Hello,

Thank you for choosing DoctorSpring.

I have analysed your symptoms thoroughly. These kind of symptom pattern are common in clinical practice and in our centre we approach it this way.
To be clear your symptoms are non specific. But when I say non specific I do not mean that these are not significant. Just that a single diagnosis is not possible from the set of symptoms.

The approach here would 1. Baseline evaluation 2. To rule out any warning sings and serious illness 3. Symptomatic treatment if no diagnosis is made. 4. Re evaluation

I think your Doctors has done a great job in 1 and 2. Your MRI is normal, EKG, Holter, blood work all normal. That means you need not worry about your health now.

What I am going say might sound cliché. Your symptoms do seem to have a psycho somatic component. (not just anxiety ). The important thing is that you need understand that I am NOT saying you are just feeling or thinking up the symptoms. The symptoms infact are real, but the trouble is the neurotranmitters in the brain.

This is pretty common that you think. And in most cases over time you will recover out of it. Just that you need to be actively trying for this. This is unlikely to be related to the GI - IBS.

I would recommend these steps - Small dose of SSRI medication (is used as an anti depressant also, but in your case the expected) in consult with your Doctor / Psychiatrist . Treatment for panic attack. Restart exercise on regular basis. Take B complex vitamin once a day. I cannot emphasis the importance of treating the panic attack / anxiety. You will be surprised how much change it will bring.

Hope this helps
Feel free to ask followup
Thank you

Edit :

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Thank you

Hello,

There is no need for any specific tests. Neurotransmitters are the molecular level explanation of many functions of mind. (For example in depression - there is imbalance between norepinehrine and dopamine, although there are many other factors also).

The reason I mentioned neurotransmitters is to make you understand what is meant by a psychosomatic symptoms (or a symptom due to stress or anxiety ). It does not mean that you are thinking up or making up or just feeling these signs and symptoms. Rather the cause originates in brain (as in case of depression, anxiety disorder etc). Many people (including MDs )loosely term the symptoms as stress or anxiety related and discard it. Proper treatment - SSRI / TCA medication can help you . Your Neurologist will do a physical examination and help you in ruling out any possible neurological illness. You can get in touch with a Psychiatrist or your GP for further treatment.

And you should be really glad since all the tests including MRI and Holter are all normal. This is just a passing phase. You will be over it soon.

Hope this helps
Thank you