I say this a lot when I talk about my health, but Iâm not trying to sound edgyâjust honest about what it feels like. I can articulate it, so I should.
This morning I was shaking. I couldnât sleep, and my breathing felt off. I kept drifting in and out like I was about to pass out, but something about it felt wrong.
I was dropping my phone, losing focus, and my body felt unstable in a way I recognized. Itâs a feeling that has sent me to the ER before, so I knew I needed to course correct early.
I started with the basics. Iâve been struggling to eat because of nausea, so I tried. It wasnât much, and my stomach still felt empty afterward.
I drank water, took an antacid, and changed my bedding in case something environmental was bothering me. I can be nose-blind to things like cat pee because of my diabetic cat (drinks a LOT), so it felt worth ruling out.
I adjusted blankets, airflow, temperature, and noise. I put on rain sounds and carpet cleaning videos, thinking maybe part of this was sensory overload.
Then I started working through symptoms.
I took a gas pill, since sometimes that tight, canât-breathe feeling turns out to be gas. I thought about taking Benadryl for a cough I get sometimes that can be allergy-related, but my throat was dry and I knew it would make that worse.
The air has been unusually dry lately, so I took a hot shower, then boiled water for humidity while I forced down a small bowl of cereal.
Then it clicked. I had been pushing my body this week. Yard work, gardening, a two-mile bike session yesterday, and I hadnât taken my usual pain meds because I didnât think I needed them.
What I kept calling anxiety was pain.
Once I recognized that, I took my usual painkillersâ400mg ibuprofen and 250mg acetaminophen, as approved by my rheumatologistâand woke my husband so he could help me put lidocaine patches on my back.
While I waited for him to sit up, I stared at the floor, barely tracking anything, thinking through it in real time.
This feeling. This is pain. This is what I keep ignoring until it gets bad enough that I end up in the ER just to be forced to stop moving.
I searched for the cable to one of the heated blankets to help with swelling, then grabbed an ice pack so I wouldnât overheat and turned the AC down to balance it out.
I remembered Iâd been eating gluten all week, which triggers inflammation for me, so that was in the mix too.
I took my IBS meds since they were safe with everything else Iâd already taken, and a Hylandâs nerve tonicânot because itâs critical, but because it meant I had taken every safe step available.
Then I laid down, and I stayed down.
I gave myself a line: if I couldnât settle within a few hours, I would take more painkillers. I donât usually do that. Taking more after Iâve already taken several medicationsâeven ones I know are safe togetherâstill makes me anxious.
In the ER, it usually takes about three hours before I calm down anyway. Time passes, Iâm forced to sit still, and eventually my body settles enough that I can eat or rest.
Even when I was worried my husband might fall back asleep and be late for work, I didnât get up again. I let everything settle instead of trying to push through it.
Once I stopped moving and stayed under the heated blanket, the shaking eased. The pressure in my body dropped off, and I could finally relax enough to fall asleep.
I keep not learning this lesson about my body. What feels like anxiety, or panic, or something being deeply wrong is often untreated pain.
The hardest part isnât fixing it. Itâs catching it early enough to stop.
And when I do, it saves me a $600 copayâor this year, 40% of a hospital bill after insurance.