Discussions By Condition: I cannot get a diagnosis.

Symptoms for years now! Still no clue

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: Anonymous
  • August 24, 2009
  • 07:02 PM

I am a 50 year old male and have had symptoms for years. I would call them flare ups. I exercise regularly as I work out, lift, cardio and play ice hockey. Lately during a skate I have been experiencing arrhythmia. This is new. I also seem to burping up very foul tasting remants of dinner. I do not feel nausea ...it just comes up. After which I feel better and the fluttering seems to go away for a while. This is during physical exertion. Some times after dinner I get the same sensation and I have to essentially belch up some of my dinner. This is without physical exertion. As I stated they are flare ups. I also have very inconsistent bowls.

Usually at night as I fade off to sleep I feel a "bounding pulse" and I am aware of my heart as I can hear it in my pillow as well as feel it beating in my chest. I would not call it a racing pulse as it is around 55 beats per minute at this time. Sometimes the sensation is more a fluttering feeling.

I have had a history of palpitations that my Doctor calls PCV.s I have had 2 Ultrasounds on my heart and they have come normal, although my Dr. said the last of the 2 was a little different. "Nothing to worry about" He attributed it to Blood Pressure.

I have had heart palpitations for years now.
Recent blood tests show elevated Rhuematiod Factor - 58,
No other indications in Lupus, RA or protein tests. All normal
Liver and Kidney blood test normal
Blood Pressure was considered slightly elevated but within the tolerance.
236 cholesterol 50 HDL and 180 LDL

Symptoms are broad and numerous and are driving me crazy. Is there anyone out there that can connect the dots. This sucks. I want to get back to life as new it........

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2 Replies:

  • The arrhythmia you are characterizing is a benign palpitation resulting from vagus nerve stimulation represented as the pneumogastric nerve terminating at the GI tract. Excessive air that becomes trapped in the lumen of the intestines can produce an evoked potential along the pneumogastric nerve, subsequently along the vagus nerve. The impulse actually reaches all terminal ends of the vagus nerve, but because the heart muscle's activity is so dynamic, you feel the superimposed signal as either mild or quite dramatic depending upon the phase of the cycle that the heart is presently performing at the time. Eructation, or belching, typically relieves the tension and pressure, consequently diminishing the occurrence of palpitations. It is harmless and does nothing to damage the heart muscle or its performance. It is also incapable of predisposing you to any type of cardiac event as a consequence. The pounding heart you sense at bedtime is due to the brain's cardiac center responding to feedback from baroreceptors located in the carotid arteries. When you lie down, blood pressure can sometimes alter dramatically, typically downward. The baroreceptors respond to lowered pressure by signaling the cardiac center at the brain. Increased cardiac force is the most rapid and effective method to increase blood pressure to normal and you feel this reaction as a very significant pounding of the heart, typically within the normal pulse range. Once pressure is stabilized to ensure perfusion to the brain, the overall goal, then intensity of cardiac force is reduced to normal parameters. It is not a sign of high blood pressure. Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • August 24, 2009
    • 09:07 PM
    • 0
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  • Dear sir: I also had palpitations for the longest time. They would come and they would go. I couldnt figure out what the heck was causing them. They were not painful but they were still annoying. I told my doctor about them and he had my heart checked out thoroughly and all was ok but the palpitations would "still" come and go. Contrary to yours though...my palpitations would go away or become unnoticable when I exercised. After all this time which is years, I "never ever" got the cause completely diagnosed but I have reached the conclusion that it had something to do with acid reflux because I was diagnosed with a hiatus hernia previous. I started taking reflux medication like LOSEC and over the counter medications like tums and rolaids and the palpitations disappeared. I certainly am not a doctor, but why dont you try that or suggest it to your doctor? It may help.....
    Anonymous 42,789 Replies
    • August 24, 2009
    • 11:10 PM
    • 0
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