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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Panic Attack With Rapid Heartbeat, Breathing Difficulty, Restlessness And Nervousness?

a couple of months ago I had what I thought was a panic attack which ive never had before. Then yesterday I had another a little worse than the one before. Rapid heartbeat, a little difficult breathing, sweating, restlesnnes, the feeling of being super nervous and a floating feeling in the chest but not pain. What might this be because it was a little scary?
Tue, 21 Feb 2017
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Psychiatrist 's  Response
Hi, thanks for asking from HCM for your health relate doubts

I can understand your concern. The symptoms like sudden onset palpitations, difficulty in breathing, restlessness, severe nervousness, chest heaviness etc are commonly seen in severe anxiety or panic attacks. But to make proper diagnosis detailed evaluation is needed.

ECG should be done to rule out any heart condition. Angina or any arrhythmia could cause symptoms like panic attacks. Even hyperthyroidism can result in increased risk of panic attacks. This should be ruled out by thyroid function tests. Anaemia also increases the risk of panic attacks. Complete hemogram should be done to rule out anaemia.

Once these medical conditions are ruled out then we can label anxiety or panic as cause of your symptoms. Drugs like Beta blockers like Propranolol can help to reduce the symptoms of panic. Low dose benzodiazepines like Clonazepam or Lorazepam can also be used on SOS basis for panic attacks.

For severe intractable anxiety drugs like SSRIs can help. Fluoxetine, Sertraline, Escitalopram etc can be used for panic disorder. Please visit a psychiatrist for help and if needed start taking medicines.

Thanks Take care
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Psychiatrist Dr. Gauttam Prajapati's  Response
hi,
i ask u that can u try any substance first time, if yes than it was due to that.
if not than due such incidence your autonomic nervous system became over exaggerated due that u fell all that symptoms. on next time u shall start relaxation therapy or try tab.clonotril(0.5 mg) MD for such kind symptom. consult psychiatrist.
thank u
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What Causes A Panic Attack With Rapid Heartbeat, Breathing Difficulty, Restlessness And Nervousness?

Hi, thanks for asking from HCM for your health relate doubts I can understand your concern. The symptoms like sudden onset palpitations, difficulty in breathing, restlessness, severe nervousness, chest heaviness etc are commonly seen in severe anxiety or panic attacks. But to make proper diagnosis detailed evaluation is needed. ECG should be done to rule out any heart condition. Angina or any arrhythmia could cause symptoms like panic attacks. Even hyperthyroidism can result in increased risk of panic attacks. This should be ruled out by thyroid function tests. Anaemia also increases the risk of panic attacks. Complete hemogram should be done to rule out anaemia. Once these medical conditions are ruled out then we can label anxiety or panic as cause of your symptoms. Drugs like Beta blockers like Propranolol can help to reduce the symptoms of panic. Low dose benzodiazepines like Clonazepam or Lorazepam can also be used on SOS basis for panic attacks. For severe intractable anxiety drugs like SSRIs can help. Fluoxetine, Sertraline, Escitalopram etc can be used for panic disorder. Please visit a psychiatrist for help and if needed start taking medicines. Thanks Take care