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Dizziness, fluttering in chest, fluctuating high BP, panic attacks. Suggest

Hi thanks for taking the time. I recently have been getting high blood pressure readings176 over 106 was the highest. Two minutes later it would drop to 120 over 80. I also get dizzy on standing sometimes and I also experience periodic fluttering in my chest. My Dr. isn't concerned but I am. What could be causing this. I also suffer from panic attacks recently. Actually after writing all this I feel
like a complete mess

Asked On : Fri, 26 Apr 2013
Answers:  2 Views:  31
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Psychiatrist 's  Response
Thanks for using healthcare magic.

It is common to have high blood pressure during panic attack or anxiety episode.

Dizziness or periodic fluttering can be attributed to anxiety.

You should rule out physical cause of panic attack including cardiac conditions, Low hemoglobin, vitamin B12 deficiency etc.

To control of anxiety, you should consult psychiatrist for detailed evaluation and management,

Meanwhile you can do stress management and breathing exercise.
Answered: Fri, 26 Apr 2013
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Psychiatrist Dr. Gourav Monga's  Response
Welcome to health care magic
I can understand your situation. I appreciate your effort to seek online support.

As per your details, you are possibly having Panic disorder which is characterised by panic attacks. Increased blood pressure could also be due to this, however, it needs detailed work up by a general physician to rule out any cardiac pathology.
After that, consult a psychiatrist for detailed evaluation of panic attacks and other symptoms. Following treatment strategies would be helpful-

1) Antidepressants like SSRIs (escitalopram, sertarline, paroxetine etc)
2) Antianxiety agents like clonazepam, lorazepam, alprazolam etc
3) Psychotherapy/ Counselling sessions
4) Relaxation techniques like yoga, meditation, deep breathing etc

Hope it helps
Good luck
Dr. Gourav Monga
Consultant Psychiatrist
Answered: Fri, 26 Apr 2013
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1 Doctor agrees with this answer

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