Q: I have fainted thrice in the last one year. Earlier I was a patient of hyper thyroidism. Currently it is under control and the ECG and Haulter monitoring is also normal. I was told that it is due to a vaso vagal attack. What are the reasons and possible treatment for the same?

A:The symptom is suggestive of a vaso vagal attack also termed as Neurocardiogenic syncope. This problem which is a common disorder in young people is a benign disorder and can be easily treated with drugs if episodes are frequent. A simple test called "Head up tilt test" is usually recommended to confirm the diagnosis. This test is available in many good cardiac centres in Delhi. Holter monitoring and echocardiography are usually normal in these individuals.