Why did I black out after feeling nauseous and dizzy?

Hello,

Welcome to icliniq.com.

I understand your concern.

I would like to know some details about your symptoms and incident:

• What exactly did you feel inside your stomach? Please try to describe.

• While you were stepping out, what symptoms exactly did you feel? Did you see blurring of vision, blackening in front of your eyes, visualize any flashes of light, feel any imbalance, have a tendency to fall, feel fast heartbeats, have a headache, feel like vomiting, or something more?

• For how long did you feel those symptoms yourself?

• Were you aware while falling down? Did you think to try, or did you try, to hold some object or support from a wall just before falling?

• Did you have any sweating, urinary incontinence, tongue bite due to your tongue being caught between your teeth, stool incontinence during that episode, or any bodily injury due to the fall?

• As witnessed by your coworker, please ask your coworker what he or she saw happening to you during the period of unawareness. Was there any abnormal limb jerking or tightening? Was there any shout or cry? Was your body loose and limp or tight, cold, or sweaty? Were your eyes open or closed?

• Also, try to ask your coworker approximately how much time it took for you to regain alertness.

• Did your head hit somewhere on the wall or floor?

• If the incident area is under any closed-circuit television (CCTV) camera range, try to get the video of the incident and share it here as an attachment.

As per your description, there are chances that this episode may be vasovagal syncope. Another possibility that comes to mind is a seizure.

Investigations to be done:

• Magnetic resonance imaging (MRI) of the brain with seizure protocol.

• Electroencephalogram (EEG).

• Electrocardiogram (ECG).

• Two-dimensional (2D) Echocardiography.

• Twenty-four-hour Holter monitoring.

• Bilateral carotid artery and vertebral artery Doppler.

• Triiodothyronine (T3), Thyroxine (T4), Thyroid-stimulating hormone (TSH).

As per your description, there are chances that this episode may be vasovagal syncope. Another possibility that comes to mind is a seizure (fit).

• Postural blood pressure (BP) monitoring (twice daily), first in the lying position, then at 1 minute of standing, then at 3 minutes of standing.

• Cardiology consultation may also be required.

Review the above-mentioned information for better understanding and further judgment. Avoid driving, swimming, and bonfires for your own safety.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Hello,

Welcome to icliniq.com.

I understand your concern.

Based on the presentation of the symptomatology, the diagnosis is likely vasovagal syncope. There was the symptom of nausea followed by the blackout before the eyes. There was also a short period of loss of consciousness.

However, further elaboration of the situation by your co-workers on what transpired with your body could be helpful for getting further hints.

It is comforting that you are alright following the incident. Nonetheless, since such an incident occurred, it needs to be investigated and examined. You might come up with something or come up with nothing.

Everything would depend on the outcome of the investigation as well as whether there would be any recurrence of the incident. In the meantime, you need to avoid activities like driving, swimming, and bonfires.

As has been said, you need to have the investigations done as required, along with consulting a cardiologist. These include the postural blood pressure, as well as further elaboration on the incident (behavior of your body during the particular incident) by the eyewitnesses.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.