- female
- 30 Years
- 20/02/2025
I've been experiencing this weird sensation where I can feel my heartbeat or pulse when I'm lying down on my pillow. It usually happens in the side of my neck or at the back of my head. This has been going on for about three months now. I've had an ECG and an echo, and they were normal, except the ECG showed sinus tachycardia. I also got a thyroid test, which came back normal. My blood pressure is fine too, and I dont have any other symptoms. Its just strange that it only happens when Im lying down. I did have COVID nine months ago, but that feels like ages ago now. What should I do next?
Answered by 1 Apollo Doctors
It sounds like you may be experiencing palpitations, which can be concerning. Since your ECG and echo were normal and your thyroid test was also normal, it is good news that there are no major issues detected so far. Sinus tachycardia can sometimes cause palpitations, especially when lying down. One possible next step could be to monitor your heart rate with a Holter monitor to see if there are any irregularities in your heart rhythm over a longer period of time. In the meantime, you can try to avoid caffeine, alcohol, and stress, as these can sometimes trigger palpitations. If the symptoms persist or worsen, it would be best to follow up with your healthcare provider for further evaluation and management.
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
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AI powered Health Chatbot
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Understanding Your Symptoms
- Feeling your heartbeat in the neck or head can occur due to increased awareness, especially when lying down. Your normal ECG and echo are reassuring, and sinus tachycardia is a common finding indicating a faster heart rate.
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Possible Causes to Consider
- Benign causes include heightened pulse awareness, anxiety, or positional effects. Less common causes might require further evaluation.
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Next Steps for Evaluation
- Monitor symptoms and keep a diary. Follow up with a cardiologist or primary care physician. Consider additional tests like Holter monitoring if symptoms persist.
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Lifestyle and Symptom Management
- Practice stress reduction techniques and avoid stimulants like caffeine. Experiment with sleeping positions to reduce the sensation.
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When to Seek Immediate Medical Attention
- Seek urgent care if you experience chest pain, dizziness, or fainting.
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Summary and Reassurance
- With normal heart tests and no other symptoms, serious issues are less likely. Maintain open communication with your healthcare provider for ongoing concerns.
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Consult a Cardiologist or Consult a Family Physician
Answered 10/09/2025
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.