Anxiety Neurosis

Clinical Features:

• 1)Feeling nervous, restless or tense.
• 2)Having a sense of impending danger, panic or doom.
• 3)Having an increased heart rate.
• 4)Breathing rapidly (hyperventilation)
• 5)Sweating.
• 6)Trembling.
• 7)Feeling weak or tired.
• 8)Trouble concentrating or thinking about 9)anything other than the present worry.

Sign:

Excessive perspiration.

• Skeletal muscle tension—Tension headache, back-ache.
•  Sighing respiration.
•  Hyperventilation syndrome Dyspnoea,dizziness,

paresthesia.

•  Functional gastrointestinal disorders-Abdominalpain, diarrhoea, constipation.
• Cardiovascular irritability—Transient systolic hyper-tension, tachycardia, fainting.
•  Genitourinary dysfunction—Urinary frequency,dysuria, impotence, frigidity.
• Patient feels very sick/frightened during a short period.

Investigation: Underlying cause দেখার জন্য investigation দিতে হবে। 

• 1) CBC 
• 2) ECG & Echo
• 3)LFT 
• 4)X-ray chest PA view 
• 5)Serum Lipid profile 
• 6)RBS

Rx:

• Reassurance
  
• Patient eduction 
  

1.Tab. Amit([post id="477" title="Amitriptyline"])(10mg)

• 1+1+1.......…...চলবে/continue

2.Tab.Mellaril(thioridazine)(10mg)

• 1+1+1...............1 month(foreign drug)

3. Tab. Indever (propanolol)(40mg) 

• 1/2+0+1/2..…..1 month

4.Tab. Zolium (Alprazolam) (0.5mg) 

• 1+1+1.…..1 month

5.Cap.Sergel(Esomeprazol) 

• 1+0+1…...10 days

 Advice:

• Take a time-out.
  
• Eat well-balanced meals.
  
• Limit alcohol and caffeine, which can aggravate anxiety and trigger panic attacks.
  
• Get enough sleep.
  
• Exercise daily to help you feel good and maintain your health.
  
• Take deep breaths.
  
• Count to 10 slowly. 
  
• Do your best.