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Can Public Speaking Cause Restlessness, Excessive Sweating And Loss Of Balance?

Posted on Mon, 25 Sep 2017

Question: i am XXXXXXX XXXXXXX from XXXXXXX i coach students for getting admissions in IIT and various medical colleges in XXXXXXX from last 7 years .i remain in standing position for 6 to 7 hour daily while teaching 2 years back i suddenly felt in class while speaking tha t now i am going to fall and dont have balance and control on my legs with restlesness with unconsciousness for a moment followed by sweating , when i teaches on plateforms of height the above problem comes rigorously when come down suddenly disappears and i feel comfortable ,while teaching i fear to turn myself it appears i fell down ,feel tightness in neck even in some classroom i feel symptoms in high in some class rooms nothing when two year back i consulted dr kk XXXXXXX XXXXXXX he suggested me to take paxidep cr 12.5 daily and till now i am taking that medicine ,if i stop it again symptoms starts coming i also consulted neurologist they did mri of brain but did not found any abnormalities everything was normal.please suggest the way to come out of this .....is it curable...i want to come out of it at any cost

Answered by Dr. Ashish Mittal (15 hours later)

Brief Answer:
You are having Anxiety and Panic problem.

Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.

Important aspects of your query are:
• 30 year old male
• Known case of Panic and Anxiety
• Normal medical tests like MRI Brain.

From the history it appear that you had Panic attack 2 years back while teaching. Panic is extreme severe attack of anxiety, it may associated with dizziness (loss of balance), body tremors, palpitation, muscle spasms (like body tightness), sweating, restlessness and fear of losing control/heart attack/choking.

After panic patient used to have fear of developing such episode in future along with anxiety symptoms.

Your case is having similar presentation. Paxidep is a good antianxiety medicine. If you are having relapse of anxiety after stopping it, then it is better to continue it under your current psychiatrist supervision. In recurrent anxiety cases treatment is required for long term (for years also).

In case of anxiety treatment is highly individualized. Treatment may require modification in future depending on your condition. So continue follow up with current psychiatrist.

Apart from that following Positive lifestyle changes will help along with Paxidep:
-Fix sleep and wake up time, No day time sleep
-Switch off TV/Mobile/Net 30min before sleep
-Start daily Morning brisk walk for 30 minutes.
-Avoid excessive caffeine (tea/coffee/cold drinks). Not more than 2 cups/day.
-Avoid any substance use (if present).

I hope this information has been both informative and helpful for you.
Wish you good health.
Regards,

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Ashish Mittal (46 minutes later)

dear sir thanks for your valuable suggestion i want treatment by you only i live in XXXXXXX so let me know the frequency of sessions means how many time i have to visit XXXXXXX in a year or month or weak.

also please tell is it recoverable ? i have to take paxidep for entire life?

Answered by Dr. Ashish Mittal (19 hours later)

Brief Answer:
You can visit me.

Detailed Answer:
Hello again,

Thanks for follow up,

Duration of treatment is a dynamic decision, and depend on patient condition and relapse in future.

You can me in:
Confidence clinic, 248, sapphire mall, sector 49, XXXXXXX
You can also visit my website 99doctor.com.
For appointment you can call my coordinator Neeraj: 0000.

For distant patient usual frequency of visit is once in 2-3 months.

Take care

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Ashish Mittal (1 hour later)

thanks sir, is there any test to know the presence of anxiety and depression and i wanted to know your availability 28 and 29 of september in XXXXXXX also morning evening and night timings.

Answered by Dr. Ashish Mittal (24 hours later)

Brief Answer:
History is important

Detailed Answer:
Hello,

Thanks for follow up,
For anxiety and depression diagnosis, history is important.

Medical tests are helpful to rule out medical causes of problem, which you have already done.

For appointment you can coordinate with my coordinator Neeraj: 0000

Take care

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Kampana