Rosalyn Carson-DeWitt, MD
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.
Decreased blood flow to the brain can be caused by:
Most commonly, vasovagal spells. Vasovagal spells can occur:
Fainting can also occur as a side effect to medications. These include:
Factors that increase your risk of fainting include having a history of fainting.
Symptoms may include:
Call your doctor if you are having episodes of fainting. This is especially important if you:
Call for emergency medical services right away if you have:
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:
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:
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:
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:
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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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