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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Confirm An Esophageal Spasm?

I know that I have a hiatal hernia. I also know that I get skipped heart beats. I also understand that heart burn can sometimes cause skipped beats. I sometimes go through a short period of occasional palpitations that are felt in the lower chest slightly to the right. When I check my pulse, I find that sometimes the palpitations have a skipped beat and other times not. The skipped beats are usually associated with the palpitations when I am under some sort of stress like excersizing or after eating a heavy meal. Could this palpitation be an esophogal spasm? I sure seems stomach related but feels like a skipped heart beat.
Tue, 18 Apr 2017
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Emergency Medicine Specialist,  's  Response
Hello! I understand your concern. In terms of skipped heart beats (that you say you know), I hope you have confirmed through examination and consultation with a cardiologist. If you have not confirmed I would recommend you to do some examination. First an ECG, second an echocardiografy to see the cardiac function, and finally a 24 h Holter cardiac rhythm to monitor your rhythm. For the problems with hiatal hernia and heart burn (gastroesophgal reflux) you need to do fibrogastroscopy and X-ray with contrast. Sometimes the skipping heart beat can be felt as spasms of the esophagus.
In conclusion, I would like to say that it is better if you confirm the skipped heart beats and their nature, and get the appropriate treatment in case it will be needed and after consultation with a cardiologist. My recommandation is that you be careful with your meals because heavy meals are a known factor to ​​trigger skipped heart beats. Also heavy meals worsen your heart burn.
I hope to have helped you with my answer.
You are welcome to write again if you have other questions.
I wish you good health!
Thank you for using HalthcareMagic
Dr. P. Cerri
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How To Confirm An Esophageal Spasm?

Hello! I understand your concern. In terms of skipped heart beats (that you say you know), I hope you have confirmed through examination and consultation with a cardiologist. If you have not confirmed I would recommend you to do some examination. First an ECG, second an echocardiografy to see the cardiac function, and finally a 24 h Holter cardiac rhythm to monitor your rhythm. For the problems with hiatal hernia and heart burn (gastroesophgal reflux) you need to do fibrogastroscopy and X-ray with contrast. Sometimes the skipping heart beat can be felt as spasms of the esophagus. In conclusion, I would like to say that it is better if you confirm the skipped heart beats and their nature, and get the appropriate treatment in case it will be needed and after consultation with a cardiologist. My recommandation is that you be careful with your meals because heavy meals are a known factor to ​​trigger skipped heart beats. Also heavy meals worsen your heart burn. I hope to have helped you with my answer. You are welcome to write again if you have other questions. I wish you good health! Thank you for using HalthcareMagic Dr. P. Cerri