Learn About Fainting

What is the definition of Fainting?

Fainting is a brief loss of consciousness due to a drop in blood flow to the brain. The episode most often lasts less than a couple of minutes and you usually recover from it quickly. The medical name for fainting is syncope.

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What are the alternative names for Fainting?

Passed out; Lightheadedness - fainting; Syncope; Vasovagal episode

What is some background information about Fainting?

When you faint, you not only lose consciousness, you also lose muscle tone and the color in your face. Before fainting, you may feel weak, sweaty, or nauseated. You may have the sense that your vision is constricting (tunnel vision) or noises are fading into the background.

What are the causes of Fainting?

Fainting may occur while or after you:

  • Cough very hard
  • Have a bowel movement, especially if you are straining
  • Have been standing in one place for too long
  • Urinate, especially at night or after lying down for a prolonged period

Fainting can also be related to:

  • Emotional distress
  • Fear
  • Severe pain

Other causes of fainting, some of which may be more serious, include:

  • Certain medicines, including those used for anxiety, depression, and high blood pressure. These medicines may cause a drop in blood pressure.
  • Drug or alcohol use.
  • Heart disease, such as abnormal heart rhythm or heart attack and stroke.
  • Rapid and deep breathing (hyperventilation).
  • Low blood sugar (hypoglycemia).
  • Seizures.
  • Sudden drop in blood pressure, such as from bleeding or being severely dehydrated.
  • Standing up suddenly from a lying position.
How do I perform a home exam for a Fainting?

If you have a history of fainting, follow your health care provider's instructions for how to prevent fainting. For example, if you know the situations that cause you to faint, avoid or change them.

Get up from a lying or seated position slowly. If having blood drawn makes you faint, tell your provider before having a blood test. Make sure that you are lying down when the test is done.

You can use these immediate treatment steps when someone has fainted:

  • Check the person's airway and breathing. If necessary, call 911 or the local emergency number and begin rescue breathing and CPR.
  • Loosen tight clothing around the neck.
  • Raise the person's feet above the level of the heart (about 12 inches or 30 centimeters).
  • If the person has vomited, turn them on their side to prevent choking.
  • Keep the person lying down for at least 10 to 15 minutes, preferably in a cool and quiet space. If this is not possible, sit the person forward with their head between their knees.
When should I contact a medical professional for Fainting?

Call 911 or the local emergency number if the person who fainted:

  • Fell from a height, especially if injured or bleeding
  • Does not become alert quickly (within a couple of minutes)
  • Is pregnant
  • Is over age 50
  • Has diabetes (check for medical identification bracelets)
  • Feels chest pain, pressure, or discomfort
  • Has a pounding or irregular heartbeat
  • Has a loss of speech, vision problems, or is unable to move one or more limbs
  • Has convulsions, a tongue injury, or a loss of bladder or bowel control

Even if it is not an emergency situation, you should be seen by a provider if you have never fainted before, if you faint often, or if you have new symptoms with fainting. Call for an appointment to be seen as soon as possible.

What should I expect during a doctor appointment?

Your provider will ask questions to determine whether you simply fainted, or if something else happened (such as a seizure or heart rhythm disturbance), and to figure out the cause of the fainting episode. If someone saw the fainting episode, their description of the event may be helpful.

The physical exam will focus on your heart, lungs, and nervous system. Your blood pressure may be checked while you are in different positions, such as lying down and standing. People with a suspected arrhythmia may need to be admitted to a hospital for testing.

Tests that may be ordered include:

  • Blood tests for anemia or body chemical imbalances
  • Cardiac rhythm monitoring
  • Echocardiogram
  • Electrocardiogram (ECG)
  • Electroencephalogram (EEG)
  • Holter monitor
  • X-ray of the chest

Treatment depends on the cause of fainting.

Who are the top Fainting Local Doctors?
Elite
Highly rated in
13
conditions

San Luca Hospital

Milan, IT 20149

Michele Brignole is in Milan, Italy. Brignole is rated as an Elite expert by MediFind in the treatment of Fainting. They are also highly rated in 13 other conditions, according to our data. Their top areas of expertise are Hyperventilation, Fainting, Vertigo, and Familial Neurocardiogenic Syncope.

Elite
Highly rated in
6
conditions

University Of Ottawa

Ottawa, ON, CA 

Venkatesh Thiruganasambandamoorthy is in Ottawa, Canada. Thiruganasambandamoorthy is rated as an Elite expert by MediFind in the treatment of Fainting. They are also highly rated in 6 other conditions, according to our data. Their top areas of expertise are Hyperventilation, Vertigo, Fainting, and Familial Neurocardiogenic Syncope.

 
 
 
 
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Elite
Highly rated in
9
conditions

University Of Florence

Department Of Geriatric And Intensive Care Medicine 
Florence, IT 

Andrea Ungar is in Florence, Italy. Ungar is rated as an Elite expert by MediFind in the treatment of Fainting. She is also highly rated in 9 other conditions, according to our data. Her top areas of expertise are Hyperventilation, Fainting, Vertigo, and Low Blood Pressure.

What are the latest Fainting Clinical Trials?
Multicenter, Randomized Controlled Trial Designed to Evaluate the Efficacy and Safety of Adjuvant Hyperthermic Intraperitoneal Chemotherapy (HIPEC) With Raltitrexed or Oxaliplatin Versus no HIPEC in Locally Advanced Colorectal Cancer (APEC Study)
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REmote Cardiac MOnitoring of At-risk SYNCope Patients After Emergency Department Discharge - A Multicenter Randomized Controlled Trial: REMOSYNCED
What are the Latest Advances for Fainting?
Effect of psychotherapy on recurrence of events and quality of life in patients with vasovagal syncope.
Implanted System for Orthostatic Hypotension in Multiple-System Atrophy.
Tired of the same old research?
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Interventions for reducing inflammation in familial Mediterranean fever.
Who are the sources who wrote this article ?

Published Date : April 24, 2021
Published By : David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Calkins H, Zipes DP. Hypotension and syncope. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 43.

De Lorenzo RA. Syncope. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 12.

Winkel D, Cassimatis D. Episodic impairment of consciousness. In: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds. Bradley and Daroff's Neurology in Clinical Practice. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 2.