Question 1

I've been struggling with this issue for about two years now, and I'm really hoping for some insight. I'm a 27-year-old I.T. professional and this all started with sudden bouts of dizziness and sweating. I've gone through all the usual tests, like MRI and blood work, and the only thing that came up was a low B12 level at 83. Over time, I've begun feeling detached, and my doctor mentioned it might be anxiety. The problem hasnt gone away though, and now I sometimes experience fluttering, dizziness, and vomiting. It feels like I might faint, but I never actually do. I've had TMT and ECG tests twice, and both were normal. I worry it could be some kind of arrhythmia, but during these episodes, my heart rate seems stable with no major changes. It's confusing because these episodes don't seem linked to stress and only last a few seconds. I'm really anxious about this and just looking for a professional perspective on what's happening.

Accepted Answer

It sounds like you are experiencing symptoms of panic attacks, which can be very distressing. The dizziness, sweating, fluttering sensation, vomiting, and feeling like you might pass out are all common symptoms of panic attacks. Since your heart rate remains normal during these episodes and your cardiac tests (TMT, ECG) have come back normal, it is less likely to be related to arrhythmia. One possible treatment option for your symptoms could be to take an anti-anxiety medication such as **Xanax (Alprazolam)**. The usual starting dose for adults is 0.25 mg to 0.5 mg taken three times a day. However, it is important to consult with a doctor before starting any medication. In addition to medication, therapy such as cognitive-behavioral therapy (CBT) can also be very effective in managing panic attacks. It can help you understand and cope with the triggers of your anxiety. It is important to follow up with your doctor regularly to monitor your symptoms and response to treatment. If you continue to experience these episodes despite treatment, further evaluation may be needed.

Question 2

I'm really confused about something on my chest X-ray. It mentioned "cardiovascular markings," and I'm not entirely sure what that actually indicates. Is this something serious? Should I start taking any specific meds or consider certain treatments? I'd really appreciate some advice on what steps I should take next. Thanks for shedding some light on this!

Accepted Answer

See a specialist for accurate diagnosis and targeted treatment.

Question 3

I've been really stressed about my heart health lately. I had a 2D echo done back in November, and I'm feeling super anxious about it again. I keep noticing my pulse everywhere I put my hand on my body, and it's freaking me out a bit. How long should I wait before getting another 2D echo to make sure everything's okay?

Accepted Answer

based on your symptoms and history of severe heart anxiety, it would be advisable to consult with a cardiologist for a proper evaluation. However, typically, if there are no significant changes in your symptoms, a follow-up 2D echo can be done after 1 year from your last test. In the meantime, you can consider taking medications like Propranolol 20mg twice daily to help with your heart anxiety symptoms.

Is it possible to get an ECG test done without needing a doctor's prescription? If so, could you provide some guidance on how to go about it? I'm really interested in getting an ECG test.

Yes you can get it done ,visit your nearest hsopital or diagnostic centre

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