Syncope, A Simple Guide to the Condition, Treatment and Related Diseases
By Kenneth Kee
()
About this ebook
Syncope is the medical term for losing consciousness
It is not a disease but a symptom of fainting sickness
It usually occur after the age of 40 without pain
It is due to a drop of blood flow to the brain
Many forms of syncope are preceded by dizziness
There may be loss of vision and temporary weakness
There may be a feeling of heat, palpitations, sweating
There may be emotional distress, nausea and vomiting,
There are 3 main causes of the syncope condition
Cardiac, neural reflex and orthostatic hypotension
Physical examination and ECG are part of the initial evaluation
One best way is implantable loop recorders and hospitalization
Treatment may be just reassurance and education
Avoid prolonged standing in a hot environment
Squatting down on the heels can be very effective
Or sit down with the head between the knees.
-An original poem by Kenneth Kee
Interesting Tips about the Syncope
A Healthy Lifestyle
1. Take a well Balanced Diet
2. Treatment of Syncope:
a. Reassurance and education are usually all that is required.
b. Avoid potential triggers likely to induce syncope - e.g., prolonged standing in a hot environment or having a long hot bath.
Take action at the first warning sign of collapse:
a. If it is imminent, lie down flat with the legs up on a chair or against a wall or sit down with the head between the knees.
b. Squatting down on the heels can be very effective and is less noticeable in public.
These techniques help move venous blood that has pooled in the limbs aiding circulation to the brain.
When feeling better, get up carefully.
If symptoms return, resume the position.
Treatment may be required if syncope is very frequent, the patient is at risk of injury as attacks are unpredictable, or if syncope occurs during high-risk activities such as driving.
3. Keep bones and body strong
Bone marrow produces our blood
Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.
Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.
Eat food rich in Vitamins B and C such as green vegetables and fruits
Zinc and other minerals are important to the body
4. Get enough rest and Sleep
Avoid stress and tension
5. Exercise and stay active.
It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 21⁄2 hours a week.
One way to do this is to be active 30 minutes a day at least 5 days a week.
Begin slowly especially if a person has not been active.
6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.
Alcohol use also increases the chance of falling and breaking a bone.
Alcohol can affect the neurons and brain cells.
7. Stop or do not begin smoking.
It also interferes with blood supply and healing.
Chapter 1
Syncope
Syncope is a temporary loss of consciousness resulting from inadequate cerebral blood supply.
Causes:
A. Vasomotor:
1. Vagal slowing of heart and reduction of blood pressure from fear, severe pain or psychogenic disturbance
2. Hemorrhage or circulatory fluid loss from burns
3. Postural hypotension - blood pressure drops from sleeping or sitting position to upright position
4. Vasoactive drugs such as anti-hypertensive (prazosin, methyl dopa) and heart medicines (nitrites, adrenergic blockers)
5. Carotid sinus compression
B. Cardiac:
1. Asystole or heart blockage
2. Sudden arrhythmias with high ventricular rate
3. Heart valve prosthesis
4. Aortic stenosis with exertion
5. Cardiogenic shock following myocardial infarction
6. Sudden cardiac compression
TABLE OF CONTENT
Introduction
Chapter 1 Syncope
Chapter 2 More Facts abou
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Syncope, A Simple Guide to the Condition, Treatment and Related Diseases - Kenneth Kee
Syncope
A
Simple
Guide
to
Condition,
Treatment
And
Related Diseases
by
Dr Kenneth Kee
M.B., B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2014 Smashwords Edition
Published By Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes the Syncope, Treatment and Related Diseases such as Dizziness, Shock, Coma, Motion Sickness, Hypoglycemia which are seen in some of my patients in my Family Clinic.
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
Ode to Syncope
Syncope is the medical term for losing consciousness
It is not a disease but a symptom of fainting sickness
It usually occur after the age of 40 without pain
It is due to a drop of blood flow to the brain
Many forms of syncope are preceded by dizziness
There may be loss of vision and temporary weakness
There may be a feeling of heat, palpitations, sweating
There may be emotional distress, nausea and vomiting,
There are 3 main causes of the syncope condition
Cardiac, neural reflex and orthostatic hypotension
Physical examination and ECG are part of the initial evaluation
One best way is implantable loop recorders and hospitalization
Treatment may be just reassurance and education
Avoid prolonged standing in a hot environment
Squatting down on the heels can be very effective
Or sit down with the head between the knees.
-An original poem by Kenneth Kee
Interesting Tips about the Syncope
A Healthy Lifestyle
1. Take a well Balanced Diet
2. Treatment of Syncope:
a. Reassurance and education are usually all that is required.
b. Avoid potential triggers likely to induce syncope - e.g., prolonged standing in a hot environment or having a long hot bath.
Take action at the first warning sign of collapse:
a. If it is imminent, lie down flat with the legs up on a chair or against a wall or sit down with the head between the knees.
b. Squatting down on the heels can be very effective and is less noticeable in public.
These techniques help move venous blood that has pooled in the limbs aiding circulation to the brain.
When feeling better, get up carefully.
If symptoms return, resume the position.
Treatment may be required if syncope is very frequent, the patient is at risk of injury as attacks are unpredictable, or if syncope occurs during high-risk activities such as driving.
3. Keep bones and body strong
Bone marrow produces our blood
Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.
Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.
Eat food rich in Vitamins B and C such as green vegetables and fruits
Zinc and other minerals are important to the body
4. Get enough rest and Sleep
Avoid stress and tension
5. Exercise and stay active.
It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2½ hours a week.
One way to do this is to be active 30 minutes a day at least 5 days a week.
Begin slowly especially if a person has not been active.
6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.
Alcohol use also increases the chance of falling and breaking a bone.
Alcohol can affect the neurons and brain cells.
7. Stop or do not begin smoking.
It also interferes with blood supply and healing.
Cigarettes contain more than forty types of hazardous and possibly cancer causing