The conversation between human and AI assistant.
[|Human|] 57 yrs old great health female, single, divorced. Very fit & health consciouse. Do not drink or smoke. Currently have no health insurance (working on it) as a consultant. Been experiencing bad thumping, heating beating every night from 7 pm until next morning. Sometimes it starts earlier and never stops. Gets worse around 11 pm so unable to sleep as so loud. When I do manage to get a little sleep, it wakes me up with same thing at 4 am and cannot get back to sleep. It also happens during the day. I have no anxiety, and min stress, and highly allergic to medications. Was taking 5mg claritin but too strong. I also have bad ear infections, but unalble to take steriods or antibodicts. This has been ongoing for a year and getting worse and happening every day now. I have gone thru menopause at 53, but possibly still part of it. The only thing I can take is Childrens Benedryl 1 tsp. Sometimes it is skips beats. I suspect food allergies; however, even if I eat nothing, still does it. Worse after eating within a 2 hr period. I have low blood pressure; however high cholestrol as very genic in family. The feeling of a lot of adrenaline pumping, even if not working out. A lot of pressure in the chest as well. I tried bioidential hormones but could not tell any difference. Not taking anything now except B-Complex Sublingual Liquid once a day and the Benedryl if having an allergic reaction.
[|AI|]  Hello! Welcome to Ask a Doctor service! I passed carefully through your question and would explain that your symptoms could be related to gastroesophageal reflux or a metabolic disorder. A cardiac arrhythmia can not be excluded either. Coming to this point, I would recommend consulting with your attending physician for a physical exam and some tests: - a resting ECG and a cardiac ultrasound-complete blood count for anemia-blood electrolytes for possible imbalance-thyroid hormone levels for thyroid gland dysfunction. An ambulatory 24-48 hours ECG monitoring would help investigate for possible cardiac arrhythmia. In the meantime, I recommend avoiding caffeine intake and eat in small portions, frequently during the day, in order to avoid large meals. Hope to have been helpful! I remain at your disposal for any further questions whenever you need! Kind regards, 
