Dizziness, Nausea, and Rapid Heartbeat After Intense Exercise - Internal Medicine

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Dizziness, nausea, and rapid heartbeat?


A few days ago, I went to exercise because I felt that the pressure from my studies had kept me from working out for a long time.
While doing pull-ups, I pushed myself to do more until I couldn't continue, and I drank electrolyte beverages and water for hydration.
However, the next morning, I noticed that my urine was somewhat dark, while at other times it appeared slightly transparent with a hint of yellow.
The day after exercising, I woke up feeling dizzy and experienced drowsiness throughout the morning, along with a slightly elevated heart rate and some palpitations.
Other than that, I didn't have any major issues.
Now, on the third day after exercising, I still feel dizzy upon waking up, continue to feel drowsy in the morning, and my heart rate is unusually fast.
I feel unwell overall, and my urine is still yellow with some bubbles.
Additionally, I've recently developed small blisters on my hands and feet resembling dyshidrotic eczema.
After researching online, I found information suggesting that these could be symptoms of acute kidney failure, but I do not have the lower extremity edema or altered consciousness described.
Unfortunately, the nearby hospital is closed for outpatient services on Friday nights, so I am urgently seeking to understand what is happening with my body.

Niming, 10~19 year old female. Ask Date: 2018/06/08

Dr. Hong Yuanbin reply Internal Medicine


Hello, excessive exercise may lead to rhabdomyolysis, which can cause acute kidney failure.
However, based on your age and physical condition, the likelihood of this is probably low.
Another more probable scenario is that some individuals may experience mild nephrotic syndrome, particularly with slight proteinuria after exercise.
However, these are just speculations based on your symptoms.
It is still advisable to visit an outpatient clinic for a proper evaluation and urine tests.
Thank you for your inquiry.

Reply Date: 2018/06/08

More Info


Experiencing dizziness, nausea, and a rapid heartbeat after intense exercise can be concerning, especially if these symptoms persist for several days. Based on your description, it seems that you pushed yourself quite hard during your workout, which may have led to a few physiological responses that are worth discussing.

Firstly, it's important to understand that during intense exercise, your body undergoes significant stress. This stress can lead to increased heart rate and changes in blood flow, which may cause dizziness and feelings of lightheadedness. When you exert yourself, your heart pumps faster to supply more oxygen to your muscles, and if you push beyond your limits, it can lead to symptoms like palpitations or a racing heart.
The fact that you experienced a change in urine color to a darker shade can indicate dehydration, especially if you were sweating profusely during your workout. Dark urine often suggests that your body is conserving water, which can occur when you are not adequately hydrated. Electrolyte drinks can help, but they should be consumed in moderation and not as a substitute for water. It's crucial to ensure that you are drinking enough fluids before, during, and after exercise to prevent dehydration.

The symptoms of dizziness and excessive sleepiness you are experiencing could also be related to fatigue or overexertion. When you push your body too hard, it can lead to a temporary state of exhaustion, which might explain why you feel sleepy and dizzy upon waking. Additionally, if you are not getting enough rest or if your body is still recovering from the physical exertion, these symptoms can persist.

The appearance of small water blisters (sweat blisters) on your hands and feet could be a sign of heat rash or a reaction to sweating, especially if you were exercising in a hot environment. This is generally not a serious condition but can be uncomfortable.

While acute kidney failure is a serious concern, the symptoms you describe do not align perfectly with this condition, especially since you are not experiencing lower extremity edema or altered consciousness. However, persistent symptoms like dark urine, rapid heartbeat, and dizziness warrant medical attention. It’s essential to rule out any underlying conditions that could be contributing to your symptoms.

Here are some recommendations for you:
1. Hydration: Ensure you are drinking enough fluids, particularly water, throughout the day. Monitor your urine color; it should ideally be light yellow.

2. Rest: Allow your body time to recover. If you feel dizzy or unwell, it’s best to avoid strenuous activities until you feel better.

3. Monitor Symptoms: Keep track of your symptoms. If they worsen or do not improve, seek medical attention as soon as possible.

4. Consult a Healthcare Provider: Given your ongoing symptoms, it would be wise to consult a healthcare professional. They may recommend blood tests, urine analysis, or other evaluations to ensure your kidneys and overall health are functioning well.

5. Gradual Return to Exercise: When you feel ready to return to exercise, do so gradually. Start with lighter activities and progressively increase intensity as your body adapts.

In conclusion, while your symptoms may be related to overexertion and dehydration, it’s crucial to listen to your body and seek medical advice to rule out any serious conditions. Taking care of your health should always be a priority, especially when engaging in physical activities.

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