Why am I a little nervous?

In our daily life, there are always people who report that they always feel inexplicably anxious. Sometimes they feel dizzy and their eyes gradually turn into anxiousness when they stand up suddenly after sitting for a long time. This situation is mostly caused by anemia, and it may also be low blood pressure. If the condition does not improve after improving nutrition, you need to go to the hospital for examination. This article introduces the common causes of panic. Those who have this problem can take a look.

Common causes include:

1. Active myocarditis: There may be symptoms such as palpitations, heart palpitations, tachycardia, arrhythmia, chest tightness and shortness of breath, which should be examined and excluded.

2. Hypoglycemia:

The most common is idiopathic functional hypoglycemia, which is more common in middle-aged women. It is characterized by no clear cause of the disease, and fasting blood sugar is usually normal. It generally does not cause hypoglycemia when fasting, and the attack time is usually 2 to 4 hours after a meal (11 am or 3 pm). The symptoms are mild and loss of consciousness is rare. The early symptoms of hypoglycemia include palpitations, fatigue, hunger, hand tremors, cold sweats, pale complexion, cold limbs, or nausea and vomiting. They are mainly caused by overexcitement of the sympathetic nerves and excessive adrenaline:

Hypoglycemia is episodic, not frequent, and rarely causes symptoms of chest tightness and shortness of breath.

3. Anemia:

Anemia can cause symptoms such as dizziness, palpitations, and tachycardia, but generally does not cause symptoms of chest tightness.

4. Low blood pressure:

It also mainly causes symptoms of dizziness, but the blood pressure is around 60/90, which generally does not cause changes in blood supply.

5. Cardiovascular dysfunction:

It is very common in clinical practice, and the symptoms are: patients feel chest tightness, shortness of breath, subjective feeling of lack of air, difficulty breathing, often sighing, and feel comfortable after taking a deep breath or a long breath; sometimes it is often accompanied by palpitations, tachycardia, stabbing pain in the precordial area, as well as neurological symptoms such as fatigue, dizziness, confusion, and insomnia. Symptoms are often triggered or aggravated by mental factors. It may also be accompanied by chronic pharyngitis, such as a foreign body sensation in the throat.

Patients often feel that their symptoms are obvious, but no organic lesions are found in electrocardiogram, cardiac ultrasound, chest X-ray examination, etc.

The mechanism of this disease is autonomic dysfunction and increased sympathetic nerve tension, which causes a series of functional symptoms and manifestations of the cardiovascular system.

examine:

It is recommended to do electrocardiogram, cardiac ultrasound, myocardial enzymes, chest X-ray, blood routine, blood sugar and other examinations; if fasting hypoglycemia occurs, further pancreatic ultrasound or CT examinations should be performed to exclude pathological causes of hypoglycemia.

If examination can rule out cardiopulmonary disease, or diseases such as hypoglycemia, the presence of cardiovascular dysfunction may be considered.

2. About treatment:

If there is an organic disease, treatment should be targeted at the cause;

Treatment of cardiovascular disorders:

1. Adjust your mindset, relax your spirit, and eliminate worries. If it is a neurological functional symptom, you don’t have to worry too much. After mental conditioning, strengthening your physical fitness, or necessary rest and drug treatment, it will gradually improve and heal.

2. After excluding pathological or organic lesions, appropriate physical exercise can be performed to enhance physical fitness, improve cardiovascular function, enhance the regulatory function of the autonomic nervous system, and facilitate the recovery of autonomic nervous system function.

3. Drug treatment:

1) Patients with symptoms of β-receptor hypersensitivity such as palpitations, chest tightness, tachycardia, and hyperventilation can take diazepam 2.5 mg or propranolol 10 mg orally (or atenolol 12.5-25 mg 1-2 times/day).

2) Anti-brain degeneration capsules, oral, 5-6 capsules at a time, 3 times a day.

3) Acanthopanax senticosus 3# 3/day;

4) Ginseng and Schisandra chinensis granules 10 ml 3/day.