Anemia, palpitations and PPIs

[@bambiforester2580]

Thank you 🙏🏻 so much for making this video!! I feel so angry hearing this because I have been telling my doctors for years when I’ve had heart palpitations, flip flopping heart, and racing heart. They didn’t check my iron levels. After hearing another KZbin video, I just recently asked my doctor to check my iron and ferritin. They were both low, and they told me to take iron. I’m just outraged that I’ve told doctors my symptoms, and it took s KZbin video to get the proper help. Now, after this video, I’m going to ask my doctor to check my B12 and folate as well. Ive encountered so many incompetent doctors over the years whose lack of knowledge has caused me harm. I’m glad I found you. Thank you!

[@carl8568]

Incompetent GPs are the norm, unfortunately. Definitely worth checking ferritin, B12, vitamin D at least once a year.

[@annjean8709]

Please change doctors.

[@amynguyen2157]

Same here,

[@hamidabenzerfa5222]

Same thing for me i have very low feritin 3ng/l and anemia all cardiologists i saw them gave me bette blockers for extrasystoles and irregular heart beat they worsen my situation . A bad diagnostic cost us a lot

[@serendipityforever1406]

Yes, I too am going to ask for my B12, Folate and Iron level also. I agree we must seek info from someone like Dr Gupta for answers compared to our personal Primary Docs!

[@EDHill-rz8pk]

I could listen to you 24/7. You make me feel so much better on various topics. Infinite blessings!

[@pravoslavn]

Thanks for this, Doc. A gastroenterologist put me on Omeprezol 12 years ago and my GP has left me there, and now I have developed a heart arythmia. Thanks for making it possible for me to learn some things about PPI's versus the heart. The USA loves Doc Gupta !

[@suewright1299]

Bless you Mr Gupta, you are an absolute gem 💎 It was so good to hear you talk about PPIs, I've been given Rabeprazole for almost 30 years, and right now I've had enough and am starting to wean myself from their grip! Bless you and do keep healthy and safe, your family too. Many thanks indeed.

[@reena6363]

Dr.Gupta, we need more doctors like you! Every video is very informative, ur profession n the way you convey your messages to people it's a blessing…God bless you 🙏

[@LunaLoveBad6969]

Thank you. Thank you so much for this very informative and important video. I’m amazed by the lack of basic bloodwork and digging the Drs in my area have when it comes to figuring out the root cause of symptoms. I have been dealing with rapid HR, palpitations, dizziness upon standing, SOB, cold hands and feet for YEARS and have been dismissed by so many Drs saying it’s “anxiety and stress” until my recent iron levels showed how low they were and my Dr still says they aren’t what’s causing my symptoms 😅 even though I’m 99% sure it is. I started taking ferrous but it has been really hard on my stomach, but anyways. Thank you for giving clarity to this very overlooked issue and for giving me hope to seek out better answers and a plan to start healing. Blessings to you and anyone else going through this❤️✨

[@deniseparker3614]

Dear God that is their favorite think to say.Everything is Anxiety.Whatever symptoms I described to them everyone ruled it out as anxiety. It's so frustrating when a Doctor is dismissive & uncaring. This Doctor is amazing & he explains everything so thoroughly. MY Prayers are with you during your recovery.🙏❤️

[@covegirl06]

Hi, there! I’ve been experiencing the exact same symptoms for about as long as I can remember. I was wondering if taking ferrous supplement has helped with your symptoms

[@helenfogg6433]

Thanks so much for this video. After 5 years on omeprazole I started experiencing dizziness, palpitations, fatigue and a whole host of other symptoms. My ferritin was tested and turned out to be 5. My GP put me on iron but 3 years later it had not gone up at all. I did my own research and chose to come off omeprazole because of the link with nutritional deficiencies. 6 months later my ferritin is up to 80!! My GP still does not believe omeprazole causes anaemia, despite these results! I wish I had never gone on omeprazole. I was diagnosed with a hiatal hernia in 2010 and told to take it. I manage completely fine without it, no heartburn at all. Unfortunately although my ferritin is back up to 80 I am still having lots of symptoms of anaemia. I think it's going to be a slow road to getting back to normal, since I was on this drug for five years! My point is it's a shame that not all GP's recognise this link.

[@myloverevival3458]

You know this really concerns me too. Ive told my doctor about this too but she dismisses my concerns and says that shes also taking omeprazole and shes not experiencing the same symptoms i an going through. She does not seem to believe me that its happening to me. Ive been in and out of emergency room for the past 5 months. And i even went to see a gi doctor but he doesnt seem to believe also my concern with ppi intake. Once again he prescribed me to on ppi again...this time for one month. But im only days taking this now and i feel so worse physically. Plus i catched viral last week and it only fueled to my feeling weakness. I dont know what else to do and i dont know where doctor should i go to now cause both of them dont seem to believe me.

[@MonsterMetalManiac]

GET OFF of these PPI’s immediately. They are KILLERS. I’ve been on them for years and am currently doing all that is humanly possible to get off of them ! I’ve had many Doctors in the past and NOT ONE has suggested I try to get off of these drugs because they are paid off by Big Pharma ! Massive Class Action lawsuits are coming soon against these companies, mark my words ! Lots of people have died because of the long term effects of drugs like Prilosec and Nexium etc.

[@Hyunjinswb]

Did you take an iron supplement? If so which do you recommend

[@belumptuous]

I had long-term chronic pain and inflammation of oesophagus due to reflux (I usually ignore pain and avoid doctors unless its an emergency). It finally got so bad I ended up in an ambulance with what i thought was a heart attack as my heart was going bonkers and I had a different clenching pain right behind my sternum, not where i usually had reflux pain. That episode forced me to go see a GP, who put me on a PPI, which was good as it gave my oesophagus a chance to heal. But he missed my low (anaemic) Hb result on the blood test, failed to order iron studies until i saw my low Hb and brought attention to it. Then he failed to interpret the iron studies as a deficiency. He didn't ask me any basic questions re clinical symptoms of anaemia or iron deficiency - my hair was falling out in chunks, long term episodes of deep fatigue, weakness, paleness - none of which i knew was relevant to mention at the time, but HE should have known to ask, he's the doctor). So I was forced to do my own research online. I learned about how both chronic inflammation and PPI prevent iron uptake, diagnosed myself as anaemic and iron deficient based on published guidelines, (my b12 and folate are fine btw, mine is a problem of iron uptake). Then I weaned off the PPI to restore stomach acid so i could begin to address the iron deficiency with a trial of liposomal iron plus iron-rich foods. I still have reflux of course, i am trying alternative medicine and diet changes to minimise acid damage to my oesophagus. I will find a better doctor (a functional medicine doctor: they are thorough and can think outside the box most GP's stay in). If oral iron replenishment fails after 3 months I will get the injections. I will get an endoscopy done too. I also learned that inflammation can increase ferritin levels, which can fool a doctor who relies on pathology report "normal" ranges into thinking "ferritin is normal, therefore no deficiency". Everything on my iron studies report was out of normal range except ferritin - BUT I had long-term inflammation of the oesophagus, possibly with some bleeding. Plus I was knocked down with Covid for a month, so even more inflammation.

[@kristinetennantcarpenterre6933]

Yes! This was incredibly helpful!! You explain the connections so well. I will refocus on weight reduction as I never want to use PPi’s again. Thank you!!!

[@sabine3769]

I was suffering terrible anxiety and exhaustion my dr said I had low iron anemia. After daily Iron supplements for a month I feel my anxiety has gone and my strength is back. Just my experience. I belief its all connected. Most dr never check and just give you anti anxiety meds.

[@Ryan-np6zv]

How u now

[@awarenezz]

Yes, they tried to make me take SSRI when the actual problem was b12 anemia.

[@mashacamashaca877]

I was taking PPIs and my ferritin was low and was diagnosed as anemic. I then had a gastroscopy and a colonoscopy as my doctor thought I had internal bleeding. I asked her if it was perhaps because of the PPIs and she said no. They found polyps in my stomach and the gastro doctor said that it was from the PPIs. I decided to stop alcohol and stopped eating carbs (keto/carnivore) and I no longer have heartburn and no longer take PPIs No doctor found this relation between lifestyle and diet as part of my problem. They were all happy to just medicate me. They told me that I would be taking PPIs for life. So, if you care about your health, look into why you’re getting heartburn and eliminate those triggers. Vegetables and carbs can cause a lot of problems. It was difficult for me to accept that the vegetables I love eating were causing me harm. Peace and health to you all!

[@IamPaige1111]

Thank you for doing this video, in December I was diagnosed with anemia and my haemoglobin was 52, I had a transfusion and was ok for honestly a week or two. I feel horrible all the time, if not worse than before.. your information was helpful, thank you!

[@Floridazen]

I enjoyed your presentation of this diagnosis. This is a real problem in the weight loss surgery patients and those who have had bariatric surgery. Also people that have MTHFR gene snip that do not absorb some food groups and B12/folate. Very true, inflammation is a big deal and some doctor's forget this, as I worked in healthcare for many years in heart/research area.

[@therese268]

Thank you so much for all your wonderful videos which are really helping me to understand why the heart can get so excited and what all these strange symptoms might mean. As so many others have already mentioned, you have spent so much time carefully and sympathetically explaining the way our hearts work and describing the individual arrhythmias (PVCS, SVTS, PACS, AFIB ETC.) If doctors had taken the trouble to explain all this to me it could have saved a lot of unnecessary fear, but alas time is so limited during a consultation. Fortunately I now have a loop recorder LINQ implanted which will help my cardiologist to confirm what it is, where it is coming from and what might be the best treatment.

[@YorkCardiology]

+Therese Paolini thanks so much.. hope you feel better soon

[@W-Sfire7000]

Thanks for PPI's info/tip, better cut down, been popping in like peanuts for years. Heard long term use can change stomach cells as well, ....

[@josiharper897]

What about thalessemia??? I have a low form of it and am always tired but not anemic and my heart races alot ,especially when moving normally!!!! Please Dr shed some light on this subject! And what can help with energy as iron tablets don't help as they push ferritin levels up high!!

[@serendipityforever1406]

Just started watching Dr Gupta's videos. Very informative. I started having Palpitations approx 3 weeks ago. Fatigue daily. Dizzyness. Exercizing on treadmill makes me extremely exhausted. Weakness. Waiting on blood test to see those results. Watch Dr Gupta's vids often.

[@Ryan-np6zv]

Have you gotten it back

[@serendipityforever1406]

@@Ryan-np6zv My palpitations have diminished greatly as of today 3/24/2021. Still have some lightheadness, slight weakness. Will be asking for blood work to test for B12 value and Vitamin D also. Still get slightly out of breath when on the treadmill @ speeds of 2.5 will slight upper chest discomfort but only slight palpitations. Previously had those very noticeable palps throughout the day.

[@Ryan-np6zv]

@@serendipityforever1406 ya I’m currently having noticeable palps during the day had it really bad today and chest tighntess and weakness and shortness of breath. Getting a blood test this week. Did you find out the cause of your palpitations

[@Ryan-np6zv]

@@serendipityforever1406 and how did you stop them

[@serendipityforever1406]

@@Ryan-np6zv Well, let's see. I had started CoQ10 a few days prior and found out that Coq10 can often times cause palps! So, I stopped that supplement. Very rarely now do I have palps. As Doc Gupta says...It is the "regular irregular ones" I experience especially if I just sit down and/or get up and maybe a "one time" flip/flop." Nothing like I did have for sure, thank goodness. I am going tomorrow for a Troponin T High Sensitive blood test along with B12, Vit D and the Lipid Panel plus the Magnesium also. Fasting....Opps, just has a little "flipper" now! LOL...Maybe stress induced. Dunno! Each night I check to see if Doc Gupta has any newbie vids...

[@Babykinluck]

Thankyou for your wonderful way of explaining. I have Anemia and my Hemoglobin was 6.2 recently had a blood transfusion. Had endoscopy and colonoscopy to find out where the blood is as I have no other s ighns of Blood loss. They found an enfected Ulcer and now on strong Antibiotics and Lanzoprosole. Will have another endoscopy in 2 weeks time. I don't feel I have reflux don't even know how it feels to have it.Yet I'm told I have reflux. Very Confusing.

[@YorkCardiology]

Thank you so much for your comment and for watching the video. Please join me for live free chats on my Facebook page (type [e-mail] in Facebook search) - I will be able to answer your questions there

[@amandastan1971]

York Cardiology thank Dr I am anemia I took iron for 6 months now I feel drained

[@sarinakarim2513]

Amanda do you experience heart palpitations

[@chjayanth3684]

Very helpfull topic for low iron deficency.thank u sir

[@YorkCardiology]

Most welcomethanks for watching. I really appreciate it and it'd mean a tonne if you would consider subscribing to the channel.

[@morningwithgracie7870]

​@@YorkCardiology low hemoglobin n low hematocrit is also consider low iron?

[@PramodRisal]

I am low on vitamin B12 and couldn't sleep now because of heart palpitations. Its 12 am and I cannot sleep. I feared of sth else but now convinced it's not. Thanks doc.

[@corey6073]

Hi I suffer with bad palpitations just found out I have low vitiman d and iron so maybe try taking iron and vitamin supplements

[@shashimoghe3920]

Dr gupta sir very important topic discusses by you all your videos are par excellent a knowledge bank on health thand and good wishes it's a great service to humanity 07/11/2019

[@farkbodark7462]

Dr Gupta - thank you for your content. But what if you’re iron deficient and anemic and you’re not able to discontinue PPI?

[@brandyrandall7547]

My blood was low so my doctor had me take a endoscopy and a colonoscopy the colonoscopy was normal but the endoscopy cam back I have autoimmune gastric but the doctor did not do nth for it because he said I would have to do endoscopy every three years

[@Sirie7206]

I have iron defiency/pernicious anemia due to Hashimoto’s Thyroiditis.

[@elinchua7832]

I had piles and bleed a lot. I am under 11 now so I guess I am anaemic now. I have a feeling that my heart palpitation is due to this. It always occurs in the night when I sleep. I go to A&E to because I was afraid that it may return at night. ECG and blood test shows I am normal. I wonder what can be done for this? It only affects me in my sleep till morning. Usually after that it gets better in the afternoon and evening.

[@corey6073]

Low iron and vitamin D

[@joylane5560]

I have been put on Pantoprazole following a colonoscopy and Gastrointestinal endoscopy, but I have never knowingly suffered from acid reflux. I dont want to take medicine for something that doesnt bother me. I am being treated for anemia and have asthma and emphysema. I do not smoke or drink alcohol, dont like fast food, and make all my meals from scratch. How can I help my anemia to go away?

[@technoguidetv]

im a new subs here i love your explaination

[@27jezus]

I had small hernia diagnosed given pump inhibitors. Well.. coz of stress and not knowing wehat was going on I had same breathing issues.. The gastro-doc said breathing problem not connected to my hernia . After research I realized I might need B12 injection so I went for it. Two times, and after that I forgot about this B12 relation ( i felt fine and started to cycling more ). I was fine until I started to have just small palpitation and upper body irritability later the palp's increased to the point where I am now! I cannot sleep because my heart flutters and every time I do little movment it needs to do a catch up like an old engine or something. I must add I am or I was a middle range MTB biker active person who loved uphill biking and endurance trainings. So my heart is healthy..or I believe so.. Now I noticed symptoms like constant palpitations. ( i must add that I lost my appetite and lost 12kg in 2 moths ) I have irritability and sort of nervous shaking and feeling in my upper body. My muscle mass gone significantly as well.. I changed in body shape quiet a lot wearing clothes that didnt fit for 10years. My arms feel week and thin. Skin color might have changed but hard to tell because of my sun tan. My only hope again.. that I need B12 an lots of it now. Hopefully my problems gonna go away doc. Le me know any tips you might have for a desperate man who loves life.

[@acechadwick]

Did you sort your problem? You are the only person who has mentioned the nervous shaking along with the arrythmia. I also have this and it's horrid.

[@27jezus]

@@acechadwick man..I am reading this and it makes me feel sad..I forgot all this..I am healthy and strong and almost no issues.. It was my parasympaetic nervous system that was messing with my head and body. Let me know if you need any help my friend.

[@acechadwick]

How sweet of you and thank you for replying. Yes anything that helped you, please let me know. I have been told I'm folate deficient so I'm taking tablets but I can't believe it's just that and I don't know how long it will take to boost the levels and relieve the symptoms. If that's what's causing it. But you give me hope ❤

[@27jezus]

@@acechadwick i have to say.. Small amount of zoloft helped me during winter time.. Winter is always worse.

[@markczarny7088]

When would you say the best time to take iron supplements for the best absortion is and can I prepare by taking yoghurt as I feel absorbing iron is a problem. My heme levels are at 5 with CKD .I only bother the hospital's when I get dizzy spell s and palpitations,with covid going off I tend to stay away from reconnect I don't feel it works. My brother recently died with covid complications so I hope you understand my anxiety. I'm pretty sure they will call me in for an infusion given a blood test.

[@denisomahoney5464]

Dr I have a Hiatus hernia ..I’m Six feet tall 32waist very athletic and a very good weight 56yrs .

[@elainetreagus7040]

I was told my hiatus hernia is only about 3 cms but i believe it varies so maybe it’s a sliding one. My mum has a sliding hiatus hernia ever since her gallbladder removal. Not sure if there’s a link there, but I’ve also had a very tricky long operation to remove my gallbladder. Apparently my organs were displaced for keyhole surgery or something strange as the Surgeon told me after. Ever since I’ve been poorly and had b12 deficiency so put on jabs every few months. I then years later had a c section and had some sort of attack during the closing up bit. They didn’t know what was wrong later found tia but could have been a pots attack during surgery. I’ve in the last year had a pots diagnosis at UCHL but I’m not a fainter and had a failed TTT. Since having these pots type symptoms I’ve had sickness digestion and blood flow issues and a strange functioning bowel (when it chooses to empty) I have noticed issues with ectopics pvc’s when the bowel doesn’t empty for a while or my stomach appears to stop digesting. but I since that c section also get random jumping up at night with racing heart (must be more than double my resting) weakness in legs and sometimes chest discomfort and tingling and right sided numbness in face and limbs. I do notice I’m also worse on taking PPI medication which leads me to believe I may actually have one of three things (gastroperesis I’ve had slow transit confirmed, from tablet swallow! / maybe low stomach acid and not high as presumed, or on taking the ppis that my magnesium levels drop further maybe causing palpitations, which I’ve seen can happen in one of your videos). To make matters more complicated for me I also have ankylosing spondylitis and I’m a dairy free vegetarian. To my knowledge I’m not hypermobile in the classic form but have flat feet stretchy wide veins in my legs (if I wear a wedge shoe for a while then remove the shoes I get palpitations and feel very potsy, same if up with pressure on my feet. I did not get the same pressure feeling in my feet and legs on the TTT as my feet didn’t seem to be taking the weight of standing, and this may have so relevance. My veins are almost invisible everywhere else and hard to find for bloods and I have smooth velvety skin. So I’ve been told.

[@alisonbarratt3772]

U have Ehlers Danlos Syndrome as do I

[@sophiewang4789]

How about unprofesdional ivf made abdominal pregnancy related amenia at age near 56 with type 1 diabetic at post menaupose stage?

[@mohdibrahim8543]

Can stress anxiety trauma PTSD cause severe anemia lead to mildly enlarged heart.

[@amittanwani4004]

you are amazing !!!!

[@thomasdugdale3881]

Are ppi used to protect against long-term aspirin use

[@rodelynabelo2316]

Thank you doc..

[@MidsierramusingBlogspot]

I had and ulcer and took PPIs for it following a GI bleed. Even though I took iron supplements to increase my iron and hemoglobin, the levels only slowly increased over months. I stopped taking the PPI and my iron levels began to rise more rapidly and eventually my hemoglobin became normal. But...the serum ferritin levels were the last to normalize.

[@abdulkarimrauf2140]

How long did you start to feel d12 deficiency?. How do symptoms like

[@MidsierramusingBlogspot]

@@abdulkarimrauf2140 I wasn't d12 deficient.

[@Itsme-tp3bq]

@dematson if I may ask, how long did it take your ulcer to heal? How long did you have to stay on the PPI, and lastly, how long did it take you to get off the PPI? I ask because I just found out I have an ulcer and had to start the PPI and carafate. Thank you for your reply in advance.

[@MidsierramusingBlogspot]

@@Itsme-tp3bq I was put on both PPI and H2 blocker for over a year. I decided to wean myself off both. I gradually reduced the dosage and then substituted DGL I have been on that ever since. There are are also problems with prolonged use of acid reducers creating gut biome problems. This can lead to SIBO or IBS. I think I no longer have an ulcer but have not gone back to the gastroenterologist.

[@ithacacomments4811]

I have had these weird gasping breaths. I will be at rest reading and then suddenly...I will experience a gasping breath. Like, I have been under water and come up for a breath. I feel strong and healthy otherwise.

[@eleanorkendrajames9612]

I am iron deficient because of long term PPI use because of gastritis, but no matter how slowly I try to wean off, I get very sick, and the stomach pain and burning comes back when I get to a low dosage. Do you have any advice on how to get off this drug?

[@julesrox7538]

Open up the capsule and pour a small amount out each day. Gradually increase very slowly over months, not days, until there is hardly any contents in the capsules left. If you get heartburn after eating try taking beataine hydrochloric acid. Take 1 tablet and see if heartburn goes if not take another until you get relief as according to the dosage on the bottle. When you try to stop PPIs you get rebound heartburn worse than the original problem. I heard that you develop more pumps because your body is trying to produce acid and is prevented from doing so, so when you stop taking PPIs the pumps all kick in and produce too much acid. Incidentally, most problems regarding acid reflux etc are originally due to too little stomach acid.

[@brandyrandall7547]

Chronic autoimmune gastric so is that’s y my heart beats fast sometimes and I have thyroid problems

[@nicoled1180]

What have you done to treat this?

[@BanditGirl61]

lack of bicarbonate, HCL is water and salt... blood sweat and tears are salty...

[@nikole6705]

Would this be similar for someone with thalassemia?

[@gabypatino5768]

Are the high blood p and anemia related?

[@seagreen9264]

Absolutely!

[@mrjestet]

Hi Dr Gupta, About 2 years ago I had AF and was admitted. I self cardioverted, and was prescribed 50mg atenolol and kids aspirin. This year I had some weird chest feelings (like stuck burps, and occasional single 'pumps' of adrenaline and momentary light headedness...except my heart rate felt normal). I decided to see a second consultant who told me to come off the aspirin and prescribed a PPI to see if it was GERD for a couple of weeks to see if it helped. I also had a CTA which was 0% blockages. I also had a gastroendoscopy which also showed nothing. I do however have my first baby on the way, so wonder if it is anxiety, but dont 'feel' anxious and my heart rate also doesn't feel like it used to when excited or scared. Can anxiety cause these 'burp' and momentary light head? my pulse always seems normal when it happens.. Thanks for posting these videos too!

[@jordanparsons7689]

Man get in contact please [e-mail]

[@zeeshan8554]

i feel my heart beating hardly some times is this anemia? plz reply.

[@brandyrandall7547]

Me to

[@musicloverUK]

Mine stopped banging so loudly when i gave up caffeine.

[@sabine3769]

You might need blood test to check iron

[@Raj-ul9my]

Get tests done that’s how u will find out…..

[@fritz2259]

I've been on ppis for years I've developed heart palpitation celiac disease and high blood pressure. Since using could this be the cause?

[@MonsterMetalManiac]

Absolutely. Get off of them immediately my friend.

[@AS-hx8ff]

I take PPI for an hernia. I'm in such pain I can not stop taking them. My bloods came back today and I am aniemic. What can I do.

[@jbatts7189]

If you are a female anemia usually isn't dangerous but if you are a male with anemia you must look into it. Anemia was the first sign I got before being diagnosed with adenocarcinoma esophageal cancer. So males don't ignore anemia

[@brandyrandall7547]

I take iron pills I was diagnosed with anemia

[@williamowen2422]

The Heart is NOT a Pump... Its a 7 Sided Chester Hedron Vortex ! Tha Heart is Neutral...

[@rogerwx]

any kidney disease help 30 percent have this

[@nesamosaku551]

💚♥️🧡💛🖤💜💙

[@GlobalDrifter1000]

Very creepy fingernails

[@raygomez243]

Hi doc😢 can you please talk about difference between type 1 and type 2 m.i infraction...what do I need to do after my type 2 . Mr 505 thanks