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Managing Side Effects of HIV TreatmentManaging Side Effects of HIV Treatment
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Heart palpitations/Belching
Feb 28, 2010

I am 49yo positive male on Truvada, Selzentry, Cozaar 50mg(for high BP), nexium (40mg) and ambien as needed for sleep. I have been having heart palpitations, excessive belching, chest tightness, and back pain on and off for a few months. I have seen a cardiologist who did an EKG,an Echo, calcium score (of zero) and saw a gastro who did an EGD with no findings. Both doctors found nothing except a mild left ventricle hypertrophy. Where do I go from here? The problems still remain. Please advise.

Response from Dr. Henry

It sounds like you have had a good medical evaluation so seems unlikely there is one diagnosis that has been missed that ties all the symptoms together.Your HIV regimen has not been linked to many of the symptoms you are experiencing. Air swallowing (often subconscious) if a common cause of excess belching and can be aggravated by rapid eating, carobonate beverages, gun chewing, and smoking. Ambien can cause heart palpitations occasionally. Cozaar can cause muscusculoskeletal symptoms rarely. Stress can aggravate many of those symptoms as well so stress reduction, exercise, yoga may help some. I don't have much confidence that switching your HIV meds around would help but that is an option if all else fails. KH

Interaction between meds & anaesthetic?
penis Inflammation

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