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Suggest Treatment For Frequent Panic Attacks In A Person With Gall Stones

Posted on Thu, 11 Jun 2015

Question: Hi this XXXXXXX ..last September I had two nigling pain in my back than I felt dizziness felt heart beating fast went to emergencies all of my test done found 9 mm stone in my gall bladder ,cbc normal,thyroid sugar normal ecg normal they told be I have anxiety problem and gastric problem I am taking Bravia ps,solopos beta ,pregain capsule but this uncomfortable and panic attack comes every 10 to 15 days is it due to gall bladder ,gas or some mental problem ,not able to lead life normally ,should I go to some mental treatment.

Answered by Dr. Chintan Solanki (2 hours later)

Brief Answer:
yes opinion of psychiatrist should be taken

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us.

You have panic attacks every 10 to 15 days. Gall stone is also there.

Gastric discomfort sometime can cause anxiety features.However they must be there almost all days and not like panic attacks for short duration.
You are taking Bravia ps(rabeprazoel- for acidity-burning),solopos beta(some beta blocker for anxiety),pregain capsule(some capsule as supplement or weight gain).

Sometime first panic attack may come without any specific stress and leads to other panic attacks in future.
Your all reports are normal so we can say there is no probable physical cause of panic attacks. They are mostly psychological.

To check that you have panic disorder or not, detail history and mental status examination are required by a psychiatrist.

Acidity/gastric discomfort and panic attacks may coexist also and can worsen each other.

Psychiatrist can help you to come out of this problem by providing diagnosis and treatment. Do not hesitate to consult psychiatrist with all your reports.

I need some more information to comment more on your status.

- What is your age?

- Please provide exact contents of the drugs you are taking if I am wrong in finding the same.

- If you have any social,occupational, economical, emotional or any stress let me know.

- What is opinion of your treating doctor?

Hope I have answered your query, I will be happy to help further.

Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Pradeep Vitta

Follow up: Dr. Chintan Solanki (4 hours later)

Sir my age is 32 and medicines are rifnim 400,oxicoz-q,nexventa-od plus 50,bravia ls,solo pos beta...sir iam feeling uncomfortable my doctor is Md medicine and saying u will be alright Iam ok but very depressed and afraid...

Answered by Dr. Chintan Solanki (11 hours later)

Brief Answer:
you should visit psychiatirt

Detailed Answer:
Hi XXXXXXX

Thanks for follow up.Sorry for delayed response.

MD physician may understand your problem but they are not trained to explain and treat such type of problems up to patient's satisfaction.
Nexvenla od 50 is probably desvenlafiexine which is an antidepressant. Physician just knows to prescribe this medicine but cannot deal with patient.

Psychiatrist is the doctor to who can deal with such problem professionally.You should visit psychiatrist as soon as possible. You are young and can come out of this problem for sure.

Hope this answers your concern.

All the best.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Chintan Solanki (28 hours later)

Sir can you suggest some mental health cheq up ...

Answered by Dr. Chintan Solanki (3 hours later)

Brief Answer:
history and mental status examination

Detailed Answer:
Hi XXXXXXX

I have already mentioned about mental health check up.
There is no specific blood test or other investigation for psychiatric problem.Detail history and mental status examination are main tools to diagnose psychiatric disorders and these are done by psychiatrist.

Do not hesitate to consult psychiatrist. Earlier the treatment starts better the results.

Take care.

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj