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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hi Dr....bubbling sensation in lower abdomen specially when i sneeze

Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2040 Questions

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Posted on Sun, 6 Jan 2019 in Digestion and Bowels
Question: Hi Dr....bubbling sensation in lower abdomen specially when i sneeze it vibrates like there a vibrator inside for upto 30 seconds and this happens on and off for upto 5 seconds....
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Follow up: Dr. Ramesh Kumar 0 minute later
Hi Dr....bubbling sensation in lower abdomen specially when i sneeze it vibrates like there a vibrator inside for upto 30 seconds and this happens on and off for upto 5 seconds....
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Follow up: Dr. Ramesh Kumar 19 minutes later
I am working in night shift from past 3 years continously and my eating timings will be completely different each day..
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Follow up: Dr. Ramesh Kumar 0 minute later
I am working in night shift from past 3 years continously and my eating timings will be completely different each day..
doctor
Answered by Dr. Ramesh Kumar 1 hour later
Brief Answer:
Palpitations felt in abdomen.
An organ can't vibrate/move inside your belly as this would cause unbearable pain.
Its a clear cut case of palpitations radiating to abdomen.

Detailed Answer:
Hi dear,
Firstly thanks for selecting health care magic to ask your query.

The feeling you are having is called palpitation.Palpitations usually feel like the heart is fluttering, throbbing, flip-flopping, murmuring,vibrating ,or pounding.However in some cases these sensations can be felt in abdomen stomach,limbs and head also.You are a classic case of palpitations.
Some possible causes in your case may be-

1)Strong emotional responses, such as stress or anxiety(As you said you are working for years in night shifts which is totally against body secondly your food timing etc are not fixed i.e it comes in a sort of unhealthy life style.In such cases Extra-cardiac stimulation of the nervous system (inappropriate stimulation of the parasympathetic nervous system, particularly the vagus nerve (which innervates the heart), can be caused by anxiety and stress due to acute or chronic elevations in glucocorticoids and catecholamines hormones which can cause palpitations which may be felt either in chest or abdomen.


2)Gastrointestinal distress such as bloating or indigestion, can also irritate the vagus nerve causing palpitations.Please mention about your bowel habits do you ever feel constipated? Are motions good and well formed?Any undigested food in stools or sticky mucus in stools? Your food habits,exercise schedule?Gas formation or any acid peptic disorder?
3)Overactive thyroid gland (hyperthyroidism)-Get your thyroid profile done my dear.

4)Palpitation may be associated with electrolyte imbalances of magnesium, potassium and other salts in serum.
5)You have not mentioned if you area smoker or not.Over use of nicotine and caffeine.
Common abnormal heart rhythms are-
ectopic beat, premature atrial contraction, junctional escape beat, premature ventricular contraction, atrial fibrillation, supraventricular tachycardia.Again its not necessary that vibrations are felt in thorax even abdomen can have them.

Suggestion-

I would prescibe you following tests
1) Thyroid profile- to rule out hyperthyroidism.
2)24 hour holter monitoring- will record the ECG continuously during a 24-hour or 48-hour period. If palpitation occurs during this period it will be recorded in ECG recording and we can rule out the cardiac rhythm at the time.

3) Serum electrolytes - a disturbance in serum electrolytes can cause palpitations , they can be corrected easily.
4)Stool test
Plus provide me with extra information i asked for.

If you are a smoker give up smoking.
Don't take alcohol in excess.
Try to do 45 minutes of exercise daily.
As your job timings are odd and anxiety related you may need benzodiazepene to lower your anxiety.
Don't eat oily ,fatty and spicy food for some days.
Add fibres to your diet.


The above mentioned investigations are the basic test which can be helpful in finding out the cause of palpitations.
As prevention is always better then cure, i would suggest you to take the problem seriously.

In case you need more details or have any other query ,feel free to ask ,i would be happy to help you!
Thanks
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Ramesh Kumar 0 minute later
Brief Answer:
Palpitations felt in abdomen.
An organ can't vibrate/move inside your belly as this would cause unbearable pain.
Its a clear cut case of palpitations radiating to abdomen.

Detailed Answer:
Hi dear,
Firstly thanks for selecting health care magic to ask your query.

The feeling you are having is called palpitation.Palpitations usually feel like the heart is fluttering, throbbing, flip-flopping, murmuring,vibrating ,or pounding.However in some cases these sensations can be felt in abdomen stomach,limbs and head also.You are a classic case of palpitations.
Some possible causes in your case may be-

1)Strong emotional responses, such as stress or anxiety(As you said you are working for years in night shifts which is totally against body secondly your food timing etc are not fixed i.e it comes in a sort of unhealthy life style.In such cases Extra-cardiac stimulation of the nervous system (inappropriate stimulation of the parasympathetic nervous system, particularly the vagus nerve (which innervates the heart), can be caused by anxiety and stress due to acute or chronic elevations in glucocorticoids and catecholamines hormones which can cause palpitations which may be felt either in chest or abdomen.


2)Gastrointestinal distress such as bloating or indigestion, can also irritate the vagus nerve causing palpitations.Please mention about your bowel habits do you ever feel constipated? Are motions good and well formed?Any undigested food in stools or sticky mucus in stools? Your food habits,exercise schedule?Gas formation or any acid peptic disorder?
3)Overactive thyroid gland (hyperthyroidism)-Get your thyroid profile done my dear.

4)Palpitation may be associated with electrolyte imbalances of magnesium, potassium and other salts in serum.
5)You have not mentioned if you area smoker or not.Over use of nicotine and caffeine.
Common abnormal heart rhythms are-
ectopic beat, premature atrial contraction, junctional escape beat, premature ventricular contraction, atrial fibrillation, supraventricular tachycardia.Again its not necessary that vibrations are felt in thorax even abdomen can have them.

Suggestion-

I would prescibe you following tests
1) Thyroid profile- to rule out hyperthyroidism.
2)24 hour holter monitoring- will record the ECG continuously during a 24-hour or 48-hour period. If palpitation occurs during this period it will be recorded in ECG recording and we can rule out the cardiac rhythm at the time.

3) Serum electrolytes - a disturbance in serum electrolytes can cause palpitations , they can be corrected easily.
4)Stool test
Plus provide me with extra information i asked for.

If you are a smoker give up smoking.
Don't take alcohol in excess.
Try to do 45 minutes of exercise daily.
As your job timings are odd and anxiety related you may need benzodiazepene to lower your anxiety.
Don't eat oily ,fatty and spicy food for some days.
Add fibres to your diet.


The above mentioned investigations are the basic test which can be helpful in finding out the cause of palpitations.
As prevention is always better then cure, i would suggest you to take the problem seriously.

In case you need more details or have any other query ,feel free to ask ,i would be happy to help you!
Thanks
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Ramesh Kumar 16 hours later
Thanks a lot doctor for such a detailed explanation.....i use to smoke a pack before but from past 2 months I am smoking one or 2 a day using filter... constipation happens off n on and stool sticky and sometimes fluid and sometimes hard...gas forms frequently....I also do part time job as a delivery and I will be really stressed each day...

is this palpitations serious issue at this stage?...am experiencing this from past 2 months....

Benzodiazepene available without prescription and any side effects...?How to take it...?
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Follow up: Dr. Ramesh Kumar 0 minute later
Thanks a lot doctor for such a detailed explanation.....i use to smoke a pack before but from past 2 months I am smoking one or 2 a day using filter... constipation happens off n on and stool sticky and sometimes fluid and sometimes hard...gas forms frequently....I also do part time job as a delivery and I will be really stressed each day...

is this palpitations serious issue at this stage?...am experiencing this from past 2 months....

Benzodiazepene available without prescription and any side effects...?How to take it...?
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Follow up: Dr. Ramesh Kumar 6 minutes later
I am getting married in 3 months...This doesn't affect my marriage life rite if i take precaution now?
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Follow up: Dr. Ramesh Kumar 0 minute later
I am getting married in 3 months...This doesn't affect my marriage life rite if i take precaution now?
doctor
Answered by Dr. Ramesh Kumar 9 hours later
Brief Answer:
Follow up..

Detailed Answer:
Hello again my dear patient,
Yes palpitation is a very serious issue and should be taken seriously unless we know the cause of palpitation.

No benzodiazepenes are not available without prescription in Europe or XXXXXXX but in Asia you can get it sir.

Doses are Tab Clonazepam 0.5 mg once daily before going to bed.
No it will have no effect on your married life my dear.
Feel free to follow up.
Do rate the answer.
Thanks and follow up with report!
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Ramesh Kumar 0 minute later
Brief Answer:
Follow up..

Detailed Answer:
Hello again my dear patient,
Yes palpitation is a very serious issue and should be taken seriously unless we know the cause of palpitation.

No benzodiazepenes are not available without prescription in Europe or XXXXXXX but in Asia you can get it sir.

Doses are Tab Clonazepam 0.5 mg once daily before going to bed.
No it will have no effect on your married life my dear.
Feel free to follow up.
Do rate the answer.
Thanks and follow up with report!
Above answer was peer-reviewed by : Dr. Kampana
doctor
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