Discussions By Condition: I cannot get a diagnosis.

Complete exhaustion, fatigue, disoriented after workout

Posted In: I cannot get a diagnosis. 47 Replies
  • Posted By: intargc
  • February 20, 2008
  • 08:41 PM

Hi, I've been having a problem for a little more than 8 months and I can't seem to get a doctor to find out any issues with me...

Basically, during my workouts, I am completely exhausted after just a few sets of resistance training. I've been an avid gym goer for years and have been in good health up until this last 8 months or so. I used to be able to lift weights and feel absolutely fine. Not exhausted or anything, just a general mild tiredness from the good workout.

However, lately after just a couple of sets, I'm exhausted and don't feel like I can go on. I used to only take 30 second rests between sets but now I have to take 5 minute rests between sets in order to let my heart rate come down. After just one set I'm breathing like I just ran a mile, my heart is pounding and I get a disoriented feeling sort of like light headedness. So, I rest about 5 minutes and continue on with my workout.

By the end of the workout I'm completely exhausted, have a mild case of nausea and my heart rate feels like it's way up there. I have even decreased the intensity of my workouts and this still happens. I used to weight train 3 days a week and do kickboxing twice a week, but I now only do weight training 2 days a week. I don't think I can even make it through a day of intense kickboxing training right now... I'd pass out when I used to feel just fine.

I've been taking time off from working out too because I thought I may be overtraining, but even after 2 weeks off with nothing but rest, I come back feeling even worse when I used to come back feeling MUCH stronger from the time off.

I've had some normal stress recently... i've moved to a new state, took on a new job, am moving again in 2 weeks, planning a marriage, etc... and I started having bouts of nausea that I had checked out by 2 doctors. I've had blood work, urine tests, stool samples an Upper GI X-ray, Ultrasound and Upper GI Endoscopy that all came back 100% fine with no issues. The nausea has gone away in the past month, but I can't help but think this may all be linked?

Does anyone else have similar problems as I am having? Please help...

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47 Replies:

  • Did they check for pheochromocytoma by checking urine catecholamines? Also, did they check for thyroid autoimmunity (Graves, early Hashimoto''s) by checking thyroid hormones, and antibodies?Sorry you are going through this.Anyone else?
    Anonymous 42789 Replies
    • February 20, 2008
    • 08:46 PM
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  • Did they check for pheochromocytoma by checking urine catecholamines? Also, did they check for thyroid autoimmunity (Graves, early Hashimoto's) by checking thyroid hormones, and antibodies (TSH stimulating and inhibiting for Graves; thyroperoxidase and thyroglobulin antibodies for Hashimoto's)?Sorry you are going through this.Anyone else?
    Anonymous 42789 Replies
    • February 20, 2008
    • 08:47 PM
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  • Did they check for pheochromocytoma by checking urine catecholamines? Also, did they check for thyroid autoimmunity (Graves, early Hashimoto''s) by checking thyroid hormones, and antibodies?Sorry you are going through this.Anyone else?To be 100% honest, I'm not 100% sure what they checked for with the urine sample. I just called and asked if everything was ok and they said "Yep, all tests checked out absolutely fine." and after that they sent me on to do the Upper GI/Ultrasound since they didn't find anything wrong with the blood/urine/stool samples. They thought they found something odd with the Upper GI (X-ray) so they sent me in for an endoscopy just in case... but the endoscopy "found nothing but a healthy stomach" (the Dr.'s words).
    intargc 22 Replies
    • February 20, 2008
    • 08:50 PM
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  • Let me also add that I am a 30 year old Male. I've had no serious medical issues besides a shoulder that loves to dislocate easily. I also have had heart palpitations for about 6 years in which I have worn a heart monitor for 1 month to figure out what was going on and all they could tell me was "They're just palpitations, nothing to worry about." Yet, they still scare the heck out of me when they happen! :)
    intargc 22 Replies
    • February 20, 2008
    • 09:01 PM
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  • To be 100% honest, I'm not 100% sure what they checked for with the urine sample. I just called and asked if everything was ok and they said "Yep, all tests checked out absolutely fine." and after that they sent me on to do the Upper GI/Ultrasound since they didn't find anything wrong with the blood/urine/stool samples. They thought they found something odd with the Upper GI (X-ray) so they sent me in for an endoscopy just in case... but the endoscopy "found nothing but a healthy stomach" (the Dr.'s words).
    intargc 22 Replies
    • February 20, 2008
    • 09:02 PM
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  • Firstly I'd like to say that i think you should request to have an exercise stress test done. (This is a test which is done on a treadmill... and your heart, oxygenation etc is monitored while doing it). .................... My thought is that you could possibly have chronic fatigue sydrome... unfortunately thou cause you are male, many doctors would be very relucant to give you this diagnoses as many think it's a "womans illness" but in fact one quarter of those who get it are male. Chronic fatigue syndrome will cause nausea and all the things you mentioned. Rest for many dont help it much but with others.. cutting back on activities will help a little. If it is CFS.. you probably will find you develop more symptoms with time eg headaches, sleep issues, memory issues etc etc. To find a doctor who specialises in CFS (these doctors also would be very good at ruling out conditions which are similar to CFS) http://www.co-cure.org/Good-Doc.htm
    taniaaust1 2267 Replies
    • February 20, 2008
    • 11:27 PM
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  • Firstly I'd like to say that i think you should request to have an exercise stress test done. (This is a test which is done on a treadmill... and your heart, oxygenation etc is monitored while doing it). .................... My thought is that you could possibly have chronic fatigue sydrome... unfortunately thou cause you are male, many doctors would be very relucant to give you this diagnoses as many think it's a "womans illness" but in fact one quarter of those who get it are male. Chronic fatigue syndrome will cause nausea and all the things you mentioned. Rest for many dont help it much but with others.. cutting back on activities will help a little. If it is CFS.. you probably will find you develop more symptoms with time eg headaches, sleep issues, memory issues etc etc. To find a doctor who specialises in CFS (these doctors also would be very good at ruling out conditions which are similar to CFS) http://www.co-cure.org/Good-Doc.htmYikes, that's quite a possibility since I have had tremendous sleep issues lately (If what you mean is waking up a lot, not sleeping through the night) and some serious memory issues as well. I'll get up sometimes to go do something and by the time I get up, I forget what I got up for. This has been super frustrating. However, I never even thought it would be associated with any other issues I'm having.Thanks for your help.If anyone else has experienced this or has more info, please let me know... It's very,very much appreciated!
    intargc 22 Replies
    • February 21, 2008
    • 00:12 AM
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  • Yikes, that's quite a possibility since I have had tremendous sleep issues lately (If what you mean is waking up a lot, not sleeping through the night) and some serious memory issues as well. I'll get up sometimes to go do something and by the time I get up, I forget what I got up for. This has been super frustrating. However, I never even thought it would be associated with any other issues I'm having.Thanks for your help.If anyone else has experienced this or has more info, please let me know... It's very,very much appreciated!
    intargc 22 Replies
    • February 21, 2008
    • 00:13 AM
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  • Are you taking any supplements, like protein powders and such? Maybe you need to get your heart checked out?I see you had the GI worked up... but you also have what could be cardio symptoms..... Ask to have the heart checked by a cardiologist perhaps... stress test, EKG, scan perhaps also Hi, I've been having a problem for a little more than 8 months and I can't seem to get a doctor to find out any issues with me... Basically, during my workouts, I am completely exhausted after just a few sets of resistance training. I've been an avid gym goer for years and have been in good health up until this last 8 months or so. I used to be able to lift weights and feel absolutely fine. Not exhausted or anything, just a general mild tiredness from the good workout. However, lately after just a couple of sets, I'm exhausted and don't feel like I can go on. I used to only take 30 second rests between sets but now I have to take 5 minute rests between sets in order to let my heart rate come down. After just one set I'm breathing like I just ran a mile, my heart is pounding and I get a disoriented feeling sort of like light headedness. So, I rest about 5 minutes and continue on with my workout. By the end of the workout I'm completely exhausted, have a mild case of nausea and my heart rate feels like it's way up there. I have even decreased the intensity of my workouts and this still happens. I used to weight train 3 days a week and do kickboxing twice a week, but I now only do weight training 2 days a week. I don't think I can even make it through a day of intense kickboxing training right now... I'd pass out when I used to feel just fine. I've been taking time off from working out too because I thought I may be overtraining, but even after 2 weeks off with nothing but rest, I come back feeling even worse when I used to come back feeling MUCH stronger from the time off. I've had some normal stress recently... i've moved to a new state, took on a new job, am moving again in 2 weeks, planning a marriage, etc... and I started having bouts of nausea that I had checked out by 2 doctors. I've had blood work, urine tests, stool samples an Upper GI X-ray, Ultrasound and Upper GI Endoscopy that all came back 100% fine with no issues. The nausea has gone away in the past month, but I can't help but think this may all be linked? Does anyone else have similar problems as I am having? Please help...
    TaylorDeelwithit 382 Replies
    • February 21, 2008
    • 00:18 AM
    • 0
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  • I am not taking any supplements at all. I used to drink a lot of protein supplements when I first started working out, but I think my body started to reject it after a period of time because after a while, I started vomiting whenever I'd drink a protein shake. My doctor just decided to chock it up to be lactose intolerance since I can't drink milk either, but I can eat cheese, sour cream and ice cream until the cows come home and absolutely no issues. Anyway, I haven't been taking supplements for at least 1.5 years now.I have had multiple EKG's done when I started dealing with the heart palpitations and all of them came back normal besides the notification of palpitations. Also, that heart monitor I wore for one month showed palpitations as well.What I also noticed is that if I do a warm-up before I work out, it makes this condition worse. The warm-up gets my heart rate up really fast and reasonably high by doing a mix of body weight squats, burpee's and swinging a kettlebell. If I skip this warm-up, I feel I can get through the actual work out a lot easier since maybe my heart rate doesn't rise until later in the work out.
    intargc 22 Replies
    • February 21, 2008
    • 00:29 AM
    • 0
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  • I assumed your diet was probably healthy and non-allergic but not fitting your lifestyle right now. You may need more nutrients, more water intake, etc. as metabolism changes over time. The bottom line is that you can not keep up the same diet routine throughout life as you will become deprived of nutrients and proper hydration at some point which will definitely lead to your fatigue and discomfort. So besides updating your diet also slow down your physical routine you will only cause more harm to your internal organs continuing this way. As those symptoms subside gradually increase training and adjust your diet. Get more sleep as your body dictates: Going to bed earlier (to get no more than 8-10 hours) and power napping (no more than 30-60 minutes). Whatever changes, make it a routine. Overall, take it easy, change your diet, and monitor your symptoms then as you gradually increase activity, cut out the extra sleep on some days, but make sure you are not repeating the same symptoms.
    Undeleted1 28 Replies
    • February 21, 2008
    • 00:47 AM
    • 0
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  • I *wish* I could get more sleep. Lately my sleep is terrible. Some nights I can't get to sleep until 2 or 3 am. I sit in bed from 11 PM until whenever I get to sleep. Other nights I'll get to sleep at a normal hour, but wake up either constantly on and off or for hours at a time.My diet isn't all that bad. It's definitely MUCH better than it used to be a few years ago. Although, I could use more veggies. However, I forgot to mention I do take one supplement and that's my daily multi-vitamin. Been taking a multi for years. Mainly what I eat is lean meats such as lean ground beef (96% lean and organic), chicken, tuna, etc... I eat cheeses, fruits, pizza, etc... My fiance makes a great homemade chicken noodle soup and homemade spagetti that I can't get enough of! :) I eat very little fast food. I maybe have fast food 3 - 4 times a month and it's usually Chick-Fil-A with some french fries. I do consume a lot of sweets. More than I should, I assume... This consists of chocolate, various candy and ice cream. I am addicted to sweets and trying to cut back! :) I'm 5'9 and 160 lbs at 17% bodyfat. Which is another weird issue... 8 months ago I weighed 173 lbs. I now weigh 160 lbs and my diet hasn't changed significantly... if anything, I have started to consume more sweets since then. I did start eating less when I was experiencing the stomach issues a few months ago, so I assumed it was because of that, but 13 lbs?
    intargc 22 Replies
    • February 21, 2008
    • 01:05 AM
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  • Oh, I forgot to mention that I consume at least 1/2 gallon of pure water a day if not more. I drink water throughout the day religiously but don't exceed 1 gallon.
    intargc 22 Replies
    • February 21, 2008
    • 01:12 AM
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  • Hi,Just browsing the web for symptoms like mine and you're the winner. I was diagnosed with Mitral Valve Prolapse about 2 years ago and my symptoms have been getting worse. Shortness of breath is what is scaring me! I seriously think that you should get an echocardiogram to look for this. EKG for me showed up normal, but the echo picked it right up. The palpatations come and go and I know that it is because of the MVP so I don't really worry about it.Seriously, go see a cardiologist and get this done. Betcha that's what it is.Good luck!Josie
    josie1975 2 Replies
    • February 21, 2008
    • 03:37 AM
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  • Hi Josie,Thanks for the heads up! I'll ask my doc about it.About 5 years ago I started to notice the palpitations. They were much more prominent back then. Now I get them every now and then but they're scary every time I get them. I never really get shortness of breath... when I get a palpitation, the only thing I get is more like a quick shortness of breath like I'm surprised all of the sudden and I feel like that's cause my heart either skips a beat or speeds up real quick and then corrects itself.Do you notice the same symptoms as I am when you work out?
    intargc 22 Replies
    • February 21, 2008
    • 02:09 PM
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  • Hi,Well, I just have to tell you that an EKG from what I understand will not pick up Mitral Valve Prolapse. It wasn't until I got an Echocardiogram that it was discovered. The fluttering is part of the "symptoms" or skipping a beat as it may feel. There has been many, many a times that I will feel fluttering like there is a butterfly in my chest and realize that my MVP is acting up. Because I know what it is, it doesn't make me panic, just aware and I'm okay with that. Yesterday I visited my cardiologist and redid my echo because lately I am short of breath. Everything looks the same as it did two years ago, but we are doing some blood work and a chest xray to ensure that it is part of my symptoms of MVP and if you keep thinking of something, well, you can make things a lot more worse! Sometimes your mind can play tricks on you.As far as working out, unfortunately I don't get the chance anymore with 2 kiddies under 2 I do enough running around to keep me fit. But, when I use to, I would find myself getting light headed and feeling off to the point of sometimes stopping. So, yes it would affect my workout. I always thought it was because I was over doing it to the point of making myself feeling like I was having an anxiety attack and would want to get sick to my stomach. MVP also affects very slender, fit men and women. I am 5'2" and weigh 105lbs. I have always been lucky to be fit (guess it's just good jeans!) but have always felt this way. So, this is something that I probably have always had, just no one has discovered it. But, I am glad for the diagnosis, atleast I know why things happen. You are the same weight as my husband and losing and gaining weight, well, there is always a reason. Could it have been changes in your diet, metabolism, working out, etc? I'm sure you will be fine, but of course need peace of mind. This is the worse part! So, tell your doctor you want an echocardiogram done and don't take no for an answer! Please let me know, too if that is what is going on. I'd love to know.By the way, I have a lot of problems sleeping, too. But, I discovered Benadryl (take 2 at night). It works wonders! Clears up my sinuses (they go crazey at night) and I sleep like a baby!!! Take care and I'm sure you will be fine. Stop worrying!! Josie
    josie1975 2 Replies
    • February 22, 2008
    • 02:26 AM
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  • I started vomiting whenever I'd drink a protein shake. My doctor just decided to chock it up to be lactose intolerance since I can't drink milk either, What I also noticed is that if I do a warm-up before I work out, it makes this condition worse. The warm-up gets my heart rate up really fast and reasonably high by doing a mix of body weight squats, burpee's and swinging a kettlebell. If I skip this warm-up, I feel I can get through the actual work out a lot easier since maybe my heart rate doesn't rise until later in the work out. sorry to harp on this..but the more i hear you say, the more it sounds like you have CFS. Food intollerances are quite normal in CFS 25-65% of CFSers have them. For a good list of CFIDS symptoms check out http://wwcoco.com/cfids/bernesx.html Also what you just described about the exercising with the way you describe it.. sounds like CFIDS. In CFS the body doesnt like exercise that causes the heart rate to get up. So as soon as the heart gets up, you will get worst real fast. It is EXTREMELY important that if you have CFIDS, that you and a doctor who understands CFIDS knows, as exercising could send you into into a deeper degree of incapacity, for some, it can be a permanent worsening. So you could be playing with fire one could say there. Also about what the other said about mitral valve prolapse. That condition is common in CFIDS.. Dr Cheney (a CFS famous top expert) says that up to 25-75%? of CFIDS patients could have it (sorry, i have memory problems too due to all this and cant remember the exact figure). Most of the time it's minor thou so needs highly specialised tests to pick it up (ones which arent normally done, some specialised bubble test or something) but he also says that the mitral valve prolapse is in response to the CFIDS, the bodies way of coping to what the CFIDS is doing to the body..and actually a life saving thing in CFIDS. So if one has CFIDS.. he says that one should NEVER have correction work done on the MITRAL VALVE PROLAPSE. (if you find out you have Mitral valve prolapse.. please find the info online im talking about to do with all this, cause mitral valve prolapse wouldnt cause all the conditions you have.. hence why im really thinking you have CFIDS. umm i think the article may be called "the heart of the matter" or something like that.. Dr Cheney also has a DVD out on all this. You mentioned now you have sleep issues. With CFS.. it is common not to get good sleep and keep waking and that due to CFS people have often their brain wave states affected affecting sleep eg beta frequency when in relaxed eye closed state.. or alpha wave intrusions into delta waves with non rem sleep. It is also common for sleep reversal to happen. This is when one will find their sleep cycle tries to reverse itself.. eg you may find yourself not able to get to sleep at normal time and only managing to fall asleep in the wee hrs or close to day break.
    taniaaust1 2267 Replies
    • February 22, 2008
    • 00:38 PM
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  • That sounds similar, but when I was reading about CFS, it just seems like it's far more severe than what I have. I was reading that people with CFS are tired throughout the day. I'm rarely like that unless I haven't slept well at all. I have no problem making it through a full day at work or a day in general. I feel like I have plenty of energy and am usually in good spirits throughout the day. I occasionally get depression, but I just chock that up to living in Myrtle Beach. :) hahaThe only time I really notice these symptoms is when working out. They clear up after about 1 hour after working out and I'm back to my old self again. So, I'm just feeling like it's not CFS unless I only show symptoms when doing high intensity exercise...
    intargc 22 Replies
    • February 22, 2008
    • 02:10 PM
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  • Thanks for the input. However, this is also more extreme than what I'm experiencing... I can lift dumbbells over my head just fine. As a matter of fact, I can overhead press 110 lbs with almost no issue and I'm deadlifting 250 lbs with almost no issue. The problem that exists is after I lift these weights, I'm exhausted... like, beyond exhausted. If I push through the entire workout, I have to sit down for an hour to recoup... I mean, it's one thing to be tired after a good workout. That's the way I used to be. It's another thing to be exhausted.Another symptom I've noticed that happens during the workout is that it seems like I get so congested (at least, that's what I think it is) that it sounds and feels like my ears are clogged up. Like I need to hold my nose and blow to pop them. Know what I mean? On the days that I get overly exhausted, this symptom is almost always there.
    intargc 22 Replies
    • February 22, 2008
    • 05:10 PM
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  • Have you considered Addison's Disease. Your symptoms match a lot of Addison's symptoms. Its a rare disorder of the adrenal gland and most doctors don't test for this. It's worth considering.
    Larkenn 20 Replies
    • February 22, 2008
    • 09:49 PM
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