Memory Loss, Heart Pain, and Breathing Issues: A Guide

Amnesia. Chest pain. Difficulty breathing..?

Hello, Dr.
Hsu! I have been struggling with insomnia for a long time (I have a history of depression with several episodes).
Recently (on September 18), I experienced an incident where I forgot the names of my two best friends in the morning before work (this has happened once before about 8 or 9 years ago, where I cried until I fainted and forgot who was in front of me; it took me over ten minutes to remember, and this time it took me a bit longer).
Since I was around 17 or 18 years old, I occasionally experience shortness of breath (this happens every month), and when I take a breath, I feel intense pain in my heart, which makes me afraid to breathe and feels like I'm suffocating.
Over the past couple of years, I often experience back pain and stomach pain after eating, especially when I'm full.
I also frequently have a rapid heartbeat, palpitations, and tremors throughout my body (not due to cold).
Could you please tell me what kind of illness I might have and what kind of doctor I should see? Thank you!

Ru Ru, 30~39 year old female. Ask Date: 2006/09/18

Dr. Xu Li'an reply Family Medicine

Hello, it sounds like you are under a lot of stress.
A preliminary guess is that it may be psychosomatic disorder, which means that psychological stress and emotions are causing physical symptoms.
I recommend that you see a family physician or a psychosomatic medicine specialist (psychiatrist).
Wishing you a speedy recovery.
Xu Li'an, Hualien Hospital, 950925.

Reply Date: 2006/09/18

More Info

It sounds like you are experiencing a complex interplay of symptoms that could be related to both psychological and physiological factors. Your history of insomnia and depression, combined with recent episodes of memory loss and physical discomfort, suggests that you may be dealing with a significant amount of stress and anxiety.
Memory loss, particularly the kind you described—forgetting the names of close friends or feeling disoriented—can be alarming. It is important to recognize that stress and anxiety can have profound effects on cognitive function, including memory. When the brain is under stress, it can struggle to retrieve information, leading to temporary lapses in memory. This is often referred to as "stress-induced memory impairment."
The physical symptoms you mentioned, such as heart pain, difficulty breathing, and gastrointestinal discomfort, could also be manifestations of anxiety or panic attacks. When a person is anxious, the body goes into a "fight or flight" response, which can lead to increased heart rate, muscle tension, and even gastrointestinal issues. The pain you feel in your heart when you breathe deeply could be related to muscle tension or anxiety rather than a cardiac issue, especially if it occurs in conjunction with other anxiety symptoms. However, it is crucial to rule out any serious medical conditions, so consulting a healthcare professional is essential.

Given your history of depression and the recurrence of these symptoms, it would be advisable to seek help from a mental health professional, such as a psychiatrist or psychologist. They can provide a comprehensive evaluation to determine if your symptoms are related to anxiety, depression, or another underlying condition. Cognitive-behavioral therapy (CBT) has been shown to be effective for anxiety and depression, helping individuals develop coping strategies and address negative thought patterns.

In addition to psychological support, it may also be beneficial to consult with a primary care physician or a cardiologist regarding your physical symptoms. They can perform necessary tests to ensure that there are no underlying medical issues contributing to your heart pain and breathing difficulties.
Lifestyle changes can also play a significant role in managing both mental and physical health. Regular exercise, a balanced diet, and adequate sleep are crucial for overall well-being. Mindfulness practices, such as meditation or yoga, can help reduce anxiety and improve your ability to cope with stress.
Lastly, it is important to communicate openly with your support system—friends, family, or support groups. Sharing your experiences can alleviate feelings of isolation and provide you with additional emotional support.
In summary, your symptoms warrant a thorough evaluation by healthcare professionals to address both the psychological and physical aspects of your condition. With the right support and treatment, it is possible to manage your symptoms effectively and improve your quality of life.

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