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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In The Shoulder, Fluttering In The Chest. Had A Panic Attack. Not Able To Sleep Due To Fear. Need Help

Hello. I started to have this pain in my shoulder . The best way to describe it would be a medium pain. It s not extremely sharp, but it s not all to dull either. Then I noticed the pain was in my left upper arm a bit and I had this light weed fluttery feeling in my upper middle chest . Like in the middle of where my breasts are at the top. (I deal with very bad hypochondria, I try to contain it but simply cannot.) So I went into a full blown panic attack. I m just not sure what s going on. If I should be concerned. Anything. It s 5 am. I m battling myself on sleep from fear. Is there anything to help? Please. It is so greatly appreciated. Thank you.
Mon, 4 Feb 2013
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Psychiatrist 's  Response
Hi there ~

It seems like you know that you have panic attacks. If you have had a recent ECG and it was normal, I would suggest that you consult a psychiatrist who can help you with medications. SSRIs along with short term benzodiazepines are helpful. You may need to be on them for a while to experience benefit. It is also suggested that you practice relaxation techniques, deep breathing exercises and physical exercise to gain maximum benefit. Adjuvant psychotherapy or counseling may also be helpful. Sleep difficulty is common and treating the panic attack and associated anxiety should help with insomnia.

I hope this helps. Take care.
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Pain In The Shoulder, Fluttering In The Chest. Had A Panic Attack. Not Able To Sleep Due To Fear. Need Help

Hi there ~ It seems like you know that you have panic attacks. If you have had a recent ECG and it was normal, I would suggest that you consult a psychiatrist who can help you with medications. SSRIs along with short term benzodiazepines are helpful. You may need to be on them for a while to experience benefit. It is also suggested that you practice relaxation techniques, deep breathing exercises and physical exercise to gain maximum benefit. Adjuvant psychotherapy or counseling may also be helpful. Sleep difficulty is common and treating the panic attack and associated anxiety should help with insomnia. I hope this helps. Take care.