What causes severe pain in chest and back, anxiety, frequent panic attacks?
Patient: I have an 18 years old daughter that has sever pain in her chest and back, she has anxieity and panic attacks often and she has had the following test done can you please tell me what might be wrong with her she is going crazy tring to figure it out? EKG Stress halter CT scan upper GI Tread mill stress test  Blood work for lupas, lukiemia, HIV, Hepititis She is Iron deficient Her B-12 and D is very low What can be wrong with her since the doctor and hospital said all the test came back normal? Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.If allthe tests have come back normal then it is very likely that she may be having panic attacks. This is a disorder of anxiety and occurs cause of imbalance of certain neurotransmitters in the brain. especially serotonin, nor adrenaline,  and dopamine to some extent. Medicines are the best options to take care of these symptoms. Paroxetine is the the most popular medicine and my drug of choice. I generally prescribe my patients 12.5 mg per day at night which takes care of anxiety symptoms. Also certain medicines like propranolol and clonazepam can be give as required when there is a panic episode or expected situation where panic attack can appear.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy                                        