Intermittent Stomach Pulsations: Causes and When to Seek Help

Intermittent gastric contractions

Four days ago, I started experiencing intermittent pulsations in my stomach.
On the first day, it occurred after dinner and felt similar to the frequency and duration of burping, about every ten to twenty seconds.
The next morning, it was gone, but it returned shortly after breakfast.
In the following days, I noticed intermittent pulsations occasionally in the morning, and after dinner in the evening, the duration was longer.
It seems to worsen when lying down, but there is no pain.
I have a mild case of gastroesophageal reflux disease (GERD).
The pulsation frequency is not in sync with my heartbeat, but it feels similar to the sensation of arrhythmia, just in a different location.
I am currently taking medication for my stomach, but the effect seems average.
Due to heart surgery, I am on dual antiplatelet therapy, and my primary physician mentioned it might cause stomach discomfort.
I would like to know what might be causing my current condition and whether I need to see a doctor for medication.
Thank you for your assistance.

Miss Lin, 20~29 year old female. Ask Date: 2022/12/12

Dr. Chen Shidian reply Gastroenterology and Hepatology

You can consult a gastroenterologist to confirm the condition, whether there is abnormal motility or heightened sensitivity.

Reply Date: 2022/12/12

More Info

Intermittent stomach pulsations can be a concerning symptom, especially when accompanied by a history of gastrointestinal issues such as gastroesophageal reflux disease (GERD) and the use of anticoagulant medications. Understanding the potential causes and when to seek medical help is crucial for managing your health effectively.

Possible Causes of Intermittent Stomach Pulsations
1. Gastrointestinal Motility Disorders: The sensation of pulsations in the stomach may be related to abnormal contractions of the stomach muscles. Conditions such as gastroparesis, where the stomach takes too long to empty its contents, can lead to unusual sensations, including pulsations.

2. Gastroesophageal Reflux Disease (GERD): Given your history of GERD, it is possible that the reflux of stomach acid into the esophagus could be causing irritation and unusual sensations in the stomach area. The pressure changes in the stomach during reflux episodes might contribute to the pulsating feeling.

3. Dietary Factors: Certain foods can exacerbate symptoms of GERD and may also affect gastric motility. Spicy foods, caffeine, and carbonated beverages can lead to increased gastric activity and may be responsible for the pulsations you are experiencing.

4. Medication Side Effects: You mentioned that you are on anticoagulant therapy, which can sometimes lead to gastrointestinal discomfort. Medications can affect the lining of the stomach or alter gastric motility, leading to symptoms like pulsations.

5. Anxiety and Stress: Psychological factors can also play a significant role in gastrointestinal symptoms. Stress and anxiety can lead to increased muscle tension and altered gastrointestinal motility, which might manifest as pulsations or discomfort.

6. Cardiac Issues: Although you indicated that the pulsations feel different from your heart rhythm, it is essential to consider that some cardiac conditions can present with referred sensations in the abdomen. Given your history of heart surgery, it would be prudent to rule out any cardiac-related issues.

When to Seek Medical Help
You should consider seeking medical attention if:
- The pulsations become more frequent or intense.

- You experience any new symptoms, such as abdominal pain, nausea, vomiting, or changes in bowel habits.

- You notice any signs of gastrointestinal bleeding, such as blood in your stool or vomiting blood.

- The symptoms interfere significantly with your daily activities or quality of life.

- You have concerns about the interaction of your medications and their side effects.

Recommendations
1. Consult Your Healthcare Provider: Given your complex medical history, it is advisable to discuss these symptoms with your primary care physician or a gastroenterologist. They may recommend further evaluation, such as an upper endoscopy or imaging studies, to assess your gastrointestinal tract.

2. Medication Review: Have a thorough review of your current medications with your healthcare provider to determine if any adjustments are necessary. They may consider alternative medications that have fewer gastrointestinal side effects.

3. Lifestyle Modifications: Consider dietary changes that may help alleviate symptoms. Eating smaller, more frequent meals, avoiding trigger foods, and not lying down immediately after eating can be beneficial.

4. Stress Management: If anxiety is a contributing factor, exploring stress management techniques such as mindfulness, yoga, or counseling may help reduce symptoms.

In summary, while intermittent stomach pulsations can arise from various causes, it is essential to monitor your symptoms closely and consult with a healthcare professional for a comprehensive evaluation and tailored management plan. Your health and well-being are paramount, and addressing these symptoms early can help prevent potential complications.

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