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Convulsions,anxiety/asthma attack, hypothyroidism what to do?

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Two weeks ago I was playing in a roller derby game and had an anxiety/asthma attack after one of the jams that I was in. I took a puff on my inhaler but that led to my blood pressure spiking up to 150. The medics at the game put me in a wheelchair and took me outside to cool me down. But within a minute of being outside my body started convulsing uncontrollably. The medics brought me back inside and one of them squeezed me super tight so that I would pass out. After I regained consciousness the medics sat me down on a bench with some of my team mates. They made sure I drank Gatorade and had some food to eat. 10 minutes later I started feeling really dizzy and started to black out. I kept going in and out of consciousness. The medics came back to me and ended up starting me on an IV in the skating rink. I was feeling a bit better within a couple of minutes.

This past week I was scrimmaging during a practice and had another anxiety/asthma attack. It happened all of a sudden when I was skating. My body started convulsing again, but not nearly as bad as the first time this happened. The medic was able to calm me down this time though.

What do you think could possibly be causing this to happen to me?
This is the first year this has ever happened, I've been having breathing problems but it hasn't ever been this bad.

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 27 Doctors Online

Thank you for asking your query.

From your description of the problem you had a blackout and convulsion once, then one more episode of convulsion. By convulsion I assume that you had a seizure like activity. All this followed an asthma/anxiety attack.
It’s very difficult to pin point to a single cause without physical examination and some tests. Anyhow there are two major possibilities – A metabolic problem or a neurological problem.

Metabolic problems has to do with all the electrolytes like sodium, potassium; gas concentrations like oxygen, carbon dioxide, , sugar levels etc in the body. Exertion, asthma medication can cause derangement in these levels and body can react by convulsing or blackout. I think in your case it has to be evaluated whether any metabolic problems is causing the issues. For this some blood tests are needed. A neurological problem has to be considered if the above tests are inconclusive. You may need a CT/MRI of the brain.
So I would recommend you to stay hydrated, and eat normally at regular intervals. Avoid severe exertion for a couple of weeks. Do not take any supplements or energy/electrolyte drinks during this time period. I recommend you to visit a Physician who can evaluate your condition and do the necessary blood investigations.

Hope this helps
Please feel free to ask follow-up questions if any.

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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