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What Causes Lightheadedness And Excessive Sweating While Having UTI?
Question: Last Thursday night at a play rehearsal I all of a sudden started feeling extremely hot, started sweating profusely and felt very dizzy. I ended up in the ER on a heart monitor and IV drip. Blood sugar was ok at 104, EKG's were ok, and it was determined I had a UTI and was dehydrated. It was thought that there was a possibility that I took too many propranolols and had a bad reaction. I usually take 20-30 mg each morning and that day took an extra dose of 20. My doctor yesterday said that wouldn't have done it but he was stumped as to any cause as all my vital signs were good. Ive been feeling ok until this morning getting ready for work after being off for 5 days and started feeling lightheaded again? Could this be merely psychogenic or should I investigate something else? and if it is psychogenic, what do I do???
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
I carefully passed through your question and would explain that an UTI and dehydration could lead to this clinical scenario, especially when coupled with a higher dose of propranolol (which can lower your blood pressure and heart rate).
Anyway, I agree with your doctor in the fact that 40mg of propranolol i really a low dose and it can not cause this clinical situation.
I would recommend you to closely monitor your blood pressure during these days. Lightheadedness could be related to low blood pressure or orthostatic hypotension.
If the lightheadedness persists, I would recommend reconsulting with your doctor for further tests:
- complete blood count for anemia
- blood electrolytes for possible electrolyte imbalance
- thyroid hormone levels, because a thyroid imbalance can lead to dizziness and lightheadedness
- a cervical column X ray to exclude cervical spondylarthrosis, which can trigger dizziness.
An ENT consult may be necessary, especially if your dizziness is triggered by certain head or body positions.
If your symptoms aggravate when standing up from sitting position, it could indicate possible orthostatic hypotension.
In such case a Head Up tilt test is needed to rule in/out this disorder.
If all the above tests result normal, you may consider anxiety as a possible cause of your symptoms. If this is the case, you should consult with a specialist of this field (psychiatrist) to help you manage better your symptoms.
Hope to have been helpful!
Best wishes,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
I carefully passed through your question and would explain that an UTI and dehydration could lead to this clinical scenario, especially when coupled with a higher dose of propranolol (which can lower your blood pressure and heart rate).
Anyway, I agree with your doctor in the fact that 40mg of propranolol i really a low dose and it can not cause this clinical situation.
I would recommend you to closely monitor your blood pressure during these days. Lightheadedness could be related to low blood pressure or orthostatic hypotension.
If the lightheadedness persists, I would recommend reconsulting with your doctor for further tests:
- complete blood count for anemia
- blood electrolytes for possible electrolyte imbalance
- thyroid hormone levels, because a thyroid imbalance can lead to dizziness and lightheadedness
- a cervical column X ray to exclude cervical spondylarthrosis, which can trigger dizziness.
An ENT consult may be necessary, especially if your dizziness is triggered by certain head or body positions.
If your symptoms aggravate when standing up from sitting position, it could indicate possible orthostatic hypotension.
In such case a Head Up tilt test is needed to rule in/out this disorder.
If all the above tests result normal, you may consider anxiety as a possible cause of your symptoms. If this is the case, you should consult with a specialist of this field (psychiatrist) to help you manage better your symptoms.
Hope to have been helpful!
Best wishes,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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