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Suggest Treatment For Excessive Burping And Heartburn While Treating Hiatal Hernia
Question: hi, I have hiatal hernia diagnosed 40 years ago after not fully dissolved antiacid (brioscci,sp?) expanded in my esophagus. it rarely bothered me. Within the last month I have excessive burping, some heart burn and PVCs, the harmless ones also diagnosed about 10 years ago. The PVCs are annoying, could they be related to my digestive issues? (vagas nerve) They get worse after eating and when I lay down. Thanks XXXXXXX
Brief Answer:
Yes, with highest probability
Detailed Answer:
Greetings, sir! Thank you for your question and welcome to Health Care Magic. I understand your concern.
Well, yes, there is a high probability that the hiatal hernia generates premature ventricular contractions. This happen mainly because of the proximity of the hiatal hernia and the oesophagus with the heart. I understand that palpitations can be annoying. Therefore, they demand treatment. You are referring that they happen more often and are more annoying now. Although I am almost certain that they are triggered by the gastro-oesophageal problem, a 24-hour Holter rhythm registration is mandated, to determine exactly how often these phenomena happen during a day and in which part of the day they are present the most. My recommendation, besides this test, would be for you to be started on a beta-blocker (atenolol, metoprolol) or a calcium channel blocker (verapamil, diltiazem), which are shown to be effective in surpressing and preventing premature ventricular contractions. Consult your cardiologist about the dosage and frequency of taking. If a drug from these classes does not succeed to surpress PVCs, then a discussion about a antiarrhythmic agent should be taken into consideration.
I hope I was of help. I am happy to help, if you have follow-up questions. Please rate the answer, if you do not.
Wish you a good health,
Dr. Meriton
Yes, with highest probability
Detailed Answer:
Greetings, sir! Thank you for your question and welcome to Health Care Magic. I understand your concern.
Well, yes, there is a high probability that the hiatal hernia generates premature ventricular contractions. This happen mainly because of the proximity of the hiatal hernia and the oesophagus with the heart. I understand that palpitations can be annoying. Therefore, they demand treatment. You are referring that they happen more often and are more annoying now. Although I am almost certain that they are triggered by the gastro-oesophageal problem, a 24-hour Holter rhythm registration is mandated, to determine exactly how often these phenomena happen during a day and in which part of the day they are present the most. My recommendation, besides this test, would be for you to be started on a beta-blocker (atenolol, metoprolol) or a calcium channel blocker (verapamil, diltiazem), which are shown to be effective in surpressing and preventing premature ventricular contractions. Consult your cardiologist about the dosage and frequency of taking. If a drug from these classes does not succeed to surpress PVCs, then a discussion about a antiarrhythmic agent should be taken into consideration.
I hope I was of help. I am happy to help, if you have follow-up questions. Please rate the answer, if you do not.
Wish you a good health,
Dr. Meriton
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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