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What Causes Constant Dizziness And Panic Attacks While Suffering From Gastritis?

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Posted on Wed, 10 May 2017
Question: I am a Gastritis Patient. Under medication. Recently( since February) I have started to have this constant Giddiness / suffocation/ weakness etc. Some Doctors have said it is related with Gastritis and some said it is PANIC ATTACKS/ DEPRESSION. Right now I am taking meds for Gastritis , Giddiness and Anti-Depressants. But my Giddiness and panic attack like condition is persistent.
doctor
Answered by Dr. Bhagyesh V. Patel (1 hour later)
Brief Answer:
Respected XXXX you require definitive steps to come out from situation.

Detailed Answer:
Respected XXXX, hi I evaluated your query thoroughly with all attached reports , medi prescriptions herewith by you.
*Certain questions I would ask to raise here to come to more precise judgement
- currect complains in all details
- status of food intake ,type of food intake, pain in abdomen , associated
vomiting or fever
- sleep pattern
- status of current weight and whether there is gain or loss in relation to past
- personality of patient like more angry / shy / aerogent ?
- any habits of tobacco / alcohol / abuse substances if any.
- associated illness like High BP , Diabetes , Thyroid disorder
- either vertigo / headache / difficulty in vision
- any Ultrasound / CT / MRI done
- social problems or personal life issues if want to share for clinical grounds
- any past bad experience of life way back to childhood giving rise to mental
trauma and causing post traumatic stress disorder
- level of activity like lethargic / highly active / so so whatever.
*Till you revert back with all details , I would like to comment as :
*Gastritis with associated Panic episodes are going to be under some control
by any concerned medicines not cure the problem , for cure you have to
work hard on your own for life style modifications strictly & take problem into
control of your hands , these are small looking things but will give major vital
results if practised perfectly with precisions.
@ Avoid all oily / spicy / nonveg / excess ghee / cheese / sugar containing
items.
@ Avoid smoking / alcohol / any abuse substances if any
@ Avoid prolong fasting / overeating .
@ Have fix timings for Breakfast, lunch , dinner.
@ Avoid going to bed at least for 2 hours following lunch & dinner.
@ Consume more liquids - preferably boiled water, coconut water , rice water,
home made juices, butter milk , green leafy veg , cereals, legumes, curd.
@ Have adequate sound sleep of 8 hours.
@ Avoid stress / anxiety episodes.
@ Keep Blood sugar , BP , Cholesterol levels , body weight under control.
@ Do regular YOGA with other concentration exercises, light exercises at home,
morning walking in fresh air to rejuvenate your body with oxygen.
@ Try to counsel with her likings / dislikings / certain unexpressed desired
giving very miserable life problems .
@ Make her to laugh more from inside because it`s inner will of the patient
that will control all the things.
@ Convince her that she is not a patient suffering from any major disease which
is not curable in this world.
@ Detailed medications for H. Pylori and other medicine dose changes after
getting rest details.
@ In our clinic we recommend Fasting Blood sugar, S.Cholesterol , Thyroid
profile to rule out other possibilities with detailed Psychological counselling
of the patient which is of pivotal importance in this case.
Hope this helps you out.
Thanks for using Health Care Magic & reviewing my answer carefully.
Wishing you fast and speedy recovery from the same.
Would Love to answer with my queries put to yourside.
Regards.
Bye Dear Take care.

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Bhagyesh V. Patel (1 hour later)
Sir
Your questions are in UPPER CASE and my answer is in the lower case.

CURRENT COMPLAINS IN ALL DETAILS:
As soon as I get up in the morning I get giddiness and I feel panicked. The same lasts till the night. At nights cannot sleep becoz of the same and if asleep sometimes wake up choking.
Sometimes the giddiness/ panic attacks are so severe that I cannot even walk a short distance. Shortness of breath.
I get regular stomach and heartburn. Uncomfortable feelings in the upper middle Abs just below the ribs.

STATUS OF FOOD INTAKE ---------- Normal Food Intake . however, these days there are no appetites. Moreover, during the giddiness/ panic attacks, can’t eat.

TYPE OF FOOD INTAKE – Rice, Local Cheese, Chillis, Some non-veg, vegetables, eggs.

PAIN IN ABDOMEN - Sometimes. Pain in the left waist (back) area. Moreover, when this attacks come, I feel like urinating, stomach pain and need to pass stool

ASSOCIATED VOMITING OR FEVER – Feverish all the time. Vomiting sometimes.

SLEEP PATTERN - I sleep for 6-7 hours a day. However, when I feel Giddy or when this panic attack comes I cannot close my eyes to sleep. Moreover, I wake up during sleep also when these things happen / when I feel suffocated and choked.

STATUS OF CURRENT WEIGHT AND WHETHER THERE IS GAIN OR LOSS IN RELATION TO PAST : around 2 Kgs gain.

PERSONALITY OF PATIENT LIKE MORE ANGRY / SHY / ARROGANT? ---------- Angry and Arrogant.

ANY HABITS OF TOBACCO / ALCOHOL / ABUSE SUBSTANCES IF ANY: Regular Drinker before. Stopped drinking now. Occasional Smoker. CHEWING PAAN (DOMA as they call in Bhutan)

ASSOCIATED ILLNESS LIKE HIGH BP , DIABETES , THYROID DISORDER : Normal BP (120/77), Diabetes (Random - 148) . Thyroid test not yet done.

EITHER VERTIGO / HEADACHE / DIFFICULTY IN VISION - Giddiness / Spinning and blurred vision when Giddiness starts.

ANY ULTRASOUND / CT / MRI DONE      :     BRAIN MRI done - Normal (report attached)

SOCIAL PROBLEMS OR PERSONAL LIFE ISSUES IF WANT TO SHARE FOR CLINICAL GROUNDS - Not really. Just day-today’s problems.

ANY PAST BAD EXPERIENCE OF LIFE WAY BACK TO CHILDHOOD GIVING RISE TO MENTAL TRAUMA AND CAUSING POST TRAUMATIC STRESS DISORDER      - Seems like when child I had fallen twice from a high. No Mental Trauma that I can think of.

LEVEL OF ACTIVITY LIKE LETHARGIC / HIGHLY ACTIVE / SO SO WHATEVER. – Highly Active.


doctor
Answered by Dr. Bhagyesh V. Patel (20 minutes later)
Brief Answer:
Respected XXXX, more corroberated treatments for your recovery

Detailed Answer:
Respected XXXX, good afternoon. got all the relevant information in details.
* Dear thanks to be so precise.
* Giddiness in morning is related to night dose of sedative still giving you hangout
effect.
* Chillies, cheese, non-veg, eggs, PAN you have to stop at all.
* You have to change your personality from angry & aerogent to decent & sober
if at all you want to be better in life now onwards.
* No more alcohol in life.
* Suggest to undergo S.T3 , T4, TSH test at convinience.
* Stop other all medicines as they are provoking more symptoms.
* Start Cap.Pantodac-DSR(Pantoprazole 40 mg Domperidone30mg)once daily on
empty stomach 1 hour before breakfast.
- Tab. Remeron ( Mirtazapine ) 15 mg in evening 1 hour before sleep.
- Syrup Sucralfate 2 teaspoonful 4 times a day.
* Continue rest of the things as told in previous narration.
* Follow up after 3 weeks with improvement report in symptoms.
Thanks .
Regards.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Bhagyesh V. Patel (45 minutes later)
Sir
Thank you for your advises.
Now I have specific questions about my condition.

1. Can my condition be entirely due to the Gastritis? As I told you i am Gastritis patient for very long time but these giddiness and panic attacks started only in the month of January and I was also not taking any medicines relating to Anxiety or Giddiness. Only after seeing Doctors ( all together 5 different Doctors) some said my giddiness and panic episodes are entirely ANXIETY ATTACKS and not related to Gastritis.

2. What is your opinion after seeing my Endoscopy Result?

3. Why do I have to do ST3, T4 and TSH tests? Do you see any chances of THYROID after going through all the test reports and documents I have uploaded?

4. Those medicines you have prescribed. Are they all related to Gastritis? if so. What should I do when I have sudden Giddiness / Suffocation/ panic attacks?

5. if I stop taking Non-Veg and Eggs, what other foods are there for Protein supply? Can I take Protein Supplement like Nutralite?

6. Sir you said Review after 3 weeks. How do we do that? I have seen here that if I don't answer within 3 days, the discussion will be closed automatically.
doctor
Answered by Dr. Bhagyesh V. Patel (21 minutes later)
Brief Answer:
Respected XXXX clarifying all your further queries.

Detailed Answer:
Respected XXXX, hi find specifications below:
1.Your condition is majority due to Gastritis along with added stress factors causing
panics.Consumption of certain molecules of depression over period of time also
relates to excess dizziness.
2.Endoscopy has proven you to be case of Gastritis following H. Pylori infection.
3.Thyroid report is necessary to rule out hidden possibility of hormone imbalances
in body giving rise to panic episodes and we are not missing anything from any
corner.
4.My medicine 1 & 3 is for gastritis medi 2 is for relaxing mind and least side
effect causing antidepressent best for you. In emergency you don`t require
any medicines dear just do deep breathings for 5 min. with closed eyes and
meditations you are fine without any medical molecule of the earth.
I will add Tab. Clarithromycine(500)mg mor and eve after meals for 14 days.
Tab. Metrogyl(400)mg mor and eve after meals for 21 days.
Stop Amoxycillin if already taken for 14 days till today, otherwise finish it upto
14 days total. These are additional dose titrations for your Gastritis.
5.For protein take enough green leafy vegetables, cereals, pulses, legumes,
milk and milk products. I don`t recommend commercial products for protein.
6.You have to go for private consultation with selection of the doctor online.
Thanks Regards Bye.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 20405 Questions

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What Causes Constant Dizziness And Panic Attacks While Suffering From Gastritis?

Brief Answer: Respected XXXX you require definitive steps to come out from situation. Detailed Answer: Respected XXXX, hi I evaluated your query thoroughly with all attached reports , medi prescriptions herewith by you. *Certain questions I would ask to raise here to come to more precise judgement - currect complains in all details - status of food intake ,type of food intake, pain in abdomen , associated vomiting or fever - sleep pattern - status of current weight and whether there is gain or loss in relation to past - personality of patient like more angry / shy / aerogent ? - any habits of tobacco / alcohol / abuse substances if any. - associated illness like High BP , Diabetes , Thyroid disorder - either vertigo / headache / difficulty in vision - any Ultrasound / CT / MRI done - social problems or personal life issues if want to share for clinical grounds - any past bad experience of life way back to childhood giving rise to mental trauma and causing post traumatic stress disorder - level of activity like lethargic / highly active / so so whatever. *Till you revert back with all details , I would like to comment as : *Gastritis with associated Panic episodes are going to be under some control by any concerned medicines not cure the problem , for cure you have to work hard on your own for life style modifications strictly & take problem into control of your hands , these are small looking things but will give major vital results if practised perfectly with precisions. @ Avoid all oily / spicy / nonveg / excess ghee / cheese / sugar containing items. @ Avoid smoking / alcohol / any abuse substances if any @ Avoid prolong fasting / overeating . @ Have fix timings for Breakfast, lunch , dinner. @ Avoid going to bed at least for 2 hours following lunch & dinner. @ Consume more liquids - preferably boiled water, coconut water , rice water, home made juices, butter milk , green leafy veg , cereals, legumes, curd. @ Have adequate sound sleep of 8 hours. @ Avoid stress / anxiety episodes. @ Keep Blood sugar , BP , Cholesterol levels , body weight under control. @ Do regular YOGA with other concentration exercises, light exercises at home, morning walking in fresh air to rejuvenate your body with oxygen. @ Try to counsel with her likings / dislikings / certain unexpressed desired giving very miserable life problems . @ Make her to laugh more from inside because it`s inner will of the patient that will control all the things. @ Convince her that she is not a patient suffering from any major disease which is not curable in this world. @ Detailed medications for H. Pylori and other medicine dose changes after getting rest details. @ In our clinic we recommend Fasting Blood sugar, S.Cholesterol , Thyroid profile to rule out other possibilities with detailed Psychological counselling of the patient which is of pivotal importance in this case. Hope this helps you out. Thanks for using Health Care Magic & reviewing my answer carefully. Wishing you fast and speedy recovery from the same. Would Love to answer with my queries put to yourside. Regards. Bye Dear Take care.