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This is Dr. David
excessive anxiety disorder or generalized anxiety disorder can cause symptoms of shortness of breath, dizziness, lightheadedness and disorientation. he might need medications to help calm down anxiety symptoms and panic symptoms
he should also have his thyroid hormone levels checked.
high thyroid hormone level scan cause fast heart rate and cause some of his symptoms.
bring him back to the ER and ask them if he is having a panic attack and if they can give him medications to help decrease his anxiety.
he should also see a regular primary care doctor who can get to know him and treat him as well
let me know if you have questions.