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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Shortness Of Breath And Shoulder Pain Caused By Anxiety

Hi, I will try my best to describe my condition in bullet point as describing too much might be distorting what has actually happened. - Psychiatry (2009): fluoxetine - Anxiety Disorder (7 years): started with severe food poisoning condition without proper medical help; no one was around helping and support; same time under tremendous stress from school responsibility and roles. - Panic attack disorder (2011); Depersonalisation (2010) - Psychiatry (2011) Sertraline (severe side effect): stopped - (2012) panic attacks so frequent that I couldn t get on transportation and public places - CBT psychotherapy treatment (2012-2014); gained tool access for mindfulness - 2011-2014 fluoxetine; stopped in 2014 under GP approval. - Currently, with quite strong derealisation; anxiety feeling like shortness of breath, neck and shoulder pain. - Apart from knowing that de-stressing could help with lowering the anxiety (e.g. meditation and mindfulness which I engage daily), what sort of tools that I could try to get rid of the feeling of derealisation - the feeling of detachment so to speak. - Currently not on any medication. Eat well and balance meal. Regular exercise with light jogging, yoga. No smoking, drinking, drugs, or caffeine. - 27 year old male.
Wed, 13 Nov 2019
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General Surgeon 's  Response
Hello,

Shortness of breath and shoulder pain are functional and not pathological, and so the management consists of root cause. Though multiple medications are being already prescribed and the issue needs in person evaluation with detailed history for looking into the cause of persistence of symptoms, I would like to quote salient features for betterment here
- Deep breathing exercises and YOGA on regular basis
- Counselling session with psychologist
- Help of behavior therapy and suggestion therapy
- Joining group of patients having the same issues
- Sound sleep of 7-8 hours
- Avoidance of smoking, alcohol if consuming

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Treatment For Shortness Of Breath And Shoulder Pain Caused By Anxiety

Hello, Shortness of breath and shoulder pain are functional and not pathological, and so the management consists of root cause. Though multiple medications are being already prescribed and the issue needs in person evaluation with detailed history for looking into the cause of persistence of symptoms, I would like to quote salient features for betterment here - Deep breathing exercises and YOGA on regular basis - Counselling session with psychologist - Help of behavior therapy and suggestion therapy - Joining group of patients having the same issues - Sound sleep of 7-8 hours - Avoidance of smoking, alcohol if consuming Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon