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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Blood Test Result For Fatigue And Sudden Fainting Indicate?

My son started xc and was running well. In one race ,very hot, he looked as if he would pass out. We thought it may be heat exhaustion. Nextrace he done well. After that he done poorly. Having blood drawn he passed out lips and fingers turned blue,rushed to er. Blood work came backwith mono antibodies,but not active. Took to cardiologist,he said not his heart. Weant figure out what is going on. in state meet last year he was 36 this year 77th He says he feels like hes running in slow motion
Mon, 30 Mar 2020
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General Surgeon,  's  Response
Hi,

Noted your history about your son developing blue lips and finger during running even, blood tests showed non-active mono, Cardiologist says not due to any cardiac problems.
This means there are other reasons for a runner to have such changes.
I would advise you the following:
Since he is a runner developing such symptoms is an indication for proper clinical evaluation, an actual examination of the whole body and thorough investigations are needed to find the cause.
Since cardiac evaluation has been done I would advise him to consult a Pulmonologist for PFT and all necessary tests.
Hematological re-evaluation of blood tests can help further.
All these will lead to find the cause and thus get an appropriate cause.
This can then be treated well.
Surely, no running or such activities till the full diagnosis and management.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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What Does This Blood Test Result For Fatigue And Sudden Fainting Indicate?

Hi, Noted your history about your son developing blue lips and finger during running even, blood tests showed non-active mono, Cardiologist says not due to any cardiac problems. This means there are other reasons for a runner to have such changes. I would advise you the following: Since he is a runner developing such symptoms is an indication for proper clinical evaluation, an actual examination of the whole body and thorough investigations are needed to find the cause. Since cardiac evaluation has been done I would advise him to consult a Pulmonologist for PFT and all necessary tests. Hematological re-evaluation of blood tests can help further. All these will lead to find the cause and thus get an appropriate cause. This can then be treated well. Surely, no running or such activities till the full diagnosis and management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon