What are some ways to know if youre dealing with anxiety specifically health anxiety or hypochondriac?

Honesty. Be as honest as you can with yourself and your care team. If you have a history of diagnosed ailments and a family history of similar ailments a case could be made for having a genuine concern. If you're aware of hypochondriacal tendencies, be as honest with these as well. Often, true hypochondriacs have emotional issues that hypochondriasis masks. If this is the case, find a recommended therapist.