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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes excessive sweating and heart palpitations?

My daughter of 29 years old is a CIM in the ER of her hospital working 12 hour shifts. She admits she doesn t hydrate enough, but tonight while doing nothing, she all of a sudden became extremely thirsty and felt like she was going to pass out, then drank, layed down and started to sweat profusely while feeling her heart rate race up like crazy. She says it literally came out of nowhere and lasted less than a couple of minutes. She sent me a photo of herself and it is clear she is in distress of some sort. She said probably hot flashes jokingly. Then I told her no, she s only 29 and that s what happened to me when I was 42 getting a physical at a hospital for a new job. I thought they were hot flashes at 42, until they told me I was at stroke level. To leave the hospital now and go directly to my doctor. She also recently had to go to ER and her entire colon was completely backed up. They sent her home, but couldn t get relief on her own. She went to a Gastroantherologist and I know over a few weeks got some relief, but I am pretty sure she was never able to become completely empty. Also, it should be noted that 3 years ago, we almost lost her older sister at 30 years old after collapsing at work, they called 911, revived her, put a pace maker in her leg, coded, in her neck, coded. Then transferred her to a better hospital, where she coded all night long up t 364, that s when they decided at 5:30 am to install a St. Jude difilulator. Two years later, her 86 year old grandfather had to have the same. Do you think this could be the onset of the same condition for my 29 year old now? She s 5 8 , about 120 lbs., has a lot of stress, due to the enormous responsibility of having to see over 200 patients a day, as two other hospitals have closed in the area, so they are overwhelmed and now understaffed as well. Any advice would be appreciated.
Tue, 23 Jul 2019
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General Surgeon 's  Response

* There sounds inherent disturbances with the cardiac conduction system in terms of an ion channel or hypertrophic cardiomyopathy of the hereditary type most likely affecting the bundle of his and purkinje system.
* Kindly revert back with all the relevant reports in follow up to discuss in further details.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Dr Bhagyesh V. Patel, General Surgeon
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