Heartbeat Irregularities: Is Your Stomach to Blame? - Cardiology

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Heart rate issues


Doctor, I would like to ask you about my severe gastric inflammation issue.
I am currently undergoing treatment and taking medication.
I often experience bloating and frequent burping.
Recently, while sitting for long periods, I have noticed that my heart seems to have an occasional noticeable beat, although it is regular.
It feels like a sudden, normal heartbeat that I can feel distinctly, but then it returns to normal.
I have observed this happening in cold air-conditioned rooms, when I am tense or stressed, and after eating a full meal.
I am concerned about these symptoms and fear that something might be wrong, especially since I love to exercise and worry about not being able to do so.
However, I do not feel anything unusual while exercising; it’s only when I pay attention to my heartbeat during regular activities that I notice this happening more frequently.
What should I do? Two years ago, I had an electrocardiogram that showed no issues, and my blood tests during a health check were normal.
Could my gastric condition be affecting these symptoms?

Gao, 10~19 year old female. Ask Date: 2021/10/18

Dr. Wu Xueming reply Cardiology


Due to your young age and lack of chronic diseases, your risk of developing heart disease is low.
Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages.
It is advisable to adjust your lifestyle and engage in regular exercise.
However, if symptoms persist, it is still recommended to visit a hospital for further evaluation.

Reply Date: 2021/10/18

More Info


It sounds like you are experiencing some concerning symptoms related to your heartbeat and overall health, particularly in the context of your ongoing gastric inflammation. Based on your description, it is possible that your gastrointestinal issues could be contributing to the sensations you are feeling in your heart.

Firstly, it is important to understand that the heart and the digestive system are closely linked through the autonomic nervous system. This system controls involuntary bodily functions, including heart rate and digestion. When you experience gastrointestinal distress, such as bloating or inflammation, it can stimulate the vagus nerve, which may lead to sensations of irregular heartbeat or palpitations. This is particularly true if you are feeling anxious or tense, as stress can exacerbate both digestive issues and heart sensations.

The symptoms you describe—feeling a sudden, noticeable heartbeat, particularly when sitting for long periods, in a cold environment, or after eating—could be related to several factors. For instance, when you eat, your body directs more blood to the digestive system, which can sometimes lead to a temporary increase in heart rate or awareness of your heartbeat. Additionally, if you are experiencing bloating, this can put pressure on the diaphragm and the heart, leading to sensations that may feel like irregular heartbeats.

It is also worth noting that certain medications used to treat gastric issues can have side effects that affect heart rhythm. If you are on medication for your gastric inflammation, it would be wise to review these with your healthcare provider to ensure they are not contributing to your symptoms.

Given that you have previously undergone an electrocardiogram (ECG) and other health checks that returned normal results, it is reassuring, but it is still essential to keep monitoring your symptoms. If you notice that your heart sensations become more frequent or are accompanied by other symptoms such as chest pain, shortness of breath, or dizziness, it would be prudent to seek further evaluation from a cardiologist.

In the meantime, consider the following recommendations:
1. Monitor Your Symptoms: Keep a diary of when you experience these sensations, noting any related activities, dietary choices, or stress levels. This can help identify potential triggers.

2. Manage Stress: Engage in relaxation techniques such as deep breathing, meditation, or yoga, which can help reduce tension and may alleviate some of the symptoms you are experiencing.

3. Dietary Considerations: Pay attention to your diet, particularly foods that may exacerbate bloating or discomfort. Smaller, more frequent meals may help reduce the burden on your digestive system.

4. Stay Active: Continue to engage in physical activity as tolerated. Exercise can help improve overall cardiovascular health and may also aid in digestion.

5. Follow Up with Your Doctor: Since you are currently undergoing treatment for gastric inflammation, keep your healthcare provider informed about your heart sensations. They may want to conduct further tests or adjust your treatment plan based on your symptoms.

In conclusion, while your symptoms may be related to your gastric issues, it is essential to remain vigilant and proactive about your health. Regular check-ups and open communication with your healthcare provider will be key in managing both your gastrointestinal and cardiovascular health effectively.

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