Dan

Ashburn, VA

#1 Jul 31, 2011
Please let me know if you can help figure out what is wrong with me, or if you have ever heard of this!
I am an 41 year old male athlete and compete in triathlons from time to time, when I am not working my stressful job with long hours. During some semi-intense training sessions (brick workouts) and during some small running races, following the event I sweat longer than usual, about an hour, profusely. This is the kicker, the next morning, upon waking up from sleep and sitting up, profuse sweating occurs. Like full body, sweat running down my face, back, legs. All the while, heart rate, pulse and blood sugar are normal. As a result, my body temp drops (lowest body temp recorded 92.5 deg F), I start to shiver and have to warm up. My doctors at first didnít believe me about my body temp, until I went to their offices and had them try different thermometers that would register that low of a body temp. If I warm up too quickly, I start to sweat again. This goes on usually just a couple of times during the day before I level out. Most of the time I change my clothes to remove the wet clothing so when I go into air conditioning, I donít go hypothermic. The next morning it happens again, feel fine when laying straight and resting, until sit up. This continues for about 3 weeks and tapers off and by the end of 4/5 weeks I am normal again. During these episodes I do not exercise and have found if I start back up exercising too soon it will be the same result for another month. Once everything is normal, and I have taken the proper time off, I am good to go for sometimes one to two years without another episode. I sort of live in fear of another episode happening, but I have learned how to notice some small signs of when it may occur.
During an episode, I have to be very careful about things which cause me temperature changes, no hot showers, no hot or spicy food, no working out, no getting real aggravated or anxious because the response is sweating and body temp roller coaster.
I am being treated by a very good endocrinologist for my thyroid problem. I am on thyroid medication for hypothyroidism. I have been to the "experts" at Johns Hopkins, they cannot figure this one out. They looked at all the tests I have done and the log of issues I have written down and said as long as I do not have any of the symptoms of the major endochronoic diseases, I am good to go,ďwe canít help you.Ē I am hypoglycemic and always make sure to eat within 2 hours of a hard workout. The following tests have resulted with normal results: blood work, blood sugar, blood pressure, hypothalamus and thyroid scans, cardio stress test and ekg, other male hormones. I have trained for about 18 years with a heart rate monitor and have backed off the intensity level over the past couple of years to try to prevent theses episodes. I have done extensive research on hydration and am always properly hydrated for before, during and after training/races.
Episodes usually happen in warmer months, but has also happened in the winter. This has happened on and off over the last 10 years. The first very brief episode happened during a backpacking trip in Yosemite about 13 years ago. I attributed the episode to not hydrating enough and not eating enough at altitude. I was not being monitored for hypothyroidism and didnít realize my family history on hypoglycemia at that time. The thyroid medicine does not seem to help prevent or diminish these episodes. Let me know if you have any additional questions and certainly any advice.

Thanks.

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