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Anxiety and fear of heart attack experience because of increasing heart rate. I consume tobacco and alcohol on a daily basis.

Last Updated - Fri, Mar 16 2018

Detailed Question:

Hello doctor,

I am 35 year male and take heavy alcohol and tobacco on daily basis. Since last 2 months I am feeling anxiety problem. Suddenly I start feeling that heart rate is increasing and could be heart attack and situation sometimes it gets worsen. It happens only in morning around 9-11 am and evening around 4-7 pm. 
Someone suggested me to take melzap md 0.5 tablet but now i fear that taking tablet without consulting a doctor could be more dangerous. Please advise me what should I do and how I could live my life like living earlier. Now I am very much tensed and cannot focus on anything. I always keep thinking that something worse going to happen with me like heart attack. Please advice some medicine which I can take and can rid off from this problem.

Category: Psychology

Dr. Akila Sadasivan

Ph.D, Child Psychology
University of Canterbury, Christchurch, New Zealand

This is a common problem with chronic alcoholic smokers. You must first get rid of your habits and quit drinking and smoking. Also get a liver function test, ECG and a chest X-ray to rule out any physical problems with your body. If all other reports are normal, it means you are suffering only from Anxiety. There are various treatments for this, such as counselling with a Psychologist or anxiety pills. We can prescribe that to you once you get the reports of the tests mentioned and stop your habits. 

Anxiety Disorders

Everyone feels anxious some or other time. It’s a normal human emotion. Many people feel nervous while making an important decision, faced with a problem at work or before taking a test.
Anxiety disorders are different, though. They can cause such distress that it interferes with your ability to lead a normal life

Anxiety disorders are of several kinds like:

1. Panic Disorder: 
People with this condition have feelings of terror that strike suddenly and repeatedly with no warning. Other symptoms include chest pain, sweating, palpitations (unusually strong or irregular heartbeats), and a feeling of choking. It can feel like you’re having a heart attack or "going crazy."

2. Social Anxiety Disorder: 
People suffering from this overwhelming worry and self-consciousness about everyday social situations. The worry often centers on a fear of being judged by others, or behaving in a way that might cause embarrassment or lead to ridicule.

3. Generalized Anxiety Disorder: 
This is excessive, unrealistic worry and tension, even if there's little or nothing to provoke the anxiety.

Symptoms of Anxiety Disorder

  • Heart palpitations
  • Feelings of panic, fear, and uneasiness
  • Shortness of breath
  • Problems sleeping
  • Cold or sweaty hands or feet
  • Not being able to be still and calm
  • Nausea
  • Dizziness
  • Numbness or tingling in the hands or feet
  • Muscle tension

Anxiety self-help tips

  • Practice relaxation techniques
  • Exercise regularly
  • Get enough sleep
  • Be smart about caffeine, alcohol, and nicotine
  • Train your brain to stay calm
  • Practice relaxation techniques

Dr. Akila Sadasivan

Ph.D, Child Psychology
University of Canterbury, Christchurch, New Zealand

Dr. Akila Sadasivan is a clinical Child Neuropsychologist in Bangalore. She has been actively involved in providing awareness and intervention for children with psychological, emotional and behavioural difficulties and her primary interest has been working with children and families of children with Specific learning disorder (SLD).

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The above medicine data is written by Dr. Akila Sadasivan. It is edited, updated and maintained by JustDoc Quality Team. If you have any queries regarding the data, please email us at Read about our Medical Team here.

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Dr. Akila Sadasivan

Ph.D, Child Psychology

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Anxiety and fear of heart attack due to daily tobacco and alcohol

I experience anxiety and fear of heart attack because of increasing heart rate, morning and evening time. I consume tobacco and alcohol on a daily basis. Please help