### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Age - 23Height - 57Weight - 70 kgI have have on and off PVCs and other symptoms for the past few months. The doctors say it is stress/anxiety related.I dont really have stress or anxiety anymore. I feel better now except for one symptom.Occasionally when I am walking, I get the elevator feeling. As if the ground comes up or Im pushed down.The worst part is, whenever I rhythmically shake any part of my body; my hands or especially legs, the elevator feeling starts. I instantly feel as if Im moving up and down, my heart rate instantaneously goes up when I get the pushed down feeling, and I also feel anxious. I dont have high BP or any structural abnormality in my heart. I had my ear checked, no inner ear infections or inflammation. I had an MRI and it turned out to be clear.I do have tinnitus in my left ear. Id be very grateful if someone could tell me whats going on and what I could do next.

### output:

Hello, You mentioned vpc, this can very well cause your all symptoms. Usually cause for this anxiety, stress, Chat Doctor.  I guess you undergone echo and its normal.  Along, with VPC you can have other arrhythmias like PSV or atrial fibrillation, in which heart rate suddenly goes up and then Normalizes. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope and other symptoms.  So we need to evaluate for the cause. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality, so you will need 24 hour holder monitoring if symptoms are occurring in daily basis. So visit nearby cardiologist for this investigation.  Also, hemoglobin and thyroid test should be done. Ln order to abort such episodes you should try to cough hard.  Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day which will take care of your symptoms.  If none of the above is successful then last option and you'll not probably need it, is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. So get back if you have any further doubts.