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What Causes Severe Anxiety, Chest Pain, Headaches, Back Pain, SOB And Blackouts?
Question: I have severe anxiety, can't leave the house without stress. Experiencing chest pain, headaches on right rear of head, back pain, hard to breathe, panic attacks lead to sweating, black outs, or fainting.
Brief Answer:
GAD-drug and dose modification is needed.
Detailed Answer:
Hi Madam,
I have carefully read your query and understand your concern.
Going by your symptoms i would like to clearly tell you have a combination of disorders related to Generalised Anxiety Disorder/GAD coupled with features of synthroid excess.
I advise you to keep a regular -monthly track of complete thyroid profile with TSH levels with the normal range,since thyroxine excess can lead to many symptoms overlapping with GAD.Hence precise dose adjustment is needed.
Instead of Prozac,tab escitalopram 5-10mg is more effective with lesser degree of side effects in my opinion.
Instead of short acting Xanax,Intermediate to long acting Clonazepam is more effective against panic attacks.
These drugs need to be used for 3-6 months before full effect takes place.
Note-these drugs should be used only under strict medical supervision.
This would be more effective against all symptoms including sweating and blackouts.
Stress management is vital in your case.Regular physical exercise in the form of brisk walk for 20 min a day/5 days a week will help to combat a lot more symptoms.
Non pharmacological measures like
1.Cognitive and behavioural therapy.
2.Relaxation and stress therapy will help.
I hope this info is helpful to you,
Post your further queries if any,
Thank you.
GAD-drug and dose modification is needed.
Detailed Answer:
Hi Madam,
I have carefully read your query and understand your concern.
Going by your symptoms i would like to clearly tell you have a combination of disorders related to Generalised Anxiety Disorder/GAD coupled with features of synthroid excess.
I advise you to keep a regular -monthly track of complete thyroid profile with TSH levels with the normal range,since thyroxine excess can lead to many symptoms overlapping with GAD.Hence precise dose adjustment is needed.
Instead of Prozac,tab escitalopram 5-10mg is more effective with lesser degree of side effects in my opinion.
Instead of short acting Xanax,Intermediate to long acting Clonazepam is more effective against panic attacks.
These drugs need to be used for 3-6 months before full effect takes place.
Note-these drugs should be used only under strict medical supervision.
This would be more effective against all symptoms including sweating and blackouts.
Stress management is vital in your case.Regular physical exercise in the form of brisk walk for 20 min a day/5 days a week will help to combat a lot more symptoms.
Non pharmacological measures like
1.Cognitive and behavioural therapy.
2.Relaxation and stress therapy will help.
I hope this info is helpful to you,
Post your further queries if any,
Thank you.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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