pneumonia is a lung infection and causes cough, shortness of breath, wheezing, chest pain, fever, and chills. Cryptococcosis is a lung disease causing a wide range of digestive, respiratory and cardiovascular symptoms. The Line Tender meets The Secret Horses of Briar Hill in this hopeful, heartfelt story about one girl's search for legendary horses and her quest to piece her family back together. Found inside Page 60Three months ' itching of face and scalp ; bruised feeling there ; twisting pains of abdomen ; fluttering feeling in chest ; painful menses and leucorrha . Scleroderma is an uncommon immune disorder that causes collagen to build up in the tissue, making it harden. I'm wondering read more. Heart palpitations and ectopic beats. Found inside Page 49((indicates chest)) Um # seem ok during the ## day 114 D: Yeah 115 P: But it 1 sort of goes chooooo ((gestures to indicate fluttering feeling over chest It feels like fluttering in my chest and at times it almost takes my breath away when it happens. Why You Should Rethink That Drink Before Dinner, New Clues Why Mosquitoes Find You Irresistible, Popular Heartburn Meds Can Have Health Risks, Premature ventricular contractions (PVCs). Heres why you should try setting smaller goals, WATCH: 4 things to look for in a cloth mask. But sometimes the spasms are frequent and can prevent food and liquids from traveling through the esophagus. Read expert perspectives on popular health topics, Get ready for changes to your health care coverage. it definitely helps. See additional information. Found inside Page 31 Palpitations (a feeling of skipped heart beats, fluttering or 'flip-flops,' or feeling that your heart is 'running away') Pounding in your chest Sickle cell disease symptoms include repeated infections, yellow skin, fatigue, dizziness, pain, and more. Some heart rhythm disorders can cause a fluttering in the chest, shortness of breath, chest pain or dizziness. Emphysema is a chronic lung condition that causes shortness of breath, a chronic cough, wheezing, and more. Legionnaires' disease is a severe type of pneumonia and causes headache, chills, high fever, a cough, and more. Does anyone have any idea what causes a fluttering/quivering sensation in head and chest and at times arms fall asleep and hand twitches? Pseudohypoparathyroidism is a rare inherited condition that can lead to cramps, muscle spasms, and more. Today i felt some fluttering sensation in left chest for about 6-7 sec and gone. MD. Found inside Page 406Feeling of compression of the chest and great weight ; a feeling as if the heart symptoms appeared ; sudden fluttering of the heart , after walking But it's still very scary because it's your heart! This is how chronic atrial fibrillation starts for many of us, and those who develop it often have little to no prior medical history to speak of. Fluttering sensation in chest can be worrisome. Fight allergies with daily forecasts, local alerts, and personalized tips. Pain in other parts of the body: pain or discomfort can begin in the chest and spread to shoulders, arms, elbows, upper back, neck, jaw, throat or abdomen. Dust exposure can cause congestion, runny nose, cough, shortness of breath, tightness in the chest, and more. Vitamin B12 deficiency symptoms include fatigue, pale skin, weakness, sleepiness, numbness, weakness, and more. so any treatments can be started early.You deserve to know if something is wrong! The fluttering feeling in your rib cage could be heart palpitations. Atrial fibrillation is a heart condition that causes heart palpitations, confusion, dizziness and more. Heart palpitations are heartbeats that can become noticeable. Some heart rhythm disorders can cause a fluttering in the chest, shortness of breath, chest pain or dizziness. Laryngitis. Provides a comprehensive review of noncardiac chest pain. A pounding or throbbing sensation - like your heart is beating too hard. On feb-2021 i had undergone ECG and TMT for slight chest pain, ecg and tmt were normal. An abdominal aortic aneurysm is swelling of the main abdominal artery and can cause sudden chest pain. Take a free online quiz to learn more by clicking here. Sjogren's syndrome is an autoimmune disorder that most often causes dry eyes and dry mouth. Drug, supplement, and vitamin information on the go. Neuralgia is pain caused by abnormal structure or function of a nerve. Twingles This discussion is related to Sudden Fluttering Feeling In Chest. A fluttering sensation in your chest. I guess it is his sinuses draining. Search by name or medical condition. Dr. Luebbert: A heart palpitation is a feeling that the heart is fluttering, skipping a beat or beating too fast and could be a symptom of an abnormal heart rhythm (arrhythmia). Esophageal spasms can feel like sudden, severe chest pain that lasts from a few minutes to hours. This has been going on for many months. Asbestosis is a serious lung disease, causing shortness of breath, dry cough, chest tightness and more. Hyperparathyroidism can cause fatigue and weakness, increased thirst, impaired thinking, and bone fractures. Found inside Page 372Three months ' itching of face and scalp ; bruised feeling there ; twisting pains of abdomen ; fluttering feeling in chest ; painful menses and leucorrhoea Found insideThis book describes a ubiquitous and potent emotion that has only rarely and recently been studied in any systematic manner. I am on Bystolic.05 mg because it was prescribed by my doctor (started on it Feb. 27, 2014). completely healed. Heart palpitations can feel like a fluttering in the chest, a pounding heart, or a racing pulse. Get information and reviews on prescription drugs, over-the-counter medications, vitamins, and supplements. With our new LiveWell with Advocate Aurora Health mobile app, you can manage health and wellness for yourself and for everyone who counts on you. Posted 8/8/2005 4:55 PM (GMT -6) Almost two years ago I felt a fluttering in my chest (no pain) which was followed by a feeling that I might black out. Depending on what the underlying causes are, it may be accompanied by chest pains, dizziness, sweating, and severe headaches. The fluttering sensation may be neuralgia (nerve related pain) or palpitations [after menopause]. Left untreated, youre five times more likely to have a stroke, and strokes for people with AFib can be more severe, according to the CDC. If the level of potassium in your blood drops below normal, it may cause low energy, leg cramps, and more. Heart palpitations can cause a sensation of a pounding heart or a racing pulse. Anyone have any ideas of cause. That's when you get the feeling of a butterfly or flutter in the chest. WebMD Symptom Checker helps you find the most common medical conditions indicated by the symptoms cough and palpitations (fluttering in chest) including Common cold, Bronchitis, and Asthma (child). Three days ago, I had either a stomach virus or food poisoning and had some pretty intense vomiting. Dr. Christiane Northrups #1 New York Times bestseller The Wisdom of Menopause has inspired more than a million women with a dramatically new vision of midlifeand will continue to do so for generations to come. It lasts for about 5-10minutes although in the evening last night it was almost an hour before calming down then . Chronic sinusitis, or sinus infections, cause a stuffy or runny nose, tooth pain, fever, sore throat and more. Symptoms of heartburn and GERD are a burning feeling in the chest, throat, or mouth, nausea, and more. Question: what causes a fluttering, shaking feeling in the chest (left side) upon awakening? You may notice heart palpitations in your chest, throat, or neck. All rights reserved. Basically for the last 5 days (and getting more frequent episodes) I've been getting a weird fluttering feeling in the middle of my chest.
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