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

### input:
Im a 47 yr old female and am hypothyroid with mitral valve prolapse . I have been experiencing something that feels like palpitations but is not necessarily in my heart area but more like gallbladder area. This has been occurring for almost 2 mo. and I have them throughout the day also when I lie down for bed. I have about 6 a day and they last from a few seconds to a minute or two. They do not cause any pain. I rarely ever get heartburn if ever, very little indigestion, or any digestion trouble whatsoever? Had echo of mitral valve a yr and half ago...all great. What could be causing this?

### output:

Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. Forum.  You are 47 years old female, got hypothyroid, and mitral valve prolapse, experiencing palpitations in gallbladder area for 2 months. Present throughout the day when lying down, or else getting sometimes. sometimes heart burn, one and half year back you had echo then everything is O.K. One and half year back you had echocardiogram ind it was O.K. means then it was compensated, but probably due to your diet habits like excess salt, junk foods, oily foods, or increase in your weight, can cause decompensation of the heart, and palpitation. That you may feel in the stomach. Heart burn also may be due to enlarged liver due to heart problem.  As you have heart burn it also can mimic palpitation.  I advise you to consult a cardiologist for diagnosis and treatment. You may need to have echocardiogram besides other routine tests for confirmation.  Wishing for a quick and complete recovery.  Best regards.