How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Arun Phophalia Your Own Question

Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29965
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
5625079
Type Your Health Question Here...
Dr. Arun Phophalia is online now
A new question is answered every 9 seconds

Hi Im 41 years old and occasionally i get these spells, first

Resolved Question:

Hi I'm 41 years old and occasionally i get these spells, first i feel pressure in my head and either see black with stars or cannot hear, i get verry hot with a sweat, feel nauseous, breath very fast, there is no pain though, while this is happening i'm aware of everything but can't do much, it usually only lasts for 5 min or so, after the sweat passes i get my vision or hearing back and get very cold, i'm not on any medication of any kind , can anyone give a suggestion as to why this is happening? I looked into the low and high blood pressure symptoms, but it says nothing about the sudden high rise in body temp. ty
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 1 year ago.

Greetings Michelle.

Since when are these symptoms / episodes?
Were any investigations done?
Any significant past medical history or surgery?

Are your periods normal?
Any family history?
Do you smoke?

Dr. Arun

Customer: replied 1 year ago.

it happened a few time in my 3 pregnancies when i was in my 20's but my doctor said it was nothing to worry about , it stopped for awhile but now it's happening again so... i had a hysterectomy at the age of 38, no family history as far as i know and i do smoke about a half a pack a day

Expert:  Dr. Arun Phophalia replied 1 year ago.

Hello Michelle,

Following would be the diagnostic considerations;

1) Transient neurological attacks (TNAs). TNAs are defined as episodes of sudden onset of neurological symptoms that completely resolve. These are classified as focal and non focal. A nonfocal TNA is a temporary event of diffuse, non localizing, cerebral symptoms that set in suddenly and resolve quickly. Symptoms of nonfocal TNAs may be altered consciousness, dizziness, visual abnormality, abnormal sensation, weakness, or generalized feelings of unwell with a clinical suspicion for neurological disease. TNAs are considered to be benign.

2) Syncope

3) Migraine or migraine variants

Following are the investigations for ascertaining the cause of your episodes;

1) MRI with gadolinium contrast

2) Magnetic resonance angiography (MRA)

3) Tilt table test

4) Carotid sinus massage

5) Electroencephalography (EEG)

6) Stress cardiac test

7) Total creatine kinase (CK) and heart enzymes; done immediately after the episode and would tell about the abnormal brain or heart activity which caused the event.

8) Following also may be done after the episode; blood electrolytes and blood glucose.

 

Following are the causes which too may be responsible and can be ascertained by the above investigations;

1) bradyarrhythmias; this is sudden slowing of the heart. it is mainly due to sinus and atrial node dysfunctions. Sick sinus syndrome is a prototype of these arrhythmias. 24 hour Holter monitoring, echocardiography etc are the investigations done for it.

 

2) neurocardiogenic mechanisms; this is fall of the blood pressure suddenly due to a sudden sympathetic failure (failure of the autonomic nervous system). It can be accompanied by flushing, nausea, and sweating.

 

3) carotid hypersensitivity syndrome is an exaggerated response to carotid sinus stimulation.

 

4) orthostatic hypotension is due to failure of autonomic nervous system and related heart regulatory mechanisms.


Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

 

We have recently implemented a new rating and feedback system. Please be aware that you are rating my courtesy and service as a professional. If you have any questions whatsoever, or there is anything I can clarify for you, please temporarily bypass the rating system by clicking “Continue the Conversation” or "Reply."

Clicking either of the lowest two options reflects poorly on me so please reply to me if there is anything else I can do to help before choosing those options. I appreciate your patience while we work out the kinks. It's important to me that you are 100% satisfied with the service I have provided you. Thank you.

Customer: replied 1 year ago.

ty for your time, i suppose i should go get some tests done lol i scared my friend who was with me when it last happened, he said i turned green and my eyes dialated, ty again for your suggestions. Michelle

Expert:  Dr. Arun Phophalia replied 1 year ago.
You are very welcome, Michelle.

I can understand these episodes can be scary for someone watching. This need ascertainment of the cause.

It is privilege assisting you.

Please rate the answer Excellent / Good, if the interaction has been satisfactory. Only a positive rating gives us credit for time and expertize.
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29965
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
Dr. Arun Phophalia and 4 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 
Chat Now With A Health Professional
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
17555 Satisfied Customers
MBBS, MS (General Surgery), Fellowship in Sports Medicine