Stomach pain every time heart rate increases

Heart health and blood vessels
1

I'm 39, normal weight and I used to be quite active.

But for the past 2 years every time I do something to increase my heart rate, my stomach hurts. And it will hurt harder and harder if I don't stop. And it can be exercise or recently even just having an argument and talking.

But the pain will go away completely in 2 minutes if I stop, or just decrease my movement so the heart rate can go under that number.

Back when it started I needed to increase my heart rate over 150 for my stomach to hurt.

But if I slowed down my running and got my heart rate at 140, even if I kept running, the pain stopped in a few minutes.

It's the same now, but that number went lower and lower.

And it kept getting worse and now the moment heart rate is over 100, that means walking, my stomach hurts. And it can hurt quite bad if I keep walking and I don't stop.

I did tests like EKG and another test I think ultrasound, where they move a small device over my skin and they can see on a screen what's inside.

 And both the gastro and cardio doctors said everything appears normal.

Except for the systolic murmur which I had since I was young and the cardio doctor said it's absolutely no concern.

​My blood pressure is normal.

For the gastroscopy the doctor said he saw no problems inside my stomach except for a slight redness.

To add more details, a year ago the gastro doctor gave me Domperidone which is a pill to make the food travel easier through the stomach. This helped a little immediately, so the pain instead of appearing at 120, appeared a 130, it was a mild improvement which helped for a few good months. But slowly it progressed and now it's worse.

Anti-acid pills have absolutely no effect.

For me it loos like some type of angina, but what kind of further tests can I do to convince the doctors ?

I've read on internet that there are multiple types of arterial problems and they can be localized in the heart and legs. But maybe they can be localized also in the stomach ?

2

Hi,

​How long ago was this slight redness spotted during this procedure, endoscopy ? was a sample taken from it ? It could be an ulcer, easily remedied with anti biotic treatment now days. 

​I would however if concerned go back to your GP for further test /  referrals, unless you have current referrals to the specialists you have mentioned.

3

Thank you for reply. I don't have h pylori, I did several tests.

But the pain is directly linked with the heart rate. Even though the doctors say my heart looks fine, how can the pain not be related with heart or blood vessels ?

I mean, as soon as I stop the activity, the pain will gradually stop in about 2 minutes.

The pain intensity is also linked with the heart rate. The faster is my heart rate, the worse is the pain.  

I will do some more tests, probably mri.

4

I did an abdominal MRI, including a contrast agent, but they said all the organs are ok.

I was prescribed lots of digestive and GI pills, but they had either no effect, or a minimal effect. 

I stopped all pills and I noticed if I eat very small meals, the effect is beneficial. Just like when I first started to take Domperidone. 

But if I eat somewhat normal size meals, besides the above described problem with the pain linked with my heart rate, I also get a bad stomach feeling like I just ate 10 times as much. 

And a new feeling I got in the last 2 months is when my stomach is more full and I sit in a certain way, sometimes I get a sudden scary feeling like the stomach or something is pressing on my heart or lungs and I immediately need to change my position.

I kept searching online and similar cases were either something related to the vagus nerve, or GI ischemia.

What other diagnostics should I do ?

5

Hi,

​You haven't mentioned if you have had an endoscopy and colonoscopy ? I have recently had both done, the endoscopy was to see if anything in that department was causing my chest / heart pain, nothing found, well they did find something but it was not related to the cause of my chest pain, they found small esophageal varices​, there was no evidence of  esophageal​ spasms,  but I was informed that, that is actually just as hard to prove like prinzmetal angina.

​Colonoscopy all normal, was given the all clear from colon cancer, as I tested positive in the FOBT and I have extremely low iron so the concern was colon cancer, but as stated, all clear.so my stomach and organs have been ruled out for the cause of my chest pain. See I have a cardiologist that doesn't believe I have prinzmetal angina, yet I have 2 other cardiologists say that I do after having a couple of heart attacks and an extremely weird lipid profile.