OpenHealth Q&A

Get answered by medical professionals

Unusual Heart Sensation

2/7/2026, 4:30:20 AMMale25-34

I’m an 18-year-old, weighing 50 kilograms and standing at 170 centimeters (and yes, I’m aware that I’m quite slender). For the past couple of years, I’ve developed a habit of smoking about half a pack of cigarettes each day. So, the other day I was lying on my left side, relaxing, when I stumbled upon an unusual sensation. It felt as though my heart was pulsating so intensely that it was almost outside my body. Out of curiosity, I pressed a bit on the area and was instantly hit with a rush; my head started to tingle, my vision momentarily blurred, and it felt as though my heart dropped. It was as if my entire system had malfunctioned. Just for context, I’ve experienced something similar before after a ketamine overdose, and it persisted for about a month afterward, occurring occasionally while trying to sleep or during random moments in bed. This current episode has me quite anxious, especially since it hasn’t happened in a while, but this time felt particularly alarming.

Multiple SclerosisCOPDInternal Medicine

Answers (1)

Cony

2/7/2026, 4:30:35 AM

OpenHealth AI

It's understandable to feel anxious when experiencing unusual sensations related to your heart, especially considering your past experiences. The intense pulsation you described and the accompanying symptoms could be related to several factors, including anxiety, physiological responses, or the impact of smoking and previous substance use. Here’s a breakdown of what you should know and what steps to take:

Main Points

  1. Possible Causes: The sensations you felt could stem from anxiety, smoking habits, or changes in heart rhythm. These can be influenced by stress, lifestyle, or substance effects.
  2. Symptoms to Monitor: Focus on identifying any patterns in your symptoms and being aware of accompanying factors, such as anxiety levels or physical habits that might trigger these sensations.

Explanation

When lying on your side, you may have felt your heartbeats more prominently, especially if you're tense or anxious. Pressing on your chest could stimulate a vagus nerve response, leading to dizzy feelings or changes in vision, which are not uncommon. Smoking affects cardiovascular health, and using substances like ketamine can have aftereffects that impact both mood and physiological responses.

Next Steps

  1. Focus on Lifestyle Changes:

    • Reduce or Quit Smoking: Consider gradual reduction or seeking help through counseling or cessation programs. This will benefit your overall health and potentially alleviate unusual sensations.
    • Practice Relaxation Techniques: Engage in deep-breathing exercises, meditation, or yoga to help reduce anxiety and manage stress.
  2. Track Your Symptoms:

    • Keep a journal noting when these sensations occur, their duration, any triggers (e.g., stress, caffeine, physical position), and any other symptoms. This can help identify patterns and will be useful if you consult a healthcare professional in the future.
  3. Stay Hydrated and Eat Well:

    • Maintain a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Staying hydrated is also important for your cardiovascular health.
  4. Stay Mindful of Physical Health:

    • Ensure you get regular, moderate exercise, which can improve heart health and reduce anxiety over time.
  5. Seek Support:

    • If anxiety or these sensations persist, consider talking to a mental health professional. They can offer strategies to manage anxiety, explore your substance use, and its impact on your health.

Final Note

Take these steps gradually, and be patient with your progress. It’s great to be proactive in addressing your health. Remember: If you experience severe symptoms such as chest pain, shortness of breath, or prolonged dizziness, it’s important to seek immediate medical attention. I'm here to help if you have more questions or need further guidance!

Related Questions

Seeking Insights: My Journey with Undiagnosed Neurological Symptoms

Hello everyone, I'm a 34-year-old female grappling with neurological symptoms that first appeared in October, and I’m eager to hear from anyone who might have faced similar challenges. My journey began with unexpected migraines, blurred vision, and an ongoing sensation of being off-balance or intoxicated. Gradually, I began experiencing mainly sensory-related symptoms, such as tingling and burning sensations, feelings of extreme heat and cold, sharp pains radiating in my arms and back, as well as discomfort in my hands and toes, alongside intermittent numbness. I also endure varying degrees of weakness and heaviness in my right side, specifically my arm and leg, although I haven’t suffered complete functional loss. The nature of my symptoms is erratic; they fluctuate rather than consistently deteriorate. An MRI revealed mild, scattered lesions in the white matter, which were deemed nonspecific. Further tests from a lumbar puncture returned normal results, showing no markers of inflammation, and the oligoclonal bands were not present. A thorough range of lab tests yielded no significant findings. After evaluating my case, the neurology team suggested a possible diagnosis of MS and administered a three-day course of intravenous steroids. While I noticed a slight improvement in some sensory pain, my symptoms persist and continue to vary day by day. I still experience headaches and pressure in my head along with episodes of blurred vision, but there have been no new deficits since treatment. I am reaching out to connect with others who have had similar experiences. I would like to learn about the insights or diagnoses you encountered and what treatments proved beneficial (such as those related to migraine disorders, dysautonomia, or sensory neuropathy, for example). If you have navigated a similar path, I would greatly appreciate your sharing your story. Thank you!

Multiple SclerosisLupusEndocrinology
Male25-34
22 minutes ago

Should I Seek Medical Attention for Left Ear Pulsatile Tinnitus?

A 31-year-old woman reports an ongoing issue with pulsatile tinnitus, which she is currently experiencing solely in her left ear. Although she's noticed this condition intermittently before, she hadn’t paid it much mind due to the absence of pain. Recently, however, her curiosity piqued her interest in researching the condition, where she stumbled upon information suggesting it could be serious. Usually, she avoids searching online for health worries, but now she is contemplating whether a visit to the doctor might be warranted. Can anyone advise on the need for a medical evaluation in this case?

LupusThyroid DisordersInternal Medicine
Male25-34
22 minutes ago

Concerns About Angular Cheilitis

I’m a 23-year-old woman with no history of smoking, and I’m seeking assistance regarding a health issue. Back in January, I experienced angular cheilitis three times, each episode involving a minor crack at the corner of my mouth that healed within a few days. Following the last occurrence, I became quite anxious due to saliva accumulation in that area. I found myself frequently brushing my finger along that spot. After a few days, I observed a small area forming that appeared white and had a rough texture. Eventually, I realized it was not just a coincidence, and I started taking action, but only after it became noticeably larger. To address it, I cleaned the area with a mix of alcohol and apple cider vinegar. I’m uncertain about what this issue could be, but I’ve recently begun using over-the-counter Clotrimazole cream while also keeping the area moisturized with either lanolin or petroleum jelly. Unfortunately, I haven’t noticed any improvement, and I’m concerned as it seems to be expanding. The patch continues to be rough and excessively dry. Although I can open my mouth wide without any cracks forming, I do feel tension in the skin, similar to having a bandage over that location. At times, I experience a burning sensation after thorough washing, and I’ve noticed tiny red spots appearing on the outer edges of the patch sporadically.

LupusInternal MedicineEndocrinology
Male25-34
42 minutes ago

Mass on the Glottis

Patient Details: 63-year-old male, height 165 cm, weight 66 kg, Asian descent. Lifestyle Factors: No history of smoking or alcohol consumption. Medical History: Diagnosed with asthma and angina. Current Medications: Uses a Symbicort inhaler and takes Concor tablets. Main Concern: A mass was detected during a gastroendoscopy carried out a year ago. There is no report of pain, but the patient experiences mild hoarseness. What might be the diagnosis?

AsthmaCOPDInternal Medicine
Male25-34
1 hour ago

Post-Gallbladder Surgery Concerns: Potential Infection Three Weeks Later?

Subject's Age: 35 Gender: Female Height: 5 feet 4 inches Weight: 160 pounds Ethnicity: Asian Duration of Symptoms: Last Three Weeks Geographic Location: United States Relevant Medical History: Almost three weeks ago, I underwent gallbladder removal surgery. In the last few days, I have observed a small amount of cloudy discharge emerging from my incision site. Recently, I noticed what appears to be pus leaking from the area. While there is no significant pain, I do feel a mild soreness when I touch or move the site. I have not experienced any fever or chills, and there’s no unpleasant odor coming from the wound. Should I continue to clean the area with soap and water, or is it advisable to seek medical attention at the emergency room for further evaluation?

Multiple SclerosisFibromyalgiaInternal Medicine
Male25-34
1 hour ago