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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be The Reason For Vibrations In Hands And Neck Accompanied By Pain In Chest ?

heloo dr. iam 25 yrs old i have experiencing vibration in my hands ,jaws and neck ,shortness of breath , i had ecg done which said occasional pvcs, echo normal, thread mill test i could run only for six minutes,mri normal, eeg normal, thyroid test normal, still my left arm vibrates sometimes pain in chest, one dr. told its panic attack,the oher muscular contraction ,and one dr. brain anxiety the pain comes suddenly fearing me like its like a heart attack, what could be the reason dr. few years back i had met with an accident fell unconsiousness and been in coma , and got back my consious aftre two days what could be the problem, since iam very much worried my earnings are based on my familys living kindly help me pls dr.
Mon, 30 Apr 2012
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General & Family Physician 's  Response
Hello Pushparaj,
You have features of Panic attack, like sudden fear of Heart attack,difficulty breathing other cardiac symptoms and some neurological manifestations like tremor too. Since the various doctors you visited and all the investigations you did ,did not show any significant abnormality your doctors diagnosis of Panic Attacks is likely to be correct. Please do not unduly worry about your previous accident and its not likely to be causing your present problems.
Please take the help of a Psychiatrist and they will help you decide whether you can be best helped by cognitive behavioral therapy or medications or both.Its also usual that people with panic attacks visit several doctors because they are so convinced that there is an organic basis to their symptoms.Hope this helps.
Regards
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What Could Be The Reason For Vibrations In Hands And Neck Accompanied By Pain In Chest ?

Hello Pushparaj, You have features of Panic attack, like sudden fear of Heart attack,difficulty breathing other cardiac symptoms and some neurological manifestations like tremor too. Since the various doctors you visited and all the investigations you did ,did not show any significant abnormality your doctors diagnosis of Panic Attacks is likely to be correct. Please do not unduly worry about your previous accident and its not likely to be causing your present problems. Please take the help of a Psychiatrist and they will help you decide whether you can be best helped by cognitive behavioral therapy or medications or both.Its also usual that people with panic attacks visit several doctors because they are so convinced that there is an organic basis to their symptoms.Hope this helps. Regards