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Fight and flight response
I am feeling something strange everyday and i don't know what it is then i start searching ( i am facing / having daily issues roj bich bich m ho rha hai ( increase heart beat , dilation of pupil , viglant state , sense of danger , some palpitations, and some time pinch in heart side chest ) i don't know what is this and i want to be okay please anyone help me please i am very stressed about this always . i am from chandigarh . Facing this for about 1 year and i this issue disturbing my study also . i also do some test like cbc , thyroid , total testesterone , b12 , d3 , lft , kft , cortisol , lipid , lsh , fh , sodium , CRP please check and see and please make my life smoother
( my report is sorted and you see all the detail )
Answers (21)
Hello,
Take Balanced diet.
For diet details and ePrescription consult by practo app or contact me at WhatsApp at +91959508739nine.
In future if consultations are required than consult by practo app or contact me at WhatsApp at +91959508739nine.
Thanks.
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Complex Situation..
You have done all possible blood investigations
Few parameters of your lab report is significant
And need to be discussed.
1) HIGH HOMOCYSTEIN LEVEL.
mean you have more than 15 Micromoles per liter which aften points to an increased risk for Blood Vessels and heart problems.
2) CRP HIGH
High C-reactive Protein ( CRP) Level means your Body has Inflammation/ Tissue injury/ Infection.
3) CPK ( Creatine phosphokinase ) typically indicates that there has been recent injury,
Inflammation,stress to muscle Tissue.
4) Vitamin B12 low.
All together this is complex issues please consult to the Department of Medicine for Diagnosis and Management.
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1)Tab neurokind- one tab at night - 2 months.
2) BOX Breathing exercise when attack occurs- deep Breathe in for 4 seconds, Hold your breath for 4 seconds, Exhale slowly for 4 seconds through mouth, Hold Breath for 4 seconds.
3)Avoid Coffee, tea too much. One cup a day is okay. Not more than that.
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Your Iron and B12 LEVELS ARE LOW. THAT COULD BE ONE REASON FOR YOUR SYMPTOMS.
OTHER THAN THAT PANIC ATTACKS MAY CAUSE THIS
Your cholesterol is on borderline
Next Steps
feel free to consult me on practo for further evaluation and management
Health Tips
lifestyle modification
stress management
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Check your blood pressure when you get these attacks.check urinary meta nephrines, also to rule out pheochromocytoma which is rare.amDo a holter monitoring ofECG after consulting a cardiologist if palpitations indicate any arrhythmia
Next Steps
Take vit b12 tablets like Neurokind m once daily, reduce stress levels and do meditation .Avoid coffee tea alcohol and substance abuse.
Health Tips
Do echo and ECG since your hs crp is high. Consul a cardiologist.it nothing organic see a psychiatrist
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Moderate B12 deficiency, overall normal report .no worry .take Methylcobalamin 1500 mcg once weekly upto 2 months.
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Your palpitations, sweating, breathlessness and chest-side discomfort need a medical assessment rather than being assumed to be only anxiety. Thyroid imbalance, anaemia, rhythm problems, reflux and anxiety can overlap.
Please arrange an examination with pulse/BP and an ECG; carry any thyroid reports and medicine details. Do not self-medicate.
Go to urgent care now if chest pain is severe or persistent, you faint, have marked breathlessness, weakness, or a sustained very fast/irregular heartbeat.
Book a Practo consultation with me for the next step, or visit me at Synergy Multispeciality Hospital, Miraj.
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Your vit b12 and iron levels are low
Your symptoms might be a mix of these deficiency and anxiety
I need to know some more details before helping you out
For anxiety related things I can help you out
Kindly consult with me on practo app
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