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Catherine from Singapore asked a question

What should I do next if I'm prone to fainting and dizziness spells?

Hello, I'm 18 this year. Recently, I was diagnosed with vasovagal syncope. I fainted 1 month ago while I was out shopping, and was admitted in the hospital for a few days. I did a tilt table test, after which my cardiologist told me to hydrate myself regularly (he didn't prescribe any medication).

Most of the time whenever I stand up from a supine position, I feel very dizzy, my legs will feel very weak, and sometimes it feels as if my heart is pounding. I've had this for about 2 years now, and I have fallen countless of times.

I've also noticed that the dizziness also occurs when I stand up from a sitting position. This causes me to be scared to sit in the bus as I'm afraid that I might fall while alighting the bus. Climbing stairs have also been difficult for me.

I used to be able to climb 2 flight of stairs without panting, but now, after climbing a flight of stairs, I would feel dizzy and my heart would be pounding. Blowing my nose would also cause dizziness (occasionally). 

My next appointment is in October, and I'm kind of worried because I start school in April and don't want to faint during school hours. What should I do next? Thanks in advance for your help :)

DOCTOR’S ANSWER (1)
DxD
Singapore
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DxD
Singapore
Answered on Wed Apr 04 2018 16:27:25 GMT+0000 (UTC)

Hi Catherine,

Thank you for your question. 

For your case, vasovagal syncope is triggered by straining, long periods of standing, or stress. This can cause a sudden drop in your heart rate and blood pressure.

There are a couple of things you can try before seeing your cardiologist:

  • Don’t stand for too long
  • If you’re not feeling well, exhausted or stressed, go get some rest.
  • Drink more water as your cardiologist suggested
  • You can practice elevating your legs above your heart, with your body lying flat on your back.
  • Wearing compressions socks will help too

However, if you’ve done all the things above and you’re still feeling unwell, please do arrange to see your cardiologist sooner!

You can also refer to this link on vasovagal syncope to better understand the condition, and how you can prevent it.

0 111 views 0 Doctors agree Wed Apr 04 2018 16:27:25 GMT+0000 (UTC)
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