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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fainted Twice,ECG And CT Scan Reports Came Normal.what Can Be This ?

My 8 year old son fainted twice in last 2 months. Once after he woke up in the morning and wwas brushing. So we thought it was because he just woke up and was not fully awake, took him to doctor and they did some tests and said he is fine. Couple weeks back he complained of chest pain . They did x-rays and ECG . In x-rays they found him to be constipated and recommended a laxative to loosen up his stools . His chest pain and stomach pain went away but 2 days ago, he was getting ready to go to shower and suddenly passed out. It was not in the morning this time. It was in the evening. He hurt his head as he fell against a table. We called 911 and took him to emergency. They did CT scan, ECG, and other tests. Everything came out normal. We will take him to his pediatrician on monday and then ask to be referred to a cardiologist and neurologist but we are extremely worried and concerned. I am trying to keep him as hydrated as I can now. But based on this explanation, what do you think is going on here? Pls help.
Sat, 5 May 2012
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General & Family Physician,  's  Response
Hello Veena,
Thanks for writing in.

There are several disorders which can cause fainting in children. This could include arrhythmias, seizures, problems in the heart like coarctation of aorta or a hypertrophic cardiomyopathy or simply a hot shower. It is good that you are keeping him hydrated, but to take this further, I would like to know whether an echocardiogram has been done for him. If not, please get it done. An echocardiogram is an ultrasound of the heart which allows us to look at the valves and the chambers of the heart. If this is normal, we can be sure that there is nothing wrong with the structure of the heart.
The possibility of seizures also needs to be evaluated. Ask your son if you can tell when he is going to faint. If he can, there is a chance that he has a complex partial seizure. we would need an EEG to find out whether he is actually having these seizures.
Hope this helps.
Regards
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Fainted Twice,ECG And CT Scan Reports Came Normal.what Can Be This ?

Hello Veena, Thanks for writing in. There are several disorders which can cause fainting in children. This could include arrhythmias, seizures, problems in the heart like coarctation of aorta or a hypertrophic cardiomyopathy or simply a hot shower. It is good that you are keeping him hydrated, but to take this further, I would like to know whether an echocardiogram has been done for him. If not, please get it done. An echocardiogram is an ultrasound of the heart which allows us to look at the valves and the chambers of the heart. If this is normal, we can be sure that there is nothing wrong with the structure of the heart. The possibility of seizures also needs to be evaluated. Ask your son if you can tell when he is going to faint. If he can, there is a chance that he has a complex partial seizure. we would need an EEG to find out whether he is actually having these seizures. Hope this helps. Regards