Concerns About Clotting: Is It Simply Anxiety and Dehydration?
Could this all be attributed to anxiety? Perhaps dehydration plays a role too? I’m really trying to convince myself to avoid another visit to the doctor regarding my leg issues. - I began my treatment with 10mg of Lexapro for two and a half weeks, then increased to 20mg for a few days before stopping entirely six days ago. - Since discontinuing Lexapro, I’ve been struggling with heightened anxiety. - Five days back, I sought help at the emergency room due to persistent muscle twitching in my legs, driven by fears of a possible blood clot, yet I hadn’t shown any other signs typically associated with clots. - The emergency room physicians noted mild dehydration and correlated my anxiety and twitching with the cessation of Lexapro. - They confirmed that my blood results were normal and the D-Dimer test for blood clots registered at 0.21. - Four days ago, I had to call for EMT assistance because of worrying chest pain and the ongoing leg twitching; they concluded that it was another panic attack. - Two days later, I consulted a new doctor who administered an EKG due to my chest pain and tightness. The results came back normal, and my heart sounded healthy. I was prescribed a new anxiety medication (Paxil) that I have yet to start. - Additionally, I received a prescription for propranolol 20mg to take as needed for anxiety, which has helped alleviate some anxiety and chest pain. - Just yesterday, I returned to the ER because my chest pain had intensified. Fortunately, the EKG and chest X-rays were normal, although my blood work indicated elevated stress levels and a D-Dimer of 0.19. Currently, I’m still dealing with relentless twitching in both legs, especially in my calves, and my right calf has felt a bit tight since last night. My activity levels have been low this week due to anxiety, further fueling my worries about potential clotting issues. I don’t have a family history of clotting disorders, and while I’m on Nexplanon, I am a 25-year-old woman who is overweight but not classified as obese.
Answers (1)
3/1/2026, 7:50:40 PM
OpenHealth AI
It sounds like you’re experiencing significant anxiety related to muscle twitching and concerns about blood clots, especially after recent changes in your medication. While anxiety and dehydration can contribute to your symptoms, it's important to ensure they’re managed effectively, especially given your history and recent evaluations that have shown normal blood tests and heart health.
Explanation:
Your concerns about clotting seem to be addressed quite thoroughly by medical professionals, as indicated by the normal D-Dimer results and other tests. Mild dehydration can also lead to muscle cramps and twitching, which could explain some of your symptoms. Given your recent cessation of Lexapro, it’s possible that withdrawal may have heightened your anxiety and related symptoms.
Next Steps:
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Hydration: Focus on drinking plenty of fluids daily. Aim for at least 8-10 glasses of water, which can help alleviate some muscle tightness and overall health.
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Start the New Medication: If you feel ready, consider starting the Paxil as prescribed by your new doctor. It might help manage your anxiety more effectively. If you have any concerns about starting it, take a moment to note them down for your next consultation.
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Relaxation Techniques: Engage in relaxation or mindfulness exercises, such as deep breathing, meditation, or gentle yoga. These practices can significantly reduce anxiety levels and lessen muscle tension.
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Physical Activity: Gradually integrate gentle physical activity back into your routine, like walking or stretching, as your anxiety allows. This can promote better circulation and reduce muscle tension.
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Monitoring Symptoms: Keep a journal of your symptoms, noting any changes in twitching, tightness, or anxiety levels. This information can be helpful for your next medical visit.
Remember, it’s important to keep in touch with your healthcare providers about your ongoing symptoms and any new developments. You're taking proactive steps to manage your health, and that's commendable.
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