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Suggest Treatment For Frequent Chest Pain, Anxiety Disorder And Breathlessness
Question: Dear Sir ,
Iam have been suffering from panic anxiety disorder from last 4 years. Now days it has turned to Severe Frequent chest pain and feeling tiredness in both leg, numbness pinching pain in hand, sudden feel breathless, increased palpitations etc are problem. It is severely affecting my day to day activities
Test carried out : Ecg , Thread mil ( Several Times) show negative at high load , CT scan of brain , MRI of brain , EEG of brain shows normal ,
Under medication for hyper acidity ( TAB Gaspaz 1-0-1) and cholesterol ( Rozvel F5 0-0-1) . Recent lipid profile report is normal Total cholesterol is 155 , triglycerides is 125 , ldl is 80 , hdl is 45 )
Sugar is fasting 100 and pp is bit low of 90
General physician, Cardiologist, Neurologist says its panic anxiety disorder So my questions is how to overcome this. Medication for this is advised by physician is tab petril md 0.25 (0-0-1) . But doctor says that i have to slowly come out from petril ( From last 1 year i have been used to petril)
Iam have been suffering from panic anxiety disorder from last 4 years. Now days it has turned to Severe Frequent chest pain and feeling tiredness in both leg, numbness pinching pain in hand, sudden feel breathless, increased palpitations etc are problem. It is severely affecting my day to day activities
Test carried out : Ecg , Thread mil ( Several Times) show negative at high load , CT scan of brain , MRI of brain , EEG of brain shows normal ,
Under medication for hyper acidity ( TAB Gaspaz 1-0-1) and cholesterol ( Rozvel F5 0-0-1) . Recent lipid profile report is normal Total cholesterol is 155 , triglycerides is 125 , ldl is 80 , hdl is 45 )
Sugar is fasting 100 and pp is bit low of 90
General physician, Cardiologist, Neurologist says its panic anxiety disorder So my questions is how to overcome this. Medication for this is advised by physician is tab petril md 0.25 (0-0-1) . But doctor says that i have to slowly come out from petril ( From last 1 year i have been used to petril)
Brief Answer:
consulting psychiatrist will solve your problem
Detailed Answer:
Hello Vasanthnayak,
Thanks for writing to us. i can understand your concern.
I am little bit surprised that your diagnosis is panic disorder and you are suffering from this since 4 years why you have not been referred or consulted psychiatrist yet!
Your problem is increasing and it needs proper treatment.Your physical parameters are normal. You may need vitamin B12 supplement for tiredness in legs.
Specific treatment of panic anxiety disorder 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-petril, lorazepam or etizolam) are used initially for short duration for fast symptomatic relief.
For confirmation of diagnosis detail history and mental status examination should be done in person by a psychiatrist.
In conclusion consulting a psychiatrist will solve your problem and you can live better life. Without delay please proceed for the same.
Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.
consulting psychiatrist will solve your problem
Detailed Answer:
Hello Vasanthnayak,
Thanks for writing to us. i can understand your concern.
I am little bit surprised that your diagnosis is panic disorder and you are suffering from this since 4 years why you have not been referred or consulted psychiatrist yet!
Your problem is increasing and it needs proper treatment.Your physical parameters are normal. You may need vitamin B12 supplement for tiredness in legs.
Specific treatment of panic anxiety disorder 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-petril, lorazepam or etizolam) are used initially for short duration for fast symptomatic relief.
For confirmation of diagnosis detail history and mental status examination should be done in person by a psychiatrist.
In conclusion consulting a psychiatrist will solve your problem and you can live better life. Without delay please proceed for the same.
Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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