[27M] Experiencing fatigue and flushness with a history of panic disorder

What might be happening

Based on the symptoms you've described, there are a few possibilities to consider:

1. Nutritional Deficiencies: Given your irregular eating patterns and concerns about nutrition, it's possible that your fatigue and feeling flushed could be related to low blood sugar or deficiencies in essential nutrients. Skipping meals and having a diet low in protein can lead to energy crashes and feelings of exhaustion.

2. Anxiety and Depression: Your history of panic disorder and manic depression, along with increased stress and anxiety, could be contributing to your fatigue and other symptoms. Mental health conditions can significantly impact physical health, leading to symptoms like fatigue, changes in appetite, and gastrointestinal issues.

3. Gastrointestinal Issues: The sensation of a lump at the bottom of your sternum and bloating could be related to gastrointestinal issues such as acid reflux or a hiatal hernia. These conditions can cause discomfort and changes in appetite.

What you can do

Nutritional Deficiencies:

• Try to establish a regular eating schedule with balanced meals that include protein, healthy fats, and complex carbohydrates. This can help stabilize your energy levels throughout the day.
• Consider consulting a nutritionist or dietitian for personalized advice on improving your diet.

Anxiety and Depression:

• Since you're not currently on medication, consider reaching out to a mental health professional for support. Therapy or counseling can be beneficial in managing stress and anxiety.
• Practice stress-reduction techniques such as mindfulness, meditation, or deep breathing exercises.

Gastrointestinal Issues:

• Monitor your symptoms and consider keeping a food diary to identify any triggers that worsen your symptoms.
• Avoid large meals before bedtime and try to eat smaller, more frequent meals throughout the day.

Additionally, you can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

While your symptoms are not immediately life-threatening, it's important to seek medical attention if you experience:

• Severe or persistent abdominal pain
• Unexplained weight loss
• Difficulty swallowing or persistent vomiting
• Any new or worsening symptoms

Remember, it's always best to consult with a healthcare professional for a formal diagnosis and treatment plan tailored to your specific needs.