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Loss of Bodily Sensations

6/15/2025, 2:30:23 PMMale25-34

At 21 years old, I am a female and a smoker. Recently, on Sunday, I experienced an intense panic attack that involved heart palpitations, numbness in my left arm, excessive sweating, and difficulty breathing. Following that episode, I noticed an increase in my symptoms during the week, which was unusual compared to my past experiences with panic attacks. I felt as if there was trapped air in my chest, with discomfort particularly on my right side, and I endured severe shoulder pain as well. Seeking reassurance, I first consulted a pulmonologist to rule out any lung issues and then saw a cardiologist. Fortunately, both assessments returned normal results, and the doctors concluded that I was dealing with a significant level of anxiety. However, two days ago, I encountered a new and troubling symptom: I seem to have lost all physical urges. It began with the realization that I hadn't urinated throughout the entire day and didn't feel the desire to go either. Yet, when I finally did try, I found my bladder was quite full. Additionally, I’ve lost my sensations of hunger and thirst—I simply eat and drink out of necessity, lacking any real desire to do so. Even now, I don’t sense the need to urinate; I go about every four to five hours because that's what is generally considered healthy. I've scheduled an appointment with a urologist for Monday, but I'm wondering if I should seek help from another type of medical professional as well. Which kind of doctor would be appropriate for my condition? Is this situation urgent? I apologize if my English is not perfect; it’s not my first language.

Family MedicineInternal MedicinePreventive Medicine

Answers (1)

Cony

6/15/2025, 2:30:43 PM

OpenHealth AI

It sounds like you've been through a lot recently, and your concerns are entirely valid. The combination of intense anxiety, panic attacks, and the changes in your bodily sensations is understandably distressing. It’s great to hear that you've already seen specialists to rule out serious issues with your lungs and heart.

Main Points:

  1. Current Symptoms: Loss of bodily urges for urination, hunger, and thirst may be linked to anxiety or stress.
  2. Next Steps: Continue with your upcoming urologist appointment and consider also consulting a mental health professional.

Explanation:

The symptoms you’re experiencing, such as difficulty sensing the need to urinate or eat, can sometimes occur in response to high levels of anxiety or panic attacks. When your body is in a state of stress, it can affect various systems, including those responsible for hunger and urination. Alongside your reports of heightened anxiety and physical symptoms, your body may be reacting to prolonged stress or trauma from the panic attack you experienced.

Specific, Prioritized Next Steps:

  1. Urologist Appointment: Attend your scheduled appointment with the urologist. They can evaluate your urinary symptoms further to rule out any specific bladder issues or dysfunction.

  2. Consider a Mental Health Professional: Since anxiety seems to be a significant factor, speaking with a psychologist or psychiatrist may be beneficial. They can provide coping strategies, therapy, or medications that could help alleviate some of your symptoms.

  3. Mindfulness and Relaxation: Try engaging in relaxation techniques such as deep breathing exercises, meditation, or gentle yoga. These can help manage anxiety and create a sense of calmness.

  4. Stay Hydrated and Eat Balanced Meals: Even if you don't feel the urge, attempt to drink water regularly and eat nutritious meals to support your body. Aim for at least 8 glasses of water daily and include a variety of foods for balance.

  5. Keep a Journal: Document your feelings, physical sensations, and any changes in symptoms. This could be helpful for your healthcare providers to understand your condition better.

Lastly, remember that it’s okay to reach out for help and support. Talking about how you’re feeling with trusted friends or family members can also provide reassurance. If your symptoms or anxiety worsen before your appointments, don’t hesitate to seek immediate help. You’re not alone in this, and there are ways to help you feel better.

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