Conversation: The conversation between human and AI assistant.
[|Human|] Last night, I was having dinner with my friends and when I stood up I felt like the whole roomWas spinning. I automatically lost my balance, like I couldnt feel my legs, then when I sat down there was a loud ringing in my ear. I felt like throwing up. But tried to fight it. My friends told me that I looked pale.  My face was stone cold when I got out of it. The episode lasted about 2-3 mins. When I got a bit stable I felt like I could not catch my breath. I went to sleep. Woke up still feeling like I cant breath. My heart rate is 108 and I am 36 years old.
[|AI|]  Hello Thanks for posting at Chat Doctor. Going by your symptoms it looks like you had a syncopal attack followed by breathlessness. The cause of the syncopal attack and the breathlessness should be evaluated.First a cardiac cause must be ruled out. Please do AA ECG and 2 d echo. If any rhythm disturbances are seen on 2 d echo a Holder monitoring which records your ECG for 24 hours while you go about your daily activities should be done. Heart rhythm disturbances can lead to such symptoms and such disturbances can be diagnosed on Holder monitoring. Next step is the carotid arteries which supply blood to the brain. If this blood supply is decreased you may feel dizzy and lose consciousness. For this, please do a carotid artery Doppler which will show if there are any critical carotid artery blockages. Next to be evaluated is the ear. Internal ear issues can cause dizziness and vertigo. Please consult with your ENT specialist. Next, is the cervical spine issues which can also cause similar symptoms. Please do a cervical spine x-ray. Please do the above-mentioned tests and revert. Wishing you good health. Regards.