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

### input:
My BP is 109 by 67. Blood Sugar Fasting is 98 and 2 hours after breakfast is 124. I weigh 78 KG. I am 59 year old. I do moderate exercise ( A 3-4 KM MORNING WALK 6 TIMES A WEEK FOR 45 MINUTES) and am a vegetarian. My food habits are timely (breakfast at 8:30, lunch 1 PM, Dinner at 9 PM, I might snack around 6 PM which could be fruits or a sandwich). I get occasional palpitation and some kind of flutter in stomach. Do I need to be worried?

### output:

Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something. There are different reasons that might cause palpitations. In general, they are caused by electrical issues in the heart. It may be just an elevated heart rate above 100/beat for minute that gives you a palpitation or an extra-sistolik beat. This is an electrical impulse generating in a part of the heart that produces an escaped beat that you feel like a palpitation or like a flutter in stomach. Physical or emotional stress, caffeine products might cause increased heart frequency or escaped beats so It's mandatory to avoid them. All sow, there are different pathologies like anemia, thyroid gland problems like hyperthyroidism that might be the cause of fast heart beats and palpitations. When you experience a high frequency, it might be normal to experience palpitation or a fluttering in stomach. If these frequencies/palpitations are interfering in your normal daily live, If I was your treating doctor I will recommend some simple examinations. I will recommend an electrocardiogram, a cardiac echocardiography and of course a rhythm holder monitoring for 24 h. This is necessary to have a full view of your mean frequencies during day and night. After these, a full blood check up to exclude anemia or thyroid problems. Doing these examinations helps us understand if it is necessary to do something or not. But if you feel these palpitations occasionally, my opinion is you have nothing to worry about. Hope I was helpful. Wish you good health. Best regards.