<s>[INST] I recently had microdiskectomy  may 10 2013, two weeks prior was diagnosed with painic/anxiety disorder. Since then have been experiencing panicattacks. Every morning when I wake I am nauseaded and cant eat until mid day. It has been everyday when my alarm goes off that my heart races and I feel sick. Could I have a blood pressure issue? I was placed on bp meds prior to the surgery so I could have the surgery since then have been taken off the bp meds and the nausea has been continuous. [/INST] Hi, Thank you for writing in, There are many medical conditions that produce similar symptoms to panic attacks like hypertension(high BP), anemia, angina or endocrine causes like increased or decreased levels of thyroid in the body, pheochromocytoma etc. that are usually ruled out before making a diagnosis of panic disorder as being related to anxiety alone. If you were put on medications to control your BP before the surgery, and you have been experiencing the symptoms after stopping them, then what you can do is get your BP checked regularly for a few weeks consecutively by your physician to rule out hypertension which may be the only cause or just a contributor to your problems. Hope this helps, Chat Doctor.  </s>