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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What could cause a sudden episode of nausea, chills, sweating and a fainting feeling?

Answered by
Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3919 Questions

Posted on Wed, 17 Apr 2019 in Medicines and Side Effects
Question: Last night, I was out with my wife. Towards the end of the night, I had sudden feeling of my stomach dropping (I don't know how to describe it any other way), sudden onset nausea, and cold, sweaty skin. I felt like I was going to pass out.

I am a 50 y/o male, 5'10", 260 lbs, muscular, but carrying too much weight. I have high blood pressure, well controlled with Benazepril 20 mg, daily. I had about 4 oz. of bourbon before dinner, and 4 oz. after dinner, with a cigar. I was not drunk, however. For dinner, I ate an 8 oz steak with a handful of french fries. I have approximately 6 alcohol drinks per week, total.
Answered by Dr. Ivo Ditah 14 minutes later
Brief Answer:
Probably vasovagal syncope

Detailed Answer:


This is suggestive of syncope. Syncope is caused by a transient drop in blood pressure often caused by excessive excitation of the vagal nerve. It is often a transient observation and requires no medical intervention.

For now, observe only. If this happens again, alert us as this may warrant a series of evaluations to make sure there is nothing we are missing out on.

I hope this helps and guides you. I wish you well.

Dr. Ivo Ditah
Internal Medicine Specialist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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