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Feeling uneasy and weak all the time
It's started 3 months back suddenly at some time of day I feel very very extreme uneasy from middle of abdomen till neck and something around neck , nausea like feeling , hands and legs shaking , extreme weakness and fatigunes though I have gastric and acidity but these symptoms never showed up , i feel like I will faint , and if one day I drink alcohol than the next day became worse chest conjetion and pain sometimes but I feel very extreme useasy around my neck don't know what that is but very uncomfortable like it will break and dizziness , I did my ecg , cbc , echo , brain mri , vitamin , mineral test ultra sound of abdomen , chest xay, liver , urine , kidney test, magnesium , d , all the test but everything came normal . Please help me wht is happy do I need to do any other test ?? some suggested me for psychiatrist , the psychiatrist suggested me ethilam and vonoprazan for one month after that still I have symptoms suggested me d ventin 60 taken 27 days but still I have symptom
Answers (5)
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Consult superspecialist like psychiatrist n take medicine
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Consult with psychiatrist.
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Based on the history and extensive normal investigations, this presentation is most consistent with panic disorder / anxiety disorder with prominent autonomic (somatic) symptoms, possibly worsened by alcohol, gastric reflux, and health anxiety.
Features supporting this:
• Sudden episodic onset, feeling of impending fainting/death
• Chest tightness, neck discomfort, tremors, dizziness, nausea
• Normal ECG, ECHO, MRI brain, labs, imaging
• Worsening after alcohol
• Partial / slow response to psychiatric medicines (needs time & dose optimization)
No evidence currently suggests a cardiac, neurological, or metabolic cause.
Next Steps
1. Continue psychiatric treatment – antidepressants (like Vortioxetine/Desvenlafaxine) need 6–8 weeks for full effect; do not stop early.
2. Add Cognitive Behavioral Therapy (CBT) – very important for panic disorder.
3. Avoid alcohol completely (major trigger).
4. Screen for GERD & panic overlap – trial of PPI + lifestyle changes if not already done.
5. If symptoms persist:
• Thyroid profile (TSH, FT4)
• Plasma metanephrines only if attacks are very episodic with sweating/palpitations (low suspicion)
Health Tips
• Panic attacks are distressing but not dangerous
• Repeated tests will increase anxiety, not relief
• Regular sleep, caffeine reduction, breathing exercises help
• Sudden chest pain with collapse, true loss of consciousness, or neurological deficit → ER immediately
Overall prognosis is good with consistent treatment.
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Dr. Sohan Kulria
General Physician
5 yrs exp
Firozabad
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion*
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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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.