[52M] Experiencing anxiety, muscle aches, and thirst

Patient Description

A 52-year-old male reports experiencing extreme anxiety, which peaked recently, accompanied by muscle aches in the calves, back, stomach, and arms, described as a dull ache with a severity of 5 out of 10. The patient also experiences increased thirst and alternating sensations of feeling hot and cold, which began today. The anxiety is exacerbated by the holidays and intrusive thoughts. The patient has a history of similar anxiety episodes but without accompanying physical symptoms. No recent injuries or substance use reported. The patient is currently taking Effexor XR since February 2024, with no noted changes in symptoms since starting the medication. No known allergies or family history of psychiatric illnesses reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possibilities for what might be happening:

  • Generalized Anxiety Disorder (GAD): Your symptoms of extreme anxiety, muscle pain, and alternating hot and cold sensations could be related to an anxiety disorder. GAD can cause persistent worry and physical symptoms like muscle tension and changes in body temperature.

    • Treatment typically involves therapy, medication, or a combination of both. Cognitive-behavioral therapy (CBT) is often effective in managing anxiety.
  • Medication Side Effects: Effexor XR, which you're taking, can sometimes cause side effects such as increased anxiety, muscle pain, and temperature fluctuations.

    • It's important to discuss any side effects with your doctor, as they may adjust your dosage or suggest an alternative medication.
  • Stress Response: The holidays and intrusive thoughts can be significant stressors, potentially leading to heightened anxiety and physical symptoms.

    • Stress management techniques, such as mindfulness, meditation, or exercise, can be helpful in reducing symptoms.

What you can do

  1. Consult a Healthcare Professional: It's important to discuss your symptoms with a healthcare provider to receive a formal diagnosis and appropriate treatment. They can help determine if your medication needs adjustment or if other interventions are necessary.

  2. Practice Relaxation Techniques: Techniques such as deep breathing, progressive muscle relaxation, or guided imagery can help reduce anxiety and muscle tension.

  3. Stay Hydrated: Ensure you're drinking enough fluids throughout the day to prevent dehydration, which can contribute to muscle aches and increased thirst.

  4. Use MDandMe: Consider using the MDandMe app to journal your symptoms, track your progress, and gain insights. This information can be valuable to share with your healthcare provider.

What you should look out for

  • Seek Immediate Care: If you experience severe symptoms such as chest pain, difficulty breathing, or thoughts of self-harm, seek immediate medical attention.

  • Monitor Symptoms: Keep an eye on any changes in your symptoms, especially if they worsen or new symptoms develop. This information will be helpful for your healthcare provider.

  • Medication Concerns: If you suspect your medication is contributing to your symptoms, contact your doctor to discuss potential adjustments.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a comprehensive evaluation and personalized advice.

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19 d ago

People Also Ask


Can anxiety cause physical symptoms like muscle aches and temperature changes?

Yes, anxiety can cause physical symptoms such as muscle tension, aches, and changes in body temperature. These symptoms are often a result of the body's stress response.


What are common side effects of Effexor XR that I should be aware of?

Common side effects of Effexor XR include increased anxiety, muscle pain, sweating, and temperature fluctuations. It's important to discuss any side effects with your doctor.


How can stress from holidays and intrusive thoughts affect my anxiety levels?

Stress from holidays and intrusive thoughts can increase anxiety levels by acting as triggers for worry and stress, leading to both mental and physical symptoms.


What are some effective relaxation techniques to manage anxiety and muscle tension?

Effective relaxation techniques include deep breathing exercises, progressive muscle relaxation, guided imagery, and mindfulness meditation. These can help reduce anxiety and muscle tension.


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