Digestive Disorders / Gastroenterology Expert Forum
Rapid HR After Eating
About This Forum:

This is a place to ask questions about digestive problems and receive a personal answer from a highly qualified doctor. You will also find support from other members who share your interest in digestive disorders. Digestive Disorders include: Anal and Rectal problems, Barrett’s Esophagus, Bleeding in the Stomach and Digestive Tract, Constipation, Crohn’s Disease, Gastritis, GERD, Heartburn, Proctitis, Short Bowel Syndrome, Ulcers, Whipple’s Disease, Zollinger-Ellison Syndrome (and many more).

Font Size:
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Rapid HR After Eating


For the past 10 years, I've experienced worsening symptoms immediately after meals: rapid, strong palpitations (recorded on Holter and said to be fast, i.e, 90-100 BPM but benign); fatigue; and sometimes diarriah.

I'm thin, and have become much thinner of late. I've slowly given up foods associated with the symptoms, including wine, desserts, and high-carbs. I avoid restaurant food and frankly am at the point where I hate to eat! I weigh 109 pounds, (female, 5'6).

I do have cardiomyopathy without LV failure and take several medications to prevent CHF, including lisinopril, eplerenone, ranexa. I've also had a biopsy to confirm microscopic colitis.

My bloodwork is normal for diabetes and endocrine disorders.

What could be causing the symptoms and what should my next steps be?

Thanks in advance for your time.

Related Discussions
Not aware of specific GI diseases that can lead to a rapid heart rate.  Thus, at this time I'll focus on cardiac causes.

With the diagnosis of cardiomyopathy, I assume an echocardiogram has already been done.  I would consider a stress test to see if the palpitations can be replicated in a controlled setting, as well as an event monitor to exclude arrhythmias.  

A referral to a cardiologist should be considered to discuss these testing options. If an irregular heart beat is found, an electrophysiology referral can be considered.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin Pho, M.D.
Continue discussion Blank
MedHelp Health Answers
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
TMJ/TMJ The Connection Between Teet...
Jan 27 by Hamidreza Nassery , DMD, FICOI, FAGDBlank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank