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Medical Forum / General / Cardiology / May 2008

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Exercise induced stomach bloating - heart related?

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NoReply - 07 May 2008 22:35 GMT
If I walk or run on a treadmill, I get a fullness feeling in my stomach
about 3 inches above my navel and 2 inches below my last rib/sternum (in the
center).

The fullness feels like a spasm, and it only occurs during exercise. The
spasm starts in my stomach and feels like it expands up into my esophagus.
It goes away just a few minutes after stopping my exercise.

I have no pains, just a fullness feeling like trapped gas (but why would I
have gas just when exercising!?)

This has been consistent for the past several months. I had an
echocardiogram that showed no problems. Could this still be cardiac related,
and if so, what could this be?

Thanks,
Richard
yamantaka@aol.com - 07 May 2008 22:50 GMT
> If I walk or run on a treadmill, I get a fullness feeling in my stomach
> about 3 inches above my navel and 2 inches below my last rib/sternum (in the
[quoted text clipped - 13 lines]
> Thanks,
> Richard

This could be cardiac and an anginal equivalent. I recommend that you
let your primary care physician know immediately and you stop any
further strenouos exercise or treadmill running until you have had
this evaluated, most likely with a monitored exercise treadmill test.
Andrew B. Chung, MD/PhD - 07 May 2008 23:20 GMT
> If I walk or run on a treadmill, I get a fullness feeling in my stomach
> about 3 inches above my navel and 2 inches below my last rib/sternum (in the
[quoted text clipped - 10 lines]
> echocardiogram that showed no problems. Could this still be cardiac related,
> and if so, what could this be?

Yes.  Exertional symptoms as you describe could be arising from
occlusive coronary disease.  Would suggest you seek a referral to
consult with a cardiologist for consideration of possibly having a
stress test to further evaluate your symptoms.

Be hungry... be healthy... be hungrier... be healthier:

http://TheWellnessFoundation.com/BeHealthier

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
A latter-day disciple of the KING of kings and LORD of lords.
http://HeartMDPhD.com/HolySpirit/DiscipleNow

> Thanks,
> Richard
NoReply - 07 May 2008 23:25 GMT
> > If I walk or run on a treadmill, I get a fullness feeling in my stomach
> > about 3 inches above my navel and 2 inches below my last rib/sternum (in the
[quoted text clipped - 15 lines]
> consult with a cardiologist for consideration of possibly having a
> stress test to further evaluate your symptoms.

Thanks to both for the replies - but I'm only 32 years old and I was very
physically active prior. Is occlusive coronary disease still a possibility?

Some other things I also have:
MVP with no regurgitation
Hashimoto's thyroiditis (autoimmune)
Adrenal fatigue (nearly addison's - very low cortisol)
GERD (reflux treated with Aciphex)

Thanks,
Richard

> Be hungry... be healthy... be hungrier... be healthier:
>
[quoted text clipped - 11 lines]
> > Thanks,
> > Richard
Andrew B. Chung, MD/PhD - 07 May 2008 23:57 GMT
> Andrew, in the Holy Spirit, boldly wrote:
> > >
[quoted text clipped - 20 lines]
> Thanks to both for the replies - but I'm only 32 years old and I was very
> physically active prior. Is occlusive coronary disease still a possibility?

Yes.

> Some other things I also have:
> MVP with no regurgitation
[quoted text clipped - 4 lines]
> Thanks,
> Richard

Laus Deo

http://HeartMDPhD.com/LausDeo

Be hungry... be healthy... be hungrier... be healthier:

http://TheWellnessFoundation.com/BeHealthier

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
A latter-day disciple of the KING of kings and LORD of lords.
http://HeartMDPhD.com/HolySpirit/DiscipleNow
Susan - 08 May 2008 00:24 GMT
> Some other things I also have:
> MVP with no regurgitation
> Hashimoto's thyroiditis (autoimmune)
> Adrenal fatigue (nearly addison's - very low cortisol)
> GERD (reflux treated with Aciphex)

Your HPA axis abnormalities could very well explain the bloating.  Are
you stress dosing with Cortef for exercise, and is there any possibility
that you need Florinef, too?

Susan
NoReply - 08 May 2008 00:39 GMT
> x-no-archive: yes
>
[quoted text clipped - 9 lines]
>
> Susan

I'm barely taking any Cortef.. just 2mg a day even though my doc told me to
take 15mg a couple weeks ago (as did the doc before him). I'm trying to work
up, honestly. Its just a bit scary to think that my adrenals are really this
bad and that I might need this for the rest of my life.

One thing I noticed today was that my eyes were very bloodshot, then just 30
minutes after taking 2mg of Cortef, they were completely clear. Somewhat
reassuring.

My aldosterone was normal and I don't have postural hypotension, so I guess
Florinef wouldn't help? My blood pressure is just constantly low (for me). I
used to be 150/90 when I had the stress (6 years ago). Then I got sick.. my
bp dropped to normal range at 125/70. For the past several months however,
my BP has consistently been just 96/63 or so and I've been dizzy. Very low
for me! This coincides with when my cortisol went into the basement.

Thanks!
Richard
Susan - 08 May 2008 00:52 GMT
> I'm barely taking any Cortef.. just 2mg a day even though my doc told me to
> take 15mg a couple weeks ago (as did the doc before him). I'm trying to work
> up, honestly. Its just a bit scary to think that my adrenals are really this
> bad and that I might need this for the rest of my life.

Have you had imaging studies of your adrenals and your pituitary with
and without contrast?

> One thing I noticed today was that my eyes were very bloodshot, then just 30
> minutes after taking 2mg of Cortef, they were completely clear. Somewhat
> reassuring.

It's very dangerous to be low on adrenal hormones and stressed by
exercise or anything else, like illness, for example.  Have you had 24
hour urine, saliva and serum testing?

> My aldosterone was normal and I don't have postural hypotension, so I guess
> Florinef wouldn't help? My blood pressure is just constantly low (for me). I
> used to be 150/90 when I had the stress (6 years ago). Then I got sick.. my
> bp dropped to normal range at 125/70. For the past several months however,
> my BP has consistently been just 96/63 or so and I've been dizzy. Very low
> for me! This coincides with when my cortisol went into the basement.

Visit the message boards at cushings-help.com.  There's more than just
Cushing's discussed, including Addison's.  You may be a cylical
Cushing's patient (as I am) and dip very low when you stop oversecreting
ACTH.

Susan
NoReply - 08 May 2008 04:18 GMT
> x-no-archive: yes
>
[quoted text clipped - 5 lines]
> Have you had imaging studies of your adrenals and your pituitary with
> and without contrast?

I recently had a CT of my adreanals without contrast. It was clear of
anything grosly abnormal. I've also had a lot of blood tests like ACTH,
prolactin, aldosterone, DHEA, DHEAs, etc. all normal except when I'm taking
testosterone cream for low testosterone (then DHEA becomes elevated).

> > One thing I noticed today was that my eyes were very bloodshot, then just 30
> > minutes after taking 2mg of Cortef, they were completely clear. Somewhat
[quoted text clipped - 3 lines]
> exercise or anything else, like illness, for example.  Have you had 24
> hour urine, saliva and serum testing?

Yes, I've had both saliva and 24-hour urine. The saliva test showed higher
than normal morning cortisol, and flag (near zero) for the rest of the day.
The 24-hour urine had a reference range of 0 to 50, mine was 4. Afternoon
serum cortisol was always 10% above the bottom of the reference range.

> > My aldosterone was normal and I don't have postural hypotension, so I guess
> > Florinef wouldn't help? My blood pressure is just constantly low (for me). I
[quoted text clipped - 7 lines]
> Cushing's patient (as I am) and dip very low when you stop oversecreting
> ACTH.

That's interesting. I will check that message board out.

Thanks,
Richard

> Susan
Susan - 08 May 2008 14:42 GMT
> I recently had a CT of my adreanals without contrast. It was clear of
> anything grosly abnormal.

It requires contrast for better accuracy.  Even then, I know folks
who've had adrenalectomy and the glands the surgeons found were much
larger and more abnormal than imaging indicated.

 I've also had a lot of blood tests like ACTH,
> prolactin, aldosterone, DHEA, DHEAs, etc. all normal except when I'm taking
> testosterone cream for low testosterone (then DHEA becomes elevated).

Here's the thing about ACTH; it's briefly pulsed, disappears from the
blood within minutes and requires extremely special handling by the lab
that they never do.  It must be drawn into a chilled tube, placed
immediately into an ice water bath, centrifuged in a chilled bath and
frozen all within 7 minutes, no touching the tube with hands, might warm
it. It breaks down very quickly.  Also, midnight serum and saliva
cortisol is very useful.

> Yes, I've had both saliva and 24-hour urine. The saliva test showed higher
> than normal morning cortisol, and flag (near zero) for the rest of the day.
> The 24-hour urine had a reference range of 0 to 50, mine was 4. Afternoon
> serum cortisol was always 10% above the bottom of the reference range.

You need midnight serum, and maybe 10 hour UFC (10pm to 8 a.m.).

>>Visit the message boards at cushings-help.com.  There's more than just
>>Cushing's discussed, including Addison's.  You may be a cylical
>>Cushing's patient (as I am) and dip very low when you stop oversecreting
>>ACTH.
>
> That's interesting. I will check that message board out.

Good luck.

My bp drops to 90/53 when I'm very low on cortisol, too.

Susan
 
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