Hello Doc , My Brother Age 21 Is Having Problem

Posted on Mon, 3 Dec 2018

Question: hello Doc , My brother age 21 is having problem of unconsciousness ,from childhood whenever anyone slap him or he got hurt or during fever he used to faint even now also when he got injured little bit, during injection also some times he faint but not always what is the reason of this ,how to treat this problem

Answered by Dr. Ajay Panwar (1 hour later)

Brief Answer:
Please provide some more details

Detailed Answer:
Hi XXXXXXX
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist, here to answer your query.

I need to know some more details in order to answer this query further-
1)Does he undergo uprolling of eyeballs, neck turning, tongue bite or frothing from mouth during that period?
2)Is he having any known medical disease except this?
3)Has he been evaluated previously through brain imaging scans? If any documents are available with you, I shall appreciate if you can upload here.

I shall be glad to have you in follow-up with details.

Regards,
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Ajay Panwar (42 minutes later)

1)No its not like fits just unconscious faint. 2)No 3)No brain imaging ,please let me know what are tests need to perform

Answered by Dr. Ajay Panwar (12 hours later)

Brief Answer:
Vasovagal syncope

Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
Your brother appears to lose consciousness due to over-reaction of the body to specific triggers. This is likely to be vasovagal syncope. The tests which may be done are routine blood investigations,ECG to look for abnormal rhythm and preferably holter monitoring may be done. Tilt table test and BP assessment for postural hypotension should be done as well. Occasionally, in cases of syncope, brain MRI may also show abnormalities. Sometimes syncope may be confused with seizures and electroencephalogram(EEG) may be helpful in those cases. If it indeed turns out to be a vasovagal syncope, then the treatment would be to avoid specific trigger factors. Wearing compression stockings and taking a good amount of fluids might also help.

Further, I would like to know that for how long he remains unconscious? and once he regains consciousness, is he confused or having a normal sensorium?

If you have any further questions, I shall be glad to have you in follow-up.

Regards,

Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Ajay Panwar (6 hours later)

Thank you Doc for ur explained answer ,as per unconscious XXXXXXX time is very short we need call him for two three times or need to put water on his face,Could u please let me know which blood test and other test we need to perform just the name of the test so at least we can start

Answered by Dr. Ajay Panwar (18 minutes later)

Brief Answer:
ECG, Blood tests, Tilt table test

Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.

With your history of short duration of unconsciousness, it is likely to be syncope. He should be tested by a doctor for fall in BP from lying down to standing position. This way testing is done for postural hypotension. Also, hemogram, blood sugar, serum electrolytes, holter and tilt table tests should be done.

Hope that helps.If you have any further questions,I shall be glad to have you in follow-up.

Regards,
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Nagamani Ng