Syncope (Fainting)
Users on Reddit have reported experiencing syncope (fainting) or presyncope (near-fainting) symptoms, such as lightheadedness and feeling like they might pass out, particularly when standing up, which is characteristic of orthostatic hypotension. These experiences are sometimes linked to dehydration, low blood pressure, or hypoglycemia.
Experiences with Syncope/Presyncope:
Another user, who also experiences reactive hypoglycemia, described an episode: "I get it pretty bad - I actually completely wiped out walking into work a few weeks ago. Didn't trip or anything - just was so lightheaded I went tumbling down the sidewalk in the middle of a monsoon. "[5]
A user in the r/medicine subreddit mentioned, "More commonly, recurrent falls/orthostasis in older adults who not only have appetite but also thirst suppression. "[6] This suggests that dehydration due to thirst suppression could be a contributing factor.
The original poster in a dysautonomia thread mentioned their concern: "I have isssues with low BP and hydration and am seeing people say it made theirs so much worse". [7]
Remedies and Preventions Recommended:
Users have recommended several strategies to prevent or mitigate syncope or presyncope symptoms, primarily focusing on hydration and nutrition:
Hydration and Electrolytes: Staying well-hydrated is a common recommendation. A user mentioned, "I have been trying very hard to stay hydrated and eat lots of protein. "[3] Another shared, "I sometimes struggle to drink the bazillions of water I need for POTS, and I may have to choose water/electrolytes over a snack if my tummy is just saying no. Or have an electrolyte icy pole to give that food feeling. "[4] General advice also includes, "increasing fluid intake aggressively. "[8]
Salt and Protein Intake: For those with low blood pressure concerns, increasing salt and protein was suggested. One user noted, "Yeah I already struggle with low BP so I am a tad concerned but like you said I will be diligent with my salt and protein intake.
Experiences with Syncope/Presyncope:
- Some users with dysautonomia (a condition that can involve fainting) reported that GLP-1 medications exacerbated their symptoms.
Remedies and Preventions Recommended:
Users have recommended several strategies to prevent or mitigate syncope or presyncope symptoms, primarily focusing on hydration and nutrition:
- Adequate Fluid and Food Intake: One user emphasized, "You do have to be very intentional about eating and drinking enough to combat the orthostatic hypotension.