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Anxiety disorder or heart disorder - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1762 Questions
User :   Subject : Anxiety disorder or heart disorder
I am suffering from anxiety,numbness and tingling in hands and feet,palpitations,chest discomfort,lightheadedness and hot flashes alongwith inner body trembling and shaking.I underwent TMT and ECG which were normal.My ECHO showed LVH due to high BP,so my GP put me on a combination of telmisartan and ramipril.I am scared that i will die of heart attack shortly.I am also suffering from OCDquery=Subject : Anxiety disorder or heart disorder
I am suffering from anxiety,numbness and tingli
Doctor :   hi
Doctor :  
how can i help you?
Doctor :  
ok
User :   hello doc
User :   yaa hi
Doctor :  
please give me some time to read through your history
User :   k
Doctor :  
ok
Doctor :  
first you need to relax
User :   doc what do u suggest
Doctor :  
it will do you no good to keep thinking of death
Doctor :  
you need to control your blood pressure
User :   yaa it's controlled
Doctor :  
it will help you to prevent heart attacks
Doctor :   try to keep good control over it
Doctor :  
and go for regular follow ups with your doctor
User :   it remains 120/84 with therapy
User :   i am 30 years old
Doctor :  
he knows you the best and can give you the best advise to follow
Doctor :  
you LVH will be under controll as long as you keep a control on your blood pressure
User :   ok
Doctor :  
make sure to have a good balanced diet wih low sugar, low fat
User :   do i need to undergoangiography my GP say there is no need
Doctor :  
and continue to take medications prescribed to you
User :   yaa i m taking that
Doctor :  
right now you do not need to go for any angiography
Doctor :  
only if any block is suspected, then he wil advise you to go for it
User :   but these days many young ppl r dying of heart attack and stroke
User :   so as a precautionary measure
User :   m asking
Doctor :  
they have various other reasons to have that
Doctor :  
generally it is due to family history and other risk factors
Doctor :  
of smoking and alcohol that also plays a role in this
User :   what are other risk factors
Doctor :  
along with the stress that they have
Doctor :  
Smoking, alcohol use, uncontrolled blood pressure, high cholesterol, diabetes.
Doctor :  
stress and anxiety also can precipitate
User :   ok
Doctor :  
but these can be controlled
User :   ok
Doctor :  
continue to take medications regularly, do not miss the doses
User :   but suffering from BP at this young age what is my prognosis
Doctor :  
practice relaxation techniques to control anxiety
User :   what is my life expectancy
Doctor :  
life expectancy remains the same as with normal people
Doctor :  
provided
Doctor :  
you keep your BP under control , do regular follow ups, and take continuous treatment
Doctor :  
which will avoid complications
Doctor :  
usually patient dies due to complications arisring and not just BP
User :   if TMT is normal can i still have blockages?
Doctor :  
No, usually if TMT is normal, it does not suggest blockages
Doctor :  
so do not worry
User :   ok
Doctor :  
Is there any thing else I can help you with?
Doctor :   have you followed what i have said?
User :   and what are the reasons of my symptoms which i am experincing
User :   like anxiety
User :   and tingling
User :   palpitations
User :   along with lightheadedness
Doctor :  
all the symptoms that you have are due to anxiety and a little bit contributed by the blood pressure
Doctor :  
once you learn to control your anxiety levels you wil be fine
User :   are my drugs fine
Doctor :  
yes the drugs prescribed to you are fine
User :   ok
Doctor :  
continue to take them as prescribed
User :   ok doc thanks may i know ur good name
Doctor :  
if still you feel the symptoms are not controlled, report back to your doctor
Doctor :  
for dose adjustment or for change in medications
User :   ok,may i know ur name
Doctor :  
I am Dr. XXXXXXXX here
User :   ok doc
User :   thanks
Doctor :  
Is there any thing else I can help you with?
User :   for now m done
Doctor :   Please fill the feedback form, and comment box, and say done when done.
User :   thanx
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
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