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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Having Nausea, Fatigue And Pain In The Eyes After Skiing. Cause?

My son is 10 years old. We went skiing today, and he is quite tired, but also not feeling well. He tells me he is seeing 1000 s of dots, almost like things are pixelated. He is slightly nauseous. He does not have a headache but his eyes hurt a bit. He has had migraines in the past, but the headaches (which is not present this time) are always the central feature. Any help will be appreciated.
Mon, 25 Feb 2013
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General & Family Physician,  's  Response
Hello Ma'am,

I am Dr Mbong. Skiing though enjoyable like any other exertional activity, is associated with rapid breathing which may cause ingestion of too much oxygen and a medical condition called respiratory alkalosis.

Respiratory alkalosis can temporarily cause the dotty vision and nausea. The hurting eyes may be due to the effect of rapid passing wind on his eyes as he speed off while skiing.

On the other hand if the ski site was at a very high altitude, the oxygen concentration of air may have been low and he is may have developed a condition called respiratory acidosis (the opposite of alkalosis) which may cause the nausea and equally dotty vision.

I advise he rests, takes lots of fluids (preferably natural fruit juice), avoids light, electronic appliance screens, TV etc and the symptoms will subside. If they don't after 48 hours, see a physician.

I wish him quick recovery.
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Psychiatrist,  Dr. Payman Hajiazim's  Response
hi there, thanks for asking. The extreme light (such as the light in the ski resort) can provoke the migraine headache. Getting tired can also trigger the migraine headache. You can ask his doctor to give some pills to be used just on a "as needed basis" one hour before going there to prevent the attacks. It could be a medication like Indomethacine or Ibuprofen and it should be prescribed after a full physical examination and history taking. He may also wear especial glasses which protect the eyes against the extreme light. I wish you the best health.
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Child Having Nausea, Fatigue And Pain In The Eyes After Skiing. Cause?

Hello Ma am, I am Dr Mbong. Skiing though enjoyable like any other exertional activity, is associated with rapid breathing which may cause ingestion of too much oxygen and a medical condition called respiratory alkalosis. Respiratory alkalosis can temporarily cause the dotty vision and nausea. The hurting eyes may be due to the effect of rapid passing wind on his eyes as he speed off while skiing. On the other hand if the ski site was at a very high altitude, the oxygen concentration of air may have been low and he is may have developed a condition called respiratory acidosis (the opposite of alkalosis) which may cause the nausea and equally dotty vision. I advise he rests, takes lots of fluids (preferably natural fruit juice), avoids light, electronic appliance screens, TV etc and the symptoms will subside. If they don t after 48 hours, see a physician. I wish him quick recovery.