Medical

Have medical questions? Ask a doctor online!

Ask a Doctor,
Get an Answer ASAP!

I have had anxiety for over 20 years and I always worry

Customer Question
I have had anxiety...

I have had anxiety for over 20 years and I always worry about my heart due to chest pain, pressure and shortness of breath. I went to the er last night they did a ekg, blood work including the heart work up like troponin levels. I had a nuclear stress test back in April of last year and that said it was fine. I’m a smoker, 53 year old female and I have elevated cholesterol.

Doctor's Assistant: How long have you been dealing with this? Is there anything in particular that seems to make the symptoms better or worse?

20 years, and nothing seems to help or make it worse.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I had Graves’ disease and took the rai back in 1997, have fibromyalgia and gastritis

Submitted: 3 months ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 3 minutes by:
1/6/2018
Doctor: Dr. Sohaib, Doctor replied 3 months ago
Dr. Sohaib
Dr. Sohaib, Doctor
Category: Medical
Satisfied Customers: 5,337
Experience: MBBS, FCPS Experienced in all Medical Specialities
Verified

Hello and thank you for the question.
I am Dr. Sohaib, a practicing Internal Medicine Consultant with over 13 years of experience and I will do my best to help you today.
Let me review your question for a minute and I will get back to you.

Ask Your Own Medical Question
Doctor: Dr. Sohaib, Doctor replied 3 months ago

What treatment have you taken for anxiety and panic attacks?

Ask Your Own Medical Question
Customer reply replied 3 months ago
I am on an anxiety medicine called alprozam.
Doctor: Dr. Sohaib, Doctor replied 3 months ago

How much dose, and since how long?

How far this has been helpful to control your problem?

Ask Your Own Medical Question
Customer reply replied 3 months ago
Ive been on this medicine for a long time. But I don’t take it dail
Doctor: Dr. Sohaib, Doctor replied 3 months ago

Any other kind of medications tried? In the past?

Ask Your Own Medical Question
Customer reply replied 3 months ago
I have taken buspar and Prozac
Doctor: Dr. Sohaib, Doctor replied 3 months ago

And how frequently do you suffer from the panic/anxiety attacks while you are on this medicine? Any reduction in symptoms or frequency of attacks?

Ask Your Own Medical Question
Customer reply replied 3 months ago
I’ve even begged my cardiologist to do a heart cath but he wouldn’t.
Customer reply replied 3 months ago
It helps a little but it don’t take it away.
Customer reply replied 3 months ago
Is a nuclear stress test accurate?
Doctor: Dr. Sohaib, Doctor replied 3 months ago

Thank you.

Cardiac cath study is an invasive procedure and unless there is a very clear indication, no one can take the risk to proceed with it. Nuclear Stress studies are very accurate; especially the PET-CT scan (gadolinium based) is more superior than conventional Tallium based scan.

Ask Your Own Medical Question
Doctor: Dr. Sohaib, Doctor replied 3 months ago

But I think you focus should be more on Anxiety treatment instead of cardiac studies.

Ask Your Own Medical Question
Doctor: Dr. Sohaib, Doctor replied 3 months ago

And I believe you are sub-optimally treated for panic/anxiety disorder.

Ask Your Own Medical Question
Doctor: Dr. Sohaib, Doctor replied 3 months ago

Various clinical trials have shown that Buspirone has no effect in controlling panic attacks.

Ask Your Own Medical Question
Customer reply replied 3 months ago
I didnthave the cat scan just the nuclear stress test. They were going to do the cut but my heart rate was in the uper 80’s and they couldn’t do it.
Doctor: Dr. Sohaib, Doctor replied 3 months ago

And Alprazolam is short acting agent and for it to be more efficacious, multiple doses have to be taken. Clonazepam is better option (long half life and less frequent dosing required).

Ask Your Own Medical Question
Doctor: Dr. Sohaib, Doctor replied 3 months ago

So your anxiety should be controlled first, effectively, and then will come the further cardiac evaluation

Ask Your Own Medical Question
Customer reply replied 3 months ago
Well the cardiac issues is really my concern. I was in the er until 4am this morning.
Customer reply replied 3 months ago
I wouldn’t want to wait if it’s heart related. I’m so stressed over this.
Doctor: Dr. Sohaib, Doctor replied 3 months ago

Okay, so you have had a cardiac work up done, negative. So this is not the heart. Its your anxiety.

Ask Your Own Medical Question
Doctor: Dr. Sohaib, Doctor replied 3 months ago

And PET-CT cant be done unless your anxiety is well controlled, as this will keep your heart rate high with which they can not initiate this study.

Ask Your Own Medical Question
Doctor: Dr. Sohaib, Doctor replied 3 months ago

Because during the study they have to induce ischemia also to evaluate the heart, and if the heart rate is too high, they can not proceed with this.

Ask Your Own Medical Question
Doctor: Dr. Sohaib, Doctor replied 3 months ago

Was it helpful?

Ask Your Own Medical Question
Customer reply replied 3 months ago
that’s what they told m, but my heart rate usually runs in the 80’s and I even take topral.
Doctor: Dr. Sohaib, Doctor replied 3 months ago

May be the dose of Toprol has to be increased, along with anxiety treatment.

Ask Your Own Medical Question
Customer reply replied 3 months ago
My nuclear stress test said no ischemia.
Doctor: Dr. Sohaib, Doctor replied 3 months ago

That's reassuring.

What is your exact question?

Ask Your Own Medical Question
Customer reply replied 3 months ago
It just seems like no one listens to me, my symptoms are real and I get woke up out of a sound sleep with chest pains. Sorry
Doctor: Dr. Sohaib, Doctor replied 3 months ago

I have already answered this concern of yours.

Ask Your Own Medical Question
Doctor: Dr. Sohaib, Doctor replied 3 months ago

We can not force a cardiologist to do cath studies. If he doesn't feel its necessary, its his responsibility and clinical judgement and we need to respect that.

Ask Your Own Medical Question
Customer reply replied 3 months ago
Sorry I wasted your time and my money. I really didn’t hae this money to spare but I just thought it would help me but it hasn’t.
Doctor: Dr. Sohaib, Doctor replied 3 months ago

Also you know that you have anxiety problem, which I still believe is uncontrolled, so once again I will suggest to get back to a psychiatrist and have this re-evaluated and treated soon.

Ask Your Own Medical Question
Doctor: Dr. Sohaib, Doctor replied 3 months ago

Thank you.

Ask Your Own Medical Question
Was this answer helpful?
Ask Family Physician Your Own Question
Family Physician
Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2,592
2,592 Satisfied Customers
Experience: Emergency Medicine and Family Practice for over 26 years

Family Physician is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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 feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

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 MollPretoria, 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!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, 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.

ElanorTracy, 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.

JulieLockesburg, 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 StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,786 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,750 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,863 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

15,604 satisfied customers

20 yrs. in practice, including surgery, general medicine, addiction medicine and pain.

< Previous | Next >

Related Medical Questions
I have had Parkinson's for several years. I received a phone
I have had Parkinson's for several years. I received a phone call from Heart and Weight Institute claiming to have a product ("liquid oxygen") that solves Parkinson's. I have run clinical trials and d… read more
Dr. Mark
Dr. Mark
M.D. in Neurosurgery
Doctoral Degree
5,370 satisfied customers
Can is tramadol ever used as a antidepressant. I have not. I
I have not. I take Wellbutrin, lexapro, lamictal, Ambien, propanol … read more
Dr. Shah
Dr. Shah
MD
3,846 satisfied customers
I want cochlear implants but the audiologist says I don't
I want cochlear implants but the audiologist says I don't qualify. Must I really live with ill fitting noisy hearing aids that just amplify the sound? I love music and really want to hear better. Even… read more
Dr. A
Dr. A
Medical Degree
429 satisfied customers
Are there any spinal traction devices to be used in the home
Are there any spinal traction devices to be used in the home that you would recommend for spinal and neck disc degeneration/compression?… read more
Dr Stan
Dr Stan
DO
3,000 satisfied customers
Will diametoucous powder help rid me of several types of
Hi will diametoucous powder help rid me of several types of worms, yours aine … read more
Sumanth Amperayani
Sumanth Amperayani
Consultant Paediatrician
Master\u0027s Degree
612 satisfied customers
Is stem cell treatment of shoulder indicated for a torn
Is stem cell treatment of shoulder indicated for a torn rotator cuff? … read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I accidentally took two doses of my am prescription
I accidentally took two doses of my am prescription medication. I took 1/2 if 97.2 mg phenobarbital, lorastan 100-25, keppra 750 mg, janumet 50 mg. 1000 mg, metoprolol 50 mg, venlafaxine 75 mg , Do yo… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I think I forgot to take my venlafaxine and valsartan this
I think I forgot to take my venlafaxine and valsartan this morning as I usually do. Would it be safe to take my normal dose now even is I did take it this morning and don't remember? Two sick kids at … read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I was diagnosed with an amloyd heart. I would like to know
I was diagnosed with an amloyd heart. I would like to know if there ha been anything found on this condition that could help me? I have the TTR wild type. I was diagnosed in Mayo about 1 1/2 years ago… read more
Dr. Sohaib
Dr. Sohaib
Doctor
5,337 satisfied customers
I cannot speak after a stroke eight years ago. Have you any
I cannot speak after a stroke eight years ago. Have you any thoughts as to how I can regain it.… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
How are you contagious when you get mononucleosis? No meds,
How long are you contagious when you get mononucleosis? … read more
Dr. Sohaib
Dr. Sohaib
Doctor
5,337 satisfied customers
Is "leaky gut" considered a disease by the FDA. Ie, can a
Is "leaky gut" considered a disease by the FDA. Ie, can a nutritional supplement legally claim it addresses "leaky gut syndrome"?… read more
Dr. Scott
Dr. Scott
Doctor
1,110 satisfied customers
Can Vitamin C be helpful for Cancer patience going through
Can Vitamin C be helpful for Cancer patience going through Chemo. … read more
Dr. Sohaib
Dr. Sohaib
Doctor
5,337 satisfied customers
Was just researching YHK liver therapy and wondered if it
hey i was just researching YHK liver therapy and wondered if it actually works before i spend $400 on it … read more
Dr. K.
Dr. K.
Staff physician
MD
568 satisfied customers
I currently am diagnosed with minimal COPD and use an
I currently am diagnosed with minimal COPD and use an inhaler daily. I have become interested in the new stem cell process for COPD. I current have Medicare and a supplement insurance policy … read more
DrRussMD
DrRussMD
Board Certified Physician
51,786 satisfied customers
As per Schwannomas are caused by loss of function of the
As per https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4778430/#S12title Schwannomas are caused by loss of function of the tumor-suppressor Merlin. How can I use this information to deal with Schwannoma?… read more
Dr Stan
Dr Stan
DO
3,000 satisfied customers
Is Mayo accepting particpants in a clinical study of rem
is Mayo accepting particpants in a clinical study of rem syndrome and the medication nelotanserin? I have been diagnosed with rem … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,173 satisfied customers
Dr. Love, I'm still worried about the AI's and wine
Dr. Love,I'm still worried about the AI's and wine drinking. I was gone all last week and had several glasses of white wine every night. It is supposed to be much lower in phytoestrogens than red wine… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,863 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x