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 procedures
- During times of high stress, trauma, or fright
- After standing still for a long period of time
- Orthostatic hypotension , low blood pressure when standing
- Hypoglycemia , which is low blood glucose (a type of sugar)
- Stroke or transient ischemic attack
- Abnormal heart rhythms
- Heart conditions
- Blood loss
Fainting can also occur as a side effect to medications. These include:
- Blood pressure medications
- Medications to regulate heart rhythms
- Certain antidepressants
Symptoms may include:
- Sudden loss of consciousness
- Inability to remain standing or sitting
- Consciousness regained without any need for intervention
- Lightheadedness before losing consciousness
When Should I Call My Doctor?
Call your doctor if you are having episodes of fainting. This is especially important if you:
- Have a heart condition
- Have a job where you or others may be at risk if you faint. Examples include airline pilot, bus driver, or machinist.
When Should I Call for Medical Help Immediately?
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 body
- Loss of balance, coordination problems
- Vision problems
- Severe headache
- Rapid, 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:
- Holter monitoring
Your brain activity may be tested. This can be done with electroencephalogram (EEG) .
Images may be taken of your blood flow. This can be done with MR angiogram and CT 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 scan
- MRI scan
Treatment will depend on the underlying condition that has caused fainting. This may include medications, lifestyle changes, or surgery.
Knowing the warning signs of fainting can help prevent injury. If warning signs are present, the person should be encouraged to sit or lie down right away.
Decreasing the risk of fainting will depend on the cause. Some factors that may help include:
- Rising slowly and carefully from lying down. Start by sitting up for a minute and then stand up.
- Drinking plenty of fluids.
- Discussing helpful dietary changes with your doctor. This may include eating smaller, more frequent meals throughout the day.
- Avoiding alcohol or other drugs.
There are certain physical movements that rapidly increase blood pressure and blood flow to the brain. These movements may prevent fainting after warning signs appear. Examples of physical movements may 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.
- Gripping one hand with the other while tensing both arms and raising the elbows slightly.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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