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Anxiety with palpitations - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
Doctor :   Hi
User :   Hi I have several questions
Doctor :  
Doctor :  
proceed with your query
User :   Lately I have had a few heart palpitations at non specific times. All I can say is that I hve been aware of them. I should say I have panic disorder and recently weened myself off of .125 klonopin
Doctor :  
User :   I have had a few weird feelings lately. I first noticed the palpitations at the gym during exercise, which scared me and sent me into panic. Also I have been noticing that after lifting I feel anxious. I had an ECG done 6 months agao and was normal, no history of heart disease, although I have slightly elevated BP when nervous 140/80 130/80
User :   Well the palpitatoins are back and last night it seemed that during one my vision got blurry for a second and it scared me
Doctor :  
User :   Also I swear I have slight numbness at times in my left fingers aslthough I dont know if this is a real symptom or that I am concentrating on it. I am 33 160lbs
Doctor :   ok

User :   Also I have been experiencing a bit of anxiety since I stopped Klonpin
Doctor :   for how long did you take klonpin?
User :   about a year this stint on and off
User :   I was diagnosed at 13 with panic disorder
Doctor :   ok

User :   Do you know why exercise would cause panic and or palpitations. I dont know if the palpitations cause the panic or vice versa
Doctor :  
and when did you stop taking the the medication
User :   Also they come at random times at high emotion like laughing etc. but not every time
User :   about two weeks ago
User :   and my thoughts have been a bit eratic, but I expect this
Doctor :   are these symptoms appeared after stoping the medication ?
User :   I know panic makes me worry, and concentrte on health. So I have been consumed with heart failure for some reason
User :   They were there a bit before to. So I stopped any alcohol use and caffiene which slowed them
Doctor :  
User :   Before I did that I would life and My heart would speed up and I would get a palpitation which scared my into a panic eposide. That really hasnt happened since
Doctor :   ok
User :   lift
Doctor :  
User :   lift weights. Not heavy, lifting. Just regular
Doctor :  
User :   Also I used to be able to drink alcohol maybe a beer a night and not have any anxiety. Now it seems that one beer throws me into a anxiety. Also coming down off of one beer I feel my heart rate really speeds up
User :   So thats about the jist of it
Doctor :   ok
Doctor :  
apart from the medication what other forms of therapy have you undergone
User :   Just verbal therapy, psycology etc.
User :   I am not sure if this episode is triggering palpitations or vice versa which is the reason for my concern. Although I dont want to keep running to the doctors knowing that my mind sometimes creates issues. So I am checking here
Doctor :   yes it is your mind which is creating the issues

Doctor :   you know that, now you should learn and or train the mind to prevent creating such issues
User :   Any reason for the anxiety after lifting weights? Or the recent inability to to drink alcohol?
User :   I try, it is...tough
Doctor :   anxiety as you know has many forms
Doctor :  
some will get anxiety when they see height, some will become anxious when they have to give exam
Doctor :  
like wise anxiety can be there in some while having there dinner
Doctor :  
while they go to bed
User :   Yes I had also got it after eating some times
Doctor :  
so the way the anxiety presents is very much variable
User :   I didnt konw if a chemical release after lifting was stimulating anxiety
Doctor :   it is presently not know what exactly causes anxiety
Doctor :  
one theory is that there may be chemical imbalance
User :   and in regards to the palpitations. I did get some while exercising before I quit Klonopin and I did not have much anxiety, which I think started this whole insanity
Doctor :   quting the klonopin was doctor advise or self decision ?
User :   It was prescribed for short term 4-5 months at .5. I ddint want such a high doese so I cut it and extended use until I was past panic. They wanted to use SSRI which are a horrible drug and caused huge amounts of weight gain. So it was a mutual arrangement that I would not be on it long term
User :   I am familiar with withdrawal from klonopin
Doctor :  
User :   Then the palpitations started again which threw me backwards.
Doctor :   management of the anxiety is multimodality
Doctor :   drugs are part of the treatment and they are not complete treatment
User :   I understand. In regards to the palpitations should I worry, monitor them, forget, or see if they have any other sympoms?
User :   Obiously researching sudden cardiac death is not helping me :-)
Doctor :   you are worried about the palpitation, they are there because of the anxiety
User :   I see
Doctor :  
and you researching more on the net is increasing your anxiety also
User :   I understand. Thank You . I have to run but thank you for your time
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