Download FREE Practo app
Get ₹200 HealthCash
Anxiety attack
Hello yesterday I was in good sleep suddenly got panic anxiety attacks in chest and started shivering from sleep why is it ? Due to this I m afraid daily something bad is going to happen
Answers (19)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
What you describe â waking abruptly from sound sleep with panic, chest tightness and shivering, and now a lingering dread that "something bad is going to happen" â is a classic nocturnal panic attack. It is frightening precisely because there is no trigger and no warning, but it is not dangerous in itself and it does not mean something is wrong with your heart. It happens when the body's alarm system fires during light sleep; the adrenaline surge causes the pounding chest, trembling and breathlessness within minutes. In a 28-year-old woman, the things I always want excluded before settling on anxiety are thyroid overactivity, anaemia, low blood sugar (especially if you eat dinner very early or are dieting), excess caffeine or energy drinks late in the day, and occasionally obstructive sleep apnoea or acid reflux waking you at night. The anticipatory fear you now have is the part that keeps the cycle going â fear of the next attack is what turns one episode into a pattern, and that is very treatable.
Next Steps
1) Get simple baseline tests once: TSH (with free T4 if abnormal), CBC, fasting blood sugar, vitamin D and B12, and an ECG. A normal set of these lets you stop worrying that it is your heart, which itself reduces the attacks. 2) During an attack, do not fight it â sit up, and use slow paced breathing: breathe in through the nose for 4 seconds, out slowly through pursed lips for 6-8 seconds, for 5 minutes. Remind yourself the surge peaks at about 10 minutes and always passes. Grounding (name 5 things you can see, 4 you can touch, 3 you can hear) helps break the spiral. 3) Sleep hygiene matters a lot for nocturnal panic: fixed sleep and wake times, no caffeine after 4 pm, no alcohol or heavy/spicy meals within 3 hours of bed, no phone/screen in bed, and keep the room dark and cool. 4) Daily 30 minutes of brisk walking or any aerobic exercise is genuinely as effective as medication for mild panic. 5) The definitive treatment for recurring panic is CBT (cognitive behaviour therapy) with a clinical psychologist â a short course of 8-12 sessions usually stops the cycle. If attacks are frequent or you start avoiding sleep, an SSRI prescribed by a psychiatrist works well; please do not start alprazolam or similar tablets on your own, as they help for an hour but cause dependence. 6) You can consult me on Practo to review your reports and to discuss whether you need medication or therapy first, or come to Synergy Multispeciality Hospital, Miraj, if you are in this region and would prefer an in-person check-up with an ECG.
Health Tips
Word of caution: do not simply assume every episode is anxiety. Seek emergency care if chest pain is crushing or spreads to the jaw or left arm, lasts more than 15-20 minutes, comes with sweating or vomiting, if you faint, if the heartbeat stays very fast and irregular after the episode, or if you wake gasping/choking repeatedly (possible sleep apnoea). Also seek help urgently if you ever have thoughts of harming yourself. Avoid self-medicating with sleeping pills or alcohol to get through the night.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+117
Normal as in kids
Sips of water.
Consult superspecialist to know why??
Psychiatrist
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Looks like panic attack.
Reduce your stress levels
You don't have to fear about it.
Next Steps
feel free to consult me on practo for further evaluation and management
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Kindly consult with neuro psychiatrist
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
PSY Opinion needed
Kindly consult for further advice
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Keep yourself busy mentally.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
I understood your concern and noted the problem as well .I need to ask few more details to make a diagnosis and start treatment and advice which suits you. You can discuss via whatsapp on 971*66*33*129
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Do meditation
Relaxation
Exercise
Yoga sleep 7 hrs
See a psychiatrist if out of control
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
No worry ,panic attack.sudden onset.if you feel again consult with psychiatrist.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
May be you are thinking something which is disturbing you.
It can happen due to stress.
Next Steps
I can suggest u some tablets which can help you. Please get a consultation.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dnt worry. Panic attacks are always sudden. Need to find the cause. Kindly consult with me on 94 two six eight six 78 nine six for proper counseling.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
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
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.