Update in OP ...Would you take your DD to the doctor for this odd set of symptoms?

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Posted 10/9/2012 by cdnstorelady in NSBR Board
 

cdnstorelady
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Posted: 10/9/2012 10:33:12 AM
Update: well we went to the dr - who is a gp. She ordered a bunch of blood tests, including thyroid and blood sugar, and an EKG to rule out any heart issues but said she didn't really suspect anything heart related. ...fast forward to our appt today for the test results and all her bloodwork is normal. Iron a little low but not anemic nor is treatment required. Surprisingly, the EKG did come back with an anomaly - wandering pacemaker it's called. The doctor said its not uncommon in children or old people and usually requires no treatment. She said more people may have it but never know until they get old and something else goes wrong so then they have an EKG....but just to be sure, and because DD had another episode like those in the OP just this past Friday night, she wants her to see the cardiologist who read her ekg - who luckily is the chief cardiologist at our regional children's hospital. She said it will probably be a few months to get in to see him as there's no real urgency but she'd rather him rule out any concerns or further treatment than her. She suspect's the shaking episodes are anxiety related but they always rule out any physical causes before they make that diagnosis.



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Last night for the 3rd night in about the last six months, DD (age 15) started feeling poorly just at bedtime. She said she felt shaky but she didn't want to lie down. I did make her lie down on her bed. Soon she was shaking/trembling - like shivers if you were cold. She's not sick and neither has she been the last 2 times this has happened.

The shivering incidents last about a minute or two and then there would be a few minutes break and then it would happen again. Eventually the non-shivvering breaks got longer and longer and it eventually just stopped.

Last time it happened, maybe a few months ago, she was shaking so hard her teeth were chattering...

This time wasn't quite so bad so I held her hand and told her just to breath deeply and ride it out.... I asked her if she want anxious about anything - I thought maybe it was a panic attack. She said she didn't think she was anxious....

So once it stopped (maybe half an hour later) she said her heart was still beating really fast (although I didn't think to take her pulse). I told her it was probably just because of the shaking, like an adrenaline rush and it would probably go away in a little while. I tucked her in and went to my room to go to bed. Not 10 minutes later she was in my room and said she wasn't feeling better so she got into bed with us - luckily we have a queen sized bed. We all must have fallen asleep and a while later she woke up and went to her own bed.

This morning she feels normal. I can't figure out if there's any point to take her to the doctor as I have so little information to give her. She's not ill, has no medical problems, and I can't see any connection with anything else (i.e. not near her period, not happening when she's away from home, etc)....

Would you take her in and if so, what exactly would I be asking about/for? Just a general work up?

Gail OH
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Posted: 10/9/2012 10:36:54 AM
No advise to the cause but seeing a doctor sounds like a good idea. When you talked on the heart pounding , best to talk to the doctor on it.


Gail

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Posted: 10/9/2012 10:39:09 AM

Has it been awhile since she's had anything to eat when this happens?

Your description reminds me of low blood sugar. And yes, I would take my DD to the Doc. with those symptoms.

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Posted: 10/9/2012 10:39:57 AM
I'd get her in to the doctor ASAP. Her symptoms aren't normal and seem scary to me.

LLinIN
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Posted: 10/9/2012 10:40:12 AM
I would definitely take her in to the doctor. Has her blood sugar been checked recently? That would be my first worry. Hope it turns out to be nothing!

cdnstorelady
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Posted: 10/9/2012 10:42:53 AM
Has it been awhile since she's had anything to eat when this happens?

Your description reminds me of low blood sugar. And yes, I would take my DD to the Doc. with those symptoms.
_______________________________________________________________

Hmmm, I can't remember whether the other times she had anything to get but it does usually happen around bedtime or during the night. She is very slight - probably 25%th in weight but that's consistent since she was a year old. She usually has a snack before bed but I'll check.....

If it was low blood sugar, would it have resolved itself without her eating anything?


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Posted: 10/9/2012 10:45:15 AM
I would take her in.


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Posted: 10/9/2012 10:45:39 AM
I would take her and have her Vitamin D and iron levels checked. I have these same symptoms (exactly as you described) and i'm very low on both of those.

Strangely enough though, I contribute the symptoms to my gluten intolerance. I have all kinds of weird symptoms that only occur when ive eaten gluten.


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Posted: 10/9/2012 10:48:56 AM
That doesn't sound like something you'd want to mess around with. I'd take her in to see the doctor.

MissySauter
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Posted: 10/9/2012 10:51:17 AM
I would definately take her in since it has happened three times now. It could be low blood sugar. Good luck and tell us what the doctor says.



journey fan
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Posted: 10/9/2012 10:54:03 AM

Would you take her in and if so, what exactly would I be asking about/for? Just a general work up?

Explain what's happened with as much detail as possible. The doctor will know what to do.



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Posted: 10/9/2012 10:56:31 AM
I wouldn't mess around with it, I'd get her in to be seen. The doctor should run some blood tests to rule out blood sugar issues.

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Posted: 10/9/2012 11:05:42 AM
It might also be good for her to be put on a Holter monitor to see what's going on with her heart when this happens. It's a terribly inconvenient test, but it can eliminate heart involvement with her symptoms or give them more info about how the heart is related.

Sorry she's going through this. I get like that with bad sinus headaches. I don't know how many times I've specifically brought up the teeth chattering during the headaches, but the doctors didn't seem concerned.

jarmommy
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Posted: 10/9/2012 11:12:18 AM
If her heart is racing during these I'd definitely take her. Could be SVT or some other abnormal heart rhythm. Until then I'd have her cut back on caffeine and eliminate any exercise or strenuous activity. Get her to the doctor ASAP.

ETA: Doesn't sound like a blood sugar problem to me because the symptoms wouldn't just disappear on their own. A low blood sugar problem would need to be resolved with food of some sort.

*Shannon
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Posted: 10/9/2012 11:17:58 AM
If a person's blood glucose gets too low, the liver will dump glucose into the bloodstream, if there is enough of a store within the liver. This would stop the symptoms. My daughter has type 1 diabetes. When she is low she turns pale, gets shaky, feels heavy in her chest and gets a little panicky. I have never taken her pulse while she is low, not sure if her heart races, but wouldn't be surprised if it did.

I would def take your daughter to her doctor to have it checked out, maybe even have a glucose monitor on hand for when/if it happens again so you can check her glucose.

I hope you figure it out soon.




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Posted: 10/9/2012 11:20:05 AM
You might want to have her thyroid checked. When mine was hyper I would feel like I was having a panic attack. Racing heart, shaky to the point I felt like I was vibrating. It would come and go. I never felt that "panicky" feeling though, just the symptoms.

Feel her throat. For me, I could feel my thyroid as a "thickness" in the base of my neck.

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Posted: 10/9/2012 11:23:21 AM
I am also thinking blood sugar? But definitely get her checked to rule out anything more serious.


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Posted: 10/9/2012 11:28:30 AM
I'm with everyone else. I'd take her in. I hope you get some answers soon.

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Posted: 10/9/2012 11:30:26 AM
Ask the doctor about postural orthostatic tachychardia. Basically, your autonomic nervous system does not do a good job of keeping the blood from pooling in your legs. You get lightheaded, heart races, etc. I've had it for over 15 years, though not with those exact symptoms. A young friend of ours (20 years old) was just diagnosed with it. She was having fainting spells where she would shake for quite a while. It can be diagnosed with a tilt table test, fairly simple procedure. There are medications that can stabilize it. Its also important to get plenty of rest, avoid stress, limit caffeine, eat properly, and exercise regularly.

This may not be your daughter's problem at all, but it might be something they could rule out.


Laurie

cdnstorelady
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Posted: 10/9/2012 11:31:56 AM
Until then I'd have her cut back on caffeine and eliminate any exercise or strenuous activity. Get her to the doctor ASAP.

_________________________________________________________

Well she drinks no caffeine (no coffee, only decaf tea and no sodas) and as for strenous exercise she has winter soccer starting soon... but I've made an appointment to see her doctor next Thursday morning so don't think she'll have soccer before then.

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Posted: 10/9/2012 11:33:05 AM
A few years ago I went through the same thing over almost a period of several years. I was in my early thirties. Every once in a while I would shiver so much around the time I went to bed that my husband would pile comforters on top of me until it stopped or I fell asleep after about 30 mins or an hour. The intense shivering exhausted me, but no other symptoms or problems and fine the next day. Nothing out of the ordinary in my yearly check-ups with blood-work, etc. so I just endured them and honestly thought they may have been stress related, etc.

I had to have an ovary removed a couple of years after these episodes started, due to a large tumor. I was having my yearly gyn checkup, mentioned some extra pain I was having and since the sonographer happened to be free at that moment she found the tumor. Since then, I have not had any more of these shivering episodes. I have no idea if this is related at all, but you may want to look into this at her next gyn appt. just in case.

cdnstorelady
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Posted: 10/9/2012 11:49:34 AM
but you may want to look into this at her next gyn appt. just in case.
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well she's 15 so she doesn't has a gyn at this point and in Canada you would only see a gyn if you were referred by one for something your family doctor couldn't handled, but it will be interesting to see what her doctor suggests next week.

We also have thyroid issues in our family (Mom and brother both with Graves disease) so I get mine checked about every 2 years or so... I should ask my DDs doctor at what point they would recommend getting that checked.


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Posted: 10/9/2012 12:20:28 PM
Sounds like an anxiety attack to me.

My son had something similar happen, but his was related to the doctor not tapering off his prednisone. He basically had withdrawls, but the doctor thougth it was an anxiety attack at first. He had the shakes, rapid heart beat, felt like he was going to pass out.


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Posted: 10/9/2012 2:54:45 PM
My first thought was something to do with the thyroid (hyper? is that the overactive condition). We had to take ds in to the ER a couple of weeks ago because of heart palpitations and rising heartrate and blood pressure, and that was one of the things they wanted to check for.

With ds, it was most likely a reaction to some medication. But things like the shaking, and increased heart rate are symptoms they were asking about when ruling out thyroid.

I think that any time someone has health issues/symptoms that are out of the norm and concerning (shakes and increased heart rate would qualify) that that warrants having it looked into, especially if it has happened on more than one occasion.

It might be nothing, but it's always better to doublecheck I think.


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Posted: 10/9/2012 2:58:05 PM
Just wanted to say that if it happens again before you book an appointment for her, I would call your doctor's on call line or provincial health line and speak with a nurse. They will ask questions and check for symptoms you might not think to, and give some guidance as to what if any medical care you should seek and how soon.


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justalittletike
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Posted: 10/9/2012 3:33:05 PM
sounds like hyperthyroidism to me.. that is what I have.

I get RLS a lot among other things...

BUT, a friend of ours DD had something similar and her hands were turning white also and she has some kind of autoimmune disease that they had no clue about.

you just never know.

document it all now though like write it down. They may not find a cause now but as time goes by all the symptoms added up may lead them to something else if she proceeds to have issues.



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Posted: 10/9/2012 5:34:08 PM
Thyroid and low blood sugar come to mind. As another poster mentioned, your liver stores glucose, so it is possible for a low blood sugar episode to resolve itself. If it happens again before you get to see a doctor, have her eat something with carbs in it. If she feels better in 15 minutes, that might be your answer.

naniwebbEMT
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Posted: 10/9/2012 5:42:47 PM
I didn't read all the responses, but does she take any medications? I have Anxiety and have tried several different SSRI (depression) medications over the years, because they work for anxiety too. Anyway, they make me have a similar reaction for a few hours after taking them. Feels just like an anxiety attack, except my teeth chatter uncontrollably.

Just a thought. Hope you get this figured out and she is feeling better soon. I would take her in for sure.



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Posted: 10/9/2012 6:59:02 PM

well she's 15 so she doesn't has a gyn at this point and in Canada you would only see a gyn if you were referred by one for something your family doctor couldn't handled, but it will be interesting to see what her doctor suggests next week.



Not to go off topic but I am wondering about this. Are you able to go to a Gyn for your yearly pap or does your family doctor do this as well?


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cdnstorelady
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Posted: 12/4/2012 9:17:49 PM
BTT for update. And for the PP who asked about a pap, I see my g.p. for my annual exams and a gyno as I had an issue that requires ongoing monitoring. Women without any issues wouldmhave their pap by a gp. Referral for a gyno needs to have a specific reason - like most specialists here- at least in n.s not sure about all of Canada.
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