[45M] Experiencing recurrent blackouts with neck pain

What might be happening

Based on the information you've provided, the following conditions could be possible explanations for your symptoms:

• Vasovagal Syncope: This is a common cause of fainting episodes, often triggered by pain or stress. The sharp pain in your neck or shoulders could potentially trigger such a response, leading to a temporary loss of consciousness. However, these episodes are usually brief and not typically as long as 30 minutes.

  • Diagnostic tests may include a tilt table test, electrocardiogram (ECG), and possibly a stress test.

• Cervical (Neck) Conditions: Certain conditions affecting the neck, such as cervical spondylosis or herniated disc, can cause sharp pain and potentially lead to blackouts if they affect blood flow to the brain. However, these are usually associated with other symptoms like neck stiffness or arm pain.

  • Diagnostic tests may include X-rays, CT scan, or MRI of the neck.

• Cardiac Conditions: Certain heart conditions can cause blackouts, especially if they lead to a temporary decrease in blood flow to the brain. However, you mentioned no known heart condition and no symptoms suggestive of a heart condition.

  • Diagnostic tests may include an electrocardiogram (ECG), echocardiogram, or stress test.

Please note that this is not an exhaustive list and other diagnoses could also explain your symptoms.

What you can do

Given the potential seriousness of your symptoms, it's important that you seek medical attention immediately. Here are some steps you can take:

1. If you haven't already, please see a healthcare provider as soon as possible. They can perform a physical examination and order the appropriate tests to determine the cause of your blackouts.
2. Try to avoid driving or operating heavy machinery until you have a better understanding of what's causing your blackouts.
3. If possible, try to have someone with you when you're moving around, especially in places where you could fall and injure yourself if you blackout.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• A blackout that lasts longer than usual
• Severe headache
• Difficulty speaking or understanding speech
• Weakness or numbness on one side of your body
• Rapid, irregular, or forceful heartbeat
• Difficulty breathing

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.