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What Causes Excessive Sweating Upon Light Exertion When Diagnosed With Tachycardia?
Question: Recently last few months been sweating heavily upon light exertion even waking a few steps after standing up from resting. Have tachycardia daily increasing when getting up and walking from resting. HR Can go up to 110-120 from resting in the 80s.
Seems sweats increase with HR or coincidence?
Sensitive to minute changes in temp or air pressure. Get overheated or overchilled.
Have rsd/erythromelalgia in feet and maybe body
Feel like problems with vasodilatation in
Morphea due to venus insufficiency in legs
They are numb and in pain and swell when down...get more difficult to move legs when cold temp inside house or outside
Changes in temp Feels like frostbite when warming up...torture...
Is this raynauds, fibro?
Meds, POTS, cushings? Allof the above
SLE lupus on medrol 16mg...
and now found out have small vessel lung dis
Severe asthma..air trapping, scattered ground glass, tree in bud, attenuation,
On brio, xopenex, spiriva
Seems sweats increase with HR or coincidence?
Sensitive to minute changes in temp or air pressure. Get overheated or overchilled.
Have rsd/erythromelalgia in feet and maybe body
Feel like problems with vasodilatation in
Morphea due to venus insufficiency in legs
They are numb and in pain and swell when down...get more difficult to move legs when cold temp inside house or outside
Changes in temp Feels like frostbite when warming up...torture...
Is this raynauds, fibro?
Meds, POTS, cushings? Allof the above
SLE lupus on medrol 16mg...
and now found out have small vessel lung dis
Severe asthma..air trapping, scattered ground glass, tree in bud, attenuation,
On brio, xopenex, spiriva
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I passed carefully through your question and would explain that your clinical situation is very complex. Let me explain:
- The increased heart rate when standing up could be indicative of orthostatic intolerance or POTS. That is why, I would recommend performing a head up tilt test to exclude this possibility.
- The pain in the chest area when coughing and shortness of breath, could be related to pericarditis. Anyway, as you suffer from lung disease, a chest X ray study and respiratory function tests are necessary to exclude possible lung disease (including pleuritis, which could be associated to pericarditis).
It is also necessary to closely monitor the fluid quantity in the pericardial area, by performing repeated cardiac ultrasounds, in order to be sure that the situation is under control.
- The changes in body temperature could be indicative of an autonomic dysfunction. The orthostatic intolerance is also related to autonomic dysfunction.
Raynauds phenomena (changes in color of fingers or hands in cold places) is also related to autonomic dysfunction or XXXXXXX
From the other hand XXXXXXX can cause fluid accumulation in the pericardial area (pericarditis) or pleural area (pleuritis).
So, to conclude considering XXXXXXX orthostatic intolerance and autonomic nervous system dysfunction are closely related and a better management of XXXXXXX can lead to improvement of your symptoms.
That, is why I would recommend consulting with your attending physician and discussing on the above issues.
If head up tilt test results positive for orthostatic intolerance, I would advice performing Ganglionic Acetylcholine Receptor Autoantibody plasma levels to investigate for autonomic dysfunction (pan-dysautonomia).
You should also discuss with your attending physician on the possibility of increasing the dose of steroids or starting immunosupressive therapy.
I would be happy to review your loop monitoring test reports and cardiac ultrasound reports as soon as you can upload them for a second professional opinion.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I passed carefully through your question and would explain that your clinical situation is very complex. Let me explain:
- The increased heart rate when standing up could be indicative of orthostatic intolerance or POTS. That is why, I would recommend performing a head up tilt test to exclude this possibility.
- The pain in the chest area when coughing and shortness of breath, could be related to pericarditis. Anyway, as you suffer from lung disease, a chest X ray study and respiratory function tests are necessary to exclude possible lung disease (including pleuritis, which could be associated to pericarditis).
It is also necessary to closely monitor the fluid quantity in the pericardial area, by performing repeated cardiac ultrasounds, in order to be sure that the situation is under control.
- The changes in body temperature could be indicative of an autonomic dysfunction. The orthostatic intolerance is also related to autonomic dysfunction.
Raynauds phenomena (changes in color of fingers or hands in cold places) is also related to autonomic dysfunction or XXXXXXX
From the other hand XXXXXXX can cause fluid accumulation in the pericardial area (pericarditis) or pleural area (pleuritis).
So, to conclude considering XXXXXXX orthostatic intolerance and autonomic nervous system dysfunction are closely related and a better management of XXXXXXX can lead to improvement of your symptoms.
That, is why I would recommend consulting with your attending physician and discussing on the above issues.
If head up tilt test results positive for orthostatic intolerance, I would advice performing Ganglionic Acetylcholine Receptor Autoantibody plasma levels to investigate for autonomic dysfunction (pan-dysautonomia).
You should also discuss with your attending physician on the possibility of increasing the dose of steroids or starting immunosupressive therapy.
I would be happy to review your loop monitoring test reports and cardiac ultrasound reports as soon as you can upload them for a second professional opinion.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Could asthma cause the tachy and sweating and shortness of breath?
Or both pots and asthma/air trapping/shortness of breath
Sighing and always tired
Bad sleep due to pain in feet and temp changes with blankets
Long history of sinusitis - 7 surgeries
Had pleural effusions, atelectisis and then pneumonia past spring then summer now
asthma and fluid near heart
and pain in ribs
Rhemo suggested nifedipine and retux
Or both pots and asthma/air trapping/shortness of breath
Sighing and always tired
Bad sleep due to pain in feet and temp changes with blankets
Long history of sinusitis - 7 surgeries
Had pleural effusions, atelectisis and then pneumonia past spring then summer now
asthma and fluid near heart
and pain in ribs
Rhemo suggested nifedipine and retux
Brief Answer:
My opinions as follows:
Detailed Answer:
Hello again!
You should know that asthma can cause shortness of breath with greater difficulty during inspiration than expiration.
Increased sweating could be a sign of increased inflammation and pan-dysautonomia. The sweat gland function is regulated by the autonomic nervous system.
But, considering your past medical history, I would recommend performing a chest X ray study and respiratory function tests to exclude a lung disorder.
Regarding the treatment recommended by your doctor, I would explain that Rituximab would help improve POTS, autonomic dysfunction and all your troubles.
From the other hand nifedipine can help improve Raynaud's phenomena symptoms.
So, I totally agree with the therapy suggested by your doctor.
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
My opinions as follows:
Detailed Answer:
Hello again!
You should know that asthma can cause shortness of breath with greater difficulty during inspiration than expiration.
Increased sweating could be a sign of increased inflammation and pan-dysautonomia. The sweat gland function is regulated by the autonomic nervous system.
But, considering your past medical history, I would recommend performing a chest X ray study and respiratory function tests to exclude a lung disorder.
Regarding the treatment recommended by your doctor, I would explain that Rituximab would help improve POTS, autonomic dysfunction and all your troubles.
From the other hand nifedipine can help improve Raynaud's phenomena symptoms.
So, I totally agree with the therapy suggested by your doctor.
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
what other lung disorders do you mean besides asthma?
If there is a vague area on cat scan
what other scan could clarify it?
Alo why is it diifiult to move legs when sleep deprived?
If there is a vague area on cat scan
what other scan could clarify it?
Alo why is it diifiult to move legs when sleep deprived?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello again!
There are different lung disorders like pneumonia, fibrosis, emphysema, and also pleuritis or enlarged mediastinal lymph nodes that can be detected by a chest X ray study.
A chest CT scan would give more information on these issue compared to the chest X ray.
Regarding asthma, it is not diagnosed through chest CT scan or X ray study. Pulmonary function tests are the best tests for this diagnosis.
Regarding fatigue and sleep deprivation they are closely related.
You should know that sleep is very important for a normal brain and body function. In case of sleep deprivation, many organ systems, including the brain are in imbalance. Mood changes are the most common symptoms, besides fatigue and lack of motivation.
I would recommend taking melatonin 5mg before sleep for some months, in order to help regulate your sleep.
Hope to have clarified some of your uncertainties!
Regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello again!
There are different lung disorders like pneumonia, fibrosis, emphysema, and also pleuritis or enlarged mediastinal lymph nodes that can be detected by a chest X ray study.
A chest CT scan would give more information on these issue compared to the chest X ray.
Regarding asthma, it is not diagnosed through chest CT scan or X ray study. Pulmonary function tests are the best tests for this diagnosis.
Regarding fatigue and sleep deprivation they are closely related.
You should know that sleep is very important for a normal brain and body function. In case of sleep deprivation, many organ systems, including the brain are in imbalance. Mood changes are the most common symptoms, besides fatigue and lack of motivation.
I would recommend taking melatonin 5mg before sleep for some months, in order to help regulate your sleep.
Hope to have clarified some of your uncertainties!
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
appreciate your feedback on the ct scan report that I attached
Brief Answer:
I would explain as follows:
Detailed Answer:
Dear XXXXXXX
I carefully reviewed your uploaded CT scan report and would explain that it does not indicate any serious medical disorder besides:
- small airway disease
- chronic inflammation leading to moderate peribronkial thickening.
There is no pleural effusion, which excludes pleuritis and there is no lymph node enlargements.
These pulmonary changes do not indicate any specific lung disorder, but they are indicative of chronic pulmonary disease.
Coming to this point, I would recommend performing respiratory function tests to investigate for COPD (chronic obstructive pulmonary disease) or asthma.
In the CT scan it is also noticed the presence of small quantity of pericardial fluid.
I would like to review your uploaded cardiac ultrasound in order to judge about the significance of any potential adverse mitral regurgitation implications on your shortness of breath.
Hope to have been helpful!
Best wishes,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Dear XXXXXXX
I carefully reviewed your uploaded CT scan report and would explain that it does not indicate any serious medical disorder besides:
- small airway disease
- chronic inflammation leading to moderate peribronkial thickening.
There is no pleural effusion, which excludes pleuritis and there is no lymph node enlargements.
These pulmonary changes do not indicate any specific lung disorder, but they are indicative of chronic pulmonary disease.
Coming to this point, I would recommend performing respiratory function tests to investigate for COPD (chronic obstructive pulmonary disease) or asthma.
In the CT scan it is also noticed the presence of small quantity of pericardial fluid.
I would like to review your uploaded cardiac ultrasound in order to judge about the significance of any potential adverse mitral regurgitation implications on your shortness of breath.
Hope to have been helpful!
Best wishes,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks. How can you tell the diff between copd and asthma?
I will upload the pft report. It said that the inhalers did not significantly help though i felt some temp opening
What is pulmonary disease?
Either copd or asthma?
Can it go away?
How do you treat this?
Could food or enviro allergies cause this?
Could my sinuses be related. Have opacified cells and have had seven surgeries so far and need more.
Also
Have had shooting pains in ribs and tight chest besides the shortness of breath and sweating
pains in ribs worse when move or lean forward
Chest a little Heavy when lay flat
In spring had pleural effusions and atelectisis after gastro enteritis
Then went back with infiltrates pneumonia 104 temp
And chest pain
Then this
Never felt fully healed
Very tired
Is this pleurisy and pericarditis?
What is XXXXXXX
Also been on Lamical for JME epilepsy.
What is LES?
I get cold then cover up then immediately overheat and legs feet tingle like warming after frostbite
What could help- the blood flow orvwhat feels like blood flow and nerve endings in my legs feet so they dont slow down in cold temperatures?
Found that high doses of benedryl - sodium channel blocker - helped the pain burning in my feet temporarily but its back
Also when do a rescue inhalation - feel blood flow open up a little in legs
I will upload the pft report. It said that the inhalers did not significantly help though i felt some temp opening
What is pulmonary disease?
Either copd or asthma?
Can it go away?
How do you treat this?
Could food or enviro allergies cause this?
Could my sinuses be related. Have opacified cells and have had seven surgeries so far and need more.
Also
Have had shooting pains in ribs and tight chest besides the shortness of breath and sweating
pains in ribs worse when move or lean forward
Chest a little Heavy when lay flat
In spring had pleural effusions and atelectisis after gastro enteritis
Then went back with infiltrates pneumonia 104 temp
And chest pain
Then this
Never felt fully healed
Very tired
Is this pleurisy and pericarditis?
What is XXXXXXX
Also been on Lamical for JME epilepsy.
What is LES?
I get cold then cover up then immediately overheat and legs feet tingle like warming after frostbite
What could help- the blood flow orvwhat feels like blood flow and nerve endings in my legs feet so they dont slow down in cold temperatures?
Found that high doses of benedryl - sodium channel blocker - helped the pain burning in my feet temporarily but its back
Also when do a rescue inhalation - feel blood flow open up a little in legs
Brief Answer:
I would explain as follows:
Detailed Answer:
Dear XXXXXXX
Astma is a mild form of COPD, but COPD is a more complicated disorder. The difference is based on clinical history, CT scan and respiratory function tests.
Regarding the chest pain, it could be explained with pericarditis or with chronic degeneration of the backbone.
Pleuritis has been excluded by your performed CT scan.
I am soory for using the term XXXXXXX but in fact I meant Lupus.
Regarding the pain in your feet, it could be related to Raynaud's phenomena.
But I would recommend performing a nerve conduction study to exclude peripheral neuropathy.
Hope to have clarified some of your uncertainties!
Best wishes,
Dr.Iliri
I would explain as follows:
Detailed Answer:
Dear XXXXXXX
Astma is a mild form of COPD, but COPD is a more complicated disorder. The difference is based on clinical history, CT scan and respiratory function tests.
Regarding the chest pain, it could be explained with pericarditis or with chronic degeneration of the backbone.
Pleuritis has been excluded by your performed CT scan.
I am soory for using the term XXXXXXX but in fact I meant Lupus.
Regarding the pain in your feet, it could be related to Raynaud's phenomena.
But I would recommend performing a nerve conduction study to exclude peripheral neuropathy.
Hope to have clarified some of your uncertainties!
Best wishes,
Dr.Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
pain in the feet is more than one thing
was dignosd with rsd
and also seems like erythromelalgia - red burnig, numb, pain,swelling, and worse with a breeze or toucb or vibration
recenty fgurd out that a lot of benedryl or claritin hlps the pain- i tried it aftr readig that EM is a sodium channel that wont close
bendrl and claritin are sodium channel blokers
but need a med that does not mke me loopy or groggy like antihistamne. Any ideas?
if it is also pn what treatmet is there?
is that from spinal stenosis or other slipped disc or medrol or lamictal?
was dignosd with rsd
and also seems like erythromelalgia - red burnig, numb, pain,swelling, and worse with a breeze or toucb or vibration
recenty fgurd out that a lot of benedryl or claritin hlps the pain- i tried it aftr readig that EM is a sodium channel that wont close
bendrl and claritin are sodium channel blokers
but need a med that does not mke me loopy or groggy like antihistamne. Any ideas?
if it is also pn what treatmet is there?
is that from spinal stenosis or other slipped disc or medrol or lamictal?
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello again!
I understand your concern and would explain that another treatment option in this case would be gabapentine, which is an antiepileptic drug (similar to lamictal), but in different clinical trials, it has shown effective in the treatment or erythromeralgia.
I would also advise taking magnesium supplements, to help improve your situation.
Gabapentine, does not cause sedation and is better tolerated compared to benadryl.
You can start with 300mg twice daily the first day and increase to three times daily in the next days.
If your symptoms are not improved in a week, I would recommend further increase in the dose up to 4 or 5 tablets per day.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello again!
I understand your concern and would explain that another treatment option in this case would be gabapentine, which is an antiepileptic drug (similar to lamictal), but in different clinical trials, it has shown effective in the treatment or erythromeralgia.
I would also advise taking magnesium supplements, to help improve your situation.
Gabapentine, does not cause sedation and is better tolerated compared to benadryl.
You can start with 300mg twice daily the first day and increase to three times daily in the next days.
If your symptoms are not improved in a week, I would recommend further increase in the dose up to 4 or 5 tablets per day.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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