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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Neurocardiogenic Syncope?

My wife in her teens was diagnosed with nuro-cardio-genic-syncope. They thought she d out grow it but she hasn t and now she is 35. Through the years she has had many tests locally including the tilt table test. She says that she is the reason why the straps were redesigned on the table because when she was 13 she passed out on it and fell through every one of them. She mainly passes out after she has done something streinous the following day; or if her body is weak from a virus; or from over heating like when in Florida. They have measured her blood pressure on the tilt table clear down to 60/20 when it dips. Usually it will dip and causes her to pass out. Her presser comes back up however she is unable to speak for about 20 min. and is weak for the next few days. She said its like her entire body falls asleep and then is waking up with the feeling of needle pricks all over her body. My question is that is comes and goes and now that she is older it may happen maybe 6 times a year. However, she has to be careful now to over exert herself. They have rulled out any heart problems or ceasures. She is a little worried now because she is getting a new sensation. We just got back from a youth retreat with kids for 4 days and she is exhausted. The next day she passed out a coulple times. What is new is that her legs are feeling like they are vibrating periodically. She says it seems to make her weaker whan it happens. I know this is a lot but I wanted to give you as much info as I can. Have you ever come across anything like this? Any ideas or suggestions? The only thing we do is have her lay down and sometimes thats for days and give her salty foods or gaterade which seems to help.
Wed, 9 Dec 2015
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Psychiatrist 's  Response
You should consult psychiatrist and neurologist to rule out any anxiety disorder or as u said neuro cardiogenic shock . she would better with start of treatment.
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How To Treat Neurocardiogenic Syncope?

You should consult psychiatrist and neurologist to rule out any anxiety disorder or as u said neuro cardiogenic shock . she would better with start of treatment.