Hi! Over the last year due to a death in the family my anxiety has gone up. I’m on lexapro (recently upped my dose and waiting for it to kick in). I recently have been getting chest pain arm pain that my dr ordered me an echo and consult with a cardiologist. He said he didn’t think anything was wrong but is doing this out of caution since I have lupus. 

Ofcourse my anxiety has been running rampant thinking I have heart issues. tonight I was sleeping and rolled over and felt a little nauseous sat up and within a matter of 5 mins it went from mild to severe. TMI but I was in the bathroom with diarrhea and sever nausea (didn’t throw up) and my heart rate was high and I felt super sweaty along with tingling skin. I literally felt like a feeling of doom. I was worrying it was heart since extreme nausea can be a symptoms of issues and think it’s no possible that I had a panic attack causing the diarrhea and skin feeling. Once time passed I still have nausea and diarrhea although less and now I’m freezing with a temp of 96.5. 

My thoughts are it’s either heart related since sudden and intense nausea and diarrhea can be a heart attack symptom, or it’s just random nausea (although even when I was pregnant a few years ago it wasn’t as bad as it is now) exasperated by anxiety. Or finally I started taking 50,000 units of vitamin d family per my dr bc of being deficient and maybe reacting to it. Honestly i thought about going to the Er but I dont think they’d be able to tell the difference? I mean obviously they could tell if it’s heart related but if it isn’t there’s a million other things it could be including anxiety and it could be a waste of time. Needing some reassurance.