Passing out

[Fullofitx3 146]

Was wondering if the following has happened to anyone else.

This past weekend the wife and I decide to go out to a local bar and listen to the bad, we were there for about an hour and after one drink (vodka n tonic) I broke out in a cold sweat I turned to my wife to tell her I wasn't feeling good and I don't think I even completed my sentence and past out when I came to I was completely drenched in sweat, I was told later that I was talking but nit making any sense, about 5-10 min later while in the back of an ambulance I snapped out of it and almost completely returned to a normal state. Spent the night and next day in the hospital running test and everything came back perfect.

To give you a background of things I was sleeved 2 years ago and lost close to 100 lbs down to around 175, I follow a pretty steady diet of high Protein and low carbs and get at least 3/4 gallon of Water in a day, I work out 3/4 days week alternateting between cardio and weight training, the only thing I did different on this day was a have a good slice of homemade pound cake with icing before going out, I have had sweets before but few and far between, I mentioned this to all the Drs but they kind of blew it off thinking it was more of a heart or blood vessel thing but couldn't find anything.

This hands down was the scariest thing that I ever experienced in my life as this has never happened before.

I know that everyone is different and this forum is not a substitute for a dr, but looking to see if this has happened to anyone else so when I go to the follow up dr visits I might help them shine some light on the problem.

[ssflbelle 829]

I have not had this happen but I am still recovery from my surgery. If you had a bypass I could understand this happening to you. However I see you had the sleeve. I am not sure how people with the sleeve surgery react when they have had alcohol. Was this the first time you had a drink since your surgery? I hope your doing better now and don't have that reaction again. However if I had that happen I think I wouldn't drink again.

[GibbsGirl 483]

The only time I nearly passed out was when getting out of bed, pretty sure it was dehydration,

I'm no doctor but my first thought was blood sugar, then read about the cake along with the alcohol. Sometimes your blood sugar spikes and then falls so low it can cause issues like slurring and passing out. It seem to me it would have showed up in the ambulance,

[Fullofitx3 146]

I have not had this happen but I am still recovery from my surgery. If you had a bypass I could understand this happening to you. However I see you had the sleeve. I am not sure how people with the sleeve surgery react when they have had alcohol. Was this the first time you had a drink since your surgery? I hope your doing better now and don't have that reaction again. However if I had that happen I think I wouldn't drink again.

Thanks I doing much better almost as if it never happen, this isn't he first time I've had a drink or sweets since surgery, the wife and I are not big drinkers but like to get out once or twice a week and have a couple drinks, we both had the sleeve surgery mine was 2 years ago n hers was 11/2 years ago and everything has been going great we stick to our diets pretty much all week n allow ourselves a little slack on the weekends.

Best of luck with your journey

[Fullofitx3 146]

The only time I nearly passed out was when getting out of bed, pretty sure it was dehydration,

I'm no doctor but my first thought was blood sugar, then read about the cake along with the alcohol. Sometimes your blood sugar spikes and then falls so low it can cause issues like slurring and passing out. It seem to me it would have showed up in the ambulance,

That's what I was thinking as well, they thought I might of stood up to fast being seated, but I was already standing for about 20/30 mins prior because I was feeling tired and wanted to stretch my legs.

[Djmohr 6,965]

I do have problems with this. In June I passed out after standing up too fast. It was 2 weeks after cervical fusion and because of that I ended up in the emergency room.

I was referred to a cardiologist and an endocrinologist and had a full work up. For me, my blood pressure runs low as does my heart rate. If I stand up too fast the room turns black and I pass out. My heart is perfectly healthy, I just run with a low heart rate and pressure.

This is common following massive weight loss. I had to learn to be careful when standing or sitting from a laying position.

I hope you feel better soon.

[FrankyG 1,450]

I had a similar incident in a store - vasovagal response brought on by pain (starting my period always is super painful) and a combo of being dehydrated and having not eaten in around 6 hours. I used up my reserve sugars fighting through the vasovagal response and that dropped me right into a low blood sugar episode. I was lucky that I recognized what was happening fast enough to do something about it - I ate about 4 mints out of my purse and then was able to hobble to the front desk to ask for help. The store almost called an ambulance but I begged them not to and told them just get me a soda and I'd be fine - so I laid on their floor behind their service desk sipping a soda. Turns out I was right.

I didn't actually pass out, but it was close for a while there. The joys of weight loss surgery side effects, huh?

I would not drink alcohol on an empty stomach, and I would not drink more than one or two over the whole night either since alcohol is pretty much empty sugar calories. It will really screw you up.

[CarolinaCutie 30]

I have diabetes type 2 and it sounds like low sugar to me. It's very scary, you literally feel like you're dying.. The worst feeling ever

[James Marusek 5,244]

The only time I nearly passed out was when getting out of bed, pretty sure it was dehydration,

I'm no doctor but my first thought was blood sugar, then read about the cake along with the alcohol. Sometimes your blood sugar spikes and then falls so low it can cause issues like slurring and passing out. It seem to me it would have showed up in the ambulance,

It is common for some patients that undergo gastric bypass to experience a condition called Reactive Hypoglycemia. http://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778 So I do not know if this is common for gastric sleeve patients. But I would agree with GibbsGirl that this is the area that I would explore.

[nikkimapr 177]

Having similar issue but figured mine out.

When I was overweight my BP was normal range 120/80. Not diabetic. First 4 months after surgery went to around 105/70. Then after 4 months dropped to 90/60.

Have been working out, eating right and bloodwork each month is good. Started getting headaches, nausea and faintness.

I read up on solutions for hypotension. Found I may being losing electrolytes. So started using an Electrolyte Stamina Citrus powder mix from Vitamin Shoppe. Mix in am with 4oz Water and again after night workout. My BP is now staying around 110/70.

[Renkoss 420]

I have diabetes type 2 and it sounds like low sugar to me. It's very scary, you literally feel like you're dying.. The worst feeling ever

May I ask how your surgery has helped your Type 2 diabetes? I am going to have bypass soon and am also Type 2 with great difficulty controlling because of severe insulin resistance. Do you still take meds and how is your blood sugar both pre and post op? Thank you.

[CarolinaCutie 30]

I have diabetes type 2 and it sounds like low sugar to me. It's very scary, you literally feel like you're dying.. The worst feeling ever

May I ask how your surgery has helped your Type 2 diabetes? I am going to have bypass soon and am also Type 2 with great difficulty controlling because of severe insulin resistance. Do you still take meds and how is your blood sugar both pre and post op? Thank you.

Ms. renkoss before surgery (vertical sleeve) my A1C was 12. At my last doctor's visit in December 2015, it was 6.5. I too have struggled with uncontrolled diabetes. I was even on the insulin pump before surgery. It helped control the diabetes, but I gained over 100 lbs. I am no longer on the pump and my sugar levels have leveled out. I still take 500 mgs of Metformin twice a day. Although I've been having a lot of lows, which makes me think maybe I don't even need The Metformin. My overall health has improved so much. I am so happy I had this surgery!

[Fullofitx3 146]

Having similar issue but figured mine out.

When I was overweight my BP was normal range 120/80. Not diabetic. First 4 months after surgery went to around 105/70. Then after 4 months dropped to 90/60.

Have been working out, eating right and bloodwork each month is good. Started getting headaches, nausea and faintness.

I read up on solutions for hypotension. Found I may being losing electrolytes. So started using an Electrolyte Stamina Citrus powder mix from Vitamin Shoppe. Mix in am with 4oz Water and again after night workout. My BP is now staying around 110/70.

Thanks, I just spoke with a friend who is dr that works in the weight Drs office and that is what they were thinking as well, still going to follow up with the cardiologist but she is going to look into as well.

[Renkoss 420]

I have diabetes type 2 and it sounds like low sugar to me. It's very scary, you literally feel like you're dying.. The worst feeling ever

May I ask how your surgery has helped your Type 2 diabetes? I am going to have bypass soon and am also Type 2 with great difficulty controlling because of severe insulin resistance. Do you still take meds and how is your blood sugar both pre and post op? Thank you.

Ms. renkoss before surgery (vertical sleeve) my A1C was 12. At my last doctor's visit in December 2015, it was 6.5. I too have struggled with uncontrolled diabetes. I was even on the insulin pump before surgery. It helped control the diabetes, but I gained over 100 lbs. I am no longer on the pump and my sugar levels have leveled out. I still take 500 mgs of Metformin twice a day. Although I've been having a lot of lows, which makes me think maybe I don't even need The Metformin. My overall health has improved so much. I am so happy I had this surgery!

Thank you so much for your response. This gives me so much hope that I will also be able to come off the insulin pump and only need the Metformin. I've been on so many different combinations in the past, and I've never lost weight while being on insulin. I too gained a great amount of weight since going back to insulin, and the funny thing is as I get older, the insulin resistance gets so much worse and that starts the vicious cycle of greater insulin resistance, more insulin needed, more weight gained in the stomach. It just has to end somewhere. Either the diabetes is going to get me, or gaining all this weight will.

[Fullofitx3 146]

Thanks for all the replies, Spoke with my surgeon and he seems to think it was "dumping syndrome" which is normally seen in patients that had by-pass,he said even though I had the sleeve some times things go through your system faster and especially sugary food like a big piece of cake,lol. Che feels that I gave myself such a sugar rush that my body couldn't handle the withdraw from it when it "dumped out" thus leaving me flat on floor.

Still gonna follow up with the cardiologist just to be on the safe side, but for now back to my normal routine with diet and gym and been feeling great.

Will post update after next dr appointment.