It is very common for anxiety to cause physical symptoms like brief tightness or pain in the upper stomach, especially since you are managing anxiety with Nexito and clonazepam. This discomfort could also be due to muscle tension or mild acid reflux, which often mimics chest pain. While a heart issue is much less likely at age 30, it is always best to be safe. Please mention these symptoms to your doctor to rule out any stomach issues or see if your anxiety treatment needs adjustment. If you ever experience severe, crushing pain, shortness of breath, or dizziness, please seek immediate medical care.

Yes, reducing your doses of Nexito (escitalopram) and clonazepam can indeed cause these symptoms. Decreasing these medications can trigger withdrawal effects, including tingling or altered sensations in your hands and fingers, as well as increased muscle tension or jaw clenching, which might feel like tooth pain. Since you mentioned pain in your left hand, it is very important to have your ECG reviewed by a doctor to rule out any heart-related concerns, even though these symptoms are likely linked to your medication adjustment. Please share your ECG results with your healthcare provider as soon as possible so they can safely guide your dose reduction.

It is completely normal to experience shifts in your bowel patterns when taking these medications. Your treatment regimen can certainly influence this change. Shelcal M (calcium) can slow down digestion, while Nexito (escitalopram) affects serotonin levels in your gut, altering bowel transit. Aciloc (ranitidine) reduces stomach acid, and Cremaffin Plus is a laxative that directly stimulates bowel movements; the specific time you take Cremaffin Plus will heavily dictate your bowel schedule. These combined effects are likely why your routine has shifted to the evening. There is no cause for concern, but do discuss this with your doctor if you wish to adjust your medication timing to restore a morning routine.

Your brain MRI was normal. The upper body swaying and pulsing feelings can sometimes stem from inner ear (vestibular) issues, neck muscle tension, or heightened autonomic sensitivity. Since escitalopram (Nexito), piracetam (Cognitam), and vitamins haven't fully resolved this, your next best step is to consult an otoneurologist (an ENT specializing in balance) or a cardiologist for a thorough blood pressure and heart rate evaluation. Gentle vestibular rehabilitation therapy may also help.

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It is very common for anxiety and depression symptoms, like a racing heart and low focus, to return after stopping a medication like Nexito (escitalopram). While escitalopram can be highly effective in managing these symptoms and helping you focus, it is important not to restart it without medical supervision. I gently encourage you to consult your prescribing doctor. They can safely evaluate your current health, discuss whether restarting escitalopram is the best path forward, and guide you on the correct dosage to help you feel like yourself again.