Post-Blood Donation Symptoms: Dizziness and Nausea Explained - Internal Medicine

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Blood donation issues


Hello Doctor: A few days ago, I went to donate blood with a friend.
My friend donated 500cc of blood, and after resting for a while without any major issues, we went out for dinner.
After dinner, my friend suddenly felt dizzy, weak, and lethargic, and then he vomited everything he had eaten.
After resting for a bit, while riding his motorcycle home, he started feeling dizzy again and wanted to vomit.
He had eaten at 10 AM that day, donated blood at 4 PM, and had dinner around 5:30 PM.
I also noticed that the nurse did not remove the tourniquet after the blood donation.
I would like to know why he experienced sudden dizziness, weakness, and nausea after donating blood.
Thank you for your explanation.

Liu Xiaojie, 20~29 year old female. Ask Date: 2015/11/30

Dr. Li Zhiyao reply Internal Medicine


Hello: Your friend's condition may be due to a decrease in blood volume within the blood vessels after donating blood, leading to low blood pressure and insufficient cerebral blood flow, or it could coincidentally occur alongside an inner ear imbalance.
It is recommended that your friend ensure they are in good health before the next blood donation, or consider donating only 250 cc to avoid experiencing the same issue again.

Reply Date: 2015/11/30

More Info


After donating blood, it's not uncommon for individuals to experience symptoms such as dizziness, nausea, and weakness. These reactions can be attributed to several physiological changes that occur in the body following the donation process.

When a person donates blood, approximately 500cc (or about one pint) is typically collected. This amount represents a significant volume of blood, which can lead to a temporary decrease in blood volume and, consequently, blood pressure. The body needs time to adjust to this sudden loss of fluid, and during this adjustment period, some individuals may experience symptoms such as dizziness and lightheadedness. This is particularly true if the donor has not eaten adequately before the donation or if they are dehydrated.

In your friend's case, it seems that he had a meal at 10 AM and then donated blood at 4 PM, which could mean he had not eaten for several hours prior to the donation. This lack of food intake can exacerbate feelings of weakness and dizziness post-donation. Additionally, if he did not hydrate sufficiently before donating, this could further contribute to his symptoms.

The nausea and vomiting that your friend experienced after dinner could also be related to the body's response to the sudden drop in blood volume. When blood volume decreases, the body may struggle to maintain adequate blood flow to the brain and other vital organs, leading to feelings of nausea and the urge to vomit. This is a protective mechanism, as the body attempts to cope with the stress of the blood donation.

Another factor to consider is the potential impact of the tourniquet (or blood pressure cuff) that was used during the donation. If the tourniquet was not removed promptly after the donation, it could have restricted blood flow and contributed to feelings of dizziness or faintness. It's essential for healthcare providers to ensure that the tourniquet is released immediately after the blood is drawn to allow normal circulation to resume.

To help mitigate these symptoms in the future, here are some recommendations:
1. Hydration: Encourage donors to drink plenty of water before and after donating blood. Staying well-hydrated helps maintain blood volume and can reduce the likelihood of dizziness.

2. Nutrition: Eating a balanced meal before donating blood is crucial. Foods rich in iron (such as red meat, beans, and leafy greens) can help replenish iron levels after donation.

3. Rest: After donating blood, it's important to rest for a short period in the donation center. This allows the body to stabilize before the donor resumes normal activities.

4. Monitoring: If symptoms persist or worsen, it is advisable to seek medical attention. Continuous dizziness, weakness, or vomiting may indicate a more serious issue that requires evaluation.

In summary, while dizziness and nausea after blood donation can be concerning, they are often temporary and manageable with proper pre- and post-donation care. If your friend continues to experience these symptoms or if they become more severe, it would be prudent for him to consult with a healthcare professional for further evaluation.

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