Anxiety Symptoms: Is It Hyperthyroidism or Something Else?

What disease?

Hello, my symptoms include easily getting anxious, and now it has escalated to feeling nervous whenever I go out, with cold sweats and chest tightness that makes me feel like I can hardly breathe.
The chest tightness is constant, and sometimes when I squat and then stand up, my chest will flutter a few times; I'm not sure if that is palpitations.
I also have a lack of patience and can't wait for anything, and I can't go hungry.
For instance, if I don't eat quickly after waking up in the morning, I feel weak all over and almost faint, but if I eat something sweet, I feel a bit better.
In the past, I didn't eat breakfast.
Could this be hyperthyroidism or another condition? If I need to get tested, how should I proceed? I haven't had any tests done because I've been very anxious, and it's been quite distressing.

Hong Dou, 30~39 year old female. Ask Date: 2006/02/13

Dr. Yang Hongzhi reply Internal Medicine

Hyperthyroidism has several potential causes, and a blood test is necessary to confirm the diagnosis.

Reply Date: 2006/02/13

More Info

Hello! Based on your description, it sounds like you are experiencing significant anxiety symptoms, which can manifest in various physical and emotional ways. The symptoms you mentioned, such as excessive nervousness, cold sweats, chest tightness, and feelings of impending doom, are common in anxiety disorders. However, you also expressed concerns about possible hyperthyroidism, which is a condition where the thyroid gland is overactive and produces excess thyroid hormones, leading to symptoms such as increased heart rate, anxiety, and weight loss.

To differentiate between anxiety disorders and hyperthyroidism, it's essential to consider the following:
1. Symptoms of Hyperthyroidism: Common symptoms include rapid heartbeat, weight loss despite normal or increased appetite, sweating, nervousness, irritability, and difficulty sleeping. If you notice these symptoms alongside your anxiety, it may warrant further investigation.

2. Symptoms of Anxiety Disorders: Anxiety can lead to physical symptoms such as muscle tension, fatigue, difficulty concentrating, and sleep disturbances. The feelings of panic or fear you described, especially when preparing to leave the house, are indicative of anxiety disorders, such as generalized anxiety disorder (GAD) or panic disorder.

3. Physical Examination and Tests: To determine if hyperthyroidism is a factor in your symptoms, a healthcare provider would typically conduct a physical examination and order blood tests to measure levels of thyroid hormones (TSH, T3, and T4). These tests can help rule out or confirm hyperthyroidism.

4. Managing Anxiety: Regardless of the underlying cause, managing anxiety is crucial. Techniques such as cognitive-behavioral therapy (CBT), mindfulness practices, and relaxation techniques can be beneficial. Additionally, regular physical activity and a balanced diet can help improve your overall well-being.

5. When to Seek Help: If your symptoms are significantly impacting your daily life, it’s essential to seek professional help. A mental health professional can provide a thorough assessment and recommend appropriate treatment options, which may include therapy, medication, or lifestyle changes.

6. Self-Care Strategies: In the meantime, consider implementing self-care strategies to help manage your anxiety. This could include deep breathing exercises, progressive muscle relaxation, or engaging in activities that you find enjoyable and relaxing.

In conclusion, while your symptoms could be related to anxiety, it is essential to rule out other medical conditions like hyperthyroidism. I recommend scheduling an appointment with a healthcare provider to discuss your symptoms in detail and undergo any necessary tests. Addressing both your physical and mental health is vital for achieving overall wellness. Remember, you are not alone in this, and seeking help is a positive step towards feeling better.

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