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I am getting panic attacks and anxiety about being home alone. Please help.

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I recent times, I am getting a panic attack and anxiety suddenly. I fear being alone in the home, and my mind always thinks something bad will happen to me. I am trying to concentrate on other activities, but I am not able to concentrate. Suddenly I feel a rise in my heartbeat, difficulty in breathing, decreased energy level, body pain mainly on hands and back below the neck, chest pain, feeling dizzy, vomiting, and not able to sleep and eat. It all started happening from before one month. Due to this, I am not able to sleep and eat correctly. Please let me know the solution.

Answered by Dr. Mustafa Ibrahim Abdelaziz Emara

Education:

MSc

Professional Bio:

Mr. Mustafa Ibrahim Abdelaziz Emara is a dedicated psychiatrist known for his compassionate, patient-centered approach. He specializes in treating mood disorders, anxiety, trauma-related conditions, and memory concerns. With strong diagnostic abilities and a talent for creating individualized, empathetic treatment plans, he excels at empowering patients on their journey toward improved mental health and resilience.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

The first scenario is you could have faced a stressful situation, and this situation has triggered the panic attack. The situation may have appeared trivial, but it could be pointed to important events in your childhood. The second scenario is you could drink a lot of tea or coffee, or you could have a systemic illness. The high consumption of saturated fat and salt can cause hypertension and heart problems. Too much amount of tea and coffee can affect your heart and decrease the level of vitamin B complex in your blood, resulting in increased heart rate. Moreover, oral contraceptive pills, hormonal replacement therapy, and irregular menses may cause similar symptoms.

Investigations to be done

ECG (electrocardiogram) and Echocardiogram.

Treatment plan

Exclude the systemic illnesses, use tablet Buspirone 10 mg half a tablet before meals once per day for three days, then half a tablet twice per day before meals followed by half a tablet three times per day before meals. So the dose should be increased by half a tablet every three days to one tablet three times before meals for 90 days. You should withdraw the drug by decreasing the dose by half a tablet every week until you take half a tablet once every other day for two weeks, then you should stop the drug.
Medically reviewed by Dr. Sneha Kannan
Published At April 22, 2020
Reviewed At April 1, 2021

Education:

MSc

Professional Bio:

Mr. Mustafa Ibrahim Abdelaziz Emara is a dedicated psychiatrist known for his compassionate, patient-centered approach. He specializes in treating mood disorders, anxiety, trauma-related conditions, and memory concerns. With strong diagnostic abilities and a talent for creating individualized, empathetic treatment plans, he excels at empowering patients on their journey toward improved mental health and resilience.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MSc

Professional Bio:

Mr. Mustafa Ibrahim Abdelaziz Emara is a dedicated psychiatrist known for his compassionate, patient-centered approach. He specializes in treating mood disorders, anxiety, trauma-related conditions, and memory concerns. With strong diagnostic abilities and a talent for creating individualized, empathetic treatment plans, he excels at empowering patients on their journey toward improved mental health and resilience.

This doctor is not available for online consultations on the platform anymore.

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