How to treat cyanotic spells?
Patient: I m having cyanotic spells where I m shivering uncontrollably but I don t feel like I m freezing cold. My feet tend to feel the coldest but my fingernails have turned blue almost completely and where it wasn t blue it was purple and the outline of my lips were blue to where it looked like I had a lip liner on. Also having shaking, no heart problems I know of. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Are they ctually cynotic spells or are you obsessing it. From the given symptoms, paranoia can be diagnosed. But that is not all. These symptoms also could manifest if you are stressed, hugely disappointed or obsessing these thoughts. Therefore differential diagnosis is required which can only be provided by a trained psychologist / psychiatrist.  Researches proves that medicines alone cannot cure anxiety disorder. Along with medicine you should practice psychotherapy techniques to streamline your life style and meditation and yoga techniques to calm your mind, body, streamline your metabolism and thinking style. Please consult a psychologist. If the symptoms are genuinely cynotc, you should consult a physician immediately.If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to over come your problems.Hope this answers your query. Available for further clarifications.Good luck.