<human>: Hello. I have a question. I have been blacking out for over 6 years now. It doesn t matter what I am doing just all of a sudden I will get dizzy, feel sick and not be able to see anything. I have fallen down and haven t been able to get up for a few minutes as well. I have had constant and severe migraines for 6 years as well. I drink a lot of water. That is basically all I drink. I have the right amount of sugar that I am suppose to have. Lately these black outs are happening a minimum of 10 times a day. I thought that maybe it was stress but its been happening for so long and its happened during the times when I was completely stress free.
<bot>: Hello! I understand your concern. In my opinion these paintings called syncope can be caused by an orthostatic hypotension, a heart problem or even epilepsy. Migraine can be exacerbated by orthostatic hypotension, the most probable diagnosis in your situation. I would recommend further examinations like : a full blood cell count to rule out anemia, a HeadUpTilt test for orthostatic hypotension, an ambulatory ECG monitoring for cardiac arrhythmias. An EEG followed by a brain MRI if abnormal EEG finding would be helpful to rule out atomic epilepsy, although less probably based on your symptoms. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes