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Hiatus Hernia and Palpitations

I have been diagnosed with a hiatus hernia but have had lots of problems with palpitations recently, i also sometimes get a cold shivery feeling some nights as if i am going down with flu, i have suffered from really bad acidity over the last 10 years, i have had three endoscopy's and it was on the last one that i was diagnosed with a hernia, i also get bad chest pain along the sternum and a bad pain where my ribs meet in the middle, it's so depressing, does anybody else suffer from palpitations etc?

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  • Guest

    Hi

    Yes I suffer these symptoms too, I also get very breathless especially when I bend over or climb stairs and also feel quite faint and dizzy during a bad attack.

    My stomach is also badly swollen, so much that it looks like I am pregnant.

    Good luck

    You have my every sympathy its so awful.

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    • 89DukeNukem Guest

      have you had any luck I myself and strugling to diagnose myself I have chest/heart pains huge belly(im very slim btw) and i urinate less but mostly stomach pain and swelling so bad that I find my self going crazy becuase the doctors have not even scanned it just poked it and said its ok

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  • Guest

    I too have a hiatus hernia. Three weeks ago I started this pain/pressure up and down on my sternum., and the gas I was belching was incredible. I went to the ER, and they did an ekg and said that something was not right so I was referred to a cardiologist. Also my blood pressure in emerg was sky high. They started me on blood pressure pills and 81mg aspirin.

    My visit to the cardiologist showed on the stress test that my target heart rate was reached to quickly and again the ekg showed something.I am now going back for a halter, and eco, and a stress myoview.

    But a few days ago I had that same thing happen to me. I was cleaning off the side of the house and got so hot, so I had a Coke. Well that set things off again. I tried eno, then sone ginger ale, the a tylenol.

    It's really freaking me out, because I am having all of these symptoms along with menopausal crap which is reall interferring with my life.

    This creates anxiety symptoms, so I don't really know what cothers me

    I want to blame most of it on the hiatus hernia especially the chest discomfort. It does not seem to matter what I eat it bothers me. I do not get heart burn, but my lips burn...weird.

    This pain in my sternum was like a cramp...do you get this?

    Take care

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  • Guest

    i need help im so fustrated its untrue have severe pain all the time right rib cage and feel like ive got a lump in my throat everynight it drives me crazy had barium swallow and endoscoppy found small hitas hernia all medication ive been given does nothing at all everything i eat or drink causes me pain ive had it 2 and a half yrs now i think i need an opp

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  • Radley

    Hi, yes I suffer these symptons too. I was diagnosed with a hiatus hernia in 2008 and was given tabs to reduce the acid. I had side effects from using Lansaprozal - constant headache/blurred vision and Ozeprazol- bad stomach cramps etc (not sure if these are spelt correctly!).

    I was then put on Ranitidine, 1 at night. I felt I was wishing the eve away so I could take my next tablet due to the acid burning. I am now on Ranitidine, but take 150mg in morn and 1 at night. I have recently had bad nausea with it. My GP suggested I take Gaviscon Advance together with Ranitidine to help ease the nausea.

    I have suffered with palpitations since 1996, but do find I get them more often now prob due to the hernia or medication. I had a food intolerence test done last year - they suggested I take Aloe Vera x 2 whole leaf double concentrate. You find it on web under Cytoplan Ltd. Its £20 a bottle,taste disgusting, but soothes your stomach!! Worth trying!! Good luck smile

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  • Guest

    I was diagnosed with a Hiatus hernia and Barretts disease this week after i was sent for an endoscope.I have suffered for years with heartburn and palpitations,i was on ranitadine for a long time but they stopped working for me.I am now on Omeprazole which keep the heartburn at bay but not the pain and palpitations.

    You have my sympathy.

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  • Gemini

    I to have a hiatus hernia and Barrett's and I am on Omeprazole. I have never been aware of acid reflux only on odd occasions but do have the chest pain. I had my gallbladder out 4 weeks ago as they found loads of stones and the gallbladder had thickened. I was told I would feel much better. (I had lost 3½ stones and was unable to eat). Alas the chest pain is back even though I am still on a low fat diet and I don't feel as good as I had hoped. Having my check up tonight after op so hopefully someone can tell me what to do next. I look about 90 and it is so depressing. At least when I was so overweight I didn't look my age! (62)

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  • Guest

    I was diagnosed with an hh 10 years ago and since then it's been kept in check with esomeprazole 20mg. Had another endo. done in December with seemingly nothing worse to report but over the last 6-8 weeks things have got a lot worse especially with palpitations and skipped heart beats. I'm now off work and so freaked by it that Im on paroxetine for anxiety and something else to calm me down. Specialist moved me up to 80 mg of esomprazole for a week but it's doing nothing. It's now affected my mental state so badly that I've started to suffer from depression. Had a CT scan of my chest done on Thursday and seeing him with the results on Wednesday this week where I'm going to ask him about surgery as I believe that the hernia is responsible for these cardiac arrhythmias that scare me to bits.

    Anybody else experienced these frightening symptoms as at the moment I can't see how I'm going to return to work again...

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    • Loretta50 Guest

      I just wanted to know how everything is going for you now...since this posted 4 years ago? I am suffering currently from the same diagnosis and on the same medication you have listed in your article. I have become depressed and feel like I am going to die soon because of these attacks with palpations so bad that the EMT's are getting called on a regular basis to my house. I am also suffering with menopause as well and turning 50 this august. Let me know how you got relief, if any?

      Thanks,

      Lo

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    • ssmith88 Guest

      I understand entirely! I am in exactly the same situation however just waiting to see the cardiologist! I take lanzoprasole and have paroxatine for anxiety. It is so terrifying when the palputations occur, I've had 7 day ecg monitor to which ectopics were recorded without arythmia which is reassuring.

      I asked my gp's opinion on hiatus hernia and palpitations being linked and was told it's highly unlikely however that's the same surgery that dismissed a family members brain harmorhage down to a migraine!

      Hang in there as we can all get through this together.

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    • sean92481 ssmith88

      I have had bouts of palpitations all my life, and bad heart burn and occasional pains at the top of my stomach which i know are wind. A few years ago i had a Barium meal X ray, and since that, an endoscopy, and was diagnosed with a Hiatus Hernia. I still take palpititions now as well and have had two ECGs which were clear, BP tests which were normal, and stethoscope also normal. I wore a monitor for 48 hours; results normal. I am convinced that the palpitations are connected to my hiatus hernia,they seem to come with certain postures, and after meals etc, never when i am active. My GP will not agree. My health otherwise is good. I recently read of a hiatus hernia affecting the Vagus nerve which in turn can cause palpitations. It is good to see the comments from other sufferers.

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    • lizzieozkiwi sean92481

      Ah, you sound exactly like me. My doctor also does not recognise that my palps or occasional SVT could be caused by my sliding hiatus hernia. It's extremely frustrating because this appears to be a fairly common condition so I can't understand why the medical fraternity generally are not connecting the dots. A lot of us who suffer this issue also have IBS or other digestive problems, and I can't help thinking that the combination of all our otherwise minor digestive issues must be either tickling the vagus response, or sending gas up into the oesophagus and irritating our hearts. Food for thought, um - perhaps not too much food lol....Personally, I've cut out so much interesting food to try and reduce my palps that my diet is the most boring imaginable. No booze, no red meat, seldom any cream, no bread - there's not much left to eat. I should be as thin as a rake! ha, no such luck! BUT, eating boring for me seems to work and keeps my symptons at a manageable level. Lizzie

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    • Cass73 sean92481

      I think u cOld be right about the vagus nerve and palps.  Still looking for a diagnosis with costrochondritis and then lg HH found.  Was small before.  Fainted a couple of times at work some years ago and medics came and took me to hispital.  Recall ones aid looks like a vagus nerve could be in play here.  Must remember to tell my doc.  thanks.

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  • michelle682 crazymama

    i have had a stomach hernia for some years but have not treated it ...sometimes i take just rennies, other times take omneprazole for a few weeks.. but in last months my stomach has become more swollen ,and suddenly my blood pressure has increased to a fairly high level.. im trying natural methods to lower it ,im too young to go on heart medication,, still in my 40s... but am so so worried

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    • lizzieozkiwi michelle682

      michelle682, I went on blood pressure medication when I was 40, the hot flushes started at the same time. I used to worry about being on BP medication, but realistically it's a lot better to be on that and have your BP regulated than letting it go, because it's untreated BP which is not good later on. So don't be afraid if your doctor wants you to start this. You didn't mention if you had palpitations, however I have a small sliding hiatus hernia and it's comforting to read others posts indicating that the HH can cause these along with swollen tummy. Make sure you get thoroughly checked out by your doctor before you try fixing your symptons yourself. If you find everything is normal and you don't have any health problems, then it's a good thing to try changing perhaps your diet and lifestyle. It seems to me that a lot of these symptons are caused by anxiety and we can all get this occasionally when life becomes difficult to cope with, but we do get through it and I'm thankful for the support of sites like this, we realise we are not alone. Lizzieozkiwi

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  • brent67338 crazymama

    I was recently diagnosed with a small hernia and 2 small ulcers. Can someone please put my mind at ease about these heavy heart beats. my heart doesnt beat quickly, it just beats hard and i can feel it in my chest when just sitting down. sometimes i feel it pulse in my neck, arm or ear.

    and sometimes this heavy heart beat seems to efect my breathing. while breathin in and out every heart beat seems to pause the breathing.

    other symptoms i am not sure about are fatigue, weakness, headaches

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    • sean92481 brent67338

      My GP tells me that the heavy heartbeats / Palpitations are nothing to worry about, and that worry will increase the symptoms or at least make you more aware of them, and worry or stress will certainly make your heart race. I was slow to believe this but after two ECGs, and wearing a monitor which showed no heart problems, not even raised BP i am forced to believe that the palpitations are not as serious as i thought. They are however still worrying, and annoying. I can not convince him either, that the palpitations are linked to my Hiatus Hernia, or Vagus Nerve. I see that is a recurring problem with others in the forum.

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  • mickpayton crazymama

    Hi all, I've been following this discussion for a while and feel it's time to add my experiences. I'm 61 and had a sliding HH since I was about 20 with no real probems apart from from heartburn and reflux at night which I managed by copious amounts of bi-carbonate of soda and raising the head of the bed by 5inches. 

    In Jan last year I had an endoscope and it was confirmed (again) that I have a small sliding HH and a small section of Barratts. In the months following this endoscope I developed high BP, bloating, cramps, palpitations, light-headedness, difficulty breathing, tightness on the left side of my head/face and a few other things. I too get palps if I bend forward or stand up quickly.

    My partner and I set about researching these things and everything pointed to Vagus nerve irritation, BUT - don't suggest this to any consultants because they think you're a stupid internet melodramatic (I know, I was called this in a letter to my GP) and then refused an appt because (I had already pre-diagnosed myself without sufficient knowledge of a condition that is impossible!) Research for yourselves the problems a HH and Vagus nerve combination can cause and you will be amazed at all the symptoms and similarities! I felt that there was pressure on the back/left side of my heart and was told that this was absolute nonsense by an upper GI surgeon, then an ultra-sound clinician told me that she'd actually seen - on numerous occasions - pressure on the heart from a sliding HH! 2 heart specialists have actually admitted the possibility of this happening recently, but I still can't get a gastroenterologist to investigate it, they all seem to want to treat the symptoms not the problem! So go do your research (avoid the websites that want to sell you a cure, go for the medical websites) and have a shock at how common this really is!

    So what did I do? I set about the long task of finding everything that sparked off any problems, these are some of them : lemon, garlic, olives, lime, refined sugars give me day-long palps the next day! Pastries of any type, sweets (sugar again) green tea and so on. You must avoid refined sugar at all costs! I now have 2 juices or smoothies (containing 75% vegetables 35% fruit) and 2 small meals a day. Next you need to strengthen your stomach muscles, try doing pelvic thrusts and diaphram exercises - it really does help!

    A last thought - you will also find that walking, talking and sitting upright will cause you problems, lying on your stomach or right side will alleviate this.

    Hope this is of some help, if anyone finds a specialist willing to investigate please reccommend them! The 10 minutes that the NHS gives them is not adequate for us.

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    • lizzieozkiwi mickpayton

      You have written the most clarifying note of any I have seen on these sites, thanks so much for sharing your comprehensive research and thoughts on an issue that is surprisingly common.. And there are many of us who agree with you and have been battling "the system" for years. It's really back to realising we have to help ourselves.  After getting all the health checks done and ensuring that there is nothing wrong with my heart, I too have done the research and my diet resembles yours, luckily my very supportive husband enjoys the same food/beverages - and we are both better for it. I know your post will really encourage and support so many other people with this problem. A BIG THANK YOU......Lizzie

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    • sean92481 mickpayton

      Best description i've seen of this condition, Although i did have an occasional palpitition during my life,( I have had HH since schooldays ) I never really had them bad until i had the endoscope, and they have been pretty constant since. wonder now if there is any connection. My GP is like your own, he got really arrogant with me when i suggested a link between the two things. He had a young trainee GP sitting in with him that day, and i think he was grandstanding to impress her as well, but he made me sorry i mentioned it. It doesnt help that so many GPs have a  closed mind.

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    • mickpayton sean92481

      Hi, there are some things you've mentioned that I left out - I was afraid of boring everyone! I too had multiple symptoms after the endoscope, including cold hands and feet, shivers, difficulty forming words at times, difficulty controlling my eyes (my right eye felt 'stiff'wink It wasn't just my GP, it's been 5 consultants in various fields. I went to see another upper GI surgeon and decided not to mention Vagus nerve and guess what? HE suggested it himself! Unfortunately it's not his body area so he can only refer to to a gastro guy, who said 'rubbish, impossible!' I took 40 pages of medical research documents taken straight from European medical research professors - not commercial sites - to my GP and she never even looked at them, neither did any of the consultants. We need someone with some balls to say 'ok, I want to make a name for myself, i'll give it a look'. The problem is that the NHS won't support it in their budget - it's a matter of treating it is easier/cheaper than fixing it! My findings are also that medical people are afraid to address the problem as it's relatively un-researched in the UK. I can't stress enough how stomach exercises have helped me, if anyone wants to know about this i'll post what I do.

      Myself and my partner have been made to feel the same as you many times with feeling sorry to have mentioned it and feeling negativity from the GP.

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    • Cass73 mickpayton

      Most interesting.  But my current doc was not treating me when I fainted, so will in ice toy recall it to her, with what medic said.  They are already running around looking for a diagnosis!

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  • mickpayton crazymama

    First, research sliding HH so that you understand exactly what it is, you will see on a diagram that it's very close to the bottom left side oh your heart - very close! These are the things I do to try to keep on top of my symptoms :

    Pelvic thrusts - you can look all these up on youtube.

    A pilates move called the triangle

    Diaphragm strengthening breathing exercises

    Using a chin-up bar or similar, hang by your right arm and let your body stretch, the hernia is situated just to the left of the place where your ribs join at your solar plexus and this can allow it to relax.

    Look for 'self treatment for sliding HH' where you lie on your back and push your fingers under your ribcage and then down, pushing the hernia back down through the diaphragm.

    Using 2 small dumbells, stand upriht arm keeping your arms straight, raise them up level with your shoulds, hold for a few seconds, then lower. This opens up your diaphragm and can help the hernia to slide back down - also keeps your shoulders in good condition.

    Bloating appears to have a direct effect on my blood pressure and the amount of palpitations I get, you will need to know what things to avoid, once you've spent a day without bloating and palpitations you'll want to do it more! When I'm not bloated I don't get dizziness or palpitations when I stand up or bend forward.

    Get your weight correct, being overweight amplifies this condition dramatically!

    Hope this helps, best wishes all.

     

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    • page65009 mickpayton

      Hi Mick,  Are your palpitations fewer since you do this? I am getting the palpitations daily now. At first I thought it was my thyroid with my Hypo, but the more I read the symptoms are my hiatal since my thyroid comes back normal on my levels with my meds. My heart tests have all come back normal. So now I'm assuming it's this.

      Have you considered the surgery? If no, then why?

      I'm about fed up with this. Just the other day I finally had nausea,lightheadedness, and just felt like crap until I ate. I felt a bit better.

      I get the nightly indigestion. Zantac or Pepcid don't work as well as they used to.

      Mine now happens when I lean over. Or if I'm talking standing up. I can talk all day when I'm sitting.

      When you do these exercises do you get the palps? That's what concerns me. I have gained weight and these are more frequent since I have. I'm 5ft7 and 195.

      I go to my PC on Monday and of course he will check my thyroid levels. As I am sure they will come back normal. So I'm guessing I should as him to send me back to a gastro to have my hiatal checked?

      I'm so over this. I want my life back..

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  • rosebud55 crazymama

    Yes is very frustrating and it is worth going to a cardiologist for them to tell you, that you are crazy and there is nothing wrong with your heart so you can begin treatment for your hiatal hernia so you do not eventually get esophageal cancer. I am very cynical about this but I suffered from heart palpitations for about 2 years and it happened when I ate or shortly after. I kept telling the doctors this and they thought I was being a nervous woman and the two symptoms of heart palps and indigestion were not related. I went through heart monitors, emergency visits, ultrasounds, xrays, and cardiologists wanting to give me tranquilizers. I was so angry.I finally went to a gastroenterologist who did a scope and found a hiatal hernia. He gave me aciphex and within a week the palps stopped. I did an experiment and stopped the achiphex and ate a heavy meal. Bingo... palps came back with a fury.  So, I spoke to the gastro about this, he said, there are nerves that line the esophagus. When the esophagus lining is irritated like from acid reflux, inflammation irritates the esophageal nerves. "It is often difficult to distinguish between cardiac and esophageal causes of chest pain based upon symptom presentation alone because the nerves that supply the heart also supply the esophagus".http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3038318/

    Take this peer reviewed article to the doctor calling you crazy. Here it is in a medical journal.  Anyway, I took my achiphex and also reduced the amount of food I was eating, stayed away from thick sauces, gravys, bread and heavy foods and those with tomato sauces. I stopped eating around 4pm.  This helped and my palpatations never returned. Make sure you really do not have a heart condition, but stop going to any doctor who says heart palps and gerd symptoms, hiatal hernia are never related.

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  • Litlmis crazymama

    Hi everyone, 7 years ago i was diagnosed with a sliding HH and associated GERD. I had a nissen wrap done and a repair on the hernia. All great until the following year even out jogging i felt it all come apart. Severe shoulder tip pain and almost instant reflux. Back to the surgeon, different one, he tested for everything and essentially the whole lot had come undone. So he re-wrapped and also repaired the HH, this time using mesh. Then last year, 4 years after the repeat surgery i was putting the 1yr old to bed and i was being and twisting at the same time. I felt a really bad/sharp pain in my sternum. I ended up in hospital the next day being tested for a heart attack. Nothing came up in the bloods so i was sent on my way. The pain subsided so i didn't worry. Then two days after the birth of my second child i came down with the flu. The hospital ordered a chat xray where it shouted that i had a moderate HH again. As i had been asymptomatic i wasn't concerned. HowHowever recently I've been short of breath laying down, it's worse when laying on my left and after a bout of food poisoning I've started to get chest pain in the lower left side. I'm assuming it's all related to my HH. No reflux this time but not sure about the pain. It feels like something is jarred there.

    Any advice? The gp got me to make an appt with the surgeon whole he chases up the xrays.

    I'm torn between assuming it's the HH and stressing it's something heart related but I'm mildly pleased that the fact that it's been going on for the better part of a week now means it isn't too serious.

    Or is this being a bit simplistic. Any advice welcome.

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