Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org, the AAFP patient education website.

Information from Your Family Doctor

Fainting: What You Should Know

 

Am Fam Physician. 2017 Mar 1;95(5):online.

  See related article on syncope

What is fainting?

Fainting, also called syncope (SIN-koh-pee), happens when your brain doesn't get enough oxygen. You pass out for a short time, then wake up.

What causes it?

Fainting can be caused by many things. Reflex syncope is when something happens to trigger the fainting, such as going to the bathroom or being upset by something, such as seeing blood.

Orthostatic hypotension syncope happens when your blood pressure gets too low to get enough blood to your brain. This can happen from standing up too quickly, not drinking enough water, or losing a lot of blood. Taking certain medicines can also cause it.

Cardiac syncope happens when your heart doesn't pump enough blood to the brain. This can be because your heart doesn't beat properly, or because your heart isn't shaped normally.

How is it diagnosed?

Your doctor will ask you questions, examine you, and test your heart with an EKG to find out why you fainted. These things are usually enough to find the cause, but if they're not, you may need more tests, such as blood tests, a heart ultrasound, or heart monitoring. Your doctor will also find out if you're at risk of more severe problems, and will decide if you need to be admitted to the hospital.

How is it treated?

It depends on the cause. For reflex syncope, you might just need to avoid whatever triggered the fainting. For orthostatic hypotension syncope, you need to be careful when standing up, and you might need to stop taking medicines that could be causing the problem. For cardiac syncope, you might need medicine, a procedure, or a device put inside your chest to treat an abnormal heartbeat.

Where can I get more information?

Your doctor

AAFP's Patient Information Resource

http://familydoctor.org/familydoctor/en/diseases-conditions/fainting.html

National Institute of Neurological Disorders and Stroke

http://www.ninds.nih.gov/disorders/syncope/syncope.htm

National Library of Medicine

https://www.nlm.nih.gov/medlineplus/fainting.html


This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at http://familydoctor.org.

This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.

 

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