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Fainting and dizziness - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   Sir, my wife is 34 years old., since 1 month she has peculiar problem... one month back she had chicken guniya, pain in body and we went to doctor., and one day while going to clinic she fainted and she is conscious.. that orthpaedic doctor suggested to go to emergency ward in another big hospital., there they had taken ECG, SUGAR, Blood test and said all is normal and they called neuro doctor also he said she is normal., till now she looks and behaves normal and suddenly she says iam getting dizziness and faints for 10 minutes and after than she recovers and this is happening and all doctors say she is normal. what should i do sir...
Doctor :   Hi
Doctor :  
Let me read through the paragraph.
User :   hello sir
User :   ok
Doctor :  
May I know how many such episodes has happened since then?
Doctor :   Are you there?
User :   sir first episode is 22nd december, and till today three times sir
Doctor :  
Ok.
User :   yes sir iam online nly
Doctor :  
Has she lost consciousness during any of those events?
Doctor :  
And can she recollect the events when regaining full consciousness?
User :   no she never lost conscriousness, when i tap her she responds
User :   she never becomes unconscious sir, she knows what she is doing
Doctor :  
Ok.
Doctor :   Has her viral infection improved?
User :   just today morning she cooked food and when i come for lunch from office, she served me and she also had it.. after 10 minues she said she is getting dizzines and fell
Doctor :  
I mean the fever and body pains improved completely?
User :   she complains of breathless ness and after 15 mins she said she want some sweets to eat.,
Doctor :  
Ok
User :   she did not got fever her max temp on dec 22 is 100 degrees
User :   now as iam typing sir, she is watching television and laughing now
Doctor :  
Ok
Doctor :  
Does she have any other medical problems such as diabetes, hypertension, neck pains?
Doctor :  
Does she have any problems related to ear?
User :   half an hour back she complained dizziness and breathlessness and fell without talking for 10 mins, when i talk with her she talks during that period also sir
Doctor :  
Ok
User :   on that first day she fell, we take blood test, no diabities, no B.P. and even her grand father and mother is still alive and no family history of diabeties
User :   we are married since 10 years and first is first time iam experience in these 10 years sir
Doctor :  
Does she have any problems related to ear?
User :   no ear pain sir
Doctor :   Does she have any neck pains?
User :   no neck pain as particulars,
Doctor :   May I know what blood tests were conducted?
User :   in ICU on december 22nd she kept for hours and ecg machines was running and doctor said ecg is normal
User :   yes sir i tell blo0d tests sirb blood urea, serum creatinine, VAB, TOTAL WBC, DIFFERENTIAL count, haemoglobin, RBC, haemotocrait (pcv) mcv, mch, mchc, RDW CV RDWSD, PLATELET COUNT, mpv, pdw pct, ESR,RH type
Doctor :   Do you have any other problems in the family?
Doctor :  
I mean is she having too much stress?
User :   no sir, we have two childrens,
User :   ALL the above said results you want to type sir
Doctor :  
May I know about her periods?
User :   yes sir, normal periods
User :   she gets periods 4 days before for next cylce, but normal
Doctor :   If those reports were Ok, then its fine. NO need to type those tests.
Doctor :  
Ok
Doctor :  
I shall explain it to you.
Doctor :  
She may need further evaluation before coming to the diagnosis.
Doctor :  
The possibilities are
User :   actually she suffered abdominal pain before periods and after periods that pain for one week continues sir, from 2006 she suffered and we showed to MMM hospital in chennai, and now since 6 months she has no pain
User :   doctors told she may have endometriosis and actually, there is no endometricosic, due to gas problem she got that pain
Doctor :  
1. It either could be a due to sudden drops in BP that can cause such symptoms
Doctor :  
2. Some heart dysfunctions
Doctor :  
3. Lastly it may be psychological too.
User :   when she fells on bed on that day also B.P is normal sir
Doctor :  
It is not that way.
User :   sir, but she is very very sensitive girl sir, that is there
Doctor :  
Some times may be because of the severe stress or pains,
User :   she always says she is not getting affection from the world but she keeps affection towards all and no body is true in this world like that
Doctor :  
BP can drop especially when a person is standing
Doctor :  
this can cause giddiness and sensation of loss of consciousness
Doctor :  
And once the person is lying the BP will pick up and the person becomes normal
Doctor :  
This happens in instants
Doctor :  
And usually when the BP is recorded it comes normal.
User :   she loves her father mother and brothers, but except her father all the other persons dont care her, dont come to my house , but she loves her brothers ... she always feel psychologially sad about that
Doctor :  
This is known as Postural hypertension.
User :   but she has some psychological stress sir..
Doctor :   Then her condition may be due to that psychological stress.
User :   she is sensitive snce marriage, but when she get anger, she wont eat food for 3 dayd.. sir.,
Doctor :  
And not due to any of the other possibilities, I had mentioned.
User :   but there is no condition of dizziness, breathlessness , fainting like that has never happened only one month back only it happened sir
Doctor :  
But if such episodes continues, it would be better if you can get a complete evaluation of the heart.
Doctor :  
Just to make sure if it is not due to the other conditions that i mentioned.
User :   ok sir, but till now we had ECG only
Doctor :  
Have you followed?
Doctor :  
ECG is a primary test for any heart problems.
User :   ok sir
Doctor :   It is most probably due to stress and psychological.
User :   now i asked her, due you know what is happening around you during that fainting time, she says she knows everything happening around, she never lost consciousness
Doctor :  
So do not worry.
User :   sir another thing sir, she cries during that period of fainting sir
Doctor :  
That is a very good sign that she does not loose consciousness.
User :   when i touch her, she cries sir
Doctor :   Then the chances that these could be psychological are more.

Doctor :  
So if any such episodes happen,
Doctor :  
just reassure her.
Doctor :   Hi
Doctor :   Hi
User :   sir tell me sir
Doctor :  
Have you followed till what i have mentioned?
User :   no sir, i ddid not get u , tell me again what to follow sir
Doctor :  
Ok.
Doctor :  
I shall repeat it again.
Doctor :  
The cause for her symptoms may be
Doctor :  
1. Psychological due to the muliple stress factors that you have mentioned
Doctor :  
2. Heart problems
User :   hello sir, r u there
User :   sir tell me sir...
Doctor :  
3. Sorry some minor problems
Doctor :  
3. Postural hypotension
Doctor :  
So if the problems happens
Doctor :  
The thing that you have to do
Doctor :  
1. Turn her to one side
Doctor :  
talk to her and reassure her.
Doctor :   3. GIve her some fluid to drink.
Doctor :  
4. If any point she is not conscious then you need to take her to the hospital immediately
Doctor :  
5. And if such episodes are happening frequently it would be better
User :   on dec 22nd when she fainted in orthopaedic hospital also immediately that doctor checked B.P and he said normal
Doctor :   I understand that.
Doctor :  
But i am mentioning in the future if she looses complete consciousness or if she does not responds to you then you need to take her to the hospital
User :   really iam confused sir., all doctors say she is normal...
Doctor :  
Yes, she is normal and the problems are mainly psychological and stress related.
User :   sir atleast as far as now., when all doctors say she is normal, i need not to worry much sir, to that extent can i feel happy sir
Doctor :  
These things improve once her stress and the psychological problem improve.
Doctor :  
So you need to talk to her and find out what is really troubling her.
Doctor :   She may need further evaluation of the heart only if such episodes are happening very frequently and if any fresh symptoms
User :   sir as for as now, all docotrs said normal... can i go to heart speciality hospital in major town and have complete evaluation of heart
Doctor :  
such as loss of consciousness, chest pain, sweating, palpitations occur.
Doctor :  
It would be better if you can get a complete heart check up also done.
Doctor :  
This is not an emergency now.
User :   she complains of light pain near centre ribs sir during that time
Doctor :  
So you can get it done at your choice
User :   so there is no life threat all of sudden sir
Doctor :   That probably may be due to gastritis also.
Doctor :  
I do not think this is a major problem and life threatning
User :   when i said to that doctor in ICU on that day sir, she is getting pain in that area, please see whether it is heart attack, that doctor told, heart attack does not come in that way
User :   after that 10 mins of episode she wakes up and sits normally and eat all sweets, chips and other stuff as if nothing is happened
Doctor :   It may not be associated with any real heart problems.
Doctor :   That is a very good sign that it may not really be due to heart problem
Doctor :  
So do not worry.
Doctor :   I shall suggest few medications
User :   suggest me sir
Doctor :   1. Syp Mucaine gel 2 tsp before food thrice a day for the next 5 days
Doctor :  
2. Avoid spicy food
Doctor :  
3. Tablet zincovit one tablet a day for 15 days
User :   hello sir
Doctor :   Yes
Doctor :  
Have you followed?
Doctor :  
Are you there?
User :   yes
Doctor :  
So you can try these medications.
Doctor :  
And reassure her that she is alright.
User :   ok sir., so no need to panic right now sir
Doctor :   Not needed to panic.
Doctor :  
She is 100 percent alright.
User :   mucaine gel is tonic for intake only right sir
Doctor :  
The heart evaluation suggested are to complete the check up.
User :   MUCAINE GEL Z is it right spelling
Doctor :  
It is Syp Mucaine Gel
Doctor :  
two tsp before food
User :   ok its 2 table spoon ok sir
Doctor :  
have you followed?
User :   yes
Doctor :   A few kind words and reassurance that she is alright will give her good relief when such episodes happen
User :   ok sir
Doctor :   do you have any other query?
User :   so finally it is more of psychological rather then physical
Doctor :  
Yes
Doctor :  
It is mainly psychological and not related to any problem.
User :   ok sir., actually the same way how she is suferring my sister in law in my next street is there is, she also suffered and she went to psychiatrist
Doctor :  
Ok
Doctor :  
Are you there?
Doctor :  
Are you there?
Doctor :  
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Question is related to
Diseases and Conditions
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