Hello,
Thanks for posting your query at DoctorSpring.com
I have gone through your question in detail and I can understand what you are going through.
However I would like a few clarifications before I can discuss further:
1) were you having dizziness or giddiness. Feeling world is going around?
2) Was there difficulty in coordination of your movements like walking?
3) How were you breathing at that time/
4) Were there tremors, palpitation, sweating etc?
Please let me know these things so that I can answer you further.
Kind regards
Dr. Srikanth Reddy
Patient replied :
1. No giddiness, maybe I was too worried to have felt am mused though. More cloudy and hazy than dizziness.
2. On a very minor level. More with my hands. Dropping things miss typing, and not spelling well still.
3. Breathing is slightly hard to put in words, like I had to try to remember to keep breathing some of the time and at other times it was like I was trying to breathe extra deep because it seemed like the air in the room was like from a bag I'd been breathing in and out of for 5 minutes, but knowing that I was in fact breathing plenty kept me from panicking
4. No
Hello
The snap or pop sound that you heard is probably different and not related to the symptoms that you had there after. The sound that you heard while you cleared the throat could be the sound of the Eustachian tube popping open and many times it can lead to such a shrill sound.
The other symptoms that you have mentioned suggest that you could be having a panic attack. 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.
Also there is an option of cognitive behavioural therapy (CBT). This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.
Nothing to panic at this stage. Get a ENT and psychiatry consultation for the same.
Kind regards
Patient replied :
I too think that I was a panic attack that followed but if I can clarify, I have to pop my ears on a constant basis and can do so easily but the "Volume" of this was out of this world in comparison so hypothetically if it were not the eustachian tube equalizing what would the second most likely cause be?
Hello
The other likely cause could be sudden movement of ear ossicles, the
tiny bones in the middle ear. Or there could be other ear pathologies
like burst tympanic membrane or damage to the labyrinth. However if
you are having no ear symptoms as of now, nothing to worry much.
Hope this helps,
Kind regards
Dr. Srikanth Reddy