Sun Sentinel Palm Beach Edition

Could water stop heart palpitatio­ns?

- Dr. Keith Roach Write to Dr. Roach at ToYourGood­Health@ med.cornell.edu or mail to 628 Virginia Dr., Orlando, FL 32803.

Dear Dr. Roach: I have a suggestion for the lady who complained of heart . My late uncle always requested a big glass of water by his bed. He said that drinking water stopped palpitatio­ns.

It also works for me and others who follow my advice. It could be a placebo effect. — J.G.

There are physiologi­cal reasons that drinking water can stop palpitatio­ns. Many palpitatio­ns are coming from the top chambers of the heart and these can sometimes be stopped by stimulatin­g the vagus nerve. It partially controls heart rate.

One powerful stimulant to the vagus nerve is splashing cold water on the face. Drinking water is also a stimulus to the vagus nerve.

Not having enough fluid is another stimulus for fast heart rates, so some additional fluid is a second reason that water may help.

Dear Dr. Roach: We hear about how bad “low intensity chronic inflammati­on” is. Does low-dosage aspirin stop that inflammati­on? Are there any other measures one can take? — K.S.

Chronic inflammati­on is both a problem in itself, and strongly associated with vascular disease. People with chronic inflammato­ry conditions have increased risk of developing heart attacks. This is not only the case with severe inflammato­ry diseases such as RA, but there is good evidence that less inflammati­on leads to an increase in heart disease risk on the same order of magnitude as high cholestero­l.

Aspirin probably has less benefit than statin drugs, which certainly have an antiinflam­matory effect. But aspirin remains appropriat­e as a preventive.

“Leaky gut” may be a complicati­on of inflammato­ry bowel disease such as Crohn’s disease, and celiac disease, but the term is sometimes used as a catch-all phrase for abdominal symptoms without evidence.

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