Hello Sir/Madam,
My wife is 30 years old she is noticing a palpitations increase in heartbeats which comes for some time and goes off...
Noticing since last 15 days when she wokes up suddenly or in between a day she is feeling this...
Is this happens due to b12 and vit D defeciency or for what reasons this happens is this normal or to be worried.
Please advise it will be a great help.
Thank you.
Answers (22)
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Hello,
She needs to get an ECG done during ongoing palpitations apart from other basic blood tests. She’ll also need a proper consultation for evaluation of the cause and further treatment.
Palpitations are a common symptom and most people are fine.
Do the following
1. Blood tests- CBP, TSH, HbA1C, KFT, Magnesium and Calcium
2. ECG
3. Holter ECG for 48hrs
4. Echocardiogram
5. Blood pressure check
6. Reduce tea, coffee and alcohol
7. Most probably may need a medication called Bisoprolol after tests
All the best.
J G S R clinic
Palpitations after waking up can occur due to many causes such as nutritional anemia , anxiety, stress , hormonal disorder .
It can occur due to vitamin d and b12 deficiency also .
Next Steps
it's not an emergency .But get an routine health checkup which include blood pressure, RBS , CBC , lipid profile , LFT , vitamin d 3 and b12 profile
Health Tips
Drink plenty of water
Avoid caffeinated ( tea , coffee )
Avoid alcohol
Avoid fast food
I understand your concern. Palpitations that come and go, especially on sudden waking or during the day, are quite common in young adults and are often not dangerous. They can be triggered by stress, anxiety, lack of sleep, caffeine, dehydration, or hormonal/thyroid issues.
Vitamin B12 or D deficiency can contribute, but they are not the most common cause of sudden palpitations.
Next Steps
• Get a resting ECG (and preferably during symptoms if possible)
• Check thyroid profile (TSH), Hb, B12, and Vitamin D
• Reduce tea/coffee, ensure good sleep and hydration
• If episodes last >10–15 minutes, are very frequent, or associated with dizziness, chest pain, or breathlessness, evaluation should not be delayed
Health Tips
Most cases turn out to be benign, but the right tests at the right time make all the difference. A focused consultation helps decide whether reassurance is enough or if monitoring (like Holter) is needed — and prevents unnecessary anxiety.
Palpitations (sudden awareness of fast or strong heartbeats) that come and go, lasting 15 days, and triggered by sudden waking up or occurring randomly during the day, are very common at age 30 — especially in women.
Most frequent causes in this age group and pattern include:
• Anxiety / stress / panic episodes (very common trigger, especially upon waking)
• Dehydration or electrolyte imbalance
• Low iron / anemia
• Vitamin B12 deficiency (can contribute, but usually causes more constant fatigue + tingling than isolated palpitations)
• Vitamin D deficiency (linked to fatigue & mood, only indirectly to palpitations)
• Thyroid overactivity (even mild)
• Caffeine, poor sleep, or hormonal fluctuations (pre-menstrual, post-partum if applicable)
Is it normal? In most young women — yes, it is usually benign (not dangerous).
Is it serious? Mostly not, but it should be checked because a small percentage of cases can be due to:
• Arrhythmia (SVT, PVCs, atrial fibrillation)
• Mitral valve prolapse
• Hyperthyroidism
• Rarely something structural
Next Steps
Please do the following in the next 1–2 weeks (no need for emergency unless symptoms worsen):
1. Visit a general physician or cardiologist
2. Ask for these basic tests:
• ECG (even if normal when feeling well, it rules out many things)
• CBC (check hemoglobin & MCV for anemia / B12 clue)
• TSH + free T4 (thyroid)
• Serum B12 + Vitamin D (you already suspect these)
• Electrolytes (potassium, magnesium, calcium)
3. If palpitations are frequent/long, ask for a Holter monitor (24–48 hour ECG recording) — gold standard to catch what happens during episodes
4. Go to ER / urgent care same day if:
• Palpitations last >10–15 minutes without stopping
• Come with chest pain, severe dizziness, fainting, or shortness of breath
Health Tips
• Drink 2.5–3 liters water daily (dehydration is a very common trigger)
• Cut down caffeine (coffee, tea, energy drinks, chocolate) for 1–2 weeks — see if it improves
• Avoid sudden standing or very hot showers
• Try deep breathing (4 sec in – 4 sec hold – 6 sec out) when it starts
• Improve sleep (7–8 hours, fixed time)
• Eat regular meals — low blood sugar can trigger palpitations
• Start gentle magnesium-rich foods (banana, spinach, almonds) or consider 200–300 mg magnesium citrate/glycinate at night (safe for most people, but check with doctor if kidney issue)
In 80–90% of cases like this in a 30-year-old woman with no other red flags, it turns out benign and improves with lifestyle + correction of any mild deficiencies.
But checking gives peace of mind and rules out the uncommon but treatable causes.
For more specific advice (once you have the test results), feel free to consult online with the reports.
Wishing your wife quick relief — take care!
Could be anxiety, anemia, hyperthyroidism or cardiac issues.
Get Haemoglobin, thyroid profile, ECG, cardiac echo done and share results.
Holter monitoring is useful to know the exact type, frequency of abnormal heart beats.
Problem can be cured by treating the cause.
Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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