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Unexplained symptoms and overall fear
For last 4-5 months I've been experiencing weird symptoms which primarily include pulse increase.. head spinning.. feeling intense fear like something bad like sca is going to happen.. heavy breathing..slight chest heaviness or pain (never intense level) feeling like about to faint...No specific set sometimes some symptoms sometimes other... sometimes intensity is very strong like pulse in 140s especially after stimulant like coffee etc sometimes mild... more chances when in mountains or intense heat... sometimes without any reason
BP: Always normal 110-120/70-80
ECG: Tested thrice all times normal
Blood sugar/Hba1C: Always normalTroponin/Lipo A/B 12/Apo A & Apo B (Heartrisk markers):all normal..Rest kidney..liver (only alanine transaminase sgpt 68)etc thyroid, ESR, B12, normal
Report
abnormalities
Lipid: High TG (231)...high LDL(102)..low HDL(31)Haemoglobin: consistently around 12 withmicrocytic cellsHS CRP (3.36) & Homocysteine (15.2)
Why is it's happening is it a psychological
Answers (29)
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I am Dr. Shamoon. Let me first say the thing you most need to hear: at 27, with a normal ECG, three normal troponins, normal BP readings of 110-120/70-80, normal HbA1c, normal thyroid, normal ESR, normal B12 and a completely normal kidney and heart-marker panel, your heart is not the problem and you are not about to collapse. That much testing being normal is itself strong evidence. Your symptom pattern - a surge of pulse, head splitting, a sudden intense fear that "something bad is going to happen", heavy breathing, chest heaviness, near-faint feeling, worse after coffee and other stimulants, worse in crowds and in heat, and sometimes with no trigger at all - is the textbook picture of panic attacks with an autonomic surge, not of organic heart disease. So it is real, it is physical in how it feels, but it is being driven by an over-reactive fear circuit and an over-firing sympathetic nervous system. Two findings on your reports are genuinely worth acting on, though, and I would not dismiss them: your lipids are clearly abnormal for 27 - triglycerides 231, LDL 102, HDL low 31 - and your homocysteine is 15.2 with SGPT 88 and hemoglobin 13.1. That combination, with weight 97 kg at 5 ft 9 in (BMI about 32), points strongly to metabolic syndrome with fatty liver, which is what is raising your SGPT and triglycerides and lowering your HDL. Fatty liver and insulin resistance do not cause panic, but left alone for another decade they are what actually threaten your heart - far more than any symptom you are feeling today. So the honest answer to your question: yes, the episodes themselves are psychological/autonomic; no, your reports are not entirely normal, and the metabolic side needs real work.
Next Steps
1) Stop the testing loop. You have had ECG, three troponins, thyroid, HbA1c, ESR, B12 and kidney tests - repeating them each time you feel the surge only feeds the fear. Two things remain worth doing once: an ultrasound of the abdomen for fatty liver, and a 2D echo plus a Holter (24-hour ECG) so a cardiologist can sign you off definitively. After that, no more cardiac tests unless a doctor examines you and asks for them. 2) Cut caffeine completely for 6 weeks - you have already noticed stimulants trigger it; also cut energy drinks, nicotine and pre-workout supplements. 3) Learn slow breathing and use it at the first sign of a surge: breathe in for 4 seconds, out for 6-8 seconds, for 5 minutes. Exhaling longer than you inhale switches the autonomic surge off - it works better than any tablet in the moment. 4) Book proper treatment for panic disorder: CBT with a clinical psychologist is first-line and works well at your age. Medication (an SSRI) helps if attacks are frequent - it is not addictive and is not a sign of weakness, but it must be started and monitored by a doctor. 5) Attack the metabolic problem: aim to lose 8-10 kg over 6 months, 45 minutes of brisk walking or cycling 5 days a week, cut sugar, refined carbs, alcohol and fried food. This alone will bring down triglycerides 231 and SGPT 88 and raise your HDL. Recheck lipids and LFT in 3 months. 6) Take folic acid with B6/B12 for the homocysteine of 15.2 after your doctor confirms the dose. 7) Keep a simple diary - time, trigger, duration, pulse - and bring it to the consultation; the pattern usually makes the diagnosis obvious. If you would like me to review all your reports together and plan this properly, you can book a consult with me here on Practo or meet me at Synergy Multispeciality Hospital, Miraj.
Health Tips
Panic is the likely diagnosis, but do not self-label every symptom: get seen the same day if chest pain lasts more than 15-20 minutes at rest, spreads to the jaw or left arm with sweating, if you actually lose consciousness, or if your pulse stays above 120 for a long time when you are calm. Also avoid self-medicating with sedatives bought over the counter - they give short relief and worsen panic on withdrawal.
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Kindly do connect and consult for better treatment
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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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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Kindly consult
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Needs proper evaluation of these symptoms.
Next Steps
book your consultation, i would be happy to help
Health Tips
don't go for unnecessary reports by urself
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Symptoms are addressing towars a psychological /thyroid realted issue
Next Steps
Need further evaluation
Health Tips
Book consultation
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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.
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Consultant cardiologist
And if everything came normal
You can consider Psychiatry evaluation
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I will train you about diet modification and control of mind
Next Steps
do consult me
Health Tips
I will tell you what to do
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Get Holter monitoring done to exclude any underlying heart rhythm problem, if normal, please consult a psychiatrist.
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Probably You Are Going Through Generalized Anxiety Disorder As Your Reports Are Almost Normal Except For The Triglycerides Which Could Be easily Controlled By Diets And Excercise.
Do Not Ignore Your Health Problem.Genaralized Anxiety Disorder Is Highly Treatable.You Will Get Almost 70% Symptom Reduction Within 3 months With Proper Medication.
Next Steps
For This You Must Consult A Physician or A Psychiatrist .
Health Tips
The Treatment Process Is A Little Bit Longer Naturally.The Medication Take To Show Its Effect For Atleast A Month.Do Not Loose Hope And Stop Medicine Abruptly At Your Own.
Thank You
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I think psychology effect
So first go to cardiologist and psychiatry
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Please go to pyschriatist
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You should consult with a Cardiologist for evaluation of the heart. If no abnormality is found then you should consult with a Psychiatrist also.
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Consult superspecialist like cardiologist psychiatrist
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Hi!
Well by seeing all your symptoms and reports you are dealing with anxiety for that you need to consult a psychiatrist ASAP it will be beneficiary for you
If you still feeling hesitate or fear to consult a psychiatrist feel free to consult me il guide you
Thank you
Next Steps
Must consult a psychiatrist
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Your symptoms could be due to psychological and anxiety.Ideally you should consult a psychiatrist in your area for a clinical examination and appropriate management
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Due to anxiety, stress and overthinking.yes its psychological.
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Mr. 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
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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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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Sachin Bhiwaji Sanap
General Practitioner
8 yrs exp
Hingoli
Consult to psychiatrist with this issue
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Dr. Saurav Maitra
General Physician
12 yrs exp
Kolkata
It's difficult to say what exactly is causing your symptoms. Sometimes, panic attack can present this way. But there are organic causes which need to be ruled out before thinking of a psychological cause (unless there is an obvious stressor in your life which you think is contributing to your symptoms).
Next Steps
Consider testing for secondary hypertension - plasma renin, aldosterone and PAC ratio, urine for metanephrines (24 hr collection)
Health Tips
Avoid excessive caffeine like coffee or soda.
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Mr. Arunchand N K
General Practitioner
Alappuzha
Considering what you've said , most likely to be a psychiatric cause . Get a psychiatric consultation done Immediately.
Considering your High SGPT , high TG , High LDL , you're likely to have a mild grade Fatty liver .
Next Steps
Psychiatric consultation
Health Tips
You're welcome for consultations for management of the latter .
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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
Will help you
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Reesha Varshney
General Physician
1 yrs exp
Bareilly
Symptoms are mainly due to some sort of anxiety
Connect with me for consultation I will guide you further
But deranged lipid profile at this age is not a good sign
Things need to worked out
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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