Guest guest Posted July 4, 2004 Report Share Posted July 4, 2004 Hi, I have been having trouble with going in the sun. I wasn't having trouble in the spring and early summer, than one day I stayed out in the sun a little longer than usual and sweated more than usual on a very hot day, and the next day I started having a twitching eye and headaches, etc. etc. I had an episode of eye twitching due to overuse of the computer about 6 years ago which resolved from adding magneisum foods into my diet. I haven't had that since then. I have been trying to address it with food again, but I can no longer eat a lot of nuts and seeds like I did the first time. I am adding green drinks, and a small amount of peanut butter a few times a day. The eye twitching is just about gone, but I am having trouble resolving the rest of it. The headaches have not been resolving well and I seem to be feeling pain around my face, head, and teeth. I also find that my sleep at night has been more interrupted. Waking often, not sleeping longer than 3 hours at a time. Sometimes the pain goes away. It is not excruciating and I am not taking aspirin for it. As soon as I am the least active it starts to increase. TV, computer, get up to walk across the room, talking. Just about anything starts it throbbing. I am trying to limit all those activities, and alternate them, but how can you have NO activity all day for days? In the past, similar episodes have not had this constant a headache as part of the constellation of symptoms. I would term this a " crash " , or " relapse " , but I don't have the bone crushing fatigue that usually goes along with it. [Thankfully :-)] I am not getting the increase in muscle pain that I would normally associate with it. In the past, I would just become immobile and rest rest rest until all symptoms had resolved and then start all over again trying to get back to the same " pre-crash " level of activity. Sort of happens that it is often like starting over again, due to how long you have to rest sometimes. I had made a fair amount of progress over the spring, specifically because I pushed myself into more activity. So I am trying not to lose all that progress by resting so much that I have to start over. I wish I understood, what caused the head problems. What was it about the day I spent outdoors too long that triggered this? Is it a mineral, like magnesium that is depleted in your sweat? Is it just your whole system being overwhelmed by the demands of heat? Is it a byproduct of physical activity that is not able to be cleared by the body and is damaging the brain? Is the throbbing in the head an indication of blood rushing to your head, or is it an absence of blood in your head? Or is it something else entirely. Does anyone else find themselves trying to figure out what is happening in their body during all the symptoms we experience? I did speak to my mito specialist about this. He wants me to see a Cardiologist to check out how much of a role dysautonomia is playing. He sounded like he suspected HIGH blood pressure or some blood pressure abnormality. I usually have low, but not dizziness. I still don't understand what a Cardiologist has to do with Dysautonomia? I thought the abnormailty with the autonomic nervous system was a problem with the nervous system or the brain. How much do the Mito specialists really know and how much is speculation? How much do all of you understand what is happening in your body? Where is the best place to go to find out more? Has anyone done a lot of personal research about mito? Has anyone ever looked up any studies that have been done that have been the basis for the diagnosis and/or understanding of the symptomatology? Okay, I know, I ask too many questions. I seem to think of a lot of questions and my process is to just throw them all out there. Sort of like brainstorming. [g] Please don't let all my questions throw you. If you see one you can answer just ignore the rest. If my questions provoke questions of your own, throw those out. Whiling away the nice sunny day that I can't go out and enjoy.... :-) Adam Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 4, 2004 Report Share Posted July 4, 2004 Adam I would check to see if you have allergies or a sinus infection. Heat definitely stresses the body and humidity makes it worse. My eye twitching is more related to stress than inbalances, but you might be different and then I get it as part of the neuropathy that comes and goes. Sweating depletes sodium in the body. I would suggest good hydration and some sport drink of some source such as gaterade. Lightheadedness can be due to low blood pressure, dysautonomia, cardiac issues or low blood sugar. Try to get up slowly and see if it helps. For me, reading as much as I can find and going to the umdf conferences has helped me understand more about what is happening in my body. That's just me, but it might help you as well. laurie > > Reply-To: > Date: Sun, 04 Jul 2004 18:51:18 -0000 > To: > Subject: Head problems due to sun...what is causing it? Long post > > Hi, > > I have been having trouble with going in the sun. I wasn't having > trouble in the spring and early summer, than one day I stayed out in > the sun a little longer than usual and sweated more than usual on a > very hot day, and the next day I started having a twitching eye and > headaches, etc. etc. > > I had an episode of eye twitching due to overuse of the computer > about 6 years ago which resolved from adding magneisum foods into my > diet. I haven't had that since then. I have been trying to address > it with food again, but I can no longer eat a lot of nuts and seeds > like I did the first time. I am adding green drinks, and a small > amount of peanut butter a few times a day. The eye twitching is just > about gone, but I am having trouble resolving the rest of it. > > The headaches have not been resolving well and I seem to be feeling > pain around my face, head, and teeth. I also find that my sleep at > night has been more interrupted. Waking often, not sleeping longer > than 3 hours at a time. > > Sometimes the pain goes away. It is not excruciating and I am not > taking aspirin for it. As soon as I am the least active it starts to > increase. TV, computer, get up to walk across the room, talking. > Just about anything starts it throbbing. > > I am trying to limit all those activities, and alternate them, but > how can you have NO activity all day for days? In the past, similar > episodes have not had this constant a headache as part of the > constellation of symptoms. I would term this a " crash " , > or " relapse " , but I don't have the bone crushing fatigue that usually > goes along with it. [Thankfully :-)] I am not getting the increase > in muscle pain that I would normally associate with it. > > In the past, I would just become immobile and rest rest rest until > all symptoms had resolved and then start all over again trying to get > back to the same " pre-crash " level of activity. Sort of happens that > it is often like starting over again, due to how long you have to > rest sometimes. > > I had made a fair amount of progress over the spring, specifically > because I pushed myself into more activity. So I am trying not to > lose all that progress by resting so much that I have to start over. > > I wish I understood, what caused the head problems. What was it > about the day I spent outdoors too long that triggered this? Is it a > mineral, like magnesium that is depleted in your sweat? Is it just > your whole system being overwhelmed by the demands of heat? Is it a > byproduct of physical activity that is not able to be cleared by the > body and is damaging the brain? > > Is the throbbing in the head an indication of blood rushing to your > head, or is it an absence of blood in your head? Or is it something > else entirely. Does anyone else find themselves trying to figure out > what is happening in their body during all the symptoms we experience? > > I did speak to my mito specialist about this. He wants me to see a > Cardiologist to check out how much of a role dysautonomia is > playing. He sounded like he suspected HIGH blood pressure or some > blood pressure abnormality. I usually have low, but not dizziness. I > still don't understand what a Cardiologist has to do with > Dysautonomia? I thought the abnormailty with the autonomic nervous > system was a problem with the nervous system or the brain. > > How much do the Mito specialists really know and how much is > speculation? How much do all of you understand what is happening in > your body? Where is the best place to go to find out more? > > Has anyone done a lot of personal research about mito? Has anyone > ever looked up any studies that have been done that have been the > basis for the diagnosis and/or understanding of the symptomatology? > > Okay, I know, I ask too many questions. I seem to think of a lot of > questions and my process is to just throw them all out there. Sort > of like brainstorming. [g] Please don't let all my questions throw > you. If you see one you can answer just ignore the rest. If my > questions provoke questions of your own, throw those out. > > Whiling away the nice sunny day that I can't go out and enjoy.... > > :-) > Adam > > > > Medical advice, information, opinions, data and statements contained herein > are not necessarily those of the list moderators. The author of this e mail is > entirely responsible for its content. List members are reminded of their > responsibility to evaluate the content of the postings and consult with their > physicians regarding changes in their own treatment. > > Personal attacks are not permitted on the list and anyone who sends one is > automatically moderated or removed depending on the severity of the attack. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 5, 2004 Report Share Posted July 5, 2004 Hi , Thanks for the input. I had a few questions about your post. When you say probably electrolyte related, since the first time it was a problem was 5 weeks ago wouldn't it have worked itself out by now? Yesterday when I was out, I had a hat on, I was under an umbrella, it was early in the morning. I did get a little hot and sweaty, but I came right into the air conditioning and drank a lot of fluid yesterday as well as non fat yogurt shakes with bananas/mango/raspberries and tomato soup later. I guess I don't know what more I could have done for myself. Does this mean that sweating is dangerous for someone with mito? Should I be avoiding it completely? That doesn't sound healthy either to never sweat. If this is a common problem for mito patients, then I would think it would be hard to avoid electrolyte imbalances. I have not in the past seen any test results that suggested I have an electrolyte imbalance, but I suppose that doesn't always mean anything. But if it is common, then I would think the mito docs have developed some strategy to address them, I wonder how many of you have electrolyte imbalances and what are they usually triggered by? What do the docs do for you when it happens? How do you know that is the problem? I am going to try some Gatorade today and increase sodium foods. I am going to continue with green drinks and peanut butter to try to get more magnesium. I don't know if that will help at all, but can't think of anything else to try. Do any of you get help from your doctors when you go through something like this? What kind of help do you get? Yes, I am very familiar with the " 2% rule " . [g] What I am finding odd, is that I don't have crushing fatigue like I normally would have in a crash. Just these darn headaches. So I wouldn't suspect I had less ATP right now. I wonder if I should be tested while I am having these headaches to see if some imbalance can be caught. Does anyone else find they have that approach? I don't know what kind of tests. Blood work doesn't usually give many clues for me. I find your referral to the hormones interesting. I just had my Thyroid meds reduced about 3 months ago, so that is different, and I have a low vit D level. Which I was surprised to learn is a hormone.? I read that yesterday anyway. If I have low vit D wouldn't going in the sun increase it? I would have thought that would have helped. As for magnesium, I don't think I have had it checked in the urine. My blood levels are normal though last time they checked. So was calcium. I also just had my amino acids retested and they are now in the normal range. So they clearly feel the low levels of the last two tests were definitely from diet. I was having a lot of trouble eating. Usually I am content to just rest and I have confidence that sooner or later it will resolve. For some reason this time I don't have that sense. It seems like something is wrong that needs to be fixed and that as long as it is like this it may be doing other damage. I also get a sense that my body is having a hard time correcting what ever it is. I think one reason I feel this way is that usually if I can manage to get some decent sleep I feel better, but lately, when I fall asleep, I wake up feeling worse than before I fell asleep with my head killing me. Food isn't making them better either, which is another thing that usually helps. Thanks for the post and the explanations and ideas to think about. I appreciate it. :-) Adam > I would think that it was probably electrolyte related. Also, any time any > of us get something like heat stroke, take meds, or get sick, we usually > fall in the 2% category of " something else will also go horribly awry " > or " 2% of the population will also experience THESE symptoms " . Of course, if you> already have some body temperature control problems, being out in the sun is> going to affect it. There is one other thought as well, but most likely> pretty unlikely, there are certain hormones in the body that are affected by> sunlight, in which it helps determine how many are made. Since ATP (the> stuff mitochondria helps make that is the energy currency of the body) is> involved in any end of the line hormone product of the body pretty much, we> are apt to be making " wrong " amounts of just about any of these. It isnt the full story of> course, but does affect them. Others will probably have other suggestions. > > BTW do you tend to leak magnesium, or just store it in some weird area of> your body like your hair and nails instead of using it? By leaking I mean it> going straight through your kidneys. Or do you know? I do that with> potassium and folic acid. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 5, 2004 Report Share Posted July 5, 2004 I would think that it was probably electrolyte related. Also, any time any of us get something like heat stroke, take meds, or get sick, we usually fall in the 2% category of " something else will also go horribly awry " or " 2% of the population will also experience THESE symptoms " . The problem is, we arent as capable of recovering as the average human being because we are like a battery operated toy that has batteries that are running out of juice ie low battery. Also, on the autonomic thing, that means the things that are run without conscious control, like heartbeat, breathing, temperature control, etc. It is ruled by a certain part of your brain, that isnt considered the part that normally controls thinking, such as I will now pick up such and such item, and then the body obeys. Of course, if you already have some body temperature control problems, being out in the sun is going to affect it. There is one other thought as well, but most likely pretty unlikely, there are certain hormones in the body that are affected by sunlight, in which it helps determine how many are made. Since ATP (the stuff mitochondria helps make that is the energy currency of the body) is involved in any end of the line hormone product of the body pretty much, we are apt to be making " wrong " amounts of just about any of these. Helps explain why so many of us have mental and fertility issues. And growth issues. And thyroid and diabetic issues. It isnt the full story of course, but does affect them. Others will probably have other suggestions. BTW do you tend to leak magnesium, or just store it in some weird area of your body like your hair and nails instead of using it? By leaking I mean it going straight through your kidneys. Or do you know? I do that with potassium and folic acid. > Hi, > > I have been having trouble with going in the sun. I wasn't having > trouble in the spring and early summer, than one day I stayed out in > the sun a little longer than usual and sweated more than usual on a > very hot day, and the next day I started having a twitching eye and > headaches, etc. etc. > > I had an episode of eye twitching due to overuse of the computer > about 6 years ago which resolved from adding magneisum foods into my > diet. I haven't had that since then. I have been trying to address > it with food again, but I can no longer eat a lot of nuts and seeds > like I did the first time. I am adding green drinks, and a small > amount of peanut butter a few times a day. The eye twitching is just > about gone, but I am having trouble resolving the rest of it. > > The headaches have not been resolving well and I seem to be feeling > pain around my face, head, and teeth. I also find that my sleep at > night has been more interrupted. Waking often, not sleeping longer > than 3 hours at a time. > > Sometimes the pain goes away. It is not excruciating and I am not > taking aspirin for it. As soon as I am the least active it starts to > increase. TV, computer, get up to walk across the room, talking. > Just about anything starts it throbbing. > > I am trying to limit all those activities, and alternate them, but > how can you have NO activity all day for days? In the past, similar > episodes have not had this constant a headache as part of the > constellation of symptoms. I would term this a " crash " , > or " relapse " , but I don't have the bone crushing fatigue that usually > goes along with it. [Thankfully :-)] I am not getting the increase > in muscle pain that I would normally associate with it. > > In the past, I would just become immobile and rest rest rest until > all symptoms had resolved and then start all over again trying to get > back to the same " pre-crash " level of activity. Sort of happens that > it is often like starting over again, due to how long you have to > rest sometimes. > > I had made a fair amount of progress over the spring, specifically > because I pushed myself into more activity. So I am trying not to > lose all that progress by resting so much that I have to start over. > > I wish I understood, what caused the head problems. What was it > about the day I spent outdoors too long that triggered this? Is it a > mineral, like magnesium that is depleted in your sweat? Is it just > your whole system being overwhelmed by the demands of heat? Is it a > byproduct of physical activity that is not able to be cleared by the > body and is damaging the brain? > > Is the throbbing in the head an indication of blood rushing to your > head, or is it an absence of blood in your head? Or is it something > else entirely. Does anyone else find themselves trying to figure out > what is happening in their body during all the symptoms we experience? > > I did speak to my mito specialist about this. He wants me to see a > Cardiologist to check out how much of a role dysautonomia is > playing. He sounded like he suspected HIGH blood pressure or some > blood pressure abnormality. I usually have low, but not dizziness. I > still don't understand what a Cardiologist has to do with > Dysautonomia? I thought the abnormailty with the autonomic nervous > system was a problem with the nervous system or the brain. > > How much do the Mito specialists really know and how much is > speculation? How much do all of you understand what is happening in > your body? Where is the best place to go to find out more? > > Has anyone done a lot of personal research about mito? Has anyone > ever looked up any studies that have been done that have been the > basis for the diagnosis and/or understanding of the symptomatology? > > Okay, I know, I ask too many questions. I seem to think of a lot of > questions and my process is to just throw them all out there. Sort > of like brainstorming. [g] Please don't let all my questions throw > you. If you see one you can answer just ignore the rest. If my > questions provoke questions of your own, throw those out. > > Whiling away the nice sunny day that I can't go out and enjoy.... > > :-) > Adam > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 5, 2004 Report Share Posted July 5, 2004 Hi Laurie, Thanks for your post. :-) I will try the Gatorade today and I am planning on increasing the sodium foods. I had some celery/Kale/carrot juice already this morning. I woke up with a worse headache after sleeping this morning, which is unusual for me. I didn't say I had lightheadedness, I said I didn't. I actually did feel a slight bit of lightheadedness once when I was outside though it was fleeting and haven't had it since. Yes, I am careful to eat every 3-4 hrs and always eat protein with carbs and thankfully the hypoglycemia has been pretty good lately. How do you manage to do all that reading? It doesn't bother you? Adam My Mito specialist has me scheduled to see a Cardiologist. > Adam > > I would check to see if you have allergies or a sinus infection. Heat> definitely stresses the body and humidity makes it worse. My eye twitching> is more related to stress than inbalances, but you might be different and> then I get it as part of the neuropathy that comes and goes. Sweating> depletes sodium in the body. I would suggest good hydration and some sport> drink of some source such as gaterade. > > Lightheadedness can be due to low blood pressure, dysautonomia, cardiac> issues or low blood sugar. Try to get up slowly and see if it helps. > > For me, reading as much as I can find and going to the umdf conferences has> helped me understand more about what is happening in my body. That's just> me, but it might help you as well. > > laurie > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 5, 2004 Report Share Posted July 5, 2004 Hi, Adam A thought about heat. I have been watching my symptoms closely for the last 2 years, and I can now definitely say that I get a horrible crash when I get at all overheated, sun or shade. I never am able to stay outdoors, even in the shade, to the point of sweating. If I work (very mild) in the garden when it is over 72 or so, I just wilt, and my brain stops functioning totally. I cannot remember what I have done, or answer a simple question someone asks me. I have horrible fatigue, and am just generally miserable. If i cannot cool off immediately when I get to that state, I feel like I will pass out (has not happened yet) and after i get badly overheated, I MUST sleep, and sleep like I have been drugged, for hours. The sleep fatigue just overtakes me completely. (This is different from my usual routine. I typically fight not to nap in the daytime, because then my nighttime sleep is not good.) In thinking back, I can attribute several episodes of severe problems when I was traveling to heat, and I always got tired when I was in the sun, even as a child. I just thought it was " normal " . Dr. Cohen refers to heat as a stressor in one of his articles on Adult MIto. That article made me watchful to see what heat does to me, and I am now absolutely convinced that it is a major trigger for me. I even have taken my quilt off my bead, and sleep cooler in the winter. There have been other posts about heat intollerance here. I do believe it is something to consider for many of us. Another drag, but something that we can try to control, unlike so many other things that we seem not to be able to know or control. I do appreciate all the people who post here, with questions and their thoughts. Thank you everyone for sharing. Sunny > > I have been having trouble with going in the sun. I wasn't having > trouble in the spring and early summer, than one day I stayed out in > the sun a little longer than usual and sweated more than usual on a > very hot day, and the next day I started having a twitching eye and > headaches, etc. etc. > > I had an episode of eye twitching due to overuse of the computer > about 6 years ago which resolved from adding magneisum foods into my > diet. I haven't had that since then. I have been trying to address > it with food again, but I can no longer eat a lot of nuts and seeds > like I did the first time. I am adding green drinks, and a small > amount of peanut butter a few times a day. The eye twitching is just > about gone, but I am having trouble resolving the rest of it. > > The headaches have not been resolving well and I seem to be feeling > pain around my face, head, and teeth. I also find that my sleep at > night has been more interrupted. Waking often, not sleeping longer > than 3 hours at a time. > > Sometimes the pain goes away. It is not excruciating and I am not > taking aspirin for it. As soon as I am the least active it starts to > increase. TV, computer, get up to walk across the room, talking. > Just about anything starts it throbbing. > > I am trying to limit all those activities, and alternate them, but > how can you have NO activity all day for days? In the past, similar > episodes have not had this constant a headache as part of the > constellation of symptoms. I would term this a " crash " , > or " relapse " , but I don't have the bone crushing fatigue that usually > goes along with it. [Thankfully :-)] I am not getting the increase > in muscle pain that I would normally associate with it. > > In the past, I would just become immobile and rest rest rest until > all symptoms had resolved and then start all over again trying to get > back to the same " pre-crash " level of activity. Sort of happens that > it is often like starting over again, due to how long you have to > rest sometimes. > > I had made a fair amount of progress over the spring, specifically > because I pushed myself into more activity. So I am trying not to > lose all that progress by resting so much that I have to start over. > > I wish I understood, what caused the head problems. What was it > about the day I spent outdoors too long that triggered this? Is it a > mineral, like magnesium that is depleted in your sweat? Is it just > your whole system being overwhelmed by the demands of heat? Is it a > byproduct of physical activity that is not able to be cleared by the > body and is damaging the brain? > > Is the throbbing in the head an indication of blood rushing to your > head, or is it an absence of blood in your head? Or is it something > else entirely. Does anyone else find themselves trying to figure out > what is happening in their body during all the symptoms we experience? > > I did speak to my mito specialist about this. He wants me to see a > Cardiologist to check out how much of a role dysautonomia is > playing. He sounded like he suspected HIGH blood pressure or some > blood pressure abnormality. I usually have low, but not dizziness. I > still don't understand what a Cardiologist has to do with > Dysautonomia? I thought the abnormailty with the autonomic nervous > system was a problem with the nervous system or the brain. > > How much do the Mito specialists really know and how much is > speculation? How much do all of you understand what is happening in > your body? Where is the best place to go to find out more? > > Has anyone done a lot of personal research about mito? Has anyone > ever looked up any studies that have been done that have been the > basis for the diagnosis and/or understanding of the symptomatology? > > Okay, I know, I ask too many questions. I seem to think of a lot of > questions and my process is to just throw them all out there. Sort > of like brainstorming. [g] Please don't let all my questions throw > you. If you see one you can answer just ignore the rest. If my > questions provoke questions of your own, throw those out. > > Whiling away the nice sunny day that I can't go out and enjoy.... > > :-) > Adam > > > > Medical advice, information, opinions, data and statements contained > herein are not necessarily those of the list moderators. The author of > this e mail is entirely responsible for its content. List members are > reminded of their responsibility to evaluate the content of the > postings and consult with their physicians regarding changes in their > own treatment. > > Personal attacks are not permitted on the list and anyone who sends > one is automatically moderated or removed depending on the severity of > the attack. > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 5, 2004 Report Share Posted July 5, 2004 Hi Adam; I have a similar problem – if I am in the sun without plenty of water, I can experience heat exhaustion very quickly. Heat Exhaustion can give you a headache, extreme fatigue, no sweating (until you come in out of the sun and than you sweat profusely, dizziness, etc…) Perhaps, that is what you were experiencing the other day: heat exhaustion. I notice it comes on more readily if I’m already fatigued. I also have problems with hypoglycemia and low blood pressure – so eat 5 to 6 times a day, which seems to help. Also, I like to hike, I refuse to give up things I enjoy doing, and although I don’t hike allot, I still will get out there, and I have to be careful of the heat exhaustion. I also have problems in extreme cold – from what I have read, it seems to be a common problem that people with mito have internal bodily temperature control problems. Yes, you are correct, you are suppose to sweat – if you are not sweating (and others around you are)than you are probably experiencing heat exhaustion or you are pretty lean! Oh, when I’m feeling this way, I get into air conditioning, drink cold water slowly, and I eat some sugar ( like orange juice or a cookie) to get my glucose level up quickly – these are things that work for me, I would suggest you find what will work for you. This disease seems to express itself differently for every individual, you have to find what works for you – and hearing what others say of what works for them may give you a reference point to explore. Good luck. Clara CJW526@... Re: Head problems due to sun...what is causing it? Long post Hi , Thanks for the input. I had a few questions about your post. When you say probably electrolyte related, since the first time it was a problem was 5 weeks ago wouldn't it have worked itself out by now? Yesterday when I was out, I had a hat on, I was under an umbrella, it was early in the morning. I did get a little hot and sweaty, but I came right into the air conditioning and drank a lot of fluid yesterday as well as non fat yogurt shakes with bananas/mango/raspberries and tomato soup later. I guess I don't know what more I could have done for myself. Does this mean that sweating is dangerous for someone with mito? Should I be avoiding it completely? That doesn't sound healthy either to never sweat. If this is a common problem for mito patients, then I would think it would be hard to avoid electrolyte imbalances. I have not in the past seen any test results that suggested I have an electrolyte imbalance, but I suppose that doesn't always mean anything. But if it is common, then I would think the mito docs have developed some strategy to address them, I wonder how many of you have electrolyte imbalances and what are they usually triggered by? What do the docs do for you when it happens? How do you know that is the problem? I am going to try some Gatorade today and increase sodium foods. I am going to continue with green drinks and peanut butter to try to get more magnesium. I don't know if that will help at all, but can't think of anything else to try. Do any of you get help from your doctors when you go through something like this? What kind of help do you get? Yes, I am very familiar with the " 2% rule " . [g] What I am finding odd, is that I don't have crushing fatigue like I normally would have in a crash. Just these darn headaches. So I wouldn't suspect I had less ATP right now. I wonder if I should be tested while I am having these headaches to see if some imbalance can be caught. Does anyone else find they have that approach? I don't know what kind of tests. Blood work doesn't usually give many clues for me. I find your referral to the hormones interesting. I just had my Thyroid meds reduced about 3 months ago, so that is different, and I have a low vit D level. Which I was surprised to learn is a hormone.? I read that yesterday anyway. If I have low vit D wouldn't going in the sun increase it? I would have thought that would have helped. As for magnesium, I don't think I have had it checked in the urine. My blood levels are normal though last time they checked. So was calcium. I also just had my amino acids retested and they are now in the normal range. So they clearly feel the low levels of the last two tests were definitely from diet. I was having a lot of trouble eating. Usually I am content to just rest and I have confidence that sooner or later it will resolve. For some reason this time I don't have that sense. It seems like something is wrong that needs to be fixed and that as long as it is like this it may be doing other damage. I also get a sense that my body is having a hard time correcting what ever it is. I think one reason I feel this way is that usually if I can manage to get some decent sleep I feel better, but lately, when I fall asleep, I wake up feeling worse than before I fell asleep with my head killing me. Food isn't making them better either, which is another thing that usually helps. Thanks for the post and the explanations and ideas to think about. I appreciate it. :-) Adam > I would think that it was probably electrolyte related. Also, any time any > of us get something like heat stroke, take meds, or get sick, we usually > fall in the 2% category of " something else will also go horribly awry " > or " 2% of the population will also experience THESE symptoms " . Of course, if you> already have some body temperature control problems, being out in the sun is> going to affect it. There is one other thought as well, but most likely> pretty unlikely, there are certain hormones in the body that are affected by> sunlight, in which it helps determine how many are made. Since ATP (the> stuff mitochondria helps make that is the energy currency of the body) is> involved in any end of the line hormone product of the body pretty much, we> are apt to be making " wrong " amounts of just about any of these. It isnt the full story of> course, but does affect them. Others will probably have other suggestions. > > BTW do you tend to leak magnesium, or just store it in some weird area of> your body like your hair and nails instead of using it? By leaking I mean it> going straight through your kidneys. Or do you know? I do that with> potassium and folic acid. > > Medical advice, information, opinions, data and statements contained herein are not necessarily those of the list moderators. The author of this e mail is entirely responsible for its content. List members are reminded of their responsibility to evaluate the content of the postings and consult with their physicians regarding changes in their own treatment. Personal attacks are not permitted on the list and anyone who sends one is automatically moderated or removed depending on the severity of the attack. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 5, 2004 Report Share Posted July 5, 2004 Sunny and Adam Heat and cold are stressors because it takes so much energy to try to maintain the correct body temperature. laurie > From: z39z@... > Reply-To: > Date: Mon, 5 Jul 2004 11:11:39 -0400 > To: > Subject: Re: Head problems due to sun...what is causing it? Long > post > > Hi, Adam > > A thought about heat. > > I have been watching my symptoms closely for the last 2 years, and I > can now definitely say that I get a horrible crash when I get at all > overheated, sun or shade. I never am able to stay outdoors, even in > the shade, to the point of sweating. If I work (very mild) in the > garden when it is over 72 or so, I just wilt, and my brain stops > functioning totally. I cannot remember what I have done, or answer a > simple question someone asks me. I have horrible fatigue, and am just > generally miserable. If i cannot cool off immediately when I get to > that state, I feel like I will pass out (has not happened yet) and > after i get badly overheated, I MUST sleep, and sleep like I have been > drugged, for hours. The sleep fatigue just overtakes me completely. > (This is different from my usual routine. I typically fight not to nap > in the daytime, because then my nighttime sleep is not good.) > In thinking back, I can attribute several episodes of severe problems > when I was traveling to heat, and I always got tired when I was in the > sun, even as a child. I just thought it was " normal " . > > Dr. Cohen refers to heat as a stressor in one of his articles on Adult > MIto. That article made me watchful to see what heat does to me, and I > am now absolutely convinced that it is a major trigger for me. I even > have taken my quilt off my bead, and sleep cooler in the winter. > > There have been other posts about heat intollerance here. I do believe > it is something to consider for many of us. Another drag, but something > that we can try to control, unlike so many other things that we seem > not to be able to know or control. > > I do appreciate all the people who post here, with questions and their > thoughts. Thank you everyone for sharing. > > Sunny > > >> >> I have been having trouble with going in the sun. I wasn't having >> trouble in the spring and early summer, than one day I stayed out in >> the sun a little longer than usual and sweated more than usual on a >> very hot day, and the next day I started having a twitching eye and >> headaches, etc. etc. >> >> I had an episode of eye twitching due to overuse of the computer >> about 6 years ago which resolved from adding magneisum foods into my >> diet. I haven't had that since then. I have been trying to address >> it with food again, but I can no longer eat a lot of nuts and seeds >> like I did the first time. I am adding green drinks, and a small >> amount of peanut butter a few times a day. The eye twitching is just >> about gone, but I am having trouble resolving the rest of it. >> >> The headaches have not been resolving well and I seem to be feeling >> pain around my face, head, and teeth. I also find that my sleep at >> night has been more interrupted. Waking often, not sleeping longer >> than 3 hours at a time. >> >> Sometimes the pain goes away. It is not excruciating and I am not >> taking aspirin for it. As soon as I am the least active it starts to >> increase. TV, computer, get up to walk across the room, talking. >> Just about anything starts it throbbing. >> >> I am trying to limit all those activities, and alternate them, but >> how can you have NO activity all day for days? In the past, similar >> episodes have not had this constant a headache as part of the >> constellation of symptoms. I would term this a " crash " , >> or " relapse " , but I don't have the bone crushing fatigue that usually >> goes along with it. [Thankfully :-)] I am not getting the increase >> in muscle pain that I would normally associate with it. >> >> In the past, I would just become immobile and rest rest rest until >> all symptoms had resolved and then start all over again trying to get >> back to the same " pre-crash " level of activity. Sort of happens that >> it is often like starting over again, due to how long you have to >> rest sometimes. >> >> I had made a fair amount of progress over the spring, specifically >> because I pushed myself into more activity. So I am trying not to >> lose all that progress by resting so much that I have to start over. >> >> I wish I understood, what caused the head problems. What was it >> about the day I spent outdoors too long that triggered this? Is it a >> mineral, like magnesium that is depleted in your sweat? Is it just >> your whole system being overwhelmed by the demands of heat? Is it a >> byproduct of physical activity that is not able to be cleared by the >> body and is damaging the brain? >> >> Is the throbbing in the head an indication of blood rushing to your >> head, or is it an absence of blood in your head? Or is it something >> else entirely. Does anyone else find themselves trying to figure out >> what is happening in their body during all the symptoms we experience? >> >> I did speak to my mito specialist about this. He wants me to see a >> Cardiologist to check out how much of a role dysautonomia is >> playing. He sounded like he suspected HIGH blood pressure or some >> blood pressure abnormality. I usually have low, but not dizziness. I >> still don't understand what a Cardiologist has to do with >> Dysautonomia? I thought the abnormailty with the autonomic nervous >> system was a problem with the nervous system or the brain. >> >> How much do the Mito specialists really know and how much is >> speculation? How much do all of you understand what is happening in >> your body? Where is the best place to go to find out more? >> >> Has anyone done a lot of personal research about mito? Has anyone >> ever looked up any studies that have been done that have been the >> basis for the diagnosis and/or understanding of the symptomatology? >> >> Okay, I know, I ask too many questions. I seem to think of a lot of >> questions and my process is to just throw them all out there. Sort >> of like brainstorming. [g] Please don't let all my questions throw >> you. If you see one you can answer just ignore the rest. If my >> questions provoke questions of your own, throw those out. >> >> Whiling away the nice sunny day that I can't go out and enjoy.... >> >> :-) >> Adam >> >> >> >> Medical advice, information, opinions, data and statements contained >> herein are not necessarily those of the list moderators. The author of >> this e mail is entirely responsible for its content. List members are >> reminded of their responsibility to evaluate the content of the >> postings and consult with their physicians regarding changes in their >> own treatment. >> >> Personal attacks are not permitted on the list and anyone who sends >> one is automatically moderated or removed depending on the severity of >> the attack. >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 5, 2004 Report Share Posted July 5, 2004 Adam Reading doesn't bother me for the most part. I prefer printing things on the computer and then read them. I have also been doing this reading over a 10 year period. laurie > > Reply-To: > Date: Mon, 05 Jul 2004 14:13:15 -0000 > To: > Subject: Re: Head problems due to sun...what is causing it? Long > post > > Hi Laurie, > > Thanks for your post. :-) > I will try the Gatorade today and I am planning on increasing the > sodium foods. I had some celery/Kale/carrot juice already this > morning. I woke up with a worse headache after sleeping this morning, > which is unusual for me. > > I didn't say I had lightheadedness, I said I didn't. I actually did > feel a slight bit of lightheadedness once when I was outside though > it was fleeting and haven't had it since. Yes, I am careful to eat > every 3-4 hrs and always eat protein with carbs and thankfully the > hypoglycemia has been pretty good lately. > > How do you manage to do all that reading? It doesn't bother you? > > Adam > > My Mito specialist has me scheduled to see a Cardiologist. > > > >> Adam >> >> I would check to see if you have allergies or a sinus infection. > Heat> definitely stresses the body and humidity makes it worse. My > eye twitching> is more related to stress than inbalances, but you > might be different and> then I get it as part of the neuropathy that > comes and goes. Sweating> depletes sodium in the body. I would > suggest good hydration and some sport> drink of some source such as > gaterade. >> >> Lightheadedness can be due to low blood pressure, dysautonomia, > cardiac> issues or low blood sugar. Try to get up slowly and see if > it helps. >> >> For me, reading as much as I can find and going to the umdf > conferences has> helped me understand more about what is happening in > my body. That's just> me, but it might help you as well. >> >> laurie >> > > > > > Medical advice, information, opinions, data and statements contained herein > are not necessarily those of the list moderators. The author of this e mail is > entirely responsible for its content. List members are reminded of their > responsibility to evaluate the content of the postings and consult with their > physicians regarding changes in their own treatment. > > Personal attacks are not permitted on the list and anyone who sends one is > automatically moderated or removed depending on the severity of the attack. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 5, 2004 Report Share Posted July 5, 2004 Adam Sweating is very important when you are in the heat as that is what cools you through evaporation of the moisture. I have the problem or not sweating much of the time, so I keep a spray bottle of water handy and just squirt myself when my skin becomes dry. Electolyte balance can change very quickly and then return to normal. An imbalance is usually more severe. You might want to look at the list of foods that are often a problem on the web-site. They can act as a trigger one time and not another. It is kind of like adding water to a glass by the tablespoon - at some point it becomes too much. I know you are already food option challenged, but it might help when you feel as you do. If you have a migraine, then the longer you have it, the harder it is to break. You might want to see a doctor before this goes on much more. laurie > > Reply-To: > Date: Mon, 05 Jul 2004 14:05:54 -0000 > To: > Subject: Re: Head problems due to sun...what is causing it? Long > post > > Hi , > > Thanks for the input. I had a few questions about your post. When > you say probably electrolyte related, since the first time it was a > problem was 5 weeks ago wouldn't it have worked itself out by now? > Yesterday when I was out, I had a hat on, I was under an umbrella, it > was early in the morning. I did get a little hot and sweaty, but I > came right into the air conditioning and drank a lot of fluid > yesterday as well as non fat yogurt shakes with > bananas/mango/raspberries and tomato soup later. I guess I don't > know what more I could have done for myself. > > Does this mean that sweating is dangerous for someone with mito? > Should I be avoiding it completely? That doesn't sound healthy > either to never sweat. > > If this is a common problem for mito patients, then I would think it > would be hard to avoid electrolyte imbalances. I have not in the > past seen any test results that suggested I have an electrolyte > imbalance, but I suppose that doesn't always mean anything. But if > it is common, then I would think the mito docs have developed some > strategy to address them, I wonder how many of you have electrolyte > imbalances and what are they usually triggered by? What do the docs > do for you when it happens? How do you know that is the problem? > > I am going to try some Gatorade today and increase sodium foods. I > am going to continue with green drinks and peanut butter to try to > get more magnesium. I don't know if that will help at all, but can't > think of anything else to try. > > Do any of you get help from your doctors when you go through > something like this? What kind of help do you get? > > Yes, I am very familiar with the " 2% rule " . [g] > > What I am finding odd, is that I don't have crushing fatigue like I > normally would have in a crash. Just these darn headaches. So I > wouldn't suspect I had less ATP right now. I wonder if I should be > tested while I am having these headaches to see if some imbalance can > be caught. Does anyone else find they have that approach? I don't > know what kind of tests. Blood work doesn't usually give many clues > for me. > > I find your referral to the hormones interesting. I just had my > Thyroid meds reduced about 3 months ago, so that is different, and I > have a low vit D level. Which I was surprised to learn is a > hormone.? I read that yesterday anyway. If I have low vit D > wouldn't going in the sun increase it? I would have thought that > would have helped. > > As for magnesium, I don't think I have had it checked in the urine. > My blood levels are normal though last time they checked. So was > calcium. I also just had my amino acids retested and they are now in > the normal range. So they clearly feel the low levels of the last > two tests were definitely from diet. I was having a lot of trouble > eating. > > Usually I am content to just rest and I have confidence that sooner > or later it will resolve. For some reason this time I don't have > that sense. It seems like something is wrong that needs to be fixed > and that as long as it is like this it may be doing other damage. I > also get a sense that my body is having a hard time correcting what > ever it is. I think one reason I feel this way is that usually if I > can manage to get some decent sleep I feel better, but lately, when I > fall asleep, I wake up feeling worse than before I fell asleep with > my head killing me. Food isn't making them better either, which is > another thing that usually helps. > > Thanks for the post and the explanations and ideas to think about. I > appreciate it. > > :-) > Adam > > > > > >> I would think that it was probably electrolyte related. Also, any > time any > of us get something like heat stroke, take meds, or get > sick, we usually > fall in the 2% category of " something else will > also go horribly awry " > or " 2% of the population will also > experience THESE symptoms " . > > Of course, if you> already have some body temperature control > problems, being out in the sun is> going to affect it. There is > one other thought as well, but most likely> pretty unlikely, there > are certain hormones in the body that are affected by> sunlight, in > which it helps determine how many are made. > > Since ATP (the> stuff mitochondria helps make that is the energy > currency of the body) is> involved in any end of the line hormone > product of the body pretty much, we> are apt to be making " wrong " > amounts of just about any of these. It isnt the full story of> > course, but does affect them. Others will probably have other > suggestions. >> >> BTW do you tend to leak magnesium, or just store it in some weird > area of> your body like your hair and nails instead of using it? By > leaking I mean it> going straight through your kidneys. Or do you > know? I do that with> potassium and folic acid. >> >> > > > > Medical advice, information, opinions, data and statements contained herein > are not necessarily those of the list moderators. The author of this e mail is > entirely responsible for its content. List members are reminded of their > responsibility to evaluate the content of the postings and consult with their > physicians regarding changes in their own treatment. > > Personal attacks are not permitted on the list and anyone who sends one is > automatically moderated or removed depending on the severity of the attack. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 5, 2004 Report Share Posted July 5, 2004 This is from one of Dr. Cohen's articles: It is for acute managment, but a lot of the information may explain some of what you may be experiencing. Dehydration: The degree of dehydration is very important. This is because dehydration may adversely affect the brain, muscle, heart, and kidney. Even mild degrees of dehydration, caused by vomiting, diarrhea, or fever may greatly limit the kidney's ability to get rid of a toxic metabolite, set the conditions for rising metabolite levels and induce further injury. This is the likely mechanism for the evolution of basal ganglia injury in cases of methyl-malonic aciduria and type I glutaric aciduria. We usually begin dextrose containing a balanced salt solution, usually D5 or D10 with 1/4 or 1/2 nor-mal saline (a salt mixture containing 5% or 10% dextrose) and added carnitine. Given a particular situation, the amount of salt or sugar could be higher or lower in the IV solution. The percentage of dextrose containing fluid depends on the abnormality of the patient. The rate at which fluid is given is individualized depending on the degree of dehydration, and is the same regardless of whether or not someone has a mitochondrial disease. The normal criteria used to decide whether to administer IV fluids should be abandoned in those with acute illness and dehydration, as oral rehydration therapy does not offer the same degree of control and there is not as much room for error in someone with a mitochondrial disease. Glucose: Why use added dextrose (glucose) in a mitochondrial cytopathy patient that is dehydrated and/or has lactic acidosis? Let's use the automobile engine analogy again. In a mitochondrial cytopathy patient, the need for fuel is more pronounced, than in a normal patient. Since the engine does not function optimally, we need to either increase the octane of the fuel so the engine gets more output from the fuel or give the engine more fuel to burn. By giving the patient more glucose in intravenous fluids we are accomplishing both, more glucose or fuel to burn and a higher octane by enhancing the purity of the fuel to burn, and there-fore produce more immediate energy (instead of the fatty acids from the breakdown of fats). By treating dehydration, we are also producing an environment for the engine, which is better for energy efficiency. In more scientific terms, what we are trying to do is decrease the lactic acidosis while expanding the volume of fluid in the body. Lactate, but also other toxins, can be poisons to the brain and as previously mentioned dehydration can concentrate toxic metabolites and decrease the kidney's ability to get rid of these metabolites. Lactate is the by-product of inefficient glucose metabolism due to mitochondrial dysfunction. When lactate builds up, it causes the blood to become acidotic. The liver, in a non-mitochondrial patient, can utilize much of the lactate produced to remake glucose for storage and also burn it for fuel. However, when the pH falls below a certain point, below 7.1, the liver ceases using lactate and instead produces lactate. By giving fluid, we are expanding the volume of the blood and allowing the kidneys to help remove some of the toxins. In addition, the added fluid is helping the kidneys reverse the acidosis. Under conditions of severe illness, it is easier for the body to burn glucose, rather than fat, for energy. The hopeful result of IV flu-ids with added glucose and carnitine is the resolution of lactic acidosis, correction of electrolyte balance, and the resolution of symptoms. It is critical to note that excess of glucose can be highly toxic to a person with pyruvate dehydrogenase (PDH) deficiency. In some situations of severe mitochondrial failure, excess glucose can result in worsening lactic acidosis as well. In certain emergent cases, we have had to add an insulin drip (0.03 units/kg/hr - 0.1 units/kg/hr) to help improve mitochondrial function by making glucose more available to the mitochondria and lowering free fatty acid levels, which can improve the function of sick mitochondria. These are very select cases, and consultation with a mitochondria expert is needed to assess and implement insulin in these special cases. Clara wrote: >Hi Adam; > > I have a similar problem - if I am in the sun without plenty of >water, I can experience heat exhaustion very quickly. Heat Exhaustion can >give you a headache, extreme fatigue, no sweating (until you come in out >of the sun and than you sweat profusely, dizziness, etc...) Perhaps, that >is what you were experiencing the other day: heat exhaustion. I notice >it comes on more readily if I'm already fatigued. I also have problems >with hypoglycemia and low blood pressure - so eat 5 to 6 times a day, >which seems to help. Also, I like to hike, I refuse to give up things I >enjoy doing, and although I don't hike allot, I still will get out there, >and I have to be careful of the heat exhaustion. I also have problems in >extreme cold - from what I have read, it seems to be a common problem that >people with mito have internal bodily temperature control problems. Yes, >you are correct, you are suppose to sweat - if you are not sweating (and >others around you are)than you are probably experiencing heat exhaustion >or you are pretty lean! Oh, when I'm feeling this way, I get into air >conditioning, drink cold water slowly, and I eat some sugar ( like orange >juice or a cookie) to get my glucose level up quickly - these are things >that work for me, I would suggest you find what will work for you. This >disease seems to express itself differently for every individual, you have >to find what works for you - and hearing what others say of what works for >them may give you a reference point to explore. Good luck. > > > >Clara > >CJW526@... > > Re: Head problems due to sun...what is causing it? Long >post > > > >Hi , > >Thanks for the input. I had a few questions about your post. When >you say probably electrolyte related, since the first time it was a >problem was 5 weeks ago wouldn't it have worked itself out by now? >Yesterday when I was out, I had a hat on, I was under an umbrella, it >was early in the morning. I did get a little hot and sweaty, but I >came right into the air conditioning and drank a lot of fluid >yesterday as well as non fat yogurt shakes with >bananas/mango/raspberries and tomato soup later. I guess I don't >know what more I could have done for myself. > >Does this mean that sweating is dangerous for someone with mito? >Should I be avoiding it completely? That doesn't sound healthy >either to never sweat. > >If this is a common problem for mito patients, then I would think it >would be hard to avoid electrolyte imbalances. I have not in the >past seen any test results that suggested I have an electrolyte >imbalance, but I suppose that doesn't always mean anything. But if >it is common, then I would think the mito docs have developed some >strategy to address them, I wonder how many of you have electrolyte >imbalances and what are they usually triggered by? What do the docs >do for you when it happens? How do you know that is the problem? > >I am going to try some Gatorade today and increase sodium foods. I >am going to continue with green drinks and peanut butter to try to >get more magnesium. I don't know if that will help at all, but can't >think of anything else to try. > >Do any of you get help from your doctors when you go through >something like this? What kind of help do you get? > >Yes, I am very familiar with the " 2% rule " . [g] > >What I am finding odd, is that I don't have crushing fatigue like I >normally would have in a crash. Just these darn headaches. So I >wouldn't suspect I had less ATP right now. I wonder if I should be >tested while I am having these headaches to see if some imbalance can >be caught. Does anyone else find they have that approach? I don't >know what kind of tests. Blood work doesn't usually give many clues >for me. > >I find your referral to the hormones interesting. I just had my >Thyroid meds reduced about 3 months ago, so that is different, and I >have a low vit D level. Which I was surprised to learn is a >hormone.? I read that yesterday anyway. If I have low vit D >wouldn't going in the sun increase it? I would have thought that >would have helped. > >As for magnesium, I don't think I have had it checked in the urine. >My blood levels are normal though last time they checked. So was >calcium. I also just had my amino acids retested and they are now in >the normal range. So they clearly feel the low levels of the last >two tests were definitely from diet. I was having a lot of trouble >eating. > >Usually I am content to just rest and I have confidence that sooner >or later it will resolve. For some reason this time I don't have >that sense. It seems like something is wrong that needs to be fixed >and that as long as it is like this it may be doing other damage. I >also get a sense that my body is having a hard time correcting what >ever it is. I think one reason I feel this way is that usually if I >can manage to get some decent sleep I feel better, but lately, when I >fall asleep, I wake up feeling worse than before I fell asleep with >my head killing me. Food isn't making them better either, which is >another thing that usually helps. > >Thanks for the post and the explanations and ideas to think about. I >appreciate it. > >:-) >Adam > > > > > > > >>I would think that it was probably electrolyte related. Also, any >> >> >time any > of us get something like heat stroke, take meds, or get >sick, we usually > fall in the 2% category of " something else will >also go horribly awry " > or " 2% of the population will also >experience THESE symptoms " . > > Of course, if you> already have some body temperature control >problems, being out in the sun is> going to affect it. There is >one other thought as well, but most likely> pretty unlikely, there >are certain hormones in the body that are affected by> sunlight, in >which it helps determine how many are made. > >Since ATP (the> stuff mitochondria helps make that is the energy >currency of the body) is> involved in any end of the line hormone >product of the body pretty much, we> are apt to be making " wrong " >amounts of just about any of these. It isnt the full story of> >course, but does affect them. Others will probably have other >suggestions. > > >>BTW do you tend to leak magnesium, or just store it in some weird >> >> >area of> your body like your hair and nails instead of using it? By >leaking I mean it> going straight through your kidneys. Or do you >know? I do that with> potassium and folic acid. > > >> >> >> > > > >Medical advice, information, opinions, data and statements contained >herein are not necessarily those of the list moderators. The author of >this e mail is entirely responsible for its content. List members are >reminded of their responsibility to evaluate the content of the postings >and consult with their physicians regarding changes in their own >treatment. > >Personal attacks are not permitted on the list and anyone who sends one is >automatically moderated or removed depending on the severity of the >attack. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 5, 2004 Report Share Posted July 5, 2004 Adam In addition to this, , her daughter and I constantly have a bottle of water (sometimes Gatarade) in our hand or next to us. We have found that we dehydrate easily and try to prevent, rather than treat. Thanks for making me think of this sis. laurie > > Reply-To: > Date: Mon, 05 Jul 2004 10:48:03 -0700 > To: > Subject: Re: Re: Head problems due to sun...what is causing it? Long > post > > > This is from one of Dr. Cohen's articles: It is for acute managment, > but a lot of the information may explain some of what you may be > experiencing. > > > > Dehydration: The degree of dehydration is very important. This is > because dehydration may adversely affect the brain, muscle, heart, and > kidney. Even mild degrees of dehydration, caused by vomiting, diarrhea, > or fever may greatly limit the kidney's ability to get rid of a toxic > metabolite, set the conditions for rising metabolite levels and induce > further injury. This is the likely mechanism for the evolution of basal > ganglia injury in cases of methyl-malonic aciduria and type I glutaric > aciduria. > > > > We usually begin dextrose containing a balanced salt solution, usually > D5 or D10 with 1/4 or 1/2 nor-mal saline (a salt mixture containing 5% > or 10% dextrose) and added carnitine. Given a particular situation, the > amount of salt or sugar could be higher or lower in the IV solution. The > percentage of dextrose containing fluid depends on the abnormality of > the patient. The rate at which fluid is given is individualized > depending on the degree of dehydration, and is the same regardless of > whether or not someone has a mitochondrial disease. The normal criteria > used to decide whether to administer IV fluids should be abandoned in > those with acute illness and dehydration, as oral rehydration therapy > does not offer the same degree of control and there is not as much room > for error in someone with a mitochondrial disease. > > > > Glucose: Why use added dextrose (glucose) in a mitochondrial cytopathy > patient that is dehydrated and/or has lactic acidosis? Let's use the > automobile engine analogy again. In a mitochondrial cytopathy patient, > the need for fuel is more pronounced, than in a normal patient. Since > the engine does not function optimally, we need to either increase the > octane of the fuel so the engine gets more output from the fuel or give > the engine more fuel to burn. By giving the patient more glucose in > intravenous fluids we are accomplishing both, more glucose or fuel to > burn and a higher octane by enhancing the purity of the fuel to burn, > and there-fore produce more immediate energy (instead of the fatty acids > from the breakdown of fats). By treating dehydration, we are also > producing an environment for the engine, which is better for energy > efficiency. > > > > In more scientific terms, what we are trying to do is decrease the > lactic acidosis while expanding the volume of fluid in the body. > Lactate, but also other toxins, can be poisons to the brain and as > previously mentioned dehydration can concentrate toxic metabolites and > decrease the kidney's ability to get rid of these metabolites. Lactate > is the by-product of inefficient glucose metabolism due to mitochondrial > dysfunction. When lactate builds up, it causes the blood to become > acidotic. The liver, in a non-mitochondrial patient, can utilize much of > the lactate produced to remake glucose for storage and also burn it for > fuel. However, when the pH falls below a certain point, below 7.1, the > liver ceases using lactate and instead produces lactate. By giving > fluid, we are expanding the volume of the blood and allowing the kidneys > to help remove some of the toxins. In addition, the added fluid is > helping the kidneys reverse the acidosis. Under conditions of severe > illness, it is easier for the body to burn glucose, rather than fat, for > energy. The hopeful result of IV flu-ids with added glucose and > carnitine is the resolution of lactic acidosis, correction of > electrolyte balance, and the resolution of symptoms. It is critical to > note that excess of glucose can be highly toxic to a person with > pyruvate dehydrogenase (PDH) deficiency. In some situations of severe > mitochondrial failure, excess glucose can result in worsening lactic > acidosis as well. > > > > In certain emergent cases, we have had to add an insulin drip (0.03 > units/kg/hr - 0.1 units/kg/hr) to help improve mitochondrial function by > making glucose more available to the mitochondria and lowering free > > fatty acid levels, which can improve the function of sick mitochondria. > These are very select cases, and consultation with a mitochondria > expert is needed to assess and implement insulin in these special cases. > > > > Clara wrote: > >> Hi Adam; >> >> I have a similar problem - if I am in the sun without plenty of >> water, I can experience heat exhaustion very quickly. Heat Exhaustion can >> give you a headache, extreme fatigue, no sweating (until you come in out >> of the sun and than you sweat profusely, dizziness, etc...) Perhaps, that >> is what you were experiencing the other day: heat exhaustion. I notice >> it comes on more readily if I'm already fatigued. I also have problems >> with hypoglycemia and low blood pressure - so eat 5 to 6 times a day, >> which seems to help. Also, I like to hike, I refuse to give up things I >> enjoy doing, and although I don't hike allot, I still will get out there, >> and I have to be careful of the heat exhaustion. I also have problems in >> extreme cold - from what I have read, it seems to be a common problem that >> people with mito have internal bodily temperature control problems. Yes, >> you are correct, you are suppose to sweat - if you are not sweating (and >> others around you are)than you are probably experiencing heat exhaustion >> or you are pretty lean! Oh, when I'm feeling this way, I get into air >> conditioning, drink cold water slowly, and I eat some sugar ( like orange >> juice or a cookie) to get my glucose level up quickly - these are things >> that work for me, I would suggest you find what will work for you. This >> disease seems to express itself differently for every individual, you have >> to find what works for you - and hearing what others say of what works for >> them may give you a reference point to explore. Good luck. >> >> >> >> Clara >> >> CJW526@... >> >> Re: Head problems due to sun...what is causing it? Long >> post >> >> >> >> Hi , >> >> Thanks for the input. I had a few questions about your post. When >> you say probably electrolyte related, since the first time it was a >> problem was 5 weeks ago wouldn't it have worked itself out by now? >> Yesterday when I was out, I had a hat on, I was under an umbrella, it >> was early in the morning. I did get a little hot and sweaty, but I >> came right into the air conditioning and drank a lot of fluid >> yesterday as well as non fat yogurt shakes with >> bananas/mango/raspberries and tomato soup later. I guess I don't >> know what more I could have done for myself. >> >> Does this mean that sweating is dangerous for someone with mito? >> Should I be avoiding it completely? That doesn't sound healthy >> either to never sweat. >> >> If this is a common problem for mito patients, then I would think it >> would be hard to avoid electrolyte imbalances. I have not in the >> past seen any test results that suggested I have an electrolyte >> imbalance, but I suppose that doesn't always mean anything. But if >> it is common, then I would think the mito docs have developed some >> strategy to address them, I wonder how many of you have electrolyte >> imbalances and what are they usually triggered by? What do the docs >> do for you when it happens? How do you know that is the problem? >> >> I am going to try some Gatorade today and increase sodium foods. I >> am going to continue with green drinks and peanut butter to try to >> get more magnesium. I don't know if that will help at all, but can't >> think of anything else to try. >> >> Do any of you get help from your doctors when you go through >> something like this? What kind of help do you get? >> >> Yes, I am very familiar with the " 2% rule " . [g] >> >> What I am finding odd, is that I don't have crushing fatigue like I >> normally would have in a crash. Just these darn headaches. So I >> wouldn't suspect I had less ATP right now. I wonder if I should be >> tested while I am having these headaches to see if some imbalance can >> be caught. Does anyone else find they have that approach? I don't >> know what kind of tests. Blood work doesn't usually give many clues >> for me. >> >> I find your referral to the hormones interesting. I just had my >> Thyroid meds reduced about 3 months ago, so that is different, and I >> have a low vit D level. Which I was surprised to learn is a >> hormone.? I read that yesterday anyway. If I have low vit D >> wouldn't going in the sun increase it? I would have thought that >> would have helped. >> >> As for magnesium, I don't think I have had it checked in the urine. >> My blood levels are normal though last time they checked. So was >> calcium. I also just had my amino acids retested and they are now in >> the normal range. So they clearly feel the low levels of the last >> two tests were definitely from diet. I was having a lot of trouble >> eating. >> >> Usually I am content to just rest and I have confidence that sooner >> or later it will resolve. For some reason this time I don't have >> that sense. It seems like something is wrong that needs to be fixed >> and that as long as it is like this it may be doing other damage. I >> also get a sense that my body is having a hard time correcting what >> ever it is. I think one reason I feel this way is that usually if I >> can manage to get some decent sleep I feel better, but lately, when I >> fall asleep, I wake up feeling worse than before I fell asleep with >> my head killing me. Food isn't making them better either, which is >> another thing that usually helps. >> >> Thanks for the post and the explanations and ideas to think about. I >> appreciate it. >> >> :-) >> Adam >> >> >> >> >> >> >> >>> I would think that it was probably electrolyte related. Also, any >>> >>> >> time any > of us get something like heat stroke, take meds, or get >> sick, we usually > fall in the 2% category of " something else will >> also go horribly awry " > or " 2% of the population will also >> experience THESE symptoms " . >> >> Of course, if you> already have some body temperature control >> problems, being out in the sun is> going to affect it. There is >> one other thought as well, but most likely> pretty unlikely, there >> are certain hormones in the body that are affected by> sunlight, in >> which it helps determine how many are made. >> >> Since ATP (the> stuff mitochondria helps make that is the energy >> currency of the body) is> involved in any end of the line hormone >> product of the body pretty much, we> are apt to be making " wrong " >> amounts of just about any of these. It isnt the full story of> >> course, but does affect them. Others will probably have other >> suggestions. >> >> >>> BTW do you tend to leak magnesium, or just store it in some weird >>> >>> >> area of> your body like your hair and nails instead of using it? By >> leaking I mean it> going straight through your kidneys. Or do you >> know? I do that with> potassium and folic acid. >> >> >>> >>> >>> >> >> >> >> Medical advice, information, opinions, data and statements contained >> herein are not necessarily those of the list moderators. The author of >> this e mail is entirely responsible for its content. List members are >> reminded of their responsibility to evaluate the content of the postings >> and consult with their physicians regarding changes in their own >> treatment. >> >> Personal attacks are not permitted on the list and anyone who sends one is >> automatically moderated or removed depending on the severity of the >> attack. >> >> >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 5, 2004 Report Share Posted July 5, 2004 I don't know if this could be related, but I get pretty bad sunburn on my scalp. It gives me serious headaches. I think not only is my hair naturally thin, but once I started showing neuromuscular symptoms, my hair got even thinner. You might want to try putting some suntan lotion on your head, *even if you are wearing a hat*, to avoid sunburn. It's not really even noticeable in the mirror, and my forehead never gets sunburn, so go figure. Sometimes we have so many symptoms, it's hard to figure out if something is directly related to mitochondrial disease, indirectly related (like thinning hair = more scalp sunburn), or really unrelated. I haven't found a doctor yet who can say " yes this is related " or " no it's not " for each symptom, usually they just look for other causes first (like do a respiratory function test for shortness of breath), then assume it's mito related if it turns out fine. Take care, RH > Hi, > > I have been having trouble with going in the sun. I wasn't having > trouble in the spring and early summer, than one day I stayed out in > the sun a little longer than usual and sweated more than usual on a > very hot day, and the next day I started having a twitching eye and > headaches, etc. etc. > > I had an episode of eye twitching due to overuse of the computer > about 6 years ago which resolved from adding magneisum foods into my > diet. I haven't had that since then. I have been trying to address > it with food again, but I can no longer eat a lot of nuts and seeds > like I did the first time. I am adding green drinks, and a small > amount of peanut butter a few times a day. The eye twitching is just > about gone, but I am having trouble resolving the rest of it. > > The headaches have not been resolving well and I seem to be feeling > pain around my face, head, and teeth. I also find that my sleep at > night has been more interrupted. Waking often, not sleeping longer > than 3 hours at a time. > > Sometimes the pain goes away. It is not excruciating and I am not > taking aspirin for it. As soon as I am the least active it starts to > increase. TV, computer, get up to walk across the room, talking. > Just about anything starts it throbbing. > > I am trying to limit all those activities, and alternate them, but > how can you have NO activity all day for days? In the past, similar > episodes have not had this constant a headache as part of the > constellation of symptoms. I would term this a " crash " , > or " relapse " , but I don't have the bone crushing fatigue that usually > goes along with it. [Thankfully :-)] I am not getting the increase > in muscle pain that I would normally associate with it. > > In the past, I would just become immobile and rest rest rest until > all symptoms had resolved and then start all over again trying to get > back to the same " pre-crash " level of activity. Sort of happens that > it is often like starting over again, due to how long you have to > rest sometimes. > > I had made a fair amount of progress over the spring, specifically > because I pushed myself into more activity. So I am trying not to > lose all that progress by resting so much that I have to start over. > > I wish I understood, what caused the head problems. What was it > about the day I spent outdoors too long that triggered this? Is it a > mineral, like magnesium that is depleted in your sweat? Is it just > your whole system being overwhelmed by the demands of heat? Is it a > byproduct of physical activity that is not able to be cleared by the > body and is damaging the brain? > > Is the throbbing in the head an indication of blood rushing to your > head, or is it an absence of blood in your head? Or is it something > else entirely. Does anyone else find themselves trying to figure out > what is happening in their body during all the symptoms we experience? > > I did speak to my mito specialist about this. He wants me to see a > Cardiologist to check out how much of a role dysautonomia is > playing. He sounded like he suspected HIGH blood pressure or some > blood pressure abnormality. I usually have low, but not dizziness. I > still don't understand what a Cardiologist has to do with > Dysautonomia? I thought the abnormailty with the autonomic nervous > system was a problem with the nervous system or the brain. > > How much do the Mito specialists really know and how much is > speculation? How much do all of you understand what is happening in > your body? Where is the best place to go to find out more? > > Has anyone done a lot of personal research about mito? Has anyone > ever looked up any studies that have been done that have been the > basis for the diagnosis and/or understanding of the symptomatology? > > Okay, I know, I ask too many questions. I seem to think of a lot of > questions and my process is to just throw them all out there. Sort > of like brainstorming. [g] Please don't let all my questions throw > you. If you see one you can answer just ignore the rest. If my > questions provoke questions of your own, throw those out. > > Whiling away the nice sunny day that I can't go out and enjoy.... > > :-) > Adam Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 5, 2004 Report Share Posted July 5, 2004 Sounds like you were doing what you could about electrolyte imbalances. Yes, to be low and/or high in certain minerals is not uncommon with mito. Including electrolytes. As a matter of fact, one of my personal symptoms is that I dont always sweat! (not uncommon with mito, as it falls under the autonomic dysfunction thing) Do you think maybe the reason you overheated is that you didnt sweat enough? I wasnt there of course, so I couldnt tell you if you did or not (I have an odd sense of humor, dont mind me! ) If your gut instinct is that SOMETHING is out of balance,and that rest alone wont solve it, then you are probably right.... Could your medications being switched be causing weird symptoms, when combined with heat, or perhaps maybe if some new ones were added, what are the weird side effects of some of them? For instance, cipro makes people sunburn easily. Some antidepressants make people particularly sun sensitive. I dont know if any other meds could be causing it. Also, an acting out thyroid can cause not enough sweating/too much sweating. The problem with mito is that there are often several answers to the same symptom question, and you cant always tell which is the correct one for you! Quote Link to comment Share on other sites More sharing options...
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