I am not sure what disease these symptoms indicate?
Hello, I am a 20-year-old female college student.
Since the summer vacation before my senior year of high school, I have experienced some strange symptoms.
Each episode begins with a feeling of increasing heaviness in my body, followed by difficulty breathing (no matter how I breathe, it feels like I can't get enough air), my vision goes dark, and I can barely lift my hands (I feel like I can hardly hold my phone).
The sounds around me seem to fade away and become quieter.
Sometimes during an episode, I can clearly hear my heartbeat, and at other times, I feel my heart racing.
I am very scared that I might faint, but I have never actually fainted.
Each episode occurs at odd times, and the recovery also feels strange.
The first episode happened in the morning while I was getting dressed after taking a shower.
I felt so unwell that I could barely pick up my clothes, and I quickly threw something on and rushed to my room to lie down on the bed.
After a while, the uncomfortable feeling disappeared.
The second episode also occurred in the morning while I was showering; I again rushed to my room to lie down, and the discomfort went away.
These two instances made me suspect that I might be experiencing these episodes due to not eating, but the third episode contradicted that idea.
During the third episode, I was on a bus.
There weren't many people, but I was standing as there were no available seats, and the air conditioning was quite cold.
I thought I could endure it until I got off the bus and found a place to sit and rest, but I couldn't hold on.
I quickly walked to the emergency exit at the back of the bus and sat down on the stairs.
Some people glanced at me, but I felt too unwell to care.
I checked the time and realized it was just after 1 PM, and I had just finished lunch around noon, which indicated that my symptoms were likely not related to not eating.
After reaching my destination, I got off the bus and gradually felt better.
I don't remember the details of the subsequent episodes very well, but I recall having two more episodes on the bus while standing, and each time, I felt better after getting off.
The most memorable episode occurred just last week when I went out for dinner.
As soon as I walked into the restaurant (which has an open layout with no glass doors), sat down, and picked up the menu to order, I had an episode.
I felt so uncomfortable that I laid my head on the table, not wanting to move, just waiting for the discomfort to pass.
My classmate sitting next to me was startled, and in the end, I ordered a bowl of soup, quickly ate it, and when I got home and lay down, I returned to normal.
(Previously, I had only experienced episodes while standing, and this time it happened while sitting, which made me even more scared.)
The frequency of these episodes is not high; from the summer before my senior year of high school to now, during my sophomore summer, I have experienced them more than five times but not exceeding ten.
I really want to know what illness I might have, but I have been unsure about which department to visit in the hospital.
I hope a family medicine doctor can provide me with some direction.
Thank you very much!
Michelle, 20~29 year old female. Ask Date: 2015/07/08
Dr. Gao Qingyun reply Family Medicine
Dear Michelle,
There are many potential causes for the symptoms of shortness of breath and weakness.
It is advisable to seek emergency care during an acute episode or to undergo a comprehensive health examination to identify the underlying cause.
Thank you! Wishing you safety and health.
Sincerely,
Dr.
Ching-Yun Kao
Director, Department of Family Medicine
Taoyuan General Hospital, Ministry of Health and Welfare
Reply Date: 2015/07/08
More Info
Hello! Thank you for sharing your experiences and concerns. Based on the symptoms you've described, it sounds like you may be experiencing episodes of anxiety or panic attacks. These episodes can manifest in various physical symptoms, including a feeling of heaviness in the body, difficulty breathing, dizziness, and a sensation of your surroundings becoming distant or muted. It's understandable to feel frightened during these episodes, especially when they occur unexpectedly.
Panic attacks can occur in situations that may seem benign, such as standing on a bus or sitting in a restaurant. They can be triggered by stress, anxiety, or even certain environmental factors. The fact that you have experienced these symptoms multiple times over the past two years suggests that there may be an underlying anxiety disorder at play. It's also important to note that while these symptoms can be distressing, they are not uncommon among individuals dealing with anxiety.
Here are some steps you can take to address your symptoms and seek appropriate care:
1. Consult a Healthcare Professional: Since you are unsure which specialty to approach, starting with a family medicine doctor or a primary care physician is a good idea. They can evaluate your symptoms, rule out any potential medical conditions, and refer you to a mental health specialist if necessary.
2. Keep a Symptom Diary: Documenting your episodes, including when they occur, what you were doing at the time, and how long they last, can provide valuable information for your healthcare provider. This diary can help identify patterns or triggers that may be contributing to your symptoms.
3. Explore Treatment Options: If your healthcare provider suspects an anxiety disorder, they may recommend various treatment options, including therapy (such as cognitive-behavioral therapy) and medication. Therapy can help you develop coping strategies and address the underlying issues contributing to your anxiety.
4. Practice Relaxation Techniques: Incorporating relaxation techniques into your daily routine can help manage anxiety symptoms. Techniques such as deep breathing exercises, mindfulness meditation, and progressive muscle relaxation can be beneficial.
5. Lifestyle Modifications: Regular physical activity, a balanced diet, and adequate sleep can significantly impact your overall mental health. Engaging in activities you enjoy and spending time with supportive friends and family can also help reduce anxiety.
6. Educate Yourself: Understanding anxiety and panic disorders can empower you to manage your symptoms better. There are many resources available, including books, websites, and support groups, that can provide valuable information and support.
7. Emergency Plan: If you experience severe symptoms, especially if they feel overwhelming, it’s important to have a plan in place. This could include knowing when to seek immediate medical attention or having a trusted friend or family member you can call for support.
Remember, you are not alone in this experience, and many people face similar challenges. Seeking help is a courageous step, and with the right support and treatment, you can learn to manage your symptoms effectively. Don't hesitate to reach out to a healthcare provider to discuss your concerns further. Take care!
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