What Causes Panic Attacks?

Posted on Sat, 29 Mar 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 29 Mar 2014 Answered on

Sat, 19 Apr 2014 Last reviewed on

Question : Im a 21 yr old female with severe anxiety and panic disorder over the past months ive had face and head pressure pins and needles feeling on my face migranes vertigo muscle twitches and vibration and strained eyes foggy vesion first i was woreied it was my brain but i had a ct scan done now im concerned abouy my heart my doctor put me on propepnol and i ran out and couldn't get a refill i developed chest tightness sharp pains in my neck and hand and naseua i went too the er worried about a heart attack i had an clear x ray before and two ekgs also clear and they sent me hime i still had these symptoms i went too mu doctor today and she says im fine and it was just propepnol side effects i got a refill chest tightness has gone but now im getting pins and needles feeling in my back the naseua is back and left arm and headaches dis they miss something should i still be concerned about heart attack or any heart problems or is it the propepnol and anxiety drom what you can read

Answered by Dr. Srikanth Reddy (1 hour later)

Brief Answer: Panic Disorder Detailed Answer: Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. The condition that you are having is basically panic attacks. It may have the pricking sensation as well as nausea. This is a disorder of anxiety and occurs cause of imbalance of certain neurotransmitters in the brain. especially serotonin, nor adrenaline, and dopamine to some extent. Medicines are the best options to take care of these symptoms. Paroxetine is the the most popular medicine and my drug of choice. I generally prescribe my patients 12.5 mg per day at night which takes care of anxiety symptoms. Also certain medicines like propranolol and clonazepam can be give as required when there is a panic episode or expected situation where panic attack can appear. Hope I am able to answer your concerns. 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 me, so that I get a good feedback. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar