Brief Answer: Mood-elevating drugs will give near-total relief Detailed Answer: Hi Ms. XXXXXXX Thanks for your query. Kindly intimate if - you have had menopause recently - you are on any hormonal treatment, apart from Synthroid. - you are passing through chronic mental stress/anxiety or have any mental/personal worries nagging your mind? You are most welcome to share everything with me, as the required information will certainly give great insight into the exact genesis of your problems. Further, it is certainly NOT an infection or a heart problem. Your symptoms are highly suggestive of either Menopausal/Peri-menopausal syndrome; or, acute panic attacks. You would need to be put on HRT (hormone replacement therapy), in case you have already had menopause or are in the pre-menopausal stage. In both conditions, that is, Peri-menopausal syndrome, as well as, acute panic attacks, Xanax (0.5mg) thrice daily would give you substantial/near-total relief. The dose of Xanax may, however, need to be modified according to the response. Consult your Gynecologist and apprise him of my opinion. I am certain that he will agree with me and prescribe the advised treatment in appropriate doses. Hope I have addressed to your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Fond regards and have a nice day, Col (Dr.) Rakesh Karanwal

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