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Post-exercise malaise
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Post-exercise malaise

I suffer from post-exercise malaise and fatigue three hours after, and the next day after, modest exercise, i.e., a slow 20-minute jog. or a slow swim of 8 lengths in a pool. I try to do one or the other every two or three days. My doctor doesn't know what it is, and referred me to a sports medicine doctor who did blood tests doesn't know what it is either. Is the immune system being suppressed? What can this be? Should I see an endocrinologist? It's getting in the way of leading a productive life.
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27 Comments Post a Comment
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Avatar_dr_m_tn
Hello!

You need to calculate mineral levels of your body and connect it with fatigue and malaise.

You should always take the required calories for your age. You should have healthy breakfast before you exercise. Discontinue exercise if you continue having malaise till you are diagnosed properly.

You need to also do your blood work done, blood pressure estimated and follow up with your physician for proper diagnosis of your case.

Take care!

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Avatar_m_tn
Thank you so much for your reply. I am going to ask the sports medicine physician what all was looked at in the blood and urine analysis that he ordered (I can't remember, but there were about 8 or 9 values). We did one before exercise, i.e., after a week's rest when there was no malaise, and a post-exercise analysis, when the malaise was present and he still found no appreciable differences in the things he tested for.

Gary
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Avatar_m_tn
I am interested because I have something similar happening to me now. I ave been a lifetime athelete and have developed this post exercise malaise.Doctors and tests have found nothing much to explain it. I have had to cut back a lot on all my activities.
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Avatar_m_tn
I wonder if we have the same condition. You say you had to cut back on a lot of your activities (presumably not all). You can see from my first posting that the malaise I have is triggered even with minimal exercise, which I described. Is this the same for you?

I have been on testosterone replacement therapy for quite a long time now, because my levels were quite low. I started to experience this malaise phenomenon quite a long time ago as well. But I can't remember if the post-exercise malaise began at roughly the same time or a year or two apart, and so don't know if there is any connection.
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Avatar_m_tn
Seems similar. If I  take a brisk 20 min walk in the morming,  later that day I will feel  light-headed, and the next day I am exhausted and foggy-headed all day. Going on for 5 months with me now, Before that I played competitive singles tennis 3-4 days a week and could run for 1 hour and be ready for another run the next day. I'm in my 50s. Doctors have looked at lot of tests and haven't found much except a possible thyroid nodule dysfunction. Never thought about a testosterone link. I'll check into it. I'm thinking of getting a CT or MRI full body scan because I don't know what else to look for. Post if you find anything.gl
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Avatar_m_tn
Yes, quite sililar. I'm getting my thyroid checked also. I've had this for about eight years and it's getting discouraging. Lets stay in touch this way, because this sounds exceedingly rare as doctors don't know what this might be, and (so far) there are no other posts. If you get a CT or MRI, this may reveal something, and I appreciate your intent to check the testosterone link. I'll post any developments of my own at this end.
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1042670_tn?1253372663
ouch i forgot that im unable to display links here...
anyway here the missing text of the link above = "************"
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1042670_tn?1253372663
what.... still unable to.... try again with different method = h*e*a*l*t*h*b*o*a*r*d*s
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1042670_tn?1253372663
oh no my post has been deleted because it contains link from another health forum site.

anyway, in my deleted post...
i wrote to you guys that im in the same boat with ya all...
i get shaky, fatigue,malaise, near fainting sort of feeling....totally wrecked and feeling worst.

these symptoms occur even after light exercise... its started about 2 years ago.

then... i attached a link there which shows same discussion as we are having here... cos i thought it might help a bit (knowing that we are not alone).... but i didnt know if we arent allow to display any links from other sites in here LOL.

anyway... one guy there gets this "situation" even after doing backyard activity. exactly the same experience as mine or us maybe.

pls keep in touch

*pardon my grammar... im not native
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Avatar_m_tn
Can you just describe this link to us? Was there more than one individual afflicted with this condition in the discussion that you describe?

What other key words do you think we should be using to attract more interested parties, rather than just "post-exercise malaise"?

And what other medical information links are there that we could pursue? I tried the Mayo Clinic, without success.
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1042670_tn?1253372663
Gary i sent u private msg with the link. please check it.
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Avatar_m_tn
I will check this out. Thanks.
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Avatar_m_tn
test results for me so far:

thyroid:negative
depression:negative
cardiac ekg/echo:negative
STD:negative
diabetes:negative
anemia:negative
prostate ca:negative
blood ca:negative

getting an MRI brain scan soon .. not expecting much
thanks to my primary doc for trying
Where is this other forum?
gl
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Avatar_m_tn
forgot this one
testosterone: normal
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Avatar_m_tn
Thank you for this Robert. It's especially helpful to determine what it isn't, using the process of elimination. I will post anything I learn right away, including any other forum. I didn't get the private message from Daniiiii.
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1042670_tn?1253372663
Gary, i did send you... pls check your medhelp inbox, and im aslo sending one to Robert Smith right now.

good luck,

dani
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Avatar_m_tn
Robert, I saw my G.P. today. He has agreed to refer me to am immunologist/allergist, and also to an endocrinologist. Should you do the same?
Why are you getting a brain MRI to investigate this versus an all-body one?
All those things you tested negative for, I also tested negative. I had both blood and urine analysis done. You too?
I can't believe that what we have would not show up in either blood or urine lab work. I think they are just not keying in on the right thing(s). Do you agree?

Gary
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Avatar_m_tn
brain MRI: normal
Got brain only because insurance would pay for it but not for full body and doc said full body not likely to show much. I've had many types of blood and urine tests, seen and endocrinologist and neurologist and all looked negative.


A new development is that I think am starting to feel better. I was able to exercise Oct 25 w/o excessive fatigue and I feel more alert. It been over 6 months since 3-1-09 to 10-25-09 since I was able to do anything like that. I did nothing special. I had gotten a head cold for several days and one night I slept real deep and real well and woke up feeling good.  More later.
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Avatar_m_tn
Robert: That's great. I'm envious that you may have turned a corner. I think I've had this for eight or nine years. Let me know if it doesn't last.
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Avatar_m_tn
The relief from malaise/fatigue didn't last ...I crashed on Nov 1 and I'm struggling 24/7.  I pretty sure this thing is virus-related since it feels like a constant flu or cold  and lots of other possibles have been eliminated. I'm running out of ideas of what to do.  The new media buzz for fatigue is XMRV virus. I'll follow that and maybe get tested for it some day.  GL to all who have this.
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Avatar_m_tn
I'm doubtful that this is a virus, at least any ordinary virus, when I examine my own situation, because while exercise brings this on, if I don't exercise for a few days, the malaise goes away, and I would think that a virus would persist. But I could be wrong.

From what you say, and my experience is largely the same, I think the immune systen is implicated in this and may be the actual culprit.

When I google post-exercise malaise, the first two hits are chronic fatigue syndrome, which this is not, because the malaise is temporary and transient, and chronic fatigue syndrome is not.

I'm going to be referred separately to an allergist, immunologist, endocrinologist, and internist. The latter is a general investigator. You might consider asking to be referred to an immunologist, but not any ordinary immunologist, rather someone who loves medical mysteries and challenges generally, who is infinitely curious, and who is always ready to roll up his sleeves to get to the bottom of something like this. Too many doctors don't know what it is, may check for things they think it might be in their knowledge and experience, like the thyroid, and then lose interest and give up.
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Avatar_m_tn
Any updates on your status?
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Avatar_f_tn
I am a 50 year old healthy woman who walks regularly at a fast pace without any symptoms.  However I can't do any exercise which requires my body to switch into the anaerobic mode (ie high intensity) without feeling sick the next day.  I first noticed it 15 years ago when I went to a gym for an hour. I felt sick all over for 2 days afterwards, as if lactic acid or something had built up in my bloodstream. So I quit the gym.  Last year I again decided that I needed to try weight training and it only took 5 minutes before I began to get a headache and feel dizzy.  A year later (this week) I decided to get in shape with an exercise class.  I was fine during the class, got a headache soon after, and now have been feeling lousy and tired for two days.  I just spent many hours on the internet and have come up with a possible diagnosis:  mild mcardles disease or else myoadenylate deaminase deficiency.  Neither of these genetic quirks can be cured.  My hope was that I could slowly increase my work out to keep my symptoms at bay but I am nervous to even try this because it is not worth having to stay home feeling horrible.  Actually the day after my class I didn't feel as bad as I do now, which is 2 days later.  So that is a bit puzzling.  
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Avatar_m_tn
Sounds familiar for sure, especially headaches and feeling sickly and the delayed malaise . I had this for at least 12 months after a lifetime of athletics. I still can't pinpoint the cause after lots of tests and study.  In the last couple of months I have been doing much better. I have very gradually built up with weight training and aerobic forms of exercise. I'm hoping I will be stay better.  I guessing it has to do with losing muscle tone from aging  and rapid changing blood flow and changing blood pressures in differents parts of the body that the body isn't used to. Maybe a very gradual biuld up would work for you.   gl
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Avatar_m_tn
I also went to a higher protein (80 grams a day)/low carbo diet to help with tissue repair .
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Avatar_f_tn
Interesting - I have fibromyalgia and my doctor keeps telling me to exercise more. I walk every day but I did a little gardening yesterday. Am now feeling feverish with aching muscles - certainly not in relation to the little amount of effort that I put in. The aching muscles I could understand, the feverish feeling, I had never connected that to fibromyalgia. The idea that exercise can make fibromyalgia worse is a new one. Discouraging.
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Avatar_m_tn
You may have a mild chronic viral respiratory infection.
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