Feeling of heartbeat. Due to this.

Feeling your heartbeat prominently in the evening or while trying to sleep is quite common and is usually described as palpitations. In many people, it is benign, but it should still be evaluated if it is frequent or disturbing sleep. Common causes include: * Stress, anxiety, overthinking * Fatigue or lack of sleep * Excess caffeine/tea/energy drinks * Smoking or alcohol * Low hemoglobin (anemia) * Thyroid problems * Vitamin deficiencies (especially B12, Vitamin D) * Gastric bloating/acidity * Irregular heart rhythm such as premature beats or SVT It becomes more noticeable in the evening because: * The surroundings are quieter * You are lying down and more aware of the heartbeat * Stress hormones and fatigue accumulate through the day Advice * Avoid coffee/tea after evening. * Avoid late heavy meals. * Sleep on time and maintain hydration. * Reduce stress and screen time before bed. * Avoid smoking/alcohol if applicable. * Regular walking/exercise helps significantly. Important tests to consider * ECG * 24-hour Holter monitoring (very useful for palpitations) * Thyroid profile (TSH) * CBC/hemoglobin * Electrolytes * Vitamin B12 and Vitamin D * Echocardiography if symptoms persist Seek urgent medical attention if you have: * Chest pain * Fainting * Severe breathlessness * Very rapid or irregular pulse * Family history of sudden cardiac death