Fainting

Is this your symptom?

  • Fainting is a sudden brief loss of consciousness with falling down
  • Feeling suddenly sick or sweaty; dizzy or light-headed
  • A return to being awake and alert happens within 1 minute
  • Also called passing out or blacking out

Fainting Basics

  • Fainting is a brief loss of consciousness. Normal awareness returns in less than 1 minute if the person is allowed to lie down.
  • If standing, the person falls to the ground.
  • If sitting, the person slumps over. Lie them down on the ground if possible. Take care not to injure them as you lower them to the ground.
  • The medical name for fainting is syncope.
  • Fainting can happen at any age.
  • Causes: for people under the age of 40, it is most often a simple faint. In older adults, serious causes are much more common. These need to be ruled out by a doctor.
  • Cause of Simple Fainting: decreased blood flow to the brain.
  • Risk Factors: mild dehydration, fasting, hot weather, lack of sleep, recent illness, change in altitude.
  • Most fainting is harmless. There is a risk of a head or face injury from sudden falling.

Simple Fainting (Benign Fainting): Types

  • Standing too long in one place before fainting is the most common type. The medical name is orthostatic or postural syncope. Happens at church, graduations, weddings or at events when standing a long time. More common if one keeps the knees "locked." This pools the blood in the leg veins. A person who stands long enough in one place will faint.
  • Standing up quickly(often after lying down) before fainting is a less common cause. Often this just causes a person to feel dizzy for a short time. More common in the morning after not eating or drinking during the night.
  • Sudden stressful feelings before fainting. This is called vasovagal syncope. Seeing a badly injured person or pet can trigger fainting. Also, stressful events such as speaking or performing in public can cause fainting.
  • Sudden physical pain before fainting such as getting a shot or a blood test. Having slivers or stiches taken out can also trigger fainting. The stress of the event may cause the fainting rather than the pain itself.
  • Orthostatic Hypotension is a drop in blood pressure upon standing up. It can occur in the following circumstances:
    • Medication taken to lower blood pressure
    • Dehydration due to vomiting, diarrhea or heat exposure
    • Neurological Disease such as Parkinson’s or peripheral neuropathy
    • After a big meal
  • Feeling faint in pregnancy. This may happen if you stand up quickly. Take your time getting up to your feet. Sit back down again if you feel light headed or dizzy. You may also feel faint if you are lying on your back during the later stages of pregnancy. The weight of the uterus, and baby slow the blood flow back to your heart and this causes you to feel faint. If that happens, turn over and lie on your side. If the faint feeling does not pass quickly, call your doctor right away.
  • Cardiac Syncope due to an heart problem with symptoms including:
    • Chest pain prior to fainting
    • Rapid or irregular pulse
    • Sensation of thumping heart (palpitations)
    • Shortness of breath
    • Fainting during exercise

Other Serious Causes of Fainting:

  • Epilepsy
  • Stroke or mini stroke (transient ischemic attacks)
  • Blood loss - large amount or bleeding inside the body
  • Concussion or head injury
  • Sudden drop in blood sugar. Mainly happens in people with diabetes.
  • Poisoning
  • Drug or alcohol abuse
  • Seizure

Warning Signs For Simple Fainting

  • Dizziness (light-headed), blurred vision, nausea, sweating, feeling cold.
  • These last for 5 to 10 seconds before passing out.
  • The person may look pale just before passing out.

When to Call for Fainting

When to Call for Fainting

Call 911 Now

  • Chest pain
  • Severe breathing trouble
  • Still passed out or hard to wake up after 2 minutes
  • Caused by choking on something
  • Followed an electric shock
  • Fainted suddenly after medicine, allergic food or bee sting
  • Bleeding large amount (vomiting blood, blood in stool, or vaginal bleeding)
  • Severe stomach pain
  • Talking or acting confused for more than 5 minutes
  • You think you have a life-threatening emergency

Call Doctor or Seek Care Now

  • Followed a stomach injury
  • First fainting spell
  • Passed out for more than 1 minute after laying down
  • You feel dehydrated (dark urine, very dry mouth)
  • Fainted 2 times in one day
  • Cause of fainting is not clear. You were not: standing for a long time, standing suddenly, in pain or had astressful event.
  • You feel very sick
  • You think you need to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • You think you need to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • Simple fainting from standing too long, sudden standing or pain is a frequent problem
  • You have other questions or concerns

Self Care at Home

  • Simple faint and now alert and feel fine
  • How to prevent simple fainting

Call 911 Now

  • Chest pain
  • Severe breathing trouble
  • Still passed out or hard to wake up after 2 minutes
  • Caused by choking on something
  • Followed an electric shock
  • Fainted suddenly after medicine, allergic food or bee sting
  • Bleeding large amount (vomiting blood, blood in stool, or vaginal bleeding)
  • Severe stomach pain
  • Talking or acting confused for more than 5 minutes
  • You think you have a life-threatening emergency

Call Doctor or Seek Care Now

  • Followed a stomach injury
  • First fainting spell
  • Passed out for more than 1 minute after laying down
  • You feel dehydrated (dark urine, very dry mouth)
  • Fainted 2 times in one day
  • Cause of fainting is not clear. You were not: standing for a long time, standing suddenly, in pain or had astressful event.
  • You feel very sick
  • You think you need to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • You think you need to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • Simple fainting from standing too long, sudden standing or pain is a frequent problem
  • You have other questions or concerns

Self Care at Home

  • Simple faint and now alert and feel fine
  • How to prevent simple fainting

Care Advice

Fainting Treatment

  1. What You Should Know About Simple Fainting:
    • Fainting is common. It can happen at any age. Most faints occur before age 40 years.
    • Fainting after the age of 50 can be a sign of a serious underlying cause.
    • Standing too long in one place is the most common cause of fainting. It's caused by blood pooling in the legs. It often occurs in a hot environment.
    • Standing up quickly after lying down can cause anyone to feel dizzy. Sit down again if this happens or you may faint.
    • These are normal types of fainting.
    • Simple fainting doesn't cause any long-term problems.
    • Here is some care advice that should help.
  2. Lie Down:
    • Lie down flat with the feet up for 10 minutes.
    • Reason: this will increase blood flow to the brain. Simple fainting is due to a sudden drop in blood flow to the brain.
    • Caution: getting up too soon can cause you to faint again.
    • Caution: keeping the person propped up can delay or prevent recovery.
  3. Drink Some Water:
    • Drink a large glass of cool water. Reason: to increase blood volume.
    • Do this before you stand up again, if you can.
    • Drink some fruit juice if you haven't eaten breakfast yet. Reason: also raises blood sugar.
    • In hot weather, drink extra water to stay well-hydrated.
  4. Ease Stress:
    • If fainting was due to stress or fear, it may help to talk about what happened.
    • Talk about what is causing your stress or anxiety.
    • Remain calm. It may help to listen to calming music or focus on calming thoughts, once you are feeling better.
  5. What to Expect:
    • Most people with a simple faint are alert within 2 minutes.
    • They feel normal after lying down for 10 minutes.
    • They are able to stand again without feeling dizzy. It may help to stand up slowly.
  6. Call Your Doctor If:
    • Still feeling faint or dizzy after 15 minutes
    • You pass out again on the same day
    • You think you need to be seen
    • Your symptoms get worse

Prevent Simple Fainting

  1. When Dizzy, Lie Down or Sit Down:
    • Most fainting can be prevented.
    • Learn the early warning signs for fainting. They are feeling dizzy, blurry vision, and nausea.
    • If you feel these warning signs, lie down right away.
    • If you can only sit, put your head down by your knees.
    • You only have 5 - 10 seconds to prevent fainting and falling down.
  2. Move Your Leg Muscles:
    • If you will be standing in one place for a long time, tighten and relax your leg muscles. Do this a few times each minute. This will pump the blood back to your heart. Caution: never stand with your knees locked.
    • If you will be sitting in one place for a long time, move your feet and legs every few minutes.
    • When getting out of bed, sit on the edge for a few minutes before standing. If you feel dizzy, lie down again.
    • If getting out of a hot tub or bath, go very slowly.
  3. Extra Water and Salty Foods:
    • If you tend to faint, extra water and salt are key.
    • Drink extra fluids every day. Your goal is 8 cups (2 liters) per day. You may need more during sports or hot weather.
    • Add some salty foods to your diet. Too little salt in your diet also isn't healthy. It can cause low blood pressure.
  4. Call Your Doctor If:
    • Fainting is a frequent problem
    • You have other questions or concerns

And remember, contact your doctor if you develop any of the 'Call Your Doctor' symptoms.

Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.

Copyright 2023 Schmitt Decision Logic LLC.

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