I am a 32-year-old male 1,84 77 kg that I have always been nervous with isolated anxiety pictures, for work or some problem. Recently I have done a medical recognition to myself and everything was normal neither nothing of cholesterol, nor sugar transaminasas perfect. Nervous while I usually have pulsations I half-close the 75 - 90 per minute. In Christmases a 87-year-old relative suffered an infarction, and since then I am plunged in continuous anxiety picture, have the sensation that is going to happen to me when I am entertained everything it is fine but as soon as I remember the situation and the moments of stress lived in the hospital come to me the palpitations sudoraciones fear nervousness etc. I am tremendously apprehensive. When it appears this picture I take one or two valerians and at once I relax. I have consulted with my cabacera doctor and he says that I have to overcome it without anything and that if meda I put myself under the language a pill of tranquimazit of 0,25mg and that in 3 minutes it will disappear. There is something that could be done, I have the sensation that it is going to spend something to me or that I have something in the heart.
Answer:
The sensations are only éso..... sensations, and we must not do interpretations with them. "I have something in the heart...", "I have the sensation that it is going to happen to me". The most correct thing that can do is this: To try not to interpret the sensations and think about on what the family doctor comments to him.
Take the valerians and the Trankimazin that they will help not to pay attention to these sensations. If the anxiety was not improving it should consult with his family doctor the possibility of beginning a psychological and/or pharmacological treatment.
I have endured agoraphobia during these last 7 months, earlier I was liking to walk. I have improved thanks to the therapies, yoga and medication (cipralex and tranquimazín) now began to walk two daily hours every day. The problem is that a few days ago, after having suffered a cervical contraction, the head was hurting me and nevertheless I went out to gait, loading bags in the side where it did not have the contraction and drinking 2 batters with Omega 3 and vitamins, apart from q it had drunk water before going out. I did not do a big effort, I have made them major and have committed more "droves of donkeys". The case is that, on having come to house, I released the bags and was well until I sat down, then I began to lose audition and he was feeling pressure in the ears, although it heard, but any hollow. Anxiety brought in me and I went to bed, this sensation lasted approximately two hours. This day towards cold, me contracturé another side of the neck for the load and it was going rigid. My doctor said to me that that thing about was treating the ears as a faint but it was hydrated me, I usually do exercise for one month with much more I walk and only I noticed that thing about the ears. I have been scared and want to know if this symptom ótico owes really to a faint or to the cervical pressure. I take several days with headache cervical through the fault of the expert. Thank you, he would be grateful to them that they were answering me as soon as possible. My normal arterial tension is of 11/7.
Answer:
As he mentions to us on one hand headaches exist for a problem of cervical that accompany themselves of some muscular contraction for sobreesfuerzo. On the other hand other symptoms have been a pressure in the ears and "sensation of hearing hollow" that later happened to be a clear sensation of anxiety that lasted two hours. He mentions to us that it is scared. We recommend to him to take care of both parts. It must not do sobreesfuerzos that muscular contractions cause him and for other one it must take care of those factors that produce increase of the anxiety to him. Both factors can join.
Picture of early appearance (18-19 years); in male, without interest precedents. It consults for tachycardia; sudoración fry; widespread muscular tension; febrícula (37ºC to 37,5th C). To the exploration: Normal EKG, with taquicardíasinusal to 120 sx´. Clinical analysis thyroid function: normal. Ecocardiograma: Hyperkinetic syndrome. Minimal prolapse valve mitral. Electroencephalogram: Without interest information. Some waves are observed sugerentes of hyperactivity. Carried out treatment: Atenolol 50 mg. 1-0-0 Sedotime 30 mg. 0-0-1 current Situation: With asymptomatic treatment. On having withdrawn progressively the same one, entire defeat; and return of the picture. Years in treatment: 15 years. Normal life. University alumnus. Which or which might be the organic causes, in his case, of the picture, and his possible diagnosis etiológico? And, in his case, what tests might be carried out?
Answer:
The picture that it describes, both for his characteristics and for the age of presentation, the suggestive clinical-analytical void finds of organic matter and the positive result of the received treatment, as for the tendency to the relapsing to his retreat, he induces to think that he does not answer to an organic pathology and faces more towards a disorder of psychic nature. Although in his consultation he comments to us on some information and the treatment recibico, it omits to express to us what was the diagnosis on which they were based to rule the same one; with the small summary of his case history, I have the impression of which it is a question of a picture of anxious nature, perhaps anxious - depressive, or some possibilities with the same anxiety component. Any way you. he looks for an organic cause that could justify his ailment and, from our point of view, with the information that it offers us, already they looked for the possible organic causes and they were not, with which in that moment they remained discarded. Nevertheless, it is true that sometimes we send ourselves to a few analyses of years behind to support the diagnosis. Although the most habitual thing is that the permanence of the same picture with equal characteristics means that the causes are the same, yes it is true that after 18 years changes can appear and that an analytical piece of news with thyroid hormones... like the previous time probably they help to help him to feel better with the final diagnosis, although it ends up by being (and it is the most probable thing) the same one that the current one. We hope to have helped him; thanks for his confidence. We are at his disposal sid esea to carry new consultations out. How long does he want, a greeting.
Anxiety sensation