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Q. My 14-year-old daughter fainted three days back in the morning. What could have caused it?

Answered by
Dr. Hardika Kothari
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Jul 06, 2020 and last reviewed on: Jul 29, 2020

My 14years old daughter fainted three days back in the morning when she woke up to study for her test. Her pulse was normal during the episode.. She is okay now but i want to know what could have caused it and prevention of further occurence.

#

Hello, I hope she is doing fine now. There are numerous causes for fainting (syncope). 1. Dehydration- improper intake of water may lead to dehydration Anemia/ menstrual cycle may also lead to syncope in female adolescents 2.vasovagal- emotional upset, anxiety , sudden standing from sitting position, prolonged standing- leading to vagal stimulation and fall in cerebral perfusion causing fainting attacks. 3.cardiac- arrhythmia, structural heart disease, family history of heart disease or sudden death in family 4.neurological- may mimic seizure or vascular event. -Specific triggers - positional changes, intercurrent illness, an emotional or painful stimulus, or a hot environment. These symptoms are typical for vasovagal syncope. Chest pain or palpitations immediately before syncope points toward cardiac disease- may require referral to a pediatric cardiologist and complete work up- blood pressure monitoring, ECG, 2D ECHO, 24 hrs holter monitoring If above mentioned causes normal then seek neurologist opinion Advice- Adequate fluid and salt intake Correction of anemia Avoidance of trigger like anxiety/pain/emotional upset Seek cardiology opinion if history/ symptoms points towards cardiac origin( if hypertensive/ cardiac disease then salt restriction) I hope this has given you some insight. Feel free to revert back in case of any doubt. Good day


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