Roemheld Syndrome

Classification according to ICD-10
F45.3	Somatoform autonomic dysfunction
ICD-10 online (WHO version 2019)

In medicine, Roemheld syndrome refers to reflex heart complaints caused by gas accumulations in the intestines and stomach , e.g. B. by overeating, by flatulence of food or by abnormalities in the gastrointestinal tract that impede the normal transport of stomach contents. The Roemheld syndrome is named after the internist Ludwig von Roemheld from Gundelsheim , who first described the symptoms at the beginning of the 20th century.

Symptoms

The accumulation of air in the gastrointestinal tract pushes the diaphragm upwards and can exert direct or indirect pressure on the heart . Various heart problems can develop, including pain similar to angina pectoris ( chest tightness). In severe cases, you may faint briefly.

root cause

Any passage disruption in the upper gastrointestinal tract can cause heart problems in the sense of Roemheld's syndrome, including a paraesophageal hiatal hernia , in which parts of the stomach are shifted into the chest next to the esophagus.

therapy

Anything that alleviates flatulence can also help against Roemheld syndrome. These include avoiding flatulent foods, lots of physical exercise (strengthening the diaphragm muscles ) and reducing excess weight . Various home remedies , such as swollen psyllium husks or a tea made from caraway seeds , aniseed and fennel , can also help to absorb air from the intestines. The drug Dimeticon also works against the accumulation of gases in the gastrointestinal tract.

literature

Gerd Herold: Internal medicine , a lecture-oriented presentation, Cologne 2009, p. 409
Giulia Enders: Gut with charm. All about an underrated organ . Ullstein, 2014, ISBN 978-3-550-08041-8 , pp. 43 .

Individual evidence

↑ Alphabetical directory for the ICD-10-WHO version 2019, volume 3. German Institute for Medical Documentation and Information (DIMDI), Cologne, 2019, p. 760
↑ Thomas Kia, Hamid Emminger (Ed.): Exaplan - The Compendium of Clinical Medicine . 7th edition. Elsevier, Urban & Fischer, 2011, ISBN 978-3-437-42464-9 , pp. 23 .
↑ Stefan Eisoldt: Case book surgery. Actively process 140 cases . 3rd edition Thieme Verlag, Stuttgart 2010, ISBN 978-3-13-132213-5 , p. 236 (case 74).

[1] Alphabetical directory for the ICD-10-WHO version 2019, volume 3. German Institute for Medical Documentation and Information (DIMDI), Cologne, 2019, p. 760

[2] Thomas Kia, Hamid Emminger (Ed.): Exaplan - The Compendium of Clinical Medicine . 7th edition. Elsevier, Urban & Fischer, 2011, ISBN 978-3-437-42464-9 , pp. 23 .

[3] Stefan Eisoldt: Case book surgery. Actively process 140 cases . 3rd edition Thieme Verlag, Stuttgart 2010, ISBN 978-3-13-132213-5 , p. 236 (case 74).