 
                            What Causes A Weird Sensation After Cardio Exercises?
 
 
                                    
                                    
                                          
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                                           Fri, 13 Mar 2015
                                           
                                        
                                        
                                        
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                                             Thu, 12 Mar 2015
                                                
                                            
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                                            Question : I am 53 yo female. LMC 2013. I lift weights and exercise cardio regularly. Lately I have been having episodes of feeling "off balance" not dizzy or vertigo, but feeling weird. It subsides within a few minutes, but leaves me worried and stressed. No sweating, or chest pains , just feeling weird. What do you think maybe causing this?
                            
                                    Brief Answer:
Transient episodes of "off-balance"
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
Transient episodes of "off-balance" indicate vascular cause,more precisely transient ischemic attack involving posterior cerebral circulation or vertebro-basilar insufficiency. More often the symptoms are very brief, lasting a few seconds.
Work-up for atherosclerosis like serum lipid profile,blood sugar fasting and post prandial,ECG,Echocardiogram,X-ray cervical spines are needed to be done.
A detail neurological examination & subsequently Magnetic resonance angiography (MRA) to evaluate vertebrobasilar arteries,I feel should be undertaken.
Dr. T.K. Biswas M.D. XXXXXXX
     
                                    
                                    
                                    
                                    
                                    
                            Transient episodes of "off-balance"
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
Transient episodes of "off-balance" indicate vascular cause,more precisely transient ischemic attack involving posterior cerebral circulation or vertebro-basilar insufficiency. More often the symptoms are very brief, lasting a few seconds.
Work-up for atherosclerosis like serum lipid profile,blood sugar fasting and post prandial,ECG,Echocardiogram,X-ray cervical spines are needed to be done.
A detail neurological examination & subsequently Magnetic resonance angiography (MRA) to evaluate vertebrobasilar arteries,I feel should be undertaken.
Dr. T.K. Biswas M.D. XXXXXXX
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Vinay Bhardwaj
                                  
                              
                                          
 
                                    
                                    
                                 
  
 
                                    Ate there any other symptoms that would give me reason to seek all those exams ?
                                
                            
                                    Brief Answer:
Transient episodes of "off-balance"-work up
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
Transient vertebro-basilar ischemia can give rise to other symptoms along with 'off-balance'-like nausea,vomiting ,temporary double vision ,speech problem (dysarthria).
Work-up suggested are for atherosclerosis as it is the common underlying cause of transient ischemia in brain-stem vascular territory.Except MRA,rest of the investigations are not specific.
Cardiac investigations are asked for to rule out any arrhythmias,particularly brady-arrhythmias,which can also cause transient fall in cerebral circulation-leading feeling 'off balance' or near syncope.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
                                    
                                    
                                    
                                    
                                    
                            Transient episodes of "off-balance"-work up
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
Transient vertebro-basilar ischemia can give rise to other symptoms along with 'off-balance'-like nausea,vomiting ,temporary double vision ,speech problem (dysarthria).
Work-up suggested are for atherosclerosis as it is the common underlying cause of transient ischemia in brain-stem vascular territory.Except MRA,rest of the investigations are not specific.
Cardiac investigations are asked for to rule out any arrhythmias,particularly brady-arrhythmias,which can also cause transient fall in cerebral circulation-leading feeling 'off balance' or near syncope.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Vinay Bhardwaj
                                  
                              
                                          
 
                                    
                                    
                                 
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