[20F] With fainting, heat intolerance, and heart flutters

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Heat Intolerance and Dehydration:

   • Given your exposure to extreme heat while working out in the sun, it's possible that your symptoms of fainting, lightheadedness, clamminess, and swelling could be related to heat intolerance or dehydration. These conditions can cause your body to overheat and lead to fainting spells, especially during physical activity.
   • Typical Treatments: Staying hydrated, taking breaks in the shade, and avoiding strenuous activities during peak heat hours are crucial. Electrolyte solutions can help replenish lost minerals.

2. Cardiovascular Issues:

   • The combination of fainting, heart flutters, shortness of breath, and swelling in your legs or ankles could indicate a cardiovascular issue such as arrhythmia or heart failure. These conditions can affect your heart's ability to pump blood effectively, leading to the symptoms you're experiencing.
   • Typical Treatments: A healthcare provider may recommend an ECG, blood tests, or a referral to a cardiologist for further evaluation. Treatment could include medications, lifestyle changes, or other interventions.

3. Prozac Side Effects:

   • Prozac (fluoxetine) can sometimes cause side effects such as dizziness, sweating, and palpitations, which might contribute to your symptoms.
   • Typical Treatments: Discussing your symptoms with your prescribing doctor is important. They may adjust your dosage or switch you to a different medication.

What you can do

Heat Intolerance and Dehydration:

• Stay Hydrated: Drink plenty of water throughout the day, especially when working out in the sun. Consider electrolyte solutions to replenish lost minerals.
• Take Breaks: Take frequent breaks in the shade or a cool environment to prevent overheating.
• Wear Appropriate Clothing: Wear light, breathable clothing to help regulate your body temperature.

Cardiovascular Issues:

• Consult a Doctor: Given the combination of your symptoms, it's important to see a healthcare provider for a thorough evaluation. They may perform tests to check your heart function.
• Monitor Symptoms: Keep track of your symptoms, including when they occur and their severity. This information can be helpful for your doctor.

Prozac Side Effects:

• Discuss with Your Doctor: Talk to your prescribing doctor about the symptoms you're experiencing. They may adjust your dosage or consider alternative medications.

What you should look out for

Given the severity of your symptoms and the potential for serious underlying conditions, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe Shortness of Breath: If you experience severe difficulty breathing, seek immediate medical attention.
• Chest Pain: Although you haven't experienced chest pain, if it occurs, it could be a sign of a serious condition.
• Severe Swelling: If the swelling in your legs or ankles becomes severe or painful, seek medical attention.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.