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

### input:
Had issues in January with my heart racing and my blood pressure shooting way up after being startled awake from a deep sleep. Over the next month had issues on and off with the feeling like my heart was going to take off again. I have had lots of blood work, stress test, ultrasounds, colonoscopy, endoscope and so on. They found a minor case of acid reflux, and I am having stomach spasms, but nothing else that would raise any alarms. They have had me Protonix, an anti-spasm medicine for my stomach. Then they tried nexium, and when I was still not feeling right they put me on Carafate Suspension which I was taking for about 3 weeks with not much improvement. I am now taking an anti-anxiety medicine. I feel like it is just masking the issues. My sternum hurts, I get muscle twitches in my left pectoral area, my heart beats faster at times and I am having palpitations from time to time.

### output:

You have symptoms like palpitation, high heart rate, pain in sternum and anxiety, muscle twitching. As per this there are couples of possible issues like, it can be related to heart problem, but you have mention that you have done ECG and stress test for which the report is normal. I suggest to repeated it once again with ECG and treadmill test. If there is an issue, talk to cardiologist and if its normal then go for calcium and bone mineral density test. Here based on report you may need to take calcium and vitamin D supplement if there is a deficiency. Now if this is also normal then the next is acidity problem for which you should take anti acid tablets and along with this I suggest doing regular walking morning and evening. Do not sleep after food, and have dinner minimum as well maximum by 8:00pm. Do not eat anything after that. As well also have fruits in your diet regularly. Every day morning first thing you should have is one banana for better digestive health and then your regular break fast with little gap in between. You can Also visit a dietician and physiotherapist for diet as well exercise advice and may take physiotherapy treatment for pain at sternum. This will help to give you some more relief. Here based on your symptoms I have given you general guideline, but I am sure this will be helpful if you follow it well. Take care