Gastrointestinal Issues: Heart Rate, Nausea, and Diet Impact - Gastroenterology and Hepatology

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Gastrointestinal issues


Hello, doctor.
Previously, I inquired about experiencing an increased heart rate before vomiting, but this morning, I suddenly had a rapid heartbeat about half an hour after eating a greasy breakfast (mugwort vegetable bun).
I had an echocardiogram and an electrocardiogram two weeks ago, and the doctor said everything was normal.
Is it possible that my gastrointestinal issues are causing me to need to eat lighter foods in the morning? Previously, when I had oily noodles bought by my family in the morning, I also experienced a rapid heartbeat and vomiting about half an hour later, along with a feeling of bloating in my abdomen.
After vomiting, my heart rate returned to normal.
Can gastrointestinal problems also lead to dizziness and occasional chest pain below the sternum? Additionally, I often experience stomach pain upon waking up; could this be due to not eating? Yesterday, I suddenly felt pain in the area below my left chest; could this be related to my stomach pain? Since the company lunch is usually greasy, I tend to eat smaller portions, and by around 3 or 4 PM, I start to feel dizzy.
Is this due to low blood sugar from eating less at lunch? Thank you for your help, doctor.

Xiao Yu, 30~39 year old female. Ask Date: 2016/08/18

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: 1) It is advisable to minimize the consumption of foods that have previously caused discomfort, as this can vary from person to person.
However, it is best to avoid irritating foods, high-fat, and high-protein foods.
2) A small number of individuals may experience gastrointestinal discomfort along with other symptoms outside the gastrointestinal tract.
Conversely, discomfort in other parts of the body may also lead to gastrointestinal issues, and this should be assessed by a clinical physician to determine any potential correlation.
3) If you experience stomach pain upon waking, could it be due to not eating? Yesterday, I suddenly felt pain in the area below my left chest; could this be related to my stomach pain? Since the catered lunch was quite greasy, I ate less, and I start feeling dizzy around three or four o'clock.
Is this due to low blood sugar from eating a smaller portion at lunch? ==> Please consult a gastroenterologist for an examination by a clinical physician to address your concerns.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2016/08/18

More Info


Understanding gastrointestinal issues, particularly in the context of heart rate changes, nausea, and dietary impacts, is crucial for managing symptoms and improving overall health. Your concerns about experiencing rapid heart rate and nausea after consuming certain foods, along with the associated gastrointestinal discomfort, warrant a closer examination of the interplay between diet, gastrointestinal function, and cardiovascular responses.

Firstly, it is essential to recognize that the gastrointestinal (GI) system and the cardiovascular system are interconnected. When you consume a heavy or greasy meal, your body diverts blood flow to the digestive system to aid in the digestion process. This can sometimes lead to a temporary decrease in blood flow to other areas, which may cause symptoms such as increased heart rate (tachycardia) and feelings of nausea. The body’s response to digesting a heavy meal can also trigger the vagus nerve, which plays a role in regulating heart rate and digestive functions. In some individuals, this can lead to a sensation of palpitations or an increased heart rate, especially if the meal is particularly rich or difficult to digest.

In your case, the symptoms you describe—such as feeling nauseous and experiencing a rapid heart rate after eating oily foods—suggest that your gastrointestinal system may be sensitive to certain types of food. It is advisable to consume lighter, less greasy meals, particularly in the morning when your stomach may be more sensitive. Foods that are easier to digest, such as whole grains, lean proteins, and plenty of fruits and vegetables, can help reduce gastrointestinal distress. Additionally, avoiding large meals and opting for smaller, more frequent meals throughout the day can help maintain stable blood sugar levels and prevent feelings of dizziness or lightheadedness.

Regarding your experience of abdominal pain upon waking, this could be attributed to several factors. If you have not eaten for an extended period overnight, your stomach may produce excess gastric acid, leading to discomfort or pain. It is often recommended to have a light breakfast to help neutralize stomach acid and provide energy for the day ahead. If you continue to experience pain, it may be beneficial to consult with a healthcare provider to rule out conditions such as gastritis or peptic ulcers.

The left-sided chest pain you mentioned could be concerning, as it may relate to either gastrointestinal issues or cardiac concerns. While it is possible that gastrointestinal discomfort can radiate to the chest area, it is crucial to ensure that there are no underlying cardiac issues, especially if you have a history of heart problems or risk factors for cardiovascular disease. Since you have already undergone cardiac evaluations (echocardiogram and ECG), it is reassuring, but persistent or severe chest pain should always be evaluated promptly.

Lastly, the feelings of dizziness in the afternoon could indeed be related to low blood sugar levels, especially if you are not consuming enough food during lunch. It is essential to maintain balanced meals that include carbohydrates, proteins, and healthy fats to sustain energy levels throughout the day. Consider incorporating snacks that are rich in complex carbohydrates and proteins to help stabilize your blood sugar levels.

In summary, your symptoms suggest a complex interplay between dietary choices, gastrointestinal health, and cardiovascular responses. It is advisable to focus on a balanced diet, avoid heavy or greasy foods, and consider smaller, more frequent meals. If symptoms persist or worsen, seeking further evaluation from a gastroenterologist or a dietitian may provide additional insights and tailored recommendations for managing your gastrointestinal health effectively.

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