Question:
I always feel like I am going to FAINT when I am outside...someone help

I am 24 days out. This has been going on for almost two weeks. Thought I was dehydrated went to hospital and everything is fine including blood test. ER Dr did not have an answer. I am not on any medications. I am not diabetic.    — gigi_c (posted on July 26, 2008)


July 26, 2008
Gigi, I read somewhere that this could be a sign of protein deficiency or low blood pressure. If you went to the ER, I'm assuming they ruled out low blood pressure ... Try to get in a little more protein for the next few days and see if it's better ... And DRINK YOUR WATER! The summer heat could have something to do with it, even if it's not actual dehydration. Hope you feel better soon!
   — lauren_marie

July 26, 2008
Because you're not on any medications, this may not be the reason. I'm thinking low blood pressure. But if you were checked out, they should have seen that. I too had the same problem, and still get it when my blood pressure meds need to be lowered. But talk with your general practitioner. If you can, some pharmacies have a blood pressure monitor you can use to test yourself on when you get this way. Because I have high blood pressure problems, my doctor actually advised me a couple years ago to get one.
   — jct001

July 26, 2008
I had the same issue some months after RNY. My pulse has always been around 55, but after RNY, my pulse was documented at 38 and 45 at my doctors office. Due to the low bp, I ended up with a pacemaker at age 60, close to 2 years post op. DAVE
   — Dave Chambers

July 26, 2008
Being a nurse and former ER nurse, several things come to mind. And just to clarify, you only feel this way when you go outside right? Do you live in a hot part of the country? (oops, I didn't check your profile to learn that before I started typing). I'm sure they checked your blood pressure, but did they check your orthostatic blood pressure? This is where they check your b/p and pulse lying down, sitting and then standing. If your bp goes down and pulse goes up, you have orthostatic hypotension which is a big way of saying you get dizzy when you stand up. Being out in the heat makes this worse. They probably just checked a basic panel of labs, I would suggest you call your surgeon asap and ask for some very detailed/additional labs to check deficiencies a WLS is more likely to deal with than the ER doc. Did they do an EKG- a tracing of your heart rate and rhythm? Are you prone to depression and/or anxiety? I'm not suggesting anything mental, however, when mine is not properly managed, I don't want to leave the house and have kinda a panicky feeling which makes me feel light headed and strange when I go outside. This can come out of nowhere and feels awfull. Think I'm gonna die. As soon as I get back home and inside the safety of my own home, I am fine. Next time this happens to you, check your pulse or have someone else do it. Does it seem normal to you or is it racing? I must say, I'm pretty impressed that you are 3 weeks post RNY with none of the usual suspect co-morbids. Good luck to you, as I said before, call your surgeon asap. Even though you're not on meds, keep an eye on your bp and blood sugars as your intake is not what it used to be. Dawn Vickers, RN, BLC, CLC
   — DawnVic

July 26, 2008
Are you taking a good powerful liquid vitamin/mineral supplement ? Try VEMMA. Mineral supplements could be key. Go to TrySomeVemma.com
   — [Deactivated Member]

July 26, 2008
How hot has it been? The reason I'm saying this is because I live in Georgia and for a few months after my surgery I could not handle the heat outside. I could not even handle washing dishes in hot water or taking a really hot steamy shower without feeling like I was going to faint. My blood work was great and my pulse and BP normal and I was drinking enough water to float a boat, I just simply could not handle the heat. I am now almost 5 months out and the problem seems to have corrected itself, but for those first few months staying outside for more than a few minutes in the heat was too much. Good Luck.
   — irish4girl

July 27, 2008
I think you should talk to your dr about it....but would also like to ask if you're getting enough protein. Does it happen immediately after you go outside or just if you're out for a bit? I ask because two weeks after my surgery, my husband and I took a day-trip to Germany (I lived in Belgium at the time) and I left my protein drinks in the car while we walked around. Well...after about 4 hours walking around, it was like someone turned a switch off and my energy was GONE. I was only about 2 blocks from the car and I had to stop and rest every 15 feet or so...and was seriously considering calling a taxi for those last few blocks. So if it's after you've walked around a bit, even if it's not for a few hours like I did, if you haven't had enough protein, it could be because your body has said ENOUGH and needs to eat. Yes, this surgery does put your body into a starvation mode...but you still have to have something to eat - protein - while it's losing weight. Talk to your surgeon to make sure there's nothing serious going on, and ask try to up your protein (I assume you're still on liquids?) and see if that helps. I hope you're feeling better soon.
   — Hollywog

July 27, 2008
The hospital or the soc should have noticed the signs in test. First is low protein, next is low salt or potasium, next is low blood pressure, next is slow heart rate, below 55 BMP, and there is other issues they check for. I have low salt, because for year I was told don't salt anything and watch sodium in foods, so I continued to do that after my surgery. Also, check other drugs you took before and make sure they know why you took them. I came off of 18 drugs, all had side effects as I lost weight and I did not need them any longer. The sun and standing up give you something that sounds like Orthotension. I am not sure what it means, but I hear it a lot when they test me. My heart rate is about 50 standing, and when I started with my WLS I had a heart rate of 90. If I could get to 60 I will be happy. Best of success to you.
   — William (Bill) wmil

July 27, 2008
Hi Gigi, That was one of the first symptoms I had when my vitamin deficiency's started. After starting Passion4Life Liquid Vitamins I am thankfully able to go outside again without feeling like someone was cutting off my air supply. If you are interested in hearing more about this great new product you can go to: www.passion4lifevitamins.com/charlenelewis. Ironically I am very close to you, I am in Corona, CA. Keep us posted and welcome a board.
   — Charlene Lewis

July 28, 2008
I get this from vitamin deficiencies such as iron (anemia) and magnesium deficiency makes me anxious, dizzy and I nearly faint quite often...Lack of oxygen in the blood from anemia also makes me feel this way...Someone else mentioned that they probably only ran basic tests and not a full range for vitamins! That is probably where you will find your answers! I drink a propel for the electroytes and the water...I get hydrated and my magnesium to rule out both of those... Might be time to get a fullset of vit labs...I ask for some 22 tests to be run yearly...and lately bi-annually until my vits are back in order...That's a lot of tubes...but I take my health seriously after I became too sure that I didn't need all my vits after 3 years...I didn't realise I needed them forever...So now, I make NO mistakes...and I give my PCP the lab list I want her to run for me. She does with no problems, because she knows that I know more about my WLS than she does...
   — .Anita R.




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