Fainting is a loss of consciousness that happens quickly and sometimes without warning. A fainting episode usually resolves within seconds to minutes. If fainting is caused by another condition, then the condition will need to be treated.
In general, fainting is caused by decreased blood flow to the brain.
Blood Flow to the Brain
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Decreased blood flow to the brain can be caused by:
Most commonly, vasovagal spells. Vasovagal spells can occur: During medical proceduresDuring times of high stress, trauma, or frightAfter standing still for a long period of time
Medical conditions: Orthostatic hypotension
, low blood pressure when standing
, which is low blood sugar
transient ischemic attackAbnormal heart rhythmsHeart conditionsBlood loss
Fainting can also occur as a side effect to medications. These include: Blood pressure medicationsMedications to regulate heart rhythmsDiureticsCertain antidepressants
Factors that increase your risk of fainting include having a history of fainting.
Symptoms may include: Sudden loss of consciousnessInability to remain standing or sittingConsciousness regained without any need for interventionLightheadedness before losing consciousness
Call your doctor if you are having episodes of fainting. This is especially important if you: Have a heart conditionHave a job where you or others may be at risk if you faint. Examples include airline pilot, bus driver, or machinist.
Call for emergency medical services right away if you have: Weakness or numbness of face, arm, or leg, especially on the left side of the bodyConfusionLoss of balance, coordination problemsVision problemsSevere headacheRapid, irregular heartbeat; chest pain
You will be asked about your symptoms and medical history. A physical exam will be done.
Your bodily fluids may be tested. This can be done with blood tests.
Your heart activity may be tested. This can be done with: Electrocardiogram (EKG)Holter monitoringEchocardiogram
Your brain activity may be tested. This can be done withelectroencephalogram (EEG).
Images may be taken of your blood flow. This can be done withMR angiogram andCT angiogram.
Additional tests may be done. They may include a tilt table test.
If initial tests are unclear, brain images may be taken. This can be done with: CT scanMRI scan
Treatment will depend on the underlying condition that has caused fainting. This may include medications, lifestyle changes, or surgery.
If you are prone to fainting: Know the warning signs. If you feel that you are going to faint, sit or lie down right away.Get up slowly and carefully from lying down. Start by sitting up for a minute and then stand up.Drink plenty of fluids.Discuss dietary changes with your doctor.Avoid using alcohol or other drugs.
There are certain physical maneuvers that rapidly raise blood pressure and blood flow to the brain. They are called physical counterpressure maneuvers. When these are done during warning signs, you may be able to prevent fainting. Examples include: Crossing your legs while tensing the muscles of legs, abdomen, and buttocks.Forcefully squeezing a rubber ball or other object as hard as possible. Try to use your dominant hand.Gripping one hand with the other while tensing both arms and raising the elbows slightly.
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Last reviewed January 2015 by Rimas Lukas, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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