ADVERTISEMENT

Q. What are the chances of my GERD and hiatus hernia triggering my PVCs?

Answered by
Dr. Vivek Pillai
and medically reviewed by Dr. Chithranjali Ravichandran
This is a premium question & answer published on Aug 27, 2021

Hello doctor,

I have had premature ventricular contraction for six years, and I take tablet Metoprolol 50 mg once daily. My ventricular contractions are stacked and create a non-sustained ventricular tachycardia. I am constantly having an upset stomach, constipation, and bloating. Now my question is should the focus be on my stomach rather than my heart?

I have consulted four cardiologists and one electrophysiologist. All of them told me not to worry, but I am scared. I have GERD and may have a hiatus hernia.

Any information is appreciated, and thank you.

#

Hi,

Welcome to icliniq.com.

Thanks for the query and detailed symptom description. Many arrhythmias are accompanied by gastrointestinal symptoms. I have noticed this in my experience but the reason is unknown. Most probably it might be a trigger for PVC (premature ventricular contractions), which leads to small upsets in our body equilibrium.

I suggest you to investigate for gastrointestinal disorders and get an opinion from a gastroenterologist. For now take tablet Esomeprazole alone may not work for GERD (gastro esophageal reflux disease) and you would have to add Domperidone with this. Also you need to get that hiatus hernia investigated as these tend to lie in close proximity of the heart and could possibly provoke PVCs.

Lastly for the PVCs itself you could increase the Metoprolol dosage to 50 mg twice a day or 100 mg twice a day, provided you can tolerate it, also non sustained V-tach (ventricular tachycardia) are not really seen with benign PVCs so it may be wise to image the heart with an MRI (magnetic resonance imaging) to rule out structural heart disease.

Regards.


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
I am experiencing heart flutters and skipped beats. Why?

If the ECG could not pick it up, then you will need 24-hour Holter monitoring ...   Read full

I am on long time BP medicine. I tried to use Propanolol instead of Metoprolol as it helps my anxiety. But Why getting the feel of sick and dizziness?

I experienced a low sex drive & erection problems from quite some years now & I finally have got few blood test done.. I don't know how to interpret the report as I find lot of things not normal.. Please help me interpret the report & s...   Read full

My acute gastritis pain recur after stopping the medicine. Why?

I experienced a low sex drive & erection problems from quite some years now & I finally have got few blood test done.. I don't know how to interpret the report as I find lot of things not normal.. Please help me interpret the report & s...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


What Is ADHD and How Is It Managed?
This article discusses ADHD, whether it is a real condition, features of ADHD, how to recognize and manage this common c...  Read more»
Does a cold sore indicate cervical cancer?
Hi doctor,Can a cold sore virus cause cervical cancer? I never had sex before, but I have caught a cold sore from one of...  Read more»
I am experiencing abdominal bloating and severe acidity. Are these side effects of antibiotics?
Hello doctor, I have been experiencing bloating and acidity during the menopause years. After experiencing a burning se...  Read more»

Ask your health query to a doctor online?

Ask a Cardiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.