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Suggest Treatment For Severe Stress And Social Anxiety

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Posted on Thu, 6 Apr 2017
Twitter Thu, 6 Apr 2017 Answered on
Twitter Thu, 27 Apr 2017 Last reviewed on
Question : I'm wondering if stress and social anxiety could cause these symptons being that all of the tests and dianostics that I've gone through hasn't shown anything and I do have a high level of stress with my profession.? I'm not sure what is related but I'll start from the beginning. Two years ago I was stung by a bee, two days later i felt something in my throat on the right side and also started to sweat out of my armpits during the day. My Dr. put me on amoxycylllin for two weeks it didn't help. He said the bee sting was just a coincidence. I didn't feel sick or have pain just the feeling on my right side of something in my throat when I swallowed. It didn't impede my breathing or anything just felt like something was there. After 2 weeks the feeling didn't go away and the sweating continued. The sweating only happens during the day in my armpits, sweating through my shirts, my hands and feet sweat a little, but not much. I never sweat out of my armpits like this before for no reason and it hasn't stopped. I don't take any meds, I am normally healthy, with no other symptons. The only diagnoses they've found is epstein barr virus but it's not current it's from some time ago. The ENT went up my nose with the camera and didn't see anything, I was sure he would because of this lumpy feeling in my throat. But he saw nothing. He put me on 2 more courses of antibiotics, said it was probably an infection. He couldn't expalin the armpit sweating. The antibiotics didn't stop anything. He sent me for multiple xrays, scans, mris, brain, sinus, abdomen, upper endoscopy, lower endoscopy, multiple blood tests, and brain mri, nect ct scan, sinus ct scan, chest x ray etc and found nothing. He asked me about stress and also about seeing a neurologist. I do have stress but nothing I can't deal with. I finally said nothing was wrong with me and moved on, however the sweating and feeling in my throat never stopped I just learned to deal with it. Now a year and a half later the feeling in my throat, the sweating in my armpits during the day is still there and more apparent, and I have a blockage feeling in my ear, that gives me headaches and dizziness. The feeling are all on my right side, my ear, headaches, feeling in my throat, the fuzziness in my eye, and the tightness in my right side stomach. The feeling on my right side also affects my voicebox at the end of the day almost like I have a minor laryngitis like my voice is strained. I went back to my ent and my internist who prescribed me more antibiotics which didn't help. my ent told me its probably a ear infection. I had more blood work and nothing came up and he sent me for a ct of my sinuses again which didn't show anything. So that's why I'm here asking you what you could recommend or any tests you would recommend to rule out all of there reasons why I would at 38 years old all of sudden start to sweat profusely during the day out of my armpits? I went to allergist and they didn't find any allergy with bees, or anything accept a little allergy with dust mites, but he said that wouldn't give me the symptons. I went to two dermatologists and they didn't know why I would start sweating all of a sudden at 38. They prescribed me heavy deodorant. I just don't know how I'm feeling fine for 38 years and all of a sudden I get a lump feeling in my throat which is only a feeling all the tests, scans, mris etc, didn't show anthying, and also at the exact same time my armpits start sweating everyday and these symptoms haven't stopped for over 1 and half years. Now my ear is blocked, I get headaches, and dizziness all on my right side of my body. All symptons are on the right side of my body, accept for the sweating is in both armpits.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (1 hour later)
Brief Answer:
I could be anxiety

Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.


I read your query with keen interest and understand your concerns.

From the available description it can be stated that it is anxiety.

My take on your symptoms as follows

Presence of armpit sweating and feeling of something in throat occurred as a due to bee sting which did not get relieved after a course of antibiotics.

Following this the anxiety got escalated and remained at the high level because nothing was there to explain your symptoms.

Presence of dizziness, headaches and feeling of blocked ear resulted from persistent anxiety and remained so over a period of time.

Most individuals with anxiety disorders present in either second or third decade of life.

Presence of normal tests over a period of time with no progression of original symptoms in one and half year almost rules out possibility of infection as most infection either die out or progress to serious illness.

In my opinion a trial of anti anxiety medication should be considered for a period of four to six weeks. This will be a test as well as therapeutic process.

I hope this helps you.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (6 hours later)
Thank you what anti anxiety medications are recommended? Are there any that are non addictive and that you don't need in a daily basis or for the rest of your life ? Any mild ones?
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (1 hour later)
Brief Answer:
There are many

Detailed Answer:
Dear XXXXXXX
Thanks for follow up.

There are many anti anxiety medications from different class such as antidepressants, beta blockers, benzodizepines and buspiron.

Except Benzodiazepines all three groups of anti anxiety medications are non addictive and largely safe.

For the intitial time it will be appropriate to use beta blocker along with SSRI group of medication such as lexapro, paxil, prozac or zoloft among others. Over a period of time beta blockers can be removed and than after a ceratain duration an attempt to stop SSRI medications can be considered.

It is not necessary to take antianxiety medications for life long in most individuals with anxiety.

I hope this assists you further.

In the future, for continuity of care, I encourage you to contact me directly at my private web address below which is as follows
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3345 Questions

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Suggest Treatment For Severe Stress And Social Anxiety

Brief Answer: I could be anxiety Detailed Answer: Dear XXXXXXX Thanks for using Healthcaremagic. I read your query with keen interest and understand your concerns. From the available description it can be stated that it is anxiety. My take on your symptoms as follows Presence of armpit sweating and feeling of something in throat occurred as a due to bee sting which did not get relieved after a course of antibiotics. Following this the anxiety got escalated and remained at the high level because nothing was there to explain your symptoms. Presence of dizziness, headaches and feeling of blocked ear resulted from persistent anxiety and remained so over a period of time. Most individuals with anxiety disorders present in either second or third decade of life. Presence of normal tests over a period of time with no progression of original symptoms in one and half year almost rules out possibility of infection as most infection either die out or progress to serious illness. In my opinion a trial of anti anxiety medication should be considered for a period of four to six weeks. This will be a test as well as therapeutic process. I hope this helps you. If you have any further query, I would be glad to help you. If not, you may close the discussion and if possible you may rate the answer for my future patients. In future if you wish to contact me directly, you can use the below mentioned link: http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386 Thanks and regards.