Dizziness, Rapid Heartbeat, and Weight Loss Symptoms

Dizziness, increased heart rate, and a sensation of weightlessness?

Hello doctor, for the past six months, I have often felt inexplicably anxious over minor issues, with an increased heart rate, sometimes accompanied by cold sweats and nausea.
Recently, I have also experienced dizziness and a sensation of weightlessness.
I previously consulted a psychiatrist who prescribed me benzodiazepines, suggesting I take them when I have trouble sleeping, but my insomnia has become more frequent and my sleep has become lighter.
My body often feels heavy, and I frequently experience tinnitus in one ear.
Could you please tell me what symptoms or conditions I might be experiencing? I have had an electrocardiogram that was normal, and my blood tests were also normal, but due to the aforementioned issues, my appetite has decreased, and my weight has dropped to only 37 or 38 kilograms.

Mǎquè, 20~29 year old female. Ask Date: 2023/06/14

Dr. Peng Shiwei reply Neurology

Hello, based on your symptoms, it appears that you may have Generalized Anxiety Disorder.
You can refer to this article: https://wwwv.tsgh.ndmctsgh.edu.tw/unit/10058/17028.
If you have any questions, you may also consult the psychiatry outpatient clinic.
Thank you for your inquiry.

Reply Date: 2023/06/14

More Info

It sounds like you are experiencing a combination of physical and psychological symptoms that are significantly affecting your quality of life. Based on your description, you may be dealing with anxiety-related issues, which can manifest in various physical symptoms, including dizziness, rapid heartbeat, and weight loss.

Understanding Your Symptoms
1. Anxiety and Panic Attacks: The feelings of nervousness, rapid heartbeat, cold sweats, and nausea you describe are common symptoms of anxiety or panic attacks. These episodes can be triggered by stress or anxiety about daily life, work, or other pressures. The sensation of dizziness and feeling "light-headed" can also accompany these episodes, as anxiety can lead to hyperventilation, which reduces carbon dioxide levels in the blood and can cause dizziness.

2. Sleep Disturbances: Your increasing difficulty with sleep, characterized by insomnia and shallow sleep, can further exacerbate anxiety symptoms. Poor sleep can lead to increased irritability, fatigue, and a heightened sense of anxiety, creating a vicious cycle.
3. Tinnitus (Ear Ringing): The ringing in your ear (tinnitus) could be related to stress or anxiety, but it can also be a sign of other underlying conditions. It’s essential to consult with an ear, nose, and throat (ENT) specialist if this symptom persists.

4. Weight Loss: The significant weight loss you are experiencing (down to 37-38 kg) is concerning. This could be a direct result of your decreased appetite due to anxiety and stress. Chronic stress can lead to gastrointestinal issues, which may further impact your ability to eat and maintain a healthy weight.

Recommendations
1. Consult a Mental Health Professional: Since you have previously seen a psychiatrist, it may be beneficial to revisit them or seek a second opinion. Discuss your current symptoms, including the worsening insomnia and anxiety. They may adjust your medication or suggest therapy options, such as cognitive-behavioral therapy (CBT), which is effective for anxiety disorders.

2. Lifestyle Modifications: Incorporating regular physical activity, even light exercise like walking, can help alleviate anxiety symptoms. Exercise releases endorphins, which can improve mood and reduce feelings of anxiety. Additionally, practicing relaxation techniques such as deep breathing, meditation, or yoga can help manage stress levels.

3. Nutrition: Given your low weight, it’s crucial to focus on nutrition. Consider consulting with a nutritionist who can help you develop a meal plan that is both appealing and nutritious. Eating smaller, more frequent meals may help improve your appetite. Foods rich in omega-3 fatty acids, whole grains, and lean proteins can support overall health and may help stabilize mood.

4. Monitor Symptoms: Keep a journal of your symptoms, noting when they occur, their intensity, and any potential triggers. This information can be valuable for your healthcare provider in determining the best course of action.

5. Follow-Up Medical Care: Since you have had normal results from your ECG and blood tests, it’s essential to continue monitoring your physical health. If you experience any new symptoms, such as chest pain or severe dizziness, seek medical attention immediately.

Conclusion
Your symptoms are complex and likely interrelated, involving both psychological and physical components. It’s essential to address both aspects to improve your overall well-being. By seeking appropriate mental health support, making lifestyle changes, and focusing on nutrition, you can work towards alleviating your symptoms and improving your quality of life. Remember, you are not alone in this, and help is available.

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