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Ask Dr Uzair Your Own Question
Dr Uzair
Dr Uzair, Doctor
Category: Medical
Satisfied Customers: 8061
Experience:  MBBS, FCPS (R) General Surgery. Years of experience in Emergency Medicine.
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I keep experiencing blackouts, numbness in face, vomiting,

Resolved Question:

I keep experiencing blackouts, numbness in face, vomiting, ear pressure. Heart monitor clear and MRI of brain clear
Submitted: 2 years ago.
Category: Medical
Expert:  Dr Uzair replied 2 years ago.
Dr Uzair :

Hi. Welcome to JustAnswer. I shall try my best to assist you while you are corresponding with me.

Dr Uzair :

Have you had any tests like a carotid doppler, tilt table, EEG, Serum electrolyte panel?

Customer: No, the neurologist diagnosed migraine syncope no further tests
Dr Uzair :

Okay, did he give you any treatment to alleviate the symptoms?

Customer: Sodium valproate 600mg
Dr Uzair :

Okay, and have you felt that it is working?

Customer: I blacked out yesterday at work no prior warning
Dr Uzair :

Okay, what tests did your Neurologist do?

Customer: MRI
Customer: thats all
Dr Uzair :

Okay.

Dr Uzair :

Well, I would recommend a detailed discussion with your Neurologist on the other possible conditions that can cause these symptoms, jumping to a diagnosis like Basilar artery migraine or Migraine Syncope is not recommended unless other possible causes have been ruled out.

Customer: What possible conditions?
Dr Uzair :

Blood flow problems due to carotid or vertebral artery narrowing because of plaque deposition, seizures and electrolyte imbalances are more common so they should be ruled out first.

Customer: I am seeing him today
Dr Uzair :

Autonomic dysfunction also comes to mind with your symptoms.

Customer: Ok
Dr Uzair :

To rule these things out, a carotid artery doppler ultrasound, electrolyte panel, EEG, tilt table test are the minimum tests that should be done.

Customer: ok
Dr Uzair :

I would also recommend a blood sugar level both fasting and random.

Customer: ok
Dr Uzair :

Do you have any further queries?

Dr Uzair :

Yes, and a ear and eye examination is also warranted.

Customer: I am so fed up been happening since January and is distressing my children
Dr Uzair :

Ear exam with an otoscope in detail and an eye examination with an ophthalmoscope or in front of a slit lamp.

Customer: It is effecting my work and I cant drive
Customer: ok
Dr Uzair :

Please do not worry, anxiety and stress will aggravate your symptoms only and not to anything to correct them.

Dr Uzair :

I would suggest that you focus your energy on being proactive towards a diagnosis and treatment.

Customer: I know but very hard not to
Dr Uzair :

That will be beneficial and I think you have already started in the right direction and are being proactive.

Dr Uzair :

Consulting online and reading up on your symptoms is the first step towards wanting a proper diagnosis.

Dr Uzair and other Medical Specialists are ready to help you