HomeAnswersNeurologymicturition syncopeI had chest pain and went unconscious at midnight after urinating for a minute. Why?

What could be the reason for chest pain and unconsciousness at midnight after urination?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Hitesh Kumar

Medically reviewed by

iCliniq medical review team

Published At June 10, 2022
Reviewed AtJune 10, 2022

Patient's Query

Hello doctor,

I had chest pain in the middle of the night and became unconscious for a minute. It recurs every three to six months but became unconscious for the first time.

Answered by Dr. Hitesh Kumar

Hello,

Welcome to icliniq.com.

I would like to know some more details about your symptoms:

  1. Since when did you start having chest pains?
  2. Have you ever consulted for chest pains? If yes, was any conclusion for the cause of chest pain made? If yes, please tell.
  3. Are you on any regular medicines? If yes, tell me names and doses.
  4. Which position have you been in before becoming unconscious - laying in bed, sitting, or standing?
  5. Apart from chest pain, did you feel any other symptoms before unconsciousness?
  6. In how much time do you regain consciousness?
  7. Do you have urine incontinence, tongue bite, injured body part, or sweating during unconsciousness?
  8. Was there anybody with you? If yes, what do they tell happened in your body before and during unconsciousness?

I would suggest doing the following investigations,

  • MRI (magnetic resonance imaging) brain with seizure protocol.
  • EEG (electroencephalogram).
  • 2D echocardiogram.
  • ECG (electrocardiography)
  • Bilateral carotid artery and vertebral artery doppler.
  • Holter monitoring.

Revert with above mentioned information for better understanding and further judgement.

Patient's Query

Hello doctor,

Thank you for the reply.

I think my chest pain has been there for four years, but this is not on a regular basis. I have never consulted any doctor since I work night shifts and thought this was due to irregular food timings and sleep. I am not under any medicines. The unconsciousness happened when I woke up for urine at late midnight and fell near the commode. There is slight swelling in the head and scratches below the neck. I would have been unconscious for three minutes maximum. There was no tongue bite or sweat. But I knew that I could not stand for a second. There was nobody with me as an eyewitness.

Answered by Dr. Hitesh Kumar

Hello,

Welcome back to icliniq.com.

Possibly it could be micturition syncope. But as there has been no eyewitness, I suggest you undergo an investigation and consult a cardiologist.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Hitesh Kumar
Dr. Hitesh Kumar

Neurology

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