How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Nitika Your Own Question

Dr. Nitika
Dr. Nitika, Doctor
Category: Health
Satisfied Customers: 1781
Experience:  General Physician experience in Medicine, Integrative, CAM
2598649
Type Your Health Question Here...
Dr. Nitika is online now
A new question is answered every 9 seconds

So Ive had this on and off for years, and just this morning

Resolved Question:

So I've had this on and off for years, and just this morning had the worst episode I've ever experienced. I will first off state that I do have general anxiety, but there doesn't seem to be any mental catalyst that triggers these physiological responses. It always seems to start with a sudden oncoming of feeling lightheaded which gets progressively worse, and very uncomfortable. I've try and remain calm, but no amount of relaxation or steady breathing techniques seem to curb it, which is why I'm convinced it's not anxiety related, but rather an anxiety inducer. The lightheaded feeling than leads to a chest tightness and the feeling of restricted breathing (which used to send me into full blown panic attacks). This feeling of lightheadedness and constricted breathing will last for sometimes hours, until finally, I will begin to start burping up which seems to be air. After repeated burping up of said air, the feelings of the loopy-lethargic-lightheadedness begins to subside a bit, and I'm left with a feeling of fatigue and dry mouth and sometimes a feeling of my eyes burning. I've had a CT of my digestive track, and everything seemed to be okay. This doesn't come with a feeling of heartburn, acid reflux etc.. So, I really am baffled as to what exactly is causing this. I've seen a couple of doctors that spend about 2 minutes talking to me and just say "eh, acid reflux from anxiety, have a nice day". These episodes come on very sporadically, and with seemingly no catalyst, it in no way coincides with times of stress or anger (which you would think it would be the most prevalent if it was induced by anxiety). Anyway, sorry for the long winded inquiry, but I'm just really at my wits end with this life hindering condition, whatever it may be. Thank you for reading. -Tony
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Nitika replied 1 year ago.
Hi,
Do you have lightheadedness while changing position from sitting to standing?
Do you feel stuffy nose,clogged ears?
Headache?
Neck stiffness?
What is your occupation?
Duration of symptoms?
Nausea?
Have you monitored your blood pressure and blood sugar levels?
Alcohol and smoking history?


Thanks dear.
Customer: replied 1 year ago.

Hi, no problem. I recently had my blood pressure checked from both lying down and again to a standing position, BP checked out fine. During the same examination, the doctor did notice i had a bit of fluid in my left ear in particular and sent me off with an antihistamine. This is roughly 2 weeks ago. I do have a lot of chronic muscle tension, especially on the left side of my body. I work from home on the computer most of the day, but I've had these symptoms since I was much younger and a lot more active as an athlete or in more physical demanding jobs as well. Symptoms of these episodes seem to last anywhere for a few hours to sometimes sporadically for days on end. I haven't had one in months, but at this point at 31 years old, I really am at my wits end with it. Oh, I don't drink often, maybe a beer or two during football games etc., no drug use, I'm not on any script meds. No caffeine. A relatively healthy diet. I do however, smoke quite heavily. probably nearly 2 packs a day. (I did cut it down to under a pack a few months ago, and am slowly tapering off completely, I hope). Oops, missed your blood sugar levels Q, my last blood panel came back normal. But they were just checking for possible vitamin deficiency since I work inside all day in sunless Washington State. :(

Expert:  Dr. Nitika replied 1 year ago.
Hi,
Thanks for providing additional information.
I understand your concern and it's my pleasure to help you in every aspect.
As per your description,fluid in ear,chronic muscle tension/stiffness,benign Paroxysmal positional vertigo can be contributing factor in lightheadedness.
Even prolonged hours of sitting in front of computer,poor posture can cause lightheadedness.
As you are suffering from last few years so tilt table test,ear examination,Ct scan Head should be advised in your case.
Migraine can be another possible cause.
I agree you than sometimes physical cause can aggravate anxiety resulting in panic attack.
However psychotherapy can be effective in your case.
Take short breaks of rest while doing your work at computer.
And do gentle massage with muscle relaxant ointment as well.
I admire your efforts to limit your smoking consumption and it 'll give you positive results.
You should do aerobic exercises.
You can take OTC Dramamine if you feel lightheadedness.


And consult your doctor again for proper diagnosis and management.







Hope this helps.
Please rate me high if you are satisfied with our conversation.
In case you have further query press reply to expert button.
Bonus and positive feedback are appreciated.
Thanks.
Dr. Nitika, Doctor
Category: Health
Satisfied Customers: 1781
Experience: General Physician experience in Medicine, Integrative, CAM
Dr. Nitika and 4 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 
Chat Now With A Health Professional
Dr. Nitika
Dr. Nitika
Health Professional
1781 Satisfied Customers
General Physician experience in Medicine, Integrative, CAM