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

### input:
My name is Staci and I just turned 45 in December. I have my period regularly and no signs of Menopause so far. I sometimes get heart palpitations off and on during PMS and Menstrual Cycle. I was told this was hormones. I am under an unusual amount of stress right now at work, and financially at home. I have OCD, anxiety, and high amounts of stress in my life. I am however, very productive and busy with work and family. I take 80 m of Prozac per day for the past 20 or so years- helps well with the OCD. I take up to 2 m Xanax at evening time for past 16 years, and Prilosec for acid re-flux. This week I started experiencing heart palpitations on a daily basis every half hour or so just sitting at work or on the go. I am PMSing but have never experienced this many palpitations before and so constant. Could this be stress along with PMS and hormones? or should I see a doctor? My BP is normal (low) and cholesterol normal (low) with no known health problems. I exercise 2 days per week and am very active. I am 5.1 177lbs. Can you give some input on this? I am guessing it is stress related- work is very stressful right now- more than usual, and with money being a worry at home it is very stressful! I can feel the stress in my body! But have to work to provide. What do you suggest? Thanks, Staci -I am sorry I just saw that this site requires that I pay money in order to get some advise. I cannot afford to pay as I am overdrawn in my account. Thank you anyway. Staci

### output:

Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of uncontrolled stress, anxiety and panic disorder related symptoms is more likely in your case. But better to rule out arrhythmia (rhythm disturbances in heart) for your palpitations. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Stress and anxiety appear more for your symptoms. Only Chat Doctor.  Counselling sessions by psychiatrist are also very important. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Don't worry, you will be alright witChatDoctorbination of counselling and anxiolytic 