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Dear Dr Levin,

I occasionally experience PVC's (skipped or extra heart beats) due to excess gas and bloating. I have been recently diagnosed with IBS after a colonoscopy came back negative. What can I do to relieve the excess bloating and gas and stop these annoying PVC's?? I have had the condition off and on now for almost 20 yrs.

My fiber intake is minimal because I am afraid that I will bloat up immediately and experience the PVC's all over again.


Dear T,

I’m sorry to hear about your discomfort.  I have attached some info on PVC’s (premature ventricular contractions) and the only citation which I could find on PVC’s caused by Gas and bloating from Baylor University.  Unfortunately, I wasn’t able to open the abstract (possibly too old).  I have attached it in case you have better luck.  I have also attached info from Wikipedia.

I personally haven’t had a patient that had PVC’s which they felt were caused by gas and bloating.  On the over hand we all know that excess gas and bloating are annoying and uncomfortable and cause anxiety.  This is a major cause of PVC’s as you can see by the attached Wikipedia info. 

There have been several studies on fish oil promoting a healthier heart rhythm and offering good cardiovascular protection.  In terms of the gas and bloating, I refer you to my article, "Digesting Your Food With Ease and Comfort" on my web site  There are several excellent recommendations in it. 

Most people that come to my office with digestive issues due quite well.  I see that you’re not far away and I recommend that you come in for a consult.  Keep a "diet diary" for about 3 days before you come because I want to see exactly what you eat.  Don’t change the way you eat while keeping the diary.  I want to see 3 typical days include portion size and time of day that the food and snacks are eaten. 

Many people that have trouble with fruits and vegetables and other fiber rich foods due fine when they utilize the proper digestive enzymes and possibly Betaine HCL (our stomach acid tends to get weaker with age).  Dietary changes should always be done slowly to allow the digestive tract time to adapt.

I hope to see you in the office soon.  My contact info is below.

Wikipedia Info:
For benign PVCs, anxiety is the most common cause. Increased levels of adrenaline are thought to play a role, often caused by caffeine, exercise or anxiety. Some other possible causes of PVC in adults include the use of cocaine, amphetamines, and alcohol. Medicines including digoxin, sympathomimetics, tricyclic antidepressants, and aminophylline have also been known to trigger attacks of PVC. [1]

Heart conditions or a previous history of heart attack, ischemia, myocarditis, dilated or hypertrophic cardiomyopathy, myocardial contusion,

atrial fibrillation and mitral valve prolapse may cause PVC. Patients with hypomagnesemia, hypokalemia, and hypercalcemia may also present with PVC.

Possible triggers

Anxiety/Stress, Chocolate, Caffeine, Cocaine or other stimulant, Calcium/magnesium imbalance, Dehydration, Exercise, Hormonal imbalance

Hypercapnia (CO2 poisoning), Hyperstimulation of the Vagus nerve, Lack of sleep/exhaustion, Overeating, Low copper, MSG

Baylor University Medical Center, Dallas, Texas, USA

In Health,

Dr. Neil Levin

Chiropractic, Nutrition, Fitness

(516) 605-0505