[39M] Experiencing anxiety, pins and needles, adrenaline rushes, hot flashes, and lightheadedness

Patient Description

A 39-year-old male has been experiencing anxiety, pins and needles, adrenaline rushes, hot flashes, and lightheadedness for several weeks. The anxiety, which has been present for years, is described as a fear of imminent death, accompanied by sudden, unprovoked adrenaline rushes that cause a racing, pounding heart and breathlessness. These episodes occur multiple times a week, often at night. The patient also reports sudden waves of heat in the arms and face, as well as tingling sensations in the face, arms, and legs/feet. Lightheadedness occurs randomly, typically upon standing, and is rated a 3 out of 10 in severity. The patient has a medical history of high blood pressure and fatty liver disease diagnosed 3-4 years ago. Current medications include Lisinopril, Loratidine, and Omeprazole. No allergies or adverse reactions to medications have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Panic Disorder: This condition is characterized by recurring panic attacks, which can include symptoms such as a racing heart, feeling of impending doom, hot flashes, and tingling sensations. The attacks often occur without warning and can cause significant distress.

    • Treatment typically involves cognitive behavioral therapy (CBT) and/or medication such as selective serotonin reuptake inhibitors (SSRIs) or benzodiazepines.
  • Generalized Anxiety Disorder (GAD): This is a chronic condition characterized by excessive worry and anxiety that is difficult to control, and is often accompanied by physical symptoms such as lightheadedness, hot flashes, and tingling sensations.

    • Treatment typically involves CBT and/or medication such as SSRIs or benzodiazepines.
  • Orthostatic Hypotension: This is a form of low blood pressure that happens when you stand up from sitting or lying down, and can cause lightheadedness.

    • Treatment typically involves lifestyle changes and potentially medication adjustments.

Please note, these are just potential explanations and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

Here are some general suggestions that might help you manage your symptoms:

  1. Practice stress management techniques: This can include deep breathing exercises, progressive muscle relaxation, and mindfulness meditation. These techniques can help reduce anxiety and manage panic attacks.
  2. Stay hydrated and maintain a balanced diet: This can help manage symptoms of lightheadedness and hot flashes.
  3. Regular physical activity: Regular exercise can help manage anxiety symptoms and improve overall well-being.
  4. Limit caffeine and alcohol: These substances can trigger or worsen anxiety and panic attacks.
  5. Consult with a healthcare provider: They can provide a formal diagnosis and discuss potential treatment options with you.

What you should look out for

Please seek immediate medical attention if you experience:

  • Chest pain or discomfort
  • Shortness of breath or trouble breathing
  • Sudden numbness or weakness, especially on one side of the body
  • Sudden severe headache, confusion, or difficulty speaking
  • Any other severe or worsening symptoms

Remember, while I strive to provide accurate information, I'm an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

Top picked over-the-counter products for Tingling or Cold Sensations at the Back of Your Head

People Also Ask


What are the common symptoms of panic disorder?

Common symptoms of panic disorder include sudden and repeated panic attacks, a racing heart, sweating, trembling, shortness of breath, a feeling of impending doom, and tingling sensations.


How can generalized anxiety disorder (GAD) be managed effectively?

Generalized anxiety disorder can be managed with cognitive behavioral therapy (CBT), medications such as SSRIs or benzodiazepines, stress management techniques, regular exercise, and avoiding caffeine and alcohol.


What lifestyle changes can help with orthostatic hypotension?

Lifestyle changes for managing orthostatic hypotension include staying hydrated, rising slowly from sitting or lying positions, wearing compression stockings, and increasing salt intake if advised by a doctor.


Can medications like Lisinopril affect anxiety or panic attacks?

Lisinopril is primarily used to treat high blood pressure and is not known to directly affect anxiety or panic attacks. However, any medication can have side effects or interactions, so it's important to discuss concerns with a healthcare provider.


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