Osteoporosis and heart valve disease

Posted by dougajoi @dougajoi, Feb 13 2:38pm

Hi everyone, I am a 76 yo woman with osteoporosis and also a heart condition of mitral and tricuspid valve stenosis and regurgitation. I had an episode of right side chest pain, went ER and not heart attack discharged, Cardiac cat ruled out coronary artery disease but found small hiatal hernia. For the past few weeks when on the treadmill at 1.7 after 10-15 minutes (used to do 30 minutes) or stressed I get the same right sided pain around the upper R breast and the area under the arm pit sometimes lasting up to 12+ hours. Cardiologist doesn’t feels it is cardiac but rather gastric (I guess like heartburn rather than cardiac). He told me to get Pepsid AC and Mylanta but learned Mylanta recently changed formula calcium carbonate like tums and most others.. That is the background.

Questions: Is it ok to take antacid with calcium (like tums etc) on occasion for immediate relieve of the pain? Is there anyone else with both osteoporosis and heart valve (stenosis/regurgitation) issues and how do you handle it when you have heartburn? THANK-YOU !

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I think that is a question for your doctor.

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I was hoping there was someone out there who also had osteoporosis as well as issues with heart valve stenosis and what they took when they had heartburn. I was giving the background specifics of my situation but the question is really quite general.. I should have been more succinct .

To rephrase the question. I read that calcium is not good because it accumulates on the heart valve leaflets primarily affecting individuals over 65. Is there anyone else out there with both osteoporosis and heart valves stenosis and how do you handle heartburn or acid reflux or GERD?

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hi, dougajoi, Yours is a really good question. Your already know that they've switched to calcium carbonate because calcium citrate with aluminum containing antiacids can increase the absorption of aluminum.
The problem with calcium (calcium carbonate, too) is that it interferes with the absorption of many of the minerals necessary for good bone health. Zinc, boron, iron even mangenese which we need very little of, and phosphorus which we need to absorb calcium. Even saying that though, if you are having painful reflux you should protect your esophagus by taking an antiacid. You might try simple water to see if it would wash the stomach acids out of the esophagus.
It would be better to avoid the things that are putting pressure on your small hiatal hernia. You might try exercising at the longest period of time after eating. Maybe, avoid acidic foods, alcohol, carbonated drinks, spicy food and wait for those foods to digest a while before exercise. Even something like wearing a tight belt or clothing that is tight around the abdomen can excite reflux. Don't even bend over after eating.
If you are taking any of the oral bisphosphonates, they often cause reflux.
You might try the walking exercise before breakfast.
This link has some ideas https://re-centre.co.uk/pages/exercising-safely-with-a-hiatal-hernia-what-to-know
The heart valves are a different kind of trouble involving calcium. It is now considered that excess calcium in supplements is contributing to valvular disease. Vitamin K2 7 might be a consideration for you. It manages to activate the ability of calcium to adhere to the bone instead of to the soft tissue of the heart allowing vessels to remain soft and flexible.
It's great that you are on the treadmill 30 minutes even 15, but I think you'll be able to get back to 30.
It is also really good that you went to the ER and I hope you don't hesitate to return to the ER if ever in doubt.
Thanks for the question. It reminds me to pick up the pace.

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Thank you so much for the info. It sounds like in a pinch like now take the antacid for relief. Definately going to look into the vitamin K 2 7. Thank you again so much!

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Acid reflux can cause erosion in the epidermal layer of the esophagus which can lead to cancer. It can also enlarge the tear in the hiatal muscle. So, best not to tolerate it.

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Acid reflux can cause erosion in the epidermal layer of the esophagus which can lead to cancer. It can also enlarge the tear in the hiatal muscle. So, best not to tolerate it.

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@gently. I appreciate your letting me know this. My uncle passed from Esophageal Cancer many years ago. In those days they didn’t know about healthy eating. I remember him taking out the tums from his pocket after eating a pastrami sandwich pickles and fries at a deli where our families met to eat.

Nature Made makes vitamin K2 100mcg MK-7 form. I think this is what you were referring to? Hopefully this will help with the heart and calcium issue. Thank you again so much for your help.

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Oh boy, I see a warning on the bottle for vascular issues and I have Chronic Venous Insufficiency. Is there anything else I can take to prevent the calcium from going to my heart instead of bones?

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dougajoi, are you on blood thinners?

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Profile picture for dougajoi @dougajoi

I was hoping there was someone out there who also had osteoporosis as well as issues with heart valve stenosis and what they took when they had heartburn. I was giving the background specifics of my situation but the question is really quite general.. I should have been more succinct .

To rephrase the question. I read that calcium is not good because it accumulates on the heart valve leaflets primarily affecting individuals over 65. Is there anyone else out there with both osteoporosis and heart valves stenosis and how do you handle heartburn or acid reflux or GERD?

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@dougajoi I can't speak to your situation, but I had my aortic valve replaced 2 years ago. It was a birth defect and slowly stopped functioning. I asked if the calcification on it was from taking calcium and my cardiologist said it was because the valve was defective and over working. He said it had nothing to do with the calcium in my system. I was 71 and have osteoporosis. Best person to ask would be your cardiologist. Also, I am not taking any of the advertised drugs for osteoporosis. Hopefully I am doing the right things for that.

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dougajoi, are you on blood thinners?

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@gently Good morning.

Not on blood thinners.

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