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Good evening, I am Dr Elliot. Please could I ask your age, sex, and if you have any medical problems?
Thank you. Have you ever had this before?
Okay thanks, ***** ***** a head injury was the cause, you would general have a worsening condition, vomiting within the first 24 hours, but without these, yes a concussion is possible.
However, if you are sitting, then stand up, does this aggravate the symptoms?
Thanks, ***** ***** suspect this is nothing to do with hitting your head.
If you fainted easily on cutting your finger, this suggests you are prone to syncopal episodes/fainting episodes. If this was following a fast this would have likely exacerbated this. As a female it is more common, iron deficiency and also b12 deficiency can be causes of this.
Increased breathing and heart rate are a normal consequence of a pre-syncopal episode. This doesn't mean something is wrong
Thanks, ***** ***** loss would almost certainly contribute to this - what is your BMI?
Are you good at eating 3 regular meals a day now?
Okay. So the first thing I would so is ensure you have breakfast each morning, fibre based, avoid sugary foods. Make sure you have something at lunch with more complex cabohydrates and then dinner. Snacking between this with fruit/snacks is also advisable. If you do this for 1-2 weeks and do not feel any better, then you will need your Blood pressure checked and repeat your blood tests. This is a common presentation.
feet and legs becoming cold whilst your heart rate increasing is a response to adrenaline, again something physiological in response to pre-syncope as well as anxiety.
I see, so anxiety is also a big factor?
Fearing you are going to die is not a normal thought process and is suggestive of anxiety.
Have you been seen by anyone since you fainted the first time following your fast?
fair enough, I would focus on causes of stopping your blood pressure dropping. Your symptoms are very clear it is related to this
It was inevitably precipitated by weight loss and fasting. However in young females, more so in those who have heavy periods, it is incredibly common.
I think the head injury is incidental, but no doubt is going to give you a headache for some time
It was normal at the time...
Right, you will be fine. Good luck with this. Go see your GP, repeat your Blood test, make sure you eat properly, missing meals is not going to be productive if you genuinely want to address this.
What you explain is not a complex medical problem. It is not life threatening. But go see someone, because clearly it is playing on your mind, which I understand, but doing nothing will achieve nothing.
It isn't about increasing your blood pressure, it is about preventing it from dropping - something called postural hypotension. I have explained how to address this
I am very sorry, but this would be much easier to deal with in person or over the phone. I can opt out and hopefully someone else will be able to help you, take care
My advice is to go see your GP, you need this discussing in person, please don't spend anymore money on this when as a GP I would be discussing this/examining you and coming up with a plan in less than 10 minutes. A advice forum is too limited for this.
Hello again, if nobody has got back to you I will happily call to discuss this if you provide your number directly