Managing Panic: Overcoming Hyperventilation and Anxiety Symptoms - Psychiatry

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Hyperventilation Panic


I previously experienced anxiety due to hyperventilation, which made me afraid to go out to see a doctor.
The doctor initially prescribed medication for my symptoms, and after a week of follow-up, I was given an additional half tablet of an antidepressant to take daily since I was experiencing symptoms every day.
I have been taking it for five days now, and while my fear of going out has diminished, I still feel very anxious every day, have a tight feeling in my chest, and experience nausea.
In the mornings, I can hardly eat anything and only drink milk, while I have an appetite for solid food in the evenings.
Should I schedule an earlier follow-up appointment, or is it okay to wait and see?

1223, 20~29 year old female. Ask Date: 2020/03/14

Dr. Zhang Gengjia reply Psychiatry


Dear Sir/Madam,
From your letter, it is evident that you are experiencing discomfort and distress due to hyperventilation and gastrointestinal issues.
Therefore, regular outpatient follow-ups and discussions are very important.
Regarding your concerns about physical discomfort and medication dosage adjustments, I am unable to provide direct responses or recommendations without considering your current condition.
Our clinic has outpatient services available from Monday to Friday, both in the morning and afternoon.
I recommend that you consider visiting the clinic for a personal evaluation of your symptoms by a physician, so we can collaboratively discuss the best course of action for you.
Wishing you good mental and physical health.
Sincerely,
Dr.
Chang Geng-Jia
Department of Psychiatry

Reply Date: 2020/03/14

More Info


Managing panic and anxiety symptoms, particularly those associated with hyperventilation, can be a challenging journey. It’s commendable that you are seeking help and have started medication to address your symptoms. Based on your description, it seems you are experiencing a combination of anxiety and physical symptoms that can be quite distressing.

Hyperventilation often occurs during panic attacks or periods of heightened anxiety. It can lead to a range of physical symptoms, including chest tightness, nausea, dizziness, and a feeling of being out of control. These symptoms can create a vicious cycle, where the fear of experiencing them again can lead to avoidance behaviors, such as not wanting to leave the house. This is a common experience for many individuals dealing with anxiety disorders.

You mentioned that after starting medication, your fear of going out has lessened, which is a positive sign. However, the ongoing feelings of tension, chest discomfort, and nausea are concerning and warrant attention. It’s important to recognize that while medication can help alleviate symptoms, it may take time for your body to adjust, and for the full benefits to be realized.
In terms of your current situation, here are some considerations:
1. Monitor Your Symptoms: Keep a journal of your symptoms, noting when they occur, their intensity, and any triggers you identify. This can provide valuable information for your healthcare provider and help you understand your patterns better.

2. Communicate with Your Doctor: If your symptoms are causing significant distress or impacting your daily life, it’s advisable to reach out to your doctor sooner rather than later. They can assess whether your current medication dosage is appropriate or if adjustments are needed.
3. Coping Strategies: In addition to medication, consider incorporating coping strategies into your routine. Techniques such as deep breathing exercises, progressive muscle relaxation, or mindfulness meditation can help manage anxiety symptoms. These practices can help you regain a sense of control over your body and mind.

4. Diet and Nutrition: Your mention of having a reduced appetite in the mornings is not uncommon among those experiencing anxiety. However, maintaining a balanced diet is crucial for overall well-being. Try to incorporate small, nutritious snacks throughout the day, even if you don’t feel hungry. Foods rich in omega-3 fatty acids, whole grains, and lean proteins can support brain health and mood regulation.

5. Gradual Exposure: If you are comfortable, consider gradually exposing yourself to situations that cause anxiety, starting with less intimidating scenarios. This can help desensitize you to the fear response over time.

6. Support System: Engage with friends, family, or support groups. Sharing your experiences with others who understand can provide comfort and reduce feelings of isolation.

7. Follow-Up Appointments: Regular follow-ups with your healthcare provider are essential in managing anxiety. They can help track your progress, adjust medications if necessary, and provide additional resources or referrals to therapy if needed.

In conclusion, while it’s encouraging that you are experiencing some improvement, the ongoing symptoms you describe should not be ignored. It’s always better to err on the side of caution and consult with your healthcare provider if you feel that your symptoms are not improving or are worsening. They can provide the best guidance tailored to your specific situation. Remember, managing anxiety is a process, and seeking help is a significant step towards recovery.

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