Why am I getting constant nervousness along with dry nose and breathing diffculty?

Hi,

Welcome to icliniq.com. I would like to know the feeling you are experiencing. What happens in that nervousness? What kind of thoughts intrude inside you that time? Do you feel nervous throughout of the days? What does exactly happen at every 4 year interval? The symptom of dry nose and breathing difficulty may point towards a panic attack. Many times panic attack do not need evident stressor. Even thought of panic attack can bring a new panic attack. But considering your age, I would like to rule out other heart and lung problems, which can cause acute breathlessness. Also, I recommend keeping a regular monitoring of your blood pressure, as acute high fluctuation in blood pressure (BP) can also cause such breathlessness. The investigations to be done are 1. X-ray chest. 2. Pulmonary function test. 3. ECG (echocardiogram). 4. 2D echocardiography. 5. Holter monitoring. 6. Triiodothyronine (T3), Thyroxine (T4) and TSH (thyroid-stimulating hormone). The probable diagnosis is anxiety with panic attack.