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Inner restlessness, trembling, heart palpitations after eating.

Hello,

About 6 months ago, I started experiencing severe digestive problems. During that time, I was unable to digest almost anything for about 4-6 weeks, regardless of the type of food (I kept a food diary with gluten-free, lactose-free, etc.). I experienced diarrhea shortly after eating. Visits to the doctor led to a colonoscopy, which did not reveal any significant findings and resulted in a diagnosis of "irritable bowel syndrome". Overall, the symptoms related to my bowel have improved, so I can say that my digestion is back to normal. However, with the improvement in bowel activity, some other symptoms have appeared:

After a meal (I have tried everything), I experience inner restlessness, shaky hands, chest pressure, and a strong pulse (not elevated, 70-85). I can hear my heartbeat especially when lying down, which makes it very difficult for me to fall asleep! The longer it has been since I ate, the weaker the symptom! I have no symptoms in the morning when I wake up! In my opinion, it is directly related to food intake! Nevertheless, I have made an appointment with a cardiologist, but it is not for a few weeks. My question is: should I be worried about these symptoms, or can they all be attributed to "limited bowel activity"? Is there a medication that my primary care physician can prescribe in the meantime?

Thank you for your response.

Dr. med. Frauke Gehring

Hello,

Unfortunately, you have not written anything about your age and pre-existing conditions. I also do not understand what a cardiologist has to do with this, as there is no heart or vascular problem to be expected here.

Your symptoms are reminiscent of dumping syndrome. Therefore, I would recommend having your pancreas and gallbladder examined to determine if a dysfunction here is the cause. In the meantime, I would suggest trying Kreon capsules, which can help with digestion. These can be prescribed by your primary care physician.

Wishing you all the best!

Warm regards, Dr. Gehring

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Experte für Internal medicine

Dr. med. Frauke Gehring

Dr. med. Frauke Gehring

Arnsberg

Staatsexamen 1984 in Kiel, seit 1992 in eigener Praxis niedergelassen. Onlineberatung seit 2001 bei Almeda, Focus (als ärztliche Leiterin), Onmeda, Bild der Frau. Moderatorin, Dozentin für medizinische Themen.

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