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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Pounding Of Heart And Sweating Be Due Anxiety?

Peace, mercy and blessings of God Greetings to those in charge of the site and reward you with good for what you are doing to serve your brothers. I am a man age 41 years and for a long time and I am afraid of death and disease, and aviation and despite my every year and I am not afraid of flying. I always came to me suddenly cause of death while I pray in the mosque behind Imam surprised the idea of ​​death, and I try to be finished the prayer to escape from the mosque and heading towards the house (this case I have more than 20 years). 8 months ago, I grew a fear of severe and I m in a barber shop while I was shaving and taking a sweat me and blows my heart accelerates not finished shaving and left the shop and I felt dizzy and like a faint Ali and I have been at night trying to warm my limbs, but to no avail and I went the next day to the hospital and told me that the compressive high and needed for medication to lower it and three days after I checked the hospital after a dizziness in the head and was compressive 160/110 and described to me a medicine called for lotevan 5/160 and after stabilizing pressure on the 130/84 returned concern in terms of health and Adttrt to raise the dose to 160/10 of the same drug was then substituted into Eisenberl 10 mg and now proven pressure, but I am a permanent sense that I have a disease is discovered Although my visit to several consultants and the various disciplines and the work of various tests, but I am still in fear and anxiety, and is now afraid troubled, because I started to forget some of the names and remind her after Houdat or minutes at most times, but rarely type as I have a lot of confusion when you see one for fear of error in his name as I became moved away from the marital cohabitation for lack of desire and the lack of pleasure. After this suffering and confirm that the doctors and blood tests to detect the physical sound all decided to go to a psychiatrist and told me that I have anxiety disorder. He described to me a medicine called Escitalopram20mg But I did not I address please help me I am confused about what is the problem on my case.
Wed, 1 Oct 2014
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Psychiatrist 's  Response
Hi,
Thanks for writing to healthcaremagic.

I appreciate that you have narrated your history quiet well and it suggest that you are suffering from panic disorder with agoraphobia.
There are panic attacks with impending doom and with anticipatory anxiety.
you have also fear of crowded places and fear that how you can escape from those places.

You did not have mention when your blood pressure exactly taken at point of time because during panic attacks also you may found high blood pressure with completely normal cardiac profile.

SSRIs are drug of choice starting with low dose with benzodiazepines for short time under psychiatrists guidance.
Escitalopram itself is SSRI and it will work well but start with 10 mg first then gradually increase to 20mg if needed.

Hope I have answered your query,
Regards,
Dr.Chintan Solanki.
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Could Pounding Of Heart And Sweating Be Due Anxiety?

Hi, Thanks for writing to healthcaremagic. I appreciate that you have narrated your history quiet well and it suggest that you are suffering from panic disorder with agoraphobia. There are panic attacks with impending doom and with anticipatory anxiety. you have also fear of crowded places and fear that how you can escape from those places. You did not have mention when your blood pressure exactly taken at point of time because during panic attacks also you may found high blood pressure with completely normal cardiac profile. SSRIs are drug of choice starting with low dose with benzodiazepines for short time under psychiatrists guidance. Escitalopram itself is SSRI and it will work well but start with 10 mg first then gradually increase to 20mg if needed. Hope I have answered your query, Regards, Dr.Chintan Solanki.