Heart and Sex question - serious!

oh, I had the same symptoms on the urgent care visit for what it's worth, faintness, distorted vision, loss of balance, etc,

Maybe it's love?

Why did they give you albuterol if there was nothing wrong with your heart? I agree it sounds like your blood pressure plummets - I get the dizzy, clammy feeling right before I'm close to fainting, which in recent times has been because of my body's reaction to some sort of stress (even if the event didn't feel stressful). If you get your head down between your legs or lie down completely horizontal, does the feeling go away after about 10 minutes?

Does your girlfriend have any tats? If so, she's a whore and is probably banging half the neighborhood so don't get too excited about her. She's nothing special.

^

Post of the Summer !

swindy43 wrote:

i agree.it depends.

I agree with the bot, maybe she has a dress that makes her look fat.

Severe allergies.

Wear a Galen Rupp mask while having sex.

Are you stressed, depressed or feeling anxious? Have you ever dealt with anxiety issues before? Why was the albuterol prescribed?

The albuterol is to treat the asthma induced by gastric acid aspiration (a misdiagnosis in my opinion, but hey, I wasn't there so take it with a grain of salt).

The shower episode could be vasovagal and/or vasodilatory due to hot water. The sitting down episode wasn't unless you were trying to pass gas silently.

With the limited info available, I'm guessing you are hyperventilating for some reason (rapid breathing which blows off too much carbon dioxide resulting in alkalosis in the blood and symptoms from calcium-binding being changed due to change in pH). If it is a panic attack (psychologically-induced hyperventilation), breathe into a bag or small closed area (i.e. inhale the air you just exhaled) or practice relaxation techniques with slow breathing.

hahaha! yeah, nothing like taking a brown paper bag along on a tempo run.but on a more serious note, if the OP problems stem from vasodilation issues, could normal vasodilators be regulated poorly? could histamines be too high? then in stressful situations it kicks off an episode?albuterol: what about asthma triggered by external environment? like pollen, or dust, or smog, etc. if heart is checking out OK and there is an underlying asthma problem that has never been addressed then an asthma attack, no air, is sure going to lead to dizziness. so, hyperventilating b/c can't breath???

DocB wrote:

"breathe into a bag or small closed area (i.e. inhale the air you just exhaled) or practice relaxation techniques with slow breathing."

It might be a leaky heart valve, i.e. it is not opening and closing properly. This can require beta blockers, a surgery or be monitored. It only flares up at random times so it is very hard to detect unless you are in the middle of an incident.

Thanks Mrs M for an answer and DocB! @Mrs M, the heart is definitely ruled out, and I do get better when I sit awhile though my mental clarity and slurring speech shift while I recover. I'm to get a pulmonary work up and they suspect there might be some probability of a connection with sleep apnea so I'll have a sleep study too. DocB, the local docs line of thinking was in this sequence: vasovagal response, acid reflux, then when the CAT scans came back negative, there was some discussion about a slightly herniated doudenum (sic). I stayed overnight and took the stress test and once the heart was ruled out there was no further discussion of causes. I was told to ride it out (easy to say when you're used to turning the keys of your body on and the car just goes), and this could be benign. They further said the cause might be found with the pulmonary and sleep studies or maybe not. Whether gastric acid aspiration was what prompted the albuterol prescription I do not know. Kind of glad to have it in case I need it since I've been through about a half-dozen near-fainting cycles since release yesterday. This morning's cycle sent me back to the doctor, a different one this time who said my stomach was a mess and possibly inflamed. So now I'm taking these medication:Nexium 40mg for acid refluxDocusate Sodium capsule 100mg stoolAlbuterol (use as needed)Vestaril for anxiety (use as needed)Fluconazole 200 mg (Jock itch), happens with the thick legged (I still do my 18 minute 5K though).Other stats39 years old, whiteweight 199bp 117/80 (some hypotension when standing but quickly goes away)resting pulse 47-55cholesterol 220 (ldl 142, hdl 41, tri 186)urine specific gravity good and not dehydratedprosox oxygen 99% saturation40 miles per week running + other cardio exercisesno history of major sickness everno history of anxiety or panic eversleep apnea episodes at night but no history of loss of breath during dayregular and frequent sexual activity without incident everI'm really hoping this is a rough patch and as benign as the docs said. Is it possible I might simply be super constipated? Did I maybe overexert myself. I've been trying to lose weight fast (25 pounds since August 10). I blasted my abdominal muscles the day all this mess started a week ago with some 250 power crunches. My abs felt pretty inert afterwards and the constipation began about then. I'm not really hyperventilating. My breathing is simply becoming labored as if I'm breathing in humid thick air like in a hot shower and my lungs lack the capacity to suck it in. That's the feeling anyway. I'm super worried about the sex. This vasovagal/vasodilatory bit is frightening. Simple arousal was almost enough to knock me out. Is this temporary? I've had plenty of shower sex before and never had this happen.A lot of writing here but thanks for reading and replying. Really trying to ride this out :)

DocB wrote:

The albuterol is to treat the asthma induced by gastric acid aspiration (a misdiagnosis in my opinion, but hey, I wasn't there so take it with a grain of salt).

The shower episode could be vasovagal and/or vasodilatory due to hot water. The sitting down episode wasn't unless you were trying to pass gas silently.

With the limited info available, I'm guessing you are hyperventilating for some reason (rapid breathing which blows off too much carbon dioxide resulting in alkalosis in the blood and symptoms from calcium-binding being changed due to change in pH). If it is a panic attack (psychologically-induced hyperventilation), breathe into a bag or small closed area (i.e. inhale the air you just exhaled) or practice relaxation techniques with slow breathing.

I did read a New York Times article that the cardio treadmill stress test is only 60-67% accurate. I'm not looking to worry myself but that's a 33-40% discrepancy. Encouraging, no?Don't know enough about the stress test imaging to know whether a leaky valve would be detected. I would imagine an electrocardiogram would in 3D and real-time. Wouldn't part of a thorough work in any case for a cardiac ER visit include looking for said leaky valve through some clever means? The idea that it is difficult to detect due to its randomness is disconcerting.

possible cause wrote:

It might be a leaky heart valve, i.e. it is not opening and closing properly. This can require beta blockers, a surgery or be monitored. It only flares up at random times so it is very hard to detect unless you are in the middle of an incident.

Sounds like Anxiety attacks to me. Basically you feel off or think you feel off and then your mind basically takes over and off you go. You think you're dying, having a heart attack, etc. When all you are doing is stressing yourself out, which is causing you to get these symptoms.

Just relax...

I am not a doctor,but went through something similar 8 years ago.Never went to the ER,but multiple doctor visits, cardiologist visits, etc. What they found? Nothing. Marginally high BP when at the doctor since I worried shitless. When I would go to the doctor for something normal(like getting stiches) my BP was normal.

How did I get over it? I started running and don't give a crap about it anymore. I'll go for another thourough physical when I'm 40 (I'm also 39).

Afibrillation

You're probably right since I don't have a baseline of experience having been healthy all my life. I'm talking myself through these attacks but damn it, I've always been an ice cold cucumber when shit happens, and this time around the breathing and changed vision is freaking me out. Guess I'm just addicted to free air flow ;-DThere is something going on though and it may simply be the extreme constipation and inflammation of the stomach with acid reflux (seems weird that something that sounds so common can have such ghastly effects such as feeling as if you'll die). I'm on meds now, especially the Nexium and docusate sodium, so we'll see how it goes. The Vistaril is pretty good stuff since my head doesn't feel foggy after taking and I got some much needed sleep.Gonna go relax now without any sexy action. Guess I'm gonna have to forgo earthly delights until this stuff passes.

Another wrote:

Sounds like Anxiety attacks to me. Basically you feel off or think you feel off and then your mind basically takes over and off you go. You think you're dying, having a heart attack, etc. When all you are doing is stressing yourself out, which is causing you to get these symptoms.

Just relax...

I am not a doctor,but went through something similar 8 years ago.Never went to the ER,but multiple doctor visits, cardiologist visits, etc. What they found? Nothing. Marginally high BP when at the doctor since I worried shitless. When I would go to the doctor for something normal(like getting stiches) my BP was normal.

How did I get over it? I started running and don't give a crap about it anymore. I'll go for another thourough physical when I'm 40 (I'm also 39).