What are the symptoms? Lyme carditis can cause light-headedness, fainting, shortness of breath, heart palpitations, or chest pain. stress and anxiety. The anxiety response Anxiety is a response to stress, which in. The content on the Spinal CSF Leak Foundation website is provided for general informational and educational purposes only. A fever can signal the release of the hormone adrenaline, which can raise your heart rate and potentially cause a flutter in your chest, Dr. You must be hooked up to some type of ECG monitoring device when it happens to know what is going on. Palpitations are frequently caused by anxiety. Peripartum (postpartum) cardiomyopathy is a weakness of the heart muscle that leads to heart failure and can be deadly. sore throat. headache*. They are common; some patients find them unpleasant and alarming. Hodgson. The primary objective of this study is to benchmark the current prevalence of CSF leak after TSS in the adult population. That can make it hard to diagnose. Heart Palpitation Causes. An overactive thyroid can cause heart palpitations. It affects the heart's natural pacemaker (sinus node), which controls the heartbeat. Being over-aware of your own bodily functions (including your heartbeat), in combination with surges of adrenaline that are often present in people. Trust NewYork-Presbyterian for Heart Palpitation Treatment. Her heart rate is 43 beats per minute (bpm). Structural or electrical abnormalities within the heart as well as abnormal heart rhythms (or arrhythmias) can cause palpitations too, like in the case of atrial fibrillation (or AFib). Heart palpitations represent a subjective feeling of an irregular heartbeat. Bear down hard, as if you’re trying to go to the. Dr. The vast majority of these common extra beats turn out to be benign (meaning not causing death, heart attack, or stroke), and most patients with sufficient reassurance of. " T 98°F, RR 22, HR 112, BP 120/80, SpO2 100%. Patients may additionally describe the sensation as a rapid fluttering or a flip-flopping in the chest, or a pounding sensation in the chest or neck; the precise description of the subjective sensations. Position also is one cause of tightening especially of the neck muscles affecting the head. Upper back pain and arm pain are common symptoms. Baptist Health reports that feeling stressed or experiencing anxiety can sometimes cause your heart to beat faster than. Stimulants, including caffeine, nicotine, cocaine, amphetamines, cold and cough medications that contain. Difficult-Ad2000 • 2 mo. Shortness of breath, which is also called dyspnea, is a heart disease symptom that can be easily overlooked. A palpitation — a skipped, extra or irregular heartbeat — is a type of abnormal heart rhythm, or arrhythmia. Wood agrees: “That second or third latte of the morning can bring out extra beats. FourScoreDigital • 3 yr. Repeat that pattern a few times. Click the card to flip 👆. Stress, exercise, medication or, rarely, a medical condition can trigger them. Parathyroid disease also frequently leads to osteoporosis, kidney stones, hypertension, cardiac arrhythmias, and kidney failure. Many CSF leaks need a patch to cover the hole or surgery to repair the leak. Plummeting blood oxygen levels can make breathing difficult, sometimes prompting a choking, gasping or snorting reflex. depression. Most headaches when bending over are not cause for alarm, but some require medical attention. Heart palpitations. Some examples of stimulants are caffeine, anti-depressants, Ephedrine, nicotine, amphetamines, ADHD drugs like Ritalin and Adderall, MDMA. A high-carb meal may trigger palpitations if you have low blood sugar. This floppiness may prevent your valve from closing as tightly as it should. Definition. He denies history of CAD, stroke, TIA, or congestive heart failure. One of the most common physical symptoms of anxiety is changes in your heart rate, including heart palpitations. We would like to show you a description here but the site won’t allow us. A sudden change in heart rate can result in heart palpitations. Chant the word. This is a very common complaint which can be caused by many benign as well as severe conditions. Palpitations are the perception of cardiac activity. The estrogen dominance and progesterone deficiency common to perimenopause probably add to this scenario. Heartbeat sensations; Irregular heartbeat; Palpitations; Heart pounding or racing. The key to diagnosis and treatment. Some dietary supplements can cause heart palpitations, such as: Bitter orange. depression. Mitral valve prolapse (MVP) is a condition in which your mitral valve bows or flops back into your left atrium. In a relaxed state where the fluids are flowing through your body at a healthier rate, your body will be more aware of the nutrients it needs. Although they can be unpleasant, palpitations are common. Avoid stimulants. In some cases, it can be considerably higher than 100 beats a minute. The sensation of a muscle spasm is. reactions to certain food or drinks, especially those. They often happen during panic. The same can be said of the brain. CSF leaks can be serious but surgical treatment isn't always necessary. "For generations, millions and millions of women have suffered the symptoms of menopause and suffered in silence," said Winfrey, who experienced difficulty focusing,. In the case of PVCs, the rare time that they cause a problem is when they’re so frequent in number that they start to weaken the heart muscle. Cold, allergy, and asthma medications. Depending on the cause of. A cerebrospinal fluid leak (CSF leak or CSFL) is a medical condition where the cerebrospinal fluid (CSF). A CSF leak happens when there's a small tear in the dura—the lining of the spinal cord and brain. This is often just for a few seconds or minutes. Heart palpitations can be associated with menopause, anxiety, hormonal fluctuations, hyperthyroidism, nutrient deficiencies, excessive caffeine, medications, mitral valve prolapse and heart arrhythmias. D) paresthesias, muscle weakness, and ataxia. Certain medications or other substances, such as caffeine, are also known to cause palpitations. This is partially why so many people pass out in the bathroom and on the toilet - pooping stimulates your vagus nerve, vagus nerve controls heart rate and blood pressure and so on. Unless the palpitations are caused by a heart condition, heart palpitations rarely require treatment. Elevated blood sugar. Palpitations may have no obvious cause, but can be triggered by: physical activity. POTS is a disorder of the autonomic nervous system that can lead the individual to experience a variety of symptoms. was a time when the pharmaceutical industry worried about telling patients about such serious side effects as irregular heart rhythms, hypertension, cancer or blood disorders. Treatment depends upon the cause. A 31-year-old woman with no significant medical history presents to her primary care provider with complaints of intermittent heart palpitations along with dizziness. Palpitations are perceived abnormalities of the heartbeat characterized by awareness of cardiac muscle contractions in the chest, which is further characterized by the hard, fast and/or irregular beatings of the heart. Chemical imbalance. POTS-related fatigue is physical in nature. Sometimes patients can get fast heart rhythms that are associated with stress hormones. Heart palpitations may also be caused by abnormal heart rhythm disorders called arrhythmias. Lyme carditis occurs in approximately one out of every hundred Lyme disease cases reported to CDC. In other instances, palpitations may be felt when the heart is racing. A heart palpitation occurs when there is a disturbance in the electrical rhythm of the heart. More common side effects are mild and temporary, including: fever. Long COVID Heart Issues These range of symptoms show that COVID-19 can attack a variety of organs in the body. Palpitations can last seconds, minutes or longer. heart attack or. Under the guidance of her doctor, she began trying every possible migraine medication, but nothing worked—because Aiza did not have a migraine headache. In addition to hormonal changes. When the fluid leaks out, the volume and pressure of fluid in your. Anxiety causes mental and physical responses to stressful situations, including heart palpitations. A cerebrospinal fluid leak is when CSF leaks from the brain or spine. Heartburn, nausea, or vomiting. Palpitations are defined as the awareness of abnormal heartbeat, rapid pulsation or irregular beating of the heart. Many CSF leaks need a patch to cover the hole or surgery to repair the leak. Baptist Health reports that feeling stressed or experiencing anxiety can. Some harmless causes of heart palpitations during pregnancy include: the heart reacting to the increase in blood volume. This imaging test uses a contrast agent, gadolinium, to better highlight abnormalities in the brain to locate. Hormone changes associated with menstruation, pregnancy or menopause. 7% and 3. CSF leaks can occur after a lumbar puncture, head injury, brain surgery, or spine surgery. Heart palpitations at night usually aren’t harmful. Unless the palpitations are caused by a heart condition, heart palpitations rarely require treatment. Heart palpitations can make someone feel like their heart is fluttering, racing, pounding, or skipping beats. One case of an allergic reaction to diphenhydramine injection as a local anesthetic solution was reported . after. Chest pain. Afib. You may also notice heart palpitations or feelings of lightheadedness. “Some. "Myocarditis is inflammation of the heart tissue. NANDA Nursing Diagnosis for Congestive Heart Failure (CHF) Click here to see a sample Nursing Care Plan for a Patient with Acute exacerbation of Congestive Heart Failure (CHF). You Are Not Alone. heart palpitations. Heart problems are a very rare side effect of COVID-19 vaccines. Some harmless causes of heart palpitations during pregnancy include: the heart reacting to the increase in blood volume. Feel like your heart skipped or stopped beats. Ephedra. When the body’s dehydrated, the heart has to work harder to pump blood. So, your heart speeds up. Emotional factors. The research didn’t show an increased risk of heart failure. Usually lasting only a few seconds, they can also be felt in your throat, neck, or chest. This activity discusses the etiology, pathophysiology, clinical findings, evaluation, and management of CSF leak disorders and attempts to simplify the understanding of these disorders. Anxiety is a potential bridge between digestive issues and heart palpitations. A cranial CSF leak occurs in the skull, and often causes symptoms such as clear fluid leaking from the nose or ear. They realize that even warnings about heart attacks, strokes or death do. It can be the result of relatively harmless or serious heart rhythm problem. The most common pathological correlate is lymphocytic myocarditis of idiopathic or viral origin. Overview. Hawthorn. Assist the client with eating meals and drinking fluids. Wondering if. The lymphatic drainage massage is a healing process and sometimes it can feel overwhelming. Sports. Make an Appointment. Some medications, such as inhalers, blood pressure medications, or allergy medications. Aziz says. Heart palpitations can be caused by a variety of factors, including: Being startled, frightened or under stress. That’s why it’s sometimes called “floppy valve syndrome. Electrocautery: To create more room and allow the cerebrospinal fluid to drain, surgeons may apply a. Not all arrhythmias are harmful or linked to conditions that require evaluation and treatment. A wide variety of things can cause heart palpitations, including but not limited to: Emotions, such as anxiety, stress, fear and panic. The palpitations should not continue for long or become more intense. Angina also can have other associated symptoms like shortness of breath, heart palpitations and lightheadedness. Stress is also a common cause of palpitations. Hormonal changes caused by pregnancy, menopause, or menstruation. Symptoms of a heart attack in women may include: Pain in the neck, back, shoulders or jaw. Spontaneous leaks can also occur but are rare. Other common causes of heart palpitations include: Alcohol consumption. “There are a wide variety of causes for palpitations, ranging from benign conditions, such as anxiety, to life threatening arrhythmias ,” says Dr. Heart palpitations, which make the heart beat faster or irregularly. Caffeine. “A palpitation is the sensation that the heart is beating faster or harder than normal,” Dr. after excessive alcohol consumption. Common causes include: Strong emotional responses, such as stress, anxiety or panic attacks. However, as a leak goes on over time, perhaps the body compensates by increasing blood pressure gradually; at least, that has been my experience. Sometimes people report palpitations when they lie on. A spinal fluid leak occurs when cerebrospinal fluid, or CSF, leaks out of the dura. stress and anxiety. pain or cramping in the abdomen or stomach. Your doctor will tell you to: Sit down or lie down. Symptoms may include lightheadedness, brain fog, blurred vision, weakness,. Coronary artery disease – when plaque builds up on the arteries that supply blood to your heart. Emotional factors that can trigger heart palpitations include: anxiety. Heart palpitations & costochondritis, I feel like you and I have talked before I remember your username haha but anyway I’ve had all kinds of cardiac testing and all were clear. The heart beats faster to pump it up to the brain, but with little success. CSF leaks can often cause severe symptoms, but this condition is very treatable, and up to 98% of people with it will recover. A 66-year-old man with a history of HTN and diabetes mellitus, type 2, presents to the emergency department with complaints of palpitations for over 2 weeks, tachypnea, and chest pain. THC, the active ingredient in cannabis that gets people high, could be affecting the heart through its. The CSF leak occurs when there is a tear or hole in the dura mater, the outermost layer of the meninges that protect the central nervous system, communicating the subarachnoid space with the epidural space and, sometimes, with the skin establishing a connexion between the CNS and the external environment. Palpitations are feelings or sensations that your heart is pounding or racing. 4. The Spinal CSF Leak Foundation is a 501(c)(3) nonprofit health foundation focused on raising awareness, providing education, and funding research for spinal CSF leaks. If heart palpitations come with signs of a cardiac event — such as loss of consciousness; chest pain; difficulty breathing; pain or discomfort in one or both arms, the back, neck, jaw, or. It is normal to hear or feel your heart “pounding” as it beats faster when you exercise. Ventricular tachycardia happens again in 86% of people whose catheter ablation worked at first. The Spinal CSF Leak Foundation is a 501(c)(3) nonprofit health foundation focused on raising awareness, providing education, and funding research for spinal CSF leaks. Heart palpitations, such as fast or irregular heartbeat. Thoracic outlet syndrome vs. Heart palpitations (pal-pih-TAY-shuns) are feelings of having a fast-beating, fluttering or pounding heart. Palpitations may have no obvious cause, but can be triggered by: physical activity. It's well known that anxiety can cause heart palpitations. Study with Quizlet and memorize flashcards containing terms like "I think I picked up a bug overseas," reports a 34-year-old male who presented in the emergency department complaining of frequent watery stools and abdominal cramping. How Stress, Medications, And Lifestyle Choices Influence Heart Palpitations. Postural orthostatic tachycardia syndrome (POTS) is a condition characterized by an abnormally large increase in heart rate upon sitting up or standing. He was prescribed 2l prn oxygen, for use with exertion six months ago at discharge during one of his hospitalizations. It’s currently felt that if the overall burden of PVCs is more than 10-20% of all your heartbeats, then the risk of muscle. Palpitations are a sensation or awareness of your heart beating. Ranging from a reaction to your diet to an underlying cardiac disease, some of the most common causes of heart palpitations include: Chronic stress and anxiety — When you experience periods of stress. Palpitations are perceived abnormalities of the heartbeat characterized by awareness of cardiac muscle contractions in the chest, which is further characterized by the hard, fast and/or irregular beatings of the heart. In fact, a study found that 16% of patients who visited. Baptist Health reports that feeling stressed or experiencing anxiety can sometimes cause your heart to beat faster than. Telehealth services available. Once they got to the emergency room, cardiac tests revealed “nothing,” they are in fact told, “everything is normal. They may experience: chest pain or tightness. To trigger this survival reflex, place very cold water or an ice pack against your face for about 10 seconds. The information we share in this community is not intended or implied to be a substitute for professional medical advice,. 2. It may feel like your heart is racing, pounding, or fluttering. Anxiety. Low levels of sugar, potassium or oxygen. One other common symptom of anxiety is an abnormally increased heart rate, also known as heart palpitations. These surges speed up your entire body and give the disorder its name: Adrenaline dysautonomia. You may feel it in your chest, throat, or neck. They saw pvcs and pacs and I was put on metoprolol since I was feeling them every time. 1. People may describe them as fluttering or pounding, lasting a few seconds, minutes, or even longer. While palpitations can feel. Also, benign palpitations typically come and go more quickly than those attributed to electrical misconduct in the heart. Cardiac Symptoms Of Hypothyroidism. Meal experience. The vast majority of these common extra beats turn out to be benign (meaning not causing death, heart attack, or stroke), and most patients with sufficient reassurance of. Whilst palpitations may have environmental, behavioural or dietary factors, there are also medical conditions that may cause palpitations with a regular rhythm. These include valerian root (6), St. The sensation may feel like pounding, fluttering, racing, or skipping beats. Emotional factors that can trigger heart palpitations include: anxiety. R. Also be aware that a spinal leak can cause issues with your thyroid gland so this could attribute to the rapid heart rate as well. Top athletes may have a pulse rate of fewer than 40 bpm. They are often described as a fluttering, racing, or skipping sensation. Symptoms mimic those of a brain tumor. They graduated from LOUISIANA STATE UNIVERSITY / ALEXANDRIA CAMPUS in 1998. Heart palpitations: Frequently asked questions. You might feel a rapid fluttering or pounding sensation in your chest and. Alcohol isn’t a stimulant, but it can also trigger palpitations. He denied having chest discomfort or heart palpitations. High cortisol can also cause heart palpitations. Hashimoto’s, Anxiety and Heart Palpitations. Vasovagal Syncope Is Possibly the Strangest Thing Your Body Does. “Any stroke-like symptoms such as asymmetric weakness, facial droop, confusion, word-finding difficulty, or visual changes, would be worrisome,” Dr. R. David Baldwin developed CSF leak more than four years ago. Esophagus spasm can cause you to have heart palpitations. Keep the head of the bed flat. ”. Caffeine can cause your heart to contract with more. Rarely, heart palpitations can be a symptom of a more serious heart condition. 1. Heart palpitations or an irregular or racing pulse. Cervical instability created autonomic myopathy or autonomic neuropathy, that is nerve damage that blocks or interferes with the messages sent between the brain and the heart and blood vessels, can lead to a variety of serious symptoms including palpitations, racing or skipping beats, tremors, blurring of vision, lightheadedness, presyncope. Stress and anxiety. This is an Ortho static headache plus the presence of at least one of the following a low opening spinal fluid pressure of 60 millimeters or less sustained improvement of symptoms after epidural blood patching demonstration of an active spinal CSF leak or cranial M. The evaluation of palpitations includes a careful and directed history and physical exam and a 12-lead ECG. I wonder if the blood pressure/ CSF correlations are related to how long someone is leaking. Blood pressure. What arrhythmia does the patient exhibit? Sinus bradycardia. Heart failure is when the heart can’t supply the body with enough blood, causing serious side effects throughout the body. Often the cause of heart palpitations can't be found. Va-girl Dec 1, 2017 • 3:03 PM. Brain Fog R. Your body gets ready to face a threat, even if you're not in danger. Heart attacks happen when the blood supply to a part of the heart is cut off due to a blockage in an artery. Consider your age and general health. Living a heart-healthy lifestyle can protect your heart before and after a COVID diagnosis. Cut back on cocktails. Symptoms of myocarditis include chest pain, shortness of breath and palpitations. Alcohol. The cerebrospinal fluid (CSF) acts as a nourishing and protective layer surrounding the central nervous system. 4. We are not a medical facility, and we do not treat. Heart palpitations. Stimulants, including caffeine, nicotine, cocaine, amphetamines, and cold and cough medications that contain pseudoephedrine. Further testing and treatment. This is an Ortho static headache plus the presence of at least one of the following a low opening spinal fluid pressure of 60 millimeters or less sustained improvement of symptoms after epidural blood patching demonstration of an active spinal CSF leak or cranial M. If you have a temperature of 38C (100. You may feel these sensations in your chest, throat or neck. Many factors, including alcohol, caffeine, nicotine, stress or hormones can cause them. Heart palpitations are common and usually inconsequential. Treatments include letting it heal on its own, taking. NFL. Spontaneous leaks can also occur but are rare. Cardiology • Age 54. Many causes of heart palpitations aren't linked to an underlying heart condition or rhythm irregularity. For example if the leak is relatively new perhaps the blood pressure goes lower. Changing medications. People with cardiac sarcoidosis have a less than 10% chance of getting it again after a heart transplant. High blood pressure. The causes of POTS are unknown, but the problem is thought to lie in the communication breakdown between the brain and the cardiovascular system. However, the same factors, such as eating certain foods, can trigger both acid reflux and palpitations. The most common fast rhythm is called atrial fibrillation (AFib) and causes an irregular, chaotic rhythm in the upper part of the heart called the atrium. Shortness of breath. C) dizziness, headaches, and nausea. Acid reflux and GERD are unlikely to cause heart palpitations directly. Anemia, in turn, can cause heart palpitations. Palpitations can occur for a variety of reasons unrelated to heart disease. The most common causes of palpitations are: Stress or anxiety. Strenuous activity. To prevent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection or to lessen the severity of the disease,. In people with POTS, more blood collects in the lower body when standing upright. The emergency department’s Glasgow coma scale score was 13. For most people, that heart rate is between 60 and 100 beats per minute (bpm) when resting. 1,2,3 The symptom may reflect a cardiac or non-cardiac cause or a high catecholamine state. Advertisement Coins. MVP is a common form of mitral valve disease, and often it’s harmless. Caffeine. Many people are unaware of minor irregular heartbeats, and even completely healthy people have. When triggered, it can cause dizziness, fainting, or heart palpitations. Sick sinus syndrome causes slow heartbeats, pauses (long periods between heartbeats) or irregular heartbeats (arrhythmias). Chest pressure or pain. Dysautonomia, a genuine nervous system disorder, involves surges of adrenaline that can result from a variety of triggers. Anxiety, panic disorders, overeating, pregnancy, and abnormal heart rhythms (arrhythmias) can cause or trigger palpitations. Early diagnosis can reduce the risk of serious complications. [10] Dip your face or submerge your head in cold water. Light-headedness or feeling like you might faint. Associated with a Fever. Caffeine, nicotine, some cold medicines and energy drinks can make the heart beat too fast or irregularly. The most common medical cause of arrhythmia is atrial fibrillation, also known as A-fib,. This Support Community connects patients, loved ones and caregivers affected by spinal cerebrospinal fluid (CSF) leaks for informational and social support. How Stress, Medications, And Lifestyle Choices Influence Heart Palpitations. Sign: You have stroke symptoms. Although heart palpitations can be worrisome, they're usually harmless. A symptom is specific to an individual and each person may experience the symptom of an arrhythmia in a different way. Sometimes it is difficult to determine what is causing what. This doesn’t mean that losartan causes heart problems. Feeling palpitations after eating is a relatively common experience, which tends to occur when a substance in your food or drink—or your body’s natural biochemical response to that substance—jolts the heart’s electrical system and causes fluttering sensations, skipped beats, or a feeling that your heart is beating too hard or too fast. The most obvious symptom of atrial fibrillation is heart palpitations – where the heart feels like it's pounding, fluttering or beating irregularly, often for a few seconds or possibly a few minutes. You may be aware of noticeable heart palpitations, where your heart feels like it's pounding, fluttering or. Info and assistance with questions regarding cerebrospinal fluid leaks. “It felt like an elephant was sitting on my chest. John’s Wort (7), and passionflower (8) . This can occur for a variety of reasons, including physical trauma or spinal epidural, but sometimes there is no. Depression. In some cases, it can be considerably higher than 100 beats a minute. . Anxiety R. I. Most headaches when bending over are not cause for alarm, but some require medical attention. Anemia, in turn, can. In other instances, palpitations may be felt when the heart is racing. In a previous post, the skeptical cardiologist pontificated on the causes and evaluation of the most common cause of palpitations: premature ventricular contractions or PVCs. When you experience heart palpitations, you feel like your heart is racing or pounding. It usually manifests as a sinus bradycardia, meaning it is a normal rhythm just a little bit slower. 2005;71(4):743-750 A more recent article on palpitations is available. Dehydration. Abstract. Heart palpitations after eating may be related to the meal experience rather than the food. Fever. 1. Those symptoms are much like. SPINAL CSF LEAK CANADA. Quench your thirst. Ian Carroll describes how cerebrospinal fluid leaks can lead to symptoms of many illnesses, including “mysterious” diseases like POTS, ME/CFS, fibromyalgia, as well as heart palpitations and severe headaches. When palpitations last longer than a few seconds, make you feel nauseous, cause chest pain, dizziness, excessive sweating, or fainting - seek medical help. Fatigue and weakness. 4K subscribers in the CSFLeaks community. weight gain*. Other symptoms of a folate deficiency may include: Fatigue. You may feel this in your chest, neck, or throat. If you are experiencing heart palpitations and/or a high heart rate as a result of COVID-19, then. You may feel it in your chest, throat, or neck. The number one killer is cardiovascular disease which is related to high blood pressure. Reply. This doesn’t happen with angina. Common causes include: strenuous exercise. "These palpitations mostly tend to happen when people are standing or sitting upright," he said. C) dizziness, headaches, and nausea. Hormone changes associated with menstruation, pregnancy or menopause. An increased risk of meningitis is associated with cranial CSF leaks. Pain 6/10. And now there’s another, relatively new concern within this realm of. Lots of things can trigger heart. You may feel these sensations in your chest, throat or neck. Causes of heart palpitations. Limiting or avoiding alcoholic drinks can help keep your heart steady. Anxiety, stress, and heart-related problems are the most common causes of palpitations, but in some cases patients claim that their palpitations are related to. This can occur for a variety of reasons, including physical trauma or spinal epidural,. lack of sleep. Caffeine. Take a cold shower, splash cold water on your face, or apply a cold towel or ice pack to your face for 20 to 30 seconds. Unless your palpitations are caused by a heart rhythm disorder, known as an arrhythmia, they tend to be short-lived and harmless. An arrhythmia, or a problem with how your heart beats, can cause you to feel like your heart is skipping or fluttering. Exhale as you count slowly to four. Andersen says you should call 911 or head to the.