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Palpitations and post menopause symptoms

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I am a 51 year old white female. Surgical induced menapause 9 years ago. Not currently on HRT. For the last 6 months I have been experiencing heart palpitations. This began as "episodes" and now has become consistent and chronic. I wake in the morning to this, and have trouble falling asleep. My heart beats rapidly, and alternates with heavy pounding, with some chest tightness and pain. I have no shortness of breath at all. I do smoke, drink some caffeine, no alchohol, ever. about 3 months ago the episode was severe and I went to the er where they tested my heart, blood work, chest xray. Diagnosis was "postmenapausal syndrome" and generalized anxiety. My dr prescribed Xanex, .5mg pills, 1/2 tab once daily and 1/2 or 1 whole tablet at bedtime. This does help, but I do not feel anxiety, general good health, married, 13 yr old son, active etc. I just cant believe I am going to spend my whole life with a pounding, fluttering, bouncing heart! Is there anything else causing this? Help!

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replied January 14th, 2010
General Q and A Answer A9154

Welcome to the ehealthforum and I am really glad to help you out. Since the status of your heart has come out clear, it rules out any heart cause for this palpitation. Without examination, I cannot confirm a diagnosis but the symptoms are suggestive of post menopause. A hysterectomy is an artificially induced menopause. In my opinion, you should consult a gynecologist and start with hormone replacement therapy. You can also take Selective Estrogen Receptor Modulators like Femarelle which are derived from a botanical source (Phytoserms) or phytoestrogens which have an estrogenic effect on the body and therefore create a moderated estrogenic effect.

The other causes can be anemia, hyperthyroidism, abnormal levels of electrolytes like potassium, magnesium, and calcium, caffeine, tobacco and alcohol intake. I feel that a clinical evaluation and investigations like Hb levels, thyroid profile and blood tests measuring the levels of electrolytes are needed in confirming a diagnosis. Please consult a physician/gynecologist for this.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For an exact diagnosis, you are advised to consult your doctor. I sincerely hope that helps. Take care.

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