Anxiety, Panic, or Phobia?

Dear Ask The Doctor: Well Hello there I been having like a lot of panic attacks not sure if it's that, but almost Every at night I feel really nauseous and really nervous, at some point I start shaking really bad and I can't really control it. I wouldn't be making this such of big deal but actually vomiting is my phobia and lately I been feeling really nauseous at night and sometimes in the morning, I can't really eat a lot cause I'm really nauseous and I'm really scared of puking. Already told my mom about it but she told me I'm just crazy and I know is not normal but I would like to get some help I'm so tired of not getting enough sleep and having really bad headaches because of the lack of sleep, and also feeling really nervous everyday, I'm always feeling nervous, I always ask myself questions like what about if feel nauseous today? or tomorrow? or what about At night? I'm so scared I'm so tired of this, I was perfectly fine in school, I would sleep totally fine and I was calm and stuff but Summer started and I'm always feeling nervous, I don't know why i feel like this and theres no body to help me, I'm scared to talk to my mom I feel like she's just gonna laugh and tell me I'm crazy, Please help me I don't know what to do, I just want to be healthy and Happy and not feeling nervous everyday. please anything you guys can recomended me? and I'm sorry for my poor english I'm still working on that.

I would still suggest you see your family doctor so your concerns can be directed to the right path. It seems to me you have a specific phobia for vomiting and this has affected your daily living in a way. This phobia of yours has already affected your sleep and continuous sleep deprivation may lead to decreased functioning capacity during the day, poor memory and concentration, decreased appetite, etc. You have fulfilled some of the criteria for a specific phobia disorder (exposure to stimulus provokes an anxiety response or panic attack, you recognize that this fear is unreasonable, the situation is endured with anxiety or distress). If you feel this phobia has affected your normal routine and social functioning, then, most likely, you do have a phobia disorder. Once you see your doctor, you may also request for thyroid tests (since thyroid problems can cause these symptoms too e.g. can’t sleep, nervousness). I think it is also reasonable to elucidate why you are having nausea symptoms at night. I am also suspecting you also have reflux disease (backflow of acid from stomach to esophagus, which may reach the throat and mouth and can cause nausea too). Reflux symptoms are worse at night because when lying down, it will be easier for the acid to backflow (as compared to standing up) and acid production also peaks at night. It could also be a concurrent condition, since stress and anxiety also increases acid production. Bottomline is, you need to see a doctor in person so you can be completely assessed and evaluated. I do hope this helps and take care always.