Getting dizzy during races

[TALUS]

I have met 2 of them.

 

I now google as well 

You funny girl!

[Goblin]

There is a blood test - but it's not guaranteed - has false positives and false negatives - so don't rely completely on it

 

And yes  - sonar can be used - BUT - someone has to pay for the machine (this would be YOU) and fingers are quick, cheap and pretty damn good as an examination tool.

 

Must cost you a fortune in dinners and movies though  .....

[V12man]

Must cost you a fortune in dinners and movies though  .....

Their wifes PAY me....!!!! :ph34r: fortunately I have gloves that reach to my shoulder....

[lerouc]

OK - good you are eliminating other potential causes.

 

What I believe you suffer from is post excercise postural hypotension - this is pretty common at the end of endurance races, and is believed to be the most common cause of collapse amongst endurance trained athletes.

 

Read the section in this articles below - laymans version of what is happening.

 

https://runnersconnect.net/running-injury-prevention/why-runners-collapse-during-or-after-a-race/

http://www.twooceansmarathon.org.za/news/medical-newsflash-post-exercise-postural-hypotension

 

 

There is a subset of people to whom this happens consistently post excersise (I can introduce you to one that experiences this post every 25 minute run - takes about 20 minutes for her to get back to feeling normal again) - and I suspect you are in that group of people - so what happens is that when you stop excercise, you blood pressure drops significantly, and your body does not respond fast enough to this (as in more normal people) to maintain the pressure inside normal values for a while - this is reasonably easy to confirm your BP sensitivity to orthostatic changes using a inversion table (flips you upside down and back) - while taking your BP - there is a protocol for this test that I don't know - pretty sure SSI will know it, because SSI has done a lot of research on the subject.

 

BUT - no treatment I know of exists for this that works without raising your resting BP (not advisable) - my suggestion would be to contact Dr Martin Schwelnus at SSI in CT - he will know of any updates on that position

 

My suggestion would be in short term to eliminate other potential cardiac and health risks, and try to find an excercise intensity level that when you do have a sudden stop does not invoke such an extreme response - perhaps racing is not for you unfortunately.

 

Some other links on the subject - more tech and require pubmed access to read some of the related articles

 

http://www.pubfacts.com/detail/8614313/The-prevalence-and-significance-of-post-exercise-postural-hypotension-in-ultramarathon-runners.

 

http://bjsm.bmj.com/content/37/3/277.full

 

http://www.nature.com/jhh/journal/v16/n4/full/1001377a.html

 

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2888469/

 

Ive read the first two articles and did some more googling on the subject as well. It does not sound that bad then or am i missing something?

 

I saw alot of guys that get this get this normally when they stand up fast as well hence why they get it during exercise then again. I've never had that and also its usually linked to a very low resting heart rate and even though i am proud of mine (mid 50s and being over weight) i doubt if it is that low.

 

I saw the way that they test this is by lieing down and standing up and taking BP, but if this is only happening to me after a couple of hours cycling, would a doc be able to pick it from lieing down and standing up.

 

But i will mention this to the doc when i go see her again. I think she did mention something in this line yesterday about when i start resting but i think she was concerned that my ticker gives an extra beat or something because i always feel more fatigued after an "episode".

[V12man]

Ive read the first two articles and did some more googling on the subject as well. It does not sound that bad then or am i missing something?

 

V12 - not that bad if you can avoid the symptoms - downside might be not racing at all - and the biggest risk is tha you have an episode and fall and hurt yourself - fallling in the wrong place and landing badly can be fatal (and often is)

 

I saw alot of guys that get this get this normally when they stand up fast as well hence why they get it during exercise then again. I've never had that and also its usually linked to a very low resting heart rate and even though i am proud of mine (mid 50s and being over weight) i doubt if it is that low.

 

v12 plenty of people get a minor headrush when they stand up quickly occasionaly - especially people with low/normal blood pressure - but usually it only lasts a couple of seconds and has no aftereffect - and as far as I know there is little relationship between that 'minor' episode and major post excercise near collapse/collapse

 

I saw the way that they test this is by lieing down and standing up and taking BP, but if this is only happening to me after a couple of hours cycling, would a doc be able to pick it from lieing down and standing up.

 

v12 - Actually they flip you completely upside down - needs a special table your feet get tied to - there is a specific protocol that apparently is a predictor of post excercise proclivity to collapse - from very ancient memory, something like a 0.9 correlation - so no - I don't think you can pick it up from lying to standing.

 

But i will mention this to the doc when i go see her again. I think she did mention something in this line yesterday about when i start resting but i think she was concerned that my ticker gives an extra beat or something because i always feel more fatigued after an "episode".

 

v12 - she is right to be concerned and to eliminate other risk factors first - especially if she is concerned about ectopics - given your familial history and "overweight" condition.

[lerouc]

 

Ive read the first two articles and did some more googling on the subject as well. It does not sound that bad then or am i missing something?

 

V12 - not that bad if you can avoid the symptoms - downside might be not racing at all - and the biggest risk is tha you have an episode and fall and hurt yourself - fallling in the wrong place and landing badly can be fatal (and often is)

 

I saw alot of guys that get this get this normally when they stand up fast as well hence why they get it during exercise then again. I've never had that and also its usually linked to a very low resting heart rate and even though i am proud of mine (mid 50s and being over weight) i doubt if it is that low.

 

v12 plenty of people get a minor headrush when they stand up quickly occasionaly - especially people with low/normal blood pressure - but usually it only lasts a couple of seconds and has no aftereffect - and as far as I know there is little relationship between that 'minor' episode and major post excercise near collapse/collapse

 

I saw the way that they test this is by lieing down and standing up and taking BP, but if this is only happening to me after a couple of hours cycling, would a doc be able to pick it from lieing down and standing up.

 

v12 - Actually they flip you completely upside down - needs a special table your feet get tied to - there is a specific protocol that apparently is a predictor of post excercise proclivity to collapse - from very ancient memory, something like a 0.9 correlation - so no - I don't think you can pick it up from lying to standing.

 

But i will mention this to the doc when i go see her again. I think she did mention something in this line yesterday about when i start resting but i think she was concerned that my ticker gives an extra beat or something because i always feel more fatigued after an "episode".

 

v12 - she is right to be concerned and to eliminate other risk factors first - especially if she is concerned about ectopics - given your familial history and "overweight" condition.

 

 

Thanks again.

[KarlvN]

What a *** experience with the bloodtests this morning. I was there bright and early at 7h30 as the blood glucose will take 2 hours. but first they draw blood and check sugar level (5.5 btw) and then they give me glucose and wait 2 hours and take another sample. Well thats what i googled after the nurse had to phone someone and ask them how to do the glucose test.

 

So after the initial draw they send me into hallway to wait. After 90 minutes they call me in and give me the glucose and say another 30 minutes and i am done. I then start questioning the sister whether she is right and she assured me she is but i am sure shes not so again she phones someone.

 

She asked for a helpdesk on the phone so i dont know who she phoned and she was speaking some african language so i didn't understand everything but after she put the phone done she says im right she can only draw after 2 hours now.

 

So the tests that was supposed to take 2 hours took me 3.5 hours.

 

3 weeks after getting my arm operated on and titanium plate and ten screws added, I get sent for a follow up to one of the 2 docs who operated on me after my Hoogekraal "incident", since the other doc is in the States...

 

Doc asks me, "so, what can I do for you?" - true story, in this month still...

 

I tell him, "what do you mean? you're the doctor?" He ended up taking my cast off and sent me home...no scans whatsoever to test alignment and to see progress.

 

I went to see an independent orthopedic surgeon thereafter for an assessment. First thing he does is send me for a CT scan to confirm whether he needs to operate again, after seeing my initial scans, pre- and post operative.

[lerouc]

3 weeks after getting my arm operated on and titanium plate and ten screws added, I get sent for a follow up to one of the 2 docs who operated on me after my Hoogekraal "incident", since the other doc is in the States...

 

Doc asks me, "so, what can I do for you?" - true story, in this month still...

 

I tell him, "what do you mean? you're the doctor?" He ended up taking my cast off and sent me home...no scans whatsoever to test alignment and to see progress.

 

I went to see an independent orthopedic surgeon thereafter for an assessment. First thing he does is send me for a CT scan to confirm whether he needs to operate again, after seeing my initial scans, pre- and post operative.

 

and that cost you a crap load of money. My brother broke his ankle when he was younger and had a plate and screws put in, his ankle is opgefok and he struggles with it alot. A couple of years ago my uncle was visiting and they were talking about it and my brother showed him his xrays (uncle was a surgeon in alberton) and he said the doc should have never operated on his ankle.

 

Now he has to get another op to have the crap removed and his ankle corrected.

 

Hence why i am very skeptical when it comes to doctors and more so surgeons and i think thats why they hate google so much because you can do basic diagnosis yourself, and then if you watched house you know you have lupus as well.

[BDF]

3 weeks after getting my arm operated on and titanium plate and ten screws added, I get sent for a follow up to one of the 2 docs who operated on me after my Hoogekraal "incident", since the other doc is in the States...

 

Doc asks me, "so, what can I do for you?" - true story, in this month still...

 

I tell him, "what do you mean? you're the doctor?" He ended up taking my cast off and sent me home...no scans whatsoever to test alignment and to see progress.

 

I went to see an independent orthopedic surgeon thereafter for an assessment. First thing he does is send me for a CT scan to confirm whether he needs to operate again, after seeing my initial scans, pre- and post operative.

 

 

and that cost you a crap load of money. My brother broke his ankle when he was younger and had a plate and screws put in, his ankle is opgefok and he struggles with it alot. A couple of years ago my uncle was visiting and they were talking about it and my brother showed him his xrays (uncle was a surgeon in alberton) and he said the doc should have never operated on his ankle.

 

Now he has to get another op to have the crap removed and his ankle corrected.

 

Hence why i am very skeptical when it comes to doctors and more so surgeons and i think thats why they hate google so much because you can do basic diagnosis yourself, and then if you watched house you know you have lupus as well.

Like I said before, If it wasn't for Doctors I would be cripple, but not all Doctors are equal!

[KarlvN]

and that cost you a crap load of money. My brother broke his ankle when he was younger and had a plate and screws put in, his ankle is opgefok and he struggles with it alot. A couple of years ago my uncle was visiting and they were talking about it and my brother showed him his xrays (uncle was a surgeon in alberton) and he said the doc should have never operated on his ankle.

 

Now he has to get another op to have the crap removed and his ankle corrected.

 

Hence why i am very skeptical when it comes to doctors and more so surgeons and i think thats why they hate google so much because you can do basic diagnosis yourself, and then if you watched house you know you have lupus as well.

 

It did, and still is costing me crap load of money...(gap cover people, gap cover - dammit)

 

To be fair to the doctor though, my arm didn't break so much as shatter - in it's chops. The independent doc still said that their were actually no options on the table for the operating surgeon, looking at the initial scans taken at admittance. When he saw the post operative scans and the new ones he sent me for, he still said that it was as near to perfectly operated as he's seen done in his own experience, of which he has tons.

 

I am just glad I have a functional arm. So docs aint all bad, but you need to know whom to see, and whom not...

[dirtypot]

and then if you watched house you know you have lupus as well.

 

lolsies

[arendoog]

How do you know i played front row. 

I know lots !! The only other athletic 120kg guys i know are ex bok props that cycle .1 +1 =2

[lerouc]

Now this is the thing that really gets my blood boiling. I told the doc on monday i am leaving the country next week for a couple of weeks so i would really appreciate it if we can sort this out asap. She said yes and send me straight for the blood tests the following morning.

 

I still asked the blood guys how long until doc has the results and they told me she should have it around lunch time tuesday. So my thoughts were i would get a call from the doc tuesday (she said she will phone) and book the ECGs for wednesday and if further tests thursday ish.

 

here we are friday and i have not heard a word from the doc. Phoned yesterday and you cannot speak to the doctor (as the are seeing patients or what ever) and they took my number as she would phone back, yeah...

[KarlvN]

Now this is the thing that really gets my blood boiling. I told the doc on monday i am leaving the country next week for a couple of weeks so i would really appreciate it if we can sort this out asap. She said yes and send me straight for the blood tests the following morning.

 

I still asked the blood guys how long until doc has the results and they told me she should have it around lunch time tuesday. So my thoughts were i would get a call from the doc tuesday (she said she will phone) and book the ECGs for wednesday and if further tests thursday ish.

 

here we are friday and i have not heard a word from the doc. Phoned yesterday and you cannot speak to the doctor (as the are seeing patients or what ever) and they took my number as she would phone back, yeah...

 

All of a sudden the bit of additional payments I had to make at DVille Mediclinic following my crash seems worth it...

 

Ai boet, I hope you get sorted soon.

[lerouc]

Apparently some of the tests were "missed" and they are waiting on the lab to send the "missed" tests results...

[lerouc]

So all blood tests came back and everything apparently good without issues. Monday i am off for ECG tests.