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Experiencing stress attacks, sleeplessness, trembling, weakness, anxiety, adrenaline surge. Done US. What can be done?

Hi, I am 45y/o mum and I have been experiencing on and off waking in the morning around 3-4am and instantly going into a stress attack. I tremble and I clinch my jaws together also I am yawning constantly. I feel weak when I get out of bed because I feel the need to go to the toilet. I have had my heart checked out with a ECG also a Ultrasound and all is good, but this was because I was having elevated heart rate. They diagnosed me with Anxiety, but what I would like to know is when your heart races with an panic attack, is there something I can do to help me recover quicker and do to help my heart cope with the adrenaline surge. I ask because sometimes I get a aching in my shoulder blade and uncomfortable in my chest initially but then goes down to feeling sick and hurting at the top of my rib cage in the upper stomach area?

Thank you
Asked On : Tue, 9 Apr 2013
Answers:  4 Views:  55
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Psychiatrist 's  Response
from ur complaints it seems like u are having anxiety symproms along with sleep problems as u are yawning and fatigued. these complaints alomg with early morning sleep disturbance may suggest depressive signs. its better to consult a psychiatrist to rule out depression. for the anxiety symptoms the options are antianxiety medications or exercise will help.
thank u.
Answered: Tue, 9 Apr 2013
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Psychiatrist Dr. Seikhoo Bishnoi's  Response
Dec 2014
Welcome to HCM

Panic attacks with anxiety present with such type of symptoms. Tremors, restlessness, chest pain, palpitations, inability to cope, pains etc are main symptoms. There are two type of medicines which are used in such cases. One are to correct anxiety itself as SSRI such as Fluoxetine, Paroxetine, Sertaline etc. and SNRI as Duloxetine.
Other are used for immediate relief of anxiety as Benzodiazepines as Alprazolam, Clonazepam etc.
Relaxation techniques are also very useful.
For detailed evaluations visit a good Psychiatrist.

Dr. Seikhoo Bishnoi, MD
Answered: Tue, 9 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 underlying anxiety disorder (panic disorder). For this consult a psychiatrist for detailed evaluation. Following treatment strategies would be helpful-

1) Antidepressants/antianxiety drugs 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: Tue, 9 Apr 2013
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Psychiatrist Dr. Jonas Sundarakumar's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

From the description of your symptoms, you are likely to be suffering from an anxiety disorder with panic attacks. Whenever you feel that your anxiety levels are increasing and your heart rate is rising, you can try relaxation techniques like deep breathing, progressive muscle relaxation, yoga, etc. This will prevent your symptoms from escalating and will provide you relief and relaxation.

There are effective treatment options for anxiety disorders- in the form of medication and psychotherapy. So, I would suggest that it would be worthwhile to consult a psychiatrist for a detailed evaluation and treatment.

Wish you all the best.

Dr. Jonas Sundarakumar
Consultant Psychiatrist
Answered: Tue, 9 Apr 2013
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