Heart Palpitations After Eating: Causes and Concerns - Cardiology

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Heart rate issues


Doctor, I have noticed that for the past few days, whenever I eat a large meal and feel very full, I immediately experience a strong heartbeat in the left lower area.
The heartbeat is not rapid; it maintains a consistent rate without any arrhythmia.
I have a problem with protruding ribs due to poor posture and slouching, which has caused my ribs to stick out a bit more.
I would like to ask if having protruding ribs makes one more prone to chest tightness? Also, why do I experience this strong heartbeat after overeating? I do not have skipped beats, rapid heart rate, or arrhythmia; it just feels very strong, and I can feel it even while sitting.
What could be the cause of this?

hia, 10~19 year old female. Ask Date: 2020/06/30

Dr. Chen Jili reply Cardiology


We recommend that you discuss the above situation again with your attending physician to determine if further examinations are necessary.
Thank you, and wishing you good health!

Reply Date: 2020/06/30

More Info


Heart palpitations after eating can be concerning, especially when they are accompanied by other symptoms such as discomfort or a feeling of fullness. Based on your description, it seems that you experience strong heartbeats after eating a large meal, but without an increase in heart rate or irregular rhythms. This situation can be influenced by several factors, including your eating habits, posture, and underlying anatomical issues such as your rib protrusion.

When you eat a large meal, your body directs more blood to the digestive system to aid in digestion. This can lead to a temporary decrease in blood flow to other areas, including the heart, which may trigger sensations of palpitations or strong heartbeats. Additionally, if you are sitting in a slouched position due to your rib protrusion, this could further compress your diaphragm and affect your breathing, potentially leading to feelings of discomfort or palpitations.

The rib protrusion you mentioned could contribute to chest discomfort or a sensation of tightness, especially if it affects your posture. Poor posture can lead to musculoskeletal issues, which may cause discomfort in the chest area and can sometimes be misinterpreted as heart-related symptoms. It’s essential to maintain good posture, especially when sitting for extended periods, to alleviate any potential discomfort caused by rib or spinal alignment issues.

Moreover, the type of food you consume can also play a role. Heavy, fatty, or spicy meals can lead to increased gastric pressure, which may irritate the diaphragm and contribute to sensations of palpitations. If you find that certain foods exacerbate your symptoms, it may be beneficial to keep a food diary to identify any specific triggers.

In terms of managing your symptoms, here are a few recommendations:
1. Eat Smaller Portions: Instead of consuming large meals, try eating smaller, more frequent meals throughout the day. This can help reduce the burden on your digestive system and minimize the likelihood of experiencing palpitations.

2. Maintain Good Posture: Pay attention to your posture while eating and sitting. Consider using ergonomic furniture or cushions to support your back and maintain a neutral spine position.

3. Stay Hydrated: Ensure you are drinking enough water throughout the day, as dehydration can sometimes exacerbate palpitations.

4. Limit Stimulants: If you consume caffeine or other stimulants, consider reducing your intake, as these can increase heart rate and contribute to feelings of anxiety or palpitations.

5. Relaxation Techniques: Incorporate relaxation techniques such as deep breathing, meditation, or gentle yoga to help manage stress and anxiety, which can also contribute to palpitations.

6. Consult a Healthcare Professional: If your symptoms persist or worsen, it is crucial to consult with a healthcare professional. They may recommend further evaluation, such as an electrocardiogram (ECG) or echocardiogram, to rule out any underlying cardiac issues.

In conclusion, while heart palpitations after eating can be distressing, they are often benign and related to digestive processes, posture, or anxiety. By adopting healthier eating habits and improving your posture, you may find relief from these symptoms. However, always seek medical advice if you have concerns about your heart health or if your symptoms change in nature or intensity.

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