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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Mild Dizziness And Syncope?

I have been experiencing a mild dizziness or sensation in the head area. It feels like I may black out but I do not, it is scary kind of because I am not use to this feeling. I am afraid to move until it leaves, It feels dark and hot when this comes on.
Fri, 3 Jan 2020
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General Surgeon,  's  Response
Hello,

One possibility is heart rhythm disorders such as SVPT--Supraventricular paroxysmal tachycardia.

You should check your pulse and EKG? Another possibility is MVP or mitral valve prolapse (common in 40% of people) --it can lead to similar symptoms.

One way to abort these attacks is to pinch your nostrils and blow hard through your mouth.

This is called Valsalva's maneuver. Alternately feel the carotid artery inside the sternocleido mastoid muscle in your neck--(any doctor can show you) on any one side of neck and gently massage. This will also abort the attack.

But never do it on both sides simultaneously. Personally I do not think they are panic attacks considering your personality.

And instead of 25 mgs of Metoprolol, Verapamil 120mg SR or Propranolol 10 mg twice a day will keep you under control. You can revert back.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Iven Romic Rommstein, General Surgeon
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What Causes Mild Dizziness And Syncope?

Hello, One possibility is heart rhythm disorders such as SVPT--Supraventricular paroxysmal tachycardia. You should check your pulse and EKG? Another possibility is MVP or mitral valve prolapse (common in 40% of people) --it can lead to similar symptoms. One way to abort these attacks is to pinch your nostrils and blow hard through your mouth. This is called Valsalva s maneuver. Alternately feel the carotid artery inside the sternocleido mastoid muscle in your neck--(any doctor can show you) on any one side of neck and gently massage. This will also abort the attack. But never do it on both sides simultaneously. Personally I do not think they are panic attacks considering your personality. And instead of 25 mgs of Metoprolol, Verapamil 120mg SR or Propranolol 10 mg twice a day will keep you under control. You can revert back. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Iven Romic Rommstein, General Surgeon