Severe Vomiting After Strenuous Exercise

[Sheryl]

MB

I forgot to ask if you are on any medications? Especially antihypertensives and/or diuretics?

I have also been having an unusual degree of difficulty with the heat and a routine medical check revealed potassium depletion. I'm on a mild diuretic for my BP, never had a problem with electrolyte balance on it before but but in the past month or so have been sweating much more than usual due to the heat. That did it...and probably explains why I have been feeling unusually awfully after exertion in the heat

[mommysboy]

MB

I forgot to ask if you are on any medications? Especially antihypertensives and/or diuretics?

I have also been having an unusual degree of difficulty with the heat and a routine medical check revealed potassium depletion. I'm on a mild diuretic for my BP, never had a problem with electrolyte balance on it before but but in the past month or so have been sweating much more than usual due to the heat. That did it...and probably explains why I have been feeling unusually awfully after exertion in the heat

The only thing I'm using is topical retin A on my face to control mild acne (great job it's doing too).

However, I'm coming to terms that I constantly live on the edge of dehydration, and I get through about 10-20 cups of tea a day albeit quite week using about 5-7 Lipton tea bags. Sometimes I drink 2 cups of coffee or a pepsi a day in addition. I don't suffer from tiredness as such, or feeling drained, but have been sweating a great deal more than usual lately, and can't get to sleep easily at night. Frequently I have to get up and drink water too.

Otherwise my diet is ok though, and I use ORS regularly, and fruits like bananas and mangos. I like whole foods too. Last time my doctor checked my BP he simply said fine, and commented on my good health. My heart rate runs at 50-60.

[FBN]

Still not convinced that the solution is just that; have a feeling that there is an underlying metabolic problem here.

Drinking as much fluids and water as you do may be an indication of early or developing diabetic tendencies.

It does not seem you fit all the criteria of "metabolic syndrome" but may be worth while to check it out on the net.

Tests such as a fasting blood glucose as well as a "post prandial" one (after either a glocuse load or a meal) may be of value.

[mommysboy]

Still not convinced that the solution is just that; have a feeling that there is an underlying metabolic problem here.

Drinking as much fluids and water as you do may be an indication of early or developing diabetic tendencies.

It does not seem you fit all the criteria of "metabolic syndrome" but may be worth while to check it out on the net.

Tests such as a fasting blood glucose as well as a "post prandial" one (after either a glocuse load or a meal) may be of value.

yes I see your point.

Have wondered about this from time to time.

[mommysboy]

Still not convinced that the solution is just that; have a feeling that there is an underlying metabolic problem here.

Drinking as much fluids and water as you do may be an indication of early or developing diabetic tendencies.

It does not seem you fit all the criteria of "metabolic syndrome" but may be worth while to check it out on the net.

Tests such as a fasting blood glucose as well as a "post prandial" one (after either a glocuse load or a meal) may be of value.

yes I see your point.

Have wondered about this from time to time.

Err FBN !! Where did you get the idea I was obese, or suffered from hypertension, or cholesterol problems!!

I'm a tad under 6', 74 kilos, slim muscular build. My BP is mostly normal (did go up to about 140/90 once, and goes as low as 115/60). My respiratory system is A1 as far as I know, heart likewise. And I don't suffer from lethargy.

But yes I could give some credence to pre-diabetes. I've always thought my liver is not as strong as it might be, I have suffered quite a bit of acne,and have highish pressure in my eyes, and do feel a bit woosie if I have too much sugar.

I regularly sit in a warm room for hours and anything above 30 ish does make me sweat, and drink vast quantities of fluid. Is that normal?

[FBN]

Not at all suggested that; in fact that is why I said that you probably do not fit the criteria for that particular diagnosis.

What I do suggest is that there may be an underlying metabolic problem, illustrated by some aspects of the "metabolic syndrome".

The heat exhaustion episode should be seen as a symptom, not the disease (in a manner of speaking)

So may the high fluid intake be.

The only common denominator I could think of is an insulin resistance and a resultant blood glu and metabolic problem. The triad for diabetes is the three poli's Polidipsia, Poliuria, and Polifagia; just meaning excessive thirst, passing lots of urine and an excessive apetite (for sweet things usually). Again, I don't say or know that these apply to you.

The acne, is that of recent onset or a longstanding issue? If recent, it may be significant. The symptoms of diabetes, with acne can be precipitated by taking cortisone in high doses for prolonged periods (Cushing's Syndrome); again I don't know if any of your recent medications included cortisone and I am not suggesting it; again just as an illustration of the metabolic effects associated with diabetes.

There is another thread on this forum where the OP (a known diabetic) had 3 beers and went into a coma later at night; knew about the impact of beer on his blood glucose level (dropped it significantly and out of proportion of what one would expect). Another illustration of potential effects associated with the diabetic condition.

A common, and wrong, assumption that is when you are in an air conditioned environment that you don't get dehydrated; you do as the air is de-humidified. Fluid loss occurs not only through sweating but also through breathing. A 30deg plus room with poor ventilation for extended periods would cause dehydration and it would be quite easy to develop a fluid deficiency; tea also contains some caffeine with a diuretic effect, even if diluted.

How all or any of these conspire to precipitate what you experience, I have no good ideas, only speculation..

You mentioned on your other thread that you were going to the UK to have this sorted; definitely support that idea but it may not be easy or straightforward. Give it ample time and opportunity to get the investigations done.

Best of luck with it and I sincerely hope it works out fine!

[mommysboy]

Not at all suggested that; in fact that is why I said that you probably do not fit the criteria for that particular diagnosis.

What I do suggest is that there may be an underlying metabolic problem, illustrated by some aspects of the "metabolic syndrome".

The heat exhaustion episode should be seen as a symptom, not the disease (in a manner of speaking)

So may the high fluid intake be.

The only common denominator I could think of is an insulin resistance and a resultant blood glu and metabolic problem. The triad for diabetes is the three poli's Polidipsia, Poliuria, and Polifagia; just meaning excessive thirst, passing lots of urine and an excessive apetite (for sweet things usually). Again, I don't say or know that these apply to you.

The acne, is that of recent onset or a longstanding issue? If recent, it may be significant. The symptoms of diabetes, with acne can be precipitated by taking cortisone in high doses for prolonged periods (Cushing's Syndrome); again I don't know if any of your recent medications included cortisone and I am not suggesting it; again just as an illustration of the metabolic effects associated with diabetes.

There is another thread on this forum where the OP (a known diabetic) had 3 beers and went into a coma later at night; knew about the impact of beer on his blood glucose level (dropped it significantly and out of proportion of what one would expect). Another illustration of potential effects associated with the diabetic condition.

A common, and wrong, assumption that is when you are in an air conditioned environment that you don't get dehydrated; you do as the air is de-humidified. Fluid loss occurs not only through sweating but also through breathing. A 30deg plus room with poor ventilation for extended periods would cause dehydration and it would be quite easy to develop a fluid deficiency; tea also contains some caffeine with a diuretic effect, even if diluted.

How all or any of these conspire to precipitate what you experience, I have no good ideas, only speculation..

You mentioned on your other thread that you were going to the UK to have this sorted; definitely support that idea but it may not be easy or straightforward. Give it ample time and opportunity to get the investigations done.

Best of luck with it and I sincerely hope it works out fine!

Thanks FBN, for putting in so much effort.

[mommysboy]

I got through the my Sunday games, and again a full 11 a side without feeling sick, and rehydration and avoiding alcohol seem to be the over-riding factors as some suggested. It's a known thing at football it seems.

My fitness and agility seem to have greatly improved and my speed has returned. In particular co-ordination and the amount of puff I have.

When not quaffing tea, my water intake seems about the same as my friends, and I feel cooler.

But one old problem has reared it's head today, namely runner's trots accompanied by intestinal cramps. It's a problem I had all through my childhood and when I used to play football in my 20's: strenuous exercise triggers it. I've known quite a few others with it too. I did once consult a doctor way back and he said it was caused by decreased blood flow in the intestines during hard exercise which changed the way they work. He said there was little that can be done, as drugs available were opiates and not at all suitable to give runners. That's how I remember it anyway.

However on the running web sites numerous posters claim to take lomotil or half an immodium. Are these over the counter products. Is it safe to try?

Finally on this issue, would borderline IBS be a factor in any of what I've discussed on this thread as that is the one possible syndrome that my GP in UK did suggest I have and has treated me for in the past

[mommysboy]

I got through the my Sunday games, and again a full 11 a side without feeling sick, and rehydration and avoiding alcohol seem to be the over-riding factors as some suggested. It's a known thing at football it seems.

My fitness and agility seem to have greatly improved and my speed has returned. In particular co-ordination and the amount of puff I have.

When not quaffing tea, my water intake seems about the same as my friends, and I feel cooler.

But one old problem has reared it's head today, namely runner's trots accompanied by intestinal cramps. It's a problem I had all through my childhood and when I used to play football in my 20's: strenuous exercise triggers it. I've known quite a few others with it too. I did once consult a doctor way back and he said it was caused by decreased blood flow in the intestines during hard exercise which changed the way they work. He said there was little that can be done, as drugs available were opiates and not at all suitable to give runners. That's how I remember it anyway.

However on the running web sites numerous posters claim to take lomotil or half an immodium. Are these over the counter products. Is it safe to try?

Finally on this issue, would borderline IBS be a factor in any of what I've discussed on this thread as that is the one possible syndrome that my GP in UK did suggest I have and has treated me for in the past