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When Is One Prone To Syncope?

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Posted on Thu, 2 Feb 2017
Question: i am XXXXXXX XXXXXXX 32 years old ,my profession is teaching in prolonged standing position (for 7-8 hours daily)since last 4 years ,my problem is during teaching for a moment i feel that i lost control on brain and body and appears that i am going to fall but i do not fall and sweating takes place ,this problem is from last 1.5 year ...i consullted dr kk XXXXXXX XXXXXXX ,he gave me panazep 25 mg daily for 5 months after that stopped it and from then i am taking paxidep cr 12.5 till now but if i stop medicine even for a day i again face the same problem ...plz tell me what i should i do ?which kind of disease it is?is it curable or not
doctor
Answered by Dr. Sudhir Kumar (38 minutes later)
Brief Answer:
Symptoms are suggestive of pre-syncope.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your symptoms. Based on that, you seem to be suffering from pre-syncope and occasional syncope. In this condition, the blood supply to brain gets reduced for a short period. This is because of slight fall in the blood pressure due to prolonged standing and other factors.

You need further evaluation with tests such as: 1. HUTT test (head up tilt test); 2. ECG, 3. Echocardiogram; 4. Carotid doppler.

There is no need to worry, as it can be easily treated with medications.

As of now, you are on paxidep, which is an anti-depressant. The fact that this medicine is helping you means you also have some anxiety and depression feelings. You may continue this medicine.


Best wishes,

Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (9 minutes later)
thanks sir for tests and medications i want to consult you further ,i am from XXXXXXX XXXXXXX let me know about your appointment process further
doctor
Answered by Dr. Sudhir Kumar (15 hours later)
Brief Answer:
I can see you in Apollo Hospital, XXXXXXX

Detailed Answer:
Thank you for getting back.

I see patients daily at Apollo Hospital, XXXXXXX between 12 noon and 5 PM. If you confirm when you want to consult me, I can fix the appointment for you.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6232 Questions

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When Is One Prone To Syncope?

Brief Answer: Symptoms are suggestive of pre-syncope. Detailed Answer: Hi, Thank you for posting your query. I have noted your symptoms. Based on that, you seem to be suffering from pre-syncope and occasional syncope. In this condition, the blood supply to brain gets reduced for a short period. This is because of slight fall in the blood pressure due to prolonged standing and other factors. You need further evaluation with tests such as: 1. HUTT test (head up tilt test); 2. ECG, 3. Echocardiogram; 4. Carotid doppler. There is no need to worry, as it can be easily treated with medications. As of now, you are on paxidep, which is an anti-depressant. The fact that this medicine is helping you means you also have some anxiety and depression feelings. You may continue this medicine. Best wishes, Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist.