My body sensation get my worried

I am in my late 40s and I work as an university teacher.

My medical data: Weight = 67kg, height =1.67m, BMI = 21.6, FSB = 4-5,4,

Random Blood Sugar (RBS) taken at 3pm last week was 115mg/cm3, HIV= negative; I am a non- smoker/drinker and athletic but ceased exercises last year. My relevant medical history slightly asthmatic, diagnosed in 1987 and most times on Ventolin inhaler on occasion of very infrequent attacks. Occasionally, I have heartburns.

My present condition started sometime in 2003 with crawling sensations on the body, followed by pin-like/ peppery/hot sensations in the evenings on

feet and palms. Increase awareness of heartbeats notice in 2009. My Blood Pressure (BP) is mostly 120-130/80mmHg. Off values of 140/80mmHg reported on two occasions.

The doctor I first met (a GP) put me on antihypertension medications. Follow up with ECG and echo interpreted as normal and consultants stopped use of Propanolol and others, saying nothing is wrong with heart.

My present concern: awareness of heartbeat is still there though episodes

now infrequent; can’t say if it is palpitation. Hot feet still manifests

occasionally and with this, sometimes I feel my entire right side of the

body is awful, discomfort at the right knee and elbow and eye, with

faint moistness at the hand and leg. Slight pain on right testes

also accompanies these. Currently I am on no drugs and I don’t know what the matter is. Kindly advised Thanks David David, You strike me as someone who takes his health very serious, which is not a common virtue in our society these days where many care less about their health but pay much more attention and resources on their cars than their health.

I must acknowledge that the way you churned out your past medical history, and ongoing ones, to details, really marveled me in no small measure.

Having read through your piece, my take is that you will benefit from a broad medical evaluation that will take into consideration not just your obvious physical complaints and perhaps organs’ evaluation but also a thought-through psyche evaluation of the inner mind. This will go a long way to rule out possible anxiety disorder plus or minus features of mild to moderate depression featuring as confusing physical signs and body symptoms; this phenomenon is referred in mental health as psychosomatic disorder.

It seems obvious to me that you are most likely having features of psychosomatic disorder, a medical term that implies that all the aforementioned body signs/symptoms of yours are most likely related to “worrying mind reacting with funny physical body signs” rather than actual body organs’ disorder.

This is not an uncommon phenomenon; it however takes a doctor with high index of suspicion to sort this out, among all the possible diagnoses after relevant investigations and clinical examinations.