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Suggest Treatment For Fever, Dizziness And Nausea In A Hypertensive Person
Question: Hi
My husband is a 55yo white male, 5'5" weight 130, healthy but a couch potato. Always had good BP 110/75, pulse 70. Lungs clear bilaterally, non smoker. Anyway, we had the snow storm, I bought him a snow blower he and I bundle up to go out and try it out in most 2 foot of snow, he had coffee before going out , he went down and up our XXXXXXX probably 2 times XXXXXXX maybe 40 feet or longer. We came back in he started complaining of his hands hurting and feeling exhausted we had been up all night and it was 11am work midnights even when home up at nights.
So he keeled down to heat hands on floor heater then stood up and sat down on chair ask me to take boots off his hands were hurting so I'm am and the next thing I know he turns limp and white , lips white and falls off chair, on floor eyes open, I can see him breathing but he was I think, I had to remove the layers of clothe coat, I. Called him no answer so I pushed his chest maybe 2 to 3 times and he responded. He must of fainted. He has a goose egg knot on for head from fall. Perhaps his BP bottom out. He did not remember fainting, he had no paralysis, speech clear and all checked out fine. I took him to the bed undressed him and laid him down, he kept saying he was dizzy and the. Broke out in a cold sweat, he hyperventilate so I had him breath in bag it helped,, I check pupils PERRLA no changes, his blood pressure 99/60 pulse 65, no pain anywhere oxygen sats 98 %, I gave him a aspirin and antivert, which helped, but he did vomit from dizziness, dizziness lasted 15 to 20minutes. I made him stay in bed for 24hours and monitored him carefully. No more dizziness appetite good, blood pressure now 110/70 standing and 129/72 sitting pulse 77. During the hyperventilating pulse climbed to 145 but he was scared and anxious, this was one time. His pulse is regular I feel no abnormal beats. This has never happen before I'm worried he will not see a doctor . I thought perhaps some dehydration issues, the blood changes viscosity in cold weather, the low bp, and the vibration of the blower and the wind blowing in his face all factors he was tired. On thing two he has a cold been blowing nose a lot over 2 weeks, he does have a low grade fever 99.9 after this incident possibly before I do not know. I know something went horribly wrong and it scared me so bad. He says he feels fine now except for this cold and stuffy head. All vitals appear normal except low grade temp. What is your thought???
My husband is a 55yo white male, 5'5" weight 130, healthy but a couch potato. Always had good BP 110/75, pulse 70. Lungs clear bilaterally, non smoker. Anyway, we had the snow storm, I bought him a snow blower he and I bundle up to go out and try it out in most 2 foot of snow, he had coffee before going out , he went down and up our XXXXXXX probably 2 times XXXXXXX maybe 40 feet or longer. We came back in he started complaining of his hands hurting and feeling exhausted we had been up all night and it was 11am work midnights even when home up at nights.
So he keeled down to heat hands on floor heater then stood up and sat down on chair ask me to take boots off his hands were hurting so I'm am and the next thing I know he turns limp and white , lips white and falls off chair, on floor eyes open, I can see him breathing but he was I think, I had to remove the layers of clothe coat, I. Called him no answer so I pushed his chest maybe 2 to 3 times and he responded. He must of fainted. He has a goose egg knot on for head from fall. Perhaps his BP bottom out. He did not remember fainting, he had no paralysis, speech clear and all checked out fine. I took him to the bed undressed him and laid him down, he kept saying he was dizzy and the. Broke out in a cold sweat, he hyperventilate so I had him breath in bag it helped,, I check pupils PERRLA no changes, his blood pressure 99/60 pulse 65, no pain anywhere oxygen sats 98 %, I gave him a aspirin and antivert, which helped, but he did vomit from dizziness, dizziness lasted 15 to 20minutes. I made him stay in bed for 24hours and monitored him carefully. No more dizziness appetite good, blood pressure now 110/70 standing and 129/72 sitting pulse 77. During the hyperventilating pulse climbed to 145 but he was scared and anxious, this was one time. His pulse is regular I feel no abnormal beats. This has never happen before I'm worried he will not see a doctor . I thought perhaps some dehydration issues, the blood changes viscosity in cold weather, the low bp, and the vibration of the blower and the wind blowing in his face all factors he was tired. On thing two he has a cold been blowing nose a lot over 2 weeks, he does have a low grade fever 99.9 after this incident possibly before I do not know. I know something went horribly wrong and it scared me so bad. He says he feels fine now except for this cold and stuffy head. All vitals appear normal except low grade temp. What is your thought???
Brief Answer:
Likely to be Stokes XXXXXXX
Detailed Answer:
Hello,
Welcome and thanks for your query.
Appreciate your concern for your husband.
It's likely that he had Stokes XXXXXXX type of syncope which would have resulted from a cardiac arrhythmia at the time of occurrence. It would be good if he can have an electrophysiological study of the heart to pick up any arrhythmogenic focus and have appropriate treatment.
Take care
Likely to be Stokes XXXXXXX
Detailed Answer:
Hello,
Welcome and thanks for your query.
Appreciate your concern for your husband.
It's likely that he had Stokes XXXXXXX type of syncope which would have resulted from a cardiac arrhythmia at the time of occurrence. It would be good if he can have an electrophysiological study of the heart to pick up any arrhythmogenic focus and have appropriate treatment.
Take care
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
But this happen after he went outside in the cold I thought that the cold triggered this incident.
Brief Answer:
Cold could have triggered the arrhythmia
Detailed Answer:
Welcome back.
Cold, physical strain etc could have triggered the arrhythmia.
An EPS may detect the potential focus for an arrhythmia and if so that can be taken care of to prevent any future recurrence.
Cold could have triggered the arrhythmia
Detailed Answer:
Welcome back.
Cold, physical strain etc could have triggered the arrhythmia.
An EPS may detect the potential focus for an arrhythmia and if so that can be taken care of to prevent any future recurrence.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Cold and physical strain could have triggered the arrhythmia would that be different from the stokes XXXXXXX condition. His pulse is regular and has never been below 60.
Brief Answer:
Stokes XXXXXXX is basically loss of consciousness from decreased blood flow
Detailed Answer:
Now he has normal rhythm and normal blood pressure and he is feeling fine. When he became unconscious and fell off the chair and became pale, he did not have a normal rhythm and blood flow the brain. He had a Stokes XXXXXXX attack then. If you had an EKG at that time, it would have shown the arrhythmia.
Stokes XXXXXXX is basically loss of consciousness from decreased blood flow
Detailed Answer:
Now he has normal rhythm and normal blood pressure and he is feeling fine. When he became unconscious and fell off the chair and became pale, he did not have a normal rhythm and blood flow the brain. He had a Stokes XXXXXXX attack then. If you had an EKG at that time, it would have shown the arrhythmia.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Could his blood pressure have bottom out? It was very low about 15 mins after he fainted 97/62 99/60 so I can only imagine what it was when he fell. Well can a simple EKG show anything? What is the treatment.
Brief Answer:
Discussion follows
Detailed Answer:
What would have happened was that because of the arrhythmia, the pumping action and the blood output from the heart was low and as a result the blood pressure fell leading to decreased blood flow of the brain and loss of consciousness. The EKG now may be normal or may show features of arrhythmogenic conditions like WPW syndrome.
If the EKG is normal, then it would be good to get an EPS done to detect any potential cause which can then be treated.
Discussion follows
Detailed Answer:
What would have happened was that because of the arrhythmia, the pumping action and the blood output from the heart was low and as a result the blood pressure fell leading to decreased blood flow of the brain and loss of consciousness. The EKG now may be normal or may show features of arrhythmogenic conditions like WPW syndrome.
If the EKG is normal, then it would be good to get an EPS done to detect any potential cause which can then be treated.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I see, but can cold weather plus exsertion cause a freak incident with no cardiac history. What will I do he doesn't want to here me.
Brief Answer:
Discussion follows
Detailed Answer:
This incident has occurred at a time when there were several adverse factors like the cold weather, the unaccustomed severe exertion and exhaustion and it is the first time that such an incidence has happened. So the chances are that he may not have a similar episode in his normal day to day life. May be he doesn't want to see the doctor because he's is afraid of any bad news after check up.
Encourage him and say it is only a routine check and everything is going to be fine.
Best wishes,
Discussion follows
Detailed Answer:
This incident has occurred at a time when there were several adverse factors like the cold weather, the unaccustomed severe exertion and exhaustion and it is the first time that such an incidence has happened. So the chances are that he may not have a similar episode in his normal day to day life. May be he doesn't want to see the doctor because he's is afraid of any bad news after check up.
Encourage him and say it is only a routine check and everything is going to be fine.
Best wishes,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I read briefly that after an episode like stokes fainting the pulse will be very slow like in heart block. But his was not his was normal at 60-65. You must understand I am taking everything in that you have said,no disregard in anyway. However, I'm am questioning also.
Brief Answer:
The heart rate would be low when he became unconscious
Detailed Answer:
He is fine now but was not when he was sick. You could have never checked his pulse then. It was only due to inadequate blood pumping from the heart that he became unconscious and fell off the chair to hurt himself. The blood pressure remained low till his rhythm became normal. It will remain normal so long as his heart rate is in the normal range.
The heart rate would be low when he became unconscious
Detailed Answer:
He is fine now but was not when he was sick. You could have never checked his pulse then. It was only due to inadequate blood pumping from the heart that he became unconscious and fell off the chair to hurt himself. The blood pressure remained low till his rhythm became normal. It will remain normal so long as his heart rate is in the normal range.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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