Sudden Fainting in Teens: Causes and Insights - Cardiology

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The story of suddenly fainting in the first year of high school?


This incident occurred during my first year of high school, while I was already in my third year, and it has not happened again since then.
Although this is something that happened in the past, I still want to ask the doctor for their opinion.
One day during the fourth period, for some reason, I was standing at the back of the classroom.
While standing, I was afraid to move around and kept swallowing saliva.
A few minutes later, I suddenly felt darkness in front of my eyes and then collapsed on the floor.
My classmates and the teacher, who were also standing, were startled, but I regained consciousness shortly after.
The teacher told me to return to my seat and not to stand again, as he was worried I might faint a second time.
I later went to the health room to rest, where the nurse asked if I had eaten breakfast.
She explained that if I hadn’t eaten breakfast, low blood sugar and low blood pressure combined with prolonged standing could lead to sudden fainting.
After that, I returned to the classroom without any further issues, and it hasn’t happened again since.
I have never seen a doctor to find out the cause of this incident, but I recently became curious and wanted to ask for the doctor’s opinion.
To be honest, my daily routine changed dramatically from middle school to my first year of high school.
I used to wake up at 6:30 AM, but suddenly had to wake up an hour earlier at 5:30 AM, and often stayed up until 11 PM.
There were several times when I felt very sleepy and fell asleep on the school bus, only to be woken up by my classmates when we arrived at school.
I would like to ask the doctor if the sudden fainting I experienced is related to the drastic changes in my daily routine and if the doctor has any other insights.
Thank you, doctor.

Li Tongxue with questions., 10~19 year old female. Ask Date: 2021/10/03

Dr. He Dongjin reply Cardiology


Hello, there are many reasons for sudden fainting, and it may not always be possible to determine the cause afterward.
I have also fainted three times myself, with unknown reasons.
It is possible that sudden changes in lifestyle or routine, insufficient physical strength or blood sugar levels, or simply an unstable sympathetic nervous system could trigger fainting.
It would be good to observe further.
Take care from Changhua Hospital.

Reply Date: 2021/10/03

More Info


Fainting, or syncope, is a sudden, temporary loss of consciousness that can occur for various reasons, particularly in adolescents. Your experience of fainting during class, especially after a period of standing still and feeling anxious, raises several important considerations regarding potential causes and underlying factors.

Firstly, it’s essential to understand that fainting can result from a variety of physiological and psychological factors. In your case, the combination of standing for an extended period, potential dehydration, and possibly low blood sugar levels could have contributed to your fainting episode. When you stand for a long time, blood can pool in your legs, reducing blood flow to the brain, which may lead to dizziness and fainting. This is particularly true if you had not eaten breakfast, as low blood sugar can exacerbate the situation.
Additionally, the stress and anxiety associated with being in a classroom setting, particularly if you felt pressured to remain still, could have triggered a vasovagal response. This is a common cause of fainting, where the body overreacts to certain triggers, such as stress, pain, or prolonged standing, leading to a sudden drop in heart rate and blood pressure.

Your mention of a significant change in your daily routine, such as waking up earlier and possibly not getting enough sleep, is also relevant. Sleep deprivation can affect your overall health, including cognitive function and emotional well-being, and can contribute to feelings of fatigue and dizziness. The abrupt shift in your schedule may have made it more challenging for your body to adapt, potentially increasing your susceptibility to fainting.

While it is reassuring that you have not experienced another fainting episode since that day, it is still wise to consider a few preventive measures. Maintaining a balanced diet, ensuring adequate hydration, and getting enough sleep are crucial for overall health and can help prevent future episodes. If you find yourself feeling lightheaded or dizzy in similar situations, it may be beneficial to sit down or lie down until the sensation passes.

If you experience any further episodes of fainting or if you have concerns about your health, it would be advisable to consult a healthcare professional. They can conduct a thorough evaluation, which may include a physical examination, blood tests, or an electrocardiogram (ECG) to rule out any underlying medical conditions.

In summary, your fainting episode could be attributed to a combination of factors, including prolonged standing, potential low blood sugar, anxiety, and changes in your daily routine. While it is not uncommon for adolescents to experience such episodes, staying mindful of your health and seeking medical advice when necessary is always a good practice. Remember, taking care of your physical and mental well-being is essential, especially during times of significant change.

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