Anxious Feeling And A Pounding Heart To The Chest And Muscles Under The Ribs Are Uncomfortable?

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, 2 months ago I had chest muscle cramps under my ribs. Dr. Nerve asked for X-rays and ecg. The result is a normal heart. But today there is a feeling of anxiety and a pounding heart so that the chest and muscles under the ribs feel uncomfortable. What is the handling like? Thank you.

1 Answer:

Hello Ade Kurniawan, thank you for the question for HealthReplies.com

First, I want to confirm beforehand, does the anxiety you feel precede the occurrence of a palpitations or do you experience a pounding heart first and then you feel anxious?

The causes of heart palpitations can vary. In normal conditions, a person can also feel their heart beating faster, for example when they are exercising or doing heavy physical activity, when they experience fear and anxiety, when they are stressed, when the air is hot, or when a woman is pregnant. In these conditions, the palpitations can subside on their own and do not cause further problems.


Even so, there are also several diseases that can cause the heart to flutter or experience palpitations, including:

Heart-related causes:

heart rhythm disturbances
heart valve disease
heart attack
heart failure
cardiomyopathy (a disorder of the heart muscle)
and so forth

Non-heart related causes:

conditions of anemia, dehydration, fever
metabolic disorders such as hypoglycemia (low blood sugar), hyperthyroidism (excess thyroid hormone), disorders of the adrenal glands
side effects of using certain medications, such as adrenaline, norepinephrine, dopamine, nitroglycerin, cold medicine, allergy medications
psychiatric causes, eg panic attacks and anxiety disorders, panic attacks, somatization, depression
use of illegal drugs such as cocaine, amphetamines
excessive caffeine consumption, excessive smoking, and excessive alcohol consumption


To find out the right treatment for your condition, it is necessary to first know the exact cause. You can see your doctor for further tests. Several tests that can be done to find out the cause include blood tests, blood sugar, thyroid profile, EKG or heart record, ultrasound of the heart, and other tests deemed necessary. If the examinations do not reveal any physical illness, you can consult a psychiatrist to find out if there is a certain psychological disorder that can cause the heart palpitations (for example, if you often experience excessive anxiety followed by heart palpitations).


In the meantime, here are a few things you can do:

drink in sufficient quantities at least 2-3 liters a day, drink more when the weather is hot, you have been exercising, or you have a fever
rest and sleep enough
reduce stress and try to be more relaxed
cut down on smoking, alcohol, and don't drink coffee excessively
If you feel a pounding heart after taking certain drugs, consult your doctor about using these drugs.


That's all from me, hopefully it can be useful

dr. Irna Cecilia


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