Some info please

[dancealot13]

My boyfriend of almost 6 years was in a terrible accident on Sunday morning at 2am. I heard a loud crash and went downstairs to find he had fainted after going pee, and fell back into the tub behind him, tearing the shower curtain and rod down. He wasstill unconsious when I found him. He finally came to, and I took him to the hospital because he had a huge gash about 6 inches long in his back, from the porclin soapdish in the tub. He received 23 stiches in his back!

does anyone know what this could be? The doctor said it could be postvoiding syndrome (but my computer at work will not let me look on most webpages), I am still unable to find anything reguarding this issue. Any info is greatly appreciated.

[dancealot13]

By the way- he's only 27, and is healthy, doesnt drink or smoke, he was not dehydrated. He has done this in the past, but the last time was about 10 years ago.

[beryllium]

Hi dancealot, sounds awful, poor fella.... postvoiding seems to be more in the nature of a medical test...

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=3284155&dopt=Abstract

[beryllium]

It sounds more like an epileptic fit... my brother has strange ones where he passes out and then wees... and that is brought on by pain in him....

[Octavius]

Postvoiding means 'after peeing' I can't find anything on a related syndrome.

[beryllium]

and here's another site on postvoiding and urinary tracts...

http://www.liebertonline.com/doi/abs/10.1089/089277904322959851;jsessionid=ikLIVHNCwK566wM0rR?cookieSet=1&journalCode=end

p.s havent forgotten about the falun gong... Mr B. took piccys the other day but we've got to find the disc for his phone so i can send it to you....

[Octavius]

Perhaps you mean Hinman syndrome, however, without knowing the true facts any web guidance could be misleading - better off asking the doc for a full explanation.

[beryllium]

Octavius, do you think the doctor meant after postvoiding he passes out, like a syndrome of after taking a pee?

I can only find stuff on tests....

[dancealot13]

Thanks beryllium- They did a CAT scan, EKG, ECG. All of those tests came back alright, so they told us it wasnt a seizure. He'll be getting tests all this week and next. The doctors are acting quickly which is great. Im the one that found him as well, immediatly after he passed out. He was not convulsing at all. xxthanks for info.

[dancealot13]

I know. I asked him several times what it was called, and the doctor said "postvoiding syndrome". Jeez maybe we should get a second opinion.

[beryllium]

Best of luck, you do have good medical care.... we'd be waiting......... yep............we'd be waiting.............yep......we'd beeeeeeeeeee zzzzzzzzz

if you see that doc. again do ask what that syndrome actually means..... just out of curiosity..... funny syndrome that only comes every 10 yrs.....

[LazyGun]

Nasty sounding accident, dancealot. It sounds a little like "micturition syncope". Some actions are quite commonly associated with fainting, one of which is peeing.

Got some more details for you below.
Micturition syncope

* Reflex-mediated situational syncope occurring during or shortly after micturition.
* Several other syncopal triggers are known including defecation, cough, and swallowing. These occur due to increased vagal tone with loss of peripheral sympathetic tone producing vasodilatation leading tohypotension possibly with bradycardia. 2.
* Micturition syncope may involve several mechanisms acting in concert:
o Postural - standing on leaving a warm bed causing peripheral pooling of blood.
o Straining - valsalva manoeuvre increasing an already high nocturnal vagal tone, causing bradycardia.
o Emptying bladder - abrupt decrease in stimulus to bladder stretch receptors causing reflex vasodilatation and hypotension.

Epidemiology
Prevalence Account for 2.4-8.4% cases of syncope in adults. 3
Risk Factors

* More common in males, peak incidence in 30-49 years of age. 4
* Associated with alcohol intoxication - thought to be mediated by impairment of thevasoconstriction response to orthostatic stress.
* Sources that have a strict view on micturition syncope being mediated solely by bladder stretch receptors state that there is no association with prostatism (as the bladder is overdistended, and empties slowly). Suorces that take a broader view suggest that elderly men straining due to prostatism, suffer vagal mediated syncope.
* Associated with patients with a history of vasovagal episodes unsuprisingly.

Presentation
Symptoms Sudden loss of consciousness occurring during or immediately after urinating.