Been dealing w/ physical symptoms of anxiety for about 7 weeks now... just started a course of buspar and trazadone about 3 weeks ago... just hoping and praying that this will all end soon. Seemed to do okay on the buspar till 2 days ago when I had a job interview. I did great on the interview but since then I've been having a relapse period of anxiety leading to this morning when I had my first panic attack since 10/17, leaving me w/ all sorts of intruding thoughts (never gonna get better, always gonna fall back, etc...). Anyway, below is a time line of the onset of my symptoms up until my first dose of Buspar on 10/12. Sharing for sake of sharing I suppose. Feedback is nice and therapeutic for me... anyway, hope to slay the beast soon and wish the best of luck to the rest of you on your recoveries. Just saying hi!
Timeline:
Thursday: 9/10/09
- First noticed breathing was difficult (shortness of/unsatisfying breath and yawn). No congestion, and dry, unproductive cough.
Wed-Thur: 9/16-9/17
- Ears began to plug up chronically.
Fri: 9/18/09
- Went to urgent care clinic to check on chest. No other symptoms were present outside of ear stuffiness. Was sent home w/ a Rx of Albuterol and told to take an expectorant for mucous.
- Was told to return the following week if the symptoms persisted.
Mon-Thu: 9/21-9/24
- Thick mucus production after eating develops. So thick, had to spit out several times after eating. Stringy consistency. Belching after meals , food particles/acid/bile coming up throughout afternoon after lunch. Dry mouth developed.
- Realized shortness of breath feeling worse after meals and laying down.
Fri: 9/25/09
- Returned to urgent care for follow up. Ear and Chest problems still persistent. Was given Nasonex, no help. Chest x-ray was okay. No word heard back by X-ray technician.
Mon: 9/28/09
- Scheduled physical with GP. Was given Ranitidine for reflux.
Tue-Fri: 9/29-10/2
- Slight feelings of panic/anxiety develop due to inconclusiveness of physician’s visit and worry about what it could be and how long it would affect me. Still sleeping and eating well. Stuffy ears resolved itself. Developed ball in throat. Constant throat clearing and clear mucus is expelled rarely. Mostly dry.
Sat: 10/3/09
- Attempted to eat dinner when food felt lodged in my throat. Had to be forced down by chewing long periods of time and liquids. Continued food burps.
Sun: 10/4/09
- Eating significantly curtailed. Tried Pepcid AC to see if it was more effective against the food burps. Throat burned all morning after that and took Gaviscon to bring down the burn. Really started to worry at that point. Took Ranitidine to hold me over.
Mon: 10/5/09
- Panicked, called GP who saw me same day. Gave Rx for Prilosec.
Tue: 10/6/09
- Did not sleep well the previous evening. Unable to fall asleep until 1am, awoke at 430am.
- To the lab for blood work. Was given Rx for .5mg Xanax by GP due to my insomnia.
Wed: 10/7/09
- Woke up panicked at about 345am. Entire body was tense and I was trembling all over. Wife unable to calm me down. Only way to calm down was to pace around.
- Met Pulmonologist. Stated lungs seemed fine. Oximeter testing was good and noted nothing wrong upon physical examination.
Thu: 10/8/09
- No trouble falling asleep at 10pm the night before w/ Xanax. Did wake up at 1am and 3am. Stayed up after 2nd wake up.
- Follow-up w/ GP. Lab work was okay (blood sugar, cholesterol and thyroid).
- During that evening, developed numbness/tingling sensation on left hand.
Fri: 10/9/09
- Awoke at 2am, 4am and 7am (on Xanax). Noted that I was depressed throughout the morning. Felt very helpless and upset with intermittent crying.
- Took the day off of work. Noticed thick mucus after eating lessening.
- Contacted GP who agreed to see me right away. Was told to continue w/ the Xanax. Oximeter testing still adequate. Although on the low end, PEF test within normal range.
Sat: 10/10/09
- Used a sleep aid the night prior instead of Xanax due to the previous depression. Seemed to sleep better overall. Ran for 20 (2/3rds of my normal work out per GP) minutes at the YMCA to take off the edge. Initially felt better but tension and anxiety continued to build through the morning. Developed metallic taste in back of throat, intermittent.
- As the morning progressed I found myself unable to sit still and tensing. Tried breathing, meditating, reading, positive thinking, etc without success. Unsure what else to do, went to ER as the anxiety felt like it was getting out of control.
- ER doc provided lorazepam, which seemed helpful until the evening. First dose was at 115pm, took evening dose at 930pm just prior to bed. Unable to shake feeling in legs that they needed to be moved. Got out of bed at 1030 and paced downstairs so that I could try to sleep later. Unable to sleep entire night. Called Stevens ER at 330am to ask if I could take the sleep aid I had used the previous night. Was told it was okay as it was 6 hours since my last dose of lorazepam. Took sleep aid, but still unable to sleep.
Sun: 10/11/09
- Finally fell asleep at about 9am (coincidentally when I decided to give up and began to watch the NFL game previews). Woke up at 1130am. Took first lorazepam at that time. Overall more pleasant this date than the previous dates. Still recurrent feelings of tension but not intense as the days before.
- Although I continue to be fatigued, unable to sleep.
Mon: 10/12/09
- ENT appt. Scoped down my throat. No indication of anything that would cause my SOB. Said everything looked "beautiful"
Symptoms:
- Chest tightness: Able to get full breath although it is unsatisfying. Yawns are also unsatisfying. Find myself taking unnecessarily deep breaths to feel satisfied. Strength of feeling is dependent on time of day (usually better in morning), if I recently ate, when I smell particular scents, etc. Seems to taper a little after a good cry. Strength of sensation also seems dependent on how tight throat feels. On Xanax and lorazepam, the feeling is reduced but still there.
- Ear Fullness: Left as quick as it came. Constant ear popping. Off and on issue.
- Jaw/Teeth Pain: Wife tells me I am clenching and grinding in my sleep. Likely anxiety related.
- Ball in throat: Always there, though strength of feeling is dependent on emotional state. At times it makes it very difficult to swallow food, other times it’s not an issue. Throat was sore for 2 days but has since receded.
- Dry/Unproductive Cough: Done to clear my throat. Mucus rarely comes out and when it does, it is usually very limited, thin, and clear. On few occasions, yellow/brown mucus will be produced in limited quantities and it’s usually days apart.
- Dry Mouth: Thick, stringy/foamy saliva. Salivary glands under tongue under produce. Suppose it’s a side-effect to Prilosec and my own anxiety.
- Post nasal drip: not a significant amount.
- Chest Pain: Very dull and inconsistent. Not always felt. Usually it is either on the left side of my chest, near the center or just to the right. No consistency whatsoever, and never sore enough for major concern.
- Tingling in pinky and ring finger, left hand.
- Metallic taste in mouth: Comes and goes. Not noticed until 10/10.
- Reduced appetite: Still able to eat, though I tire of eating or experience fullness well before the amount it would normally be.
- Weight loss: ~10 lbs. within a 2 week period.
Anxiety Feelings
- Anxiousness: unless medicated, it is constant. The feeling of worry sits in the pit of my stomach 24/7 since 10/4.
- Insomnia: since 10/5/09. Either difficulty getting to sleep or difficulty remaining asleep. While medication seems to help to a certain extent, not enough for a full night’s sleep (Benzo’s usually helping me fall asleep, wear off and I wake up earlier than intended).
- Fatigue (related to insomnia): Only able to sleep on 10/11/09 because of sheer exhaustion.
- Uncontrollable muscle tension: Whole body will go tight and rigid.
- Constant fidgeting and unable to remain still: Legs will shake when it is particularly bad. It is within my control, though it is extremely uncomfortable to resist. Happens most often at bed time and early morning.
- Moments of uncontrollable emotion: Will cry at random times, 2-5 times a day.
- No Sexual Drive
Like I said since then, I started to take Buspar (up to 20 mg/day) and Trazadone (50 mg/day at bedtime). My appetite improved, anxiety regressed a bit and I slept better (though still suffered from early morning awakenings) until Thursday when the anxiety started to go back into force. Had trouble sleeping last night and woke up after a 4 hours from a particularly nasty nightmare. Had a panic attack this morning after my work out. Ugh... can't wait to start feeling normal again.