Patient :I'm a 23 yr old female , 207 pounds 5'4 , i have no medical illness in my family , only bells plasly off my fathers side , well I have been experiencing anxiety after 11 months after after giving birth to my second child , with chest palpations , sweating , and extreme thoughts of doom , "like ima going to die soon , I have gone to my pd several times as well as the er , and all ekg come back ok " normal " I was prescribed Paxil 10 mg a day enough to knock me out it has subsided my anxiety but my chest pain continues on and off , no longer with fear such as shaking, feeling of doom or tingling, I just have sharp chest pain , but now I noticed a strong dull ache in my left ear and when I say ear I mean inner ear like when you clean the ear and you gone to deep sensation, it attributes unbalance and I feel tilted and dizzy all the time . Is this all part of anxiety like postpartum anxiety ? Or is it something i should be worried about i keep thinking I may have vertigo do to a mini stroke ? Or a clogged arty , i don't know how to explain this to the er any more this isn't letting me live my normal life and I'm scared something is going undiagnoaed , please help me I have two kids I'm just looking for peace of mind ?
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