Roemheld Syndrome - Therapy

Therapy

Treatment of the primary gastro interlogical distress is the first concern, mitigation of gastric symptoms will also alleviate cardiac distress.

• Anticholinergics, magnesium, or sodium (to raise blood pressure) supplements
• Anticonvulsants Has eliminated all symptoms in some RS sufferers Lorazepam, Oxcarbazapine Increase GI motility, reduce vagus "noise" (sodium channel blocking believed to contribute to positive effects)
• Alpha blockers may increase gi motility if that is an issue, also 5 mg to 10 mg amitriptyline if motility is an issue that can't be solved by other methods
• antigas - simethicone, beano, omnimax reduces epigastric pressure
• Antacids - nexium, tums, Pepcid AC, rolaids, etc. reduces acid reflux in the case of hiatal hernia or other esophageal type RS.

vagusectomy

• Beta blockers - reduces contractility and automaticity of the heart which reduces irregular rhythms but also lowers blood pressure when symptoms occur, and further reduces perfusion ex:, this will control disarrhythmia, but can precipitate Prinzmetal Angina and substantially.
• Cabbage - WebMD indicates cabbage has been used to treat Roemheld syndrome