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Dizziness, leg pain, chest tightness, sensitive to light, no weight gain. Due to anxiety?

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Psychiatrist
Practicing since : 2009
Answered : 632 Questions
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Hello Sir,
i have been feeling strange symptoms in my body since last 4-5 years..
i have met many doctors regarding same issues..got alot of tests done but nothing got diagnosed as such except anxiety and deficiency of vitamin d..
i dont deny that i have anxiety but there are many body symptoms that makes me anxious instead of negative thoughts.
following are few of the symptoms which i feel almost daily.

1) very tired, dizzy and muscle pains, gets better on resting but increases on movements..
2) on waking up i feel ok for half and hour..but starts feeling tight body and exhausted soon without any major movements
3) body pains starts usually 2 hrs after breakfast, specially in legs..i feel like feverish and very weak and worst time of my day is this..
4) pains are worst if i have done simple tasks like car driving on prev day, my chest becomes tight, even talking becomes a major efforts, feel breathless due to tightness and gas in stomach, feel better after reliveing some gas as burps..
5)after reliveing gas, i feel like i m going to pass out. As if I have been drugged, whole body becomes wobbley and jelly like. this makes me very anxious and my chest gets tighter
6) i eat my lunch and it makes me feel better for 2-3 hrs again..second episode happens in eve at around 4-5 pm i feel sleepy..and tired...but i somehow manage to go to gym..
7) i feel better after gym, less weak but still nt really energetic to go to a market.
8) i have stopped doing many things which involves physical exertion.. coz it makes me really tired next day..
9) my eyes are really sensitive to light and motion. i get dizzy and disoriented easily
10) my muscles becomes tight if i dont do excercise everyday
11) i m not gaining weight even on a good diet.

sir, i went through major emotional and work stress 5 years back for 2 years continuously..i know that could have started all anxiety..but now there is no pressure like that..i m living stress free since 2 years but my body is not at all healing..muscle pains and tightness are worst..
i m not depressed except for the fact that i m doing those amazing things which i can in my life.
i want to be active again..and do things as before..i want to give myself time to recover but i m totally confused whats happenning..

my questions are
1) do you think its only anxiety
2) how can i recover
3) i have tried medication like pexidep in starting (4 years back) it made me fat but then after taking it for 2 years..i didnt feel any major diff so i asked doctor to get off it.i started loosing weight with gassy stomach and constipation.
4) whats happenning to me? plz give me few links of details where i can read details..i love to read about my condition it helps me to understand myself better..i know adrenal fatigue, hyper sensitivity to adrenaline. but if this is the case thn how can i recover.
5) why eating helps for sometime.
6) why I feel better in evenings.

thanks so much for your time sir,
i know its a long post and you can see my test reports as well from my prev posts
and at atlast sir, i have read alot of self help books, they helped me alotwith my anxiety..but i m concerned about my physical weakness only.

thanks


Posted Wed, 10 Apr 2013 in Mental Health
 
 
Answered by Dr. Sundar Gnanavel 1 hour later
Hello
Thanks for your query. I understand your concern and distress associated with the symptoms. There are multiple pointers towards chronic fatigue syndrome or fibromyalgia related illness. They manifest primarily with an energy deficiency state associated with anxiety depressive or somatic symptoms. You are manifesting primarily with somatic symptoms I.e body pains and tightness. Pexep or related drugs are prescribed routinely for this condition though their effect is questionable. I would suggest you XXXXXXX a clinical psychologist for cognitive behavioural therapy that has been proven efficacious for the condition. Yoga meditation and breathing relaxation exercises are also possibly beneficial. Reading material on this condition is difficult to find outside psychiatry text books though googling might help. Clarify further if required. Wish you good health.
Regards
Dr XXXXXXX
Psychiatrist
Above answer was peer-reviewed by
 
Follow-up: Dizziness, leg pain, chest tightness, sensitive to light, no weight gain. Due to anxiety? 7 minutes later
thanks for your concern sir,
i have been reading and listening to the following cbt programmes

attacking anxiety and depression by lucinda bessette (this programme literally pulled me out of the negative thinking)

recently i m listening to dr claires weekes audio books.

and i know it may be fibromylagia or chronic fatigue syndrom.
i will go for lighter excercise now..
thanks, appreciate your suggestions..
do you thyroid functions plays any part here..
all my siblings and mother has thyroid.
although i have got my thyroid levels checked and they seemed fine.
 
 
Answered by Dr. Sundar Gnanavel 4 minutes later
Hello
Nice to hear of your interest in cbt modality of therapy. Lighter graded exercises are definitely of value in your condition. Since you have checked for thyroid and results are normal there is nothing to worry about. Sub clinical hypothyroidism may add to your lethargy but right now I would suggest no thyroid supplements. All the best.
Regards
Dr Sundar
Above answer was peer-reviewed by
 
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