Suggest Remedy For Headaches, Breathing Problem And Discomfort In Chest

Brief Answer:
possibility of panic/anxiety disorder is there

Detailed Answer:
Hello XXXXXXX

Thanks for writing to us.

I can understand your concern.
You have symptoms of chest discomfort, breathlessness, headache since 1 year.All investigations are normal so no chance of cardiac/respiratory problem is there.

Many patients like you with these symptoms go to physician. Sometime they went to one to another doctor but no diagnosis or solution is there. At last they diagnosed as anxiety disorder. Anxiety disorders are very prevalent in community. 4 out of 100 persons suffer from the same.

To diagnose which type of anxiety disorder is there detail history and mental status examination are to be done by a psychiatrist.

Treatment is there.
Best treatment anxiety disorders includes both medicines and cognitive behavior therapy(CBT).

In mild cases only CBT is sufficient. In moderate to severe cases initially medicines and then CBT is added. And later on medicines stopped gradually.
If medicines alone are used chances of relapse are more after stopping the medicines.

In medicines SSRI group of drugs(fluoxetine,paroxetine,sertraline, escitalopram) are main stay of the treatment.I prefer paroxetine. Benzodiazepines group of drugs(clonazeapm,lorazepam or etizolam) are used initially for short duration for fast symptomatic relief.

In conclusion you should consult psychiatrist to get rid of this problem.

I need some more information to comment more on your status.

- If you have any social,occupational, economical, emotional or any stress let me know.

- What is opinion of your treating doctor?

- Please upload your reports if feasible or describe report of thyroid and vitamin B12 if they are there.

Hope I have answered your query, I will be happy to help further.

Regards,
Dr.Chintan Solanki.

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Brief Answer:
Consultating a pychiatrist will surely help

Detailed Answer:
Hi XXXXXXX

Thanks for follow up and information.

Your history suggests that you are likely suffering from depression. Economical stress,excessive thoughts, being not able to enjoy life, lack of concentration,feeling mentally weak and other physical problems all are symptoms of depression.It can surely be treated.

In vegetarian people when excessive stress or excessive thoughts are there Vitamin B12 deficiency/lower level is likely. It is used in our brain for thought process as well as for many other function. I would recommend you take injections of Vitamin B12. It will help.

Ulcer may be there before your psychiatric problem and stress has just exaggerated the same or it may be stress induced. In any case treatment for ulcer as well as stress reduction is necessary.

Regular sleep, timely healthy meals and daily exercise must be followed to prevent depression from worsening as well as for improvement.

In conclusion you need counseling cum CBT and/or medicines to treat your psychiatric problem and for that you need to consult psychiatrist personally.you can achieve your goals with patience and make your father's status like before.

Hope I have answered your all concerns . Feel free to discuss further.

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Brief Answer:
enough sleep and shceduled meals are necessary

Detailed Answer:
Hello XXXXXXX

Thanks for follow up.

Night shift worker faces many problem. Due to diurnal variation their food habit and sleep are disturbed.

You should have at least 6 and maximum 8 hours sleep per day. In meals you can have more vegetables and fruits with routine home made food.Add some sprouts once or twice a week. Avoid junk food(like burger,pizza, pasta, excessive paneer,cheese) as far as possible. Meals on proper time is also necessary.

You have to made time table on your own in which you can adjust your sleeping hours.Do not take heavy meal at a time. Break your meal intake in 4 to 5 sessions- Breakfast, lunch, evening snack,light dinner and break at workplace.
Do not go for sleep immediately after meal.

You can have vitamin B12 supplement tablets like MBSON SL one daily if you are pure vegetarian.

Avoid spicy food if you are having gastric discomfort at present.

All the best and take care. Wish you early stability.

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Brief Answer:
Ignoring the pain is the the best option

Detailed Answer:
Hi XXXXXXX

Thanks for writing back.

Pain in left side of chest likely due to gastric problem or anxiety.If it is associated with meals then gastric problem is there and for that antacid like rantac or pentoprazole will help and avoid spicy food.
If it is associated with any stress or onset without any reason and subsiding on its own it is likely due to anxiety. Your work up for cardiac problem has been done so that possibility is ruled out.
One least possibility is muscular pain.

Considering your available history I guess it is likely due to anxiety. Just avoid excessive thoughts about such pain. When it happens take deep slow breaths(inhale for 3 seconds, keep breath in lungs for 3 seconds and exhale slowly over 3 seconds.)
If you learn to avoid this pain , gradually frequency of this pain will be reduced and it will stop.
In any case if pain persists, consultation of psychiatrist is needed. You will be helped with details psychotherapy and/or medicines.

Hope this answers your concern.

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Brief Answer:
yoga and meditation are good

Detailed Answer:
Hi XXXXXXX

Yes yoga and meditation are likely going to help you for stability. Do it regularly. It will show results late but results will be very good and long lasting.
It is difficult to describe about this approach in detail here. You can learn with some local yog trainer or with help of internet/books.

An adult requires 6-8 hours of sleep per day.Many of the the shift workers face sleep disturbance. I often come across such patients.My approach is to give zolpidem or low dose clonazepam according to shift changes before sleeping.
I suggest you to follow specific measures called 'Sleep Hygiene' for good sound sleep. You can find them in below mentioned link:
sleepfoundation.org/ask-the-expert/sleep-hygiene

If no success with this approach consult doctor for above mentioned medicines.

Feel free to discus further.

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