Recently Answered Questions
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What could be the cause for sudden palpitation and dizziness?
Query: Hello doctor, I am 20 years old. At work, I had an episode of my heart started racing out of the blue. I could feel it pounding in my chest, and it made it feel like I was choking. I got very dizzy and thought I might faint, and started sweating. It only lasted about five minutes. I have issues wit... Read Full »
Answer: Hello, Welcome to icliniq.com. There are various reasons for having palpitations along with dizziness. The most important one is an abnormal heart rate or rhythm which starts suddenly and terminates abruptly. This could be detected by different monitors that you can carry with you, these devices c... Read Full »
Do I need to worry about panic attacks and irregular heartbeats?
Query: Hi doctor,I feel as if I am getting irregular heartbeats. I had suffered from panic attacks quite a few times in the last six months. Since then, I have been having these irregular heartbeats. Although, I have not had a panic attack now, the heart still beats irregularly and it occurs throughout the... Read Full »
Answer: Hi, Welcome to icliniq.com. If you haven't undergone any tests yet, it is crucial to take proactive steps in that direction. I recommend getting an ECG, a 2D echocardiogram, and a blood pressure check to assess your cardiovascular health. If you suspect it may be a panic attack, it is essential to ... Read Full »
Is tingling sensation in my hands because of a hot shower?
Query: Hello doctor,I am a 34-year-old male. I had a hot shower for a long time. When I came out of the shower, I had a hard argument with my wife. After all these incidents, I started to have a tingling sensation in my arms and fingers without numbness. Is this because of a hot shower for long hours or be... Read Full »
Answer: Hello Welcome to icliniq.com. I understand your concern, and I would explain that your symptoms are not suggestive of any neurological disorders. The blood pressure fluctuations and anxiety (panic attacks) may mimic this clinical situation. Anyway, there is nothing to worry about. I recommend ... Read Full »
How do lowering the dose of Xanax plays a role in psychologial effects?
Query: Hi doctor, I have been taking 4 mg of Xanax a day to treat severe panic attack syndrome and associated high levels of general anxiety for 15 years. My doctor arrived at the 4 mg per day amount gradually and it works very well along with CBT from a therapist. Before two months, when I received the... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. There are a few clarifications and advice that I need to make. Reducing the dosage of Alprazolam results in Alprazolam withdrawal. A reduction by 25% is unlikely to be physically dangerous but the withdrawal symptoms are going to be highly unpleasant. The anxiety ... Read Full »
I had an episode of profuse perspiration and nausea. Why?
Query: Hello doctor, An episode of profuse perspiration with nausea and mild trembling legs occurred in the morning today. ECG conducted within an hour is normal. Cholesterol level is also normal. Please advice further course of action required. The other tests performed were lipid profile, KFT, LFT, and I... Read Full »
Answer: Hello, Welcome to icliniq.com. Are you a diabetic? If yes, then these symptoms can be explained by low blood sugar. Otherwise, it seems to resemble a panic attack anxiety. Read Full »
How do Benzodiazepine work on anxiety and panic attacks?
Query: Hello doctor, I currently suffer from anxiety attacks and panic attacks. It has been changing over the course of about four years, getting better and worse again. In everyday life it is manageable, but the attacks cause some unreasonable thoughts and ideas to form. I have heard about the use of Ben... Read Full »
Answer: Hello, Welcome to icliniq.com. Anxiety and panic attacks are extremely common and 15 to 20 percent of people suffer from this issue at some point in their lives. Standard treatment for anxiety is the use of SSRI (selective serotonin reuptake inhibitor) type of medicines. They are usually given for... Read Full »
Will codeine and Marijuana intake cause panic attack?
Query: Hello doctor, I am a 22-year-old healthy male. Yesterday I had my first panic attack and it was severe and lasted long. I have ended up in the emergency room. But they just gave me a Diazepam and I was feeling good again, but they never told me what triggered and I am curious. Last night I drank 11... Read Full »
Answer: Hello, Welcome to icliniq.com. It could be a combination of Marijuana, codeine, and beer. Also, regular use of Marijuana will cause panic attacks. It is just that the effects of whatever is taken regularly and do not show up immediately. Only chronic use of either smoking, alcohol or other drugs w... Read Full »
I am suffering from anxiety and panic attacks. Please help.
Query: Hello doctor,I am a 33-year-old female, a mother of two children. I am healthy with no underlying health conditions, and there is no history of heart disease in my family except for my grandfather, who developed it due to smoking. I have been dealing with anxiety and experiencing panic attacks for y... Read Full »
Answer: Hello,Welcome to icliniq.com.I am very sorry to hear about your medical condition. Do not worry; I am here to take care of you. I believe you may have brief sinus tachycardia triggered by your anxiety or panic attack. I do not think it is either non-sustained ventricular tachycardia (NSVT) or suprav... Read Full »
I experience shortness of breath at night. Please help.
Query: Hi doctor,I am a 27-year-old female and I have recently started feeling shortness of breath in the middle of the night. Then I have an urge to use the restroom and my heart rate suddenly increases. I feel like I will die and this lasts for hours. I do not know what to do. Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Thank you for taking help from a psychiatrist. I can understand your situation. You may have a panic disorder. There is non-pharmacological management for it, you should try to follow the below guidelines to deal with it. It will help you. ... Read Full »
I am suffering from panic attacks, anxiety, and depression. Please help.
Query: Hi doctor, I am a 31-year-old woman, and for eight years, I have been having these random panic attacks. When they hit, I get super anxious, my blood pressure drops down, my hands shake, and I start sweating and crying. These episodes typically last for 5 to 10 minutes. I think it might be anxiety.... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. As per your symptoms, I think you are going through a generalized anxiety disorder with panic. If you are better with Fluoxetine, start it again, as there is a high chance you will see good results. But if not, then start Paroxetine 12.5 at nig... Read Full »