Brief Answer:
Mostly it is anxiety related panic attacks.

Detailed Answer:
Hello,
Welcome to HCM.

I have read your query in detail and gone through your attachments.

You have most probably anxiety related panic attacks as your all investigations,
routine blood works,
lipid profile,
thyroid functions,
12 lead EKG,
2D-echo and CT brain (plain) are within normal limits as per your doctor's prescription that you uploaded here.

So,there is almost no chance of having any underlying pathology for your headache and heart beat problem.So,no need to bother much.

My possible diagnosis would be anxiety related panic attacks for which I would have advised you anti-anxiety drugs.

You can continue with the same treatment as prescribed your treating physician like recita forte 10 mg,opiprol 50 mg and lorazepam 0.5 (written in prescription) since they are also good drugs in the treatment of anxiety-panic attacks.

Avoid masturbation for couple of months more and if possible go for psychiatric counseling once which will also be helpful.

These kind of anxiety related symptoms are expected to get resolved with growing age since you are quite young (22 years) right now or just like you have also improved from your insomnia and rise of blood pressure.

If anything unclear,feel free to ask.I will be happy to answer that.

Regards,

Dr.Sandip Kabra

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Brief Answer:
anxiety or panic attacks.

Detailed Answer:
Hello,
Thanks for the immediate reply.

All these symptoms are related to anxiety or panic attacks which we have discussed earlier.

Here,I will not think about the possibility of these anxiety or panic attacks could be related to your constant computer work for a long time or your eye powers.

Clinically, it is very difficult to say why or how this excess anxiety or panic attacks comes but we can only manage them accordingly.

As you have already been evaluated and ruled out cardiac rhythm issues or anemia or thyroid issue or migraine etc.

However, you may go for Stress ECG (TMT) to be having in a safer side to check the activity of heart during exertion (like masturbation) or physical work.

Otherwise, you should continue to take anti-anxiety medicines (as prescribed by your doctor) with psychological counseling which will help to de-stress you and alleviate the anxiety related symptoms.

In addition, here are some of the other precautionary measures which you should also follow to gain some benefit.

1) When you have such symptoms, breathe slowly and deeply through the nose and talk to your family and friends.

2) Do not take caffeine or alcohol (if you take) at night just before going to bed.

3) Do yoga and mind relaxing exercises like meditation to calm your mind in your daily routine.

4) You can also practice progressive muscle relaxation which is useful in anxiety by alternately tensing and relaxing the muscles.

5) Better to avoid masturbation for few months and avoid watching pornographic content on the internet or videos if you do so.

Rather you should divert your mind by reading good religious books, listening good music, have good sleep after taking bath, and always do yoga, meditation and regular exercises as I said earlier.

It may take 1 or 2 months to subside all these symptoms with regular medical treatment and follow-up at your treating physician or psychiatric.

Hope this will help you.

Regards,

Dr.Sandip Kabra

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Brief Answer:
Will answer one by one.

Detailed Answer:
Hello,
Thanks for quick response.

1) Hearing songs on headphones or earphones should not be the issue but I would advise you to avoid it for couple of months especially when you are having heaviness or pressure around your head and headache.

It might be a triggering factor for that.

2) It would be better to avoid all fast foods that you mentioned as they only provide good taste and nothing else for our health.

3) You can have this,

i) Eat good protein rich foods like egg white nuts, seeds, pulses and legumes.

ii) Eat healthy carbohydrates like fruits, vegetables and whole grains.

iii) Nutritional supplement drinks can be added.

iv) Drink a lot of fluids that supply nutrients and calories like milk, fresh fruit juice and energy drinks.

v) Drink at least 2 glasses of milk, replace tea,coffee with milk.

4) Exercises should be started initially mildly i.e. brisk walking, cycling, jogging, slow running for up to 4 to 5 weeks and if you can tolerate it well then you should go ahead.

They might be helpful to relieve from anxiety symptoms.

Hope this will help,if you have anymore doubt feel free to ask me.

Regards,

Dr.Sandipkabra

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