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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 54839
Experience:  GP in the United States
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Hello, In around November time 2013 I unexpectedly had to

Resolved Question:

Hello,

In around November time 2013 I unexpectedly had to go into A&E suffering with breathlessness, heart palpitations, chest pains, dizziness, unbalanced and just feeling very unwell.

After an ECG, X-Ray and blood tests they couldn't find anything wrong apart from an irregular heartbeat. This may have been down to being in A&E.

A few days later I had a appointment with my local doctor who decided to do another ECG and a blood test for a ‘clot to the lung’ but came through all fine so I was referred to a Cardiology clinic for further tests.

Between then and the Cardiology appointment I also had a diabetes and thyroid blood test as this is in my family but all came through fine.

At my Cardiology appointment I was fitted with an ECG for 24hrs to monitor and record any times I felt any of my symptoms. This came back fine with no negative results.

My next appointment with my local doctor we talked through the test results and ruled out any concerns with my chest or heart area.

My doctor has now put my symptoms down to anxiety/stress/panic attacks and prescribed me Bisoprolol 2.5mg for every time I feel these symptoms.

Since my last appointment in December I have been feeling ok on and off but still getting the symptoms. I have taken the pills prescribed to me when feeling like this but they have no effect.

The last few weeks I have been feeling the symptoms more then ever. I have an appointment with my doctor next week but would like to know what you think I am suffering with, any other tests that could be done and any advice you can give me?

These symptoms are not all the time but are becoming more and more regular and I can hardly cope.

I don’t have much stress in my life apart from I work a rotational night and day shift job. I have never been to A&E or doctors with anything like this before and would consider myself a non-hypochondriac.

Regards,

Paul
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Phil, MD replied 3 years ago.
Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

What do your symptoms feel like?

Is your pulse regular?

Does it skip beats?
Customer: replied 3 years ago.

Breathlessness, unbalanced, feels like i'm going to loose it or have some sort of seizure and just the feeling of being very unwell.


 


It's not all the time but it's becoming more regular and is very worrying.


 


Heartbeat seems fine.

Expert:  Dr. Phil, MD replied 3 years ago.
Thanks Paul

This definitely seems like anxiety related to me.

I agree with that diagnosis.

your cardiac workup would have showed something.

I recommend treatment for anxiety. I would try medications and counseling. Have you considered this?
Customer: replied 3 years ago.

I am open to anything and everything.


 


What medication would your recommend?

Expert:  Dr. Phil, MD replied 3 years ago.
I would recommend an SSRI like zoloft or prozac

Along with counseling.

The combination works better than the separate parts

Customer: replied 3 years ago.

Anything else can recommend or advise?


 

Expert:  Dr. Phil, MD replied 3 years ago.
No not really Paul

your cardiac problems have been ruled out

anxiety is the diagnosis

treatment is zoloft and counseling
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 54839
Experience: GP in the United States
Dr. Phil, MD and 3 other Medical Specialists are ready to help you
Expert:  Dr. Phil, MD replied 3 years ago.
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