Hyperventilation, Psychiatry FAQ

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Understanding Autonomic Nervous System Dysregulation and Panic Disorder

Autonomic nervous system dysfunction Hello, doctor. Due to long-term night shifts, I have experienced multiple episodes in the past two months where I suddenly feel palpitations and my heart is pounding strongly, accompanied by a noticeable heartbeat sound. My blood pressure has ...


Dr. Lin Mianzhang Reply:
Hello Ah-Hua: I apologize for the delayed response as I did not receive a notification for your question. If your blood pressure remains uncontrolled despite taking antihypertensive medication, you may need to discuss with a cardiologist whether a medication adjustment is necessa...

[Read More] Understanding Autonomic Nervous System Dysregulation and Panic Disorder


Understanding Anxiety-Induced Numbness and Its Symptoms

Numbness and anxiety? During a boat ride, there was initially localized paralysis, which later progressed to generalized paralysis, resulting in the palms curling inward and an inability to extend the fingers normally. The legs also became immobile. After calming down, the sympto...


Dr. Qiu Junda Reply:
Hello. It does seem like the anxiety response you mentioned. If you can manage to calm yourself down, it shouldn't be a major issue. However, if it occurs frequently and causes significant physical and mental distress, it would be necessary to seek medical treatment for impr...

[Read More] Understanding Anxiety-Induced Numbness and Its Symptoms


Understanding Daily Dizziness: When to Seek Further Medical Help

Feeling dizzy every day? Hello, doctor! About ten years ago, one night as I was preparing to sleep, I suddenly lay down and my head started spinning, with numbness in my hands and feet. My family quickly took me to the emergency room, where the doctor administered an IV and gave ...


Dr. Lin Mianzhang Reply:
Hello Mr. Lin: If you have seen a neurologist and the initial evaluation and tests are normal, there is no need for an MRI or CT scan. Your symptoms appear to be related to anxiety and hyperventilation. It is recommended that you practice diaphragmatic breathing, where your abdom...

[Read More] Understanding Daily Dizziness: When to Seek Further Medical Help


Medication Overdose or Ineffectiveness: Understanding Your Psychiatric Concerns

Is it due to drug overdose or drug ineffectiveness? Hello Doctor, I would like to ask about my condition. In April of this year, I suddenly started experiencing nasal congestion, which caused difficulty in breathing and gradually led to anxiety affecting my sleep. Since August,...


Dr. Lin Mianzhang Reply:
Hello, Da Zhuang: Generally speaking, Metoprolol can help alleviate symptoms of anxiety and panic. Since you did not experience any significant discomfort while taking half a tablet, the panic-like symptoms that appeared after increasing the dosage to one tablet may not be due to...

[Read More] Medication Overdose or Ineffectiveness: Understanding Your Psychiatric Concerns


Are Antidepressants Ineffective? Understanding Medication Adjustments and Anxiety

Can antidepressants be ineffective? Hello Doctor: I started experiencing nasal congestion in April, which led to difficulty breathing and gradually increased anxiety that affected my sleep. Since August, I have been unable to sleep well. A psychiatrist prescribed "0.5 mg of ...


Dr. Qiu Junda Reply:
Hello. Antidepressants should not lose their effectiveness. The condition may fluctuate (stress from preparing for surgery can also affect the condition). It is not that the medication is ineffective. Hyperventilation can be alleviated with anxiolytics. I recommend that you conti...

[Read More] Are Antidepressants Ineffective? Understanding Medication Adjustments and Anxiety


Managing Anxiety and Panic: Understanding Symptoms and Treatment Options

Anxiety/Panic-related Hello Doctor, my issue began over a year ago. Initially, I frequently experienced rapid heartbeats, shortness of breath, tingling in my scalp, and anxiety, which required me to lie down for a while to recover. The situation escalated after a workout when I c...


Dr. Wu Enliang Reply:
The issue truly escalated after a certain exercise session when I couldn't calm down, experiencing hyperventilation, dizziness, and seeing only black and white outlines, which led me to take an ambulance to the emergency room. For several days, I had these symptoms, causing ...

[Read More] Managing Anxiety and Panic: Understanding Symptoms and Treatment Options


Managing Panic Anxiety: Strategies for Coping with Stress and Symptoms

Panic anxiety Hello, doctor. More than three years ago, my husband suddenly had a seizure. Since then, I have occasionally experienced feelings of panic and fear. Over two years ago, after receiving my first dose of the AZ vaccine, I suddenly had a rapid heartbeat, tingling in my...


Dr. Huang Zhijia Reply:
Hello, in addition to anxiety, there is also the possibility of panic attacks. Apart from inherent constitutional factors, external stressors can also lead to the occurrence of anxiety or panic, especially during menopause when the risk of such episodes increases. Currently, alth...

[Read More] Managing Panic Anxiety: Strategies for Coping with Stress and Symptoms


Understanding Autonomic Nervous System Disorders: Symptoms and Insights

Suspected autonomic nervous system dysfunction? Hello, doctor. This year, I started experiencing sudden hearing loss, where it feels like my ears are blocked. Within a few seconds, I can noticeably feel the surrounding sounds gradually diminishing, and it seems like I'm hear...


Dr. Wu Enliang Reply:
Hello everyone, please fill out this self-assessment questionnaire: https://www.typc.mohw.gov.tw/?aid=52&pid=100&page_name=detail&iid=271. If you have more than ten items, it may indicate autonomic nervous system dysregulation, or you may consider undergoing autonomic...

[Read More] Understanding Autonomic Nervous System Disorders: Symptoms and Insights


Understanding Hyperventilation: Anxiety or Underlying Issues?

Hyperventilation Hello, since my surgery last year, I have been experiencing frequent hyperventilation issues (numbness in my hands and feet, shortness of breath, rapid heartbeat). I have undergone echocardiography, electrocardiogram, and chest X-ray, and all the results were nor...


Dr. Wu Enliang Reply:
It is indeed possible that anxiety could be the cause. As for medication, please consult your physician. Dr. Wu Enliang.

[Read More] Understanding Hyperventilation: Anxiety or Underlying Issues?


Understanding Anxiety: When to Seek Help for Emotional Turmoil

Anxiety disorder-related issues? Hello, doctor. I am a university student. During high school and college, I have sought help from a mental health specialist due to issues with insomnia, anxiety, palpitations, and self-harm. I have been taking medications such as Abilify, Sertral...


Dr. Wu Enliang Reply:
Netizens, could it be that anxiety and depression have recurred? It is indeed advisable to seek medical attention. Dr. Wu Enliang.

[Read More] Understanding Anxiety: When to Seek Help for Emotional Turmoil


Managing Medication: Safe Strategies for Reducing Anxiety Treatment

Medication issues Hello Doctor, I had issues with autonomic nervous system dysfunction a year ago, and I am currently taking half a tablet of Anxin and one tablet of Liyou every night. However, I forgot to return for a follow-up appointment before my exam, and now I only have thr...


Dr. Wu Enliang Reply:
It is advisable to gradually reduce the dosage. Many clinics are open today, but many will be closed tomorrow due to the New Year holiday. It would be better to return for a follow-up appointment to obtain your medication as soon as possible. Dr. Wu Enliang

[Read More] Managing Medication: Safe Strategies for Reducing Anxiety Treatment


Overcoming Anxiety: Managing Hyperventilation and Breathing Issues

Respiratory Obsessive-Compulsive Disorder (ROCD) I have fainted twice for no apparent reason, which scared everyone around me. Since then, I have experienced psychological stress related to fainting. I went to the hospital for various tests, and all the reports came back normal. ...


Dr. Wu Menghuan Reply:
Hello: You mentioned that you have fainted twice in the past, and both hospital examinations were normal, which has caused you psychological stress. You also noticed that when interacting with unfamiliar people, you tend to pay attention to your breathing, which can lead to hyper...

[Read More] Overcoming Anxiety: Managing Hyperventilation and Breathing Issues


Managing Mask Anxiety: Breathing Techniques and Relaxation Strategies

Pandemic mask anxiety During the pandemic, wearing a mask has caused me to experience difficulty breathing and even shortness of breath, leading to hyperventilation, nausea, abdominal bloating, and vomiting. Despite my efforts to relax, I find it challenging. How can I adjust my ...


Dr. Wu Enliang Reply:
Generally, wearing a regular mask should allow for adequate breathing, and there are many masks available on the market that facilitate good airflow. Dr. Wu Enliang.

[Read More] Managing Mask Anxiety: Breathing Techniques and Relaxation Strategies


Managing Anxiety and Fatigue After COVID-19 Vaccination: A Personal Journey

Insomnia. Fatigue? I used to frequently wake up in the middle of the night, but I could fall back asleep quickly, so I rarely felt fatigued. However, ever since I received my second dose of the BNT vaccine last year, I have become more anxious and live in fear of getting sick eve...


Dr. Peng Liyun Reply:
Hello, I understand your discomfort and concerns, and I appreciate your efforts! Due to possible character limits, I'm not sure what your specific issue is. However, based on your description, I recommend that you seek evaluation and treatment from a psychosomatic specialist...

[Read More] Managing Anxiety and Fatigue After COVID-19 Vaccination: A Personal Journey


Understanding Panic Disorder Medications: Your Questions Answered

Medication Consultation (Panic Disorder Medications) Hello Doctor: At the beginning of the month, while chatting with friends, I suddenly felt weak all over and uncomfortable, and I started to have difficulty breathing as if I were having a heart attack. After about ten minutes o...


Dr. Zhang Gengjia Reply:
Dear Sir/Madam, From your letter, it is evident that you are experiencing discomfort and distress due to autonomic nervous system dysregulation and panic disorder. As for whether this is related to severe childhood abuse, a professional physician needs to make a personal diagnos...

[Read More] Understanding Panic Disorder Medications: Your Questions Answered


Understanding Anxiety and Panic: Insights on Medication and Heart Health

Medications and Related Issues Hello Doctor: I have a more introverted and repressed personality, with tendencies toward worry, anxiety, and obsessive thinking, and I am quite sentimental. Two years ago, after drinking black coffee and engaging in intense exercise, I experienced ...


Dr. Wu Enliang Reply:
Hello, online user: 1. Does intravenous injection really cause permanent damage to blood vessels? Is there a risk of developing atherosclerotic plaques? In the past, I never considered this during blood draws or treatments, but some online information claims that venipuncture c...

[Read More] Understanding Anxiety and Panic: Insights on Medication and Heart Health


Am I Anxious, Experiencing Munchausen Syndrome, or Just Normal?

Am I experiencing anxiety, Munchausen syndrome, or another condition? Or am I just normal? I have a very stubborn and extreme personality, and I struggle with reading social cues; I tend to speak very directly. I was severely reprimanded by a teacher for two years, and later, fol...


Dr. Wu Enliang Reply:
Hello: It's not Munchausen syndrome, but there are indeed issues with anxiety and depression. It seems to have significantly affected your life. Just as you would see a doctor for a physical fever, it's important to address emotional distress as well! I recommend discus...

[Read More] Am I Anxious, Experiencing Munchausen Syndrome, or Just Normal?


Managing Anxiety and Medication: Understanding Symptoms and Treatment Adjustments

Regarding medications and physiological issues? I would like to ask—last year, due to high stress, I experienced hyperventilation and muscle spasms in my hands and feet during an emotional episode. My hands often felt numb and shaky. After consulting a cardiologist and finding no...


Dr. Lin Mianzhang Reply:
Hello Judy: It seems that after adjusting your medication, your initial response has been quite good. Your burping may be due to swallowing air when you take deep breaths out of nervousness. Your medication dosage is within the normal range, and this issue did not occur when you ...

[Read More] Managing Anxiety and Medication: Understanding Symptoms and Treatment Adjustments


Unconscious Breath-Holding: Understanding Its Causes and Effects

Frequently holding one's breath unconsciously? Hello, doctor. Recently, for the past month or two, I have been experiencing episodes of breath-holding without realizing it, whether I am asleep or awake. I only notice it when I start feeling dizzy. During the day, it seems to...


Dr. Lin Mianzhang Reply:
Hello, Xuan: It sounds like you experienced a similar situation in high school. Did you seek medical attention at that time? How did your symptoms improve back then? If you have had similar issues in the past that improved, you might consider addressing it in the same way. Howeve...

[Read More] Unconscious Breath-Holding: Understanding Its Causes and Effects


Understanding Breathlessness: Anxiety and Its Impact on Your Health

Shortness of breath? Hello, I would like to seek professional advice. I am very worried as a mother of two children. On December 12, I accidentally fell and fractured my coccyx. Could this pain trigger autonomic nervous system dysfunction? I have sought medical attention and have...


Dr. Lin Mianzhang Reply:
Hello, Lami: I would like to know when, where, and under what circumstances you fell and injured your coccyx. Besides the fracture of the coccyx, do you have any other bodily injuries? Since your discomfort symptoms clearly began after this incident, it is possible that the exper...

[Read More] Understanding Breathlessness: Anxiety and Its Impact on Your Health


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