Patient :Since I have been about 16 years old I have had this fainting condition in which I would loose consciousness most commonly when I was in the shower. I would first feel an intense strange feeling of impending doom and have abstract thoughts that at the time seem very familiar but that I can't fully recall afterwards (like trying to remember a dream). Then after having these feelings for about 20 seconds I pass out (I never remember the instant when this occurs). When I regain consciousness it doesn't come quickly. At first I don't remember who I am, I'm usually covered in sweat, and I feel extremely bad (difficult to describe sensation). It takes about 1-2 hours before I feel good enough that I can get up and then the rest of the day before I begin to feel completely normal again. I noticed that if I lay flat on my back and put my feet up immediately upon feeling the initial symptoms that I can either prevent myself from fainting altogether or minimize how bad I feel after I awake. Also I began to notice that the fainting seems to be connected to eating spicy foods. For example I hadn't eatin spicy foods for over 6 months and I hadn't fainted all that time, but I recently ate something spicy and two days later in the shower I fainted. My question is the following. Is it possible that spicy foods could be causing the fainting? And what could be the diagnosis? I've seen a doctor about this and he ran an echocardiogram and mri of my head but found nothing wrong. The only thing besides the fainting that seems wrong is that every time I go to the doctor and get my blood pressure taken it is high despite being skinny. They always say its because I'm nervous but I know this isn't true. Also I noticed I get a little itchy after eating spicy foods, but I've never fainted immediately after eating them. It always seems to come 1-3 days later.
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