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What Causes Sweating, Clamminess, Drooling, Urinary Incontinence And Blurred Vision?

Posted on Mon, 7 Nov 2016

Question: Clamy, white, sweating profusely, drooling and loosing bladder and spincter control, unfocused eyes

Answered by Dr. Ishu Bishnoi (2 hours later)

Brief Answer:
Cause of your symptoms

Detailed Answer:
Hi XXXX, thanks for asking from HCM.

I can understand your concern. Your symptoms could be due to many reasons like

: Anxiety-panic disorder

: Transient ischemic attack

: Hypoglycemic attack

: Syncope or vasovagal attack

: Dehydration

: Autonomic dysregulation

So there are so many causes of your symptom. We can suspect something based on answers of few questions like

: Are you diabetic?

: Any history of cardiac and brain illness?

: Is there any history of mental stress, any mental illness?

: Did you become unconscious?

: Any history of work, exertion before this episode?

: First episode or multiple episodes in past?

: Any familial history of cardiac or diabetic illness?

If you can provide me above details, I will be able to reach unto some conclusion.
Hope you got my point. Thanks. Take care.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Ishu Bishnoi (9 hours later)

Not diabetic, father had heart attacks and died of heart failure.

It has happened at least once before, low on food and water, seemed to be quasi unconscious - eyes unfocused and non-responsive.

Answered by Dr. Ishu Bishnoi (5 hours later)

Brief Answer:
Probable cause of your symptom

Detailed Answer:
Hi XXXX, welcome back.

Thanks for responding. If you are having familial history of cardiac illness, then you must consult cardiologist to rule out any cardiac illness in you.

He will examine you and advise
: ECG
: ECHO-cardiography
: If in doubt, then a treadmill test to look in to it further
: Lipid profile as well as blood sugar (FBS, 2-hr PPBS, HbA1C)

If all these negative, the cause could be hypoglycaemia along with dehydration. Because these symptoms are like syncope and can occur in a variety of conditions. There is always need to rule out most concerning conditions first.

So kindly book an appointment. Let me know the reports and examination findings, I will further guide you.

Till then, you must avoid
: Mental stress
: Exertion
: Eat meals properly. Take less than 2 gram salt daily.
: Avoid fatty, fried food.
: Start morning walk
: Measure BP daily twice.
: Look for any edema in feet, breathlessness.

Hope it will help you. Thanks. Take care.
If any doubt, do let me know.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Ishu Bishnoi (17 hours later)

I did recall another symptom - his head dropped forward - hard and his chin was like glued to his chest. I could barley lift his head, that's when I saw he was drooling, spitting like trying to talk and that is when I saw his eyes were unfocused.

Answered by Dr. Ishu Bishnoi (10 hours later)

Brief Answer:
Diagnosis of this event

Detailed Answer:
Hi XXXX, thanks for asking from HCM.

Welcome back. The event which you mentioned in question seems like

: syncope

It could be either due to vasovagal attack or transient ischemic attack. Have you got checked his neck vessel doppler and CT brain?

If yes, please send me the reports. If no, kindly get it and then send me the reports.
I will let you know the final management after checking it.

Thanks. If still in doubt, do let me know.
Take care.

Above answer was peer-reviewed by : Dr. Arnab Banerjee