Anxiety and Physical Symptoms: A Journey Through Health Concerns - Cardiology

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It seems that the symptoms of multiple sclerosis (MS) include palpitations?


Hello doctor, last week around 6 PM, I sometimes felt very tired and kept yawning, accompanied by dizziness.
After resting for a while (1-2 hours), it got better (this week has been better).
My hands and feet had intermittent pain before, which improved, but recently it has returned, and now it also affects my limbs (previously it was mainly in my palms and soles; I have undergone electromyography and nerve conduction studies).
In the past few days, I have experienced frequent muscle twitching in various locations, especially noticeable when lying in bed at night.
Sometimes my calf muscles feel tight and slightly sore, but it also gets better.
I noticed that my glasses seemed to refocus a few times, and when I was crying at night, the muscles at the corners of my mouth would twitch.
All of this makes me anxious; I feel like I might have multiple sclerosis.
I couldn't sleep last night, but this morning I felt more stable and thought I would use the computer.
Afterward, I noticed weakness in my left index finger when trying to push down, which scared me a lot.
I felt better when I woke up today, but it still feels weaker than the other finger.
Seeing my body like this, I don't know how to cope.
Last week, I visited a neurologist and asked him to arrange relevant tests, but I have to wait until the end of the month.
I don't want to have this disease; I don't want to gradually become disabled or blind—it's really terrifying.
But it seems like my body is getting sick, and I'm struggling mentally.
I called my mom to talk and ease my emotions, but I haven't done that recently because I feel like it would only make her sadder.
I don't know how to view my body; sometimes I pray, but I feel like I'm a bad person and don't sense my own sincerity.
I've just followed my mom's faith since childhood.
I've worried about being unhealthy for a long time, from concerns about HIV, blindness, brain cancer, autoimmune diseases, diabetes...
but this feels so real to me.
I don't know how to express the pain inside me; I'm really living in such sadness.
Sometimes I feel a bit calmer, usually after crying, but it's just fleeting moments.
I don't want to have MS, and I don't know what to do.
I often think about the future; my family doesn't have money, and I'm worried about medical expenses if I become ill or disabled, my student loans, and how old my mom is still having to work like this.
She even said she would help me find a therapist, and thinking about that makes me feel so sorry for her.
I feel ashamed and worthless, and my body feels terrible, but I'm also frustrated that they don't understand the problems I'm having with my body right now.

Nìngmíng, 20~29 year old female. Ask Date: 2020/10/09

Dr. He Dongjin reply Cardiology


Hello, please visit a psychosomatic specialist.
I see that there is no illness, but you are scaring yourself and it has become overwhelming.
I pray for your peace and well-being.
Changhua Hospital cares about you.

Reply Date: 2020/10/09

More Info


It sounds like you are experiencing a complex interplay of anxiety and physical symptoms that can be quite distressing. Your concerns about your health, coupled with the physical sensations you are experiencing, can create a cycle of anxiety that exacerbates your symptoms. This is a common issue known as somatic symptom disorder, where psychological distress manifests as physical symptoms.

Firstly, it's important to acknowledge that your feelings are valid. The fear of serious illness, especially when compounded by physical symptoms, can lead to significant anxiety. You mentioned symptoms such as fatigue, muscle twitching, and sensations of weakness, which can indeed be alarming. However, it’s crucial to understand that anxiety can produce a wide range of physical symptoms, including muscle tension, fatigue, and even sensations of numbness or tingling. These symptoms can mimic serious neurological conditions, which can understandably lead to fears of conditions like multiple sclerosis (MS).

From a medical perspective, it’s reassuring that you have sought evaluations from specialists, including neurologists, and that you are awaiting further tests. It’s essential to continue this process to rule out any underlying medical conditions. However, it’s equally important to address the psychological aspects of your experience. Anxiety can lead to hypervigilance regarding bodily sensations, causing you to interpret normal bodily functions as signs of illness.

Here are some strategies that may help you manage your anxiety and physical symptoms:
1. Cognitive Behavioral Therapy (CBT): This form of therapy is effective for anxiety disorders. It helps you identify and challenge negative thought patterns and beliefs that contribute to your anxiety. A therapist can guide you in reframing your thoughts about your health and help you develop coping strategies.

2. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce anxiety and improve your awareness of bodily sensations without judgment. These techniques can help you become more grounded and less reactive to your symptoms.

3. Physical Activity: Engaging in regular physical activity can help reduce anxiety and improve overall well-being. Activities like walking, yoga, or swimming can be beneficial. However, listen to your body and avoid pushing yourself too hard, especially if you are feeling fatigued.

4. Limit Information Overload: It can be tempting to search for symptoms online, but this often leads to increased anxiety. Try to limit your internet searches regarding health concerns and focus on information from trusted medical sources.

5. Open Communication: It’s important to communicate your feelings with your family, especially your mother. Sharing your concerns can help alleviate some of the emotional burden you are carrying. It may also help her understand your situation better, which can foster a supportive environment.

6. Consider Professional Support: If you haven’t already, consider seeking the help of a mental health professional. They can provide you with tailored strategies to cope with your anxiety and help you process your feelings about your health and future.

7. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process your emotions. It can help you identify patterns in your anxiety and provide a release for your worries.

8. Focus on the Present: Anxiety often stems from worrying about the future. Practicing mindfulness can help you stay grounded in the present moment, reducing the tendency to ruminate on potential health issues.

Remember, it’s okay to seek help and take the time you need to address both your physical and emotional health. You are not alone in this journey, and there are resources available to support you. Prioritize self-care and be gentle with yourself as you navigate these challenges.

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