“Vasovagal syncope getting worse”

A vasovagal response would take way to long to describe in this context. I advise you to do an Internet search, there you will find all you need. Meanwhile, one of the more common background problems associated with vasovagal responses is angst. You should be evaluated by a psychologist specializing in angst, if for no other reason than to rule this out as a contributing factor. A word of advice: Whenever you feel it coming, sit down and take a series of really deep breaths in and out.

Here is some basic information on this condition. You will want to make an appointment with a neurologist to see what can be done that is non-invasive before opting for any drug therapy or invasive procedure.

https://en.wikipedia.org/wiki/Vasovagal_syncope

Vasovagal response or syncope (fainting) is a term used to describe loss of consciousness that is driven by a sudden increase in the mechanism responsible for relaxation and rest. We are constantly under the influence and balance between two major mechanisms or "hemodynamic" states, the one that allows us to increase our ability to hunt, fight and kill, the sympathetic system, and one that enables rest and digestion of our food, the parasympathetic system. The sympathetic system is mediated by adrenaline and neurotransmitters that tell various organs of our body to prepare for that mode, while the parasympathetic system is controlled by neurotransmitters that increase the "VAGAL" tone.

With that in mind, this constant balance needs to uphold in order for us to adjust with our daily activities. In some people who may be more prone or susceptible to either of the two systems, small triggers can lead to a moment of overly reactive tone without allowing the other system to counter-balance. Which in the case of fainting, the hyper-vagal state had a long enough time to overwhelm the body and thus succumb to changes in the body leading to fainting. Without stating that this is definitely what is going on with your recurrent and now increasingly frequent fainting spells, severe pain, emotional stress, or even something as normal as having a bowel movement, are some examples of such triggers. These types of fainting episodes usually have some sort of noticeable symptom complex preceding the event, called a prodrome.

In response to your second question as to what you should do, every person who has frequent faint spells should be evaluated properly. Although vasovagal syncope is known to be the most frequent cause of loss of consciousness, it is more of a diagnosis of exclusion after more serious causes have been looked into and ruled out. Some of these other, more serious causes of fainting include neurologic disorders such as seizures, or cardiovascular disorders that include arrhythmias (irregular rhythm of the heart).

Therefore, you should see your doctor and have your history and symptoms carefully evaluated, then have them refer you to a specialist such as a cardiologist or neurologist for further evaluation and possible treatment.

Vasovagal syncope occurs when you faint because your body overreacts to certain triggers, such as the sight of blood or extreme emotional distress. It may also be called neurocardiogenic syncope.

The vasovagal syncope trigger causes your heart rate and blood pressure to drop suddenly. That leads to reduced blood flow to your brain, causing you to briefly lose consciousness.
Fainting can be a sign of a more serious condition, such as a heart or brain disorder. You may want to consult your doctor after a fainting spell, especially if you never had one before

How to prevent it?
You may not always be able to avoid a vasovagal syncope episode. If you feel like you might faint, lie down and lift your legs.

This allows gravity to keep blood flowing to your brain. If you can't lie down, sit down and put your head between your knees until you feel better.

occurs when you faint because your body overreacts to certain triggers, such as the sight of blood or extreme emotional distress. It may also be called neurocardiogenic syncope.

The vasovagal syncope trigger causes your heart rate and blood pressure to drop suddenly. That leads to reduced blood flow to your brain, causing you to briefly lose consciousness.
Vasovagal syncope is usually harmless and requires no treatment. But it's possible you may injure yourself during a vasovagal syncope episode. Your doctor may recommend tests to rule out more serious causes of fainting, such as heart disorders.

Vasovagal Syncope is a blood pressure response to a neural stimulus. If you
are worsening, you should see a cardiologist, electrophysiologist, or a
neurologist to make sure there is not another issue lurking.

Before assuming this is vasovagal you want to see a cardiologist and get an echo to rule out structural heart disease , have a holter and possibly a tilt table to rule out there is no arrhythmia. Females with smaller body habitues who don't eat or drink are more at risk. This is due to activation of vagus nerve that gets activated due to emotional stress, pain, blood or other stimuli. The activation of this nerve causes the heart rate to slow down and drops the blood pressure . When the blood pressure drops and specially if you are standing you don't get enough blood flow to the the brain and you start getting dizzy and passing out would be a protective mechanism because it brings you down to the gravity so now you can get the blood flow to the brain and not fighting the gravity. if you have veins that are not competent that may make the situation worse. I would recommend keeping yourself well hydrated and eating a small meal every two hours so starvation or dehydration dont activate your vagus nerve.

A Vasovagal response can be triggered by pain, leading to deactivation of the autonomic nervous system, causing blood vessels to dilate in your legs. Hence your blood pools in your legs and you have a fainting episode. However if these episodes are becoming more frequent or occurring with relatively minor triggers then I would recommend further investigations by a GP or cardiologist to exclude cardiac arrhythmia as a cause for the fainting.

Vasovagal syncope is when you faint due to a trigger. This can trigger your nervous system to drop blood pressure and heart rate to the point where blood cannot reach the brain, which can cause a brief loss of consciousness. Often this condition requires no treatment. Your doctor may also advise you to increase dietary salt, to avoid standing too long, to wear compression stockings, and to drink plenty of fluids.  If the fainting is too much to handle, your doctor may prescribe a medication called fludrocortisone acetate or even recommend a pacemaker. There are also other causes of fainting, including heart problems, circulation problems, clogging of the neck arteries, and low blood sugar. Therefore, I would advise for you to be evaluated by a physician first to rule out anything serious. They may do tests such as EKG, ECHO, stress test, or blood tests to test for conditions such as hypoglycemia or anemia. I hope this helps.
 

It probably is vasovagal, meaning an excess discharge of acetylcholine to the peripheral nerves, resulting in dilatation of the blood vessels, especially the veins, which hold 80% of the blood volume. It can also cause slowing of the heart. So, it's a balance between the sympathetic nervous system (adrenaline) and the parasympathetic nervous system (acetylcholine). As one ages, the sympathetic nervous system may become less functional, leaving the dominance to the parasympathetic system. However, many different mediations may affect one or both systems. We usually do an echocardiogram, stress treadmill test, and cardiac monitor. If your rhythm is not the culprit, then you may be dropping your systolic blood pressure transiently, which may respond to proamatine. Get the evaluation first and see a cardiologist.

Your mom may be right, but still you have to be queried about other clinical situations and tested to rule out insidious anemia, diabetes as examples by your primary care MD.

Although your problem may be related to vasovagal issues, you need testing to rule out other causes of fainting. These include heart conditions and seizure disorders.

See a cardiologist and have a tilt table study and a Holter monitor study.