• question-icon

    What causes rapid heart rate, nausea and fullness after the meal?

Posted on Wed, 1 Jun 2016 in Kidney Conditions
Question: Several months ago (approx 10 months) i was diagnosed w/ hypertension, started on beta blockers and hctz. I still get very sob climbing stairs and heart rate remains elevated @ 110,( i have recently been diagnosed with iron deficiency anemia). My hr is elevated intermittently at rest as well, and can wake me up from sleep at night. My stress test/echo was negative. Ekg showed a normal sinus rhythm w/ a few pvcs.
I tend to get full very quickly after beginning a meal, and feel nauseous a few times a week.
I have recently noticed a small amount of protein 2+ in my urine, a spec grav of 1.030 and a low ph of 6.0, noted through a urine sample and have used a Urinalysis reagant strip at home.
Also noted through my Cbc was iron deficiency anemia, not very low but outside of nml parameters, as stated above. My albumin level was borderline and periodically i have 1+ pitting edema in bilateral ankles/feet. My cardiologist doesn't seem concerned, but i myself have noticed increased dryness all over, i drink plenty of water, and itch all over. I am very concerned for kidney disease since i have a Hx of htn. Is there any reason to warrant my concerns ? ?
Answered by Dr. Ilir Sharka 13 hours later
Brief Answer:
I would recommend as follows:

Detailed Answer:

Welcome and thank you for asking on HCM!

I carefully passed through your question and would explain that it is important performing further tests to examine your kidneys. You should know that a small amount of protein in urine and urine pH changes can be related to extrarenal causes like physical effort, diet, certain drugs, etc..

An isolated urine analysis is not a confident indicator of renal function.

So relax and do not worry about it!

Your elevated heart rate could be partially related to chronic anemia. As you have been diagnosed with iron deficiency, I would recommend taking for some months iron supplements.

From the other hand, I would recommend further tests to exclude other possible causes of increased heart rate and possible feet edema:

- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during the day and exclude possible cardiac arrhythmia
- blood electrolytes for possible electrolyte imbalance, which can lead to cardiac arrhythmia
- thyroid hormone levels (as thyroid dysfunction can lead to increased heart rate)
- blood osmolarity
- creatinine clearance test besides other kidney function tests
- abdominal ultrasound to examine your kidney and urinary tract.

I would advise you repeating kidney function tests every 3 months, in order to monitor your kidney function for any possible changes.

You should discuss with your doctor on the above tests.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Answered by
Dr. Ilir Sharka


Practicing since :2001

Answered : 7415 Questions


The User accepted the expert's answer

Share on

Recent questions on  Stress

doctor1 MD

I have a friend that is veteran from the Persian Gulf War. She has been diagnosed with Hashimoto immune disorder with acute pancreatitis, her...

doctor1 MD

I am a 42 year old female with many symptoms, dark patch on my leg, back of the neck area, joint pain, extreme exhaustion, sleep problems, no sex...

doctor1 MD

Yes. I have a yeast infection (@48 it is caused from stress) first time in years, I used mixonazole tablet for day or night. Have had a reaction. (...

doctor1 MD

Hi, i m have recently started taking eglonyl due to severe stress and lack of sleep. My blood was abnormally high so my doctor also prescribed...

doctor1 MD

Hi Doctor, I want to improve my brain performance, so visited Ayurvedic doctor to take the swarna bhasma,i am little obese and having snoring...

doctor1 MD

hi i m facing sleep disturbance since last 8 years i feel too much pressure over and behing myleft ears may be it leads to stress and breaks my...

doctor1 MD

I have low body temperature, and am concerned that my thyroid may be not working optimally. My TSH is 4.13. If I reduce the stress in my life, will...

Get personalised answers from verified doctor in minutes across 80+ specialties

183 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Ilir Sharka
  • Q - What do the following stress tests, echo and holter monitor test result...

  • Q - Suggest alternative treatment for congestive heart failure

  • Q - Suggest treatment for hypertension and GERD

  • Q - Suggest treatment for high BP and tingling in arms

  • Q - What causes sharp pain in chest area relieved by burping?

  • Q - Suggest treatment for afib, severe sleep apnea and high heart rate?

  • Q - What causes shortness of breath with normal chest X-ray?

  • Q - What causes severe pain in my calf muscle in Tietze syndrome?

  • Q - What causes altered sense of smell when diagnosed with sinus tachycardia?

  • Q - Does page syndrome increase the risk of heart attack?