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Click to view matilda68's profile Amateur 11 posts since
Oct 12, 2005

Nov 5, 2007 10:18 PM

RUNNING AND FAINTING

My 14 year old DD is a freshman in high school and runs cross country. She is a good runner with her best 5K XC time being just the other day in the Meet Of Champions, 19:20.
However since about mid season every time she finishes a race she either faints or collapses at the finish line. She has been to the doctor twice since it started happening and they can't find anything wrong with her. They took blood and tested her for anemia, they tested her blood sugar levels etc, and everything came back fine. Her blood pressure is not low. She is skinny, (5' 8" & 100 pounds), and she's a vegetarian, but she takes a daily multi vitamin and also iron pills, (an extra 100mg/day).
She does eat well even though she's skinny and never skips meals. She drinks plenty of fluids before races and she seems to recover fairly quickly after collapsing.
She says there are other times she feels dizzy too, like when she plays basketball, and sometimes even just sitting in class when everything seems dream-like.
Any suggestions on what may be causing this, or other things she should be tested for?
Click to view GranolaGal's profile Expert 47 posts since
Sep 2, 2007
1. Nov 7, 2007 6:24 PM in response to: matilda68
Does her doctor know she's a vegetarian? I personally think that a vegetarian diet that's followed for a lengthy period of time is not healthy, but that's just my opinion. If she wants to continue to be vegetarian, maybe she should have her doctor give her a diet to go by to make sure she's getting enough protein. What kinds of anemia did her doctor check her for? There's more than one kind. There's iron-deficiency, B vitamin deficiency, folate deficiency, etc. Even with no anemia present, I believe that malnourishment is possible.

Anyway, I think she needs to make sure her doctor is aware of her diet.

Just my two cents.
Click to view jansd's profile Legend 418 posts since
Jun 8, 2003
3. Nov 7, 2007 8:00 PM in response to: matilda68
Fainting is really common in teenagers and in teenage girl runners. I wouldn't worry about it too much. There are some "classic" youtube videos of the finish area at girl's collegiate races with literally dozens of runners going down in the chute and being dragged to a clearning where they can lie down and recover.
I've been a vegetarian for over 30 years and am very healthy. There's nothing wrong or dangerous with a vegetarian diet. Since your daughter is taking a multivitamin, you don't have to worry about b12 deficiency.
Click to view GranolaGal's profile Expert 47 posts since
Sep 2, 2007
4. Nov 7, 2007 8:59 PM in response to: matilda68
ThursdayNext,

One of my cousins has neurocardiogenic syncopy (is that the same as neurocardiac syncopy? I don't know). Anyway, he had the table tilt test too which I guess is how it was confirmed. He also had trouble getting a diagnosis.
The link you included isn't working for me, but I'm curious about your condition since it could be the same as my cousin's.

Jansd,

I didn't realize fainting is common among female runners. I wouldn't have thought it.
Click to view Gaelic_Tempest's profile Amateur 31 posts since
Dec 14, 2007
5. Nov 8, 2007 4:27 PM in response to: matilda68
I think the neurocardiogenic syncope is a good tip, and definitely something to look into.

I have a condition called Orthostatic Intolerance (OI), and it's very much like what your daughter is experiencing. My resting blood pressure is very low. I'm frequently dizzy when I stand up, and on bad days sometimes when I'm just sitting still as well. I have fainted on occasion. I do experience a general 'spaciness' and sometimes have difficulty concentrating. If I exert myself very hard, then I sometimes become very ill after a run - extreme dizziness and fatigue, fainting, migraines.

I am also a vegetarian, and after much experimentation I don't feel that my vegetarianism contributes to my disorder in any way.

I've been through a gamut of tests on my heart, blood, etc. and the doctors never quite know what to do with me. They usually treat me like a lunatic, and it's been very frustrating!They've recommended that I eat 4g of salt per day, so I usually take a few salt pills, and sometimes a potassium pill as well

Have you heard of that Australian kids' band, The Wiggles? The "Yellow Wiggle," Greg, left the group last year because he developed Orthostatic Intolerance and it left him unable to perform. The disorder varies in severity from person to person.

You do not have to have low resting blood pressure to have OI. It is an issue of the brain not being able to properly regulate changes in blood pressure.

I used to get really sick after every one of my weekly long runs. I still have issues post-run, but I've been able to manage it a little better in recent months by:
1) Not having any caffeine for at least 24 hours prior to a long/strenuous workout
2) Increasing both my sodium and water intake beginning 24 hours prior to said workout

On a day-to-day basis, I try to eat 4 or 5 smaller meals rather than 3 larger ones, and I'm very careful to not overeat in one sitting - it causes lots of blood to pool by my stomach, leaving very little to make the trip up to my brain! Lifting my arms over the level of my heart is a sure-fire way to make myself feel dizzy (and if she's getting dizzy while playing basketball, this may be why.)

ThursdayNext is right; fainting is just your body's way of getting blood back into your head.

Hope this is helpful. I think a cardiac stress test would be in order, just to rule out a larger problem. If the docs seem stumped, don't get frustrated!
Click to view CSuzette's profile Legend 290 posts since
Apr 8, 2005
6. Nov 9, 2007 11:41 AM in response to: matilda68
You say that the vegetarianism is not contributing to the problem -- well maybe it is actually causing the problem.

I eat meat and I do not have this problem.

Have you tried eating meat to see if the problem goes away?
Click to view Gaelic_Tempest's profile Amateur 31 posts since
Dec 14, 2007
7. Nov 9, 2007 7:29 PM in response to: matilda68
Perhaps I was not clear enough??? My vegetarianism has definitely not caused my OI. I know this because I have been dealing with OI since my mid-childhood, and I only gave up meat about 2 1/2 years ago. The 'evidence' of 1 meat-eater not experiencing these symptoms does not mean that vegetarianism causes fatigue and fainting. My diet is very well-balanced and my doctor was impressed as heck with my iron and B-12 levels.

Oddly, it got a bit worse after I had my daughter 4 years ago. Whether that's due to a physiological change, or the simple strain/sleeplessness of parenting, I do not know.

Apologies if I am a bit snippy about this; people have a tendency to try to indicate that I have somehow brought this on myself - 'maybe it's because you don't eat meat,' 'maybe it's because you exercise so much' (ha ha, yeah that 15 miles/week is gonna kill me!), 'maybe if you slept more,' 'maybe you're too stressed,' blah blah blah. It is difficult enough to keep myself functional - and exercising! - without others berating me for something that I can't control.

I will say that maintaining a strong level of fitness is helpful to me in managing symptoms - it's after I work at a high level of exertion that things get rough.
Click to view GranolaGal's profile Expert 47 posts since
Sep 2, 2007
8. Dec 26, 2007 6:16 PM in response to: matilda68
quote:<HR>Originally posted by GaelicTempest:

My resting blood pressure is very low....I do experience a general 'spaciness' and sometimes have difficulty concentrating.

"....I'm very careful to not overeat in one sitting - it causes lots of blood to pool by my stomach, leaving very little to make the trip up to my brain!
<HR>


My BP is low too. I get the spaciness also and also have difficulty concentrating. I feel heavy after I eat. Sometimes, I drink only water because tea, coke and most other drinks make me feel heavy, not to mention the heavy foods like french fries, etc. I never linked those symptoms to a possible heart problem. I do have mild MVP with a small amount of regurgitation according to my cardiologist.

http://This message has been edited by GranolaGal (edited Nov-09-2007).
Click to view brown82799's profile Legend 308 posts since
Dec 14, 2007
9. Nov 14, 2007 2:05 PM in response to: matilda68
quote:<HR>Originally posted by GaelicTempest:
Perhaps I was not clear enough??? My vegetarianism has definitely not caused my OI. I know this because I have been dealing with OI since my mid-childhood, and I only gave up meat about 2 1/2 years ago. The 'evidence' of 1 meat-eater not experiencing these symptoms does not mean that vegetarianism causes fatigue and fainting. My diet is very well-balanced and my doctor was impressed as heck with my iron and B-12 levels.

Oddly, it got a bit worse after I had my daughter 4 years ago. Whether that's due to a physiological change, or the simple strain/sleeplessness of parenting, I do not know.

Apologies if I am a bit snippy about this; people have a tendency to try to indicate that I have somehow brought this on myself - 'maybe it's because you don't eat meat,' 'maybe it's because you exercise so much' (ha ha, yeah that 15 miles/week is gonna kill me!), 'maybe if you slept more,' 'maybe you're too stressed,' blah blah blah. It is difficult enough to keep myself functional - and exercising! - without others berating me for something that I can't control.

I will say that maintaining a strong level of fitness is helpful to me in managing symptoms - it's after I work at a high level of exertion that things get rough.

<HR>


If you would eat a quarter pounder now and then, you'd be fine....sorry, just couldn't resist....by the way, running will ruin your knees.
Guest
10. Nov 22, 2007 2:53 PM in response to: matilda68
I agree with ThursdayNext. Fainting certainly isn't caused by her vegetarianism, especially with eating well, a multivitamin, and proper-looking bloodwork. Being a vegetarian hasn't stopped me from finishing a marathon, for one thing.

Has she had any more tests? Is her blood pressure abnormally low?

In any case you should be proud, that's a really impressive time. Hope you solve this puzzle.
Click to view furseal's profile Expert 56 posts since
Jan 13, 2005
11. Dec 1, 2007 10:08 PM in response to: matilda68
I also don't think it's caused by her being a vegitarian. However I would worry about her weight. 5' 8" 100# seems EXTREMELY thin to me. At 14 she's probably gone through a growth spurt so her weight needs some time to catch up to her height but she should be eating enough calories, vegetarian or not, to make up for that.

I'd look into hypoglycemia. I fainted after 2 runs - a 10k before which I'd had some really strong coffee and a long run before which I hadn't eaten lunch. The coffee spiked and then crashed my blood sugar and the second time I was just running on empty.

Make sure she's eating enough. She should be eating TONS, especially since she's a runner, and one growing through a rapid phase of physical development as well.
Click to view RunstheBitterroot's profile Legend 591 posts since
Aug 14, 2007
12. Dec 1, 2007 11:54 PM in response to: matilda68
I would say that if your daughter only weights in at 100 pounds at her hight perhaps family services needs to pay a visit. Waco diets are fine for adults but shouldn't be encouraged in children. This really looks like child abuse to me. Perhaps you need help. Larry

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"If you see a man running up a mountain trail in Montana with a fly pole attached to his back, you are probably lost. LDD