What Causes Palpitations When Suffering From Anxiety And Panic Disorder?
I also complain from bloating and discomfort in my abdomen, I feel 2 people are stretching it from the side, and I feel it hard to the touch. I also feel constant dull pressure in the center of my chest where the breastbone is. It even causes me to take a full deep breath to feel relieved. My appetite is poor and I really prefer soup and warm food as it makes me more comfortable.
I saw a Doctor and did physical exam, he said my colon is full of gas because it is empty and I don't eat enough food. As well when he presses the upper part of my stomach right under the breast bones where the rib-cage splits it hurt me.
I also did an ultrasound for the abdomen and all where good (liver, kidney, pancreas, gallbladder) The endometrial thickness is 1.5 cm
I did a complete blood test:
CBC all is normal and my Hb is 84. But the lymphocytes are 56% although I don't have an infection at all. I did Liver function, Renal function, and urine general and all came Good. The doctor said no need to worry about Lymphocytes as long as there is no clinical finding.
I did a recent chest X-ray which was yesterday and it came back normal showing nothing in the lungs or heart.
My questions are
1. Sometimes palpitations happen when I am at rest and for no apparent reason and it really freaks me out. So do I use maneuver techniques or take meds (beta blockers) although I am hypo tension 90/60.
2. What is the cause of the chest discomfort and tightness I feel. (Like I am wearing a tight bra) the discomfort comes and goes, but it happens every day. I think but no sure it is a little bit relieved when I eat. But again it comes back after a few hours.
3. I am experiencing right side of the back pain/strain could this be related to surgery or chest pain.
4. Could my chest pain be an impending heart attack or Angina
5. Is the X-ray and ultra-sound an adequate tool for diagnosis.
6. My sugar level H1 is 6% am I a candidate for diabetes. Although I have a history of hypoglycemia.
7. I take Zolam for anxiety on and off - on need basis. I was told to use SSRIs but as I am taking baby dose aspirin I am afraid from drug interaction
Answers are below
Detailed Answer:
Hi,
Thanks for your query.
1. Sometimes palpitations happen when I am at rest and for no apparent reason and it really freaks me out. So do I use maneuver techniques or take meds (beta blockers) although I am hypo tension 90/60.
--Since you are hypotensive taking medications could be risky as they can reduce the blood pressure some more.
2. What is the cause of the chest discomfort and tightness I feel. (Like I am wearing a tight bra) the discomfort comes and goes, but it happens every day. I think but no sure it is a little bit relieved when I eat. But again it comes back after a few hours.
--Gastritis, this could be secondary to anxiety you have.
3. I am experiencing right side of the back pain/strain could this be related to surgery or chest pain.
--Right side back pain in the upper back is most often due to gastritis or pancreatitis.
4. Could my chest pain be an impending heart attack or Angina
--Yes, it can be. Only a stress test like treadmill test can confirm.
5. Is the X-ray and ultra-sound an adequate tool for diagnosis.
--No, for your problems both are not adequate.
6. My sugar level H1 is 6% am I a candidate for diabetes. Although I have a history of hypoglycemia.
--No, need not worry. get a fasting, post prandial blood sugars and HBA1c estimation done. These in group can give a better idea on your glycemic control.
7. I take Zolam for anxiety on and off - on need basis. I was told to use SSRIs but as I am taking baby dose aspirin I am afraid from drug interaction
--Zolam is a bit safe. Continue the same with moderate dose.
Hope, I answered your queries
Wish you good health.
Regards,
2. my ultrasound was normal, so what makes you think of pancreatic?
3. how do I differentiate between angina, heart attack and gastritis? I need to know, so I don't panic or over worry myself when I have symptoms. The discomfort does not happen on exercise, it happens when I am even at work, or watching TV.
4. I use to walk for half an hour 3 days a week, but towards the end of the walk I start feeling pain in my right chest area, where I had the surgery. Is this Angina?
5. What do you recommend for gastritis, I have oprazol, and rabemac at home, I need a fast effective one
6. Is my endometrial thickness OK 1.5cm, is it due to tamoxefine?
7. Any other tests or recommendations you suggest
Below are the answers
Detailed Answer:
Hi,
Thanks for writing back.
1. My HBA1C is 6%, I did the fasting and i think it was 5.6 or something. We have history of diabetes in the family. My sisters and one brother. although my parents did not have it. so am i a candidate for diabetes.
--Get a GTT done . it can identify a prediabetic. HBA1c gives an idea about your sugar levels for last three months
2. my ultrasound was normal, so what makes you think of pancreatic?
--The pain presentation. The pain radiating to the back is usually seen in pancreatitis.
3. how do I differentiate between angina, heart attack and gastritis? I need to know, so I don't panic or over worry myself when I have symptoms. The discomfort does not happen on exercise, it happens when I am even at work, or watching TV.
--Pain during exercise associated with breathlessness, sweating, increase heart rate is angina or heart attack. Gastritis do not have these associated features.
4. I use to walk for half an hour 3 days a week, but towards the end of the walk I start feeling pain in my right chest area, where I had the surgery. Is this Angina?
--could be
5. What do you recommend for gastritis, I have oprazol, and rabemac at home, I need a fast effective one
--Pantoprazole is best. You can take Rabemac.
6. Is my endometrial thickness OK 1.5cm, is it due to tamoxefine?
--Yes.
7. Any other tests or recommendations you suggest
-- Endoscopy of the upper gastrointestinal tract.
regards,