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Old 08-27-2009, 01:20 PM   #1
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GERD - Palpitations, other issues etc

Ok, I've taken a read through of all the threads in here relating to my symptoms and I can't find one that has ALL of the specifics I am going to be mentioning. Some of them are very strange and hard to describe so please bear with me. I have written each symptom down and described each to around 8 different doctors, 2 specialists, 1 ENT and my family doctor (I live out of town so I can't see him much). Please take note this is an extremely long post so don't flame me for it, I've got a ton of symptoms and It's really getting on my nerves at this moment. The following is my case:

3 Years ago, I noticed that as days went on I was getting the sensation of a lump being stuck in my throat. After 3 months of not being able to stand it anymore and getting a little scared, I went to a doctor who referred my to an ENT. At THAT time, these were the symptoms I was having and that I listed to him:

- Lump in my throat, right around the middle neck area. If I had to place it to an exact area I would say it is close to where the end of my tongue feels like it is, or where your ribcage meets in the middle of your neck area (forms that little V).

- My saliva was normal, until it got to the back of my throat in this exact same area. When it hit here, it literally felt as if it turned to phlegm and I could not swallow it. After about 3 or 4 swallows I finally was able to swallow it only to have another batch of this "phlegm" turn up.

- No food was getting stuck in my throat, however I would constantly burp even after small sips of water and eventually after hours of burping I would sometimes regurgitate small pieces of food.

- When I ate, especially when I ate bread, as the food hit the back area of my throat it literally felt like the food was too big for the hole. I had to swallow really hard to get it down, and when it started to go down I could literally feel it travelling down my entire esophagus. Not only that but it felt like it was stretching it out greatly as it went down.

After the appointment we had he gave me a scope down my throat, I believe it was an Endoscopy? I'm not sure so forgive me if I use the incorrect terminology. After this scoping was done, he took me into his office and told me that he found absolutely nothing cancerous (to cause the lump) however in my lower stomach there was some severe scarring from acid. He explained that even though the damage was down in my stomach area it can cause tons of symptoms in the area I was saying I had them. He gave me a prescription for Pantoloc 40Mg and sent me on my way.

After a few months of taking Pantoloc, the only sensation it helped was the lump in my throat. Everything else I was experiencing was still there. So I went to my family doctor who changed my medication to Novo-Ranidine. A few months later, I was still having the same symptoms. Suffice it to say I have been placed on several different medications. A few months later I was getting a few different symptoms among the ones I already listed above, another note is that ALL of the symptoms I am about to list, I am sensing in the exact same area of my throat, Except for the one's that I say are occurring in others:

- My throat literally felt like it was closing over. If I had to describe it I would just say to take a straw, or something round, and cover half of it with your hand or some other object. That is exactly what I feel sometimes.

- Sometimes, my throat actually spasms and closes over for just HALF a second, if even. I can feel it, I can hear it (if I have my mouth open and am breathing). ----- When I went to the ENT he told me this was called Noctournal Laryngospasm and that I shouldn't worry about it at all. Even though I have no other noises like a stridor or wheezing.

- Similar to the spasms listed above, I can actually manually close my throat off just by moving my tongue, when this happens I can feel the same thing as when it spasms and closes for a split second, only this time it doesn't close over. Rather, it feels and sounds as if there's something flopping around there.

- I still have the phlegm feeling in the back of my throat, although it is not as apparent sometimes. I can actually do that gross kind of clearing your throat thing (hocking is what we called it) and get the stuff up. It's a clear phlegm with some white foamy looking stuff in it mostly. After this my throat feels completely clear until the stuff comes back a few minutes later.

- When I was laying down to sleep, if I laid on my stomach and turned my head to the left side, I would get short of breath to the point where I couldn't breathe almost. I didn't get any quicker of a heart beat, no palpitations, nothing. And when I turned in any other position it went away immediately. ----- Since taking the Pantoloc I have noticed that this has gone away

- Sometimes when I am doing nothing or my daily activities, I will have a squeezing sensation in the middle of my chest. Sometimes it's at the lower point in my chest but most often in the upper middle, right where your heart would be (lucky me). The squeezing doesn't really bother me or stop me from doing anything (aside from wondering if I am about to have a heart attack), and I don't get any pain when it happens. After a few minutes, sometimes after 20 seconds, it goes completely away.

- Currently I am a very active person. I do cleaning activities daily (not simple ones) and I run daily for 30 minutes. I do not get any chest pain when I do this nor do I experience shortness of breath. However, after 20 minutes of running I honestly feel like someone has kicked me in the stomach, and this happens regardless of whether I eat before I run or do it on an empty stomach.

- Sometimes I get a pain in my chest, however it's usually on the right side. A lot of the time it is in the middle area where I feel the squeezing and I can pinpoint a spot on the right side where it hurts (just barely touching where my right breast is from the middle). It's not really a pain actually, more like a dull ache. If I had to scale it I would put it at a 3 out of 10, mostly discomforting and shocking when it happens, but definitely not debilitating.

- Other pains I get in my chest seem to feel like your regular gas pains.

- I constantly burp. CONSTANTLY. This is extremely disconcerting when I am in a gym running, burping while people stare. Or in a restaraunt, every little bite I take I burp. Perhaps once a week, after a few hours of burping I will still regurgitate a small piece of food and that's it.

- When I burp it feels as if the air travels halfway up my esophagus, to the area where I am experiencing all these symptoms, then stops and I literally have to push it the rest of the way. Sometimes it actually hurts while others it just feels a bit sore in the exact same area everything feels like it's happening, and right after the pain/soreness goes away and I don't feel it until I burp again.

- Very rarely, while eating or not eating I will swallow and it's as if the muscles right in this area do not function. Everything else moves as it should but right in this little spot the muscles stop contracting, or doing their job, and the food just sits there. This also has happened when I am not eating or drinking and just swallowing regular saliva. It does not happen often at all, and has not gotten worse over time. I actually haven't had it happen in a few weeks come to think of it.

After going back to doctors and telling them all my symptoms they finally referred me to another ENT, who did a scope up my nose. I do not know the purpose of that test but he said everything looked completely normal, but after telling him that medications weren't helping he referred me to a Stomach Specialist and refilled my prescription of Pantoloc (out of all the drugs this was the only one doing anything at all).

Back in March of this year, I coughed up two chunks of blood. I passed out a few minutes later because of the shock of coughing up blood for the first time in my life, and I ended up taking myself to the hospital because of it. They performed a chest X-Ray and told me it looked perfectly normal and that it was most likely a burst blood vessel, or sometimes the heart can "Accidentally" push blood into the lungs somehow ( I cannot recall what exactly he said it was called). Anyways, they said it was normal and not to worry, and sent me home. Since then I only coughed up one tiny tiny tiny (I mean literally tiny) spec of blood (Which was mixed in with phlegm) and never since.

I am currently scheduled to have a 24 HR Motility and Ph monitoring test done on October 7th to get some more results, but I was just posting this to see if there were any thoughts I could get from the community.

The reason I am posting this is because lately I have been experiencing more frequent heart palpitations/fluttering sensations and a very very slight shortness of breath. This does not get worse when I work out, but they are noticeable I won't deny.

1. Maybe 7 years ago, I started to notice I was getting a very light fluttering sensation in my chest. Occasionally my heart would literally feel like it jumped, and I could feel it squeeze the blood out of it. I went to the family doctor and told him about it, he told me that it was just a heart palpitation and I was one of the unlucky people who happened to be "body aware", and was more aware of them. He said we all have them and most people don't even notice them, but I was one who did. He told me not to worry about it unless I was getting chest pain or shortness of breath or couldn't do hard work. I was able to do hard work and work out, and did not get either of these two symptoms. Today, it seems that I go through "episodes" with them. For example, I'll go 2-3 weeks without a single palpitation or flutter sensation, then suddenly I'll have one of those really big forceful palpitations, and for a few days after the fluttering sensation. It goes away as quickly as it happened until a couple more weeks later, when it comes back.

2. I also have been getting a very slight shortness of breath. It seems that I feel it when I exhale at the end of my breath, when I am about to draw a new one inwards. It's not a constant thing either. I'll notice it for a few hours then suddenly not at all, and it seems that when my mind is off of it I don't notice it ever.

I went to the doctors the other day about the palpitations and shortness of breath. He did the usual small office checkups, checked my pulse and blood pressure, etc. He said that everything he can see looks normal, and that it probably is just palpitations however that if it was really bothering me to come back in a couple weeks to do some more in depth tests if I feel it necessary.

One important note is that NONE of these symptoms I have listed, including the palpitations and shortness of breath, coincide with each other. None happen at the same time and none happen immediately after or before. It seems they are all sporadic but always there.

I am also not sure if a lot of them are caused by nerves, etc. I do not feel extremely worried or anxious until I get a hard palpitation, which of course would make anyone feel nervous.

I am a 26 year old Male. As I said I run 5 days a week for around 30 minutes, as best that I can with feeling like you've been kicked in the stomach. I do not have a personal history of heart problems, I also do not get acid reflux (The doctor said I might have silent reflux) except for maybe a couple times during the week. When I was around 1 year old I apparently gave myself a hernia in the stomach area which I then reinjured and had to get secondary surgery done a couple months later. I am not sure if this would have a bearing on my situation now that I am 25 years older. My mother has a heart murmur and my father is a Diabetic.

Last edited by Looseball; 08-27-2009 at 01:23 PM.

 
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Old 08-27-2009, 08:41 PM   #2
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Re: GERD - Palpitations, other issues etc

It certainly sounds like you have reflux. Have you been reading up on LPR? LPR is typically "silent" with non-heartburn symptoms.

The 24 hr pH and Manometry (motility) are a "gold standard" test to measure if you have acid coming up. Sometimes doctors will order a double probe that measures the acid coming up into your lower esophagus and a second probe above the upper esophaeal sphincter to measure how much acid is making it into your throat. (I've had the pH testing twice. It isn't fun, but it could be much much worse.)

Another test that my Pulmonologist recommended was a Modified Barium Swallow and Esophagram. This was to check for any "swallowing disorders". The first test involved eating and drinking Barium in various forms while an x-ray videotapes the process. A speech therapist helped administer this. She could watch my chewing and swallowing process from lips to stomach. The second test was similar, but I had to drink a bunch of Barium. They watched my swallowing process from sitting and prone positions with a focus on the lower esophagus and stomach. Honestly, I thought I was wasting money on this test, but it was one of the most helpful in diagnosing my reflux. According to my Pulmonologist, I had a "swallowing disorder" that was affecting my breathing big-time. The Barium testing showed acid actually coming up from my stomach and irritating my lungs. It also showed the food that was coming up from my stomach because the LES wasn't closing properly.

If you do have LPR, the PPI's typically don't work very well in single dosages. Most people find the best success taking them twice a day, before breakfast and dinner.

Have you adjusted your diet? If not, you should do that right away. Also, you should be sleeping on an incline. Most recommendations are for around 6 inches. My docs recommend propping the headboard up on bricks or blocks that high. You can let gravity help some. Also, some find relief sleeping on their left side. If you look at a picture of the stomach you should be able to see why. Make sure you don't wear tight clothes around your waist. When exercising, try not to do things that "squeeze" your stomach.

 
Old 10-12-2009, 08:03 AM   #3
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Re: GERD - Palpitations, other issues etc

Hi Looseball,

I wondered how your 24 HR Motility and Ph monitoring test went last week. I read your post with interest because I've been suffering from many of your described symptoms for many years now. I consider myself to be a little nervous (I don't handle stress well, etc.) and everytime I discuss my symptoms with my doctor or family, everyone seems to downplay them as a psychosomatic response to stress. Now that I've had the second issue in about a year where one of my vitamins has gotten caught in my throat (and I was reading some message boards to try to get some relief from the feeling of panic), I realize that all of my little symptoms may be adding up to be something that is treatable/preventable. Please post again when you get your results.

 
Old 10-12-2009, 09:18 AM   #4
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Re: GERD - Palpitations, other issues etc

Quote:
Originally Posted by Looseball View Post
Ok, I've taken a read through of all the threads in here relating to my symptoms and I can't find one that has ALL of the specifics I am going to be mentioning. ...

Well you found one, and i suspect there are many others too. I just have never listed everything like you did.

3 Years ago, I noticed that as days went on I was getting the sensation of a lump being stuck in my throat. ...
Typical LPR, all of your descriptions of where, when and how describe it well


After a few months of taking Pantoloc, the only sensation it helped was the lump in my throat. ...

- My throat literally felt like ...

- I still have the phlegm feeling in the back of my throat...

One drug may not be as effective as another for a given individual. Sometimes you have to try something else, and sometimes even that does not work for everything.

- When I was laying down to sleep, if I laid on my stomach and turned my head to the left side, I would get short of breath to the point where I couldn't breathe almost. I didn't get any quicker of a heart beat, no palpitations, nothing. And when I turned in any other position it went away immediately. ----- Since taking the Pantoloc I have noticed that this has gone away
I get the shortness of breath too. Sounds like a bronchial spasm, caused from acidic irritation could be experienced with our without some gas buildup, probably to the vegas nerve.

- Sometimes when I am doing nothing or my daily activities, I will have a squeezing sensation in the middle of my chest. ...
Esophogeal spasm, caused from the acid, probably due to irritation on the vegas nerve.

- Currently I am a very active person. I do cleaning activities daily (not simple ones) and I run daily for 30 minutes. I do not get any chest pain when I do this nor do I experience shortness of breath. However, after 20 minutes of running I honestly feel like someone has kicked me in the stomach, and this happens regardless of whether I eat before I run or do it on an empty stomach.
Happens when i bike, it could be a cramp, a hietal hernia or sliding hernia acting up, some acid bouncing up and burning in your esophogus. For me, i can sometimes burp out the pain.

- Sometimes I get a pain in my chest, however it's usually on the right side. A lot of the time it is in the middle area where I feel the squeezing and I can pinpoint a spot on the right side where it hurts (just barely touching where my right breast is from the middle). It's not really a pain actually, more like a dull ache. If I had to scale it I would put it at a 3 out of 10, mostly discomforting and shocking when it happens, but definitely not debilitating.
Where one feels pain may not actually be where it originates. Pain felt could be radiating from your esophagus. Pain felt on the right side near the sternum area can be associated with gall bladder.

- Other pains I get in my chest seem to feel like your regular gas pains.

- I constantly burp. CONSTANTLY. This is extremely disconcerting when I am in a gym running, burping while people stare. Or in a restaraunt, every little bite I take I burp. Perhaps once a week, after a few hours of burping I will still regurgitate a small piece of food and that's it.
A lot of burping complaints found in this forum. Clearly an indicator of gastro-issues going on. Burping seems to relieve my pain when i have it, other times i just burp without the pain going on.

- When I burp it feels as if the air travels halfway up my esophagus, to the area where I am experiencing all these symptoms, then stops and I literally have to push it the rest of the way. Sometimes it actually hurts while others it just feels a bit sore in the exact same area everything feels like it's happening, and right after the pain/soreness goes away and I don't feel it until I burp again.
Dont you just hate that, especially when it stops and feels like it is blowing up your esophagus, sometimes with a lot of pain going on, sometimes none.

- Very rarely, while eating or not eating I will swallow and it's as if the muscles right in this area do not function. Everything else moves as it should but right in this little spot the muscles stop contracting, or doing their job, and the food just sits there. This also has happened when I am not eating or drinking and just swallowing regular saliva. It does not happen often at all, and has not gotten worse over time. I actually haven't had it happen in a few weeks come to think of it.
I have found stress, and constantly thinking or worrying about my "gastro issues" seems to perpetuate and bring about more issues. When i finally defocused from these thoughts, many issues subsided.

After going back to doctors and telling them all my symptoms they finally referred me to another ENT, who did a scope up my nose. I do not know the purpose of that test but he said everything looked completely normal, but after telling him that medications weren't helping he referred me to a Stomach Specialist and refilled my prescription of Pantoloc (out of all the drugs this was the only one doing anything at all).
What i have learned is this. The doctors have heard everything you have described. Some doctors think they could be attributed to GERD, some dont. The ones that dont i believe are in error, but they just follow an ever revolving cookbook of knowledge to derive their answers. Take med help doctors online for instance, i have read them saying that a particular symptom is not caused by "GERD" only to read later admitting they dont fully understand all the inner workings and that that symptom could be caused by GERD. The scope up you nose was looking for inflammation and drainage, as the source for your throat phlegm and issues

Back in March of this year, I coughed up two chunks of blood. I passed out a few minutes later because of the shock of coughing up blood for the first time in my life, and I ended up taking myself to the hospital because of it. They performed a chest X-Ray and told me it looked perfectly normal and that it was most likely a burst blood vessel, or sometimes the heart can "Accidentally" push blood into the lungs somehow ( I cannot recall what exactly he said it was called). Anyways, they said it was normal and not to worry, and sent me home. Since then I only coughed up one tiny tiny tiny (I mean literally tiny) spec of blood (Which was mixed in with phlegm) and never since.
This happened to me once, but after thinking about it, i realized it was blood in my phlegm caused from blood in the drainage from my nose. Other sources could be acid burning through your protective layers in your stomach or esophagus.

I am currently scheduled to have a 24 HR Motility and Ph monitoring test done on October 7th to get some more results, but I was just posting this to see if there were any thoughts I could get from the community.

The reason I am posting this is because lately I have been experiencing more frequent heart palpitations/fluttering sensations and a very very slight shortness of breath. This does not get worse when I work out, but they are noticeable I won't deny.
This was what i was referring to regarding the Med help doctors. One doc stated there was no connection between GERD and palpitations, then i read in another post they dont know but now see a possible connection and are just beginning to explore this area. I say definitely yes. When my reflux is at its worst, and i am burping a lot, i feel palpitations, some mild, some scary. I have had a full cardio workup to eliminate heart. This leaves the vegas nerve connection to a known stomach issue.

1. Maybe 7 years ago, I started to notice I was getting a very light fluttering sensation in my chest. Occasionally my heart would literally feel like it jumped, and I could feel it squeeze the blood out of it. I went to the family doctor and told him about it, he told me that it was just a heart palpitation and I was one of the unlucky people who happened to be "body aware", and was more aware of them. He said we all have them and most people don't even notice them, but I was one who did. He told me not to worry about it unless I was getting chest pain or shortness of breath or couldn't do hard work. I was able to do hard work and work out, and did not get either of these two symptoms. Today, it seems that I go through "episodes" with them. For example, I'll go 2-3 weeks without a single palpitation or flutter sensation, then suddenly I'll have one of those really big forceful palpitations, and for a few days after the fluttering sensation. It goes away as quickly as it happened until a couple more weeks later, when it comes back.

2. I also have been getting a very slight shortness of breath. It seems that...
I went to the doctors the other day about the palpitations and shortness of breath. He did the usual small office checkups, checked my pulse and blood pressure, etc. He said that everything he can see looks normal, and that it probably is just palpitations however that if it was really bothering me to come back in a couple weeks to do some more in depth tests if I feel it necessary.

One important note is that NONE of these symptoms I have listed, including the palpitations and shortness of breath, coincide with each other. None happen at the same time and none happen immediately after or before. It seems they are all sporadic but always there.
Although it can be related to GERD, it is also wise to check into your heart for simple causes. You could have Mitral Valve Prolapse, MVP, a benign condition that provides annoying symptoms. This is check with a simple, painless, ultra-sound of your heart.

I am also not sure if a lot of them are caused by nerves, etc. I do not feel extremely worried or anxious until I get a hard palpitation, which of course would make anyone feel nervous.

I am a 26 year old Male. As I said I run 5 days a week for around 30 minutes, as best that I can with feeling like you've been kicked in the stomach. I do not have a personal history of heart problems, I also do not get acid reflux (The doctor said I might have silent reflux) except for maybe a couple times during the week. When I was around 1 year old I apparently gave myself a hernia in the stomach area which I then reinjured and had to get secondary surgery done a couple months later. I am not sure if this would have a bearing on my situation now that I am 25 years older. My mother has a heart murmur and my father is a Diabetic.
A heart murmur is caused by MVP, and MVP is hereditary. Sometimes the murmur is not so easily heard by the doctor.

Last edited by Beeb; 10-12-2009 at 10:37 AM.

 
Old 01-26-2010, 12:58 PM   #5
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Re: GERD - Palpitations, other issues etc

Quote:
Originally Posted by Looseball View Post
Ok, I've taken a read through of all the threads in here relating to my symptoms and I can't find one that has ALL of the specifics I am going to be mentioning. Some of them are very strange and hard to describe so please bear with me. I have written each symptom down and described each to around 8 different doctors, 2 specialists, 1 ENT and my family doctor (I live out of town so I can't see him much). Please take note this is an extremely long post so don't flame me for it, I've got a ton of symptoms and It's really getting on my nerves at this moment. The following is my case:

3 Years ago, I noticed that as days went on I was getting the sensation of a lump being stuck in my throat. After 3 months of not being able to stand it anymore and getting a little scared, I went to a doctor who referred my to an ENT. At THAT time, these were the symptoms I was having and that I listed to him:

- Lump in my throat, right around the middle neck area. If I had to place it to an exact area I would say it is close to where the end of my tongue feels like it is, or where your ribcage meets in the middle of your neck area (forms that little V).

- My saliva was normal, until it got to the back of my throat in this exact same area. When it hit here, it literally felt as if it turned to phlegm and I could not swallow it. After about 3 or 4 swallows I finally was able to swallow it only to have another batch of this "phlegm" turn up.

- No food was getting stuck in my throat, however I would constantly burp even after small sips of water and eventually after hours of burping I would sometimes regurgitate small pieces of food.

- When I ate, especially when I ate bread, as the food hit the back area of my throat it literally felt like the food was too big for the hole. I had to swallow really hard to get it down, and when it started to go down I could literally feel it travelling down my entire esophagus. Not only that but it felt like it was stretching it out greatly as it went down.

After the appointment we had he gave me a scope down my throat, I believe it was an Endoscopy? I'm not sure so forgive me if I use the incorrect terminology. After this scoping was done, he took me into his office and told me that he found absolutely nothing cancerous (to cause the lump) however in my lower stomach there was some severe scarring from acid. He explained that even though the damage was down in my stomach area it can cause tons of symptoms in the area I was saying I had them. He gave me a prescription for Pantoloc 40Mg and sent me on my way.

After a few months of taking Pantoloc, the only sensation it helped was the lump in my throat. Everything else I was experiencing was still there. So I went to my family doctor who changed my medication to Novo-Ranidine. A few months later, I was still having the same symptoms. Suffice it to say I have been placed on several different medications. A few months later I was getting a few different symptoms among the ones I already listed above, another note is that ALL of the symptoms I am about to list, I am sensing in the exact same area of my throat, Except for the one's that I say are occurring in others:

- My throat literally felt like it was closing over. If I had to describe it I would just say to take a straw, or something round, and cover half of it with your hand or some other object. That is exactly what I feel sometimes.

- Sometimes, my throat actually spasms and closes over for just HALF a second, if even. I can feel it, I can hear it (if I have my mouth open and am breathing). ----- When I went to the ENT he told me this was called Noctournal Laryngospasm and that I shouldn't worry about it at all. Even though I have no other noises like a stridor or wheezing.

- Similar to the spasms listed above, I can actually manually close my throat off just by moving my tongue, when this happens I can feel the same thing as when it spasms and closes for a split second, only this time it doesn't close over. Rather, it feels and sounds as if there's something flopping around there.

- I still have the phlegm feeling in the back of my throat, although it is not as apparent sometimes. I can actually do that gross kind of clearing your throat thing (hocking is what we called it) and get the stuff up. It's a clear phlegm with some white foamy looking stuff in it mostly. After this my throat feels completely clear until the stuff comes back a few minutes later.

- When I was laying down to sleep, if I laid on my stomach and turned my head to the left side, I would get short of breath to the point where I couldn't breathe almost. I didn't get any quicker of a heart beat, no palpitations, nothing. And when I turned in any other position it went away immediately. ----- Since taking the Pantoloc I have noticed that this has gone away

- Sometimes when I am doing nothing or my daily activities, I will have a squeezing sensation in the middle of my chest. Sometimes it's at the lower point in my chest but most often in the upper middle, right where your heart would be (lucky me). The squeezing doesn't really bother me or stop me from doing anything (aside from wondering if I am about to have a heart attack), and I don't get any pain when it happens. After a few minutes, sometimes after 20 seconds, it goes completely away.

- Currently I am a very active person. I do cleaning activities daily (not simple ones) and I run daily for 30 minutes. I do not get any chest pain when I do this nor do I experience shortness of breath. However, after 20 minutes of running I honestly feel like someone has kicked me in the stomach, and this happens regardless of whether I eat before I run or do it on an empty stomach.

- Sometimes I get a pain in my chest, however it's usually on the right side. A lot of the time it is in the middle area where I feel the squeezing and I can pinpoint a spot on the right side where it hurts (just barely touching where my right breast is from the middle). It's not really a pain actually, more like a dull ache. If I had to scale it I would put it at a 3 out of 10, mostly discomforting and shocking when it happens, but definitely not debilitating.

- Other pains I get in my chest seem to feel like your regular gas pains.

- I constantly burp. CONSTANTLY. This is extremely disconcerting when I am in a gym running, burping while people stare. Or in a restaraunt, every little bite I take I burp. Perhaps once a week, after a few hours of burping I will still regurgitate a small piece of food and that's it.

- When I burp it feels as if the air travels halfway up my esophagus, to the area where I am experiencing all these symptoms, then stops and I literally have to push it the rest of the way. Sometimes it actually hurts while others it just feels a bit sore in the exact same area everything feels like it's happening, and right after the pain/soreness goes away and I don't feel it until I burp again.

- Very rarely, while eating or not eating I will swallow and it's as if the muscles right in this area do not function. Everything else moves as it should but right in this little spot the muscles stop contracting, or doing their job, and the food just sits there. This also has happened when I am not eating or drinking and just swallowing regular saliva. It does not happen often at all, and has not gotten worse over time. I actually haven't had it happen in a few weeks come to think of it.

After going back to doctors and telling them all my symptoms they finally referred me to another ENT, who did a scope up my nose. I do not know the purpose of that test but he said everything looked completely normal, but after telling him that medications weren't helping he referred me to a Stomach Specialist and refilled my prescription of Pantoloc (out of all the drugs this was the only one doing anything at all).

Back in March of this year, I coughed up two chunks of blood. I passed out a few minutes later because of the shock of coughing up blood for the first time in my life, and I ended up taking myself to the hospital because of it. They performed a chest X-Ray and told me it looked perfectly normal and that it was most likely a burst blood vessel, or sometimes the heart can "Accidentally" push blood into the lungs somehow ( I cannot recall what exactly he said it was called). Anyways, they said it was normal and not to worry, and sent me home. Since then I only coughed up one tiny tiny tiny (I mean literally tiny) spec of blood (Which was mixed in with phlegm) and never since.

I am currently scheduled to have a 24 HR Motility and Ph monitoring test done on October 7th to get some more results, but I was just posting this to see if there were any thoughts I could get from the community.

The reason I am posting this is because lately I have been experiencing more frequent heart palpitations/fluttering sensations and a very very slight shortness of breath. This does not get worse when I work out, but they are noticeable I won't deny.

1. Maybe 7 years ago, I started to notice I was getting a very light fluttering sensation in my chest. Occasionally my heart would literally feel like it jumped, and I could feel it squeeze the blood out of it. I went to the family doctor and told him about it, he told me that it was just a heart palpitation and I was one of the unlucky people who happened to be "body aware", and was more aware of them. He said we all have them and most people don't even notice them, but I was one who did. He told me not to worry about it unless I was getting chest pain or shortness of breath or couldn't do hard work. I was able to do hard work and work out, and did not get either of these two symptoms. Today, it seems that I go through "episodes" with them. For example, I'll go 2-3 weeks without a single palpitation or flutter sensation, then suddenly I'll have one of those really big forceful palpitations, and for a few days after the fluttering sensation. It goes away as quickly as it happened until a couple more weeks later, when it comes back.

2. I also have been getting a very slight shortness of breath. It seems that I feel it when I exhale at the end of my breath, when I am about to draw a new one inwards. It's not a constant thing either. I'll notice it for a few hours then suddenly not at all, and it seems that when my mind is off of it I don't notice it ever.

I went to the doctors the other day about the palpitations and shortness of breath. He did the usual small office checkups, checked my pulse and blood pressure, etc. He said that everything he can see looks normal, and that it probably is just palpitations however that if it was really bothering me to come back in a couple weeks to do some more in depth tests if I feel it necessary.

One important note is that NONE of these symptoms I have listed, including the palpitations and shortness of breath, coincide with each other. None happen at the same time and none happen immediately after or before. It seems they are all sporadic but always there.

I am also not sure if a lot of them are caused by nerves, etc. I do not feel extremely worried or anxious until I get a hard palpitation, which of course would make anyone feel nervous.

I am a 26 year old Male. As I said I run 5 days a week for around 30 minutes, as best that I can with feeling like you've been kicked in the stomach. I do not have a personal history of heart problems, I also do not get acid reflux (The doctor said I might have silent reflux) except for maybe a couple times during the week. When I was around 1 year old I apparently gave myself a hernia in the stomach area which I then reinjured and had to get secondary surgery done a couple months later. I am not sure if this would have a bearing on my situation now that I am 25 years older. My mother has a heart murmur and my father is a Diabetic.
Looseball,

I am not sure if anyone has responded to your post but here goes, In no way should this advice or information ever be used as a diagnoses and if you feel you have an emergency you should seek professional medical help.

Anxiety can cause many if not all of the problems that you have listed except the blood you are coughing up.

PVCs or other heart arrhythmia: When your heart knocks, or palpates it could indicate that you have a heart abnormality either in the SV node or valve prolapse. I recommend that you have this checked by a professional cardiologist as arrhythmia can be life threatening. However, it is also important to note that ALL people have PVCs but some do not feel them. The other thing is that this could be another sign of anxiety. The shortness of breath scares me a bit since they tend to occur with the palpitations.

I also suffer from PVC heart palps, GERD, and restless leg syndrome as well as anxiety and I am 31 years old. So while I appear young I have several health issues. Feel free to email me if you or anyone else needs to talk.

Remember if your symptoms change or a new symptom develops you should contact your health care provider.

 
Old 03-08-2010, 04:36 PM   #6
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just1primate HB User
Re: GERD - Palpitations, other issues etc

It's amazing, after reading the long post from the OP, I almost burst into tears. This is EXACTLY, to the T everything I have been experiencing for the past 6 months. It wasn't until recently that I got medical insurance, so I am just beginning my journey to find relief. I also have a diagnosis of possible MS from years ago, which if in fact I do have MS, GI issues and reflux are apparently part and parcel to that disease. So, my road ahead may be rougher than yours, if that is the case. But we must never give up. Research EVERYTHING you can about all your symptoms. I am convinced that Doctors are 75% guesswork 25% Anatomy knowledge and I have often been to Doctors armed with research when they said "Wow, I never knew that". Comforting isn't it :P, anyhow, good luck and keep us posted.

 
Old 03-08-2010, 09:55 PM   #7
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rosebloom HB Userrosebloom HB Userrosebloom HB Userrosebloom HB Userrosebloom HB Userrosebloom HB Userrosebloom HB Userrosebloom HB User
Re: GERD - Palpitations, other issues etc

That's a lot of symptoms and very unpleasant ones.

It sounds to me, from a non-medical perspective, that you have a vey sensitive, reactive throat. You do not mention allergies (or I can't recall reading about them in your post) and wonder if your thorat closing may at times be related to allergic reactions to certain foods. Have you ever noticed a correlation between eating certain foods and your throat closing or going into spasms? You may need some allergy testing in addition to all the other tests you are about to undergo in the near future.

One physician gave you a very fancy name for spasms of the throat and esophagus, which it sounds like you have. I just wonder if allergies may also not be partly to blame.

You can also have reflux and the reflux can irritate the vagal nerve which can in turn irritate other things and make your throat close up.

Several of the symptoms you describe at the end almost sound like anxiety to me. I too would be worried if I felt my throat closing up at random times, when I sleep or when I try to eat. I don't think we can help but worry when we are suffering from all these symptoms and they have yet to be diagnosed.

Sounds like you are going to be undergoing a number of tests in the future and it will be ineresting to hear what the results are.

These are my thoughts. I wish you a speedy recovery and answers to your questions/symptoms. I think we need a Gregory House, M.D. to solve the mystery of your symptoms.

It also sounds you are an active person, exercise, etc. Do you eat a healthy diet? Have you tried to make changes or additions to your diet since your symptoms began?

Rose

 
Old 12-29-2010, 11:33 PM   #8
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Join Date: Dec 2010
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fred0515 HB User
Re: GERD - Palpitations, other issues etc

Hi! I'm new here and I can totally relate with what you're going through lately. I have similar symptoms (the chest pains, squeezed feeling in the abdomen/chest area, salivating, burps, and even palpitations) It's really uncomfortable and disconcerting. I haven't gone back yet to my gastroenterologist for another follow-up check-up, I'll ask him if it has something to do with the reflux. But hang in there, buddy. I'm sure we'll find a way to alleviate that.

 
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