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Anxiety problem
I suffering from this problem foe the past 5 years on and off it came in between one half years I donr have any anxiety but again iam suffering overthinking anxiety about health racing heart beat with chest pain and left arm pain sometimes I feel it is heart attack I checked my bp which is 110 70 and sugar is normal 95.4 i took thos after eating lunch one hour gap and cholestrol is 150 and also everything is normal ldl is 95 and hdl is 48 and also I checked ecg one month back whi h is normal but still iam very anxiety about my health one minus is b12 is 86 and d is 4.5 which is very low can you tell how to increase vitamin b12 and d and also over anxiety leads to heart attack or not and how to control my anxiety please explain and importantly I addicted to my phone for the past five years I couldn't help it please tell me how to overcome this addiction I think this leads to anxiety because of this addiction iam not able to sleep properly for the past five years please explain suggestio
Answers (28)
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
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1. Cholecalciferol 60,000 IU – 1 cap weekly × 8 weeks.
2. Methylcobalamin 1500 mcg – 1 tab OD × 3 months.
3. Tab Escitalopram 5 mg – OD × 7 days, then 10 mg OD — after physician/psychiatrist evaluation.
CBT + sleep hygiene + daily 30-min exercise.
Advice: B12/ vit D repeat after 8–12 weeks. Avoid caffeine/nicotine; phone off 1 hr before sleep
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You may have anxiety related issues.As per the values you have deficiencies of vitamin d and b 12.you can consider taking injection forms of vitamin d and b 12 initially and then followed by oral tablets for a few months.Addiction to mobile is a significant factor,you can certainly overcome this problem with dedicated determination and may be with the help of a clinical psychologist
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Hey don’t panic… there is nothing to Panick…. let’s talk and make it better… there are few medication as well but I can prescribe only if I get the proper history….
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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
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Your BP, sugar, cholesterol and recent ECG are reassuring. Your symptoms can occur with anxiety, but chest pain should not automatically be attributed to anxiety.
Rx:
Tab Methylcobalamin 1500 mcg once daily after food.
Cap Cholecalciferol 60,000 IU once weekly × 6 weeks, preferably after checking calcium/renal status; then maintenance vitamin D.
Because B12 is around 86 and vitamin D 4.5, both are significantly low and should not be ignored.
Urgent evaluation if chest pain is severe/persistent or associated with breathlessness, sweating, fainting or pain radiating to the jaw/arm.
You may consult me on Practo for a detailed evaluation and personalised treatment plan.
Next Steps
Maintain regular sleep, exercise and reduce excessive phone use, especially at night.
For persistent health anxiety, CBT/psychological counselling is recommended.
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As your vit B12 and vit D is severly deficient
Take vit D3 60k once weekly x 8 weeks then after once a month
Take Tab Neurobion Forte BD
Next Steps
Take consultation from Psychiatrist
Health Tips
Avoid phone atleast 1 hr before sleep
Do some exercise
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Take vit D tabs 60 k IU weekly once for 2 months and then check levels
Neurokind M tabs 1 daily for 2 months and check levels
Don’t use phone 2 hrs before sleeping
Try relaxation exercises and breathing exercises with meditation
It is rare to get iHD at this age in women
But if very scared Check cardiac troponin and serial ecgs
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Kindly reduce screen time , you are too young to worry about diseases when everything is normal
Next Steps
consult a doctor or therapist to learn breathing techniques to get through anxiety
Health Tips
feel free to connect to me
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Hello dear
As mentioned you are chronically suffering from it , so better consult a psychiatrist , or a psychologist
Health Tips
make a schedule and follow it
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1)Reduce screen time to 50%.
2) Vit D3 - 60,000 iu - once weekly for 3 months, the once a month for 6 months.
3)Tab neurokind - 1 tab at bedtime for 2 months
Next Steps
Repeat the tests for d3 and b12 after 3 months
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Anxiety causes racing heartbeat and chest discomfort.
Your vitamin D and B12 are low and can be corrected with appropriate supplementation improving sleep and reducing phone use can help.
A consultation would help assess this properly and plan treatment.
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To clear your anxiety, get TMT done. It will be clear whether you have heart problem or not.
For vit d, take tab uprise 60,000 units once a week for 8 weeks.
Vit b12- tab neurobion forte one daily for 8 weeks.
Keep a healthy life style and routine.
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Uprise d60k once a week for eight weeks followed by one per month for six months after breakfast a complete therapy by WHO for vit d3.
Tab neurokind od one after dinner for two months b12.
Nexito 5mg one at night for 10 days.
No electronic after8.30
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Your low Vitamin D and Low Vitamin B12 is creating problems. Take the following:
1. Injection Neurobion, 1 amp daily for 10 days
2. Take Vit D3 60,000 units. 1 tablet every week for 6 weeks.
3. STOP MOBILE USE. DELETE YOUTUBE, WHATSAPP, INSTAGRAM AND FACEBOOK.
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Kindly consult with me on 94 two six eight six 78 nine six for proper guidance
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Do consult with psychiatrist
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your B12 and vitamin D levels are extremely low. this is the main reason for your anxiety and other symptoms. you will need both medication and dietary cahnges. i'm sharing you dietary changes that you need to do here. regarding medication consult me on practo.based on further discussion we can decide upon whether to start IM or oral medicines and how long .
Dietary and Lifestyle Adjustments:-
Vitamin B12 Sources: Eat more B12-rich foods like fish, lean meat, eggs, poultry, dairy products, or fortified plant-based milks and cereals (especially important for vegetarians).
Vitamin D Sources & Sunlight: Safely increase short, regular periods of mid-day outdoor sun exposure and eat fatty fish (like salmon or mackerel), egg yolks, and fortified foods.
Check Root Causes: we should look for underlying issues like gut absorption problems, low stomach acid, or medications (such as long-term acid reducers) contributed to the deficiencies
Next Steps
feel free to consult me on practo for further evaluation and personalized management
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You need to consult with psychiatrist doctor and anti-anxiety treatment needed.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Mr. Sarva Abhinav
General Physician
4 yrs exp
Pali
Based on what you have described, your symptoms are most consistent with recurrent anxiety/health anxiety associated with low vit B12 and D3 Level.
The important point is that your blood pressure (110/70), blood sugar, cholesterol profile, and ECG done one month ago are reassuring. Anxiety can cause racing heartbeat, chest discomfort, left arm pain, shortness of breath, sweating, and a strong feeling that a heart attack is happening, even when the heart is structurally normal.
Your Vitamin B12 (86) and Vitamin D (4.5 ) are significantly low, and these deficiencies can contribute to fatigue, weakness, poor concentration, low mood, irritability, muscle pains, and can worsen anxiety symptoms .
Can anxiety cause a heart attack?
Anxiety does not usually cause a heart attack in a person with a healthy heart, but it can temporarily increase heart rate and blood pressure during panic episodes. However, new, severe, persistent chest pain (especially lasting more than 10–15 minutes), associated with sweating, vomiting, fainting, or significant breathlessness should always be evaluated urgently in an emergency department, even if anxiety is suspected.
Next Steps
To control anxiety
- Reduce phone use gradually (for example, no phone for the first and last 1 hour of the day).
- Avoid repeatedly checking pulse, BP, ECG reports, or searching symptoms online.
- Aim for 7–8 hours of sleep, regular exercise (20–30 minutes daily), and a fixed sleep schedule.
- Limit caffeine, energy drinks, nicotine, and alcohol.
- Practice slow breathing exercises - bhramhari , pranayam or meditation
Health Tips
1. stop checking vitals again and again
2. stop using mobile phone specially at the start of the day and at the end of the day
3. consult with me on practo (for the b12 and vit d 3 supplements and anxiety) or any other good physician you believe and a good psychiatrist..
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Dr. Reesha Varshney
General Physician
1 yrs exp
Bareilly
First of all NO anxiety cannot lead to heart attack especially women are less prone to heart attack
Secondly any addiction can be reversed with right guidance and meditation
Fir which connect with me on call or consult with psychiatrist/psychologist
And most importantly STOP checking your BP and all other blood tests again and again it leads to more and more anxiety
Your vit b12 and vit d3 are definitely very low
I will suggest a course of injectibles first followed by regular oral medicines
If you don't wish to take injections
I can suggest you with tablets, home remedies, dos and don'ts, with correct time to take medicines for maximize benefits
Kindly book an appointment on practo app and I will guide you further.
Your anxiety is driven by low levels of these vitamins most probably
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Dr. Abhishek Chauhan
General Physician
1 yrs exp
Basti
BP 110/70 and sugar 95.4 are reassuring. Your cholesterol numbers also appear generally reasonable.
Anxiety can cause racing heartbeat, chest pain, breathlessness and fear of having a heart attack.
However, chest pain with left-arm pain should not automatically be blamed on anxiety. Severe chest pressure, sweating, breathlessness, nausea, fainting, or pain spreading to the arm/jaw requires urgent medical attention.
Your ECG one month ago being normal is reassuring, but it cannot rule out every future heart problem.
B12 of 86 is very low if the unit is pg/mL. Please see a doctor for proper B12 treatment.
B12 deficiency can contribute to fatigue, weakness, palpitations, tingling and neurological symptoms.
If your vitamin D is 4.5 ng/mL, that is severely low. Ask your doctor for appropriate vitamin-D treatment.
My opinion: your 5-year on/off pattern strongly suggests anxiety/health anxiety may be contributing significantly, but recurring chest and arm pain should still be medically evaluated.
For anxiety: stop repeatedly checking BP/pulse, avoid Googling symptoms, exercise regularly, practice slow breathing, sleep properly, and consider CBT/therapy.
For phone addiction: disable unnecessary notifications, remove addictive apps from your home screen, keep your phone away during meals and exercise, and avoid it for 1 hour before sleeping.
Start with 30–60 minutes phone-free every day, then gradually increase.
You can improve. Treat your B12 and vitamin-D deficiencies and work on anxiety and phone habits together.
Next Steps
vit d 60k weekly 8 weeks
b12 daily 1 month
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Psychiatrist consultation
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