Warm Sensation, Cold Chills. High BP And Heart Rate, Normal Sinus Rhythm, On Sectral, Celexa, Ativan
Thanks for posting your query.
It is good that your cardiac status is normal and the holter/event monitor has confirmed normal sinus rhythm. From your symptoms, two possibilities could be considered and need to be ruled out.
1) The first possibility is of hyperthyroidism. Some of the symptoms of hyperthyroidism such as tremor and palpitations which are caused by excess thyroid hormone acting on the cardiac and nervous system. You need to get your thyroid profile tested to rule out this condition.
2) There is a strong possibility of these symptoms being due to panic attacks and anxiety neurosis. For ruling them out you need to consult a psychiatrist.
Panic attack is a response of the sympathetic nervous system and is characterized by trembling, dyspnea (shortness of breath), heart palpitations, chest pain (or chest tightness), hot flashes, feeling of warmth and sweating. Symptoms of anxiety neurosis include sweating, headaches, nausea, muscle tension, muscle aches, trembling and hot flashes. Both of them require psychological counseling and anti anxiety medicines which you have already started with.
In addition to the medicines mentioned above, here are some of the other conservative treatment options which you can follow:
1) When you have such symptoms, breathe slowly through the nose and talk to your family and friends.
2) Do not take caffeine of alcohol at night just before going to bed.
3) Indulge in yoga and meditation to calm your mind.
4) You can also indulge in progressive muscle relaxation which is useful in anxiety by alternately tensing and relaxing the muscles.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Thanks for the clarification. It is good that the thyroid status has come out clear. Ativan alone is sometimes not sufficient to stop anxiety or panic attacks and in addition to Ativan, beta blockers may also be required in some cases. You can discuss about these drugs with your treating physician and get them prescribed.
Regarding premenopause, it is that phase in a woman’s life just before the onset of menopause when a female’s menstrual cycle permanently ceases. It usually starts with erratic menstrual cycles which may be characterized by irregular periods, delayed periods, skipped periods etc. If you are having regular periods, then its chances are less based on these symptoms alone. However to completely rule out this possibility, you can get your hormonal assays done for FSH, LH, estrogen and progesterone levels. If they are in the normal range then this possibility is completely ruled out.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.