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Anxiety, insomnia, Rhinitis, sleep apne
I have been suffering from severe anxiety since 27th may 2024.i always feeling nervous, facing breathing problems insomnia, body trembling, along with my breath stops while sleeping.i have also Rhinitis, that's why i am taking mantelukast, levocetrizens one day gap.i had also triglycerides level of 315.and i took Rojuvastatin for 2 month but i have not checked now. I'm always feeling unwell due to anxiety kindly assist me.
Answers (11)
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Hi
Acceptance Statement Practice:
· "This feels uncomfortable but I can handle it"
· "This anxiety will pass like a wave"
· "I don't need to fight this feeling; I can make space for it"
· My acceptance statement: _________________________
Next Steps
Sensory Gratitude
1. Something You Saw: What was the most beautiful or interesting thing you saw today?
· I am grateful for the sight of ________________.
2. Something You Heard: What sound brought you joy, peace, or comfort?
· I am grateful for the sound of ________________.
3. Something You Tasted: What food or drink did you truly savor and appreciate?
· I am grateful for the taste of ________________.
Health Tips
I am the author of my own story.
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Consult psychotherapist
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It seems that you are suffering from psychological as well as physical health issues which are interlinked.
It needs to be treated asap otherwise it may get complicated.
It can be well treated with counseling sessions and homeopathic medicine effectively and without any side effects.
It can be well treated in a holistic approach for complete recovery.
You need an expert psychologist who is a good homeopathic physician.
Next Steps
I have been working as a Homeopathic Psychiatrist and Counseling psychologist for the last 17 years of experience. You can contact me through an online appointment for further assistance.
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First, I want to say this clearly:
Your symptoms are real, distressing, and treatable. You are not weak, and this is not “just in your head”.
What I’m clinically seeing from your description
You are a 27-year-old male with:
Sudden onset of severe anxiety (since 27 May 2024)
Constant nervousness
Breathing difficulty / air hunger
Insomnia
Body trembling
Fearful sensation that breath stops during sleep
Health-related worry (rhinitis, triglycerides, medicines)
Persistent feeling of being unwell
This pattern strongly suggests Severe Anxiety Disorder with Panic Features, possibly Health Anxiety, and sleep-related panic.
At this stage, it does NOT automatically mean PTSD.
Next Steps
Let’s break this down calmly
1️⃣ Why breathing feels disturbed
In anxiety:
Breathing becomes shallow and fast
CO₂ imbalance causes air hunger
Chest muscles tighten
Brain misreads this as “I’m suffocating”
👉 This feels very real but is not dangerous.
The feeling that “breath stops during sleep” is very common in panic disorder and is called:
Nocturnal panic attacks
However — one medical rule is important (see below).
2️⃣ Body trembling & insomnia
These come from:
Overactive adrenaline
Constant fight-or-flight mode
Hyper-vigilant nervous system
Your body is exhausted but alert, which blocks sleep.
3️⃣ Rhinitis & medications
Rhinitis can worsen anxiety sensations because:
Nasal blockage increases breath awareness
Antihistamines sometimes cause mild sedation or restlessness
⚠️ Important psychological note:
Montelukast has been associated (rarely) with anxiety, restlessness, mood changes.
This does not mean you must stop it, but it should be reviewed by your doctor.
4️⃣ Triglycerides (315 earlier)
This is not causing your anxiety.
But anxiety can worsen lipid levels through stress hormones.
Health Tips
One CRITICAL medical safety check (non-negotiable)
Because you mentioned “breath stops while sleeping”, I must say this responsibly:
👉 Rule out sleep apnea ONCE with:
ENT review or
Sleep study (if doctor advises)
Why?
To separate anxiety fear from physical sleep obstruction
Once ruled out → anxiety reduces significantly
Most young patients turn out normal, but checking brings psychological relief.
What I would advise as a psychologist (step-by-step)
✅ Step 1: Reduce fear of symptoms
Anxiety feeds on misinterpretation. You need psychoeducation:
Panic symptoms are uncomfortable, not fatal
You are not dying, choking, or going mad
✅ Step 2: Structured therapy (very important)
Best options:
CBT for Panic Disorder
Breathing retraining
Interoceptive exposure (learning not to fear body sensations)
Medication alone is not enough.
✅ Step 3: Sleep-focused intervention
Fixed sleep–wake time
No symptom monitoring in bed
Grounding before sleep
No Googling symptoms at night (very harmful)
✅ Step 4: Medical collaboration
One physician to coordinate (not multiple opinions)
Review montelukast effects
Recheck lipids calmly (not urgently)
What NOT to do
❌ Constant pulse / oxygen checking
❌ Searching symptoms online
❌ Avoiding sleep out of fear
❌ Fighting anxiety sensations
Fighting anxiety strengthens it.
Reassurance you need to hear
Anxiety can start suddenly
Anxiety can feel physical and extreme
Anxiety does not damage your heart or lungs
Anxiety is reversible
I’ve worked with many patients like you — they recover fully.
I need to ask you just ONE thing (important)
Please tell me:
Did this anxiety start after an illness, stress, panic attack, or health scare?
Your answer will help me guide you more precisely.
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Hi, Consult a physician
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The presentation suggests persistent anxiety with prominent physical symptoms (nervousness, breath related sensations, sleep disturbance) alongside ongoing medical concerns, indicating heightened somatic sensitivity and stress related dysregulation.
Next Steps
Consultation with me is advised for psychological evaluation, anxiety focused therapy, and coordinated care alongside your treating physician to address health related anxiety safely.
Health Tips
Avoid constant body monitoring, maintain regular sleep wake timing, practice slow diaphragmatic breathing during panic sensations, and limit health related overchecking until therapy begins.
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As you have given details you are suffering from sleep apnea...And it is also a major cause of having cardiac issues ...
Consult a cardiologist and go for the tests cardiologist suggests.........
Next Steps
take it seriously otherwise you are prone to heart attack...
Health Tips
consult a cardiologist immediately...
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Hey
What you are experiencing sounds frightening, but it fits very clearly with severe anxiety with bodily hyper-arousal, not with something dangerous happening inside your body. Anxiety can create constant nervousness, breathlessness, trembling, insomnia, and the sensation that breathing stops while falling asleep especially when fear and health worries stay active for months. Rhinitis can worsen the feeling of air hunger, which then feeds anxiety further. Medicines like montelukast or cholesterol tablets do not explain this full pattern; anxiety does. When the nervous system remains switched “on” for a long time, the body feels unwell even when tests are largely normal.
The key problem here is not one more medical issue it is that your mind and body have been stuck in a fear loop since May 2024, and reassurance alone is no longer enough. You need structured help to calm the nervous system, reduce health anxiety, restore sleep, and stop scanning your body for danger. This is very treatable, but it requires guided psychological work and sometimes coordinated medical support. Please don’t keep suffering silently or trying to manage this alone. Take therapy. You can connect with me on nine two six six seven two six zero six five.
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Ms. Pooja Gupta
Psychologist
9 yrs exp
Delhi
Hi,
I'm really sorry you're going through such a difficult time. Your symptoms of severe anxiety, including nervousness, breathing problems, insomnia, trembling, and breathing stops during sleep, are serious and need prompt attention. Itâs important to consult a healthcare professional as soon as possible to evaluate these symptoms thoroughly. They may recommend a comprehensive check-up, including cardiovascular assessment, especially considering your elevated triglycerides and past medication. Managing anxiety often requires a combination of medical treatment, counseling, and lifestyle changes. Please seek immediate medical help or visit a doctor to discuss your symptoms in detail. Remember, you donât have to face this aloneâprofessional support can help you find relief and develop a safe plan to improve your health and well-being.
Next Steps
consult
Health Tips
seek help
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Dr. Rupali Mohbe (PhD)
Psychologist
26 yrs exp
Ahmedabad
Severe anxiety can make the body stay in a constant state of alert, which often leads to symptoms such as nervousness, breath-related discomfort, tremors, poor sleep, and a feeling of being unwell most of the time. When anxiety is present along with conditions like rhinitis or disturbed sleep, the symptoms can feel even more intense and confusing, though they are usually interconnected rather than dangerous.
Next Steps
To start feeling more stable, the following steps may be helpful:
- Seeking support from a mental health professional, especially a therapist, to work on anxiety patterns and learn ways to calm the body and mind
- Having a medical review to look at sleep-related breathing symptoms, current medications, and general health concerns together
- Addressing sleep quality and routine, as poor sleep can significantly worsen anxiety and physical symptoms
- Using simple relaxation or grounding practices to reduce trembling and breath-related anxiety
- Following up on physical health parameters such as lipid levels, as physical reassurance can ease health-related worry
Health Tips
Anxiety can make multiple symptoms feel overwhelming, but with coordinated medical care and psychological support, it is possible to feel more settled and in control again. To know more about this, you can always reach out for help to us at nine-five-two-two-five-five-five-seven-zero-three.
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Ms. Smriti
Counselling Psychologist
18 yrs exp
Bangalore
Consult a psychologist for anxiety management
Consult a sleep specialist/ENT for sleep apnea evaluation
Practice breathing exercises, sleep hygiene, and reduce caffeine
Avoid Google/self-diagnosis (it worsens anxiety)
With proper treatment, your condition is fully manageable and reversible.
Next Steps
connect
Health Tips
consult
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.