Hypochondriasis symptoms?
Hello, doctor.
I apologize for bothering you.
Since I entered my senior year of high school, I have hardly slept well (only 3-5 hours a day).
Shortly after school started, I went to get vaccinated, and while I was in the observation area, I began to experience chest pain.
Then the bad things started happening.
A day or two later, the chest pain did not improve, and I was very anxious, wondering if it could be myocarditis or something similar.
I opened my phone to learn more about my symptoms, and I stumbled upon terms like "myocardial infarction" and "angina," which made me so scared that I started crying.
My chest still hurt, and I was terrified of facing a serious situation.
Later, I rushed to the emergency room to see a doctor for the first time, and I had an electrocardiogram done.
The doctor said everything was fine and that it was just a normal side effect, giving me some anti-inflammatory medication.
However, even after taking the medication, I still didn’t feel much better; my stomach was a bit uncomfortable, I had a poor appetite, and I felt nauseous.
At that time, I was also experiencing some insomnia since school had just started.
When I searched online, I even found out that I might be at risk of sudden death.
During that period, my throat would feel uncomfortable in the afternoon, and after dinner at night, when I lay down, I would sweat from my palms, soles, and the back of my neck.
I was so afraid that it was the cold sweat associated with a myocardial infarction, especially since I read that women can experience atypical symptoms like pain in the stomach, arms, or back.
I was genuinely scared.
Eventually, I couldn't take it anymore and went to see my family doctor.
He said I had periostitis and some neuralgia, and that I was a bit too anxious.
He prescribed me some medication, and I continued with the anti-inflammatory and stomach medications, along with a mild sedative to help me sleep better.
He advised me to rest more.
However, I couldn’t go to bed early because I had to catch up on my studies.
The situation only slightly eased; the only improvement was in my insomnia, while the chest pain persisted, and my stomach discomfort (mainly in the morning) continued.
I also started experiencing soreness in various parts of my body (shoulder, neck, back pain, headaches, and soreness in my limbs).
So, I went to see a doctor for the second and third time, and he still said it was anxiety and neuralgia, giving me the same medication.
Each time I left the office, I was half-convinced, feeling that the reality was much less severe than what I had found online, far less than what I feared.
But since he is a professional and everyone sees him, his conclusions must have some merit.
Moreover, I had classmates with similar symptoms, so I thought I probably didn’t have anything too serious.
Yet, I found it hard to believe, and I remained very anxious about having a serious illness.
Now, whenever I notice something strange in my body, I become very fearful, thinking I might have a severe condition.
For example, if I have a dry mouth or sudden tingling in my fingers, I worry I might have diabetes, to the point where I check my urine for sweetness every time I use the bathroom.
If I notice my urine seems a bit cloudy, I worry I might have kidney disease or a urinary tract infection (later, I collected my urine in a clear container and found it was actually very clear, probably due to the toilet water).
I don’t have the time or money for blood tests or urine tests, and I fear my family will think I’m making a big deal out of nothing if it turns out I’m fine.
All I can do is search on my phone, but every time I finish searching, I feel scared, and at my worst, I even cry.
I really want to break free from this habit of searching for information online, and I don’t want to develop a chronic illness.
However, every time I hear the doctor say I’m just too anxious, I find it hard to believe, and I still worry that I haven’t described my symptoms in enough detail or that he might have made an incorrect judgment.
I feel so distressed, and I want my pain to go away soon.
But now, as soon as I feel any tingling in my feet, dryness in my eyes, bad breath, soreness in my hands, or itching in my back, I fear that I might have some chronic disease.
Even though I know the risks of these issues are relatively low at my age, what if? What if I’m that unlucky? I found you while searching online, and due to family circumstances, I can’t easily go to the hospital, but I believe you are professionals who might be able to clarify my situation.
Could this be considered illness anxiety disorder? How should I overcome this when it’s difficult to convince myself to get a physical examination? Thank you, doctor, for your patience in reading this long message.
Lan Yu, 10~19 year old female. Ask Date: 2021/10/23
Dr. Lin Mianzhang reply Psychiatry
Hi, Lanyu: You have really been through a lot! Based on the symptoms you described, it does seem to be a case of health anxiety.
This condition often arises in relation to psychological stress.
You mentioned that your sleep has not been good since entering your senior year of high school; could this be related to academic pressure? Stress can easily lead to poor sleep, and inadequate sleep can further affect your resilience to stress, making your body more sensitive and prone to uncomfortable symptoms.
Therefore, to improve these symptoms, it may be necessary to understand the types of stress you are encountering and analyze how to alleviate them, as this is a more fundamental approach.
It is best to have professional assistance throughout this process to help you achieve effective results.
Thus, I still recommend that you seek help from a mental health specialist! If you prefer not to go to a hospital or clinic, you can also start by reaching out to your school counselor for support.
Wishing you a speedy recovery.
Reply Date: 2021/10/23
More Info
It sounds like you are experiencing significant health anxiety, which is characterized by excessive worry about having a serious illness despite medical reassurance. This condition can be quite distressing and can lead to a cycle of fear and physical symptoms that may exacerbate your anxiety.
From your description, it seems that your anxiety began after experiencing chest pain following a vaccination, which understandably triggered fears about serious heart conditions. This is a common response, especially in a society where health information is readily available online, often leading to misinterpretation and increased anxiety. The internet can be a double-edged sword; while it can provide valuable information, it can also amplify fears and lead to unnecessary worry.
Your symptoms, including chest pain, gastrointestinal discomfort, and various aches and pains, can often be linked to anxiety. Stress and anxiety can manifest physically in many ways, including muscle tension, digestive issues, and even pain. The fact that multiple healthcare professionals have reassured you that your tests are normal is a positive sign, but it can be challenging to internalize that reassurance when anxiety is at play.
Here are some strategies that may help you cope with health anxiety:
1. Limit Internet Searches: One of the most effective ways to reduce anxiety is to limit your online searches about symptoms and diseases. The information found online can often be misleading or overly alarming. Instead, consider discussing any concerns directly with a healthcare professional.
2. Cognitive Behavioral Therapy (CBT): This is a highly effective treatment for health anxiety. CBT helps you identify and challenge negative thought patterns and beliefs about health. A therapist can guide you through this process, helping you to develop healthier coping mechanisms.
3. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help reduce anxiety. These techniques focus on grounding you in the present moment and can help alleviate physical symptoms of anxiety.
4. Physical Activity: Regular exercise can be a powerful tool for managing anxiety. It releases endorphins, which can improve your mood and reduce stress. Even a daily walk can make a significant difference.
5. Establish a Routine: Creating a daily routine that includes time for relaxation, hobbies, and social interaction can help distract you from anxious thoughts and provide a sense of normalcy.
6. Seek Professional Help: If your anxiety continues to interfere with your daily life, consider seeking help from a mental health professional. They can provide tailored strategies and, if necessary, discuss medication options that can help manage your symptoms.
7. Connect with Supportive People: Sharing your feelings with trusted friends or family members can help you feel less isolated. They can provide reassurance and support as you navigate your anxiety.
8. Focus on What You Can Control: Instead of worrying about potential illnesses, focus on maintaining a healthy lifestyle through balanced nutrition, regular exercise, and adequate sleep. This proactive approach can help you feel more in control of your health.
Remember, it’s important to be kind to yourself as you work through these feelings. Health anxiety is a common experience, and many people find relief through various coping strategies and professional support. You are not alone in this, and with time and effort, it is possible to manage your anxiety and improve your overall well-being.
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