Symptoms: Anxiety vs. Physical Health Concerns - Internal Medicine

Share to:

I'm sorry, but the content you provided is not sufficient for


Hello, doctor regarding the infection issue from case 108042.
I am a resident of Chiayi City who asked a question a few days ago.
I have been experiencing a sensation of throat tightness (some discomfort) and occasional strange feelings in one of my legs for the past 3-4 days.
However, the symptoms do not seem to be worsening.
This afternoon, my entire leg suddenly became sore, and it has remained sore into the evening (it was not sore in the morning).
Should I seek medical attention? I have noticed that despite these symptoms, as long as I focus on one task, the symptoms disappear or become unnoticeable.
However, once I finish the task and start thinking about it again, the symptoms reappear.
Sometimes, I wake up in the morning without symptoms, but once I start moving and thinking about it, the symptoms come back.
It seems that the more I think about the symptoms, the more pronounced they become.
I tend to experience excessive anxiety and panic, and I noticed that the symptoms of anxiety and panic (headaches, muscle pain, throat tightness, and the sensation of a foreign body) seem similar to the early symptoms of rabies, which makes me very worried.
However, I have no issues with drinking water, brushing my teeth, washing my face, washing my hands, or taking a shower! I plan to find time to talk to a psychiatrist.
Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2016/07/04

Dr. Hong Yuanbin reply Internal Medicine


Based on the symptoms you described, they do not appear to be consistent with a true rabies infection.
It is advisable to relax and manage stress appropriately.
If the same symptoms persist, you may seek assistance from a psychiatrist or psychologist.
Wishing you a speedy recovery, and thank you for your inquiry.

Reply Date: 2016/07/04

More Info


Your situation reflects a common struggle that many individuals face when dealing with anxiety and physical health concerns. It’s understandable to feel overwhelmed when symptoms arise, especially when they seem to correlate with anxiety. The interplay between physical sensations and emotional states can create a cycle that is difficult to break.
From what you've described, it appears that your symptoms—such as the sensation of throat tightness, unusual feelings in your leg, and muscle pain—are exacerbated by your focus on them. This is a classic manifestation of anxiety, where the more you concentrate on a symptom, the more pronounced it becomes. This phenomenon is often referred to as "somatic amplification," where anxiety leads to heightened awareness of bodily sensations, making them feel more intense or alarming.

It's important to recognize that while your symptoms may feel very real and distressing, they can often be linked to anxiety rather than a serious physical condition. The fact that your symptoms diminish when you engage in activities or focus on something else suggests that your mind plays a significant role in how you perceive these sensations. This is not uncommon; many people find that their anxiety can manifest physically, leading to a range of symptoms that can mimic serious health issues.

Given your history of anxiety and panic, it would be beneficial to explore therapeutic options that can help you manage these feelings. Cognitive Behavioral Therapy (CBT) is particularly effective for anxiety disorders, as it helps individuals identify and challenge irrational thoughts and beliefs that contribute to their anxiety. Additionally, mindfulness practices can be incredibly helpful in grounding yourself in the present moment, reducing the tendency to ruminate on physical sensations.

You mentioned that you plan to consult with a mental health professional, which is a great step. They can help you develop coping strategies tailored to your specific needs. If your anxiety symptoms are significantly impacting your daily life, medication may also be an option worth discussing with your healthcare provider.
In the meantime, consider implementing some self-care strategies. Regular physical activity, a balanced diet, and adequate sleep can all contribute to better mental health. Techniques such as deep breathing exercises, progressive muscle relaxation, or yoga can also help alleviate anxiety symptoms.
Lastly, it’s crucial to maintain open communication with your healthcare providers. If your symptoms persist or worsen, seeking medical advice is always a wise choice. They can help rule out any underlying conditions and provide reassurance, which can alleviate some of your anxiety.

In summary, while your physical symptoms are valid and deserve attention, it’s essential to consider the role that anxiety may play in amplifying these sensations. By addressing both your physical and emotional health, you can work towards a more balanced state of well-being. Remember, you are not alone in this journey, and there are effective strategies and support systems available to help you navigate these challenges.

Similar Q&A

Understanding Health Anxiety: Coping with Physical Discomfort and Mental Strain

Hello, doctor. I tend to be easily nervous and anxious, and I am quite sensitive. I often worry excessively about my health; whenever I feel even a slight discomfort, I can't help but focus on that "discomfort," which only intensifies my feelings. I have mild gastr...


Dr. Lin Mianzhang reply Psychiatry
Hi there! Your situation is quite typical of illness anxiety disorder. It’s clear that you are making a strong effort to feel better, which leads you to pay more attention to your bodily sensations. However, paradoxically, the more you focus on your physical condition, the more a...

[Read More] Understanding Health Anxiety: Coping with Physical Discomfort and Mental Strain


The Impact of Anxiety and Fear on Physical Health: Understanding Your Symptoms

Hello Doctor, I previously underwent tests due to a loss of appetite and was diagnosed with a mild gastric ulcer. Since then, I've been worried about many things, such as whether there were any errors in the tests or if there are other undetected health issues in my body. Th...


Dr. Lin Mianzhang reply Psychiatry
Hello Mr. Zhu: It appears that you are experiencing significant anxiety. Sometimes excessive anxiety can lead to autonomic nervous system dysregulation, causing discomfort throughout your body. If you continue to feel very tense or worried, I recommend seeking help from a psychia...

[Read More] The Impact of Anxiety and Fear on Physical Health: Understanding Your Symptoms


Overcoming Negative Thoughts and Anxiety: Understanding Mental Health Challenges

Thank you for taking the time to address my concerns! My background and current living environment are quite normal. However, I have been struggling with psychological issues: 1. Recently, I have experienced some minor physical ailments. Since I have never had these issues be...


Dr. Chen Wenyu reply Psychiatry
Hello, Fuwek: 1. During outpatient visits, many people purchase books about mental illnesses to better understand themselves, only to find that they resonate with what is described in the texts, which deepens their feelings of unease. In reality, even psychiatric textbooks can ...

[Read More] Overcoming Negative Thoughts and Anxiety: Understanding Mental Health Challenges


Assessing Health: Is It Physical or Psychological Anxiety?

Hello, doctor. I am someone who is prone to anxiety, and recently I have been experiencing various physical issues. I feel that something is off with my body. In addition to gastroesophageal reflux, I often experience dry mouth (which does not improve with drinking water), sore g...


Dr. Hou Angting reply Family Medicine
Hello, internet user: I suggest you first visit a family medicine physician for further evaluation. Wishing you good health.

[Read More] Assessing Health: Is It Physical or Psychological Anxiety?


Related FAQ

General Discomfort

(Internal Medicine)

Overall Health

(Internal Medicine)

Physical Examination

(Internal Medicine)

Breathing

(Internal Medicine)

Epinephrine

(Internal Medicine)

Dizziness

(Internal Medicine)

Abdominal Pain

(Internal Medicine)

Chest Tightness

(Internal Medicine)

Irritable Bowel Syndrome

(Internal Medicine)

Weight

(Internal Medicine)