[51M] Experiencing extreme nervousness and related symptoms

Patient Description

A 51-year-old male reports extreme nervousness since November, described as feeling like being 'plugged into an electrical outlet.' Triggers include routine activities such as taking a shower, going to a store, and going to work. Accompanying symptoms include loss of appetite (with subsequent weight loss), constipation (recently somewhat managed with psyllium fiber), increased thirst (drinking more water, especially at night), and palpitations (diagnosed as PVCs, worsened after starting Crestor for hyperlipidemia). The patient has been on Effexor XR and Crestor, along with vitamins. No known allergies or other medications reported. The symptoms have had a significantly negative impact on the patient's daily life and activities.

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Arora's Assessment

What might be happening

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

  • Generalized Anxiety Disorder (GAD): This is a common condition characterized by persistent and excessive worry about a number of different things. People with GAD may anticipate disaster and may be overly concerned about money, health, family, work, or other issues. GAD is diagnosed when a person finds it difficult to control worry on more days than not for at least six months and has three or more symptoms.

    • This might explain your feelings of extreme nervousness, feelings of fear, dread, and worry.
  • Hyperthyroidism: This is a condition in which your thyroid gland produces too much of the hormone thyroxine. Hyperthyroidism can accelerate your body's metabolism, causing unintentional weight loss and a rapid or irregular heartbeat.

    • This might explain your increased thirst, palpitations, and weight loss.
  • Side effects of medication: Both Effexor XR and Crestor can have side effects that might explain some of your symptoms. Effexor XR can cause constipation, loss of appetite and increased nervousness. Crestor can cause constipation and increased thirst.

Please note that these are possibilities based on the information you've provided and should not be taken as a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Consult with a healthcare provider: They can provide a formal assessment and order relevant tests if necessary. They can also adjust your medication if they believe it's contributing to your symptoms.

  2. Maintain a healthy lifestyle: Regular exercise, a healthy diet, and adequate sleep can help manage symptoms of anxiety and improve overall health.

  3. Practice relaxation techniques: Techniques such as deep breathing, meditation, and yoga can help manage symptoms of anxiety.

What you should look out for

Reasons to see a healthcare provider more urgently:

  • If your symptoms worsen or if you develop new symptoms
  • If your feelings of anxiety become overwhelming or if you have thoughts of harming yourself
  • If your palpitations become more frequent or severe
  • If you continue to lose weight without trying

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of Generalized Anxiety Disorder (GAD)?

Common symptoms of Generalized Anxiety Disorder (GAD) include persistent and excessive worry, restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbances.


Can hyperthyroidism cause increased thirst and palpitations?

Yes, hyperthyroidism can cause increased thirst and palpitations. It accelerates the body's metabolism, which can lead to symptoms like rapid or irregular heartbeat and increased thirst.


What are the potential side effects of Effexor XR and Crestor?

Effexor XR can cause side effects such as constipation, loss of appetite, and increased nervousness. Crestor can cause constipation and increased thirst among other side effects.


How can lifestyle changes help manage anxiety symptoms?

Lifestyle changes such as regular exercise, a healthy diet, and adequate sleep can help manage anxiety symptoms. Additionally, relaxation techniques like deep breathing, meditation, and yoga can be beneficial in reducing anxiety.


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