Suggest Treatment For Panic Attacks Due To Anxiety
clonazepam 0.5 mg and pantaprozole for 10 days.
Now I request that based on this history please inform me whether my son has heart trouble or panic attacks due to anxiety? what should I do ? should I go for the medicines cited above Or should I take him to a cardiologist. I am not having good opinion on corporate hospitals as my father in law was misguided by those people. Kindly suggest me for further action
please see details below
1. Historically , a very pertinent point is that how much he is able to walk/ exercise/ run/ use stairs without getting breathless or developing pain chest? if he is able to do so up to a significant level of effort, at any time, likelihood of his symptoms being due to anxiety is high. but basic principle of medicine is "Always rule out organic disease first".
2. My pick on this condition will be that he must be seen by a good ethical cardiologist first. Once he is examined well, the cardiologist can directly subject him to exercise stress test (or after performing ECHO). The stress test will not only rule out anginal heart disease but will also assure him of his exercise capacity. There will be an objective documentary evidence that will be convincing to his mind.
3. There after you can see a clinical psychologist , rather than a psychiatirst. If the clinical psychologist thinks that he really requires psychiatirc intervention, only then he should consult a psychitrist. Else there is a possibility that a psychologist can treat him well.
4. Sir there is a difference between possibility and fact. For a given patient fact is much more important than possibility. Hence organic disease must be ruled out, which I do not think will take much for a seasoned cardiologist.
Feel Free to discuss further.