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Stomach is a little queasy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1774 Questions
User :   ive got a question
Doctor :   Please proceed.
Doctor :   Hello.
User :   I have been passing out, I constantly feel light headed. I sometimes feel like my stomach is a little queasy. The first time I passed out I was standing up and so I thought it might be syncope but recently I passed out while sitting down doing nothing. This has been going on for about a month.
Doctor :   Ok.
Doctor :   May i know your age and gender.
User :   im 20 and male
Doctor :   do you have rapid heart beats
User :   not that I have noticed
Doctor :   any buzzing or hissing sound in the ear
User :   no
Doctor :   do you feel giddiness just before passing out ?
User :   no, its a feeling like when your about to throw up and then instead i just pass out
Doctor :   did you got evaluated with the doctor for tis ?
User :   i saw my doctor and she said it was syncope and shes having me see a cardiologist next week. But I saw her before I passed out the second time when I was sitting down and I really don't think thats what it is.
Doctor :   what do you think than the cause is ?
User :   i have no idea but with syncope isnt it when you go from 1 position to another and your brain doesn't get enough oxygen so you pass out?
Doctor :   syncope is not what you have described now

Doctor :   you said you pass out suddenly whether your standing or sitting irrespective of the cause
Doctor :   it is called syncope
Doctor :   invariably it will be cardiac in origin most of the time
Doctor :   some time it is vaso vagal syncope
Doctor :   you do not have much symptoms other than the feeling of throwing up and than passing out even in sitting position
Doctor :   so this syncope is probably of cardiac origin
User :   so what is the solution?
Doctor :   first is to make the diagnosis what is the cause of syncope
Doctor :   and from where it originates from
Doctor :   that requires a cardiac assessment as first step
User :   I had a lot of heart tests done about 8 months ago because I had some weird feelings in my heart a while ago but with an echo, ekg and holter heart monitor, nothing was found.
Doctor :   it is very difficult to pick up the specific effect in this kind of situation
Doctor :   so only we do have event recording if holter fails to pick up.
Doctor :   this time cardiologist might suggest to put you on Event monitoring
Doctor :   this might pick up the sequence which is causing the syncope
User :   if my heart is causing it is there a way to fix it?
Doctor :   yes definitely there is a way to fix it
Doctor :   but exact cause and sequence needs to be determined first
Doctor :   can you provide me the details of all the tests you have undergone
User :   what do you mean?
Doctor :   what all investigations you have undergone till now
Doctor :   like blood tests
User :   i did have blood tests after I passed out the first time. The doctor said everything was fine with them.
Doctor :   was there any abnormality in the routine blood test
User :   no he said it was all fine
Doctor :   was any chest X ray was taken ?
User :   yes, it was fine. I also got a cat scan and it was fine as well
Doctor :   so no abnormality is detected till now and still the cause for the syncope is not yet made
User :   right
Doctor :   it is either vasovagal syncope or a cardiac syncope
User :   what can i do to keep from passing out until i see my cardiologist?
Doctor :   the next appropriate step is to put ypu on Event monitoring
Doctor :   it is not possible to prevent the passing out events
User :   is there anything I can do to reduce their likeliness?
Doctor :   unless the exact cause is known, nothing can be done
Doctor :   presently what you need to observe is to keep yourself away from such positions which can endanger the life if at all syncope occurs
User :   so stay away from positions i wouldnt want to pass out in?
Doctor :   yes
Doctor :   one more question i would like to ask
Doctor :   do breathing luridly and rapidly will bring the syncope attack
User :   no im breathing normally when it happens
Doctor :   if you breath rapidly for few minutes - if doing so can syncope be induced
Doctor :   try breathing rapidly for few minutes and see whether you get an syncope attack by doing like that
User :   ok
Doctor :   some times even by rapid breathing the syncope can be brought on - in this case it is called hyperventilation syncope
User :   yeah.. i haventt felt anything by breathing fast yet
Doctor :   ok
Doctor :   only cardiac syncope is the only one which needs much evaluation as there may be serious causes
Doctor :   so if the cardia is ruled out as the cause
Doctor :   than you need not worry as it will go away with passage of time
User :   so is it safe to wait til next week to find out if my heart is the cause
Doctor :   yes it is safe and you need to meet cardiologist to rule out the cardiac cause
User :   ok. thanks doctor
Doctor :   thanks for consulting health care magic
Doctor :   bye for now
User :   bye
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