Could This Be a Panic Attack?
I’m an 18-year-old female, weighing 163 lbs and standing at 5’4”. I have a background of anxiety and panic disorder, along with hypothyroidism for which I’m not currently medicated, and I also manage asthma. Last night, I experienced significant discomfort including body aches, chills, nausea, and quite a bit of brain fog, making it difficult for me to concentrate. I noted some double vision, but fortunately, that subsided after I had something to eat. However, today has been considerably tougher, especially since I've begun my menstrual cycle. My entire body is in pain, and simply getting out of bed is a chore. Although I managed to eat small portions and stay hydrated, everything feels uncomfortable and I still feel cold, despite taking a hot shower and having my heater on. When I checked my vital signs, my blood pressure read 134/87, and my heart rate was initially 116 but reduced somewhat afterward. Given these symptoms, should I consider a trip to the emergency room? Or is it possible that this is simply a combination of my anxiety worsening along with my menstrual symptoms?
Answers (1)
4/2/2025, 3:10:47 AM
OpenHealth AI
Based on your description, it’s understandable to be concerned about whether your symptoms are related to a panic attack or something else, especially given your history of anxiety and panic disorder. While anxiety can exacerbate physical sensations and lead to symptoms like chills, body aches, and nausea, it’s also important to consider other factors at play, such as hormonal changes from your menstrual cycle and possible thyroid issues, since you're not currently medicated.
Explanation:
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Panic Attack vs. Other Causes: Panic attacks often include intense fear or discomfort, heart palpitations, sweating, or chills, and can lead to physical symptoms. However, your symptoms can also stem from anxiety combined with menstrual pain, hypothyroidism, or even asthma-related issues.
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Physical Symptoms: Your reported double vision, chills, and brain fog are concerning, particularly given the combination of symptoms and the elevated heart rate. These can be signs of multiple issues, including anxiety, hormonal changes, and potentially related to your thyroid condition.
Next Steps:
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Monitor Your Symptoms: Keep track of any changes in your symptoms throughout the day. Note how you feel after eating or resting, and any changes in your heart rate and blood pressure.
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Manage Discomfort:
- Continue to stay hydrated and eat small, nutrient-rich meals. Ginger or peppermint tea may help with nausea.
- Consider gentle stretching or light movement, as tolerated, to relieve some of the body aches.
- Apply heat (like a warm towel or heating pad) to sore areas in your back or abdomen.
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Prepare for Possible Urgency: Since your symptoms, such as the high heart rate and double vision, have fluctuated, it’s advisable to be cautious:
- If you experience increasing double vision, difficulty breathing, severe chest pain, or if you feel your symptoms worsen significantly, seek immediate care (emergency room or urgent care).
- If your symptoms stabilize, consider reaching out to a healthcare professional to discuss your current state and explore options for managing your thyroid and anxiety.
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Mental Health Focus: Utilize relaxation techniques such as deep breathing or mindfulness meditation to help with anxiety. You may also find keeping a journal helpful for your feelings and physical symptoms.
Your well-being is important, and it’s okay to seek help if you're feeling overwhelmed. If symptoms persist or if you have concerns about your overall health, please consider reaching out to a healthcare provider for a more thorough evaluation. Stay supported, and take care of yourself.
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