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Cause for losing balance after recently REPAIRED LABRUM

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last night i got really anxious that i did damage to a recently repaired labrum, immediately after i felt very lightheaded and dizzy, then i began to lose my balance and my sight wasnt very clear(most likely because I had no control and was moving spastically to try and keep my balance), then i fell to the floor, tried to get up and fell again, but i didnt lose consciousness throughout the whole episode, so that means I didn't faint, what happened? (I am prescribed percocet for the recovery from the labrum surgery, however my dosage is low, i only took one that day and it was about 5 hours earlier) could that be the cause?

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 19 Doctors Online

Thanks for choosing

I understand your concern. 

The issue here is not realted to your medicine. Its possible that you were feeling weak, since you have been recovering from your surgery. Did you do a follow up hemoglobin count? They must have checked your BP at the time of your surgery. Can you tell me how much was it? Are you on any other medication? Its good that you didn't hurt the shoulder area again. 
As i told you its not related to Percocet. Percocet is just to relieve you of your pain. Loss of concsciousness can be due to a lot of causes such as Anemia ( common after surgical procedures ) , Hypotension , Hupoglycemia ( Low sugar level in blood ) , weakness. Also are you able to recollect completely what happened during the event? 
If it happened only once then there is nothing alarming right now. However make sure your diet is well balanced and hopefully youre not straining in any way. 
Do post additional queries with all the history that i asked you for. 

Patient replied :

I wasnt feeling very weak, just moments before the episode I felt completely fine. My blood pressure was a little high at the time of the surgery, I believe it was in the 130s/70s range, but I do smoke so I assumed thats why my bp was high. I dont think i did a hemoglobin count, if i did unfortunately I don't remember what it was, the surgery was 2 weeks ago. I smoke and have had a couple previous surgeries but i have no history of hypertension, diabetes, or allergies, and I do not consume much alcohol.I do not take other medication but I smoke marijuana occassionally. I can recollect the event for the most part, however the segment when I was struggling to keep my balance and moving around, eventually falling, is somewhat blurred (as I had minimal control and was moving my head almost frantically). I also cant really recall what my body was doing physically at that stage, like how I was moving or if I was shaking, I may have been, but I felt as though I was fighting something for my muscle control. Either way I definitely remember falling both times. I'd really like to know what happened as the event frightened me more than anything, so is there anything else you can tell me about what may have happened? I'd really appreciate it. thank you for your help!

Thanks for writing to us again.

I really appreicate your elaborate history. Sudden loss of consciousness or syncope occurs when blood pressure drops and notenough oxygen reaches the brain. There are lots of causes of syncope and in your case some probabilities are exhaustion/pain/anemia/ sudden postural drop in blood pressure. Normally when syncope happens due to sudden drop in blood pressure, you momentarily stand up, feel giddy and lose consciousness for a little while. Do you have any previous history of seizure disorder? Also is there anyone in your family with history of seizure disorder?  
Since you regained consciousness almost immediately, it doesn't seem to be anything alarming. So don't have to worry for the time being. I will advise you to get a Complete Blood Count done ( CBC ) Test just to rule out anemia, following the surgery. Sudden drop in blood pressure affects a lot of people and usually doesn't cause any serious problems. For the time being avoid standing up too fast from a sitting position, or turning your neck too soon to respond to people's calls. Also rest as much as you can.  
If possible get the CBC test soon. and also if someone can monitor your BP, especially on standing up from sitting position, then the picture will be much clearer.  
Do get back to us with reports when they are ready.  

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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