Do you think I should take medication for anxiety!

Everything is difficult for me, and I'm getting weird symptoms of anxiety too like a weird lump in my throat that feels like I'm choking, muscles tensions, anal fissures from muscle tensions, feeling like I'm always tired, feeling like I'm going to die, cold feet, and sometimes I feel like I'm not part of reality.
I'm sad. I haven't even been on SW often. 😔