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What causes stomach and intestinal pain, nausea and diarrhea accompanied by a rapid heartbeat? - Online Doctor Chats

Date : 25-Mar-2014
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User:Hello- my 10 year old daughter has been having stomach and intstinal pain, nausea and occasional diahrrhea off and on for a few years now- it is often accompanied by a rapid heartbeat and pain in her chest. We have taken her to the emergency room once, but by the time we got there the chest pain and racing heartbeat was gone. We have had blood and urine tests done but all come back normal. We took lactose out of her diet this last week trying to rule out an allergy and most of the stomach and intestinal pain went way, but not completely. She now says it hurts alot less, but still hurts a little on both the left and right side of her stomach. Today her heart was racing and in pain again at school. They sent her to the school nurse and by the time she had gotten there it was gone. Im so frustrated- I dont know how to help her.
Let me read your query for few minutes to be able to have a good discussion here.
Doctor:I have gone through you query and I can understand your frustration
Doctor:I would advise you to continue with removing lactose from the foods
Doctor:and make sure the same is followed at the school as well
User:yes, I am making her lunches and she is not eating the school food. I am just wondering why her heart would race and have chest pain?
Doctor:and as for the racing heart.. I would recommend Holter monitoring
User:yes- the hospital did an ekg on her but the racing heart was already gone
Doctor:Heart racing could be because of atrial fibrillations
Doctor:EKG records only a short duration
User:The racing heart only happens once in awhile, like once a month
Doctor:Holter monitoring can record up to one week
User:and the racing heart often happens along with the intestinal pain
Doctor:Okay, have you counted for one full minute when she gets this racing heart?
User:yes, sometimes it races for a few minutes and sometimes up to half an hour. I have her lay down and rest, and it will eventually stop
Doctor:Lactose intolerance is known to cause tachycardia (racing heart)
Doctor:but it is not a very common symptom
Doctor:I would recommend you to continue
Doctor:with lactose withdrawal
Doctor:and see how it goes
Doctor:hello are you there?
Doctor:are you there?
User:yesIm sorry I lost internet - I have sattelite, I live in the country
Doctor:so try the Holter monitoring
Doctor:and avoid all lactose
Doctor:and see how it goes
User:ok I wil keep trying the lactose out of her diet, and ask the doctor if we can do a halter monitor
Doctor:Yes, Holter will pick up if there is any type of abnormal heart beating
User:the school nurse said they were in p.e. class when it happened, so she was running around today when her heart started racing and hurting
Doctor:and you can proceed from there
User:ok thank you
Doctor:Okay, in such case you should limit her physical activity
User:ok- I will ask the doctor for a note to keep her from p.e.
Doctor:is there anything else?
User:thank you so much, no
Doctor:You are most welcome
Doctor:take care, and have a good day ahead
User:oh- one more thing- she got a strange rash on the tops of her hands, red and dry
User:I put lotion on it and it went away- but it happened when she was having alot of intstinal issues
Doctor:Lactose intolerance to be blamed again
User:ok- thank you so very much- peace and happiness to you and your family
Doctor:Wish you the same to your and your family as well
Doctor:have a good day
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