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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Became Nauseous, Fainted After Removal Of Cast For Fractured Fractured Distal Humerus, Has Arm Pain. Cause?

My 5 yr old son got his cast removed today. He had a fractured distal humerus that was not displaced so the arm has been casted at a 90 degree angle for the past 6 wks. Can you explain why he became so nauseous and almost fainted when the cast was removed? Also he says his arm hurts and doesn t even want me to touch the skin. Please advise...
Wed, 3 Oct 2012
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Pediatrician, Neurology ,  's  Response
I think your son has low threshold for pain and this is usually seen as pain syncope which is an exaggerated body response to pain and it's not to be worried at all. The main concern is the persistent pain in the arm- you need to go back to the doctor so see any local causes from the arm. Complex regional pain syndrome is one of rare causes in this age but to be considered once local causes are ruled out.
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Child Became Nauseous, Fainted After Removal Of Cast For Fractured Fractured Distal Humerus, Has Arm Pain. Cause?

I think your son has low threshold for pain and this is usually seen as pain syncope which is an exaggerated body response to pain and it s not to be worried at all. The main concern is the persistent pain in the arm- you need to go back to the doctor so see any local causes from the arm. Complex regional pain syndrome is one of rare causes in this age but to be considered once local causes are ruled out.