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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

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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.

>

>

>

>

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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.

>

>

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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

>

>

>

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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

>

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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.

>

>

>

>

>

>

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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.

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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.

>>

>>

>>

>>

>>

>>

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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.

>

>

>

>

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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.

>

>

>

>

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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.

>

>

>

>

>

>

>

>

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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.

>>

>>

>>

>>

>>

>>

>>

>>

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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

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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!

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