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Suffering from anxiety and panic attacks, Obesity - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   i have been having problems with fatigue,weakness,dry mouth and eyes,problems contrasting,and anxiety and panic attacks. i have become agoraphobic and house bound. i need some help and someone to talk to about it. im thinking i might have a thyroid problem,i recently found out my grandmother has a thyroid problem
Doctor :   hi
User :   hello
Doctor :   let me read ur query
User :   sure
Doctor :   may i know your age ?
User :   30
Doctor :   ok
Doctor :   have u undergone any tests before for thyroid ?
User :   yes and i was told they were ok,i am now getting copies of my records so i know what ok meant
User :   i have been to doctors and they dont believe its mental problem
Doctor :   ok
Doctor :   may i know your occupation?
User :   i am on disabilty
User :   i'm house bound
Doctor :   ok ,
Doctor :   may i know the reason of your disability ?
Doctor :   is it physical ?
User :   its complex
User :   im fatigued all the time i get no rest from sleep and the panic attacks on top of that just make it to difficult
Doctor :   are u on any medications ?
User :   i was but nothing helped
Doctor :   so currently u are on no treatment ?
User :   no
Doctor :   have u lost weight ? or reduced appetite ?
User :   no but i do have a hard time loosing weight
Doctor :   any constipation, ?
User :   yes
Doctor :   may i know your weight in pounds
Doctor :   your height ?
User :   i use to have to get these little cones in my anas to help i was little and dont remember what they were
User :   220 5'10"
Doctor :   your BMI is 31.6
Doctor :   the normal is 18-25
Doctor :   above 30 is considered to be morbid obesity
User :   i know
Doctor :   have u tried joining a gym and going for a diet ?
User :   yes
Doctor :   how long has that been ? and can u explain what were the steps taken by you ?
User :   before i became fatigued and got the panic attacks.15 years? i use to go to the gym 3 times a week and i use to ride my bike at least 20 miles a day
Doctor :   ok
Doctor :   so what changed now ?
Doctor :   you are not able to work out anymore ?
User :   im tired all the time im weak i get no rest from sleep
User :   no
Doctor :   have u undergone sleep study ?
User :   no
Doctor :   you might be having sleep apnea
Doctor :   due to obstruction of your airway during sleep
Doctor :   this obstructive sleep apnea , is common in obese patients
User :   why am i obese though
Doctor :   and this results in your symptoms ,mentioned as lack of rest from good sleep, persistant fatigue, sleepiness during the day
User :   dry mouth and eyes as well?
Doctor :   obesity in your case, could be due to stress induced over eating, lack of physical activity and this increases as a cyclic pattern , increasing in severity
Doctor :   yes, they can cause dry mouth and eyes too
User :   but i didnt lack activity or over eat,i do now except over eating
Doctor :   but do u follow good diet practices and avoid fattening food stuffs ?
User :   i dont eat out,i make my food. bakes chickens greans beans,i dont eat red meat very often. im not a health nut but i dont eat really bad food or alot of girlfreind eats more then me and she weighs 120
Doctor :   have u undergone testing for sleep apnea ?
User :   no
User :   how is that donw
User :   done
Doctor :   i would advice a lung function study and a sleep study to diagnose this condition
User :   ok i will look into it
Doctor :   once this is diagnosed, proper therapy for OSA will reduce your fatigue and improve your lifestyle
User :   ok thaks
Doctor :   with regard to your anxiety and panic attacks , you will have to take some anxiolytic medications, prescribed by your doctor
User :   yup what ever
Doctor :   once this is controlled, your condition will improve, and you will be able to lose weight as well as get back to your active lifestyle as before
Doctor :   I hope you have followed my comments so far
Doctor :   take care and bye for now
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