Persistent Dizziness and Chest Discomfort: A Patient's Journey - Neurology

Dizziness issues?

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Hello, Doctor.
I am the person who asked question #191468.
Thank you for your advice.
I later underwent HRV testing, and the report was normal.
However, I have recently felt that my condition has worsened, both physically and mentally.
Currently, I feel dizzy when walking (a sensation of dizziness while moving), but it is not vertigo, and I do not lose my balance or fall; I walk in a straight line and do not stumble.
To an outsider, I appear normal, but I feel floaty, as if my perception is unreal, and I feel like I cannot control my body.
It's an abstract sensation.

In addition to dizziness, I also experience chest tightness and difficulty breathing.
I had my chest and heart examined in April of last year, and there was only a mild case of mitral valve prolapse (which does not affect my daily life), with no other issues found.
The doctor initially believed it was autonomic nervous system dysfunction and prescribed a heart rhythm medication, which I found effective at the time.
However, now I am unsure if it is a psychological factor or something else, as I feel it is not as effective as before.

I often experienced chest tightness and shortness of breath, accompanied by nausea, which led me to the emergency room, but all tests returned normal.
The doctor believed it was due to hyperventilation and panic.
Recently, I went to the emergency room again for these symptoms, and the test results were the same—normal.
Later, in April, I underwent an endoscopy and was diagnosed with mild gastroesophageal reflux disease (GERD).
The doctor mentioned that everyone experiences symptoms differently, and I might be more sensitive.
GERD could also be a cause of my chest tightness since no other reasons were found in my chest or heart.
In February of last year, I also experienced unusual sensations in my left hand and left foot, particularly weakness and soreness.
I consulted a neurologist, and a CT scan showed no issues.
Eventually, that problem resolved on its own, but it has recently reappeared.
Since last year, my chest tightness and dizziness have come in episodes, lasting about two weeks before resolving.
However, I do not understand why this month, these symptoms have not stopped; I experience chest tightness and dizziness every day, which has affected my mental state.
I feel very low, anxious, and accompanied by panic.
My mental state is affecting my physical well-being, and I feel increasingly uncomfortable.
I have consulted a psychosomatic specialist and am taking medication, including heart rhythm medication and a medication for anxiety (to be taken when uncomfortable).
I also take Clonazepam before bed.
A few days ago, I experienced panic symptoms, including sudden severe dizziness, a loss of reality in my legs, and blurred vision (I can still see, but it is very blurry).
At the same time, I felt chest tightness, difficulty breathing, rapid heartbeat, body tremors, and chills, leading to feelings of panic.
Eventually, after taking my psychosomatic medication, I calmed down.
I apologize for the disorganized content above; I am truly troubled, and my thoughts are chaotic, with decreased concentration.
Although many doctors have told me that the likelihood of my discomfort being influenced by psychosomatic factors is high, I have not found evidence to prove what is causing my discomfort.
When the HRV test results were normal, I felt anxious because I did not know what to do next.
Even though the doctor told me that anxiety can cause physical discomfort, I still find it hard to believe that I could feel so unwell.
I have been trying to find the cause, but it is contradictory; constantly seeing doctors to find a reason has left me mentally and physically exhausted.
Yet, without finding a cause, I feel uncomfortable every day and am constantly afraid of a recurrence.

Doctor, do you have any suggestions? Should I go back to the neurologist for a thorough examination? Thank you for your patience in responding, and I apologize for any inconvenience caused.

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enola, 20~29 year old female. Ask Date: 2023/01/24