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    Near Syncope (Almost Fainting)

    Updated at October 20th, 2022


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    • Dizziness is a sensation of light-headedness or feeling faint

    Health Information


    • Feeling dizzy or lightheaded
    • Feeling unsteady with slight loss of balance
    • Feeling “woozy” or not thinking clearly
    • May also have brief blurring of vision


    • Dizziness is usually due to reduced blood flow to the brain. It can be triggered by these normal events:
    • Standing too long in one place. Reason: causes pooling of blood in the legs.
    • Standing up suddenly. Reason: causes sudden drop in blood pressure

    Dizziness Scale

    • Mild: walks normal
    • Moderate: interferes with normal activities such as playing, school or sports
    • Severe: can’t stand, needs support to walk, feels like passing out now

    Care Advice

    1. Overview:
      • Standing up quickly is the most common cause of dizziness. This type of dizziness only lasts a short time. Getting out of bed is when it usually happens.
      • Prolonged standing in one place is another common cause.
      • Not drinking enough fluids or eating enough salt always makes it worse.
      • Here is some care advice that should help.
    2. Standing:
      • In the mornings, sit up for a few minutes before you stand up.
      • This will help your blood flow stay steady and adjust before you stand up.
      • With prolonged standing, contract and relax your leg muscles. Reason: This helps pump the blood back to the heart.
      • Sit down or lie down if you feel dizzy.
    3. Salt:
      • Most people with this type of dizziness (due to standing) don’t get enough salt.
      • Try to eat some salty foods (potato chips or pretzels) every day.
    4. Fluids:
      • Drink several glasses of fruit juice, other clear fluids or water.
      • This will improve your child’s fluid status and blood sugar.
      • If the weather is hot, make sure the fluids are cold.
    5. Rest:
      • Lie down with feet up for 1 hour.
      • Reason: This will increase blood flow to the brain.
    6. Prevention:
      • Extra water and salty foods during sports or hot weather
      • Regular mealtimes and snacks
      • Enough sleep and rest
    7. What to Expect:
      • With treatment, the dizziness usually goes away in 1 to 2 hours.

    Call Your Doctor If

    • After 2 hours of rest and fluids, still feels dizzy
    • Your child passes out (faints)
    • You think your child needs to be seen
    • Your child becomes worse

    Author: Barton Schmitt MD, FAAP

    Copyright 2000-2020 Schmitt Pediatric Guidelines LLC