Pediatric Heart Expert Forum
21 yr old son near fainting
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Questions in this forum are answered by pediatric cardiologists, cardiothoracic surgeons and anesthesiologists from The Children's Hospital of Philadelphia. This forum is for questions and support about pediatric heart problems, symptoms and topics such as heart murmurs, palpitations, fainting, chest pain, congenital heart defects (including management and intervention), fetal cardiology, adult congenital cardiology, arrhythmias and pre-participation athletic screening.

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21 yr old son near fainting

My 21 yr old son keeps having thes episodes....starts sweating, pupils dilate, skin turns gray, lips blue, slurred speech and near fainting if standing....it has happened 3 times now around 6mths apart...No one has an answer, all his test seep ok, blood work EEG EKG, all ok
773655_tn?1340656399
It sounds like your son might have POTS- postural orthostatic tachycardia syndrome.  This is a problem with the autonomic (involuntary) nervous system that regulates the innervation to various organs and can result in a hold host of symptoms.  Classically the patients have symptoms while standing upright, as your son does.  It is important to make sure that patients do not have other medical or cardiac conditions that might explain the symptoms.  POTS patients are best seen by physicians familiar with its symptoms and care.  One of the mainstays of treatment is increasing fluid intake to at least 60 ounces of non-caffeinated beverages per day and adding extra salt to the diet.  Soemtimes other medications are indicated as well.   You can look at websites:  DINET and DYNAINC for possible providers in your area.  They are limited. Due to your son's age, he will likely need to be seen by an adult provider, not a pediatric specialist.
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Marie M Gleason, M.D.Blank
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The Children’s Hospital of Philadelphia
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