Question: Hi,
I am 31 Year old. I am in IT professional and goes to office everyday. But after some time, I start feeling suffocated and my feet gives me the feeling that they are boiling and because of this, I keep on removing & wearing the shoes whole day. Situation gets worsen after lunch and it keeps on increasing as day passes. Often I do vomit due this suffocation. Below are few situations when I feel it the most.
1. While riding or walking in XXXXXXX weather,
2. My sweat has bad order and if my shirt becomes wet from underarms, then I wont be comfortable even in a/c.
3. Stinking Area or restroom
4. After a long day, if I have dinner outside (without changing the dress). I will have tough time to reach back home.

As soon as I reach home, with half breath, I remove all the cloths and I can feel the heat coming out of my body. My heart beats will be all time high and ready to vomit and I am supposed to lay down immediately. I drink 5-6 liter of water every day and eat normal home made food. My BP is normal and I regularly donate blood. I do feel that psychology also plays some part here. Intensity of suffocation increases as I approach towards my house. Once I feel uncomfortable, there is no way to become normal until I reaches home and change my dress. If I use one shirt even for 1hr, I can't wear it again even though if it is absolutely fine.

Hello Dr.

Thanks for your response.

I kept on thinking last night, that how better I can jot down my problem.

I have this problem since 10-11 months but it was not that prominent. I used to get this feeling rarely but then it used to continue for atleast couple of days. I used to have long office hours that time. Recently I switched my job and now most of the time, I work from home(means sitting relaxed wearing shorts and no shirt and shoes). This might be the reason that every time I get dressed and go out, I start feeling uncomfortable in no time.

Take bath, get dressed and go out on bike and after sometime my feet start becoming hot. I realized that I feel more uncomfortable once underarms make shirt wet. After that, I just wait to reach back home and I will not be comfortable all this while. As I approaches home, I start feeling suffocated and remove the helmet as soon as possible. Enter inside the house, throw the shoes and remove the dress including watch in 4-5 sec and just lay down on bed with fan ON. 5-10 min, I will be normal. So I mentioned, I feel its psychological as well.

Other reason I noticed that while I have gastritis. I can feel that my stomach is hot. I tried having raw milk on empty stomach everyday for 2 weeks and that time I got some relieve. One more thing, I felt that frequency of this problem increases when I feel that my weight got increased or stomach is bulging out (due to excessive/outside food or gastritis).

Answer to your questions are below:

- Since when are you feeling such problems? : 10 - 11 months and now days it is regular.

- What is situation on Holiday? If you are at home problem remains the same or not. : Usually I don't wear shirt at home and remains fine. But yes, say I came back from outside and body odor and sweat stickiness will keep me uncomfortable

- You mentioned, ''If I use one shirt even for 1hr, I can't wear it again even though if it is absolutely fine.'' Does it mean you wear new shirt everyday? - Shirt has be washed and after every use, it goes for washing again.

- Is your suffocation noticed by others at work place or home? : I try my best to hide it from others. I will not talk much and use restroom. Say friends are at home and I am feeling uncomfortable, I will be keep on trying to be normal and as soon as they leave, same 5 sec process I repeat.

- Do you have any complain of headache with such symptoms? : I do get headache but not necessarily during these times. Had complete checkup 3 years back including MRI scan and nothing was diagnosed. That time, I used to have frequent headache.

- Are these symptoms continuous during a day or occurring in episodes? : If I feel it once, it will be there till I reach home and change dress.

- During suffocation do you feel like you are dying?: No. I just feel puckish and yes, it does little help when I am outside and can't remove the shoes/shirt.

- Are you married? Let me know some family background. : I am single, stays alone. My mom has depression, anxiety and thyroid problems. Dad and younger brother are fine.

- Is there any stress (social, occupational, emotional, economical etc.) in your life? : I wont say it as stress but yes mind will always be busy thinking sometime, be it financial or mom's health or anything.

I am going for a complete checkup next week sometime and as you suggested, i will get those things also checked.

Regards,
xxxx.

Thanks Dr. XXXXXXX

I will surely consult it asap but I do not feel if it is Agoraphobia.

Would be great if you can suggest any medicine or some natural way to reduce this problem.