Hi. I am a RN, but my mom s condition is stumping me. My mom is 67. She recently moved here from ATL to Dallas with me after my dad passed. She has experienced two episodes of dizziness, lightheadedness, nausea with vomiting, and syncope (once in June and again today) after completing her exercise on the treadmill. Today, she had a bowel movement during the episode. She has HTN, which is strange because she is a vegan, jogs 5-10 miles per day, and weighs all of 115 lbs. We ve had MRIs, CTs, etc. One MRI last year showed multiple old, small strokes. The ED doc she was in June didn t see anything on MRI or CT. Blood work is unremarkable. EKGs fine. BPs range from 150s-170s/90s-100s. She did take Amlodipine 5mgs and Clonidine 0.1 mg prior to her treadmill workout in June...which is why I thought she had the episode. Today, she took Losartaan 100mg prior to her routine workout. Same effect. I took her pressure when I got home (nearly 1 hour post episode) and her pressure was 118/76, which is never the case. Any ideas?
Hi, She needs further evaluation. The most important investigation would be a HUNT (head up tilt test), which would look for a condition called neurocardiogenic syncope. In this condition, the BP Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further.