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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Anxiety Cause Sweating, Increased Heart Rate, Constipation And Mood Swings?

The last 3-4 years i ve been finding it impossible to get a job, i want and need one badly and am becoming a burden on my family. I have worked plenty of places in the past 6-7 physical jobs. Lately tho i get sweaty and my heart races like im going to have a heart attack if i even think about helping people who need my attention. I also cannot drive anymore. I get the same symptoms if i drive for more than 10 mins, i get so dizzy and sweaty i have to pull over, it makes me almost want to cry. Other symptoms ive had in this span is a hard time with my bowel movements, constipation mostly for days and days. My throat also burns alot like i have acid reflex or something im not sure. When i sleep sometimes i wake up sweating and i check my pulse and i feel like im going to have a heart attack. The weird thing is I get really nervous like when i got out with my friends in to a movie or to go do something with them i find myself wanting to go home so bad, unless we are drinking. Alcohol seems to make me feel better, not sweaty or clammy in social places. The next day i feel like im dying tho the hangovers are 100x worse than they used to be. Im really stuck in a bad place and one doctor said I had IBS, some others said I have signs of anxiety. I got pills for both and took them for a while and nothing worked so i stopped taking them. I really need help.
Mon, 18 Aug 2014
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Psychiatrist 's  Response
hi.. i have understood your concerns and symptoms..
u havent mentioned your age, but i feel that u shud go for thyroid function testing once, because all symptoms can be a part of hyperthyroidism..

if it is the cause then tretment is easy from a surgeon doctor and u ll be alright very soon..

if thyroid came normal, then u must be having a kind of anxiety disorder with the symptoms u have described mostly panic disorder, so i ll suggest u a psychiatric consultation and counselling from psychologist..

i dont know ehich meds have u been taking and for so long? so i ll suggest fresh regimen as under:
tablet paxil [ paroxetine 25 mg] at night daily and increase to 37.5 mg after 1 mnth if symptoms havent gone completely , otherwise maintain on same dose..

tablet clonazepam 0.5 mg thrice daily, along with this u can also take tablet inderal 10mg twice daily...
u have to reduce the dose of clonazepam gradually once your symptoms started improving...
initially u may feel sleepy for a few days.. but u ll tolerate the dose within a week..

if u have constipation and diarrhea on and off then u may have IBS, but the treatment of it is similar to depression, it will improve with same medications.. u can take temporary laxative to treat your constipation..

i hope this advice will be helpful to u..best of luck
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Can Anxiety Cause Sweating, Increased Heart Rate, Constipation And Mood Swings?

hi.. i have understood your concerns and symptoms.. u havent mentioned your age, but i feel that u shud go for thyroid function testing once, because all symptoms can be a part of hyperthyroidism.. if it is the cause then tretment is easy from a surgeon doctor and u ll be alright very soon.. if thyroid came normal, then u must be having a kind of anxiety disorder with the symptoms u have described mostly panic disorder, so i ll suggest u a psychiatric consultation and counselling from psychologist.. i dont know ehich meds have u been taking and for so long? so i ll suggest fresh regimen as under: tablet paxil [ paroxetine 25 mg] at night daily and increase to 37.5 mg after 1 mnth if symptoms havent gone completely , otherwise maintain on same dose.. tablet clonazepam 0.5 mg thrice daily, along with this u can also take tablet inderal 10mg twice daily... u have to reduce the dose of clonazepam gradually once your symptoms started improving... initially u may feel sleepy for a few days.. but u ll tolerate the dose within a week.. if u have constipation and diarrhea on and off then u may have IBS, but the treatment of it is similar to depression, it will improve with same medications.. u can take temporary laxative to treat your constipation.. i hope this advice will be helpful to u..best of luck