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Symptoms of anxiety and panic disorder - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
User :   Hello, I am a 44 year old white male in what I would consider excellent health. I have had no indication through any of my annual exams and blood work that I have any medical issues at all. Everything appears normal. However, I occasionally get these episodes of dizziness and anxiety. This escalates to me feeling pains in my chest and a general feeling of uneasiness. These episodes seem to come and go. They are accompanied by fatigue. What I am trying to understand is if there is any underlying condition I should pay attention too. I have no serious health history. My father (age 74) had his first artery blockage diagnosed and fixed (no heart attack). I exercise regularly, I am not overweight.
Doctor :   Hi
Doctor :   Let me read the query.
Doctor :   Can you describe the chest pain?
Doctor :   Does the pain increase after food?
Doctor :   And since when are you having these symptoms?
User :   No association with food. Pain always seems to be on the left side. sometimes in my arm. It comes and goes. Most days I feel fine, but occasionally I feel this way. I have been having these types of spells off and on over the last 3-4 years.
Doctor :   Ok
Doctor :   Do you have breathing difficulties associated with your current symptoms/
Doctor :   Have you seen a doctor in the past for these current problems?
Doctor :   Do you smoke or consume alcohol?
User :   No breathing issues. I do not smoke. I do drink alcohol 1-2 drinks per day.
Doctor :   Ok
Doctor :   Let me explain to you.
User :   Yes, I have mentioned this to my doctor and she thinks I have no issues and shouldn't be concerned with anything
Doctor :   Based on your description, there seems to be no obvious medical reason associated as the cause.
Doctor :   It probably may be secondary to anxiety/panic attacks.
Doctor :   However considering your age, and the family history, you will need regular check ups.
Doctor :   Regular Blood pressure check ups( including postural variation), blood sugar, cholesterol and cardiac evaluation.
Doctor :   Along with these measures, you will also need measure to control anxiety.
Doctor :   Such as
Doctor :   1. Regular sleep and regular diet.
Doctor :   2. Destressing measures such as physical exercise, slow and deep breathing exercise, relaxation techniques, yoga and trancendental meditation.
Doctor :   Have you followed what I have suggested?
User :   Maybe what is the most concerning thing to me is not knowing what a cardiac event really feels like. I have had stress tests, EKG's, excellent blood work results, my cholesterol is awesome (100 HDL and 70 LDL). Is there any reason why I should believe these measures?
Doctor :   Your symptoms aren't significant to suggest a cardiac.
Doctor :   And the chances of you getting a cardiac event are much lesser,
Doctor :   if you have the risk under control.
Doctor :   The measures that I suggested are the means of keeping the risks under control.
Doctor :   You can avoid a cardiac event, if you can be regular with those measures.
Doctor :   Hope it is clear.
User :   Yes, it is clear. I do practice many of your recommendations. Regular exercise (weight training, Pilates, and cardio), I do deep breathing before sleep every night. I could sleep better. Deviated septum and active young kids make this more difficult. Again, I have no reason to think I have any serious conditions, just trying to make sure my "episodes" are an indication of something larger.
Doctor :   No,
Doctor :   the symptoms are not a concerning problem.
Doctor :   More related to anxiety than an organic medical problem.
User :   Thanks! Have a good night
Doctor :   With continued use of risk prevention, you will be able to avoid cardiac complications.
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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