• question-icon

    What causes fainting spells when smoking?

default
Posted on Mon, 30 May 2016 in Brain and Spine
Question: Doctor, I am Having some fainting spells when I smoke. I have been a smoker for 50 years. Recently I had a check of my arteries in my neck and they have 50 % obstruction. My Doctor recommended to check every 6 months and I agreed. What is concerning me is that the fainting spells are increasing and the test was 3 months ago. Is there a vargus involved in this?
doctor
Answered by Dr. Ajay Panwar 22 minutes later
Brief Answer:
Needs evaluation.Please tell further details.

Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

With current clinical details,as you mentioned,it is difficult to say -one possible cause or exact pathogenesis of these fainting spells.Vagus involvement(Syncopal attacks) is a close possibility,though.

Please tell some more details so that I can answer this well further-

1)Do you completely lose consciousness during these fainting events?If yes,for how long?
2)Is it a specific posture which is associated with these events?like-do you faint when you are in standing posture?
3)Do you have a history of frothing from mouth,tongue bite,twisting of neck or jerky movements of limbs during these fainting spells?
4)Do you have any other disease(like Diabetes,thyroid,heart disease) or medical history?
I shall be glad to have you in follow-up with details so that I can answer this well.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ajay Panwar 6 hours later
Doctor,
1) Sometimes more frequent now lose consciousness for 1 to 5 seconds
Having 1 or 2 a day after lighting up a cig which brings on the coughing
and being lite headed
2) Could be standing or setting
3) NO
4) I am diabetic #2, overweight by 35 pds and do watch my AC1 been below 7.0 for 6 years and take Metformin HCL 1000x2 a day

I am watched by my physican very 3 months and have had good reports except I smoke 15 cigs a day. I am 69years old and I need to loss some weight.....Thanks
doctor
Answered by Dr. Ajay Panwar 13 hours later
Brief Answer:
Needs autonomic testing/Is it associated with cough each time?

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up and providing further details.

In the background history of Diabetes,it is most probably syncope due to autonomic neuropathy.You need to get 'autonomic function tests' done like postural fall in blood pressure,tilt table test,sweat test-which will confirm the diagnosis.

Cough syncope is also related autonomic dysfunction.Is this fainting spell always associated with cough?

Management should include-

Positioning maneuvers-At the moment when you starts having lightheadedness ,tense your arms-cross the legs and tighten them.If possible,lie down on the floor.

adequate fluids intake
high compression stockings in legs
Treatment of cough

Medicines for autonomic dysfunction needs to be given if above measures don't work.

If you have any further questions,I shall be glad to answer them.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ajay Panwar

Neurologist

Practicing since :2007

Answered : 1794 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Tongue bite

doctor1 MD

A co-worker was fine one minute..then suddenly said she didn't feel well. Moments later, she passed out for a minute or two. We shook her awake and...

doctor1 MD

My wife woke this morning and cannot keep from shaking.

doctor1 MD

I had a white spot of aprx 2-3 mm on left side of my tongue, when I bite there during eating. Now after 40 days of this incident still the white...

Get personalised answers from verified doctor in minutes across 80+ specialties

160 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Ajay Panwar
  • Q - Suggest treatment for neuralgia on right side of face

  • Q - Suggest treatment for pain in head along with knee pain and locking

  • Q - Suggest treatment for numbness in arms and legs

  • Q - What causes left-sided twitching on face and eye?

  • Q - What causes shaky hands and head?

  • Q - Suggest treatment to regenerate the femoral nerve damaged by a haemorrage

  • Q - What causes chronic sense of fullness in head and tenderness of scalp?

  • Q - What causes sore and stiff neck along with blurry vision?

  • Q - What causes difficulty in speech along with high BP?

  • Q - Suggest treatment for symptoms of burning feet syndrome

backtotop2