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Are there any doctors on the forum? My mother get's these quite often. Problem is when she has them it's difficult to differenciate if it's a stress/anxiety attack or a heart problem.
Many people having their first panic attack mistake it for a heart attack and go to ER. I agree that when you’ve had a cardiac workup and are deemed fine and free of heart problems you get to know your friend the panic attack well.
To me, a panic attack is a physical thing, because it can be a great day and going well and an attack can come from nowhere. I’ve had them since I was in my 30s. At that time I was healthy and so the panic attack diagnosis was pretty easy. Then I stopped having them for twenty years. Now I’ve begun having them again and they seem to be caused by health problems AND stress. Every time I go see how my parents are doing I get one, at least one, while I’m there. It’s a vague feeling of unwell, which builds to nausea, breathelessness, heart rate of 120 and trembling. Then it’s soothed by a mild dose of Valium.
But to me illness is a cause in itself and stress is a cause in itself but together, whoa, a panic attack from hell arrives. I have COPD so shallow breathing makes one come on.
I’m sure she’s been checked out. I do believe a heart problem would be painful (don’t quote me) but a panic attack is distressing and there’s a fear feeling that’s overwhelming.
Er. Surely your question should be: "how do you tell the difference between an anxiety/panic/stress attack and a cardiac event"?
It can be difficult, because either can result from the other - and both ways round, too, when you think about it. A racing heart makes a person feel very anxious. Anxiety can make your heart race. Distinguishing cause and effect is not easy.
But don't ask the internet. Ask her doctor and her specialist cardiology nurse how to manage her symptoms from day to day.
I've never heard the term "stress attack". As for anxiety attacks, in my experience once you know that is what they are the symptoms become familiar enough that you usually know what it happening. Is this something new, does your mom have dementia, or is there another reason she/you can't tell the difference? If this is something new always err on the side of caution, of course, but once the docs have ruled out heart problems let them guide you in treating the anxiety.
Any attack episode that has similar physical characteristics to anxiety would fall under "anxiety," "stress," or "panic" attack name, I would think.
Common symptoms are chest pain, pain down left arm, sense of impending dread, thinking something bad will happen, thinking you will die, having a hard time breathing deeply or catching your breath, racing thoughts and heart rate. I might've forgotten a few common symptoms. When they are new, they certainly can feel like a heart attack is coming on. It's true that your mom should get used to new sensations in an anxiety attack that she then labels "just" an anxiety attack, and then she knows that's what it is, not a heart attack, and no ER visit needed.
Is there any obvious reason your mom would get anxiety attacks? Not always, but usually there is a cause, something that pushes physical stress symptoms to an overload and the body starts responding with anxiety attack episodes.
They're treatable with benzodiazepines but also anti-depressants have been known to help. There are a couple of anti-allergy meds that have dual or off-label use as anti-anxiety, like hydroxyzine and dyphenhydramine (ZzzQuil).
Why don't you get your mom's heart fully checked out with doctor, then get a plan in place for medicating the attacks...? That would keep your mom comfortable. If you can get to the root of why your mom's body is going haywire, it might be good info to know, but won't stop the attack. Knowing it's "only an anxiety attack" has never prevented one.
What are her symptoms during these attacks? Is her anxiety being treated by a geriatric psychiatrist? With my mom, we found that once we treated her anxiety medically, it was easier to ascertain what her physical needs were.
Actually, once her anxiety was under control, all of her cardiac meds were stopped.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
To me, a panic attack is a physical thing, because it can be a great day and going well and an attack can come from nowhere. I’ve had them since I was in my 30s. At that time I was healthy and so the panic attack diagnosis was pretty easy. Then I stopped having them for twenty years. Now I’ve begun having them again and they seem to be caused by health problems AND stress. Every time I go see how my parents are doing I get one, at least one, while I’m there. It’s a vague feeling of unwell, which builds to nausea, breathelessness, heart rate of 120 and trembling. Then it’s soothed by a mild dose of Valium.
But to me illness is a cause in itself and stress is a cause in itself but together, whoa, a panic attack from hell arrives. I have COPD so shallow breathing makes one come on.
I’m sure she’s been checked out. I do believe a heart problem would be painful (don’t quote me) but a panic attack is distressing and there’s a fear feeling that’s overwhelming.
It can be difficult, because either can result from the other - and both ways round, too, when you think about it. A racing heart makes a person feel very anxious. Anxiety can make your heart race. Distinguishing cause and effect is not easy.
But don't ask the internet. Ask her doctor and her specialist cardiology nurse how to manage her symptoms from day to day.
Common symptoms are chest pain, pain down left arm, sense of impending dread, thinking something bad will happen, thinking you will die, having a hard time breathing deeply or catching your breath, racing thoughts and heart rate. I might've forgotten a few common symptoms. When they are new, they certainly can feel like a heart attack is coming on. It's true that your mom should get used to new sensations in an anxiety attack that she then labels "just" an anxiety attack, and then she knows that's what it is, not a heart attack, and no ER visit needed.
Is there any obvious reason your mom would get anxiety attacks? Not always, but usually there is a cause, something that pushes physical stress symptoms to an overload and the body starts responding with anxiety attack episodes.
They're treatable with benzodiazepines but also anti-depressants have been known to help. There are a couple of anti-allergy meds that have dual or off-label use as anti-anxiety, like hydroxyzine and dyphenhydramine (ZzzQuil).
Why don't you get your mom's heart fully checked out with doctor, then get a plan in place for medicating the attacks...? That would keep your mom comfortable. If you can get to the root of why your mom's body is going haywire, it might be good info to know, but won't stop the attack. Knowing it's "only an anxiety attack" has never prevented one.
Is her anxiety being treated by a geriatric psychiatrist?
With my mom, we found that once we treated her anxiety medically, it was easier to ascertain what her physical needs were.
Actually, once her anxiety was under control, all of her cardiac meds were stopped.
( I'm not a doctor of medicine)