Tag: Shortness of breath

Panic Attacks — Signs of Vulnerability

Panic attacks do not come from nowhere, though the possibility of them coming out of the blue cannot be discounted. Nonetheless, there is always that something that triggers the occurrence of such attacks. Experts believe that the causes are multi-factorial and pre-disposing factors are many. Included are the following:

Genetics. Panic attacks run in the family. If you great grandfather had it, there is a relative possibility that you might develop the disorder as well. In typical cases, those people who have relatives with panic attacks are twice more likely to experience either acute or chronic but intermittent episodes of panic disorder than normal people. Nonetheless, there are people who have family history of panic attacks that do not develop the disorder.

Medical causes. There are several medical conditions that could allow for the development of panic disorder and panic attacks. Among them are mitral valve prolapse, hypoglycemia, hyperthyroidism, abrupt withdrawal from medication usage, and use of stimulants. Mitral valve prolapse, otherwise known as MVP, is a heart disease that affects the mitral valves, the part of the heart that prevents the backflow of blood. The symptoms of this disease are shortness of breath and chest pain along with others. Not only do these symptoms resemble those of panic attacks but research by the American Heart Association confirmed that there is a direct link between MVP and panic attacks.

Hypoglycemia, on the other hand, is a condition characterized by a lower level of blood glucose. Meanwhile, hyperthyroidism is also a condition that is somehow linked with panic attacks. This condition is marked by the overproduction of thyroid hormones namely T3 and T4 hormones. Abrupt withdrawal from certain medications is also believed to be a cause of panic attacks since this triggers sudden changes in the body. Another factor that may lead to the development of panic attacks is the use of stimulant substances such as beverages with high caffeine content and marijuana.

Medications. The body’s reaction to foreign materials with medical properties is not always necessarily positive. There are cases when the substances found in the drugs produce the right conditions in the body conducive to the arousal of panic attacks. For example, methylphenidate which is more commonly known as Ritalin is used for patients of ADHD or Attention Deficit Hyperactivity Disorder as well as narcolepsy could cause panic attacks for some people.

Gender. This seems to be a predisposing factor towards the development of panic disorder. According to studies females are 50% more likely than their counterparts to develop the disorder.

Major life events. Substantial events in life that lead to extreme changes can create the right environments for the occurrence of panic attacks. This may be because such drastic changes create tensions in the homeostasis of a person’s life, thus upsetting the previous order of things and forcing the person to confront the changes. If the person fails to respond accordingly, the tension may persist and he might be overcome by it. Thus, producing a number of symptoms that could be characterized under psychological disorders, panic attacks included.

Phobias. Although the statistics are not established yet, it seems clear that people who have severe cases of phobias are more susceptible to developing panic disorders. This could be due to the fact that phobias cause elevated levels of fear to start with.

Panic Attacks Out With the Myths

Misinformation does not only create vague pictures of a condition but will also likely cause people to believe things that do not actually exist. Among those conditions that typically receive serious amounts of myths are psychological and behavioral disorders, partly because psychological conditions are often hard to understand and seem mysterious. In this article, we would try to debug the myths of one of the more common behavioral conditionspanic attacks.

People with panic attacks are crazy. Crazy is never a good term for people with psychological conditions and people with panic attacks are hardly crazy. They may seem deranged and a bit psychotic for some people when they experience attacks of panic and terror but this does not suggest that they are.

As if to add to the insult, people with panic attacks are sometimes perceived to have schizophrenia, the most advanced form of psychosis which is marked by severe auditory and visual hallucination as well as aggravated delusions and dysfunctional thoughts. Clearly, there is no relationship between people who feel like they are “going crazy” when undergoing attacks and people who have advanced (and even minor) psychological conditions.

People with panic attacks lose control. Wrong. Panic attacks do not rob a person his sense of control. While a person’s thoughts may seem distorted for a while during attacks due to physical symptoms that lend themselves towards this possibility such as shortness of breath and heart attack-like symptoms, this does not mean that the person is losing grip of the reality. Anxiety which normally accompanies panic attacks is a body’s way to tell you that something is going wrong. Since this is a defense mechanism, it is not dangerous to anyone, not even the person undergoing the panic attack.

It is good to remember that panic attack happens only in the mind, it may, in fact, be unnoticeable for people surrounding the person during the attack. What exacerbates the attack is the person’s conscious thought that it could cause embarrassment or harm to other people. It is the sense of losing control of one’s self that makes the condition worse, a thought that is manufactured in the brain, never the total lack of sense of control.

People with panic attacks have chronic heart disorders. While this may be partly true due to the link between mitral valve prolapse and panic attacks, this does not make the assertion entirely valid. People have good reasons to believe that they are having heart attacks or heart failures when they experience episodes of panic attacks since some of the symptoms of both conditions are similar. But such symptoms are perfectly rational when seen from the viewpoint of elevated fear.

For example, people subjected under conditions that stimulate fear experience tightening of the chest, faster heart beat, profuse perspiration, shortness of breath and increased respiration. All these signs are also symptoms of heart attacks which make it easy for most people to believe that instead of having a disorder of the mind, they are having dysfunctional hearts. But then again, similarity in symptoms does not make two completely different conditions alike.

Myths often offer a semblance of the reality that is not hard to believe in. But do not be fooled. Knowing what is the exact truth and not the half lies may serve you well when dealing with conditions that root from and are aggravated by thoughts.

Panic Attack: Signs, Symptoms, Panic Disorder and Agoraphobia

A panic attack is a sudden surge of overwhelming fear and anxiety, usually without any clear reason and without warning. It can happen to anyone regardless of age, health and status. Many attacks are a one-time occurrence, but some people experience recurring episodes. Recurring episodes are often caused by a “trigger” like speaking in front of a crowd or doing a presentation at work. Panic attacks may be a part of another disorder such as depression, panic disorder, or social phobia. These, however, are generally harmless, but sufferers still feel that their life is in danger. Either way, panic attacks are treatable.

Signs and Symptoms

A panic attack can happen anytime, but it usually happens when you are away from home. You may be at a store shopping, at work preparing for a presentation, in a class, driving, walking down the street or even during asleep.

The signs and symptoms develop quickly and usually arrive at its peak in 10 minutes. The majority of panic attacks do not last for more than 30 minutes and it rarely lasts for more than an hour.

A person during an attack shows these signs and symptoms:

Increased heartbeat or palpitation
Chest pain
Hyperventilation or shortness of breath
Stomach churning, upset stomach
Trembling and shaking
Muscle tension
Sweating
Dizziness and light-headedness
Hot or cold flashes
Tingling sensation or numbness
Fear of dying, going crazy or losing control
Feeling detached from the surroundings

Panic Disorder

A panic attack may happen just once without any problem or complication. And there is almost no reason to be concerned if you have one or two episodes. But those who have experienced several episodes usually develop panic disorder.

Recurring panic attacks along with persistent anxiety for future attacks and major changes in behavior can be considered as panic disorder. There are two symptoms of panic disorder: (1) phobic avoidance and (2) anticipatory anxiety.

Phobic avoidance – When you begin to avoid certain things or situations based on the belief that it would trigger another attack. It can also be avoiding situations that have caused the previous attack. You may also avoid places or situations where escape is difficult and help is unavailable, like riding an elevator or an airplane. Extreme case of phobic avoidance may lead to agoraphobia.

Anticipatory anxiety The “fear of fear” or the fear of having future panic attacks. The person manifesting this symptom is usually tensed and anxious. When ignored, the condition can be disabling.

Panic disorder with agoraphobia

Agoraphobia is traditionally believed as fear of open places or public places, thus, it literally means “fear of the marketplace.” However, now it is believed that agoraphobia is fear of experiencing panic attack in a place where help is difficult or where escape would be difficult.

People with agoraphobia tend to avoid the following situations or activities:

Being away from home

Driving

Confined places where there is a possibility of being trapped (elevator, theaters, public transportation, stores)

Going out with “unsafe” person or someone he or she is not comfortable being with.

Places where it would be embarrassing to have a panic attack like parties and other social gatherings.

In severe cases, people with agoraphobia see their home as the only safe place.

Chronic Fatigue Diagnosis

Myalgic Encephalomyelitis, more commonly known as Chronic Fatigue Syndrome is a disorder or groups of disorders that is characterized by the onset of fatigue that persists for more than 6 months. It is characterized by a host of symptoms that range from muscle and joint pains to decreased ability to perform even the least demanding activities.

This syndrome is diagnosed by examining the symptoms of an individual against two groups of symptoms which are commonly demonstrated by CFS patients.

The first sign that healthcare professionals look for is the persisting chronic fatigue that is not related to any other condition that results to exhaustion. Tolerance to fatigue among CFS patients is very low, thus they get severely exhausted after performing even the simplest and least demanding of tasks. In fact, it is not uncommon for CFS patients to move from one place to another without feeling drained.

Most of them also get sick for several days to several weeks after performing minor activities. Most of them also exhibit flu-like symptoms after performing low intensity tasks.

The second criteria for establishing the presence of Chronic Fatigue Syndrome is the onset of four of any of the following symptoms: myalgia or muscle pains, arthralgia or joint pains in multiple locations, head aches of more serious severity, persistent soar throat which recurs, tenderness of the cervical and axillary lymph nodes, impaired short-term memory and concentration, malaise which is experienced after physical exertion, and sleep disturbance.

Other symptoms that healthcare professionals look for are abdominal pain, bloating, dizziness, nausea, chronic cough, chest pains, shortness of breath, dryness of the mouth and eyes, weight loss, onset of minor and major psychological problems such as depression, anxiety, irritability and panic attacks, diarrhea, alcohol intolerance and skin and tingling sensations.

Diagnosis is facilitated only after all conditions that are known to produce the aforementioned symptoms are ruled out. In general, healthcare professionals encounter difficulty in diagnosing chronic fatigue syndromes due to the similarities and generality of symptoms it presents. Apart from the fact that fatigue is a common result of many diseases, it is also a very common sign of most chronic conditions. CFS also presents no symptoms that are visible and obvious enough for easy identification.

On top of these, there are also no diagnostic and laboratory tests that can help in establishing the presence of the disorder. Patients of CFS also display varying symptoms and level of severity which makes most patient experience differences in symptoms and severity. However through exclusion of the following factors, most doctors can arrive at a diagnosis:

1. The presentation of identifiable conditions that result to fatigue and decreased level of activities. Most doctors look for symptoms of hypothyroidism, a condition wherein the thyroid produces lower levels of thyroid hormones. Other notable conditions that may exhibit symptoms similar with CFS are lupus, Lyme disease, multiple sclerosis, bipolar disorder, mononucleosis or kissing disease, depression and diabetes.

2. The usage of medications that result to fatigue. Obviously, there are a number of medications, drugs and substances that can cause physical exhaustion.

3. Recurrence of previous diseases, disorders and illness that can produce extreme exhaustion such as cancer.

4. Substance abuse, more specifically excessive alcohol consumption.

5. Obesity which is defined as having a Body Mass Index (BMI) or more than 45.