[45F] Experiencing nocturnal anxiety, panic attacks, and various physical symptoms

What might be happening

Based on the information you've provided, possible diagnoses include:

• Cushing's Syndrome: This condition is caused by an excess of cortisol, a hormone produced by your adrenal glands. Symptoms can include weight gain, particularly around the midsection and upper back, fatigue, rounded face (moon face), high blood pressure, and anxiety.

  • Diagnosis typically involves a physical exam, lab tests to measure cortisol levels, and imaging tests. Treatment usually involves lowering cortisol levels through surgery, radiation, medications, or reducing the use of corticosteroid medications.

• Panic Disorder: This is a type of anxiety disorder characterized by recurrent and unexpected panic attacks. Symptoms can include palpitations, shaking, and a sense of impending doom, typically occurring at night.

  • Diagnosis is usually made based on a clinical evaluation. Treatment can involve cognitive behavioral therapy (CBT), medications, and lifestyle changes.

• Hyperthyroidism: This condition is caused by an overactive thyroid gland, leading to an excess of thyroid hormone. Symptoms can include anxiety, palpitations, weight loss, and joint pain.

  • Diagnosis typically involves a physical exam, lab tests to measure thyroid hormone levels, and imaging tests. Treatment usually involves medications, radioactive iodine, or surgery.

What you can do

1. Consult a healthcare professional: It's important to discuss your symptoms with a healthcare provider. They can provide a formal diagnosis and appropriate treatment options.

2. Lifestyle modifications: Regular exercise, a balanced diet, and adequate sleep can help manage symptoms of anxiety and joint pain. Avoid caffeine and alcohol, which can trigger panic attacks and increase anxiety.

3. Mindfulness and relaxation techniques: Techniques such as deep breathing, yoga, and meditation can help manage anxiety and panic attacks.

What you should look out for

1. Worsening of symptoms: If your symptoms worsen or if you develop new symptoms, seek medical attention immediately.

2. Severe panic attacks: If your panic attacks become more frequent or severe, seek medical help immediately.

3. Signs of a serious condition: If you experience severe headache, vision problems, or severe abdominal pain, seek emergency medical care. These could be signs of a serious condition, such as a pituitary tumor, which can be associated with Cushing's syndrome.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.