PA and heat illness

[Guest guest]

Hi all,

I have been absent since my last 2 week visit at NIH...mostly, I got overwhelmed

with trying to figure all this out and just decided to live my life, take meds,

and focus on something else. I go back in a year, so I thought I'd give it all

a break. BP is now great and my ID doc is managing the SCC (ups your infections;

I've had Staph and MRSA since)...

This past week in the South has been extremely hot and humid. I have had

trouble with the heat/humidity unlike other summers. If I am in it for more

than a few minutes, I get dizzy, faint, very heat illness like, really feel like

I am in trouble. My renin level remains low despite being on Epler and I am

just wondering if any of you can shed any light on any of this?

Even more disturbing is the possibility that my son and I share the problem. He

was playing a tennis tournament in the heat and the USTA regulations allow kids

to play up to 3 matches a day with a minimum of an hour between them. My son

played 2 matches a day with an hour and a half between them for a day and on the

second day, after the semi final match, he started having heat illness symptoms.

I asked them to delay the final match he'd worked hard to play, but no dice. He

got pretty sick in the first set. We ended up in the ER and he is fine now, but

I have challenged the USTA on what I find are inhumane, dangerous policies for

these kids. My son will not play matches that close together again in this kind

of heat even if it robs him of his success. I want them to change policy, don't

know if they'll respond to my challenge to them, but probably not. I guess no

one's died yet?

Anyhow, I was just thinking, even though I am very disturbed by the official not

giving them a long enough break, that it was only my son that went to the ER and

all of the semi final and final matches were played at 8 am and again at 11:30

am.

I was dizzy and out of it, just sitting there watching and my son, got bona fide

heat illness; needed IV fluids, cooling, etc.

I have been keeping him in air conditioning and giving him gatorade, pedialyte,

and popsicles of gatorade and pedialyte per Drs. orders and I have been drinking

gatorade too. It's helped both of us.

Does PA make you sensitive to heat issues?

Are my electrolytes off due to low Renin?

Does the Epler fix the electrolyte imbalance or not?

Does the standard gatorade or pedialyte (more sodium than gatorade) protocol for

preventing heat illness apply to PA people on Epler?

Is this a sign that my son should be evaluated for PA (his BP is fine)?

Thank you! Thank you! Thank you!