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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Panic Attack?

Hi,



I'm a drummer and had shortness of breath, sweating and tachycardia while I was playing. I was brought to the ER and after ruling out a heart attack I was told I had a panic attack. Since that Time I've had a lot of anxiety. Shortness of breath, rapid heart beat, muscle tension, etc. Tonight I was at a rehaersal and while playing my heart started to palpitate, I had some pain in my left front shoulder area and my palms were sweating. It passed in about a minute or two, but I was very concerned. I've had a lot of changes in my personal life very recently. I went through a divorce, sold my house, I'm out of work and I don't have any health insurance. Could what I'm experiencing be all anxiety related?
Wed, 9 May 2018
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Cardiologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Let's get out the medical terms and speak as two friends
Concerning your heart symptoms which ruled out any serious condition that means you might live hard times with a relative or a friend who suffered greatly from heart diseases, or you might be touched by a story or whatever making you worry about your heart. A panic attack is just to fear from something and the symptoms are just like what you wrote, but treating it is easy. You have mentioned that you pass through hard social circumstances and that is enough to be worry and I agree with you, but let's keep moving forward. What about applying for new jobs? Traveling abroad? Trying something new? Making new friends? All of these can get you out of this condition.

Let's speak medically, you seem to have an anxiety disorder which is very common to any normal person. In anxiety, Serotonin level decreases in your brain which makes you more susceptible to have panic attacks.

How to increase our Serotonin level? there are three major nonmedical ways to increase your Serotonin level:
1- Exercise on a regular basis.
2- Sleeping well and early ( before 12 a.m. ) because the ideal time for your brain to synthesize serotonin is from 00:00 to 02:00
3- Happiness, do things you like and have fun with your friends, etcetera.

There is, of course, a medical way to increase your serotonin by taking SSRI (Selective Serotonin Re-uptake Inhibitors) which is prescribed by a psychiatrist. Also, Counselling has a major effect.
My advice to you is to change your lifestyle and if this doesn't help you may ask for counseling with a psychiatrist.

Hope I have answered your query. Let me know if I can assist you further.

Regards,      
Dr. Mario Aiad
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How To Treat Panic Attack?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Let s get out the medical terms and speak as two friends Concerning your heart symptoms which ruled out any serious condition that means you might live hard times with a relative or a friend who suffered greatly from heart diseases, or you might be touched by a story or whatever making you worry about your heart. A panic attack is just to fear from something and the symptoms are just like what you wrote, but treating it is easy. You have mentioned that you pass through hard social circumstances and that is enough to be worry and I agree with you, but let s keep moving forward. What about applying for new jobs? Traveling abroad? Trying something new? Making new friends? All of these can get you out of this condition. Let s speak medically, you seem to have an anxiety disorder which is very common to any normal person. In anxiety, Serotonin level decreases in your brain which makes you more susceptible to have panic attacks. How to increase our Serotonin level? there are three major nonmedical ways to increase your Serotonin level: 1- Exercise on a regular basis. 2- Sleeping well and early ( before 12 a.m. ) because the ideal time for your brain to synthesize serotonin is from 00:00 to 02:00 3- Happiness, do things you like and have fun with your friends, etcetera. There is, of course, a medical way to increase your serotonin by taking SSRI (Selective Serotonin Re-uptake Inhibitors) which is prescribed by a psychiatrist. Also, Counselling has a major effect. My advice to you is to change your lifestyle and if this doesn t help you may ask for counseling with a psychiatrist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mario Aiad