{"id":11,"date":"2026-06-06T12:51:42","date_gmt":"2026-06-06T12:51:42","guid":{"rendered":"https:\/\/roemheld.org\/?page_id=11"},"modified":"2026-07-10T06:09:32","modified_gmt":"2026-07-10T06:09:32","slug":"diagnosis","status":"publish","type":"page","link":"https:\/\/roemheld.org\/fr\/diagnosis\/","title":{"rendered":"What is Roemheld syndrome? Symptoms, Causes, Treatment"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n<div class=\"brz-root__container\"><\/div>\n\n<style>.kb-row-layout-id11_726c56-d4 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_726c56-d4 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_726c56-d4 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1213px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id11_726c56-d4{background-image:url('https:\/\/roemheld.org\/wp-content\/uploads\/2026\/06\/background_mainenance.jpg');background-size:cover;background-position:center center;background-attachment:scroll;background-repeat:no-repeat;}.kb-row-layout-id11_726c56-d4 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_726c56-d4 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id11_726c56-d4 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_726c56-d4 alignfull has-theme-palette9-background-color kt-row-has-bg wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n<style>.kadence-column11_020c6d-ef > .kt-inside-inner-col,.kadence-column11_020c6d-ef > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column11_020c6d-ef > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_020c6d-ef > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_020c6d-ef > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_020c6d-ef > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_020c6d-ef{position:relative;}.kadence-column11_020c6d-ef, .kt-inside-inner-col > .kadence-column11_020c6d-ef:not(.specificity){margin-bottom:var(--global-kb-spacing-md, 2rem);}@media all and (max-width: 1024px){.kadence-column11_020c6d-ef > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_020c6d-ef > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_020c6d-ef\"><div class=\"kt-inside-inner-col\"><style>.kb-row-layout-id11_9c5917-4c > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_9c5917-4c > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_9c5917-4c > .kt-row-column-wrap{column-gap:var(--global-kb-gap-none, 0rem );row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1213px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-right:0px;padding-left:0px;grid-template-columns:minmax(0, calc(65% - ((var(--global-kb-gap-none, 0rem ) * 1 )\/2)))minmax(0, calc(35% - ((var(--global-kb-gap-none, 0rem ) * 1 )\/2)));}.kb-row-layout-id11_9c5917-4c > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-wrap.wp-block-kadence-rowlayout.kb-row-layout-id11_9c5917-4c{margin-top:var(--global-kb-spacing-lg, 3rem);}}@media all and (max-width: 1024px){.kb-row-layout-id11_9c5917-4c > .kt-row-column-wrap{padding-top:0px;grid-template-columns:repeat(2, minmax(0, 1fr));}}@media all and (max-width: 767px){.kb-row-layout-id11_9c5917-4c > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_9c5917-4c alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n<style>.kadence-column11_132550-ed > .kt-inside-inner-col{display:flex;}.kadence-column11_132550-ed > .kt-inside-inner-col{padding-right:var(--global-kb-spacing-xl, 4rem);}.kadence-column11_132550-ed > .kt-inside-inner-col,.kadence-column11_132550-ed > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column11_132550-ed > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_132550-ed > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.kadence-column11_132550-ed > .kt-inside-inner-col > .aligncenter{width:100%;}.kt-row-column-wrap > .kadence-column11_132550-ed{align-self:center;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column11_132550-ed{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column11_132550-ed > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.kadence-column11_132550-ed > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_132550-ed{position:relative;}@media all and (max-width: 1024px){.kt-row-column-wrap > .kadence-column11_132550-ed{align-self:center;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column11_132550-ed{align-self:auto;}}@media all and (max-width: 1024px){.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column11_132550-ed > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 1024px){.kadence-column11_132550-ed > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kt-row-column-wrap > .kadence-column11_132550-ed{align-self:center;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column11_132550-ed{align-self:auto;}.kt-inner-column-height-full:not(.kt-has-1-columns) > .wp-block-kadence-column.kadence-column11_132550-ed > .kt-inside-inner-col{flex-direction:column;justify-content:center;}.kadence-column11_132550-ed > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_132550-ed inner-column-1\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedheading.kt-adv-heading11_48b2a3-a4, .wp-block-kadence-advancedheading.kt-adv-heading11_48b2a3-a4[data-kb-block=\"kb-adv-heading11_48b2a3-a4\"]{margin-top:0px;margin-bottom:var(--global-kb-spacing-sm, 1.5rem);font-size:var(--global-kb-font-size-xl, 3rem);line-height:1.1;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading11_48b2a3-a4 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading11_48b2a3-a4[data-kb-block=\"kb-adv-heading11_48b2a3-a4\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading11_48b2a3-a4 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading11_48b2a3-a4[data-kb-block=\"kb-adv-heading11_48b2a3-a4\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h2 class=\"kt-adv-heading11_48b2a3-a4 wp-block-kadence-advancedheading has-theme-palette-3-color has-text-color\" data-kb-block=\"kb-adv-heading11_48b2a3-a4\">It&#8217;s not a heart disease, but it sure feels like it is&#8230;<\/h2>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading11_fb7596-86, .wp-block-kadence-advancedheading.kt-adv-heading11_fb7596-86[data-kb-block=\"kb-adv-heading11_fb7596-86\"]{line-height:1.6;font-weight:normal;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading11_fb7596-86 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading11_fb7596-86[data-kb-block=\"kb-adv-heading11_fb7596-86\"] mark.kt-highlight{font-weight:normal;font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading11_fb7596-86 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading11_fb7596-86[data-kb-block=\"kb-adv-heading11_fb7596-86\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading11_fb7596-86 wp-block-kadence-advancedheading has-theme-palette-4-color has-text-color\" data-kb-block=\"kb-adv-heading11_fb7596-86\">Roemheld syndrome, also known as <em>Gastro-Cardiac Syndrome<\/em>, isn\u2019t a standalone differential diagnosis (yet), but a label for a specific <strong>combination of gut\u2011driven symptoms<\/strong> (bloating, gas, reflux) and heart\u2011related sensations such as palpitations, chest discomfort or extra beats (PVC&#8217;s).\u00a0Early medical writers, including Ludwig\u202fRoemheld himself (in 1912!), described the phenomenon in patients with gastrointestinal disorders, but <strong>modern epidemiological data are almost non\u2011existent<\/strong>, and there are no large\u2011scale studies.\u00a0Nearly all recent literature consists of individual case reports and small observational studies. Consequently, the syndrome remains <strong>neglected and underdiagnosed<\/strong> in the evaluation of arrhythmias.\u00a0Our foundation aims to bring together these scattered insights so that patients and healthcare professionals can better understand this under\u2011recognised phenomenon<br><br>Many social-media groups, online articles and videos about Roemheld syndrome attract thousands of comments from people who are relieved to see their own mix of digestive and heart symptoms described.\u00a0Such anecdotal stories aren\u2019t scientific evidence on their own.\u00a0However, when these personal reports are so numerous\u2014and at the same time the medical literature notes that gastro\u2011cardiac syndrome remains a neglected and underdiagnosed factor in the work\u2011up of arrhythmias\u00a0and that there are no reliable prevalence data because only sparse case reports exist: it suggests a potential unmet clinical need. This community deserves to be listened to and the condition warrants more systematic research and clinical awareness.<br><br>All that&#8217;s left is for the patients is to convince their doctor, and to find a cure. <strong>That&#8217;s the hard part.<\/strong><\/p>\n<\/div><\/div>\n\n\n<style>.kadence-column11_57ce31-55 > .kt-inside-inner-col,.kadence-column11_57ce31-55 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column11_57ce31-55 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_57ce31-55 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_57ce31-55 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_57ce31-55 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_57ce31-55{position:relative;}@media all and (max-width: 1024px){.kadence-column11_57ce31-55 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_57ce31-55 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_57ce31-55\"><div class=\"kt-inside-inner-col\">\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;6a63e4776b738&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"6a63e4776b738\" class=\"wp-block-image size-large wp-lightbox-container\"><img loading=\"lazy\" decoding=\"async\" width=\"683\" height=\"1024\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on--pointerdown=\"actions.preloadImage\" data-wp-on--pointerenter=\"actions.preloadImageWithDelay\" data-wp-on--pointerleave=\"actions.cancelPreload\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/roemheld.org\/wp-content\/uploads\/2026\/06\/illustration-683x1024.jpg\" alt=\"\" class=\"wp-image-798\" srcset=\"https:\/\/roemheld.org\/wp-content\/uploads\/2026\/06\/illustration-683x1024.jpg 683w, https:\/\/roemheld.org\/wp-content\/uploads\/2026\/06\/illustration-200x300.jpg 200w, https:\/\/roemheld.org\/wp-content\/uploads\/2026\/06\/illustration-768x1152.jpg 768w, https:\/\/roemheld.org\/wp-content\/uploads\/2026\/06\/illustration-8x12.jpg 8w, https:\/\/roemheld.org\/wp-content\/uploads\/2026\/06\/illustration.jpg 1024w\" sizes=\"auto, (max-width: 683px) 100vw, 683px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\tdata-wp-bind--aria-label=\"state.thisImage.triggerButtonAriaLabel\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.thisImage.buttonRight\"\n\t\t\tdata-wp-style--top=\"state.thisImage.buttonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><\/figure>\n<\/div><\/div>\n\n<\/div><\/div><\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id11_cc8a8d-3f > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_cc8a8d-3f > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_cc8a8d-3f > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1213px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id11_cc8a8d-3f > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_cc8a8d-3f > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id11_cc8a8d-3f > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_cc8a8d-3f alignfull has-theme-palette9-background-color kt-row-has-bg wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n<style>.kadence-column11_448369-f6 > .kt-inside-inner-col,.kadence-column11_448369-f6 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column11_448369-f6 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_448369-f6 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_448369-f6 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_448369-f6 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_448369-f6{position:relative;}@media all and (max-width: 1024px){.kadence-column11_448369-f6 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_448369-f6 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_448369-f6 inner-column-1\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-spacer.kt-block-spacer-11_606078-f1 .kt-block-spacer{height:20px;}.wp-block-kadence-spacer.kt-block-spacer-11_606078-f1 .kt-divider{border-top-width:1px;height:1px;border-top-color:var(--global-palette7, #EDF2F7);width:100%;border-top-style:solid;}<\/style>\n<div class=\"wp-block-kadence-spacer aligncenter kt-block-spacer-11_606078-f1\"><div class=\"kt-block-spacer kt-block-spacer-halign-center\"><hr class=\"kt-divider\" \/><\/div><\/div>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id11_2ac188-0d > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_2ac188-0d > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_2ac188-0d > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);max-width:var( --global-content-width, 1213px );padding-left:var(--global-content-edge-padding);padding-right:var(--global-content-edge-padding);padding-top:var(--global-kb-spacing-xxs, 0.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id11_2ac188-0d > .kt-row-layout-overlay{opacity:0.30;}.kb-row-layout-id11_2ac188-0d .kt-row-layout-bottom-sep{height:100px;}.kb-row-layout-id11_2ac188-0d .kt-row-layout-bottom-sep svg{width:100%;}.kb-row-layout-id11_2ac188-0d .kt-row-layout-bottom-sep svg{fill:#ffffff!important;}.kb-row-layout-id11_2ac188-0d .kt-row-layout-top-sep{height:100px;}.kb-row-layout-id11_2ac188-0d .kt-row-layout-top-sep svg{width:100%;}.kb-row-layout-id11_2ac188-0d .kt-row-layout-top-sep svg{fill:#ffffff!important;}@media all and (max-width: 1024px){.kb-row-layout-id11_2ac188-0d > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 1024px){.kb-row-layout-id11_2ac188-0d .kt-row-layout-bottom-sep{height:px;}}@media all and (max-width: 1024px){.kb-row-layout-id11_2ac188-0d .kt-row-layout-bottom-sep svg{width:%;}}@media all and (max-width: 767px){.kb-row-layout-id11_2ac188-0d > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id11_2ac188-0d .kt-row-layout-bottom-sep{height:px;}.kb-row-layout-id11_2ac188-0d .kt-row-layout-bottom-sep svg{width:%;}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_2ac188-0d alignfull has-theme-palette9-background-color kt-row-has-bg wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top kb-theme-content-width\">\n<style>.kadence-column11_2f05ac-e2 > .kt-inside-inner-col,.kadence-column11_2f05ac-e2 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column11_2f05ac-e2 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_2f05ac-e2 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_2f05ac-e2 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_2f05ac-e2 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_2f05ac-e2{position:relative;}@media all and (max-width: 1024px){.kadence-column11_2f05ac-e2 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_2f05ac-e2 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_2f05ac-e2 inner-column-1\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedheading.kt-adv-heading11_dc6d69-f0, .wp-block-kadence-advancedheading.kt-adv-heading11_dc6d69-f0[data-kb-block=\"kb-adv-heading11_dc6d69-f0\"]{margin-top:0px;margin-bottom:var(--global-kb-spacing-xxs, 0.5rem);text-align:center;font-size:var(--global-kb-font-size-xl, 3rem);line-height:1.2;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading11_dc6d69-f0 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading11_dc6d69-f0[data-kb-block=\"kb-adv-heading11_dc6d69-f0\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading11_dc6d69-f0 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading11_dc6d69-f0[data-kb-block=\"kb-adv-heading11_dc6d69-f0\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h2 class=\"kt-adv-heading11_dc6d69-f0 wp-block-kadence-advancedheading has-theme-palette-3-color has-text-color\" data-kb-block=\"kb-adv-heading11_dc6d69-f0\">Possible Symptoms<\/h2>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading11_94b9be-11, .wp-block-kadence-advancedheading.kt-adv-heading11_94b9be-11[data-kb-block=\"kb-adv-heading11_94b9be-11\"]{max-width:70%;margin-right:auto;margin-left:auto;margin-top:var(--global-kb-spacing-xxs, 0.5rem);margin-bottom:0px;text-align:center;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading11_94b9be-11 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading11_94b9be-11[data-kb-block=\"kb-adv-heading11_94b9be-11\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading11_94b9be-11 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading11_94b9be-11[data-kb-block=\"kb-adv-heading11_94b9be-11\"] img.kb-inline-image{width:150px;vertical-align:baseline;}@media all and (max-width: 1024px){.wp-block-kadence-advancedheading.kt-adv-heading11_94b9be-11, .wp-block-kadence-advancedheading.kt-adv-heading11_94b9be-11[data-kb-block=\"kb-adv-heading11_94b9be-11\"]{max-width:85%;}}@media all and (max-width: 767px){.wp-block-kadence-advancedheading.kt-adv-heading11_94b9be-11, .wp-block-kadence-advancedheading.kt-adv-heading11_94b9be-11[data-kb-block=\"kb-adv-heading11_94b9be-11\"]{max-width:100%;}}<\/style>\n<p class=\"kt-adv-heading11_94b9be-11 wp-block-kadence-advancedheading has-theme-palette-4-color has-text-color\" data-kb-block=\"kb-adv-heading11_94b9be-11\">While most people think of heart-related symptoms, there are actually three different ares we should examine: <strong>Gastrointestinal, Cardiovascular&nbsp;and Psychological<\/strong>. Patient can have one or more symptoms in each category<\/p>\n<\/div><\/div>\n\n\n<style>.kadence-column11_590447-9a > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-md, 2rem);padding-right:var(--global-kb-spacing-md, 2rem);padding-bottom:var(--global-kb-spacing-md, 2rem);padding-left:var(--global-kb-spacing-md, 2rem);}.kadence-column11_590447-9a > .kt-inside-inner-col,.kadence-column11_590447-9a > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column11_590447-9a > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_590447-9a > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_590447-9a > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_590447-9a > .kt-inside-inner-col{background-color:var(--global-palette8, #F7FAFC);background-image:url('https:\/\/roemheld.org\/wp-content\/uploads\/2026\/06\/background_mainenance.jpg');background-size:cover;background-position:center center;background-attachment:scroll;background-repeat:no-repeat;}.kadence-column11_590447-9a > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_590447-9a{position:relative;}.kadence-column11_590447-9a, .kt-inside-inner-col > .kadence-column11_590447-9a:not(.specificity){margin-top:var(--global-kb-spacing-md, 2rem);}@media all and (max-width: 1024px){.kadence-column11_590447-9a > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_590447-9a > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_590447-9a kadence-column_c5113a-9d\"><div class=\"kt-inside-inner-col\"><style>.kt-accordion-id11_b85556-e6 .kt-accordion-inner-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:20px;}.kt-accordion-id11_b85556-e6 .kt-accordion-panel-inner{border-top:0px solid transparent;border-right:0px solid transparent;border-bottom:0px solid transparent;border-left:0px solid transparent;background:var(--global-palette9, #ffffff);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-5xl, 10rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kt-accordion-id11_b85556-e6 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header{border-top-color:#eeeeee;border-top-style:solid;border-right-color:#eeeeee;border-right-style:solid;border-bottom-color:#eeeeee;border-bottom-style:solid;border-left-color:#eeeeee;border-left-style:solid;border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;background:var(--global-palette9, #ffffff);font-size:var(--global-kb-font-size-md, 1.25rem);line-height:1.1;letter-spacing:-0.2px;font-family:var( u002du002dglobal-body-font-family, inherit );font-weight:500;color:var(--global-palette3, #1A202C);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kt-accordion-id11_b85556-e6:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle )  > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id11_b85556-e6:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle )  > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette3, #1A202C);}.kt-accordion-id11_b85556-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-icon-trigger{background:var(--global-palette3, #1A202C);}.kt-accordion-id11_b85556-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id11_b85556-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette9, #ffffff);}.kt-accordion-id11_b85556-e6 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header:hover, \n\t\t\t\tbody:not(.hide-focus-outline) .kt-accordion-id11_b85556-e6 .kt-blocks-accordion-header:focus-visible{background:var(--global-palette9, #ffffff);border-top-color:#d4d4d4;border-top-style:solid;border-right-color:#d4d4d4;border-right-style:solid;border-bottom-color:#d4d4d4;border-bottom-style:solid;border-left-color:#d4d4d4;border-left-style:solid;}.kt-accordion-id11_b85556-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-accordion-header-wrap .kt-blocks-accordion-header:hover .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id11_b85556-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-accordion-header-wrap .kt-blocks-accordion-header:hover .kt-blocks-accordion-icon-trigger:before, body:not(.hide-focus-outline) .kt-accordion-id11_b85556-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible .kt-blocks-accordion-icon-trigger:after, body:not(.hide-focus-outline) .kt-accordion-id11_b85556-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette9, #ffffff);}.kt-accordion-id11_b85556-e6 .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible,\n\t\t\t\t.kt-accordion-id11_b85556-e6 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header.kt-accordion-panel-active{color:var(--global-palette1, #3182CE);background:var(--global-palette9, #ffffff);}.kt-accordion-id11_b85556-e6:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle )  > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id11_b85556-e6:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle )  > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette1, #3182CE);}.kt-accordion-id11_b85556-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger{background:var(--global-palette1, #3182CE);}.kt-accordion-id11_b85556-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id11_b85556-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette9, #ffffff);}@media all and (max-width: 1024px){.kt-accordion-id11_b85556-e6 .kt-accordion-panel-inner{border-top:0px solid transparent;border-right:0px solid transparent;border-bottom:0px solid transparent;border-left:0px solid transparent;padding-right:var(--global-kb-spacing-3xl, 6.5rem);}}@media all and (max-width: 1024px){.kt-accordion-id11_b85556-e6 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header{border-top-color:#eeeeee;border-top-style:solid;border-right-color:#eeeeee;border-right-style:solid;border-bottom-color:#eeeeee;border-bottom-style:solid;border-left-color:#eeeeee;border-left-style:solid;}}@media all and (max-width: 1024px){.kt-accordion-id11_b85556-e6 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header:hover, \n\t\t\t\tbody:not(.hide-focus-outline) .kt-accordion-id11_b85556-e6 .kt-blocks-accordion-header:focus-visible{border-top-color:#d4d4d4;border-top-style:solid;border-right-color:#d4d4d4;border-right-style:solid;border-bottom-color:#d4d4d4;border-bottom-style:solid;border-left-color:#d4d4d4;border-left-style:solid;}}@media all and (max-width: 767px){.kt-accordion-id11_b85556-e6 .kt-accordion-inner-wrap{display:block;}.kt-accordion-id11_b85556-e6 .kt-accordion-inner-wrap .kt-accordion-pane:not(:first-child){margin-top:20px;}.kt-accordion-id11_b85556-e6 .kt-accordion-panel-inner{border-top:0px solid transparent;border-right:0px solid transparent;border-bottom:0px solid transparent;border-left:0px solid transparent;padding-right:var(--global-kb-spacing-sm, 1.5rem);}.kt-accordion-id11_b85556-e6 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header{border-top-color:#eeeeee;border-top-style:solid;border-right-color:#eeeeee;border-right-style:solid;border-bottom-color:#eeeeee;border-bottom-style:solid;border-left-color:#eeeeee;border-left-style:solid;}.kt-accordion-id11_b85556-e6 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header:hover, \n\t\t\t\tbody:not(.hide-focus-outline) .kt-accordion-id11_b85556-e6 .kt-blocks-accordion-header:focus-visible{border-top-color:#d4d4d4;border-top-style:solid;border-right-color:#d4d4d4;border-right-style:solid;border-bottom-color:#d4d4d4;border-bottom-style:solid;border-left-color:#d4d4d4;border-left-style:solid;}}<\/style>\n<div class=\"wp-block-kadence-accordion alignnone\"><div class=\"kt-accordion-wrap kt-accordion-id11_b85556-e6 kt-accordion-has-10-panes kt-active-pane-0 kt-accordion-block kt-pane-header-alignment-left kt-accodion-icon-style-arrow kt-accodion-icon-side-right\" style=\"max-width:none\"><div class=\"kt-accordion-inner-wrap\" data-allow-multiple-open=\"false\" data-start-open=\"none\">\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-1 kt-pane11_7d7b5c-e3\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\"><strong>Gastrointestinal<\/strong> Symptoms (stomach, belly, bowels)<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p class=\"wp-block-paragraph\">Indigestion, heartburn, nausea, bloating, belching, constipation, diarrhea, flatulence.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-8 kt-pane11_01324b-48\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\"><strong>Cardiovascular<\/strong> Symptoms (heart)<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p class=\"wp-block-paragraph\">Dyspnea (shortness of breath), blood\u2011pressure changes, chest pain, palpitations, PVCs, PACs, Atrial fibrillation, Tachycardia, Bradycardia, Sinus pauses, Swallowing-induced arrhythmias, Sinus pauses associated with epigastric burning, have all been described in modern gastro-cardiology literature.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-9 kt-pane11_84b045-99\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\"><strong>Psychological<\/strong> Symptoms (state of mind)<\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p class=\"wp-block-paragraph\">Panic attacks, anxiety, stress, sadness, phobias.<\/p>\n<\/div><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n<style>.kb-row-layout-id11_f9c9b9-ae > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_f9c9b9-ae > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_f9c9b9-ae > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id11_f9c9b9-ae > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_f9c9b9-ae > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id11_f9c9b9-ae > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_f9c9b9-ae alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column11_90e266-b8 > .kt-inside-inner-col,.kadence-column11_90e266-b8 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column11_90e266-b8 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_90e266-b8 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_90e266-b8 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_90e266-b8 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_90e266-b8{position:relative;}@media all and (max-width: 1024px){.kadence-column11_90e266-b8 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_90e266-b8 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_90e266-b8\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedheading.kt-adv-heading11_5c1263-2b, .wp-block-kadence-advancedheading.kt-adv-heading11_5c1263-2b[data-kb-block=\"kb-adv-heading11_5c1263-2b\"]{margin-top:0px;margin-bottom:var(--global-kb-spacing-xxs, 0.5rem);text-align:center;font-size:var(--global-kb-font-size-xl, 3rem);line-height:1.2;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading11_5c1263-2b mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading11_5c1263-2b[data-kb-block=\"kb-adv-heading11_5c1263-2b\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading11_5c1263-2b img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading11_5c1263-2b[data-kb-block=\"kb-adv-heading11_5c1263-2b\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h2 class=\"kt-adv-heading11_5c1263-2b wp-block-kadence-advancedheading has-theme-palette-3-color has-text-color\" data-kb-block=\"kb-adv-heading11_5c1263-2b\"><strong>Possible Gastrointestinal Causes<\/strong><\/h2>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading11_88eb3f-ab, .wp-block-kadence-advancedheading.kt-adv-heading11_88eb3f-ab[data-kb-block=\"kb-adv-heading11_88eb3f-ab\"]{max-width:70%;margin-right:auto;margin-left:auto;margin-top:var(--global-kb-spacing-xxs, 0.5rem);margin-bottom:0px;text-align:center;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading11_88eb3f-ab mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading11_88eb3f-ab[data-kb-block=\"kb-adv-heading11_88eb3f-ab\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading11_88eb3f-ab img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading11_88eb3f-ab[data-kb-block=\"kb-adv-heading11_88eb3f-ab\"] img.kb-inline-image{width:150px;vertical-align:baseline;}@media all and (max-width: 1024px){.wp-block-kadence-advancedheading.kt-adv-heading11_88eb3f-ab, .wp-block-kadence-advancedheading.kt-adv-heading11_88eb3f-ab[data-kb-block=\"kb-adv-heading11_88eb3f-ab\"]{max-width:85%;}}@media all and (max-width: 767px){.wp-block-kadence-advancedheading.kt-adv-heading11_88eb3f-ab, .wp-block-kadence-advancedheading.kt-adv-heading11_88eb3f-ab[data-kb-block=\"kb-adv-heading11_88eb3f-ab\"]{max-width:100%;}}<\/style>\n<p class=\"kt-adv-heading11_88eb3f-ab wp-block-kadence-advancedheading has-theme-palette-4-color has-text-color\" data-kb-block=\"kb-adv-heading11_88eb3f-ab\"><br>The Roemheld Syndrome is thought to be a combination of <strong>mechanical, neurological, hormonal, and immunological<\/strong> variables that influence the heart\u2019s rhythm and function.<br><br><code>Based on the article: <strong>Exploring Roemheld syndrome: a comprehensive review with proposed diagnostic criteria<\/strong><\/code><br><code><strong>Herz Magazine, 7 May 2024<\/strong><\/code><br><code>Authors: Muhammad Umair Javaid, Muhammad Ikrama, Shafqat Abbas, Muhammad Saad Javaid, Muhammad Danial Khalid, Nabeel Riaz, Malik Ahsan Safdar.<a href=\"https:\/\/doi.org\/10.1007\/s00059-024-05249-y\"> https:\/\/doi.org\/10.1007\/s00059-024-05249-y<\/a><\/code><br><code>We'd like to thank the authors for allowing us to cite from the article. <\/code><\/p>\n<\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kadence-column11_4c7c56-64{max-width:1200px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column11_4c7c56-64{-webkit-flex:0 1 1200px;flex:0 1 1200px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column11_4c7c56-64 > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-md, 2rem);padding-right:var(--global-kb-spacing-md, 2rem);padding-bottom:var(--global-kb-spacing-md, 2rem);padding-left:var(--global-kb-spacing-md, 2rem);}.kadence-column11_4c7c56-64 > .kt-inside-inner-col,.kadence-column11_4c7c56-64 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column11_4c7c56-64 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_4c7c56-64 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_4c7c56-64 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_4c7c56-64 > .kt-inside-inner-col{background-color:var(--global-palette8, #F7FAFC);background-image:url('https:\/\/roemheld.org\/wp-content\/uploads\/2026\/06\/background_mainenance.jpg');background-size:cover;background-position:center center;background-attachment:scroll;background-repeat:no-repeat;}.kadence-column11_4c7c56-64 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_4c7c56-64{position:relative;}.kadence-column11_4c7c56-64, .kt-inside-inner-col > .kadence-column11_4c7c56-64:not(.specificity){margin-top:var(--global-kb-spacing-md, 2rem);}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column11_4c7c56-64{-webkit-flex:0 1 1200px;flex:0 1 1200px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column11_4c7c56-64 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column11_4c7c56-64{max-width:1200px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column11_4c7c56-64 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_4c7c56-64 kadence-column_c5113a-9d\"><div class=\"kt-inside-inner-col\"><style>.kt-accordion-id11_8307ae-a0 .kt-accordion-inner-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:20px;}.kt-accordion-id11_8307ae-a0 .kt-accordion-panel-inner{border-top:0px solid transparent;border-right:0px solid transparent;border-bottom:0px solid transparent;border-left:0px solid transparent;background:var(--global-palette9, #ffffff);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-5xl, 10rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kt-accordion-id11_8307ae-a0 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header{border-top-color:#eeeeee;border-top-style:solid;border-right-color:#eeeeee;border-right-style:solid;border-bottom-color:#eeeeee;border-bottom-style:solid;border-left-color:#eeeeee;border-left-style:solid;border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;background:var(--global-palette9, #ffffff);font-size:var(--global-kb-font-size-md, 1.25rem);line-height:1.1;letter-spacing:-0.2px;font-family:var( u002du002dglobal-body-font-family, inherit );font-weight:500;color:var(--global-palette3, #1A202C);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kt-accordion-id11_8307ae-a0:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle )  > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id11_8307ae-a0:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle )  > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette3, #1A202C);}.kt-accordion-id11_8307ae-a0:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-icon-trigger{background:var(--global-palette3, #1A202C);}.kt-accordion-id11_8307ae-a0:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id11_8307ae-a0:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette9, #ffffff);}.kt-accordion-id11_8307ae-a0 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header:hover, \n\t\t\t\tbody:not(.hide-focus-outline) .kt-accordion-id11_8307ae-a0 .kt-blocks-accordion-header:focus-visible{background:var(--global-palette9, #ffffff);border-top-color:#d4d4d4;border-top-style:solid;border-right-color:#d4d4d4;border-right-style:solid;border-bottom-color:#d4d4d4;border-bottom-style:solid;border-left-color:#d4d4d4;border-left-style:solid;}.kt-accordion-id11_8307ae-a0:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-accordion-header-wrap .kt-blocks-accordion-header:hover .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id11_8307ae-a0:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-accordion-header-wrap .kt-blocks-accordion-header:hover .kt-blocks-accordion-icon-trigger:before, body:not(.hide-focus-outline) .kt-accordion-id11_8307ae-a0:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible .kt-blocks-accordion-icon-trigger:after, body:not(.hide-focus-outline) .kt-accordion-id11_8307ae-a0:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette9, #ffffff);}.kt-accordion-id11_8307ae-a0 .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible,\n\t\t\t\t.kt-accordion-id11_8307ae-a0 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header.kt-accordion-panel-active{color:var(--global-palette1, #3182CE);background:var(--global-palette9, #ffffff);}.kt-accordion-id11_8307ae-a0:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle )  > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id11_8307ae-a0:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle )  > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette1, #3182CE);}.kt-accordion-id11_8307ae-a0:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger{background:var(--global-palette1, #3182CE);}.kt-accordion-id11_8307ae-a0:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id11_8307ae-a0:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette9, #ffffff);}@media all and (max-width: 1024px){.kt-accordion-id11_8307ae-a0 .kt-accordion-panel-inner{border-top:0px solid transparent;border-right:0px solid transparent;border-bottom:0px solid transparent;border-left:0px solid transparent;padding-right:var(--global-kb-spacing-3xl, 6.5rem);}}@media all and (max-width: 1024px){.kt-accordion-id11_8307ae-a0 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header{border-top-color:#eeeeee;border-top-style:solid;border-right-color:#eeeeee;border-right-style:solid;border-bottom-color:#eeeeee;border-bottom-style:solid;border-left-color:#eeeeee;border-left-style:solid;}}@media all and (max-width: 1024px){.kt-accordion-id11_8307ae-a0 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header:hover, \n\t\t\t\tbody:not(.hide-focus-outline) .kt-accordion-id11_8307ae-a0 .kt-blocks-accordion-header:focus-visible{border-top-color:#d4d4d4;border-top-style:solid;border-right-color:#d4d4d4;border-right-style:solid;border-bottom-color:#d4d4d4;border-bottom-style:solid;border-left-color:#d4d4d4;border-left-style:solid;}}@media all and (max-width: 767px){.kt-accordion-id11_8307ae-a0 .kt-accordion-inner-wrap{display:block;}.kt-accordion-id11_8307ae-a0 .kt-accordion-inner-wrap .kt-accordion-pane:not(:first-child){margin-top:20px;}.kt-accordion-id11_8307ae-a0 .kt-accordion-panel-inner{border-top:0px solid transparent;border-right:0px solid transparent;border-bottom:0px solid transparent;border-left:0px solid transparent;padding-right:var(--global-kb-spacing-sm, 1.5rem);}.kt-accordion-id11_8307ae-a0 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header{border-top-color:#eeeeee;border-top-style:solid;border-right-color:#eeeeee;border-right-style:solid;border-bottom-color:#eeeeee;border-bottom-style:solid;border-left-color:#eeeeee;border-left-style:solid;}.kt-accordion-id11_8307ae-a0 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header:hover, \n\t\t\t\tbody:not(.hide-focus-outline) .kt-accordion-id11_8307ae-a0 .kt-blocks-accordion-header:focus-visible{border-top-color:#d4d4d4;border-top-style:solid;border-right-color:#d4d4d4;border-right-style:solid;border-bottom-color:#d4d4d4;border-bottom-style:solid;border-left-color:#d4d4d4;border-left-style:solid;}}<\/style>\n<div class=\"wp-block-kadence-accordion alignnone\"><div class=\"kt-accordion-wrap kt-accordion-id11_8307ae-a0 kt-accordion-has-11-panes kt-active-pane-0 kt-accordion-block kt-pane-header-alignment-left kt-accodion-icon-style-arrow kt-accodion-icon-side-right\" style=\"max-width:none\"><div class=\"kt-accordion-inner-wrap\" data-allow-multiple-open=\"false\" data-start-open=\"none\">\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-1 kt-pane11_8d7a64-c0\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\"><strong><strong>Gastroesophageal reflux disease (GERD)<\/strong><\/strong><\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p class=\"wp-block-paragraph\">GERD occurs when stomach acid chronically flows back into the oesophagus, causing inflammation and damage.&nbsp;Symptoms include heartburn, regurgitation, nausea, bloating and difficulty swallowing.&nbsp;GERD can increase the risk of Barrett\u2019s oesophagus and may trigger vasospastic angina via a shared symptom profile or the effect of calcium\u2011channel blockers.&nbsp;In Roemheld syndrome, the irritation and gas production associated with GERD can distend the stomach, press on the diaphragm and stimulate vagal nerves, provoking cardiac sensations.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-8 kt-pane11_ef44f1-f0\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\"><strong><strong>Hiatal hernia<\/strong><\/strong><\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p class=\"wp-block-paragraph\">A hiatal hernia occurs when part of the stomach pushes upward through the diaphragm into the chest cavity.&nbsp; This creates a \u201cpocket\u201d of gas and impairs the lower oesophageal sphincter, leading to heartburn, chest pain, belching and swallowing difficulty. The herniated stomach can mechanically compress the heart or stimulate the vagus nerve, which is why hiatal hernia is one of the most commonly reported anatomical triggers of Roemheld syndrome.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-9 kt-pane11_4a5ae3-04\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\"><strong><strong>Abnormal gallbladder function \/ gallstones<\/strong><\/strong><\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p class=\"wp-block-paragraph\">The gallbladder stores and secretes bile; if its function or blood supply is impaired, it can lead to abdominal discomfort, nausea, vomiting, fever and jaundice.&nbsp;Poor gallbladder function can also promote gallstone formation.&nbsp;Gallstones may obstruct the flow of bile, inflame the pancreas or gallbladder and disturb digestion, causing distension and vagal stimulation that contribute to Roemheld symptoms.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-11 kt-pane11_b36f2e-d9\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\"><strong><strong>Other Possible <strong>Gastrointestinal<\/strong><\/strong><\/strong> <strong><strong>Causes<\/strong><\/strong><\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p class=\"wp-block-paragraph\"><strong>Lactose intolerance:<\/strong> A lack of the lactase enzyme means lactose isn\u2019t digested; dairy products ferment in the gut, causing nausea, diarrhoea, gas, bloating and stomach pain.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Sphincter of Oddi dysfunction:<\/strong> When this valve fails to open or close properly, it disrupts the flow of bile and pancreatic juices, leading to abdominal pain, fever, jaundice and sometimes pancreatitis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Aneructonia (inability to burp):<\/strong> Damage to the phrenic nerve or upper oesophageal sphincter prevents belching, so gas accumulates and puts pressure on the heart and diaphragm; it is often linked to anxiety or stress.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Intestinal obstruction:<\/strong> Bowel obstruction causes dehydration, electrolyte imbalances and infection, and the resulting distension can impair heart rhythm and function.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Acute pancreatic necrosis:<\/strong> When pancreatic enzymes leak into the abdomen, they trigger intense pain and inflammation; the release of cytokines and toxins can damage the heart muscle and lead to arrhythmias.<\/p>\n<\/div><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n<style>.kb-row-layout-id11_b8a476-4f > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id11_b8a476-4f > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id11_b8a476-4f > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id11_b8a476-4f > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id11_b8a476-4f > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id11_b8a476-4f > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id11_b8a476-4f alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column11_74198e-62 > .kt-inside-inner-col,.kadence-column11_74198e-62 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column11_74198e-62 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_74198e-62 > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_74198e-62 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_74198e-62 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_74198e-62{position:relative;}@media all and (max-width: 1024px){.kadence-column11_74198e-62 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.kadence-column11_74198e-62 > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_74198e-62\"><div class=\"kt-inside-inner-col\">\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading11_4727c6-ab, .wp-block-kadence-advancedheading.kt-adv-heading11_4727c6-ab[data-kb-block=\"kb-adv-heading11_4727c6-ab\"]{margin-top:0px;margin-bottom:var(--global-kb-spacing-xxs, 0.5rem);text-align:center;font-size:var(--global-kb-font-size-xl, 3rem);line-height:1.2;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading11_4727c6-ab mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading11_4727c6-ab[data-kb-block=\"kb-adv-heading11_4727c6-ab\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading11_4727c6-ab img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading11_4727c6-ab[data-kb-block=\"kb-adv-heading11_4727c6-ab\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h2 class=\"kt-adv-heading11_4727c6-ab wp-block-kadence-advancedheading has-theme-palette-3-color has-text-color\" data-kb-block=\"kb-adv-heading11_4727c6-ab\"><strong>Possible Treatments<\/strong><\/h2>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">The word <strong>\u201cpossible\u201d<\/strong> is used deliberately. There is currently no single treatment that works for everyone with suspected Roemheld Syndrome.<br><br>Many people experience significant symptoms that can greatly affect their quality of life. It is understandable that patients are searching for answers and effective treatments. However, Roemheld Syndrome appears to have multiple possible causes and triggers, meaning that what works well for one person may have little or no effect for another.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The treatments listed below have been reported by patients, physicians, and researchers. Experiences vary widely. Some patients describe a treatment as ineffective, while others report dramatic improvement or even complete resolution of their symptoms.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Finding the right treatment often requires patience, careful observation, and close collaboration with a healthcare professional. The goal of this section is not to recommend a specific treatment, but to provide an overview of options that have been discussed in the medical literature or reported by patients living with Roemheld Syndrome.<\/p>\n\n\n<style>.kadence-column11_0cf108-4a{max-width:1200px;margin-left:auto;margin-right:auto;}.wp-block-kadence-column.kb-section-dir-horizontal:not(.kb-section-md-dir-vertical)>.kt-inside-inner-col>.kadence-column11_0cf108-4a{-webkit-flex:0 1 1200px;flex:0 1 1200px;max-width:unset;margin-left:unset;margin-right:unset;}.kadence-column11_0cf108-4a > .kt-inside-inner-col{padding-top:var(--global-kb-spacing-md, 2rem);padding-right:var(--global-kb-spacing-md, 2rem);padding-bottom:var(--global-kb-spacing-md, 2rem);padding-left:var(--global-kb-spacing-md, 2rem);}.kadence-column11_0cf108-4a > .kt-inside-inner-col,.kadence-column11_0cf108-4a > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column11_0cf108-4a > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column11_0cf108-4a > .kt-inside-inner-col{flex-direction:column;}.kadence-column11_0cf108-4a > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column11_0cf108-4a > .kt-inside-inner-col{background-color:var(--global-palette8, #F7FAFC);background-image:url('https:\/\/roemheld.org\/wp-content\/uploads\/2026\/06\/background_mainenance.jpg');background-size:cover;background-position:center center;background-attachment:scroll;background-repeat:no-repeat;}.kadence-column11_0cf108-4a > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column11_0cf108-4a{position:relative;}.kadence-column11_0cf108-4a, .kt-inside-inner-col > .kadence-column11_0cf108-4a:not(.specificity){margin-top:var(--global-kb-spacing-md, 2rem);}@media all and (min-width: 1025px){.wp-block-kadence-column.kb-section-dir-horizontal>.kt-inside-inner-col>.kadence-column11_0cf108-4a{-webkit-flex:0 1 1200px;flex:0 1 1200px;max-width:unset;margin-left:unset;margin-right:unset;}}@media all and (max-width: 1024px){.kadence-column11_0cf108-4a > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}@media all and (max-width: 767px){.wp-block-kadence-column.kb-section-sm-dir-vertical:not(.kb-section-sm-dir-horizontal):not(.kb-section-sm-dir-specificity)>.kt-inside-inner-col>.kadence-column11_0cf108-4a{max-width:1200px;-webkit-flex:1;flex:1;margin-left:auto;margin-right:auto;}.kadence-column11_0cf108-4a > .kt-inside-inner-col{flex-direction:column;justify-content:center;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column11_0cf108-4a kadence-column_c5113a-9d\"><div class=\"kt-inside-inner-col\"><style>.kt-accordion-id11_50c03f-e6 .kt-accordion-inner-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:20px;}.kt-accordion-id11_50c03f-e6 .kt-accordion-panel-inner{border-top:0px solid transparent;border-right:0px solid transparent;border-bottom:0px solid transparent;border-left:0px solid transparent;background:var(--global-palette9, #ffffff);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-5xl, 10rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kt-accordion-id11_50c03f-e6 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header{border-top-color:#eeeeee;border-top-style:solid;border-right-color:#eeeeee;border-right-style:solid;border-bottom-color:#eeeeee;border-bottom-style:solid;border-left-color:#eeeeee;border-left-style:solid;border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;background:var(--global-palette9, #ffffff);font-size:var(--global-kb-font-size-md, 1.25rem);line-height:1.1;letter-spacing:-0.2px;font-family:var( u002du002dglobal-body-font-family, inherit );font-weight:500;color:var(--global-palette3, #1A202C);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-right:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);padding-left:var(--global-kb-spacing-sm, 1.5rem);}.kt-accordion-id11_50c03f-e6:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle )  > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id11_50c03f-e6:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle )  > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette3, #1A202C);}.kt-accordion-id11_50c03f-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-icon-trigger{background:var(--global-palette3, #1A202C);}.kt-accordion-id11_50c03f-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id11_50c03f-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette9, #ffffff);}.kt-accordion-id11_50c03f-e6 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header:hover, \n\t\t\t\tbody:not(.hide-focus-outline) .kt-accordion-id11_50c03f-e6 .kt-blocks-accordion-header:focus-visible{background:var(--global-palette9, #ffffff);border-top-color:#d4d4d4;border-top-style:solid;border-right-color:#d4d4d4;border-right-style:solid;border-bottom-color:#d4d4d4;border-bottom-style:solid;border-left-color:#d4d4d4;border-left-style:solid;}.kt-accordion-id11_50c03f-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-accordion-header-wrap .kt-blocks-accordion-header:hover .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id11_50c03f-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-accordion-header-wrap .kt-blocks-accordion-header:hover .kt-blocks-accordion-icon-trigger:before, body:not(.hide-focus-outline) .kt-accordion-id11_50c03f-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible .kt-blocks-accordion-icon-trigger:after, body:not(.hide-focus-outline) .kt-accordion-id11_50c03f-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette9, #ffffff);}.kt-accordion-id11_50c03f-e6 .kt-accordion-header-wrap .kt-blocks-accordion-header:focus-visible,\n\t\t\t\t.kt-accordion-id11_50c03f-e6 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header.kt-accordion-panel-active{color:var(--global-palette1, #3182CE);background:var(--global-palette9, #ffffff);}.kt-accordion-id11_50c03f-e6:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle )  > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id11_50c03f-e6:not( .kt-accodion-icon-style-basiccircle ):not( .kt-accodion-icon-style-xclosecircle ):not( .kt-accodion-icon-style-arrowcircle )  > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette1, #3182CE);}.kt-accordion-id11_50c03f-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger{background:var(--global-palette1, #3182CE);}.kt-accordion-id11_50c03f-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger:after, .kt-accordion-id11_50c03f-e6:not( .kt-accodion-icon-style-basic ):not( .kt-accodion-icon-style-xclose ):not( .kt-accodion-icon-style-arrow ) .kt-blocks-accordion-header.kt-accordion-panel-active .kt-blocks-accordion-icon-trigger:before{background:var(--global-palette9, #ffffff);}@media all and (max-width: 1024px){.kt-accordion-id11_50c03f-e6 .kt-accordion-panel-inner{border-top:0px solid transparent;border-right:0px solid transparent;border-bottom:0px solid transparent;border-left:0px solid transparent;padding-right:var(--global-kb-spacing-3xl, 6.5rem);}}@media all and (max-width: 1024px){.kt-accordion-id11_50c03f-e6 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header{border-top-color:#eeeeee;border-top-style:solid;border-right-color:#eeeeee;border-right-style:solid;border-bottom-color:#eeeeee;border-bottom-style:solid;border-left-color:#eeeeee;border-left-style:solid;}}@media all and (max-width: 1024px){.kt-accordion-id11_50c03f-e6 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header:hover, \n\t\t\t\tbody:not(.hide-focus-outline) .kt-accordion-id11_50c03f-e6 .kt-blocks-accordion-header:focus-visible{border-top-color:#d4d4d4;border-top-style:solid;border-right-color:#d4d4d4;border-right-style:solid;border-bottom-color:#d4d4d4;border-bottom-style:solid;border-left-color:#d4d4d4;border-left-style:solid;}}@media all and (max-width: 767px){.kt-accordion-id11_50c03f-e6 .kt-accordion-inner-wrap{display:block;}.kt-accordion-id11_50c03f-e6 .kt-accordion-inner-wrap .kt-accordion-pane:not(:first-child){margin-top:20px;}.kt-accordion-id11_50c03f-e6 .kt-accordion-panel-inner{border-top:0px solid transparent;border-right:0px solid transparent;border-bottom:0px solid transparent;border-left:0px solid transparent;padding-right:var(--global-kb-spacing-sm, 1.5rem);}.kt-accordion-id11_50c03f-e6 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header{border-top-color:#eeeeee;border-top-style:solid;border-right-color:#eeeeee;border-right-style:solid;border-bottom-color:#eeeeee;border-bottom-style:solid;border-left-color:#eeeeee;border-left-style:solid;}.kt-accordion-id11_50c03f-e6 > .kt-accordion-inner-wrap > .wp-block-kadence-pane > .kt-accordion-header-wrap > .kt-blocks-accordion-header:hover, \n\t\t\t\tbody:not(.hide-focus-outline) .kt-accordion-id11_50c03f-e6 .kt-blocks-accordion-header:focus-visible{border-top-color:#d4d4d4;border-top-style:solid;border-right-color:#d4d4d4;border-right-style:solid;border-bottom-color:#d4d4d4;border-bottom-style:solid;border-left-color:#d4d4d4;border-left-style:solid;}}<\/style>\n<div class=\"wp-block-kadence-accordion alignnone\"><div class=\"kt-accordion-wrap kt-accordion-id11_50c03f-e6 kt-accordion-has-11-panes kt-active-pane-0 kt-accordion-block kt-pane-header-alignment-left kt-accodion-icon-style-arrow kt-accodion-icon-side-right\" style=\"max-width:none\"><div class=\"kt-accordion-inner-wrap\" data-allow-multiple-open=\"false\" data-start-open=\"none\">\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-1 kt-pane11_d79030-76\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\"><strong><strong>Medication<\/strong><\/strong><\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p class=\"wp-block-paragraph\"><strong>Antacids<\/strong><br>Antacids are medicines that <strong>neutralize stomach acid<\/strong> and can provide quick, short-term relief from heartburn, indigestion, reflux, or bloating-related discomfort. They usually work faster than PPIs, but their effect is shorter.<br><code>Tums, Rolaids, Alka-Seltzer, Mylanta, Maalox, Pepto-Bismol, Gaviscon, Rennie, Bisodol, Acidex, Eno, Milk of Magnesia, Quick-Eze, Gelusil, Digene, Di-Gel, Amphojel, Alu-Tab.<br>Availability and brand names depends on where you live. They all have different ingredients, but usually are a mix of Calcium Carbonate, Magnesium Hydroxide and Sodium Bicarbonate.<\/code><br><br><strong>PPI&#8217;s<\/strong><br>PPIs, or <strong>proton pump inhibitors<\/strong>, are medicines that reduce the amount of acid your stomach produces. They are commonly used for reflux, heartburn, gastritis, ulcers, and hiatal hernia-related symptoms. They do not give immediate relief like antacids, but usually work better when taken consistently over several days.<br><code>Prilosec \/ Losec \u2014 omeprazole, Nexium \u2014 esomeprazole, Prevacid \/ Zoton \u2014 lansoprazole, Protonix \/ Pantoloc \/ Somac \/ Controloc \u2014 pantoprazole, AcipHex \/ Pariet \u2014 rabeprazole, Dexilant \u2014 dexlansoprazole, Zegerid \u2014 omeprazole + sodium bicarbonate.<\/code><br><code>Availability and brand names depends on where you live.<\/code> <br><br><strong>Beta-blockers<\/strong><br>Beta-blockers are medicines that slow the heart rate and reduce the effect of adrenaline on the heart. They are sometimes prescribed for palpitations, PVCs, PACs, fast heart rhythm, high blood pressure, or anxiety-related physical symptoms. In suspected Roemheld Syndrome, they may help reduce the heart symptoms, but they do not treat the underlying digestive trigger itself. They should only be used under medical supervision, especially in people with low heart rate, low blood pressure, asthma\/COPD, or certain heart conduction problems.<br><strong><code>Metoprolol (Lopressor, Toprol-XL, Betaloc), Bisoprolol (Zebeta, Cardicor, Emcor), Atenolol (Tenormin), Propranolol (Inderal), Nebivolol (Bystolic, Nebilet), Carvedilol (Coreg, Dilatrend)<\/code><\/strong><code><strong>.<\/strong> Yes, most beta-blockers end with the \"olol\" or \"lol\". Nothing funny about that, right?<\/code><br><code>Availability and brand names depends on where you live.<\/code> <br><br><strong>Anti-Gas Medication<\/strong><br>Simethicone is a medication used to reduce excess gas in the stomach and intestines. It works by breaking up small gas bubbles into larger ones, making them easier to pass through belching or flatulence. Unlike antacids or PPIs, simethicone does not reduce stomach acid and is not absorbed into the bloodstream.<br><br>Many people with suspected Roemheld Syndrome report that gas, bloating, and stomach distension are major triggers for their symptoms. Excess gas may increase pressure within the abdomen, potentially affecting the diaphragm and surrounding structures. Some researchers have also suggested a possible role for vagal reflexes, although the exact mechanisms remain under investigation.<br><br>Because simethicone is generally considered safe and has few side effects, it is often one of the first treatments patients try when bloating and gas appear to be contributing factors.<br><code>Gas-X, Phazyme, Mylicon, Rennie Deflatine, Wind-Eze. <br>Availability and brand names depends on where you live.<\/code> <code>The key ingredient is <em>Simethicone.<\/em><\/code><br><br><strong>Prokinetics<\/strong><br>These are medications that help the stomach and intestines move food along more effectively. For Roemheld-type symptoms, they may be relevant when symptoms are linked to slow stomach emptying, fullness after meals, bloating, reflux, nausea, or pressure under the chest.<br>Prokinetics primarily target the enteric nervous system (the nervous system of the gut) and smooth muscles to stimulate peristalsis; the involuntary wave-like muscle contractions that push food along.<br><strong><code>Domperidone, Metoclopramide, Itopride, Prucalopride<\/code><\/strong><br><code>Availability and brand names depend on where you live. These medications contain different active ingredients, including domperidone, metoclopramide, itopride, and prucalopride.<\/code><br><br><strong>Anti-Anxiety Medications<\/strong><br>For many patients with suspected Roemheld Syndrome, the problem is not <em>simply \u201cin the head.\u201d<\/em> Physical symptoms such as bloating, chest pressure, palpitations, skipped beats, shortness of breath, and dizziness can be very real and very frightening.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">However, anxiety can still play an important role. When the body senses unusual heartbeats or chest discomfort, it can trigger a stress response. This may increase adrenaline, raise awareness of every heartbeat, tighten breathing patterns, and make symptoms feel even stronger. In this way, anxiety can become part of the symptom cycle, even when it was not the original cause.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In some patients, anti-anxiety medication may help reduce this cycle and make symptoms easier to manage. These medications do not \u201cprove\u201d that the symptoms are psychological. They may simply help calm the nervous system while the underlying digestive or cardiac triggers are being investigated and treated.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Examples include benzodiazepines such as diazepam, lorazepam, and alprazolam, and longer-term medications such as SSRIs or SNRIs. These should only be used under medical supervision. Some anti-anxiety medications can cause drowsiness, dependence, withdrawal symptoms, or interactions with other medicines, so they should not be started, stopped, or changed without medical advice.<br><code><strong>Benzodiazepines:<\/strong> Valium \u2014 diazepam, Ativan \/ Temesta \u2014 lorazepam, Xanax \/ Xanor \u2014 alprazolam, Seresta \/ Serax \u2014 oxazepam, Klonopin \/ Rivotril \u2014 clonazepam.<\/code><br><code><strong>SSRIs:<\/strong> Lexapro \/ Cipralex \u2014 escitalopram, Zoloft \/ Lustral \u2014 sertraline, Paxil \/ Seroxat \u2014 paroxetine, Prozac \u2014 fluoxetine, Luvox \u2014 fluvoxamine, Celexa \/ Cipramil \u2014 citalopram.<\/code><br><br><strong>Supplements<\/strong> \u26a0\ufe0f <br>Magnesium, potassium, probiotics, digestive enzymes, omega-3 fatty acids, vitamin D.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u26a0\ufe0f <strong>Editor\u2019s Note<\/strong><br>Some supplements may be helpful in addressing nutritional deficiencies or supporting general health. <em>However, no supplement has been proven to treat Roemheld Syndrome itself.<\/em><br><br>Roemheld Syndrome is an understudied condition, and while some patients report benefit from certain supplements, these observations do not establish effectiveness. Personal experiences can be valuable, but they should not be confused with scientific proof.<br><br>We do not endorse any supplement, manufacturer, brand, retailer, practitioner, clinic, or commercial product. Patients should be cautious of exaggerated health claims, expensive treatment programs, or recommendations that rely primarily on testimonials rather than published evidence.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Always discuss supplements and dietary changes with your healthcare provider, particularly if you have a history of heart disease or take prescription medications.<br><br>\ud83d\udea9 <strong>Important<\/strong><br>The treatments listed here are medications and therapies that have been used to manage symptoms reported by some patients with suspected Roemheld Syndrome. Their inclusion on this page does not imply that they are proven treatments for Roemheld Syndrome itself. Always consult a qualified healthcare professional before starting, stopping, or changing any medication.<em><br><\/em><br><\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-8 kt-pane11_23e2b6-59\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\"><strong><strong><strong>Lifestyle Changes<\/strong><\/strong><\/strong><\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<h3 class=\"wp-block-heading\">Lifestyle &amp; Dietary Measures<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Lifestyle changes are often among the first approaches considered by people with suspected Roemheld Syndrome. While no single strategy works for everyone, some patients report significant improvements by identifying and reducing triggers that contribute to bloating, reflux, stomach distension, or excessive pressure on the diaphragm.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Smaller, More Frequent Meals<\/strong><br>Large meals can increase stomach distension and may trigger symptoms in susceptible individuals. Some patients find that eating smaller meals more frequently reduces discomfort.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Eat Slowly<\/strong><br>Eating too quickly can increase the amount of air swallowed and may worsen bloating and gas.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Reduce Aerophagia (Air Swallowing)<\/strong><br>Aerophagia is the excessive swallowing of air. It may occur when eating quickly, talking while eating, chewing gum, smoking, drinking through straws, or breathing through the mouth.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Avoid Carbonated Beverages<\/strong><br>Carbonated drinks introduce additional gas into the digestive system and may worsen bloating, belching, and pressure-related symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Identify Trigger Foods<\/strong><br>Commonly reported triggers include fatty meals, spicy foods, onions, garlic, beans, cabbage, broccoli, alcohol, and highly processed foods. Triggers vary significantly between individuals.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Manage Constipation<\/strong><br>Constipation can increase abdominal pressure and contribute to bloating and discomfort. Addressing constipation may reduce symptoms in some patients.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Stay Upright After Meals<\/strong><br>Some people report worsening symptoms when lying down immediately after eating. Remaining upright for a period after meals may help reduce reflux and stomach pressure.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Weight Management<\/strong><br>In overweight individuals, weight loss may reduce abdominal pressure and improve symptoms associated with reflux and hiatal hernia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Sleep Position<\/strong><br>Some patients find that sleeping on their left side or elevating the head of the bed helps reduce nighttime reflux and associated symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Stress Reduction and Relaxation Techniques<\/strong><br>Although Roemheld Syndrome is not considered a psychological disorder, stress and anxiety can amplify physical symptoms. Relaxation techniques, breathing exercises, meditation, and gentle physical activity may help break the cycle of symptoms and anxiety.<br><br><strong>Editor\u2019s Note:<\/strong> Lifestyle and dietary changes are generally low-risk and are often among the first measures patients explore. However, no lifestyle intervention has been proven to cure Roemheld Syndrome, and results vary considerably from person to person. What works well for one individual may have little effect for another.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-kadence-pane kt-accordion-pane kt-accordion-pane-9 kt-pane11_bae2e3-04\"><h3 class=\"kt-accordion-header-wrap\"><button class=\"kt-blocks-accordion-header kt-acccordion-button-label-show\" type=\"button\"><span class=\"kt-blocks-accordion-title-wrap\"><span class=\"kt-blocks-accordion-title\"><strong>Procedures &amp; Surgery<\/strong><\/span><\/span><span class=\"kt-blocks-accordion-icon-trigger\"><\/span><\/button><\/h3><div class=\"kt-accordion-panel kt-accordion-panel-hidden\"><div class=\"kt-accordion-panel-inner\">\n<p class=\"wp-block-paragraph\"><strong>Hiatal Hernia Repair<\/strong><br>A number of published <a href=\"https:\/\/roemheld.org\/research-and-news\/\" id=\"15\">case reports<\/a> describe patients experiencing significant improvement or complete resolution of gastro-cardiac symptoms after surgical repair of a hiatal hernia. This is particularly relevant for patients whose symptoms appear closely linked to a diagnosed hiatal hernia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Fundoplication<\/strong><br>Fundoplication is a surgical procedure used to treat severe reflux (GERD). The upper part of the stomach is wrapped around the lower esophagus to strengthen the valve that prevents acid reflux. Some patients report improvement in both digestive and cardiac-like symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>LINX Procedure<\/strong><br>The LINX system is a ring of magnetic beads placed around the lower esophagus to help prevent reflux while allowing normal swallowing. It is a less invasive alternative to fundoplication for <a href=\"https:\/\/roemheld.org\/research-and-news\/\" id=\"15\">selected patients<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>PVC Ablation<\/strong><br>In <a href=\"https:\/\/roemheld.org\/research-and-news\/\" id=\"15\">some patients,<\/a> frequent PVCs become a major source of symptoms. Catheter ablation is a procedure that identifies and destroys the small area of heart tissue responsible for the abnormal electrical activity.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Vagotomy (Historical \/ Rare)<\/strong><br>Vagotomy involves cutting part of the vagus nerve and has occasionally been discussed in historical literature related to gastro-cardiac symptoms. It is rarely performed today for this purpose and is generally not considered a standard treatment for Roemheld Syndrome.<br><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udea9 <strong>Important<\/strong><br>These procedures are not treatments for Roemheld Syndrome itself, but several published case reports describe improvement or resolution of cardiac symptoms following correction of underlying gastrointestinal pathology.<\/p>\n<\/div><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n<\/div><\/div>\n\n\n\n<h1 class=\"wp-block-heading has-text-align-center\"><br>Diagnosis<\/h1>\n\n\n\n<p class=\"has-text-align-left wp-block-paragraph\"><br><strong>Important: Roemheld Syndrome Is Not an Official Diagnosis<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Roemheld Syndrome (also known as Gastrocardiac Syndrome) is currently not recognized as a formal medical diagnosis in major classification systems such as ICD-11 or DSM-5.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Many physicians may therefore be unfamiliar with the term. Patients are often diagnosed with the individual conditions that may contribute to their symptoms, such as gastroesophageal reflux disease (GERD), hiatal hernia, gastritis, bloating, arrhythmias, anxiety, or other gastrointestinal and cardiac disorders.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For this reason, Roemheld Syndrome is generally considered a diagnosis of exclusion.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What Does \u201cDiagnosis of Exclusion\u201d Mean?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A diagnosis of exclusion means that potentially serious medical conditions should be investigated and ruled out before considering the possibility of Roemheld Syndrome.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Chest pain, palpitations, shortness of breath, dizziness, fainting, or irregular heartbeats should always be evaluated by a qualified healthcare professional.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Cardiac Tests Commonly Performed<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Depending on the symptoms, physicians may perform one or more of the following tests:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Electrocardiogram (ECG \/ EKG)<\/li>\n\n\n\n<li>Holter monitor (24\u201372 hour ECG monitoring)<\/li>\n\n\n\n<li>Event recorder or extended rhythm monitoring<\/li>\n\n\n\n<li>Exercise stress test<\/li>\n\n\n\n<li>Echocardiogram (heart ultrasound)<\/li>\n\n\n\n<li>Blood tests (including cardiac enzymes)<\/li>\n\n\n\n<li>Coronary CT angiography<\/li>\n\n\n\n<li>Cardiac MRI<\/li>\n\n\n\n<li>Electrophysiology studies (in selected cases)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">These tests help identify or exclude underlying heart disease and cardiac rhythm disorders.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Gastrointestinal Tests Commonly Performed<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Because many patients report digestive symptoms, physicians may also investigate the gastrointestinal tract.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Possible tests include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Upper endoscopy (gastroscopy)<\/li>\n\n\n\n<li>Esophageal pH monitoring<\/li>\n\n\n\n<li>Esophageal manometry<\/li>\n\n\n\n<li>Barium swallow study<\/li>\n\n\n\n<li>Abdominal ultrasound<\/li>\n\n\n\n<li>CT scan<\/li>\n\n\n\n<li>Gastric emptying studies<\/li>\n\n\n\n<li>Evaluation for hiatal hernia<\/li>\n\n\n\n<li>Testing for Helicobacter pylori infection<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Not every patient requires every test.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Proposed Diagnostic Criteria<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In 2024, researchers published a <a href=\"https:\/\/roemheld.org\/proposed-diagnostic-criteria\/\" id=\"872\">review article <\/a>proposing diagnostic criteria for Roemheld Syndrome. These criteria have not been formally validated but represent one of the first attempts to create a structured diagnostic framework.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The proposed criteria include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gastrointestinal symptoms<\/li>\n\n\n\n<li>Cardiac symptoms<\/li>\n\n\n\n<li>A temporal relationship between the two<\/li>\n\n\n\n<li>Exclusion of alternative explanations<\/li>\n\n\n\n<li>Improvement after treatment of the gastrointestinal condition<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Further research is needed before these criteria can be considered established.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Could I Have Roemheld Syndrome?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">No online article can diagnose Roemheld Syndrome.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">However, the possibility may be worth discussing with your healthcare provider if:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2713 Cardiac symptoms consistently occur after eating or during periods of digestive discomfort<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2713 Symptoms worsen with bloating, reflux, gastric distension, or abdominal pressure<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2713 There appears to be a clear temporal relationship between digestive symptoms and cardiac symptoms<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2713 Cardiac investigations are largely normal or do not fully explain the symptoms<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2713 Treatment of an underlying gastrointestinal condition leads to improvement in cardiac symptoms<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u2713 Other potential cardiac, gastrointestinal, or medical causes have been appropriately evaluated<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Editor\u2019s Note<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">One of the greatest challenges surrounding Roemheld Syndrome is that there is currently no single test that can confirm or exclude the condition.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">As a result, patients often undergo extensive cardiac and gastrointestinal investigations before a possible connection between the two systems is considered.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">While modern research has renewed interest in the concept of Gastrocardiac Syndrome, much remains unknown. Patients should be cautious of anyone claiming to diagnose Roemheld Syndrome using a single test, supplement protocol, microbiome analysis, or alternative therapy. At present, careful medical evaluation and exclusion of other conditions remain the foundation of diagnosis.<\/p>\n<\/div><\/div>\n\n<\/div><\/div><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><br><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>It&#8217;s not a heart disease, but it sure feels like it is&#8230; Roemheld syndrome, also known as Gastro-Cardiac Syndrome, isn\u2019t a standalone differential diagnosis (yet), but a label for a specific combination of gut\u2011driven symptoms (bloating, gas, reflux) and heart\u2011related sensations such as palpitations, chest discomfort or extra beats (PVC&#8217;s).\u00a0Early medical writers, including Ludwig\u202fRoemheld himself&#8230;<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"class_list":["post-11","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>What is Roemheld syndrome? Symptoms, Causes, Treatment - Roemheld Syndrome International<\/title>\n<meta name=\"description\" content=\"Possible symptoms and causes and latest treatment options on Roemheld Syndrome. We do not endorse any product.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/roemheld.org\/fr\/diagnosis\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What is Roemheld syndrome? Symptoms, Causes, Treatment - Roemheld Syndrome International\" \/>\n<meta property=\"og:description\" content=\"Possible symptoms and causes and latest treatment options on Roemheld Syndrome. We do not endorse any product.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/roemheld.org\/fr\/diagnosis\/\" \/>\n<meta property=\"og:site_name\" content=\"Roemheld Syndrome International\" \/>\n<meta property=\"article:modified_time\" content=\"2026-07-10T06:09:32+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/roemheld.org\/wp-content\/uploads\/2026\/06\/illustration.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"1536\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"13 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/roemheld.org\\\/es\\\/diagnosis\\\/\",\"url\":\"https:\\\/\\\/roemheld.org\\\/es\\\/diagnosis\\\/\",\"name\":\"What is Roemheld syndrome? Symptoms, Causes, Treatment - Roemheld Syndrome International\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/roemheld.org\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/roemheld.org\\\/es\\\/diagnosis\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/roemheld.org\\\/es\\\/diagnosis\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/roemheld.org\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/illustration-683x1024.jpg\",\"datePublished\":\"2026-06-06T12:51:42+00:00\",\"dateModified\":\"2026-07-10T06:09:32+00:00\",\"description\":\"Possible symptoms and causes and latest treatment options on Roemheld Syndrome. We do not endorse any product.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/roemheld.org\\\/es\\\/diagnosis\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/roemheld.org\\\/es\\\/diagnosis\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/roemheld.org\\\/es\\\/diagnosis\\\/#primaryimage\",\"url\":\"https:\\\/\\\/roemheld.org\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/illustration-683x1024.jpg\",\"contentUrl\":\"https:\\\/\\\/roemheld.org\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/illustration-683x1024.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/roemheld.org\\\/es\\\/diagnosis\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/roemheld.org\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"What is Roemheld syndrome? Symptoms, Causes, Treatment\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/roemheld.org\\\/#website\",\"url\":\"https:\\\/\\\/roemheld.org\\\/\",\"name\":\"Roemheld Syndrome International\",\"description\":\"Information about Roemheld Syndrome (Gastro-Cardiac Syndrome)\",\"publisher\":{\"@id\":\"https:\\\/\\\/roemheld.org\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/roemheld.org\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/roemheld.org\\\/#organization\",\"name\":\"Roemheld Syndrome International\",\"url\":\"https:\\\/\\\/roemheld.org\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/roemheld.org\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/roemheld.org\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-roemheld_logo.png\",\"contentUrl\":\"https:\\\/\\\/roemheld.org\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-roemheld_logo.png\",\"width\":599,\"height\":133,\"caption\":\"Roemheld Syndrome International\"},\"image\":{\"@id\":\"https:\\\/\\\/roemheld.org\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"What is Roemheld syndrome? Symptoms, Causes, Treatment - Roemheld Syndrome International","description":"Possible symptoms and causes and latest treatment options on Roemheld Syndrome. We do not endorse any product.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/roemheld.org\/fr\/diagnosis\/","og_locale":"fr_FR","og_type":"article","og_title":"What is Roemheld syndrome? Symptoms, Causes, Treatment - Roemheld Syndrome International","og_description":"Possible symptoms and causes and latest treatment options on Roemheld Syndrome. We do not endorse any product.","og_url":"https:\/\/roemheld.org\/fr\/diagnosis\/","og_site_name":"Roemheld Syndrome International","article_modified_time":"2026-07-10T06:09:32+00:00","og_image":[{"width":1024,"height":1536,"url":"https:\/\/roemheld.org\/wp-content\/uploads\/2026\/06\/illustration.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"13 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/roemheld.org\/es\/diagnosis\/","url":"https:\/\/roemheld.org\/es\/diagnosis\/","name":"What is Roemheld syndrome? Symptoms, Causes, Treatment - Roemheld Syndrome International","isPartOf":{"@id":"https:\/\/roemheld.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/roemheld.org\/es\/diagnosis\/#primaryimage"},"image":{"@id":"https:\/\/roemheld.org\/es\/diagnosis\/#primaryimage"},"thumbnailUrl":"https:\/\/roemheld.org\/wp-content\/uploads\/2026\/06\/illustration-683x1024.jpg","datePublished":"2026-06-06T12:51:42+00:00","dateModified":"2026-07-10T06:09:32+00:00","description":"Possible symptoms and causes and latest treatment options on Roemheld Syndrome. We do not endorse any product.","breadcrumb":{"@id":"https:\/\/roemheld.org\/es\/diagnosis\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/roemheld.org\/es\/diagnosis\/"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/roemheld.org\/es\/diagnosis\/#primaryimage","url":"https:\/\/roemheld.org\/wp-content\/uploads\/2026\/06\/illustration-683x1024.jpg","contentUrl":"https:\/\/roemheld.org\/wp-content\/uploads\/2026\/06\/illustration-683x1024.jpg"},{"@type":"BreadcrumbList","@id":"https:\/\/roemheld.org\/es\/diagnosis\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/roemheld.org\/"},{"@type":"ListItem","position":2,"name":"What is Roemheld syndrome? Symptoms, Causes, Treatment"}]},{"@type":"WebSite","@id":"https:\/\/roemheld.org\/#website","url":"https:\/\/roemheld.org\/","name":"Syndrome de Roemheld International","description":"Information about Roemheld Syndrome (Gastro-Cardiac Syndrome)","publisher":{"@id":"https:\/\/roemheld.org\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/roemheld.org\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/roemheld.org\/#organization","name":"Syndrome de Roemheld International","url":"https:\/\/roemheld.org\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/roemheld.org\/#\/schema\/logo\/image\/","url":"https:\/\/roemheld.org\/wp-content\/uploads\/2026\/06\/cropped-roemheld_logo.png","contentUrl":"https:\/\/roemheld.org\/wp-content\/uploads\/2026\/06\/cropped-roemheld_logo.png","width":599,"height":133,"caption":"Roemheld Syndrome International"},"image":{"@id":"https:\/\/roemheld.org\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/roemheld.org\/fr\/wp-json\/wp\/v2\/pages\/11","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/roemheld.org\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/roemheld.org\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/roemheld.org\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/roemheld.org\/fr\/wp-json\/wp\/v2\/comments?post=11"}],"version-history":[{"count":5,"href":"https:\/\/roemheld.org\/fr\/wp-json\/wp\/v2\/pages\/11\/revisions"}],"predecessor-version":[{"id":1292,"href":"https:\/\/roemheld.org\/fr\/wp-json\/wp\/v2\/pages\/11\/revisions\/1292"}],"wp:attachment":[{"href":"https:\/\/roemheld.org\/fr\/wp-json\/wp\/v2\/media?parent=11"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}