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Tiredness,dizziness with breathing problem,anxiety disorder - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User :   every morning i have been waking up, and still feeling very tired, when i wake up and up to an hour or more later is is very hard to get a good breath. my chest feels very flush and i get somewhat dizzy? what could be wrong?
Doctor :   Hi
Doctor :   Iam.Dr....
User :   hello
Doctor :   PLease let me read your post
Doctor :   May i know your age and gender?
User :   21 male
Doctor :   Did you take alcohol?
User :   no
Doctor :   Since when you have this?
User :   about 2 months
Doctor :   Do you have any sudden change in your lifestyle?
User :   All day i will be very tired and somewhat dizzy
User :   well i my wife had a baby in march and i got married last september
Doctor :   May i know your body weight?
User :   170
Doctor :   170 pounds?
User :   yes sir
Doctor :   ok
Doctor :   there can be different cause for tiredness
Doctor :   ranging from sudden change
Doctor :   in lifestyle
Doctor :   to hormonal disturbance like the thyroid hormones
User :   is it possible i could have sleep apnea?
User :   or what about anxiety? i have bad anxiety
User :   good sound sleep? no, it is very rare
Doctor :   Why do you have anxiety?
Doctor :   Anxiety can trigger
User :   yes i have been in and out of the emergency room the last month and they think i have anxiety
Doctor :   stress
Doctor :   and the body will respond by being lethargic
User :   they also think i may have depression due to the sudden lifestyle change
Doctor :   are you on any medicines?
Doctor :   so you have sudden lifestyle change?
Doctor :   is it marriage?
User :   i am on asythromycin for an inner ear infection
Doctor :   ok
Doctor :   that is an antibiotic
User :   My wife says i havent been the same since we brought the baby home from the hospital
Doctor :   Generalized anxiety disorder (or GAD) is characterized by excessive, exaggerated anxiety and worry about everyday life events with no obvious reasons for worry.
Doctor :   ok
Doctor :   that will change withntime
Doctor :   with time
User :   i worry 24/7
Doctor :   since that is common for all
User :   and i dont know why
Doctor :   it happens fro everyone
Doctor :   when they become parents
Doctor :   i too had that
Doctor :   it will get relieved
Doctor :   when you start thinking of the benefits
User :   ok, let me tell you my list of symptoms in the last two months
Doctor :   yes sure
Doctor :   Relaxation techniques, such as deep breathing and biofeedback, may help to control the muscle tension that often accompanies anxiety
User :   I am tired all day and when i go my mind wanders and sometimes it takes me forever to get to sleep. During the day i feel as if i have had two beers but have not been drinking at all, i cannot concentrate on anything or focus, i get dizzy, i get very tired, and i have anxiety attacks
Doctor :   you may treat anxiety at home without the involvement of a doctor.
Doctor :   Do you work anywere?
User :   i am in the military
Doctor :   ok
Doctor :   thats good
Doctor :   since you are not sitting idle
Doctor :   that will increase your stress
Doctor :   you may treat anxiety at home without the involvement of a doctor.
Doctor :   try these
Doctor :   Picturing yourself successfully facing and conquering the specific fear
Doctor :   Talking with a supportive person
User :   But would you think they could put me on any medication?
Doctor :   Meditation
User :   but i really dont know of any fears i am having
Doctor :   no need for it initially
Doctor :   try home remedies
Doctor :   it easy and does wonders
Doctor :   Deep-breathing exercises
User :   that sounds good
User :   but...
Doctor :   Taking a long, warm bath
Doctor :   Talking with a supportive person
User :   i do all those things and i still feel this wau
Doctor :   Resting in a dark room
User :   way
Doctor :   ok
User :   and it seems to be getting worse
Doctor :   When the cause is psychological, the underlying cause needs to be discovered and, if possible, eliminated or controlled.
Doctor :   For example, if the cause is difficulty in a marriage, the doctor may suggest marital counseling.
Doctor :   When the cause of anxiety is a physical ailment, treatment is directed toward eliminating that ailment. For example, if your thyroid gland were overactive and causing anxiety,
Doctor :   Cognitive-behavioral therapy: People suffering from anxiety disorders often participate in this type of therapy, in which you learn to recognize and change thought patterns and behaviors that lead to anxious feelings.
Doctor :   This type of therapy helps limit distorted thinking by looking at worries more realistically.
User :   ok
Doctor :   In the past, anxiety was treated with drugs in a class known as benzodiazepines
Doctor :   Dependency on anti-anxiety medications (benzodiazepines) is a potential complication of treatment. Side effects of antidepressants vary by specific drug and the person taking them.
User :   so me not being able to breathe in the morning very well doesnt concern you?
Doctor :   Drugs of the SSRI class (selective serotonin reuptake inhibitors that are also used to treat depression) are sometimes prescribed
Doctor :   yes
User :   anxiety and depression runs very strong in my family
Doctor :   that can come due to stress
Doctor :   do you have any history of asthma?
Doctor :   do you feel chest pain then?
User :   my mother says when i was way younger i had a standbye inhaler
Doctor :   ok
Doctor :   when you get emotional o rstress
Doctor :   your lung muscles can
Doctor :   constrict
Doctor :   and cause a chest breathlessness
Doctor :   that is purely nerve related
Doctor :   so what you
Doctor :   need first is to
User :   i have been away from my job since the 8th on vacation
Doctor :   relieve the stress feeling you have
Doctor :   ok
User :   i have been relaxing all the time
Doctor :   ok
Doctor :   then you might need some simple anti anxiety medicines
Doctor :   Drugs of the SSRI class (selective serotonin reuptake inhibitors that are also used to treat depression) are sometimes prescribed
User :   ok
Doctor :   Drugs are available to treat GAD and may be especially helpful for people whose anxiety is interfering with daily functioning. The medications most often used to treat GAD in the short-term are from a class of drugs called benzodiazepines.
User :   also i have palpitations
Doctor :   GAD- general anxiety disorder
Doctor :   yes it can come with stress
Doctor :   all are nerve related
Doctor :   Symptoms of GAD can include: User :   can stress extend to rapid heart rate while exercising
Doctor :   # Excessive, ongoing worry and tension
# An unrealistic view of problems
# Restlessness or a feeling of being "edgy"
# Irritability
# Muscle tension
# Headaches
# Sweating
# Difficulty concentrating
# Nausea
# The need to go to the bathroom frequently
# Tiredness
Doctor :   yes
Doctor :   your heart will have more hormones
User :   what i used to be able to do physically makes me very winded and tired now
Doctor :   like epinephrines
Doctor :   that will increase your heart rate
Doctor :   yes
Doctor :   it wil since you feel tired
User :   my cannot focus on anything and my vision sometimes is hazy like i have had a couple beers, like my balance is out of wack
Doctor :   In addition, psychotherapy may be useful. Helping the anxiety sufferer combat whatever unrealistic beliefs that may underlie the anxiety (cognitive therapy) or developing ways to manage worries (behavioral therapy) are psychotherapeutic approaches that are often used.
Doctor :   WWW.WWWW.WW [push]
User :   ok
Doctor :   you can get expert opinion from our specialist
Doctor :   most people gain substantial relief from their symptoms with proper treatment.
Doctor :   here are some things that you can do to control or lessen symptoms, including: Doctor :   Stop or reduce your consumption of products that contain caffeine, such as coffee, tea, cola and chocolate.
Doctor :   Exercise daily and eat a healthy, balanced diet.
Doctor :   # Seek counseling and support after a traumatic or disturbing experience.
# Practice stress management techniques like yoga or meditation.
Doctor :   That can help you a lot
Doctor :   I s there anything else i can help you with now?
Doctor :   Thanks for consulting................
Doctor :   Bye for now................
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