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Anxiety disorder,panic attacks - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions
Doctor :   Hi
User :   Good morning I am a 32 yr old female with some issues I can't explain
Doctor :   go ahead
User :   For the past 6 weeks I have had strange symptoms. It started with me driving in a car and not feeling like I was getting enough air. My heart began to race and I had a panic attack. After that subsided I went to like a candle and noticed my hand was trebling as I did it. I looked up trembling on the Internet and MS came up as a possible reason
Doctor :   Did it happen fir the first time?
User :   I have since been to the er twice for my tremor and after reading the symptoms of MS I now have tingling feet that come and go and a slight tremor in both my hands. I have had a rapid heart ever since. I went to my gp twice and a neurologist who both said these are not common symptoms of MS and that I have anxiety. I had a cat scan blood work and 2 full physical neurological workups. Yes, that was the first time I trembled. Can I accept this diagnosis of anxiety, my gp put me on an anti depressant and the neurologist jokingly told me there was no reason to see him or have any other tests done.
User :   All the tests were normal
Doctor :   Most common presentation of MS is visual disturbance
Doctor :   And if you had MS it would have shwon in Neurological examination
User :   Yes I have no vision problems and my balance is perfect. Can these symptoms all really be attributed to anxiety?
Doctor :   Yes they do correlate with Anxiety Disorder
User :   Even if the symptoms are persistent? I have great doctors and I want to believe them but I just feel so odd and like there must be something physically wrong
Doctor :   Let me assure you that with cognitive behavioral therapy Anxity can be curable
Doctor :   so you dont have to worry about anything
User :   So you don't believe that further testing is needed and that I need to give the meds time to work (only been on them a week) and try some therapy
Doctor :   the medications will start working only after 2 weeks after the correct dosage has reached in your blood
Doctor :   so all you need to do is be positive , and dont get stressed out
Doctor :   and you will be fine
User :   I also have muscle tremors when I go to use the muscle, like if I do a yoga pose my muscles shake, is this normal or can this be attributed to anxiety. I have lost 10 lbs in 2 weeks and haven't worked out in years is this my muscles not being used to activity or is this thre weakness presented in MS? My neurologist said I have good muscle tone and strenght
Doctor :   Your Neurologist conformed the findings
Doctor :   In anxiety there is high sympathetic out put. In all conditions associated with sympathetic output u get tremors.
Doctor :   Your Neurologist assured you have no MS
Doctor :   Anxiety is a chronic problem. It is exaggerated Sympathetic activity. Tremors are part of it.
User :   My logical self believes him my hyper anxious self is looking for a physical reason, my gp doesn't believe I have it either
Doctor :   Becuase you have tremors in additions to anxiety, that makes the diagnosis very crystal clear
Doctor :   There are many diseases in which tremors can happen
User :   Even with the tingling feet and hands at times?
Doctor :   But you do not have those diseases as, your Neurologist confirmed it
User :   Ok so I don't need an MRI, because I can't afford one
Doctor :   Tingling can be symptom of Neuropathy
Doctor :   You can get the Nerve conductions studies of upper and lower extremities
User :   Can tingling be symptom of anxiety
Doctor :   But it is usally done only if the symptoms are persistent daily
Doctor :   Can tingling be symptom of anxiety : No
Doctor :   Ok so I don't need an MRI, because I can't afford one : MRI is the acuarte test for MS
Doctor :   MRI is advisable when MS is suspected
Doctor :   It is ur assumption
Doctor :   It is not in doctor's list
Doctor :   I recommend you to get complete evaluation by Psychiatrist and get medicine if required. You can take antidepressant for Anxiety. After 4 weeks u get relief from Tremeors
Doctor :   That proves you have no MS
Doctor :   Did I resolve ur doubts?
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