When the Pain comes - how do I know?

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llareggub
New Member


Date Joined Jun 2012
Total Posts : 9
   Posted 6/26/2012 12:39 AM (GMT -6)   
I am new to this site and have spent some time trawling the posts and it is refreshing to find that I am not alone, especially with the chest pains (although I am sorry for anyone who gets them). 
 
I have sufferred from GORD for 7 years now and despite many tests the Medics have decided it is "idiopathic" and therefore apart from "lifestyle changes" - like I hadn't already made them! - and keep taking the pills I have to live with it.
 
Well ok, but what I am not clear on is when the chest pain comes and is radiating down the arm (happened many times, and I have had my heart checked out several times as well as ending up in A&E) how do I know if this time it is not GORD?  Normally I can rationalise it away, but in the night it is more difficult and quite scary.  But is there a difference, some symptom which applies to a heart attack but not GORD? 

Post Edited (llareggub) : 6/25/2012 11:58:17 PM (GMT-6)


mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1604
   Posted 6/26/2012 6:32 AM (GMT -6)   
Hi there - you in the UK too?

Have you raised the head of the bed to help with night time reflux?
Have you tried taking acid suppression medication late evening to get peak effect over night (I have to do this)?
Have they mentioned that GORD/GERD can trigger abnormal heart rhythm in some people?

I wonder if when it happens at night, by the time you get to A&E any abnormal heart rythmn has stopped I.e. if the GORD triggered it but then you've been upright for a while and it stops?

Have you considered surgery for your reflux - this is an option if medication does not control it. If the arm pain happens on a regular basis, ask if you can borrow a monitor - you may need to do the 24 tape thing more than once to actually catch what is happening. If you can get a recording of what your heart is doing when these attacks happen, then you may able to eliminate the worry if nothing else.

I guess if you have chest pain and it radiates down your right arm, you can't take a chance and assume it is GORD alone, but if there was some kind of monitor you could use for a while, it might help sort things out.

Keep pestering them!!

MMM
New stuff: GERD, Recurrent cystitis/Overactive bladder
Lifelong stuff: Food allergies/intolerance, eczema, asthma

llareggub
New Member


Date Joined Jun 2012
Total Posts : 9
   Posted 6/26/2012 6:50 AM (GMT -6)   
MMM

Thank you for your reply, I am in the UK. I have raised the head of the bed and take a PPI before bed, I also try to make sure I don't eat for at lest three hours beforehand.

I did not know that GORD/GERD could trigger abnormal heart rhythm until yesterdau when I found this forum, that in itself was a comfort, just to know that it could - if you see what I mean.

You are correct in thinking that by the time I get to A&E any abnormal heart rythmn has stopped and the pain subsided, but I always assumed that this had to do with the Meds they give you. I have not been to A&E for a while as I have found that walking around a bit helps, or sitting upright, also a. hated it and b. never got any explanation from either them or the GP.

Having had endoscopy (without anaesthetic), ultrasound and blood tests, I have been told that there is nothing more that can be done other than take the pills.

I will speak to my GP re monitor though.

Thanks

D

mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1604
   Posted 6/26/2012 11:41 AM (GMT -6)   
Hi there and welcome fellow UK member!!

I would ask your GP if they can refer you to a cardiologist or at least order some routine tests e.g. the 24 hour ECG tape. Your GP should have a report from each time you went to A & E. Is there someone with you when you're pacing the floor at night?!

http://journals.lww.com/jcge/Abstract/2006/10000/Potential_Relationship_Between_Gastroesophageal.12.aspx
Have a look at the above article - certainly seems that there is an assocation.

I think a referral to a cardiologist would help put your mind at rest. I guess the other question is, does extra acid suppression relieve the "cardiac" symptoms?!

MMM
New stuff: GERD, Recurrent cystitis/Overactive bladder
Lifelong stuff: Food allergies/intolerance, eczema, asthma

llareggub
New Member


Date Joined Jun 2012
Total Posts : 9
   Posted 6/27/2012 3:49 AM (GMT -6)   
Thank you

I think that you are right, part of it at least is (during the night) worrying about it and so making it worse. Normally when I pace at night, I am on my own, although (paranoid) I have put a Panic App on my phone to summon help if needed. Read the article, and got the gist of it which is reassuring.

Have booked appointment with my GP for next Tuesday as he is away on holiday (again) this week.

Thanks again

D

mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1604
   Posted 6/27/2012 11:18 AM (GMT -6)   
You're welcome - hope it goes OK.

I've just worked out your "palindrome" - wish I'd thought of that one. You've given me fresh inspiration for future passwords at work!!

MMM turn
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