Potential Heart / Neurological Diagnosis Needed

Patient

Q: Hello Dr Rynne,

I have a few different things that I need to ask you about. A little about myself:

28 Years Old
White
Male
No Allergies


Medications:
Alprazolam
Omeprazole

Occupation: Enterprise Software Sales (Moderate - High Stress)

About two years ago I had what ended up being my first anxiety attack. This was followed by weeks of dizziness and lightheaded-ness and (what i thought was) heart palpitations. My doctor initially diagnosed me with Labrynthitis and after the dizziness went away my anxiety never did. After the symptoms resumed about 6 months later I went back and he said he did not think I had Labrynthitis because I still had "heart palpitations" which I now think are esophageal spasms cause by my acid re-flux. I have done EKG's and several Holter Monitors which have all come back fine.

I still get dizzy from time to time but attribute this to anxiety. I go through months at a time when I am anxious about everything; I constantly think I have Parkinson, multiple sclerosis, or a brain tumor during these times. Then I will go through months and I never have a concern about anything at all.

Below is a list of every "symptom" that I have noticed. I don't know what is important and what is not so I will list everything.

- Anxiety
- Dizziness / Lightheaded-ness
- General Symptoms of Acid reflux
- just starting today when I burp I get pins and needles in the middle of my chest
- Random Muscles will lightly twitch (thigh, forearm, bicep, eyelids (get worse when dehydrated)
- When I am falling asleep my wife says I twitch alot
- During the months of dizziness and anxiety my eyes (not eyelids) will twitch
- limbs tingle


There has been no official diagnosis for the dizziness or "heart palpitations" other than Anxiety and Acid Reflux. I am not challenging these diagnosis's because I do believe I have both. However, there is something telling me there is a larger issue and want to know if you concur with my doctor or if you think something else might be wrong.

Any insight at all would be greatly appriciated.

Thanks,

- J

Symptoms:  - Anxiety
- Dizziness / Lightheaded-ness
- General Symptoms of Acid reflux
- just starting today when I burp I get pins and needles in the middle of my chest
- Random Muscles will lightly twitch (thigh, forearm, bicep, eyelids (get worse when dehydrated)
- When I am falling asleep my wife says I twitch alot
- During the months of dizziness and anxiety my eyes (not eyelids) will twitch
- Limbs tingle
Doctor

A:   This question is currently in queue and will be answered shortly by one of our doctors. In the meantime you may browse our library of answered questions by clicking here.

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