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Anxiety symptoms,numbness in face - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3178 Questions
Doctor :   Hi
User :   Hello
Doctor :   How can I help you?
User :   well.. since the last 7 or 8 days I have some sort of vertigo
User :   my concentration is low
User :   I feel shaky as if the ground is not stable
User :   I have difficulty swalloing a bit
User :   I have sudden hot flashes
User :   numbness in my face sometimes
User :   totally scared I don't know what is wrong!
User :   what should I do?
Doctor :   May I know your age and gender?
User :   I am 24 Male
Doctor :   Are you on medications?
User :   well.. doctors said it is anxiety but I think it is something more worse. they said I should take paroxtine and Xanax before I sleep
User :   I took them since 4 days but
User :   I don't want anymore to take this things so I stopped them but that symptoms are before I took that medications
Doctor :   Ok
Doctor :   Since when are you having these symptoms?
User :   I had them so severe since 4 years for almost 3 month 24 hours but they went away by themselvs.. and they came back since 10 days almost
User :   but some times they go away totally. during the last 10 days
Doctor :   Ok
Doctor :   Do you have any factors that aggravates these symptoms or that reduces these symptoms?
User :   not at all.. they just come out of blue and go away also by themselves!
Doctor :   How long do these episodes last?
User :   it can last for 2 or 3 ,, sometimes it stays for half day only
User :   but i have them constantly since 10 days they only went away for 1 day
Doctor :   Ok
Doctor :   Do you have these symptoms when you are sleeping too?
Doctor :   Have these symptoms disturbing your sleep?
User :   yes, yesterday I wake up with a sudden dizziness and I had a very strange feeling, I was confused between my left and right legs! I felt they are flipped or crossed over each others.
User :   and during the last 10 days I wake up with a sudden shock and taking my breath hardly
User :   for 10 seconds
User :   and then sleep again
Doctor :   Ok
User :   but yesterday.. I stayed for 2 hours till I could fall asleep again,. and I couldn't so I took xanax 0.5 mg and I slept after that
Doctor :   May I know your weight and height?
User :   43 kg and I am 169 cm
Doctor :   Ok
Doctor :   How is your appetite?
User :   I also have to say that I have a feeling of pressure between my eyes in the middle of my head most of the time when I have this symptoms
User :   well not bad the normal. but I normally don't eat good all my life.
Doctor :   Have you lost weight recently?
User :   no
User :   my weight is very stable
Doctor :   Ok
Doctor :   Do you have tremors of the hands/palpitations?
Doctor :   Do you sweat a lot?
User :   yes some times I have tremors.. and not usually I sweat alot but it happens very rare!
Doctor :   Ok
Doctor :   Are you comfortable, when you bathe using hot water?
User :   yeah. but I get a chocking feeling when I bath sometimes.
Doctor :   These question are relevant in finding if you have any other associated problems?
Doctor :   May I know if these symptoms are also the same when you bathe with cold water?
Doctor :   * I mean do you prefer using cold water or hot water while bathing?
User :   hot
User :   i never use cold water because I can't bare it
Doctor :   Ok.
Doctor :   Do you have any other medical illness such as diabetes/hypertension/thyroid problems?
User :   no I did all that test and there was nothing bad
Doctor :   Does any body else in your family have similar problems?
User :   no
Doctor :   Are you married?
User :   yes
Doctor :   Do you have kids?
User :   no
Doctor :   SInce when have you been married?
Doctor :   Do you practise family planning methods?
User :   2 years.. and no I don't
Doctor :   Have you and your wife been evaluated for non conception?
User :   my wife use pills
Doctor :   Ok.
Doctor :   Let me explain it to you.
Doctor :   From the brief history that you have provided the symptoms could be due to the psychogenic factors as suggested by your doctors or
Doctor :   due to hormonal problems more specifically hyperthyroidism.
Doctor :   However, since you have been tested for the hormonal functions and the results have been
Doctor :   normal,
Doctor :   probably they may be due to the psychogenic factors alone.
Doctor :   Medications are part of the treatment.
Doctor :   And the effects of these medications can take some time.
Doctor :   It is too early to say that these medications are ineffective.
User :   so.. the conclusion is that it is Anxiety/Depression not a brain tumer or something because that is the fear that I have.
Doctor :   It is definitely not a brain tumour.
Doctor :   Your history is not any where close to the brain tumour.
Doctor :   So you need not worry on that.
User :   and anxiety can make this symptoms 24 hours!
User :   what ever am I focusing on.
Doctor :   Yes, depending on the severity of the illness.
Doctor :   I would suggest you to continue with the treatment as suggested by your doctors and also involve is few home measures that are useful in treating anxiety.
Doctor :   Those measure involve regular physical exercise, yoga, breathing exercises, regular diet and food habits.
Doctor :   Have you followed?
User :   no
User :   i do not do any physical exercise
User :   as I sit on the computer for a very long time up to 15 to 16 hours
User :   i don't sleep at night since 6 or 7 years!
User :   i will recharge again one sec so i can continue with you
Doctor :   Your problems may be due to your present lifestyle.
Doctor :   Are you there?
Doctor :   Are you there?
User :   yes I am here now
Doctor :   Ok.
Doctor :   Your present lifestyle may be the major cause for your symptoms.
Doctor :   You may have to modify it.
Doctor :   Lack of sleep and work all the time is the major cause of psychogenic problems such as these.
Doctor :   Have you followed?
User :   well.. I noticed something that when I go in very windy air the next days I get this much starts with a feelings in my face exactly behind my eyes and in the middle of my head
Doctor :   Ok
User :   and then all the other anxiety symptoms comes
User :   because I know that it is anxiety symtpoms but the main cause is not anxiety it is something that bring this anxiety
Doctor :   There are various factors that can trigger anxiety.
Doctor :   It could be the feeling of illness.
Doctor :   However, research have proved that these symptoms are very common in those who have sedentary life style, lack of sleep.
Doctor :   It is rare in those who have the opposite life style.
Doctor :   That is the precise reason, why doctor suggest change of life style and proper sleep in one who have anxiety symptoms.
Doctor :   I hope you are understanding what I am saying.
Doctor :   Have you followed what I am saying?
User :   yes
Doctor :   Hence I would strongly suggest you to start with small physical exercises such as walking early in them morning, jogging,
Doctor :   adequate sleep,
Doctor :   regular dietary habbits.
Doctor :   These are the ones that can be able to help you.
Doctor :   They may not give you instant relief, however, you may find them useful over a period of few month.
Doctor :   The medications are given during this transition period.
Doctor :   Apart from those that I have mentioned include meditation, yoga, breathing exercise as well.
Doctor :   Have you followed?
User :   yes
Doctor :   Do you have any further query?
User :   would I go out of this withouth mediciations?
User :   and just change my lifestyle
Doctor :   That would depend on how severe your symptoms are now.
Doctor :   This query can be best answered by the doctor who have examined you.
Doctor :   I would suggest you to follow the recommendation suggested by your doctor, include those home measures too.
Doctor :   Follow up with your doctor after the period of 4 weeks as suggested.
Doctor :   If your symptoms have improved then there are chances that the doctors may stop your medications.
Doctor :   Have you followed?
User :   yes
Doctor :   Do you have any other query?
User :   well I am so thankfull for your time.. and I found it so useful chatting with you
Doctor :   Please fill the feed back form too and say when done.
User :   Thanks
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
User :   Bye
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