Nissen Fundo - palpitations

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New Member

Date Joined Feb 2011
Total Posts : 17
   Posted 4/8/2011 7:39 AM (GMT -6)   
I'm now 8 weeks post op and it's been a long journey. My heartburn has improved significantly and now rarely get any. However, since starting to eat more solid foods, about 2 weeks ago I've started to get quite undesirable symptoms. I seem to suffer from IBS related symptoms and am figuring thsi could be from my body getting used to eating solids again, however this is still carrying on 2 weeks later.
The most concerning symptom I get though is palpitations after I've eaten anything and sometimes spontaneously. This can be quite disconcerting. Has anyone else experienced this after the op?
I went back for my post op follow up a week ago but with it being on the NHS, I didn't get to see the surgeon, just a nurse. She got an ECG done which was normal (I hadn't eaten anything, so was expecting it would be) but said that it wasn't a common complaint from people who've had the surgery. I'm inclined to think that it is related to the surgery as it happens every time I eat.

Elite Member

Date Joined Jul 2009
Total Posts : 14475
   Posted 4/8/2011 3:10 PM (GMT -6)   
Keep a food diary of what you eat when the palps start happening. It maybe a food allergy.

New Member

Date Joined Feb 2011
Total Posts : 17
   Posted 4/9/2011 2:34 PM (GMT -6)   
Seems to be happening with all food types and worse when I eat more. I'm wondering if the surgery affected some nerves. I certainly didn't have it before the surgery.

Regular Member

Date Joined Feb 2011
Total Posts : 95
   Posted 4/10/2011 8:47 PM (GMT -6)   
I had palpitations for a couple of weeks when I started more solid foods. They have almost completely gone away. i am now 9 weeks post-op.

Veteran Member

Date Joined Oct 2009
Total Posts : 5028
   Posted 4/12/2011 10:28 AM (GMT -6)   
Brief palps are common and usually no problem, but check with your cardiologist to make sure! Most of us have them and just don't notice. We start paying attention more after Nissen.

Palps can come from foods, as pegster noted, with or without intolerances, irritating the esophagus and triggering the vagus nerve. If they last long at all (check with your doc on this) and you can't get them stopped with Valsalva maneuvers, you need to go to the ER.

Valsalva is just holding your breath and pushing with your abdomen like on the commode. Coughing helps too. Your doctor may want you to chew an aspirin and/or take a Beta blocker like atenolol. Do see a cardiologist! I had a heart attack once when I had an esophagus-triggered coronary artery spasm (had high cholesterol and deposits in coronary arteries too). Another time I couldn't get tachycardia stoped for 5 hours, and ER had to give me adenosine (briefly stops the heart) to convert to normal rhythm. Not something you do at home!

When Nissen is done a lot of branches of the vagus nerve are cut along with a bunch of blood vessels (for which you now have hemo clips in your chest). I don't know if this has anything to do with the price of beans, but it is the same main nerve that connects just about everything in you - heart, stomach, etc.

New Member

Date Joined Feb 2011
Total Posts : 17
   Posted 4/19/2011 6:17 AM (GMT -6)   
Thanks for your words.
I do actually have a bradychardia rather than a tachycardia for which palpitations are normally associated with. I'm in the midst of some investigations with my doctor currently and a 24 hour cardiac monitor is planned for next month!! (NHS for you) but sometimes my heart rate is as low as 48 and I'm not active at all. Before the Nissen surgery, my heart rate was around 70 normally. They've tested for underactive thyroid with a blood test and that was ok so not sure what next. The palpitations do get worse after eating though.
So now I have to wait a month or so for the HR monitor. In the meantime getting a 48 pulse with palpitations is quite scary sad
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