OpenHealth Q&A

Get answered by medical professionals

Distinguishing Between Panic Attacks and Heart Issues

7/1/2025, 1:20:19 AMMale25-34

I am a 21-year-old female with a background in panic disorder and significant anxiety, currently taking 100mg of Pristiq. I have experienced numerous panic attacks over the years, but today was different. Earlier, I suddenly felt a sharp sensation beneath my left arm, which alarmed me. Shortly after, it seemed as if I had lost the ability to take a deep breath, triggering an overwhelming sense of panic that left me feeling lightheaded. I decided to sit down and took some Klonopin to alleviate the anxiety. Although I continued to tremble for a while, I eventually calmed down, and the dizziness faded. This particular episode was unusually abrupt, and even though it passed quickly, it has left me anxious about the possibility of a heart attack.

AgingWellnessFamily Medicine

Answers (1)

Cony

7/1/2025, 1:20:38 AM

OpenHealth AI

Experiencing a sudden sharp sensation under your left arm, difficulty taking a deep breath, and feelings of panic can understandably cause concern, especially with your background in panic disorder. While these symptoms can be associated with panic attacks, it's important to approach them carefully to rule out any heart issues.

Explanation

Panic attacks can mimic symptoms of heart problems, such as chest pain, shortness of breath, and lightheadedness. The sharp sensation you felt could have been related to muscle tension or anxiety, common in panic episodes. It's also worth noting that breathlessness during a panic attack is quite common due to hyperventilation. However, any new or unusual symptoms should be taken seriously, especially in a young person experiencing changes in their usual pattern.

Next Steps

  1. Monitor Symptoms: Keep a record of any similar episodes, noting the duration of symptoms, triggers, and any other changes. This information can be helpful for later discussions with a healthcare professional if needed.

  2. Practice Breathing Exercises: When you feel panic or dizziness, try slow, deep breathing techniques. Inhale through your nose for a count of four, hold for four, and exhale through your mouth for a count of six. This can help reduce anxiety and may ease the tightness in your chest.

  3. Stay Hydrated and Rest: Ensure you are drinking enough water and taking time to relax. Stress can exacerbate both anxiety and physical symptoms.

  4. Evaluate Stressors: Consider if there are specific triggers or stressors in your life that could be contributing to your anxiety levels. Stress management techniques, such as mindfulness or yoga, might be beneficial.

  5. Consult Your Healthcare Provider: If you experience similar symptoms again, especially if they worsen or you have any new symptoms (like persistent chest pain, sweating, or severe dizziness), reach out to a healthcare provider to discuss your concerns.

Caring for both your mental and physical health is crucial, and it’s great you’re seeking clarity. Please remember, it’s always okay to seek help if your anxiety continues or you have ongoing concerns about your heart. You're not alone in this.

Related Questions

Persistent Need to Stretch Legs While Seated

I experience a significant discomfort when seated, particularly when my knees are bent at about a 90-degree angle. This sensation compels me to stretch my legs straight, and if too much time passes without doing so—typically around every five to six minutes—the urge intensifies to an uncomfortable level that’s hard to manage. It’s more than just a desire to fidget; fully extending my legs tends to offer the greatest relief. Adjusting my position provides some comfort, but it doesn’t alleviate the feeling nearly as effectively as a full stretch does. This issue predominantly arises when I remain stationary in a chair. Occasionally, I notice a similar feeling when I’m lying down, but these instances are relatively rare compared to the frequent occurrences while sitting. I consulted a relative who is a medical professional about this discomfort, and they suggested that it doesn’t appear to align with Restless Leg Syndrome. However, since this isn't their specialization, I acknowledge that there may be a chance of error. * What could potentially be causing these sensations? * Does anyone else relate to this experience? * Are there methods available to help manage or diminish this feeling? I would greatly appreciate any advice or insights.

WellnessSupplementsLifestyle Changes
Male25-34
43 minutes ago

Resources for Safe Mouse Cleanup

While it may not be a typical inquiry for a healthcare professional, I find myself in need of guidance. Recently, we had an uninvited mouse visitor in our home, and unfortunately, it left droppings in my children's toy storage and on the changing table. I am seeking advice on how to effectively disinfect all affected items or determine if disposal is necessary to prevent any health risks. My children are quite young, at 2.5 years and just 4 months old. If they’ve potentially been exposed to mouse droppings, should I reach out to their pediatrician? For reference, I’m a 32-year-old female, standing at 5'6" and weighing 140 pounds, not currently on any medications.

AgingWellnessFamily Medicine
Male25-34
1 hour ago

Excessive Electrical Shocks Encountered

Hello everyone! This is my inaugural post here since I don't frequently use Reddit. I'm a 15-year-old male, and I've recently been experiencing an unusual frequency of electrical shocks. Whenever I come into contact with anything that is either highly charged or conductive, I receive a sharp, irritating jolt. This situation has become increasingly bothersome. For instance, I can only grasp my Mac charger by the cord and not the plug itself. I'm curious if anyone has insights into why this is happening. Please let me know; I hope it's nothing serious! 💕

Lifestyle ChangesFamily MedicineInternal Medicine
Male25-34
1 hour ago

Urinalysis Inquiry

Subject: Urinalysis Results Review Age: 23 Height: 5'2" Weight: 101 lbs Greetings! I would appreciate it if you could review my urinalysis findings. The test was conducted yesterday, just one day prior to the start of my menstrual cycle, and I am now currently on my period. Below are the details of my results, as I need this information to fulfill a prerequisite for my employment. Additionally, I would like to know whether my menstrual cycle may have influenced the outcome of the test. I typically experience frequent urination, yet I do not have any discomfort or pain while urinating.

NutritionWellnessFamily Medicine
Male25-34
1 hour ago

Combining Ketorolac with Alcohol: Is It Safe?

Recently, I unknowingly mixed a 10mg dose of ketorolac with half a bottle of 4.5% beer. At that moment, I wasn't aware of the potential risks involved in this combination. It wasn't until I was partway through my drink that I thought to look it up. Now, I’m wondering if it’ll be fine for me to have a drink tomorrow night after stopping all ketorolac use, especially since this medication hasn’t been effective for my pain relief. To give you an idea of the timeline, I took ketorolac around 2 PM and didn’t start drinking until 11 PM.

WellnessSupplementsLifestyle Changes
Male25-34
2 hours ago