Afib and gastitis link ? Anybody had ... - Atrial Fibrillati...

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Afib and gastitis link ? Anybody had this problem ...does it upset vagal nerve ?

Suntanann profile image
23 Replies

Having had gastritis badly for 8 months last year and early this year on the back end of it I developed afib ....is there a link does anybody know ....

Other theroy I have is I took PPI for 8 months which isn't recommend foe rhat length of time without side effects ..became low potassium and magnesium thanks to the PPI'S and thay caused the afib .

Any thoughts ?

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Suntanann profile image
Suntanann
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23 Replies
BobD profile image
BobDVolunteer

The vagus nerve is the main neural superhighway twixt brain and many organs including heart and stomach so yes there has always been a link though until you get AF you never think of it. Probably never even hear of the vagus nerve!

That said people get AF full stop. Nobody really knows why although new ideas appear regularly.

We know for instance that NSAIDs such as ibuprofen cause it but so far no concrete eveidence to say ppi's do. Endurance athletes who continue into middle and older ages are prime candidates as are fast jet pilots, both because they over work the heart leading to enlarged left atrium which stretches the pathways.

We know that lung problems (including cancer) have caused it as in fact can heart surgery but of course the most common reason is pure genetic. If you heart is structured in a particular way then you may have a predisposition to AF.

Bottom line is you have AF so no point in agonising why. Far better to learn strategies to deal with it and live as normal a life as possible. It won't kill you after all.

Barny12 profile image
Barny12

I suspect most of us will never know for sure how our AF originated but electrolyte depletion is a well known issue and Dr. John Day says in "The Afib Cure":

"PPIs, which suppress stomach acid, can induce an arrhythmia by blocking magnesium absorption or possibly by changing a person's gut microbiome. "

Buffafly profile image
Buffafly

Digestive issues definitely affect AF but AF also messes with your digestion so hard to say. I know several things that are likely to set my AF off but the reason I have it in the first place is, I believe, genetic, as my grandfather, father and cousin had it.

Auriculaire profile image
Auriculaire

Many people here whose afib nearly always kicks off in the evening after eating think their afib is vagally induced. They have often helped curb the frequency of episodes by eating earlier, eating smaller meals ,not sitting slumped right after the meal or lying down too quickly etc. With greater or lesser success. I used to think I was one of this group. But recently I have had a couple of episodes where I have woken up in the morning either in afib or going into afib within minutes of waking. There are websites that give various exercises for improving vagal tone. I disagree with Bob D. If you can find strategies for avoiding episodes by identifying your personal triggers rather than just coping with episodes as they come you avoid the inevitable stress of episodes. Having said that some people are more successful at this than others. Do you know what caused your gastritis?

Suntanann profile image
Suntanann in reply to Auriculaire

Have no idea what caused the gastritis ...if I hazard a guess I'd say stress

Auriculaire profile image
Auriculaire

Stress is a real villain. On the whole my life is not that stressful but my afib doubled in frequency last year I think due to the stress of being in pain and disabled by my hip arthritis. I was successfully operated on in Dec but now the other hip has gone and the pain is even worse this time. My next op is scheduled for Sept . Tramadol works quite well for the pain but I am reluctant to take more than one pill 2 or 3 times a week as it is addictive.

Suntanann profile image
Suntanann in reply to Auriculaire

Yes I know tramadol and it's addictnivness...my late husband had tramadol after his knee replacement for the pain and became addicted them ...they are very strong but when your in constant pain what can you do ..

Auriculaire profile image
Auriculaire in reply to Suntanann

It was on the exit prescription after my hip replacement though the nurses had only given me Paracetamol after the op. The surgeon had prescribed 3 a day along with 3000mg Paracetamol! I took one and it lasted nearly 10 hours . On 3 I would have been comatose. Even on the very limited amount I allow myself I have noticed it does not last as long as that first dose or work as well. I have read that the pain and rehab after a knee replacement is much worse than for the hip.

Suntanann profile image
Suntanann in reply to Auriculaire

That's the problem with drugs that are addictive... the dosage stops working and you need more and more of them.to get the pain relief you got from the initial starter dose ...and that's where the addiction creeps inWhen my husband passed away I took sleeping tablets from the doctor and after a week they didn't work and was offered a higher dose ...but I didn't want to be addicted to them so said no ...

Such a sifficult situation foe you

Auriculaire profile image
Auriculaire in reply to Suntanann

Not nearly as bad as yours. The loss of my husband the worst thing I can imagine. You were very brave to do without the sleeping tablets at such a terrible time. I just have to hang on till Sept. If I lie about doing nothing the pain improves but I find that depressing! I like to work in the garden but have to restrict myself to a couple of hours. It isn't too bad when working if I'm careful. It's in the evening when it really sets in.

Suntanann profile image
Suntanann in reply to Auriculaire

Yes it took me a long time to get over re trauma of losing my husband . It was a sudden death and I was rhe one that found him .....I rhink probably I've had so much stress that mayof caused the gastitis and then perhaps triggered the afib ...but we all have a story don't we My husband was the same leading up to his knee replacement ....if he rested it he could cope with rhe pain but he was such an active man and couldn't bare to sit down for a minute so would try to carry on as normal but the pain he went theiugh was immense ...

I hope you'll get your op in September and covid dosent put you back further waiting .

I was told 6 to 8 months for my ablation but also told that was depending on covid numbers in hospitals .

Fingers crossed

Auriculaire profile image
Auriculaire in reply to Suntanann

I hope you get your ablation sooner than 6 to 8 months. You never know you might get called earlier because of somebody cancelling. There is not much chance of the op being put back. Here in France we have to have a complementary insurance on top of the state healthcare. Ours allows us to go to a private clinic. When I saw my surgeon for the second post op visit in April he asked me when I wanted the left hip done. I said Nov as then the pain was not bad at all. Then it suddenly got a lot worse so I brought it forward to Sept. I did not want to be operated on in summer as you have to wear the stockings for a month afterwards and in the heat here it would be unbearable. It was 34° today and last summer we had heatwaves where the temperatures got up to 40° some days. Also the beds are very hot in the clinic with those rubber mattress covers. It was bad enough in Dec!

Suntanann profile image
Suntanann in reply to Auriculaire

Oh I see .....I didn't realise you lived in France ...what part ..your English is very good .I definetly understand where you are coming from regarding your op date ...at least you know 100 % the date it will happen and make plans .

Where as here with our nhs ...and dnot get me wrong the nhs are amazing but over stretched terribly you can never be sure until your on the op table that they won't cancel which is extremely frustrating ...

Sadly I can't afford the cost of an ablation privately ...if I could I would happily pay .

Auriculaire profile image
Auriculaire in reply to Suntanann

I am English and French- dual nationality and English is my first language. We moved here from Birmingham 20 years ago when I was 49 so I had lots of experience being treated by the nhs. I have to say that the system here is better though there are cuts to budgets for public hospitals here as well. The pandemic has not been that well managed here either and lots of people are pissed off with the government about it. But French people are much less stoic when it comes to illness than Brits and would be out rioting in the streets if they had to put up with the sort of nonsense that seems to be taking over in the uk - like only getting telephone appointments with GPs . My sister is always complaining about how difficult it is to get GP appointments even before the pandemic. My step father had a quadruple bypass in 2007. We flew over to look after my mum and when we arrived he was back at home having been sent home at the very last minute. The next time I refused to book my ticket till I had spoken to the ward sister to confirm he was actually on the table!

in reply to Auriculaire

Hi Auriculaire,

I have been following your discussion with Suntanann on the topic of pain. I have been doing my own research to see if I can get any pointers for my left shoulder OA pain.

In the process I came across the following - a paper from some researchers at the Sorbonne. I found it absorbing, not that I am into the highly technical medical/science stuff but the broader issues that emerge particularly the autonomic nervous system, even down to the vagal nerve. That little devil pops up in different scenarios from time to time.

sciencedirect.com/science/a...

Oh goodness , send me some 34 degrees please, yep, even 40 too 😂. Makes me wish I was back in Sydney for summer.

What I am finding with OA pain is how it is affected by changes in weather, if the barometric pressure drops to say, around, 990 mb and humidity increases to, say, around 98% then my pain goes beyond measurement. Unbelievable ! This was the theme I was following when I stumbled across the link above.

John

Mrsvemb profile image
Mrsvemb in reply to

You need to move to a country with a dry heat and no humidity John. I have heard of a lot of people moving to Cyprus for that very reason. Arthritis pain seems to disappear.

in reply to Mrsvemb

Mrsvemb,

😊 you are so right there. And Cyprus is a country that I could quite adapt to. Even down here in Cornwall when humidity is low - currently 28% as I write and 22.3 degrees C - I am pain free, totally pain free. Its so whacko! I've even thought about returning to S.E. Australia, to South Gippsland, a few hours drive east of Melbourne, climate is a Mediterranean type climate, nice n' dry with low humidity, and in summer nice and hot. When my kids were little and we lived there I can recall a week of daytime temperatures of 44 degrees .... yummy ! At night though temperatures would drop dramatically to 20 ish and one could get a decent nights sleep too. 😀Big problemo .... Mrs Carneuny doesn't like heat !!!

John

Auriculaire profile image
Auriculaire in reply to

Hi John- haven't got round to reading this yet but certainly find my pain is a lot worse in rainy weather. I have read before that barometric pressure has an effect on pain. Apparently the Chinese have known this for thousands of years!. The heat here in the Limousin is a humid heat unlike the south of France. So 32° upwards can be be very sweaty when working in the garden or doing housework! Does driving buses not make your shoulder pain worse - all that wheel manoeuvring?

in reply to Auriculaire

Hi Auriculaire,

Yes, your question about driving buses😊 ..... probably quite valid and I have been kicking that one around myself - with myself. Thing is modern bus technology, particularly steering geometry etc. makes these buses so easy to turn ( almost on a sixpence and certainly as easy as my Nissan Juke) that its a bit of a trap, and may well encourage lazy ergonomic work practices 😱. That of course produces the stress on the shoulders that you are alluding to.

By the time I have done a 10 hour shift I don't feel anything at all, apart from being a tad weary. But I become aware, later when off duty, that I have stirred things up somewhat. I am aware that not too far away decisions will need to be made.

Limousin sounds a bit like Sydney in summer. Hot and humid - OMG ! that reminds me of getting up on a January morning about 6 am and it can be 70 degrees with 95% humidity have a shower and you come out and you feel just as clammy as before you went in 😂. Mind you, compared it an English winter - quite enjoyable.

John

Auriculaire profile image
Auriculaire in reply to

Yes it's better than the cold! Last year it was very hot in summer. We have a terrace outside our bedroom that faces south and in the evening I would lie outside till it went dark and I could not see to read so as to profit from some cooler air. One evening I came in earlier complaining to my husband that it was too cold. We looked at the thermometer-24°! I had got so used to temps in the mid to high 30s ! I do feel better overall in the heat.

Mrsvemb profile image
Mrsvemb

I have had AF for about 10 years. About 2 years ago it became more frequent. At the same time I started getting a lot of gastric symptoms.I had an endoscopy which showed erosive gastritis with some bleeding and a gastric ulcer which I was told was caused by Rivaroxaban.

I cannot tolerate PPI’s so I was prescribed ranitidine, which I took for 3 months. I changed from Rivaroxaban and my AF really reduced as the gastritis improved.

My cardiologist said that he has other AF patients who like me definitely have a link between gastritis and AF. In the nine months since stopping Rivaroxaban I have only had AF five times (fingers crossed it will continue).

My last endoscopy showed only mild gastritis.

It appears, in my case, that Rivaroxaban caused the gastric problems which in turn provoked AF.

So Suntanann whilst I am convinced that there can be a link between AF and gastritis, in my case the AF came first, but gastritis became a trigger for AF.

Hope you get the gastritis sorted and that in turn the AF reduces like mine did.

Suntanann profile image
Suntanann

Thank you for that msg . Very interesting ... I had a hunch there was a link ...and like you I loathe PPI'S ....I think they block absorption of pretty much everything even if doctors deny it .

ragibemi profile image
ragibemi

this is a really good video by a cardiologist explaining the different ways the stomach or esophagous can affect the heart rhythmyoutu.be/zt4Cw-VKIlY

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