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

### input:
I have epigastric flutters with some nausea. I have been on Valium for anxiety but do not take it regularly. Gaviscon will stop the flutters for the most part. I am so afraid it is my heart and then I get all upset about that. I might add that my husband recently passed away of a massive MI in his sleep. He was 51. Well I just turned 54 and am very overweight but have been trying to eat better over the last few years. I have type 2 diabetes...not good but well controlled with meds. I take nexium in the morning for reflux and zantac at night. I am pretty sure I get palpations from time to time and was in the hospital for SVTs in 2008. No problems since then. I noticed in my 30s that I was experiencing PVCs but no problems. Had echo with no adverse dx. Should I be concerned and if so where should I start.

### output:

Hello thanks for asking from ChatDoctorYou have lost your husband and this was a serious trauma to you. The symptoms like epigastric flutters, anxiety, fear etc. could be occurring due to anxiety. You are on antacids for epigastric discomfort still the symptoms are persisting. I would advise you to visit a psychiatrist for evaluation. Also get your ECG done to rule out any cardiac problem. SVT or PVC can get aggravated in anxiety also and may present even with anxiety as chief presentation. For anxiety symptoms medicines like low dose benzodiazepines can help like you are already taking Valium on SOS basis. For proper treatment of anxiety medicines like SSRIs as Sertraline can be used. The Chat Doctor. 