Nurogenic vagle, ??

do have Celiac..When I was first triggered with the disease I woke up with Nausea and dry heaving, Due to the dry heaving I started To pass out, My Blood Pressure Dropped and about 30 minutes i felt better, The paramedic said it was from compression on the Vagle nerve.So this past week , I was working out, Stressing my body with Push ups, and all of a sudden my Arms were cramping and the pain was unbearable from pulling muscles, all of a sudden I started feeling light headed things were going dim, and I was passing out, So I went to the instacare I had blood pressure of 90 over 40 which is low but my pulse was good,I was out of it, not passed out but weak pain in the arms were i hurt them working out, they tried to give IV and couldn

[Kevin Pho, MD]

There can be several causes for syncope and/or hypotension.  This can include cardiac or neurologic causes.

Looking for neurologic causes of the syncope can be done with a brain MRI to rule out masses or other brain pathology, as well as tilt table testing.

A cardiac workup can be done with a stress echo to rule out intrinsic heart disease.  

Hypotension can also be caused by autonomic failure.  The steroid Florinef is typically used if suspected.  Second-line agents like Midodrine can also be considered.  

The vomiting should be evaluated with an upper endoscopy or gastric emptying scan to look at the upper digestive tract.

These options should be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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