Acid reflux

This is kev-o, met with the person that does the interrogations again yesterday, and all is ok with the pm. However I am still experiencing a flutter in my diapraghm(which they felt) and severe GERD(reflux). Card. DR.was busy so suggested I go to an after hours care to get a strong med for stomach. The dr. @ the place would not see me due to PM! Suggested E.R. because there could be serious problems with leads. The upper chamber is the only one pulsing. They did turn off the PM for a minute and the flutter changed, but I was too sore to tell how much. It feels like I am always jittery in my middle chest and abdomen, I have had to completely alter my diet to change the severity of reflux but it never stops. I really dont want to go through another surgery (Fundoplication) due to not being healed from PM. Frustrated but alive.


4 Comments

Who is doing the interrogations?

by ElectricFrank - 2008-08-31 01:08:06

It sounds to me like you are having your interrogations done by someone who is not very competent. If he/she can feel the flutter in your diaphragm that is consistent with your heart rate there is something wrong. The printout from the pacer should shed light on it, but only if the person knows what to look for.
Be sure and request a copy of the pre and post interrogation session printout. Maybe one of us can help identify what is happening.
The other thing is to request, if necessary demand, a session with the pacemaker manufacturers rep. They tend to know the electrical operation of the devices better than anyone else.

frank

Gerd from pm??

by dual pacer - 2008-08-31 03:08:24

Hi Kev, I agree with Frank. You need to have this rechecked. I have a dual pm and I'm depend on it. I have Gerd, but not from pm. It is from my medications. Coumadin. Are you sure this pain is related? Have you Card check you out. Even a GI doctor for the Gerd. Good luck

patty

flutter

by kev-o - 2008-08-31 09:08:44

Hey Frank & dual pacer! First let me clear up my last post. The flutter I am feeling isn't the same rythym as my heartbeat. For every beat I feel like something in my diapraghm area vibrates or resonates almost quivers steady and fast. I know this sounds crazy but it was not there before the PM of this I am sure. What is odd is that I can feel this more when I eat and my stomach never feels full. It feels like it fills up the esphophogeal tube. The flutter feels like I am nervous all the time in my chest and abdomen and has even woke me up pulsing my insides. I normally have a very high tolerance for pain and do not complain much but this has set me off kilter so to speak. Is it possible that a lead is laying against the heart or diapraghm tissue causing a vibration of sorts? The cardiopsyologist was out on Fri. may see on Tues. Thanks folks.

diaphragm flutter

by ElectricFrank - 2008-08-31 11:08:52

If the pacemaker pacing pulses are being conducted to the diaphragm it could cause flutter. It wouldn't have to be in sync with your heart beat. It could just be irritating the diaphragm. To cause a problem though there would have to be something wrong with the lead or the pacemaker programming. The biopolar type leads that are used with modern pacemakers have a shield surrounding the active lead so even if it contacted the diaphragm there shouldn't be any voltage on it. But if the shield wasn't properly connected into the pacemaker or was broken the all bets are off. I have the technical manual for my Medtronics pacer and it has lead failure detection built into it. A interrogation would show up a problem.
The doctor you saw for GERD probably has it right that there is a serious lead problem. Keep in mind that one common reason for the cardiologist or EP not "finding a problem" is that if they made an error in installing the pacer they wouldn't get paid by insurance to fix it.
If they come up with the same thing again, I suggest telling them you want a second opinion (not from a doc in the same office). That can suddenly wake them up.

frank

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