Why does my husband suffer from recurrent fainting episodes ?
Thanks for the query.
Well I have gone through the whole history and summarized many points about your husband's condition.
First of all, I want to discuss the possibilities of these recurrent fainting attacks. It may be a metabolic problem, a neurological problem or a psychogenic problem.
Now, as per my opinion I think, The chances of the psychogenic problem are more.
How to get the diagnosis, for this you will have to consult a physician , and get the following investigations done.
1- GBP, s. sodium, potassium, calcium.
2- MRI Brain.
Just these 3 investigations will reach the diagnosis. And I am sure it will come out to be with in the normal limits.
As you have told that these episodes are anxiety related then the chances of psychiatric cause is maximum.
I also recommend to consult psychiatrist after consulting physician.
the doctor may prescribe you the following medications:
1- A potent anxiolytic like clonafit.
2- A benzodaizapine.
All for next 15-20 days, And I am sure the condition will resolve with in this period.
Also, change his daily habits like,
1- Regular aerobic exercises.
2- Drink plenty of fluids.
3- Take vitamin and mineral supplements.
Hope this will help you.
I will be happy to answer follow up queries if any.
Thanks for your extensive answer. Right now, we are in Israel, while we live in the US. We don't have our regular insurance here, so we cannot peform all your recommendations before our flight back. Given this fact, and other than daily life style changes that are important, here are some other things I would like you to comment on, please:
* Don't you think that change of air pressure on the plane, has a lot to do with episodes on the plane? Episodes have typically happened about one hour before landing. Will a personal oxygen kit solve this problem?
* Alternatively, or in addition, is taking Alparazolam .25 mg every 4 hours a wise idea? We have a short connection and another long flight to catch immediately after... How about a medication like Dramamine?
* On our first flight, after the episode occurred, there was a doctor there who treated him on the plane. He has mentioned the hormone Cortisol, and that a test of this may be very appropriate. Should we add this to the list of required tests?
First of all I appreciate your concern for your husband.
Now let me answer your questions pointwise.
1- The change in air pressure cant be a precipitating factor for attacks, it is just an anxiety related attack.
But you may keep oxygen for acute attack.
2- please dont give him alprazolam and that too every 4 hours, you may give him, a single tablet one hour before the flight, and second before the change of second flight.
3- Actually the cortisol is a hormone, that regulates different body functions one is maintaining serum electrolytes, that i had already mentioned As s. calcium, sodium, potassium. Alteration in these reports will reflect the altered cortisol level.
Be, confident, nothing will happen wrong with your husband, what he need is just a good company and counselling.
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