A 4-year-old female asked:
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4 y old had vasovagal attack pediatric ask for cbc ecg eeg urine k na ca li every thing was normal except li <0.3 & ionized ca 4.2 he ask psych.advi?

2 doctor answers
Dr. Stephen Gordon
43 years experience Dentistry
See another Doctor.: Often a problem which results in a vasovagal incident is lack of hydration. If your child is overheated and has low hydration with loss of important electrolytes, fainting can occur. The pediatrician may want you to dilute gatorade with water to help with hydration and electrolyte balance. Good luck!
Answered on Aug 10, 2015
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Dr. Steven Neish
38 years experience Pediatric Cardiology
Syncope?: When you say "vasovagal attack" i assume that you mean syncope (fainting). Vasovagal syncope is not typical in four years olds, and more typically presents after the onset of puberty. There are many causes of syncope potentially, some serious like heart disease or seizures, and some not so serious like breath-holding spells. The most important step is to rule out serious causes of syncope.
Answered on Sep 14, 2017
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