I believe I have vasovagal syncope. It has been mentioned before. Curious if this all sounds familar to anyone else. I've had several episodes of passing out with no identifiable triggers. Sometimes I'm sitting doing nothing and feel it come on suddenly and then collapse. Sometimes I'm standing. I do tend to feel faint during intense stress or fear situations (that's happened 2-3 times). I usually have mod to severe nausea afterward. Nausea will also trigger the fainting. As a child, when I was sick, I would faint before I threw up. I also have PVC's and bigeminy so not sure if my symptoms are a combo of the two or 100% vasovagal. I've had other vagal dysfunction symptoms for the past 6-7 years: severe tinnitus, hearing loss and pressure in ears, swallowing problems (get choked on liquids easily), loss of gag reflex, dysphasia and difficulty with speech, slurred speech, my voice has changed and I can't control it, my facial expressions have changed, brain fog, worsening cognitive difficulties, and worsening fatigue. I also have digestion symptoms (bloating, loss of appetite, weight loss, abdominal/colon discomfort, fullness very quickly, can only eat small amounts at a time). I take Pepcid, have taken Omeprazole for short bursts when GERD and acid reflux is severe. I have pre-syncope and syncope sometimes from turning my head or holding my head turned (to the right). Lately I've had spells where my pulse rate drops to 40 and I feel bad (it's usually 60). My BP is normally 110-120 / 70-80. My heartbeat can be irregular at times, slow, skipping beats, extra beats, all over the place. I've had ECG's and they are relatively normal but show PVC's and bigeminy, sometimes trigeminy. But I have felt unwell for the past few years. I have a feeling that all of these symptoms are related and have one cause but no diagnosis. I get sent to different specialists for each individual symptom. I just want to feel better. Hoping for help controlling, preventing the syncope. I've injured my shoulder, arm and head from collapsing into furniture and on concrete. The symptoms are worsening and I don't know where this will end up. I would like to hear if others have similar experiences and have information to share, anything that worked etc... I know about raising the legs/lowering head, wearing compression stockings, eating high salt diet to increase fluids... Has anyone tried SSRI's to calm the vagal nerve response? Curious to hear what has worked from others, I feel alone in this with no direction.