Can anxiety induce physical symptoms in affected individuals?

Hello doctor,

I am a 48-year-old male suffering from extreme anxiety from a young age. I now suffer from vertigo, bloating, mild tremors, pins and needles in my hands, silent reflux, and bad anxiety. I developed a panic attack because of my health. I have been to several doctors, and they all seem to think it is anxiety-related. I have been prescribed Xanax (Alprazolam) for panic attacks and Esomeprazole for gastric problems along with aerophagia. The doctors have carried out the following tests, which are normal.

1. I underwent an ECG (electrocardiogram) thrice, reports were normal.

2. A physical examination of my heart with a stethoscope was done, and it was normal.

3. A reflex test of arms and legs was performed, and it was all normal.

4. My resting heart rate is 66 bpm.

5. My blood oxygen saturation is 98%.

6. My blood sugar level is 86 mg/dL

7. The total cholesterol level is 193 mg/dL.

8. Blood pressure level was 119/78 mm Hg.

9. The peak flow measurement is 700 liters per minute.

10. TSH (thyroid stimulating hormone) test reports were normal.

11. Vitamin D levels are within the normal range.

12. My weight is 257 pounds.

13. My height is 6.4 feet.

I am trying very hard to pinpoint the exact cause, but it seems very difficult as everything seems nonspecific. One common thing is I seem to think something is happening in my sleep. Sometimes, I wake up dizzy, with mild tremors and bloodshot eyes. These problems are magnified when I am stressed or eat food late at night. One of my doctors seems to think I may have a sleep disorder relating to anxiety where my body is not getting quality sleep. They advised me that sometimes the acid from my stomach and air can travel back up the esophagus in sleep and irritate the eustachian tubes and sinus causing vertigo and mild tremors in the front of my face. It seems to make sense to me as the mornings I feel worse or after a stressful day, and I have eaten at night. What are your thoughts?

Thank you.

Hello doctor,

Thank you for the reply.

I immediately thought of ALS or a brain tumor from your response and started to panic. But once I calmed down, I read about simple seizures and realized that simple epilepsy can be induced by diet and other triggers like flickering lights. I have now calmed down. In general, in the daytime, I feel strong. I walk and jog five kilometers daily. I use the gym four times weekly, but these nocturnal episodes become unsettling. Please help.

Thank you.

Hello doctor,

Thanks for the reply.

I suppose I would experience worse symptoms if it was as serious as ALS or malignant brain tumors. Something might have shown up in the tests I have already had.

Thank you.

Hello doctor,

Thanks for the reply.

For anyone to be 100% sure, an MRI is required. I appreciate your help in settling my mind.

Thank you.