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a patient with reflux syncope starting to feel dizzy needs to be aware that something has to be done because it may not go away this feeling of dizziness and the actions are after being aware that theres danger it may be simply just to sit down might be enough if the patient is used to a fairly long warning period like 30 seconds to a minute then they could perhaps leave the room in which they are feeling dizzy but if the warning short dont try to leave the room because therell be an accident on the way out and its better to sit down if theres no chair than sitting on the floor is possibly necessary may be socially difficult but social concerns have to go out of the window at this point and so sitting down sitting on the floor and will help and the other thing that patients can do immediately which will be very helpful is this kind of maneuver so called isometric exercise link the fingers like this and pull and you may be able to see that Im working at it now and probably my bloo
