Fainting (syncope)

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What is...

What is fainting?

Fainting is a brief loss of consciousness that may cause a person to fall to the ground.

Also known as "passing out" (or the medical term syncope), fainting happens when there is a decrease in blood flow to the brain. When the brain does not have enough blood flow, it cannot do its work and shuts down for a moment, causing the person to fall down.

When the person is lying down, blood pressure to the brain increases and then things usually return to normal. These episodes typically last less than one minute.

There are a number of reasons for loss of consciousness among children. Children can faint when they are in pain, for example, from a broken bone, needle injection (shot) or blood test.

Some children, especially teenage girls, get low blood pressure when they stand up too quickly, causing them to faint or feel dizzy.

Lack of sleep, dehydration from not drinking enough, or low blood sugar caused by not eating for long stretches of time can also increase the chances of fainting.

Other possibilities include emotional stress or anxiety, standing too long in one place, or being in a room with too much heat or not enough ventilation. In rare cases, children can faint if their heart is not pumping blood effectively to the brain, such as when it is beating much too fast or too slow for some reason.

Childhood fainting is most common among older children, especially school age girls.

Symptoms

Symptoms and signs

The main symptom of fainting is a brief loss of consciousness that usually causes the child to fall to the ground. The child will become dizzy or have a feeling that the room is "going dark" right before fainting.

Occasionally, warning signs such as seeming far away of "off in space", looking pale, or having sweaty skin can be noticed in child before losing consciousness. Some children may have mild shaking of the body with fainting.

Complications

Fainting rarely leads to complications. Usually, the persona wakens shortly after fainting. Occasionally, injuries can occur during the fall.

Home treatment

Treatment / What you should do

If your child feels that she is going to faint or you observe on of the above warning signs, you should lay the child down with his feet up. This will improve blood circulation to the brain and help to prevent the fainting episode.

If the child has already fainted, you should lay him down sideways with his head slightly back and stay there with him until he awakens.

Always contact a doctor if your child faints. A child who has repeated episodes of fainting should be examined to determine the cause. Among the more serious causes may be epilepsy, low blood sugar, or heart-rhythm disturbances.

Prevention

Prevention

Fainting can be difficult to prevent, unless an underlying cause is known.

See to it that your child gets enough sleep, drinks lots of fluid, and eats regular meals every day. Breakfast is an especially important meal that provides energy for a day at school.

Make sure that your child gets enough iron in his diet and is not anemic. This is especially important for girls who are menstruating (have their period).

Also teach your child to sit a little longer before standing or jumping up from a lying position.

If your child must stand for long periods of time, he should be instructed to bend his legs regularly to pump blood up from the legs. If your child gets very anxious about needles and blood testing, you should warn him well before the injection. Stay with your child during situations that may cause anxiety or pain, which can lead to fainting.

If your child has the warning signals before he faints, help him learn to recognize these signs. Suggest that he lay down or sit with his head between his knees as quickly as possible, so that, hopefully, the fainting episode can be avoided.

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