Rapid Heartbeat and Esophageal Discomfort: the Connection

Rapid heartbeat and a warm sensation in the esophagus?

Hello! In the past two weeks, I have suddenly experienced a rapid heartbeat, measuring around 85 beats per minute on my own, which is within the normal range, but I can feel my heartbeat.
Recently, I've also had a tingling sensation in my left arm, and my heart feels somewhat weak, accompanied by a feeling of warmth and weakness in my abdomen.
Could these symptoms be related to gastroesophageal reflux disease (GERD)? Additionally, my throat has felt warm lately, as if there is something stuck that I can't swallow.
The discomfort persists, but I can't seem to identify the true cause.

Kaisi, 20~29 year old female. Ask Date: 2017/02/16

Dr. He Dongjin reply Cardiology

Hello, the symptoms you are experiencing seem to be caused by autonomic nervous system dysfunction, which can affect multiple organs.
It is advisable to monitor your condition or consult a cardiologist or a psychosomatic specialist for further evaluation.
Changhua Hospital cares about your well-being.

Reply Date: 2017/02/16

More Info

The symptoms you are experiencing—rapid heartbeat, discomfort in the esophagus, and sensations of weakness—can indeed be interconnected, and they may relate to several underlying conditions, including gastroesophageal reflux disease (GERD), anxiety, or even cardiac issues. Let's break down these symptoms and their potential connections.

Rapid Heartbeat (Tachycardia)
A resting heart rate of 85 beats per minute is within the normal range, but if you feel that your heart is racing or pounding, this could be a sign of tachycardia. This sensation can be caused by various factors, including anxiety, stress, caffeine intake, dehydration, or even underlying heart conditions. In some cases, the heart may respond to discomfort or pain in other areas of the body, such as the esophagus, by increasing its rate.

Esophageal Discomfort
The feeling of something stuck in your throat, along with a burning sensation, is often associated with GERD. This condition occurs when stomach acid flows back into the esophagus, leading to irritation and discomfort. GERD can cause symptoms such as heartburn, regurgitation, and difficulty swallowing, which may explain the sensations you are experiencing. The discomfort in the esophagus can also trigger a reflex that causes the heart to beat faster, as the body responds to pain or discomfort.

Connection Between Symptoms
The left arm numbness you mentioned can be concerning, as it is often associated with cardiac issues. However, it can also occur due to anxiety or muscle strain. If you are experiencing anxiety, it can lead to hyperventilation, which may cause sensations of tingling or numbness in the extremities. Additionally, anxiety can exacerbate GERD symptoms, creating a cycle of discomfort.

Recommendations
1. Consult a Healthcare Provider: Given the combination of symptoms, it is essential to consult a healthcare provider. They may recommend tests such as an electrocardiogram (EKG) to assess your heart's rhythm and function, as well as an upper endoscopy or pH monitoring to evaluate for GERD.

2. Lifestyle Modifications: If GERD is confirmed, lifestyle changes can be beneficial. These may include avoiding trigger foods (spicy, fatty, or acidic foods), eating smaller meals, not lying down immediately after eating, and maintaining a healthy weight.

3. Manage Anxiety: If anxiety is a contributing factor, consider techniques such as mindfulness, deep breathing exercises, or cognitive-behavioral therapy (CBT) to help manage stress and anxiety levels.

4. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur and any potential triggers. This information can be valuable for your healthcare provider in diagnosing and managing your condition.

5. Avoid Stimulants: Reducing caffeine and nicotine intake can help lower heart rate and reduce anxiety levels.

Conclusion
While your symptoms may be interconnected, it is crucial to seek medical advice to rule out any serious conditions. Rapid heartbeat and esophageal discomfort can stem from various causes, and a thorough evaluation by a healthcare professional will help determine the underlying issue and appropriate treatment. Remember, early intervention can lead to better outcomes, so do not hesitate to reach out for help.

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