INSOMNIACS place to talk in the wee hours

 Patty, your s/s's from your post "No vomiting or fever. Pain in back, cramping tummy and major exhausted. Fell twice today no idea what happened. Was walking along then bam looking at the sky.   Kinda freaky. Ben saying. " all is well I am fine "

"No vomiting or fever"--you would have mentioned diarrhea if present b/c you always have ------So unless you aren't drinking @ least 1 1/2 to 2 liters, then your s/s's don't suggest dehydration. Many can drink less than that and still don't show s/s/'s of dehydration. The kidney is amazing at maintaining electrolyte balance until things are messed up by too little fluids or nutrients.

"Pain in back". Could be related to original problem, but unlikely related to syncope. If it is related you will develop more s/s--fever, headache, seizures. Infection could be re-occurring and you are in the early phase. just saying this so you understand what may be happening.

"Cramping tummy"-- the intestinal tract has been assaulted by bacteria then antibiotics. Redevelopment of normal intestinal flora(bacteria), can take months. Probiotics can be used, but should be purchased from a reputable health food/nutrition store. But use in a low immune state should be done under doctors care. Latinex is a prescription product. It is lactobacillus. Lactobacillus colonizes the furthest portion of the small intestine. The large intestine has many more types of good bacteria Like Bifidus(sic) and others. One of the yogurts has it, but I forget which one. You could have Ben check out labels.

You may find that you can't eat foods as you did before i.e. may cause diarrhea, constipation, cramping, bloating. Introduce new foods one at a time over three days, If intestinal s/s occur you will know which one is the culprit.

Problem with the intestinal tract: you can develop some serious conditions b/c of the assault. Not going to pull any punches here--colitis, pseudo-membraneous colitis, ulcerative colitis, irritable bowel, and C-diff. Special recovery care is necessary in the next six plus months to protect the colon. I'm such a Grinch, Docs don't tell you such stuff. But you can't protect yourself from that which you don't know.

"major exhausted". Your are in a de-conditioned state. Based on your previous posts, you indicated that you didn't walk much in the hospital. What happened with this is(regretfully) a BIG portion of your in hospital care was neglected. The staff should have had you up walking at least 4 times a day the length of the hall or in your room as much as possible. I know difficult with all you had going on, but the body is not meant to be inactive. We lose strength rapidly with inactivity. If you were 'old' like me, you would have been sent off to a rehab facility. But you are young, this aspect of your care wasn't perceived a problem. That's why I say it was neglected. This will take along time to get you back in shape b/c of the inattention of this in the hospital. Sorry, but true. But in relation to your syncope, not the source. Falling can definitely be related to de-conditioning,  but not fainting without some warning.

"Was walking along then bam looking at the sky.  Kinda freaky. Ben saying. " all is well I am fine ". Mixed bag here. Without further info. Ben was with you when you passed out and lowered you to the floor. I can assume this b/c you didn't identify any injuries post falls and you were "looking at the sky". Highly unusual to faint with out hurting something. Highly unusual to be face up after a fall unless you fell directly backward. Again injury of some degree would be present.

This is where many questions are raised? Did Ben lower you to the floor? Had you experienced any s/s upon getting up? Did Ben notice any or did you just go limp? How many steps did you take before fainting? Were there any s/s just before fainting?

Not unusual to not remember anything that happened before a fall if it was b/c of drop in BP. BP is maintained by the two major components-- Cardiac output X systemic vascular resistance. A three second drop in in Cardiac output can cause syncope. A significant change in the peripheral resistance can cause snycope. A drop in BP can be caused by a laundry list of problems. Volumes are written on the subject.

The ones on the laundry list that you can control is maintaining adequate volume--fluids. Work on the deconditioning(musculoskeletal & cardiovascular). Some suggestions. Leg strengthening exercises in bed. Move legs in all directions>>straight leg raising from the hip--up, down, in out.  Bend the knee bringing the heel up to the butt. You can work the muscles and vascular system even more by having Ben apply resistance i.e you move  the leg against his hand in all directions. Arms>> get a couple of soup cans or hand weights (1-2 pounds). Use weight in all directions. Torso--situp, lay down repeat. Sit at side of bed>>stand up(slowly), sit down repeat. With this particular one have someone stand right in front of you incase you get light headed or faint, they can push you back on the bed.

These exercises will strengthen you all over. Before you walk do leg and arm movements, stand up/sit down a few times before walking to wake up the body to planned movement.

Tell me what's not clear here? Ok I'm  done. Hit all the high points. I'll post if I think of something else.

HUGS

Thought of something. All the nurses and  pseudo nurses are concerned that you should call the doc. I suggested that too. You said you didn't want too. I respect your wishes. What is written above is meant to give you some tools to work with and consider.

Okay added some stuff under the tummy stuff.

ALY, Where have you been Southlander. It's been ages I want you to meet Smarrty here. She's going to Australia next year. I told her about you and ChrissyB.

Smarrty meet Alyson. She's the gal I told you about from Auckland, that fairly frequently visits Australia. She's Frequently goes to Canada to visit her DD.

Aly been up and down..........happy. You?

11:15 off to visit a friend