I've made other calls and done research but I wanted to see the TxAgs health forums because it's usually a speedy response. She doesn't usually take baths but today she took a 25-30 min bath in decently warm (maybe too warm) water. She then stood up and after about 10-15 seconds she stated she felt dizzy. Seconds later she complained about not feeling well and that her vision was severely blurred. I turned the cold shower on her and held while she started to cry. As I reassured her she began to sway and then fully pass out to the ground. I grabbed my phone in a panic and called 911. About 2 mins into the call she called to me telling me she felt better( I stayed away when on 911 to avoid scaring her). She was speaking well and didn't seem ill anymore. I cancelled the ambulance.

KeyPoints- 22yr old female -25 min hot bath -dizzy and loss of vision seconds after standing -loss of color on lips -passed out for 10 seconds -fully came to 1 minute later. Any help is appreciated.

Sounds like heat syncope

I've felt like you've described after some time in a hot jacuzzi tub. I've never passed out, but it's certainly made me feel ill. I take hot showers, but the bath gets me every time.

I've only passed out once in my life (not counting the drunk type) and it was from sitting in a hot tub for a long time and then immediately jumping Ina very cold swimming pool. Got super dizzy, climbed to the side of the pool and then lights out. I was totally fine about 30 minutes later.

Could also be positional drop in blood pressure from standing up. Being dehydrated can make it worse.

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Could also be positional drop in blood pressure from standing up. Being dehydrated can make it worse.

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This actually happened to me in high school I stood up from watching a movie on the couch and before I made it to the end of the room I hit the floor. Busted my lip on the tile, not sure how long I was out less than minute.

What I quickly learned was that if I immediately sat or squated back down and put my head down I could recover before passing out. I would get dizziness and blurry/fading vision when standing up too quickly after laying down. This was happening to me in high school Dr said it was linked to growth spurt and low blood pressure upon standing. Also happened to a friend of mine passed out at school.

The symptoms you describe are exactly what I experienced. If she was standing after the bath and passed out from a standing position it may explain it. Especially after a bath. Too long in hot tubs have made me a little light headed getting out in the past.

If she ever gets the sensation again tell her to immediately squat down to one knee or sit. Also get checked by a dr to find any underlying causes.

Hot water dilating her vessels + relaxation + reclined position + standing up = all blood pooling in her extremities and not enough in the brain. Think of it as a head-rush taken to the next level.

She may want to get her iron and blood work done though. Iron deficiency anemia could be a factor as well, especially in young females, especially during or after menstruation.

Short answer is don't panic, but a doctor visit would be reasonable, or just mention at her next routine visit. Of course, if this becomes more common, it should be much more of a priority to see a physician.

I agree with the above. I several things point to what's called orthostatic hypotension. Considering her age, unless she's got a strange family history or she says some key things during her history, her doctor will probably just get an EKG in the office to check for an underlying heart arrhythmia.

sound pretty common to me... I hear about people getting out of hot tubs and feeling dizzy/ill all the time. Not a doctor but it sounds like your body tries to just get back to some equilibrium and due to temperature and blood pressure, stuff happens.

My bet is if you go to a doctor, they will tell you to not do anything unless it happens regularly.

I passed out in high school a few times. Once while running track (that hurt) and a couple times just standing up. This was shortly after I had a brain tumor removed so needless to say I went through a lot of tests.

The test that found it was a tilt table test. Injected something into my veins, strapped me in, and started tilting the table. I quickly passed out. They determined it was neurocardiogenic synchopy. Essentially, my heart and brain didn't communicate properly 100% of the time. So sometimes when standing up, for instance, my heart would start beating faster to get blood to my whole body, my brain wouldn't know why this was happening and dialate my veins. Don't know all the science behind it but this apparently makes it worse and I'd pass out. Hasn't happened since college.

Not saying this is what she has, just reminded me of this so I felt I'd share.

I truly appreciate all the replies. We have an appointment Monday.

Good news from the doctor?

I haven't fainted in a bath but have passed out several times due to low blood pressure, most notably last year during a hearing while presenting my report to the judge (and thereafter becoming that lawyer who fainted in court!). I've always had very low blood pressure, around 100/60 or so, and I think I'm also sensitive to low blood sugar, and the combination of those factors, a warm room, and standing up was what did it (knees weren't locked though). Worth asking a doctor about but probably not serious IMO.