Do You Need to See a Doctor for Anxiety About Health Issues? - Psychiatry

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Do I need to see a doctor for this?


Hello Doctor, I previously experienced rectal bleeding during bowel movements, and after seeking medical attention, it was determined to be a minor issue.
However, since then, whenever I or a family member experiences any physical abnormalities, I become very anxious and spend hours online searching for potential illnesses.
This often leads to a low mood, and I constantly feel unwell, frequently needing to take deep breaths.
There have been instances where I woke up in the middle of the night feeling unable to breathe, which startled me and woke my family, as I feared I might faint from lack of air.
Are these behaviors still within an acceptable range, or do I need to seek medical attention? Thank you.

AA, 30~39 year old female. Ask Date: 2014/12/03

Dr. Ding Shuyan reply Psychiatry


Hello, Taiwan's National Health Insurance is the most affordable and comprehensive in the world! Whether you are sick or not, you can register to see a doctor, and that's perfectly fine! Don't keep your worries to yourself; let the experts help you without hesitation! Wishing you all the best! Sincerely, Dr.
Ding Shuo-Yan.

Reply Date: 2014/12/03

More Info


It sounds like you are experiencing significant anxiety related to health issues, which is not uncommon, especially after a health scare. Your symptoms, including excessive worry about your health, low mood, and panic-like episodes where you feel you cannot breathe, suggest that you may be dealing with health anxiety or even panic disorder.
Health anxiety, often referred to as hypochondria, involves an overwhelming preoccupation with having a serious illness, despite medical reassurance. This can lead to compulsive behaviors such as excessive researching of symptoms online, frequent doctor visits, and constant monitoring of bodily sensations. The fact that you experienced a health scare with rectal bleeding and now find yourself in a cycle of worry is understandable, but it can also become debilitating.

Your description of feeling the need to take deep breaths and waking up in a panic because you feel you cannot breathe indicates that you may be experiencing panic attacks. These episodes can be frightening and often lead to a cycle of fear where you become anxious about the possibility of having another attack, which in turn can exacerbate your anxiety.

Given the impact these feelings are having on your daily life, including your mood and sleep, it would be advisable to seek professional help. A mental health professional, such as a psychologist or psychiatrist, can provide a thorough assessment and help you understand the underlying causes of your anxiety. They can also offer treatment options, which may include cognitive-behavioral therapy (CBT), a highly effective treatment for anxiety disorders. CBT helps individuals identify and challenge negative thought patterns and develop healthier coping strategies.

In addition to therapy, medication may also be an option if your anxiety is severe. Antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), are commonly prescribed for anxiety disorders and can help regulate mood and reduce anxiety symptoms.

It's important to remember that seeking help is a sign of strength, not weakness. Many people experience anxiety related to health issues, and there is no shame in reaching out for support. You deserve to feel better and regain control over your life without the constant burden of worry.

In the meantime, consider implementing some self-care strategies. Techniques such as mindfulness meditation, deep breathing exercises, and regular physical activity can help reduce anxiety levels. Limiting your time spent researching health issues online can also be beneficial, as this often fuels anxiety rather than alleviating it.

In summary, your symptoms suggest that it would be beneficial to consult with a healthcare professional. They can provide you with the support and tools you need to manage your anxiety effectively. Remember, you are not alone in this, and help is available.

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