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tallgirl


Oct 22, 2007, 3:05 PM
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Altitude Sickness
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Hey. I was out in Lover's Leap and got altitude sickness, complete with throwing up on the approach, dizziness and panting. I'm back in NYC after two weeks and still don't feel well. Was up at the 'gunks (aka cirque de soleil) over the weekend and felt incredibly nauseous. Seemed to get better throughout the course of the day. Any one have experience with recovering from altitude sickness or have any suggestions?


(This post was edited by tallgirl on Oct 22, 2007, 3:52 PM)


jgloporto


Oct 22, 2007, 5:10 PM
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Re: [tallgirl] Altitude Sickness [In reply to]
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tallgirl wrote:
Hey. I was out in Lover's Leap and got altitude sickness, complete with throwing up on the approach, dizziness and panting. I'm back in NYC after two weeks and still don't feel well. Was up at the 'gunks (aka cirque de soleil) over the weekend and felt incredibly nauseous. Seemed to get better throughout the course of the day. Any one have experience with recovering from altitude sickness or have any suggestions?

I would move this post to the Alpine forum. I don't recall reading anything that suggests that gender has any impact on the likelihood of developing AMS, HAPE, or HACE.

That said, AMS and other altitude related conditions are uncommon below 8,000 feet. I would think giardia before AMS since Lake Tahoe tops out around 6,300 feet (if I recall). It does seem that some people are really susceptible to AMS. I would see a doctor though. If not giardia, there could be a whole range of bacterial infections you can pick up in a backcountry environment that could explain your conditions.

Conditions in the Gunks aren't much different than they are at sea level. How much time was there between Lake Tahoe and the Gunks?

I repeat though that you should see a doctor.


tallgirl


Oct 22, 2007, 5:34 PM
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Re: [jgloporto] Altitude Sickness [In reply to]
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Well, I know how to place gear but I'd be hard pressed to move a thread but thanks for the advice all the same.
I called my Doc, and will go for a check up...seems like the prudent thing to do. She also suggested drinking alot of water and taking Prilosec as an acid blocker for the time being. Ugh. HATE to take any kind of medication...


bent_gate


Oct 22, 2007, 6:35 PM
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Re: [tallgirl] Altitude Sickness [In reply to]
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The Gunks is not High Altitude, so I really don't think it is related to altitude. I had a similar thing happen to me years ago when I went to Tahoe, and happened to catch a virus on the way. When I arrived in Tahoe I got sick overnight which just happened to be coincidence. After returning to lower altitude I realized it's a virus. (probably the Norwalk virus)

High Altitude symptoms rapidly alleviate themselves on descent.

According to a physicians guide on AMS descent should result in "rapid recovery: patients generally improve during descent, recover totally within several hours."


(This post was edited by bent_gate on Oct 22, 2007, 6:45 PM)


jgloporto


Oct 22, 2007, 7:20 PM
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Re: [bent_gate] Altitude Sickness [In reply to]
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bent_gate wrote:
The Gunks is not High Altitude, so I really don't think it is related to altitude. I had a similar thing happen to me years ago when I went to Tahoe, and happened to catch a virus on the way. When I arrived in Tahoe I got sick overnight which just happened to be coincidence. After returning to lower altitude I realized it's a virus. (probably the Norwalk virus)

High Altitude symptoms rapidly alleviate themselves on descent.

According to a physicians guide on AMS descent should result in "rapid recovery: patients generally improve during descent, recover totally within several hours."

Long backcountry trips are also known to result in a condition known as "pregnancy" (err, um... or so I have heard). The symptoms are similar to those ones described by the OP.


Partner epoch
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Oct 22, 2007, 7:41 PM
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Re: [tallgirl] Altitude Sickness [In reply to]
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From your vague discription. I would say that you do not have AMS.

While it is possible to show/feel signs of AMS at lower altitudes it is improbable that that would be your condition since altitude related injuries are just that, related to altitude. If by descent you didn't get better then you do not have an altitude condition. The only thing that you may have noticed pertaining to the altitude at the leap is a decrease in physical performance.

Still, two weeks later you don't feel better (At sea level)... YOU DON'T HAVE AMS. Go see a doctor. Sounds like pregnancy.

I have plenty of experience with AMS for what it's worth.


jgloporto


Oct 22, 2007, 8:11 PM
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Re: [epoch] Altitude Sickness [In reply to]
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epoch wrote:
From your vague discription. I would say that you do not have AMS.

While it is possible to show/feel signs of AMS at lower altitudes it is improbable that that would be your condition since altitude related injuries are just that, related to altitude. If by descent you didn't get better then you do not have an altitude condition. The only thing that you may have noticed pertaining to the altitude at the leap is a decrease in physical performance.

Still, two weeks later you don't feel better (At sea level)... YOU DON'T HAVE AMS. Go see a doctor. Sounds like pregnancy.

I have plenty of experience with AMS for what it's worth.

To the OP, both Epoch and I have also seen first hand accounts of this condition known as "pregnancy." All of the conditions you mentioned are consistent. If you have a sudden urge to slap either myself or Epoch, it's all but confirmed.


pinktricam


Oct 23, 2007, 2:08 AM
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Re: [tallgirl] Altitude Sickness [In reply to]
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tallgirl wrote:
Any one have experience with recovering from altitude sickness or have any suggestions?

One word: Viagra.

Seriously. Just check out the first few links.


dr_feelgood


Oct 23, 2007, 2:17 AM
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Re: [pinktricam] Altitude Sickness [In reply to]
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Bye Bye possibly offensive comment scrawled on the bathroom wall...


(This post was edited by dr_feelgood on Oct 24, 2007, 1:07 AM)


Partner macherry


Oct 23, 2007, 4:26 AM
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Re: [dr_feelgood] Altitude Sickness [In reply to]
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serious question guys. stay on topic or get out of here.


tallgirl


Oct 23, 2007, 12:07 PM
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Re: [macherry] Altitude Sickness [In reply to]
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thanks for standing up and putting a stop to the ridiculous responses (sexually based) to my query. it just confirms my sense that this site is full of guys who don't really climb rocks or care about other climbers but surf the women's room to get they're rocks off.
If you guys were really climbers you'd have ethics and a deep sense of integrity.


pinktricam


Oct 23, 2007, 2:02 PM
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Re: [macherry] Altitude Sickness [In reply to]
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macherry wrote:
serious question guys. stay on topic or get out of here.

This was my first post ever in the Ladies Room forum. I'm well aware of its purpose and its heavy moderation and mine was a legitimate and sincere response, Marge. Did you even look to see? The first 3 links I provided a portal to deal with the use of sildenafil (Viagra) in treating and preventing AMS and HAPE.

I can't help it if dr_feelgood felt compelled to continue his sophomoric quest of ridicule in the wrong forum.

Carry on.


Partner macherry


Oct 23, 2007, 2:27 PM
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Re: [pinktricam] Altitude Sickness [In reply to]
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ptc, my post was in reference to feelgood's post about sex and others regarding backcountry pregnancy! Consider this a warning guys.........be a smartass and you're no longer welcome in here


jgloporto


Oct 23, 2007, 3:17 PM
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Re: [macherry] Altitude Sickness [In reply to]
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macherry wrote:
ptc, my post was in reference to feelgood's post about sex and others regarding backcountry pregnancy! Consider this a warning guys.........be a smartass and you're no longer welcome in here

Heh Ma, the OP is complaining of specific symptoms. It doesn't appear that AMS, HAPE or HACE are possible (thus the viagra comment is irrelevant, especially since viagra is supposed to be preventitive and not for the treatment of AMS). Giardiasis or another backcountry bacterial or viral infection is possible though that usually includes severe diarhea. Since the OP didn't complain of that particular condition, it's possible to rule out all of those. The OP posted a question about AMS in the ladies forum even though there is nothing gender specific about AMS (though some studies have shown that high altitude headaches are more common in women, but the link isn't very clear). Dizziness, equalibrium problems and vomiting are also indicitive of everything from a severe ear infection to brain cancer but that starts to get pretty bleak. I fail to see how suggesting that pregnancy is the cause is inappropriate. If she got a standard blood work up from a doctor that would invariably check for that given the symptoms she is complaining of.


Partner macherry


Oct 23, 2007, 3:26 PM
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Re: [jgloporto] Altitude Sickness [In reply to]
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point taken


jgloporto


Oct 23, 2007, 3:37 PM
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Re: [macherry] Altitude Sickness [In reply to]
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macherry wrote:
point taken

I guess it could also be lupis....



sorry, House is on tonight.... and I am a doctor (of jurisprudence). That show kicks ass.


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Oct 23, 2007, 4:20 PM
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Re: [jgloporto] Altitude Sickness [In reply to]
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jgloporto wrote:
macherry wrote:
ptc, my post was in reference to feelgood's post about sex and others regarding backcountry pregnancy! Consider this a warning guys.........be a smartass and you're no longer welcome in here

Heh Ma, the OP is complaining of specific symptoms. It doesn't appear that AMS, HAPE or HACE are possible (thus the viagra comment is irrelevant, especially since viagra is supposed to be preventitive and not for the treatment of AMS). Giardiasis or another backcountry bacterial or viral infection is possible though that usually includes severe diarhea. Since the OP didn't complain of that particular condition, it's possible to rule out all of those. The OP posted a question about AMS in the ladies forum even though there is nothing gender specific about AMS (though some studies have shown that high altitude headaches are more common in women, but the link isn't very clear). Dizziness, equalibrium problems and vomiting are also indicitive of everything from a severe ear infection to brain cancer but that starts to get pretty bleak. I fail to see how suggesting that pregnancy is the cause is inappropriate. If she got a standard blood work up from a doctor that would invariably check for that given the symptoms she is complaining of.

What he said.


jgloporto


Oct 23, 2007, 4:24 PM
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Re: [tallgirl] Altitude Sickness [In reply to]
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tallgirl wrote:
thanks for standing up and putting a stop to the ridiculous responses (sexually based) to my query. it just confirms my sense that this site is full of guys who don't really climb rocks or care about other climbers but surf the women's room to get they're rocks off.
If you guys were really climbers you'd have ethics and a deep sense of integrity.

Barring Doc's slight dig at PTC, there wasn't anything rediculous about any of the suggestions herein. Pregnancy is a possible cause of these conditions. If in fact you are suffering from some sort of prolonged version of AMS, viagra could be the solution since it has proven itself useful in preventing AMS and if it was AMS then you are extremely sensitive to altitude sickness since most people don't experience AMS symptoms below 8,000 feet and between 8,000 and 14,000 only 1% of all unacclimatized males and females tested reported AMS type symptoms (based on US Army testing using hyperbaric chambers to simulate air pressure in those ranges). So viagra might be something to look into or ask your doctor about (again if it's conclussive that you suffered from AMS).

Bacterial and viral infections are common in a backcountry environment and that would be important to discuss with your doctor. The incubation period for giardia bacteria (the most common bacterial infection contracted in Western US wilderness areas) is one to two weeks and symptoms can persist for several weeks afterwards. Though, as I mentioned, almost all of those bacterial and viral infections affect the gi tract causing most commonly severe diarrhea in addition to other symptoms.

I'll admit that there are encyclopedia brittanica sized volumes of useless, offensive or at least off color posts on here (and I may have authored one or two in the past). I think people (in general, not you in particular) are being a bit too hypersensitive. With all due respect, pregnancy is a condition that commonly appears in women the symptoms of which include sustained dizziness and vomiting in the early stages of this parasitic infection.

I climb rocks routinely... I also have three children so I'm not unfamiliar with the conditions associated with that.

I hate to beat a dead horse here, but your assessment isn't exactly fair. Both Epoch and I have some experience with AMS and it doesn't seem to fit here, we offered our opinions. Take them for what it's worth, this is the internet folks.


bizarrodrinker


Oct 23, 2007, 5:20 PM
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Re: [jgloporto] Altitude Sickness [In reply to]
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You could also be anemic.


desertwanderer81


Oct 23, 2007, 5:31 PM
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Re: [jgloporto] Altitude Sickness [In reply to]
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In reply to:
By contrast the symptoms of high-altitude pulmonary edema, or HAPE, include shortness of breath, fatigue and cough, sometimes with frothy, pink sputum. Schoene says the condition has been recorded at 8,000 feet but is much more common at 9,000 to 12,000 feet, and the onset is usually two to four days after arrival.

"In our emergency room, we probably see a dozen cases of HAPE a year," says Dr. Chris Hummel, director of the emergency department at Mammoth Hospital in Mammoth Lakes.

Confirmed diagnoses of acute mountain sickness occur at about the same rate, Hummel says, "but we suspect the number is actually … higher. Many with acute mountain sickness don't come to the ER."

Treatment typically involves supplemental oxygen and the drug nifedipine (Adalat, Procardia), which lowers pulmonary artery pressure.

"It's the same concept as sildenafil, but sildenafil is more potent than nifedipine," Schoene says. In the lungs, sildenafil keeps the blood vessels dilated, he says. Pressure doesn't build, and the vessels don't leak fluid into the lungs' tiny air sacs.

For mountain climbers, a typical dose of sildenafil is 50 milligrams every eight hours, Hackett says. To treat erectile dysfunction, the usual dose is 50 milligrams before sex, he says.

On the topic of treatment for Altitude Sickness.

This is really interesting. Apparently it can be used to treat the disorder. The human body really is a facinating thing with so many different facets.


jgloporto


Oct 23, 2007, 6:24 PM
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Re: [desertwanderer81] Altitude Sickness [In reply to]
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desertwanderer81 wrote:
In reply to:
By contrast the symptoms of high-altitude pulmonary edema, or HAPE, include shortness of breath, fatigue and cough, sometimes with frothy, pink sputum. Schoene says the condition has been recorded at 8,000 feet but is much more common at 9,000 to 12,000 feet, and the onset is usually two to four days after arrival.

"In our emergency room, we probably see a dozen cases of HAPE a year," says Dr. Chris Hummel, director of the emergency department at Mammoth Hospital in Mammoth Lakes.

Confirmed diagnoses of acute mountain sickness occur at about the same rate, Hummel says, "but we suspect the number is actually … higher. Many with acute mountain sickness don't come to the ER."

Treatment typically involves supplemental oxygen and the drug nifedipine (Adalat, Procardia), which lowers pulmonary artery pressure.

"It's the same concept as sildenafil, but sildenafil is more potent than nifedipine," Schoene says. In the lungs, sildenafil keeps the blood vessels dilated, he says. Pressure doesn't build, and the vessels don't leak fluid into the lungs' tiny air sacs.

For mountain climbers, a typical dose of sildenafil is 50 milligrams every eight hours, Hackett says. To treat erectile dysfunction, the usual dose is 50 milligrams before sex, he says.

On the topic of treatment for Altitude Sickness.

This is really interesting. Apparently it can be used to treat the disorder. The human body really is a facinating thing with so many different facets.

There was a pretty extensive report on the use of viagra to prevent AMS. If I recall there was a thread on it in the Alpine and Ice forum. If I get really bored at some point this afternoon, I'll look it up for you.


rmsusa


Oct 23, 2007, 9:39 PM
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Re: [tallgirl] Altitude Sickness [In reply to]
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In reply to:
If you guys were really climbers you'd have ethics and a deep sense of integrity.

You've GOT to be kidding!

On topic, though, panting, dizziness and nausea can all be symptoms of a coronary event. Get thee to a real doctor!


maww


Oct 23, 2007, 10:48 PM
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Re: [rmsusa] Altitude Sickness [In reply to]
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rmsusa wrote:
In reply to:
If you guys were really climbers you'd have ethics and a deep sense of integrity.

You've GOT to be kidding!

That was my absolute instant reaction!!

Truthfully I'd suggest you see a doctor. I can understand asking on RC.com if you thought it was AMS but don't let this advice from a thread on the Internet be a substitute for actual medical attention.

It's just the blind leading the blind in here at times!!!


wjca


Oct 23, 2007, 11:37 PM
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Re: [tallgirl] Altitude Sickness [In reply to]
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post recycled by wjca.


(This post was edited by wjca on Nov 2, 2007, 2:10 AM)


lupocanine


Oct 25, 2007, 5:46 AM
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Re: [tallgirl] Altitude Sickness [In reply to]
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.Did you bend over a look at the bottom? Did you bump your head? Or jerk your head around in a quick fashion before Lovers Leap? If so, sometimes there are crystalline build up in our inner ears, if some dislodges, it can cause everything you are describing.
You are not describing altitude sickness

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