[20F] Experiencing a range of neurological and cardiovascular symptoms

What might be happening

Based on the information you've provided, there are several possibilities:

• Panic Disorder: This is a type of anxiety disorder characterized by recurrent unexpected panic attacks. Panic attacks are sudden periods of intense fear that may include palpitations, sweating, shaking, shortness of breath, numbness, or a feeling that something terrible is going to happen. The maximum degree of symptoms occurs within minutes. There can be significant anticipatory anxiety between attacks. Your description of anxiety, breath starvation, heart palpitations, and dizziness could be consistent with this condition.

  • Treatment typically involves cognitive behavioral therapy and medication management, such as selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines.

• Postural Orthostatic Tachycardia Syndrome (POTS): This is a condition in which a change from lying to standing causes an abnormally large increase in heart rate. This occurs with symptoms that may include lightheadedness, trouble thinking, blurry vision, or weakness. Other symptoms may include chest pain, headaches, or feeling tired. You mentioned that your symptoms get worse with standing and exercise, which could be consistent with this condition.

  • Treatment often involves lifestyle changes such as increasing water and salt intake, and medication.

• Chronic Fatigue Syndrome (CFS): This is a complex, long-term illness that impacts on a person's ability to carry out ordinary daily activities. Symptoms include fatigue, difficulty with concentrating and memory, dizziness and balance problems, muscle and joint pain, headaches, sore throat, and nausea. Your description of fatigue, weakness, fogginess, joint pain, and nausea could be consistent with this condition.

  • Treatment typically involves a combination of lifestyle changes, dietary restrictions, gentle exercise, and medication to manage symptoms.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

1. Schedule an appointment with your primary care doctor to discuss your symptoms. They may refer you to a specialist, such as a cardiologist or neurologist, for further evaluation.
2. Keep a symptom diary. Note when your symptoms occur, what you're doing at the time, and any potential triggers. This can help your healthcare provider identify patterns and make a diagnosis.
3. Try to maintain a healthy lifestyle. Eat a balanced diet, get regular exercise, ensure you're getting enough sleep, and try to manage stress. These can all help improve your symptoms.

What you should look out for

Seek immediate medical attention if:

• Your symptoms significantly worsen
• You experience severe chest pain
• You faint or lose consciousness
• You have difficulty breathing

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.