Hi, thanks for asking from HCM for your health relate doubts
I can understand your concern. The symptoms like sudden onset palpitations, difficulty in breathing,
restlessness, severe nervousness, chest heaviness etc are commonly seen in severe anxiety or panic attacks. But to make proper diagnosis detailed evaluation is needed.
ECG should be done to rule out any heart condition. Angina or any arrhythmia could cause symptoms like panic attacks. Even
hyperthyroidism can result in increased risk of panic attacks. This should be ruled out by
thyroid function tests. Anaemia also increases the risk of panic attacks. Complete hemogram should be done to rule out anaemia.
Once these medical conditions are ruled out then we can label anxiety or panic as cause of your symptoms. Drugs like Beta blockers like
Propranolol can help to reduce the symptoms of panic. Low dose benzodiazepines like Clonazepam or Lorazepam can also be used on SOS basis for panic attacks.
For severe intractable anxiety drugs like SSRIs can help. Fluoxetine, Sertraline, Escitalopram etc can be used for panic disorder. Please visit a
psychiatrist for help and if needed start taking medicines.
Thanks Take care