Most of the time I feel anxious, I feel like my chest is heavy and I often feel unwell and nauseated. Occasionally trembling sensation in hands and fatigue . Often wakes up at night due to heavy and uneasy feeling in chest and restlessness, frequent headaches.
I need to understand my problem and I am out of India so if medication is needed, can somebody suggest as per my country of residence?
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Thank you for sharing your concerns. Based on the symptoms you’ve described—it appears that you may be experiencing features of an anxiety disorder, but this requires a clinical assessment to confirm.
Secondly,We should rule out any medical causes and then decide whether therapy alone is sufficient or if medication is required.
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Thank you for sharing what you’ve been experiencing.
The symptoms you’ve described — persistent anxiety, chest heaviness, nausea, trembling, fatigue, disturbed sleep, and frequent headaches — can feel very overwhelming. These symptoms are commonly seen in anxiety and stress-related conditions, but they can also overlap with physical health issues. So it’s important to look at both aspects together.
A few things I want you to know:
1. Your symptoms are real and valid. Many people with chronic anxiety experience similar mind–body sensations, and they can be managed with the right care.
2. Before assuming it’s purely psychological, it’s wise to rule out medical causes like thyroid imbalance, vitamin deficiencies, blood pressure fluctuations, or gastric issues — because these often worsen anxiety.
3. For the psychological aspect, the pattern you described — especially waking up at night with uneasiness, chest tightness, and restlessness — aligns with heightened anxiety or panic-type symptoms. These respond very well to:
Cognitive Behavioural Therapy (CBT)
Relaxation and grounding techniques
Sleep and lifestyle regulation
Identifying and restructuring stress triggers
4. About medication:
Medication decisions should be taken after an evaluation by a licensed psychiatrist in your country of residence. Each country has different regulations and available formulations, so a local professional is best placed to guide you safely.
5. You don’t have to handle this alone.
With the right therapeutic support, most people see a significant reduction in symptoms within weeks.
You have mentioned the symptoms suggestive of anxiety disorder
You must consult a Psychiatrist for further detailed assessment regarding duration, frequency, associated mood symptoms, sleep pattern
It's a treatable and very common, you are not alone
With medications plus relaxation exercises, you will feel relieved
Consult a psychiatrist in your country – treatment usually includes:
Medication such as an SSRI (e.g., sertraline / escitalopram / paroxetine)
Short-term anxiolytic or propranolol for physical symptoms (only if no asthma/low BP)
CBT therapy (very effective)
Hi
These symptoms heavy chest, nausea, trembling, disturbed sleep are classic signs of your nervous system staying in anxiety mode for too long. Nothing is “wrong” with you; your body is simply overwhelmed. In therapy, we focus on calming the fight-or-flight response, grounding the body, retraining anxious thoughts, and identifying triggers so these sensations stop repeating.
For medication, only a psychiatrist in your country can prescribe based on local rules, but therapy itself will give you the longest-lasting relief.
Take therapy. You can connect with me on nine two six six seven two six zero six five.
Hi.. your anxiety could be due to physical or psychological reasons. However will need further history regarding the same to advise appropriately. Consult online for treatment
Thank you for sharing your symptoms in detail. The heaviness in chest, nausea, trembling, disturbed sleep, headaches and persistent uneasiness can occur due to multiple causes — including anxiety or panic attacks, thyroid imbalance, anemia, vitamin deficiencies, or even gastritis/acid reflux. Because these symptoms are bothering you frequently and affecting sleep, it is important not to ignore them.
Right now, the first step is to rule out any physical causes along with addressing the anxiety. A proper check-up will help you understand the exact reason.
Next Steps
CBC (to check for anemia/infection)
Thyroid function test (TSH, T3, T4)
Vitamin B12 & Vitamin D
ECG if chest heaviness continues or worsens
If tests are normal and symptoms still persist, a Psychiatrist consultation can help manage anxiety safely with therapy or medication suited to your country.
Anxiety that is constant might have root cause in lot of underlying impactful memories some of which we don’t even remember
Try journaling
Vitamin d
Smile often
Sunshine
Ans come to me for therapy ans figuring out
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.
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.
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