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Suggest Treatment For Fatigue, Dizziness And Heart Palpitations While On Metoprolol
Question: Recently I was hiking at 10,000 feet. I became dehydrated one day. Another day I slipped on slippery bus steps and bruised my side badly. I had a chiropractic adjustment, no broken ribs. Yesterday I had a 90minute massage. today I am very tired, lightheaded, not really dizzy, but also experiencing heart palpitations. I was on metoprolol for 5 months, then diazetol and recently the head cardiologist said I should not be on those meds, took me off and I have been off for about 3 weeks. As I said, I have no problem hiking 5=7 miles at altitude. Could my weakness be due to deep tissue work yesterday? I am 74 and in pretty good health otherwise. I also am experiencing pressure in my temples
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
I carefully passed through your question and would explain that your symptoms could be related to straining physical activity or an electrolyte imbalance due to dehydration.
I recommend taking plenty of water and fluids in order to remain well hydrated and avoiding straining physical activity. Having some rest for a couple of days is necessary in this situation.
It is also important to closely monitor your heart rate and blood pressure values frequently during the day.
If this situation persists, I recommend going to the ER for a physical exam and some tests:
- a chest X ray study (to exclude possible hemotorax)
- a resting ECG
- some blood lab tests (complete blood count, blood electrolytes, fasting glucose).
Hope to have been helpful!
Kind regards,
Dr. Iliri
Brief Answer:
My answer as follows:
Detailed Answer:
Hello again!
Deep tissue massage can increase the blood flow under the skin and muscles, and lead to a lower blood pressure. Did you sweat during the massage?
Increased sweating could lead to possible dehydration and electrolyte imbalance.
Anyway, I would recommend taking plenty of water and have some rest.
If you have any other uncertainties, feel free to ask me again.
Best wishes,
I would recommend as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
I carefully passed through your question and would explain that your symptoms could be related to straining physical activity or an electrolyte imbalance due to dehydration.
I recommend taking plenty of water and fluids in order to remain well hydrated and avoiding straining physical activity. Having some rest for a couple of days is necessary in this situation.
It is also important to closely monitor your heart rate and blood pressure values frequently during the day.
If this situation persists, I recommend going to the ER for a physical exam and some tests:
- a chest X ray study (to exclude possible hemotorax)
- a resting ECG
- some blood lab tests (complete blood count, blood electrolytes, fasting glucose).
Hope to have been helpful!
Kind regards,
Dr. Iliri
Brief Answer:
My answer as follows:
Detailed Answer:
Hello again!
Deep tissue massage can increase the blood flow under the skin and muscles, and lead to a lower blood pressure. Did you sweat during the massage?
Increased sweating could lead to possible dehydration and electrolyte imbalance.
Anyway, I would recommend taking plenty of water and have some rest.
If you have any other uncertainties, feel free to ask me again.
Best wishes,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Can you tell me if deep tissue massage for 90 minutes could account
for the lightheadedness and fatigue. I am used to 60 minutes.
for the lightheadedness and fatigue. I am used to 60 minutes.
Answered by
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