[62F] Experiencing indigestion with palpitations and throat discomfort

Patient Description

A 62-year-old female reports a one-week history of daily indigestion characterized by a burning sensation in the stomach that extends up to the throat. She rates the severity of her indigestion as a 6 out of 10 and manages it with dietary changes and occasional use of Tums. The patient also experiences a sensation of a bubble in her throat, which coincides with palpitations described as a feeling that her heart skips a beat. These symptoms occur off and on, but not during exercise, and have been present for two weeks. The palpitations are not influenced by the time of day but are associated with the indigestion and the sensation in the throat. She has a history of panic attacks. Known triggers for her indigestion include pepper and sometimes dairy. She also feels acid in her throat during these episodes. The patient coughs to clear the bubble sensation, which has been present since the onset of indigestion.

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Arora's Assessment

What might be happening

Based on your symptoms, the most likely possibilities include:

  • Gastroesophageal Reflux Disease (GERD): This is a digestive disorder that occurs when acidic stomach juices, or food and fluids back up from the stomach into the esophagus. GERD affects people of all ages and often feels like heartburn. The "bubble" sensation in your throat could be related to this condition.

    • Treatment typically involves lifestyle changes and over-the-counter medications. If these don't help, or if symptoms persist, your doctor may recommend stronger medications or surgery.
  • Dyspepsia (Indigestion): This is a condition that can cause symptoms like a burning sensation or discomfort in your upper abdomen, feeling full too soon while eating a meal, or feeling uncomfortably full after eating.

    • Treatment usually involves lifestyle changes and medications to decrease the acid in your stomach.
  • Heart palpitations: These are feelings of having a fast-beating, fluttering or pounding heart. Stress, exercise, medication or, rarely, a medical condition can trigger them.

    • Treatment depends on the cause. Most palpitations are harmless and go away on their own. In rare cases, they can be a sign of a more serious heart condition, such as an irregular heartbeat (arrhythmia), that might require treatment.

What you can do

  1. Try lifestyle changes: Avoid foods and drinks that trigger your symptoms, eat smaller meals, avoid eating within 3 hours of bedtime, and elevate the head of your bed.
  2. Over-the-counter treatments: Antacids can neutralize stomach acid and provide rapid heartburn relief. Other over-the-counter medications, such as H-2-receptor blockers and proton pump inhibitors, can reduce stomach acid production and help heal the esophagus.
  3. Stress management: Since you mentioned experiencing panic attacks, techniques to manage stress and anxiety may help reduce your symptoms. These could include relaxation exercises, deep breathing, and yoga.
  4. Consult a doctor: If your symptoms persist or worsen, it's important to consult a healthcare professional. They can provide a formal diagnosis and appropriate treatment.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe chest pain or pressure, especially if it radiates to your arm, neck or back
  • Vomiting blood or black material (similar to coffee grounds)
  • Black, tarry stools
  • Shortness of breath
  • Sweating
  • Dizziness or lightheadedness

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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10 mo ago

People Also Ask


What is Gastroesophageal Reflux Disease (GERD) and how is it treated?

Gastroesophageal Reflux Disease (GERD) is a digestive disorder where stomach acid or contents flow back into the esophagus, causing symptoms like heartburn. Treatment often involves lifestyle changes, over-the-counter medications, and in some cases, stronger medications or surgery.


What are heart palpitations and when should I be concerned about them?

Heart palpitations are sensations of a fast-beating, fluttering, or pounding heart. They are usually harmless and go away on their own, but if they are accompanied by severe symptoms like chest pain or dizziness, medical attention should be sought as they could indicate a more serious condition.


How can lifestyle changes help manage indigestion and GERD symptoms?

Lifestyle changes can significantly help manage indigestion and GERD symptoms. These include avoiding trigger foods, eating smaller meals, not eating close to bedtime, and elevating the head during sleep. These changes can reduce the frequency and severity of symptoms.


What are some common triggers for indigestion and how can they be avoided?

Common triggers for indigestion include spicy foods, fatty foods, caffeine, alcohol, and sometimes dairy. Avoiding these triggers, along with stress management and dietary adjustments, can help prevent indigestion episodes.


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