<human>: im a 22 year old male taking pro amitine due to vaso vagal episodes  durring gym exercises i get light headed and nauseous it seems to happen everyday and can hear my heart beat in my ears. is there an alternative medication or procedure  because i dont see an improvement
<bot>: Hello! Welcome on Chat Doctor ! There is not a specific treatment for these episodes. The main thing to do is to avoid the triggering factor. Anyway, I would recommend performing some tests to exclude other possible causes that may mimic this clinical situation: - complete blood count for anemia-fasting glucose and glucose tolerance test-thyroid hormone levels for possible thyroid gland dysfunction- blood electrolytes- Head Up Tilt test for possible orthostatic intolerance. Hope you will find this answer helpful! Best regards, 