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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes frequent fainting?

Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 6927 Questions

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Posted on Thu, 17 Mar 2016 in General Health
Question: hello dr. Ilir Sharka
I am back!! you did say anytime but I haven't used your direct link as it doesn't seem to work.
you said it was a fact that I would live and gave me a list of why.
I am really concerned again because a doctor at the surgery said to me last week " we always hope that our patients will live long lives but can't say that they will if they didn't go to the doctor when they felt faint" and a care co ordinator said to me what does incongruent mean? and I gave him an explanation and he said then why are you smiling when you are dying? I actually wrote to him with a copy to his boss complaining about that one. as I said to you before my g'p said to me that he doesn't think I am dying but doesn 't know what is wrong with me. I wrote to doctor v assos my physiarist about the possible changes in medication after our last conversation but haven't had a reply. I hope he will have the courtesy to reply even if he doesn't agree. I feel that by not goi ng to the doctor when I felt faint several times I have wrecked my life, my boys lives , my partner's life an d my friends. when I became a single parent after my hudsban d'sboating accident I strove really hard to be mum and dad ad create a secure family unit which we did have until ten years ago when I suddenly became ill. another doctor at the surgery said that he didn't know what would happen to me as I didn't see the doctor when I was faint. but the first comment is the most worrying because she is saying I will have a short life because I didn't go. except for my dad who I told you about everyone else in the family have died in their 80's and 90's. my nan was 98 my uncles were 96. when I was running my school I thought I would be the same. instead from what these doctors at the local surgery say I haven't got long. I know you feel I am okay because the tests on my heart and brain were fine but why don't these doctors think that too.
doctor
Answered by Dr. Ilir Sharka 2 hours later
Brief Answer:
My answer as follows:

Detailed Answer:
Dear XXXXXXX

I am glad to hear from you again on HCM!

I totally understand your concern, and I don’t really know why these doctors have told you those things.

Maybe they are not very professional. I would explain that all your tests have excluded any possible life-threatening disorders.

If I were your doctor, I would advise you not to consult with those doctors any more. You can switch to another doctor.

The fact that ten years have passed from those fainting episodes and you have not had any similar complaints, associated to your normal test results confirms that your body is healthy and there is no rational reason to think that you are dying.

So even, if you had gone to the doctor, nothing would have changed in your actual physical conditions.

As, I already have explained before, the cause of those episodes of fainting may have been just a common benign cause (low blood pressure, chronic anemia, low blood glucose, etc.), which has recovered spontaneously.

I recommend you to consult with your psychiatrist and make the proper therapy changes. I think that switching from venlafaxine to another antidepressant (taking also into consideration the possible changes that I recommended before), will really help you manage your fear of dying and see all your situation from another point of view, a more optimistic one.

I am always here, ready to answer to all your questions.

Kind regards,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka 2 hours later
hello, thank you for your answer. far more reassuring than what I have been told. there is one doctor at the practice who doesn't think I am dying but you have little choice who you see. is feeling leragthic and sweaty a physiological problem because I feel hot and sweaty nearly all the time. my forehead drips! also no body knows why I became ill 8 years after the fainting episodes and became " mentally ill"i know you won't know as you weren't there but I have been told it is because I didn't see the doctor when I felt faint several times.even with the gap of 8 years. as you know I started saying silly things but I wondrr if I needed a hormone terst at that time and needed something like hrt. something as simple as that but as I didn't have a test I got worse and fixated on dying. possible?
I have been out for a while today and yesterday but last week only Wednesday. I hate feeling so worried about venturing out. I have a theatre ticket for tomorrow night so I hope I have the confidence. I used to run a school and this is ridiculous.

I will ask around for another practice and if doc tor vassos won't c hange to the suggested medication I will change him too. I wrote to him as he isn't due to come until april.and asked if he could make the changes now. the difficult thing about him is that he stated that he just didn't know what was wrong with me. after telling me a range of different things over time and kept changing his mind. even he said I might die perhaps because I keep saying I am. for ten years I have been saying I am dying it is abnormal no wonder I have lost my closeness to my family and friends. I keep wishing I was still running my school and had my lovely life still. I have tried 3 different counsellors an d a phycotherapist but they haven't worked so the changes in medication must be the answer. I have some blood test results I can send to you, I thought now but there is something wrong with the system so can't open it just now but will send them.

doctor
Answered by Dr. Ilir Sharka 21 minutes later
Brief Answer:
I will be happy to review your uploaded tests at any time.

Detailed Answer:
Hello again, dear Jean!

I understand your emotional state and all your concern, but you should know that there are many questions in medicine that get no answer.

Maybe it was the beginning of menopause, with its hormonal changes to lead to your psychological problems and fears.

But the base of the problem is the doctor who told you that you are dying. This is really hard for me to understand that a college can do this, without any evidence of any medical disorders one patient (like in your case).

I would not agree with hormonal replacement therapy, because although it can have some benefits in mood changes during this delicate period, it has a lot of adverse effects, like increasing the risk for cancer. So, I would not recommend it in your case.

Antidepressants and/or low doses of antipsychotics can be a better treatment choice in this clinical situation.

Regarding the theatre tickets, I would strongly encourage you to go there and have some real emotions. It is really a helpful to merge into a virtual world for some hours and forget about your fears.

I can assure you that nothing is going to happen to you, if you go out. You will have only benefits from this.

Regarding your tests, I will be happy to review them as soon as you can upload them on the system!

Greetings!
Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka 8 hours later
I will be able to send you the blood test results tomorrow.
I wonder if you would please answer why I should feel so sweaty all the time.
also it is four professionals who have told me I am dying, two doctors, a care coordinator and the physiarist. they all put it down to not seeing the doctor when I was faint but now I have your answers I know what to say to them. the care coordinator took me on to the internet and put in feeling faint and then ten reasons why you shouldn't neglect feeling faint. thank you for your reassurance.

best wishes XXXXXXX

sorry I forgot to tell you about something else. I recently had a small bleed. at the hospital they said that sometimes that can mean cancer in a postmenopausal woman. so they did a biopsy. then I had a phone call that could I go in and have a scan. the one where they insert a camera up the vagina. my g'p' told me the results of the scan . it was fine exc ept that the lining was thin which they would expect in a woman of my age. however I have to see the consultant about the biopsy what would the biopsy show that the camera picture wouldn't? or do they serve the same purpose. XXXXXXX
doctor
Answered by Dr. Ilir Sharka 8 hours later
Brief Answer:
I would explain as follows:

Detailed Answer:
Dear XXXXXXX

I understand your concern, and would explain that some sweating doesn't indicate anything abnormal, when all the other lab tests result normal.

It may be just a physiological overproduction of sweat from sweat glands. It can also be related to menopause, as hot flashes and sweating are common among women in menopause.

Regarding your gynecological problem, I would explain that the CT scan examines your organ dimensions and structure, but can not examine the cells (microscopical examination).

The camera in your vagina, helps examine the internal layer of the uterus and detect possible changes in colour or small structure, which can not be detected by the CT scan.

The biopsy, taken in some specific places in the internal layers of the uterus (during the camera examination) helps exclude possible inflammatory lesions or cellular changes, which could be the first stages of a tumor.

So, as you see, all these tests are performed for different reasons, and help the doctors detect any possible lesions, even microscopic.

Hope you will find this answer helpful!

Regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka 4 hours later
thank you.

the thing is I am not menopausal I am post that from my blood test results. but I didn't have any menopausal signs. but neither did my mum.

I am still convincred I am dying. my biggest ever fear from when I was 13 was dying young like dad. but I thought I would be too careful for that. I have been thinkin I am dying for ten years which isn't normal.

I find it hard to believe that so many people would say I was dying ...4... and I completely understand your reasoning but when she showrd me on the in ternet it was cear that you must see your doctor when tyou feel fain t, and get medical advice. I was usually the sort of person who went to the doctor about everything so can't believe that I didn't then. XXXXXXX one of te staff here said I let myself down and a friend said that I wasn't as careful as I thought.
doctor ILir I am so scared as I think I am dying today. wish so much I could go back to 2006. I can not believe that I of all people with how careful I was as a norm didn't go even if you believe now that it didn't matter. I was always going to go to the doctor for EVERYTHING just to be on the safe side. I never thought I would go wron g on a medical matter.
if I am not sweaty because of the menopaus as I am 63 why am I? also this morning my right hand is numb.
I am so scared of dying like most people. bit even more so because of witnessing my dad's death. that is why I should have kept my golden rule of always seeing the doctor about every aliment.
c an't do anything about it now. the rest of the family hav e died in their 80's and 90's and when I was running my school I expected that for me too. I didn't think that I would be the only one in the family to die you ng like dad. I used to have nightmares about that when I was litt;le but never believed it would happen.
I was goin g to be a good grsandmother like my mum and help with the babies when they were b orn but I haven't as I haven't felt well enough. my m um was brilliant with me and helped so much so I got plenty of sleep. Sachiko is so tired.
if I wasn't dying I would have had the strength to go over there an d help.
doctor
Answered by Dr. Ilir Sharka 58 minutes later
Brief Answer:
Nothing bad is goig to happen to you!

Detailed Answer:
Dear XXXXXXX
I can reassure you that you are not dying today.

As I already explain there is nothing abnormal in just an increased sweating. Many normal persons do this and it is not a sign of any life-threatening disease.

Besides, anxiety and psychological stress can lead to increased sweating.

So relax, nothing is going to happen.

From the other hand, you should understand that as you didn’t die all these years, there is no reason to think that you are going to die today.

Your family history is normal, so you have no increased risk for any hereditary diseases.

You told me that you had bought some tickets for the theatre today. What are you waiting for? Let’s go out and have some fun.

You should do everything to go away from these bad thoughts. Everything is going to be all right!

Just believe on me!

I am looking forward to hear from you and your opinion on the theatre play.

Best wishes,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka 7 hours later
dear doctor lliri

I did write a follow up and it said saving and then the screen went blank and it was really long too, I don't think I can repeat it all. I do think you are lovely. I wish that I could meet you and talk about something other than dying ( gosh that wasn't a proposition I am too old for you!!) but you remembered that I had theatre tickets for today. yes I did go. it wasn't a play but a tribute band. they were doing the music of the four seasons so very 60's. it reminded me of my teenager years.
I don't really get on with anyone else in this supported living accommodation that I am in. they are mad... I didn't mean that unkindly but they hear voices and things like that and have no ability to have a serious conversation. I suppose I am mad too as sadly I am here because I keep saying I am dying. I have two degrees and used to run a school. there is no one else with that sort of background. they all left school without qualifications . anyone I asked denis if he would like to go with me as he loves music. I really regret it. he didn't bother to shave or wash his hair or wear nice clothes. I was embrassed to be seen with him. I have tickets for next Monday for a comedy play but I shall go by myself even if I waste the second ticket. you know what I am going to say if I am alive for next week! I loved my teaching career. it was just the right vocation for me. I did well getting promotion rapidly. from class teacher, to deputy head to acting head an d then getting the first headship I went for and I loved it. the gov ernors said I was good and kept giving me extra pay rises. my sons were proud of me then. then I had to spoil it and go wrong. I have lost my clever sons who I used to have such a good rapport with. and my partner who I loved so much. I know it is my fault. I hate being here in this place which adds to the depression. how could someone who had such a good life ruin it when my pledge to myself was to go to the doctor for every aliment. I know you said it wouldn't have made any difference if I had gone to the doctor but I should have done just to be on the save side like I did for everything else I had wrong with me. I am so sad. the only contact I have now with my youngest son is looking at his award winning photos on viewbug.com/member/coppertop1706

that is all. and he and I used to be particularly close. he used to say I was his best friend, his teacher and his hero ... but not any more.
I have lost so very much and I still fel that I only have myself o blame. and doctor vassos hasn't responded about a change in medication. I bet he won't.
sorry this is a form for a follow up question and I have used it for a moan.
regards XXXXXXX
doctor
Answered by Dr. Ilir Sharka 10 hours later
Brief Answer:
My answer as follows:

Detailed Answer:
Dear XXXXXXX

I totally understand the way you feel.

I am glad you went to the theater. It is difficult living in such institutions, where you can not find any friends, to discuss with.

I know that you feel like you have lost everything, but you haven't. You are alive and your sons are alive too. You can still recreate a relationship with them. You should just try to think about them again, and forget for some minutes about your irrational fairs. You have been alive during all this period that you have thought that you were dying. Here you are again, alive!

I would recommend you to call them or make a trip to their houses, just for a coffee. You can also send an email, where you just say "Hello! I love you, I miss you and I just called to say I love you!". You should feel blessed that you have your children and you are alive. Nothing is ruined yet. You can not change your past, but you can change your future.

Do not let the time pass anymore without talking to your sons. Nobody knows how long we are going to live. But life is not measured by the seconds we breath, life is our emotions and the moments that take our breaths away.

I would encourage you to go to the next comedy on monday. It will really help you feel better. And nothing bad is going to happen. You will just feel better, and more secure when getting out.

You can see that tomorrow is a new day, new thoughts are going. I recommended you to start the day with a happy thought (think about your sons or grandchildren) and than try to think about this thought all the day.
It will certainly make you feel more optimistic.

Can you consult with another doctor? Why wait for this doctor who is not ready to attend you at any time? Can't you afford another doctor, in another hospital?
I would recommend you to do this. A change in your therapy would really make a difference for you.

Hope to have been helpful!

Please feel free to ask any other uncertainties, whenever you need!

Greetings!

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka 24 hours later
I did a repeat follow on and again it said saving but didn't. can't rewrite it all again at the moment, but thank you for your reply and I will do the answer again later!

best wishes XXXXXXX
doctor
Answered by Dr. Ilir Sharka 55 minutes later
Brief Answer:
My answer as follows:

Detailed Answer:
Dear XXXXXXX

I understand that the system may be a little confusing sometimes.

You can write your question on a Word Document and then copy&paste on the system.

This way you can be sure that you will not loose your written question.

I am always here, at your disposal for any uncertainties.

Regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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