Can Gastrointestinal Issues Cause Chest Pain? Your Symptoms

Can gastrointestinal issues cause chest pain?

In mid-August, I experienced symptoms of palpitations, accompanied by frequent diarrhea and bloating that led to vomiting.
When I visited a cardiologist, the doctor arranged for an electrocardiogram and tests for hyperthyroidism.
The doctor noted that my heart rate was indeed elevated (around 100-110 bpm), but there were no significant issues with my thyroid.
The doctor prescribed antiarrhythmic medication and suggested monitoring the rapid heartbeat, advising me to return for follow-up if necessary.

Subsequently, my diarrhea and bloating did not improve, so I consulted a gastroenterologist (three visits in total).
The doctor scheduled an abdominal ultrasound for my next appointment.
Currently, I am taking Simethicone and a proton pump inhibitor in the morning and evening, and an antacid before bed.
I feel that the symptoms of bloating, vomiting, and palpitations have improved.
However, on Saturday morning, while having breakfast, I suddenly felt a squeezing pain in my chest that lasted about ten seconds, followed by slight cold sweating.

Since Sunday, I have noticed that certain points in my chest are painful when pressed (and sometimes I feel a dull pain even without pressure).
The painful areas include the region above the breasts and below the neck, near the heart area on both sides of the breasts, and the outer areas of the breasts near the arms.

1.
I would like to know if this chest pain could be caused by gastrointestinal issues.
Since my follow-up appointment with the gastroenterologist is still some time away, I am wondering if I should see a family physician or cardiologist in the meantime, or if I can wait for my gastroenterology appointment if it is indeed a gastrointestinal issue.

2.
What other symptoms should I monitor to help the doctor make an accurate diagnosis? Thank you for your response.

H, 20~29 year old female. Ask Date: 2020/09/16

Dr. Chen Shidian reply Gastroenterology and Hepatology

Please discuss further with the gastroenterologist.

Reply Date: 2020/09/16

More Info

Gastrointestinal issues can indeed cause chest pain, and understanding the relationship between these symptoms is crucial for proper diagnosis and treatment. Based on your description, it seems you have been experiencing a combination of gastrointestinal symptoms, including diarrhea, bloating, and vomiting, alongside episodes of palpitations and chest discomfort.
Firstly, it’s important to recognize that the gastrointestinal (GI) system and the cardiovascular system are closely linked. The vagus nerve, which plays a significant role in regulating heart rate and digestive processes, can transmit signals that may lead to sensations of chest pain or discomfort when the GI system is irritated or inflamed. Conditions such as gastroesophageal reflux disease (GERD), gastritis, or even functional gastrointestinal disorders like irritable bowel syndrome (IBS) can manifest as chest pain, especially if there is associated bloating or pressure in the abdomen.

In your case, the chest pain you experienced after breakfast could be related to several factors. One possibility is that the pain is a result of esophageal spasms, which can occur due to reflux or irritation from stomach acid. Another consideration is that the bloating and discomfort in your abdomen could be causing referred pain to the chest area. This is not uncommon, as the body can sometimes misinterpret pain signals, leading to discomfort in areas that are not directly affected.

The fact that you have experienced palpitations and a rapid heart rate (tachycardia) could also be contributing to your chest pain. Anxiety and stress, which can accompany gastrointestinal distress, may exacerbate heart rate and lead to sensations of tightness or discomfort in the chest. It’s also worth noting that certain gastrointestinal medications can have side effects that might influence heart rate or cause sensations of chest discomfort.

To address your specific questions:
1. Is the chest pain caused by gastrointestinal issues? While it is possible that your chest pain is related to your gastrointestinal symptoms, it is essential to rule out other causes, especially given the nature of the pain and the accompanying symptoms. If the pain persists, worsens, or is accompanied by other concerning symptoms (such as shortness of breath, severe sweating, or radiating pain), it would be prudent to seek immediate medical attention.
2. What should you observe to help with diagnosis? Keep a detailed diary of your symptoms, noting when they occur, their intensity, and any associated activities (such as eating or stress levels). Pay attention to any patterns, such as whether the chest pain correlates with specific foods or activities. Additionally, monitor for any new symptoms, such as changes in bowel habits, weight loss, or changes in appetite, which could provide valuable information to your healthcare provider.

In conclusion, while your gastrointestinal issues could be contributing to your chest pain, it is essential to consider a comprehensive approach to your symptoms. Continue to follow up with your healthcare providers, and don’t hesitate to seek further evaluation if your symptoms change or worsen. Understanding the interplay between your gastrointestinal health and cardiovascular symptoms will be key in managing your overall health effectively.

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