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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hi Doc, I have a issue that's been bothering me

Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 7135 Questions

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Posted on Wed, 3 Apr 2019 in Hypertension and Heart Disease
Question: Hi Doc, I have a issue that's been bothering me for almost 9months. I notice when I lay in a certain position on my pillow I can feel my heart beat hard and pounding. i also notice if i lay flat its doesnt happen. I have had many different test ecocardio gram, event monitor, treadmill test and all has been good. No one seem to know why. Thanks XXXXXXX
doctor
Answered by Dr. Ilir Sharka 32 minutes later
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on Ask a Doctor service!

I passed carefully through your question and would explain that the only possible cause that would mimic such clinical situation would be a hiatal hernia or gastroesophageal reflux.

For this reason, I would recommend recommend performing a fibrogastroscopy in order to check for this possible disorder.

Another option would be trying and antiacid or PPI (omeprazole) and see if it helps improve your situation. This would be another argument in favour of the above mentioned possible causes.

From the other hand, if this doesn't help, I would advise considering possible anxiety. In such case, low dose alprazolam would help prevent those episodes and improve your situation.

As a cardiologist, considering all your performed cardiac tests, I would exclude any possible cardiac disorders.

Hope you will find this answer helpful!

Wishing all the best

Dr.Iliri

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ilir Sharka 2 hours later
I think your right. I have an Hiatal Hernia, could this be pushing up on venus nerve? how can I treat this?
doctor
Answered by Dr. Ilir Sharka 8 hours later
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

There is no special treatment menthod, besides surgery.

But, I would recommend eating more frequently and in small portions and avoiding large meals. Avoid eating right before sleeping, but at least 2-3 hours before sleeping.

It is also important taking an antiacid or PPI (omeprazole).

Hope to have been helpful!

Wishing all the best,

Dr. Ilir Sharka, Cardiologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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