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The first time I got my period I stayed home from school cause I was feeling faint and nauseous. Over the years I have passed out several times from prementral symptoms and severe cramps the pain would trigger a vagal episode and it was usually the morning of the first day. I would feel weak, nauseous, tired and then get really hot, my vision would narrow and my ears would ring, get clammy and nervous. When i was in school i would go to the nurse lay down and put a cold rag on my forehead and neck it seemed to help revive me. But after I was exhausted and would have to sleep for hours to get my strength back. A few times the symptoms came on too fast for me to take action and I have passed out. (No injuries thankfully.) At least once a year since I was in 3rd grade. I am now 22, Recently, my vaso vagal has become much worse. The only advice I have received from my Dr. was to drink lots of gatorade and keep my feet up as much as possible, and that I would grow out of it eventually or that many women's symptoms seem to subside after they give birth to their first child and their hormones change. (Has anyone experienced this?) This gave me the clue to ask my gynocologist what she thought. I was told the loss of blood and certain minerals like salt during your mentstral cycle can trigger me. I take birth control now to reduce heavy blood flow, pain of cramps and just keep my hormones balanced. This was just one of my vaso vagal reactions, but my most frequent and severe. After taking the pill, It has not happened since! It's been about 5 months now. It has really helped me. I was taking paxil and before that xanex, but they made me so tired and unable to function. Now, I go to the chiropractor to relieve any extra stress on the vagus nerve and add salt to my diet, drink lots of gatorade!!! I find this forum so helpful and comforting. Please feel free to email me @ email@example.com if you want to talk about your symptoms and treatment. I think the best way to combat this syndrome, since there is not imformation out there... is to exchange as much as possible with each other.