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Passed Out After Mole Removal

Hello everyone.  This is my first post so I apologize if I'm not using the proper "netiquette" as they say.  So anyway, my family has a history of suspicious moles that turn out to be cancerous and so I have begun seeing a dermatologist regularly for mole checkups and such.  So of course, the first time I had to get a mole removed, I was naturally incredibly nervous.  I tend to have anxiety attacks before doctor's visits, no matter how menial the reason for going is.  So this was the first mole I had ever gotten removed and of course, there was lots of hyperventilating and crying and such but it got done eventually after some coaxing by a kind nurse.  They injected a some lidocaine straight into my mole and removed it without a problem.  I didn't even need stitches (yay).  So everything was fine and I was feeling relieved when I stood up to leave.  I was slowly making my way down the office corridor when I started to feel alittle dizzy.  This tends to be normal for me.  Because I have low blood pressure, standing up quickly is almost always accompanied by some dizziness, but not so much so that I need to lie down or anything.   So this time I was exoecting the dizziness to go away like it usually does and so I kept on walking but I just got dizzier and dizzier and soon I found myself involuntarily leaning against the wall feeling like everything was going in slow motion.  The corners of my vision started to go dark and my feet fell light whereas my head felt heavy and I seemed to sort of slowly slide down a wall when a nurse came by and walked/pulled me over to a couch to lie down on and i felt absolutely terrible.  All of my vision was dark except for a little circle of light in the center and my head was, spinning and I was involuntarily crying without knowing it, but after about 5 minutes of laying down I got back up, thanked the nurse for her help, and went on my merry way.  The doctor had told me the dizziness and slight loss of consciousness was due to anxiety and low blood sugar and standing up quickly etc, which seemed reasonable so I thought nothing of it.  However, 2 weeks later, my biopsy results came back stating that the mole was pre-cancerous, which meant having to go back to the derm and getting the surrounding tissue removed to make sure the cancer didn't spread (or something like that, frankly I didn't really understand the whole procedure).  This made me even more nervous than the first time, but I sucked it up after being terribly embarassed for being such a crybaby the first time.  Once again I was injected with local anesthesia and given 3 or four stitches to help the area heal.  I felt totally fine when I sat up, but once again, as soon as I reached the corridor, the exact same thing happened.  The doctor, again, told me it was anxiety and low blood pressure etc.  Now, two weeks later, today, I went to the derm again to get my bandaging taken off and get another mole removed.  THis one wasn't really too suspicious, it was just ugly and I honestly didn't think the first mole removal was too bad so I was willing to do it again.  I wasn't nervous at all this time, I knew what was going to happen so although I felt the terrible uneasiness of going to the doctor, it wasn't too bad.  As soon as I was injected with the local anesthesia, I stopped worrying.  I figured it was meaningless to worry since nothing terrible was happening and it would be over soon.  In fact, I actually laughed a little as they removed it, since I'm very ticklish around my tummy area.  This time I felt totally fine.  No nerves, nothing.  And then I stood up.  Now, I had my mother come with me to make sure I didn't pass out again.  However, she had to take a quick trip to the ladies restroom while I waited for her to come out.  About ten seconds after she closed the door, I started to feel the terrible light-headedness followed by the darkening of my vision.  This one was bad.   REALLY bad.  I felt sick to my stomach and remember sliding down the wall, which felt like it took 10 minutes to reach the floor but I was later told I hit the ground almost instantly.  My whole face felt slightly numb and it sounded like my ears were full of cottonballs and every sound was muffled and the nurse tried to pick me up but I just wanted to sleep forever on the floor and I started mumbling something that was supposed to sound  like "No, just let me sleep right here please i want to sleep" but actually came out as "nwrjurstwretmwesreeephwere" and i blacked out in the amount of time it took for someone to lift me up onto the examining table and lift up my legs and I woke up feeling like total crap and the nurse told me I looked ghostly pale and i couldn't feel my legs and my head was spinning and everything I heard sounded muffled and distant and I just slept there for 10 minutes and then i drank some apple juice and water and they let me go.  I was fine after that.  I apologize for the long life-story, but I am concerned about what's going on.  I'm going to have to have a few more moles removed next month and I seriously don't want to have to go through that again.  I know I may not be posting this under the right category, but I figured most of my problems seemed to be neurological symptoms, but I am obviously no medical professional, so I guess I wouldn't really know.  Thank you for reading this far.
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10389859 tn?1409921868
What you are having is what is medically called a vasovagal reaction.  It usually happens in adolescent males, but we see it often in anxious females as well.

Are you eating a meal prior at least 2 hours prior to the procedure that has some protein and sugar in it?  Have you seen someone professionally about your anxiety disorder?  If not, there are techniques you can do on your own to help reduce your anxiety like meditation, biofeedback, relaxation, yoga, etc.

If having this type of procedure is a trigger for this reaction, you need to work on measures to counteract it or it will continue and may get worse.  Try the self-treating measures first (you can also download things to your electronic devices to help guide you though it), and if this doesn't work seek professional help.

Next time you go for the procedure, have a positive attitude, say to yourself "I'm going to get though this" (make sure you eat and drink plenty of fluids 2 hours beforehand), and keep saying this to yourself.  Every time you get a negative thought in your head, wipe it away with a positive thought immediately...and you WILL get though it...with practice.  That's why I mentioned to download something to your electronic device, try it at home and practice.  Practice every day.

Let us know how you do...I bet you'll do fine. ;-)
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Avatar universal
Well I had eaten a peanut butter jelly sandwich maybe 3 hours earlier accompanied with some watermelon but I don't know if that's enough.  My aunt is a therapist so when I have problems with anxiety and such I usually just consult her over the phone... but technically, no I haven't seen a professional,k although I've been getting pangs of anxiety before going to the doctor's office since I was little.  And I will take your advice.  I really don't want to have to repeat the circumstances of my last three visits.  Eating before my appointments might be a bit challenging though.  I'm a senior in high school so I usually drive myself, of course, but most of my appointments include leaving straight from school or even leaving school early.  But I'm sure I could probably grab a snack or something.  And thank you so much for replying, I'll really try to be more positive before my appointments.
Helpful - 0
10389859 tn?1409921868
You're heading in the right direction by just having a positive attitude and being proactive.  You may have a device, like an iPad or mobile phone where you can download apps.  There are apps. available for free with these relaxation and meditation techniques, and some that teach you how to do this (some actually put you to sleep!).  You can try a few (some help you visualize things that are positive or think positive thoughts or relax your body, etc.), so you can practice them at home.  Then when you are faced with a negative situation, you can use the skills you learned to get you through it.

You sound like a strong person and I'm sure you can get through this. :-)  Let me know if you have any other questions.
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