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[
{
"from": "system",
"value": "Taking clofranil, acetylcysteine and doxid for OCD. Developed compulsive sleeping and pot belly. Need a solution"
},
{
"from": "human",
"value": "My son is taking Doxid 100 mg,clofranil 25 mg and acetylcysteine 600 mg tablets for OCD. He has developed pot tummy and has compulsive sleepiness. Due to sleepiness he is not able to devote time for studies. He is doing his CPA and is 23 yrs of age. Please advise how to reduce pot belly and overcome unusual sleepiness.My email ID is YYYY@YYYY"
},
{
"from": "gpt",
"value": "Hello Your sone is taking Sertaline 100mg, Clomipramine 25 mg and acetylcysteine 600 mg per day. He is suffering from OCD. He has developed pot belly and compulsive sleepiness. He is not able to devote time for studies. Compulsive sleeping may occur due to psychopathology of OCD itself. He is taking medicines that can cause mild sedation but sleepiness in such severity is most likely not due to drugs. I would advise you to consult his psychiatrist regarding increase in dose of drug if needed. OCD is a type of anxiety disorder that responds to drugs in a little higher doses. Thanks Dr. Seikhoo Bishnoi, MD"
}
] |
[
{
"from": "system",
"value": "What causes lack of erection and constipation?"
},
{
"from": "human",
"value": "hello doctor,I am an Indian,Taking sharkoferrol didnt recommended by any of the doctor here. Our good people have put some machine in at upper part of middle ear.Giving thousands and thousands of bad words daily.Also having erection problem and not getting proper stools normally. With Regards,Shwetang+91-0000"
},
{
"from": "gpt",
"value": "Hello, As per your history, it may be due to anxiety. For that you can take tablet sildenafil one hour before sexual act. Along with that avoid stress. Foreplay will also help. Take balanced diet. For constipation you can take syp duphalac. Take lots of fluids. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "Have nightmares, disorriented feeling. On champix. Why?"
},
{
"from": "human",
"value": "Hello i have an enquiry about taking champix i am 18 nearly 19 in less then a month and have started day 2 of the 0.5mg tablet only in the morning of champix to quit smoking. So far i have experienced 2 terrible nightmares and a groggy disorientated feeling around midday or in the afternoon leading onto night. i am afraid to start taking the day and Night tablets then go onto the 1mg from what i have experienced so far. I need some clarification on how long this may laste and how bad the effects will get as a go on the higher dosage Thankyou for your time Luke."
},
{
"from": "gpt",
"value": "Hello Welcome to Health Care Magic Champix consists of Verenicline and it is a nicotine receptor agonist. It is widely prescribed in tobacco cessation programs. It is comparatively safer drug but headache, disruption in sleep cycle and abnormal dreams are its possible side effects. The side effects occur more during initiation of therapy but with time they tend to decrease and tolerance to side effects develop. It will take about 3-4 weeks to develop tolerance to side effects. Thanks Dr. Seikhoo Bishnoi, MD"
}
] |
[
{
"from": "system",
"value": "Feel tired, unmotivated, undergoing counseling. Suggestions?"
},
{
"from": "human",
"value": "feeling tired, unmotivated, slightly nauseous, discouraged, worried and not sure what to do. I'm going to counseling and have been seeing an MD for about a month now. I have to work this afternoon and am not sure what to do with the next few hours before them. I can't seem to just sit and relax, yet I don't have much energy to do much else. Any suggestions? Thanks"
},
{
"from": "gpt",
"value": "Hello You are feeling unmotivated, nervous, discouraged, worried, tired. These symptoms might be due to anxiety mixed with depression. You are already on counseling but still I would advise you to please follow relaxation methods. Try Progressive Muscle Relaxation Techniques, Deep Breathing Exercises, Yoga and Meditation to boost your confidence and to get relaxation. If problem persists then visit a good psychiatrist for expert opinion. Medicines like Fluoxetine, Sertaline, Paroxetine etc are very beneficial in such type of symptoms. Thanks Dr. Seikhoo Bishnoi, MD"
}
] |
[
{
"from": "system",
"value": "Lethargic, unmotivated, lack of energy, easily distracted, anxiety. What is going on?"
},
{
"from": "human",
"value": "Hi, I'm a 28 year old male. Over the last few years I've found myself regularly going through phases where I feel lethargic, unmotivated, lacking energy, easily distracted and getting regular head aches. I also find I struggle more with exercise - for example I get dizzy and get the shakes after only a small amount of exertion . I find myself feeling anxious and getting wound up over the smallest things. I don't direct anger at people but I can feel it knotting me up inside. As I'm getting older it seems to be getting worse. I went to the doctors a while ago and had a blood test. All was OK and that's as far as I took it as I felt a little stupid going to the doctors with such a complaint. For you information I'm not over weight, I try to exercise regularly, I drink plenty of water and have a healthy diet. When I feel like this I don't feel like me. Do you have any thoughts on this?Thanks Matt"
},
{
"from": "gpt",
"value": "Hi there ~ It does seem to me like you have had depression that is recently getting worse, what we in medical terms call exacerbation. I recommend that you go visit a psychiatrist to get yourself medications and appropriate referrals, certainly to a psychotherapist or a counselor and maybe another doctor for comorbid conditions. I hope you do this as soon as you can. I hope this helps. Take care and have a lovely day!"
}
] |
[
{
"from": "system",
"value": "Mild pain and weakness in knees, confused mind. History of diarrhea and heavy period.Consider"
},
{
"from": "human",
"value": "since yesterday i started feeling lightheaded, a bit confused at times (for fractions of seconds a couple of times only) and have this weakness, warmth and mild pain and needles in both my legs from knee down. for 2 weeks now i've been having mild diarrhea (3x/day soft and only a couple of times watery) and also had heavy period just finished, in case any connection."
},
{
"from": "gpt",
"value": "Hi there ~ You seem to have neuropathic sensations in your limbs which may be related to your having diarrhea. I think you might need to see a neuropsychiatrist for that reason. Also consult a gynecologist after that if needed for the possible dyfunctional uterine bleeding. I hope this relieves your anxiety. I hope this helped. Take care and have a lovely day!"
}
] |
[
{
"from": "system",
"value": "Has Anxiety, depression, OCD, diabetes, swelling in feet. On paxidep. Is it safe?"
},
{
"from": "human",
"value": "Hello Dr,My sister has Anxiety & Depression. She was diagnosed with OCD as well. She has been prescribed Paxidep 25 mg. I want to know if this drug is safe for long term use? My sisters blood sugar has risen to Fasting 123 mg/dl & Post Prandial to 180 mg/dl. Should she discontinue her medication or shift to others that are more safe with fewer side effects? She also reported swelling on one of her feet which is not painful.Thank you."
},
{
"from": "gpt",
"value": "Hello Your sister is having anxiety, depression and OCD. OCD is a type of anxiety disorder and it causes severe anxiety to patient. In more than 50% of cases of OCD depression is found to be co morbid. Paxidep is paroxetine and it belongs to SSRI group of drugs. This is a good antidepressant and anti anxiety drug. In OCD usually it is prescribed in higher doses. 25 mg is not a high dose and Paroxetine is comparatively safe drug so there is no harm in giving her this drug. It can control her symptoms. It is associated with slight increase in appetite or weight gain, which is a problem here. For this you can consult her psychiatrist regarding replacement to some other drug like Fluoxetine which don't cause weight gain and sedation. Rest assured there is no serious danger with these drugs. Thanks Dr. Seikhoo Bishnoi, MD"
}
] |
[
{
"from": "system",
"value": "Anxiety, tiredness, nauseated, loss of appetite, asthma, breathlessness. Taking citropam. Help?"
},
{
"from": "human",
"value": "Hello,I am writing to enquire about arrow citropram. The purpose of me taking this medication is for generalised anxiety which has increased over the last few months. Its not severe anxiety, but enough to intervere with my quality of life. I have taken it for 6 days and already feel incredibly tired 2 hours upon taking it in the mornings. This tiredness is prolonged and my concentration is severely interfered with. As the days move on I continue to feel wiped out and have lost my apetite by at least 40%. I also feel nauseated and my tummy is bloating. I also have celiacs disease and have a tendancy to have a sensitive stomach - that often does not respond to medication well. On top of this i'm starting to get breathless and develop slight asthma which is usually only brought on by allergens from the environment and induced by exercise. I feel tired in the legs and generally mentally not myself. If anything this drug is making me feel flat and lifeless and strange. I felt a million dollars before I started taking this in comparision.Do you believe these symptoms will decrease over time? Do you suggest I try to get through this initial period of my body adapting or drop it all together? I am only on 10mg/day.Thanks for your help,Janna"
},
{
"from": "gpt",
"value": "Hi there ~ You need to call your doctor. Citalopram is an effective medication for depression and anxiety and you might need to start taking the medication at night. There may be side effects but that will get better over time. You need to not worry about having to deal with them forever. You will get better but it will take time. In the meantime you might need some of the other sedatives which might help get you through the side effects. I would like you to see your psychiatrist you trust as soon as you can. I hope this helps. Take care and have a lovely day!"
}
] |
[
{
"from": "system",
"value": "Anxiety, excess worry. Suggest something"
},
{
"from": "human",
"value": "So I'm a extreme anxiety person. and I freak out about things that arnt even possible. But I just want to make sure I'm OK.my head is throbbing like crazy.it's coming from a huge pimple I have on my scalp I hope it nothing to scary or they have nothing to do with with other. Just want to be sure so I can get some sleep. Sorry if I sound crazy."
},
{
"from": "gpt",
"value": "Hi there ~ I understand your concerns. It does seem like you have an acne problem and please consult a dermatologist for the same. It will really help to improve your overall confidence and self-esteem when you get your acne cured. It is something that most people go through in their young adulthood. I also would think that a visit with a psychiatrist would be in place. I hope this helps with the anxiety part of things. Take care and have a lovely day!"
}
] |
[
{
"from": "system",
"value": "Have hallucinations, obsessive thoughts. Bipolar, borderline personality disorder, major depressive disorder. On zolpidem. Help?"
},
{
"from": "human",
"value": "30 yr. old female, diagnosed with bipolar/borderline personality disorder/major depressive disorder. Currently on viibryd 40mg. at supper time & 10mg zolpidem tartrate at bedtime. She has been experiencing a hallucination of a strong feminine odor usually starting at midday, progressively getting worse toward evening. Also having severe jaw pain. With all this she also gets thoughts of hurting herself but says she tries hard to get those thoughts out of her head. She has had numerous hospital stays because of suicide attempts. She has had lots of ECT's but doesn't want more of those because of how they affect her memory. She works part-time. Has an employer who has been extremely understanding of her very complicated illness. Currently living with my husband & I cuz she also is raising her 4 yr. old son on her own. Current psychiatrist is quite unavailable to discuss much with us, just wants to do ECT's and not be bothered. Frankly, if she & her son did not live with us, I don't know where she would be. We live on pins & needles, trying to be loving & understanding but we're not perfect & get easily discouraged ourselves. Continue to hold onto our faith in God's guidance. What is your comment about this situation???"
},
{
"from": "gpt",
"value": "Hi there ~ I understand that you have some problems and that these disorders are taking a toll on you life. Treatments have been helpful but have been glimmers of hope. However, I am glad you have faith. I also hope you have faith in your family and also your doctor who you consider your family. Please consider this and do whatever your psychiatrist suggests. If there are other conditions please consult a family physician who can refer you to a proper specialist. I hope this helps. Take care and have a lovely day!"
}
] |
[
{
"from": "system",
"value": "Have post partum depression, fever, restlessness, guilt, fear, shock state. What is going on?"
},
{
"from": "human",
"value": "I have been struggling with my post-partum depression and as a result, ended up spanking my 6 month old baby with my hand on his back 5-6 times day before yesterday. I slapped him really tight, guess I completely lost sense of what I was doing. My baby had a 100.5 fever by evening, gave him some tylenol but fever was on and off. Since then, he is a bot restless and I am so full of guilt and fear. Please help. ( since he is 6 months, can the fever be due to teething too or is he in some kind of shock that has gotten him fever. He is playing well, but certainly not so cheerful. What should I do???"
},
{
"from": "gpt",
"value": "Hello Post partum blues and depression is a common complaint. In post partum depression paranoid ideation against baby are common. Some mothers even throw their babies. A warm and loving care is must for mothers. As you have hit your baby I would advise you to discuss this episode with your family members and visit a good psychiatrist for expert opinion. If you will not take treatment at this state then the problem may complicate into full blown depressive episode. Medicines like low dose antidepressants and anti psychotic drugs are used in such cases. Secondly as your baby is having fever. Continue giving him tylenol as per recommended doses and wait for at least 6-7 hours. If he show lethargy, decreased feeding immediately consult a pediatrician. Thanks Dr. Seikhoo Bishnoi, MD"
}
] |
[
{
"from": "system",
"value": "Suffer from hysteria. Taking primox. Symptoms recur on stopping medication. Remedy?"
},
{
"from": "human",
"value": "hi SIR, MY WIFE IS SUFFERING FROM HISTERIA , SHE IS WELL NOW, SHE TAKES PRIMOX MEDICINE. THE PROBLEM IS THAT AS SOON AS SHE STOP THE MEDICINE SHE IS ATTACKED AGAIN, SHE FALLS HERE AND THERE ,HER BODY IS NOT CONTROLLED SHE STATR MOUTH DIARIA .SHE CAN NOT SLEEP ETC. LET ME KNOW WHAT IS NEXT, AND HOW MUCH TIME IT MAY CONTINUE.IF SHE TAKES MEDICINE SHE IS ALLRIGHT."
},
{
"from": "gpt",
"value": "Hi there ~ You need to have your wife checked by a neuropsychiatrist as it might as well could be seizures. I hope this helps. You should take a complete history and previous medications tried and restart her current medications before you can take her to a doctor. I assure you that it is a treatable condition. I hope this helps. Take care and have a lovely day!"
}
] |
[
{
"from": "system",
"value": "Suggest treatment for pain and swelling in testicles"
},
{
"from": "human",
"value": "I suddenly had an enlargement in my right testicle with a severe pain. Consulted the dr who prescribed me an antibioti, after two weeks the size came down by > 50% but the pain is still the same i.e sever between the two pain killer pills. It has been like this since > 7 weeks now... The testicle is still not the same size as the left testicle its little hard and the pain hasn't gone since day one. I can not be in peace without taking the pain killers. most of the time take 4 days before I need the second pill which is Disclo 150 (disclofenac sodium) I found it very affective. For the antibiotic i take cliprobay 500. Plus i take cyclo 3fort. I take 1 every 12 hrs of each pill. Please tell me how can bring down my testicle to the original size and get rid of pain so that I can stop taking this pain killer and be happy again.... Regards Hassan"
},
{
"from": "gpt",
"value": "Hello, You are likely suffering from orchitis. Complete the course of antibiotics. Use tight undergarments all the day as they can give some comfort. it is safe to take pain killers. Some reduction in size can happen after orchitis. Do not worry about it right now. Maintain hygiene. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sujoy Dasgupta"
}
] |
[
{
"from": "system",
"value": "Suggest treatment for early ejacuation"
},
{
"from": "human",
"value": "Sir, I am 39 YR , Male, my problem is early ejaculation, no proper erection of panis, nor the size is perfect in length & breath. please sujjest me what to do , whether i wll ues any medicin or any exercise is there. My Hight is 5'8\", Wt 85 Kg, I have no any smoking or drinking habit, no health problem ,only my colostrol is in the higher side. My profession is a very touring nature of job."
},
{
"from": "gpt",
"value": "Hello, As per your history, performance anxiety. For that be stress free. Take proper balance diet. Take proper rest. Discusses issues with your partner. Till then you can take tablet sildenafil one hour before sexual act. Foreplay will also help. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "Difficulty in concentrating, grasping. Getting distracted easily. Is it learning disability?"
},
{
"from": "human",
"value": "I consider myself to be an intelligent person, as do others. Unfortunately, I have incredible difficulty studying at school (in year 12 right now) regardless of how motivated I think I am and how hard I try to concentrate. In the classroom I can't really follow what the teachers are saying, and when I read paragraphs I have to go over them about 3-4 times before I can actually understand/remember what is written. I also get distracted very easily especially when doing something boring; in the class I'll start talking to people or open my laptop, and at home I'll go get food or do something like patting my cats when trying to revise for a SAC.I really don't know if I'm just extremely lazy/unmotivated or if I have a learning disability like ADD or something. Unfortunately I won't be able to pay for an answer so please only respond if that's ok, I don't want to waste your time.Thanks in advance."
},
{
"from": "gpt",
"value": "Hello The features like poor concentration at class, lack of interest in class, feeling lazy or tired whole day, lack of motivation, distractibility etc may be due to initial stages of depressive disorder. These type of symptoms are commonly seen in mild depression. I would recommend you to please visit a good Psychiatrist for expert opinion. Medicines like SSRI as Fluoxetine, Escitalopram, Sertaline etc are very useful in depression. Other medicines like Venlafexine, Duloxetine are also useful. Apart from medicines Cognitive Therapy is also a good alternative to medicines. Hope it helps. Thanks Dr. Seikhoo Bishnoi, MD"
}
] |
[
{
"from": "system",
"value": "Panic attacks, fear of death and heart attacks, brain disease. Why?"
},
{
"from": "human",
"value": "im so confuse of what i really felt specially in my left body from my head to toe i've been into a lot of medical tests and it turns out negative,im suffering from panic attack as what i have read its symptoms i feel the same way i have a lot of fears right now i dont want to go to the mall,crowded area,even in churceh i dont want to take buses all i want is to stay in the house coz im afraid im going to have an attack outside,please do help me im very scared as if im going to die, or having a heart attack or maybe some of my nerves in my brains will burst please i need a help."
},
{
"from": "gpt",
"value": "Hello........ Thanks for your query. Panic disorder frequently coexists with agoraphobia i.e characterised by anxiety symptoms associated with closed spaces or crowded places. I would suggest you undergo a psychiatric evaluation to rule out the above disorders in addition to other anxiety disorders. I would like to reassure you that they are not life threatening conditions. The treatment include anti-anxiety drugs like SSRIs as well as psychotherapy techniques like CBT/Cognitive behavioural therapy. Wish you good health. Regards Dr Sundar Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Need help in managing anger. Not able to take decisions"
},
{
"from": "human",
"value": "HiI am working as a software engineer. I am basically too cool and wont get angry on any one. But some cases I am getting angry on my close friends for silly reasons and hurting them. Later I am realizing again. But after few days I am getting angry and changing my opinion on them . My mind is continuously changing my decisions. How can I get rid of it. Please help me."
},
{
"from": "gpt",
"value": "Hello....... Thanks for your query. Difficulty in control of anger is a common issue that significantly hampers our life. I would suggest that you meet a clinical psychologist to learn anger management exercises like counting of numbers, breathing techniques etc. Yoga, meditation and breathing relaxation exercises might also benefit you. If the above measures fail, you would require a psychiatric evaluation to rule out depression and personality issues. Wish you good health. Regards Dr Sundar Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Depression. Inability to get an erection. Taking Venlafaxine. Help?"
},
{
"from": "human",
"value": "Hi Dear SamuelI am taking Venlafaxine at dose of 150MG every day, its about 4 months now, my depression is going sooo well now, as if I'm a different person but now I have problem with my sexuality,,, I don't get erection at all,,, is there any medicine to get rid of this problem? I dont want to change Venlafaxine as this med is the only one works on me.RegardsSam"
},
{
"from": "gpt",
"value": "Hi Samuel, Forum I can understand dilemma u must be suffering. Erectile dysfunction(ED) in a patient of on treatment for depression could be either part of depression itself or medication induced. If its part of depression itself that is ur ED problem was there before start of treatment and still continued - can be treated by increasing dose of medicine or adding another medicine to this. If its medication induced that is ur ED problem is newer,developed recently - then it requires gradually lowering dose of ongoing medicine if it permits.If lowering dose will create problem then adding another medicine which counteracts side effect of same i.e. Cyproheptadine,L-methylfolate or adding another antidepressant will help. Remember that there are better and safer alternative drug option also available for change of medicine also.Discuss your problem in person with your psychiatrist - depending on progress of illness he will suggest you best option. Hope it helps.Best Regards."
}
] |
[
{
"from": "system",
"value": "Depression, sleeping a lot, bad mood. What is cause and possible treatment?"
},
{
"from": "human",
"value": "hi, im a 15 year old girl. i have been through a lot in my life and have never really been affected by any of it. Last year i moved from a city to a small town miles away where i didnt know anyone and had to start a new life. it took me a long time to settle in but when i did i loved it. Soon my mum and dad split up after 16 years of marriage and my mum moved back to leeds. i never see any of my other family and now live with my dad. for the past six months i have struggled getting up and going out. i have missed lots of school as i rarely feel up to it. I over sleep unlesss i have school i cant get to sleep and end up having about 4 hours sleep before it. My eating goes from over eating to hardly eating anything in 2 days, The only places i can bring myself to go is my house and my boyfriends house were i will just lay in bed. My mood is usually a bad one and i cant deal with feeling so low as a person any more. I used to get ready and go out with my friends every day, be up and ready for school. Now i just want to be in bed doing nothing, what is wrong with me?"
},
{
"from": "gpt",
"value": "Hello....... Thanks for your query. I understand the emotional turmoil you are undergoing and the multiple stressors you are facing right now. Hence, i suggest you meet a psychiatrist for a diagnostic evaluation. You need to be screened for depressive disorder considering the symptoms of low mood, insomnia, decreased appetite, impaired energy and activity level. The treatment would include: 1. Antidepressant medication like SSRIs 2. Psychotherapy techniques like CBT/Cognitive behavioural therapy Wish you good health. Try to stay positive. Regards Dr Sundar Psychiatrist"
}
] |
[
{
"from": "system",
"value": "My brother has bipolar but refuse to understand that he is sick. How can you give someone medication if he believes he does not need it?"
},
{
"from": "human",
"value": "my brother has bipolar but refuse to undestand that is sick.he believe that is just a bit depressed and went to the doctor yestarday and refused the monthly injection but is still taking lithium.Is that possible that someone because of the condition the brain can not process that is sick?How can you give someone medication if he believe he does not need it?Is there a way to convince him that he has bipolar ?"
},
{
"from": "gpt",
"value": "Hello, A patient experiencing a manic or hypomanic phase of Bipolar illness has no insight regarding his or her illness and therefore does not realize that he or she is ill. At least he is taking Lithium which is a good thing because Lithium is a very effective Mood stabilizer which can not only control his depressive or manic phase but can also prevent the future manic / depressive phase of Bipolar illness. Most patients are willing to take medicines once their symptoms are under control and they realize that they need help to control these symptoms. You can discuss with his doctor about the option of increasing the dose of Lithium if you think that his symptoms are not under control. Once he started responding to medicine his doctor can explain to him the sign and symptoms of Bipolar illness. Please feel free to discuss further if you have any other doubt. Kind regards Vikas"
}
] |
[
{
"from": "system",
"value": "Suicidical tendencies. History of rape, kidnap and mental abuse. Help"
},
{
"from": "human",
"value": "Hello im deployed over seas my gf has told me recently about wanting to kill herself off and on sense age of 7. Im not there to help her when shes sad or physically be there. She wont seek help and i dont know how to get her to go cause she doesnt have real friends or people i can get to take her. 11 months left here is there anything i can do to help her till i get back to get her medical help? Shes been in bad tramas mental abuse at home from her ex and kidnapped and raped. How can i help from this far away. I cant lose her."
},
{
"from": "gpt",
"value": "Hi there ~ The only way I can think of that you can help is to alert social services over there by writing a very lengthy letter explaining what happened to your girlfriend. I am sure there would be suggestions that come from the other end and you could work on them. If this is urgent please call 911 and have the issue reported. I hope this helps. Take care and have a lovely day!"
}
] |
[
{
"from": "system",
"value": "Suffering from anxiety, taking deanxit. What more medicine can i prefer?"
},
{
"from": "human",
"value": "hi my name is latheef i am from india i was take deanxit 10 mg nearly 2 years every day one tablet actualy my brablem is anxity after i took this medicine i am feel better than befor nearly i month i stop this medicine doctor advice to me to stop beclase i am going to next month abroad afrter i stop i am uncomfortable whAT i should do would help me"
},
{
"from": "gpt",
"value": "Hello Deanxit is an anti anxiety fixed drug combination. It is a drug that is usually prescribed on SOS basis control of anxiety. It consists of Flupentixole and Melitracen. It may cause a little restlessness or insomnia when taken, and usually long term treatments with this drug should be avoided. You are traveling abroad so you are stopping it, there is chance of rebound increase in anxiety. I would advise you to gradually taper it dose. Start taking it every alternate day for about 2 week and then stop it completely. There is no risk of severe withdrawal, just by relaxation you can avoid withdrawal symptoms. Thanks Dr. Seikhoo Bishnoi, MD"
}
] |
[
{
"from": "system",
"value": "Bipolar condition. How serious?"
},
{
"from": "human",
"value": "my ex partner has been diagnoised with bipolar but i dont understand how servere his condition is the last few wks hes had a few instances and my eldest daughter has been the centre of this even though hes not physically hurt her am afraid he could lose it and do her or my younger son physical and emotionally hurt them i dont want my kids to stop seeing the father but i am very worried.my daughter has cut herself through verbal abuse her father has said to her. couldhe get physical abusive ?"
},
{
"from": "gpt",
"value": "Hi there ~ I understand that your ex-partner has issues and needs medical and psychiatric attention. I hope you alert social services as soon as you can. I also think it would be safe to let SS know that he has the condition and have a court order restricting access to your kids (I am unsure as to what the child custody issues are, however if there is safety of life or abuse please do so as soon as possible). Try to talk to your ex to have him resolve his issues by visiting with a psychiatrist first. I hope this helps. Take care and have a lovely day!"
}
] |
[
{
"from": "system",
"value": "Small fleshy growth inside mouth on the cheek, canker sore near the gum, stress"
},
{
"from": "human",
"value": "I have a small fleshy growth inside my mouth on the cheek . I had a canker sore near the gum on the same side that has healed. I have gotton canker sores due to stress but this the first time I have found what looks like a skin tag in my mouth thought it was due to stress but it didnt go away when the canker healed. what could it be? thank you"
},
{
"from": "gpt",
"value": "Hi, Thanks for asking the query, Canker sore can occur due to trauma physical or chemical or even due to stress. I would suggest you to visit to a Dentist and get the checkup done. Take warm saline gargles 3-4 times a day to give a soothing effect. Apply Dologel oral ointment or mucopain topically over the affected area. Avoid eating of hot and spicy foodstuffs for some days. Take multivitamin tablets. Relief stress if any, relax and take complete rest for 2-3 days. Maintain a good oral hygiene, use antiseptic mouthwash gargles like chlorhexidine mouthwash twice daily to prevent superinfection and promote healing. Hope this helps out. Regards..."
}
] |
[
{
"from": "system",
"value": "Why am I not getting aroused?"
},
{
"from": "human",
"value": "im a 23 year old male my weight 200lbs and am 6'1\" i do not have any medical problems and have no std's im not getting excited around my gf she is the most beautiful thing i've ever seen especially naked but i dont get aroused when she does get me aroused with teasing and playing i either get off in roughly 2 minutes or go soft. I am larger than average and she is very small ive tried to figure out what my problem is i even have a prescription filled for viagra but i dont want to use it any suggestions?"
},
{
"from": "gpt",
"value": "Hello, If its early erection its called premature ejaculation - means you don't have arousal issue, its anxiety due to initial sex. Regular sex will make you do fine. If you can't get a erection, and no ejaculation it can be due to libido issue caused due to hormonal , anatomy issue related to testis or prostate. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist"
}
] |
[
{
"from": "system",
"value": "Periventricular white matter, subcortal white matter, lesions, chronic microvascular disease, aggressive personality, Meaning?"
},
{
"from": "human",
"value": "hi.... i have a greater number or periventricular white matter and subcortial white mater high T@ signal lesions chronic microvascular disease... im 48, have massive head pressure pains, have only 20% sensasion on entire left side of body, ervere memory recall, a tone in my head 24/7 which doubles if i douch something, also becoming of aggressive in personality... ?"
},
{
"from": "gpt",
"value": "Hi there ~ I understand your concerns, however I cannot recommend any medications at this point nor can I ask to look at the results of your imaging. It would be best to consult a neuropsychiatrist or firstly you doctor so that they may be able to help. Take care and have a lovely day!"
}
] |
[
{
"from": "system",
"value": "Anxiety bipolar. Prescribed seriquel. Any other mood stabiliser?"
},
{
"from": "human",
"value": "Hi, I am Leanne Lonesborough and I have a question ? I have Anxiety Bipolar and my doctor has not been able to assist me with my needs as a mental health patient. I have 5 Children that need me to be well aware and he has put me on seriquel and they make me very dopey. Id like to know if there is a mood stabliser that can assist me to be aware as a drive and work around heavy machinery please help me I want to still be sane instead of feeling like im not normal and don't fit in this world I don't go outside because im forever goin off my head over the smallest things im losing control please I beg you for help :'("
},
{
"from": "gpt",
"value": "Hi there ~ You need to decrease the dose of seroquel after you call and inform your doctors' office that you are feeling very dopey. I think the office would understand and make an appointment for you to see a doctor as soon as possible. I would also advise you to avoid drinking on the medication and taking the medication around 8 pm so as to avoid feeling dopey at night. I hope this helps. Take care and have a lovely day! I hope you get that physician's/psychiatrist's appointment as soon as you can!"
}
] |
[
{
"from": "system",
"value": "Feeling tired due to stress. taking ferrogloboin. How to cure these?"
},
{
"from": "human",
"value": "Hi thereI am 48 years old and am feeling very tired a lot of the time.I understand some of it is due to stress from work and lot off running around>I am making changes to my lifestyle and have ferrogloboin daily and have a short break every 3 months.I am on femoston -hrt and feel well otherwise.I am self employed and would love my life back.I am trying to be positive daily.What can I do to relive these symptoms"
},
{
"from": "gpt",
"value": "Hi, thanks for using health care magic. Menopause itself can tiredness. You should go to physician to rule out physical causes of tiredness like thyroid dysfunction, Vitamine B12 or D deficiency or calcium deficiency. Stress is also associated with tiredness. Once your physical causes are ruled out, you can do stress management like yoga, meditation or breathing exercise and time management. else you need to consult psychiatrist for evaluation and treatment thanks"
}
] |
[
{
"from": "system",
"value": "Have problems falling asleep, depression, took cap, got problem again. What should i do?"
},
{
"from": "human",
"value": "hi .. i am a 22 years old.. i have problems falling asleep.. i could not sleep for more than 50 hrs until i finally fell asleep today morning for 5 hr.. i had the same problem a few months back along with depression, i consulted a psychiatrist and he prescribed me some medication.. i took it for a month or so.. and also tried to look for other solutions.. after reading a few articles i tried to control m anxiety which worked.. but its back now and nothing i do helps.. this is the first time i cold not sleep for so long.. what should i do?"
},
{
"from": "gpt",
"value": "Hi Sneha, Forum, After going through your problem - It seems that you had Depression disorder previously and taken a treatment for month and stopped medicine later on - tried to control thing by other means. Its important to know that when you diagnosed as having depression that means certain neurochemical (serotonin) changes in the brain causing this trouble.When its in initial phase i.e. milder one can be controlled by Yoga,Meditation,Motivating books. But when there is significant change in that neurochemical indicated by disturbed sleep and affecting your routine then - correction of that pathology first and continuing other method along with this later is only solution. Remember medicine takes 3-4 week time to starts its action and minimum of 6-8 month for permanent improvement when there are less chances of recurrence. Though you start feeling better within month of treatment (Giving false impression that I am all-right and can take care of myself without medicine),that was just a symptomatic one and not due to correction of underlying pathology.So after stopping of it within few month you started having problem again. So please consult to your psychiatrist again and restart appropriate treatment,continue it regularly till advised by him. Hope it helps. Thanks."
}
] |
[
{
"from": "system",
"value": "Suffer from panic attack and sleeplessness. Tingling in the body. Any suggestions?"
},
{
"from": "human",
"value": "Hi i took a sleeping tablet (10mg) prescribed by my doctor and that night i didnt let myself go sleep after taking it because i thought i was having a panick attack and didnt go sleep and now i have been awake for a good 4, 5 days but i do sleep but i feel like i am still awake though and now my body mass has gone softer and i feel tingling around my body."
},
{
"from": "gpt",
"value": "Hi, thanks for using health care magic. sometimes after taking sleeping pills, you get the sleep but It is not refreshing and you may feel like your brain is constantly working on some issues. Tingling may be because of inadequate sleep or vitamin deficiency or a s a symptom of Anxiety. You should consult qualified psychiatrist for detailed evaluation and treatment. Meanwhile you can try breathing exercise, yoga or meditation and self motivation to get rid of anxiety-depression. Avoid excessive use of caffine, nicotine. I hope you will be fine soon thanks."
}
] |
[
{
"from": "system",
"value": "Will valium become more effective over time?"
},
{
"from": "human",
"value": "Will valium become more effective over time? I know it is supposed to work instantly, yet I have been going up and down on doses for a few weeks now as I don't want to be on them. I do ok taking 5mg at night for a week, and then try to stop, or lower the dose, and end up a few days later needing 20mg just to stop a night time anxiety attack. Then I drop back to the 5mg for awhile do ok for a week, and again try to lower or stop...and the cycle continues. Is it better to just keep taking it at 5mg daily no matter what and leave it alone for awhile...husband and some web sites say that valium will become more effective if I take it daily to build up the same level in my body."
},
{
"from": "gpt",
"value": "HI, thanks for using health care magic. You have not mentioned why you are taking valium. Valium is diazepam , benzodiazepine in nature. It is used for sleep mainly associated with primary drug treatment as per cause. for a short term it may be used for anxiety. Valium is having addictive properties. as you go on increasing, you require higher dose of it. Rather than doing self medication, You should consult psychiatrist for detailed evaluation and treatment. Valium use should be restricted only as and when required basis only. meanwhile you can try stress management and relaxation techniques like yoga and meditation for better sleep and relaxation. thanks"
}
] |
[
{
"from": "system",
"value": "Worms coming out of hands, arms, face. What could it be? Taking Zyprexa"
},
{
"from": "human",
"value": "Hi there. I'm super close to going to the ER where someone will actually examine me. I've had these weird movements in my foot and my skin has thin clear worm like things coming out of my hands, arms and face. What could it be. I've been to my general practice doctor who told me there was nothing wrong as well as a dermatologist who said the same and to up my zyprexa medication with my psychiatrist. I'm not hallucinating, i swear!"
},
{
"from": "gpt",
"value": "Hi Gisellpark, Forum, I can understand how shocked you must have felt after knowing that nothing wrong as dermatologically. Its important that if you feel that chances that doctor might missed finding you can have another doctors opinion. If after another consultation same findings comes out then there is possibility that you might be suffering Mono delusional disorder (characterized by having sensation which are true and real one for you but not collaborated with other people finding. This happens because of some neurochemical changes in brain which alters yours perception -sensations) In such condition antipsychotic medicine will help - which corrects mentioned neurotransmitter changes.Medicine takes prolonged time to control your problem - that might create doubt again that its not getting cured - remember u will require treatments for many years. So then continue regular follow up and treatment as advised by your psychiatrist. Hope it helps.Best regards."
}
] |
[
{
"from": "system",
"value": "Hurt shoulder in car accident, cannot lift arm up, lost all hair, has Alopecia, taking Adavan. Permanent cure?"
},
{
"from": "human",
"value": "my sister was injured in her shoulder area from being hit by a car. Now she cannot lift her arm up or do any heavy lifting. But more importantly, she lost all her hair after this accident. Doctors have told her she has Alopecia and there is no cure. She is very depressed as well and is taking Adavan? to calm her nerves."
},
{
"from": "gpt",
"value": "Hello, Thanks for using health care magic for posting your query. I have gone through your given history in detail. In your description yo have mentioned that she is having problems accepting her allopecia. Adavan will slightly reduce her anxiety but particularly she should get some talk therapy sessions with a good psychiatrist. Cognitive behavioral therapy will be very useful for her. Also ask her to exercise daily and eat a good diet. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Dr. Srikanth Reddy M.D."
}
] |
[
{
"from": "system",
"value": "Have tension and do not feel like talking to anyone. Suggestions?"
},
{
"from": "human",
"value": "Hi,This is Sheela, i'm gonna complete my MBA in a weeks time. i'm really stressed out about my future. I don't have my mom and i was a boarding student for the past 15 years. for a couple of weeks i'm really tensed and i don't feel like talking to anyone : friends and family........ i feel like i don't belong here. i am feeling as if no one cares for me......."
},
{
"from": "gpt",
"value": "Hello, Thanks for using health care magic for posting your query. I have gone through your given history in detail. It appears that you are really stressed by your life and thinking. Although you will accept that there is nothing specific to be upset about. Among all the things you have stated there is no reason for you to get upset. If you are anxious about the future you should visit a psychiatrist who can help you with some talk therapy sessions. Do exercise regularly and eat a good diet. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Dr. Srikanth Reddy M.D."
}
] |
[
{
"from": "system",
"value": "20 year old with constant mood swings, getting angry, crying spells. Need help"
},
{
"from": "human",
"value": "i am a 20 year old gal..i have constant mood swings. one minute i'll be happy and the next minute i'm sad.....i get irritated very soon,and tend to yell at people for no fault of theirs.i hate to see people who are happy,and i hate people who achieve things..i constantly get the feeling that i'm not loved,no one cares for me.i feel like i'm a failure.i don't have many friends,just two of them.people dont like me..i cry very often,and for silly reasons,sometimes i don't seem to know the reason i cry...i cant think about my future..i wanna change.i'm really worried about how to get out of all this, what will happen to me if i dont start planning for my future"
},
{
"from": "gpt",
"value": "Hello You are 20 years old and you have constant mood swings with happiness and sadness of mood. You have problem of easy irritability, anger outbursts, you have feeling of not being loved, no one care for you or helplessness, feeling of worthlessness, you have few friends and crying spells are also present in you. You seems to be hopeless about future. From your symptomatology I can easily tell you that you are having some Depressive disorder in moderate to severe category. I would advise you to visit a Psychiatrist for exert evaluation. It can be treated easily with medicines like SSRI or SNRI such as Fluoxetine, Paroxetine, Sertaline or Venlafexine, Desvenlafexine etc. Cognitive therapy is also equally effective in depression. So please consult a Psychiatrist. Thanks"
}
] |
[
{
"from": "system",
"value": "How to get rid of dark mole like patch in my left groin area?"
},
{
"from": "human",
"value": "I have a dark mole-like patch in left groin area. Diagnosed as keratosis Also had jock itch with bad smell. Responded to treatment. Wart on right side removed and has healed. Are these related in some way or could they point to some other condition? What do you suggest?"
},
{
"from": "gpt",
"value": "Hello, If there is more than one wart, recent unprotected sex can think of sexually transmitted infection. If not it can be due to genetic or environmental factor. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist"
}
] |
[
{
"from": "system",
"value": "Child have lumps on head as she hit herself. What can be cure for this?"
},
{
"from": "human",
"value": "my 12 year old daughter kept me awake untill 1oclock this morning by saying she was not tired, she eventually fell asleep, i woke her at 6.30 this morning for school,she said she wasnt going ,i asked her why and she said because i dont want to ,when i threatened to phone the school she started to scream and shout and punch herself in the head about 6 times so bad she had lumps on her head ,she has done this before and on one occasion blacked her eye,she also said she dosent care about anything and said she wanted to kill herself,what can i do ,"
},
{
"from": "gpt",
"value": "Hi Janinewest, Forum, I can understand as a parent how u must be feeling after going through through history written by you. There can be chances that 1)She might be having school phobia - where she might be afraid of going to school,might have anxiety after going to school - so there is avoidance behavior.If forced to go to school she might become aggressive.( this possibility can be there if such behavior is persistent only related to going to school) 2) Another possibility that of personality problem (can only labelled after a8 yr age completion) which can be manifested by stubborn,threatening,attention seeking behavior,demanding,head banging behavior.( happening not only for time of going to school but also other time. ) Both kind of problem can be treated by medication and child-parent psychotherapy.This will help to improve her academic performance and if personality problem then improve as person being- build her life in positive manner. So first take her toward general practitioner for Lump on head treatment.Then take her to nearest good psychiatrist who can asses in person and definitely help to resolve this problem. Hope it helps. Best regards."
}
] |
[
{
"from": "system",
"value": "Rashes,itchy, hair fall, stress. What could be this?"
},
{
"from": "human",
"value": "Hi, since last week on the inside of my arms has come out in a rash it is sometimes itchy and it's was burning last nite I haven't been having a good time since jan as I had a miscarriage and the stress of trying to get pregnant again is a nitemare my hair is falling out when I wash it and I had a massive Coldsoar last week do u think this is all stress related?"
},
{
"from": "gpt",
"value": "Hi, thanks for using health care magic. Stress is known to cause hair fall. Rash is very rare as a symptom of stress except in a case of psychogenic itching and self injury. You should consult skin specialist for the rash and itching and cold soar. You should use stress management techniques for control of stress. stress is known to have some impact in pregnancy also. You can do Relaxation techniques like yoga, meditation or self motivation. If it is not controlled, you should consult psychiatrist. thanks."
}
] |
[
{
"from": "system",
"value": "Hot feeling in chest. had panic attack earlier. What could be this?"
},
{
"from": "human",
"value": "So earlier today while I was minding my own buisness on the computer, this suddern day dream/flash back kinda thing happened. I was sat there and then all I could hear was the scream of a woman who sounded like she was being dragged away, and someone in my face who kept saying It s all going to be okay, I will all be fine, just stay there . This was all I could think about, I was wrapped in this thought that felt like a past experience, when I know nothing like this has ever happened to me before. This boilin hot feeling started happening on the inside of my chest, not painful, just extremely hot, and it kept happening. If I tried to hunk of something else, all I could hear was this screaming that brought me back. I was completely glazed over, i wasn t doing anything at all. And then I just cracked, I curled into a ball on my chair and just started crying, and couldn t stop, it was like I was hiding, I felt just petrified, curled up in a ball. After a few minutes, I got control again, and just put some music on and tried to forget about it, but it has been a shock to my system. I ve had minor panic attacks in the past, but non of them were this bad."
},
{
"from": "gpt",
"value": "Hi, thanks for using health care magic. I have gone through your available history. Your symptoms are of panic attack only. initial day dreaming is part of anxiety. You should also rule out one very rare diagnosis of complex partial seizure. You should consult psychiatrist for the detailed evaluation and treatment. You can try breathing exercise , yoga and meditation and stress management. Avoid caffeine in excess. it may also cause panic attack. i hope you will be fine soon thanks"
}
] |
[
{
"from": "system",
"value": "Mentally handicapped, not walking, listening. EEG, CT scan normal. What could be the cause?"
},
{
"from": "human",
"value": "my severely mentally handicapped sister had an eye exam with dilation on Feb 12. By the next day all kinds of problems starting happening. For example she would not look at us she acting like she couldn't see. When we would stand right in front of her and say her name she would look around mainly up. Her blood pressure is low now. She cant walk on her own now when before she could. She has to wear diapers now and didn't have to before. She has to be forced to eat & drink & didn't have to before. She has lost about 10 lbs. since then. She has been hospitalized twice for one day for dehydration. She has had an EEG & CT scan on her brain & both were said to be normal. What could have happened that has caused these extreme problems? Can you please help us on what we can do/I HAVE NO WAY OF PAYING FOR THIS HELP!!!!!!!!!!!!!!!!!"
},
{
"from": "gpt",
"value": "Hi, thanks for using healthcare magic. I have gone through your available history. First of all you should rule out the physical causes her symptoms including CV stroke. Once it is ruled out, You should consult psychiatrist to rule out Negative symptoms schizophrenia and Severe depression. You should also consult ophthalmologist for vision difficulties. Thanks."
}
] |
[
{
"from": "system",
"value": "Personality and mood disorder from childhood, took medicines, conditions worsened. Recommendations?"
},
{
"from": "human",
"value": "Hello, I was just wondering if I were to go to my doctor could they evaluate me to see if I have a personality or mood disorder, or do I have call around to a specialist? When I was very young I was evaluated with depression but the doctor who said that I had depression said it could also be a personality or mood disorder but because of my age she just wanted to treat it as depression. I went through many different medications that only made my symptoms worse so I stopped going to her and stopped medication. I am now living in a warm state, it seems to help a little but I still struggle with issues and would just like to find out what for sure it is I have and treat accordingly. Thank you for your time and help.Ashley"
},
{
"from": "gpt",
"value": "Hello In your query you have not clearly mentioned that what symptoms you are having exactly. You have mentioned the diagnosis only. Still I would like to tell you that usually Psychiatrist don't label an individual to have some personality disorder in his/her teen years. Personality usually develop at around 18-22 years of age. Yes mood disorder like depressive disorder or bipolar disorder may present in teen years. Abnormal temperament may be a finding only. Still if the problems are causing distress to you and affecting your social and occupational functioning then please visit a Psychiatrist for expert evaluation. Thanks Dr. Seikhoo Bishnoi, MD"
}
] |
[
{
"from": "system",
"value": "Chronic pain from neck, shoulder injuries, ADHD. Was on narcotics, amphetamine. Help?"
},
{
"from": "human",
"value": "I am an 43 yr old with chronic pain from neck and shoulder injuries. I have taken narcotics (by prescription) for pain for a long time. I am addicted. I am no longer taking narcotics. BUT I am thinking about seeking a masters degree in education, and I know I suffer from some flavor of ADHD. are there any non amphetamine or on-addictive drugs to help attention deficit sufferers?"
},
{
"from": "gpt",
"value": "Hello You are taking on prescription pain killers for pain in neck. You are having symptoms of ADHD and you want to avoid the inattention and hyperactivity. You don't want to take amphetamine or any addicting drug. There are a lot of other drugs for problems of inattention. Atomoxetine is one of them. It is a non addicting and non stimulating medicine and is very useful in ADHD. Apart from this Modafinil can be tried to improve focus and to get rid of problem of inattention. Before starting any drug please visit a good Psychiatrist. Thanks Dr.Seikhoo Bishnoi, MD"
}
] |
[
{
"from": "system",
"value": "Diagnosed with OPCD. Speech, ataxia and swallowing getting worse. Will these symptoms go away?"
},
{
"from": "human",
"value": "My husband 53 has opcd dx about 5 years ago. His ataxia, speech & swallowing problems along with a cough have seem to gotten worse in just the past few months. Can he possibly have a remission of these symptoms or are we on the road to more difficult problems. He has alot of drive & a good attitude but the balance problems & fatigue are discouraging. I just don't know what to expect for the future. Does anybody know for sure what course this will take and how soon?"
},
{
"from": "gpt",
"value": "Hello In your questions you have mentioned OPCD and it is not clear that it is OCD or OCPD. But still from available history I can assume that its OCD. If his problems of cough, swallowing has started occurring again and he is feeling fatigues along with balance problems most likely the symptoms are reoccurring again. OCD is a disease in which there is waxing and waning course. It is characterized by periods of exacerbation. I would advise you to take him to his psychiatrist and get him evaluated. OCD is associated with depression in about50-60% of patients so kindly don't ignore and visit a psychiatrist. Thanks"
}
] |
[
{
"from": "system",
"value": "Suffered chest pain and panic attack. Prescribed with xanax. Shaky legs and seizure like feeling. Reason?"
},
{
"from": "human",
"value": "2 weeks ago I went to the hospital with chest pain and panic attack . I had panic attack every day for a week my dr prescribed me a low doss of Xanax it has helped with the panic attacks, but sometimes at night my head feels weird like I could have a seizure or something. then last night I was really tired and dose off and woke up because my legs were shaking real bad but when I woke up they quit what do you think this is?"
},
{
"from": "gpt",
"value": "Hello, Many patients also report nocturnal (night) panic attacks and in a few minority, panic attacks occur only at night. It is very much likely that what you experienced at night was also a panic attack. You should discuss with your doctor about taking medicines daily if you are taking it only as and when needed. Also instead of Xanax (Alprazolam) which is a short acting benzodiazepine, you can ask your doctor to prescribe you Clonazepam which is a long acting benzodiazepine and hence can control your symptoms for much longer duration. A low dose of Clonazepam .25 or .5 mg prescribed by your doctor to be taken at night should be helpful in my view. Ideally, if you are experiencing multiple panic attacks which are severe in nature, in that case your doctor should consider the option of starting an SSRI antidepressant like Sertraline or Escitalopram for few months at least. SSRI antidepressants are currently the first line medicines for treating anxiety disorders. Kind regards Vikas"
}
] |
[
{
"from": "system",
"value": "Autism, asperger syndrome, speech delay, shivering, stuttering, slow understanding, introvert. What is it?"
},
{
"from": "human",
"value": "Is my daughter showing enough symptoms for me to take her to get diagnosed for autism or aspergers syndrome?I don't remember if she had a speech delay nor tantrums but she used to bang her head on the floor if she's upset or didn't get what she wanted (all her siblings did.) but she was smarter than kids her age when she was 3 and was a fast learner and did academically well, sh even speaks another language fluently! but I've noticed that she's socially awkward and i thought that she's just too shy and i have to give her a push to go befriend kids her age, she barely talks with them and she's horrible at small talk and when I ask her 'did you have fun with them?' she shakes her head and tells me she doesn't want tot do that again, ever.she has bizarre interests like Spiders, Spider-man, arachnids or rare unusual stuff like names or Cyprine for example, she told me she like its name and that is a precious stone and she also likes some gruesome and/or gross stuff and a normal interest like art, drawing, photographing, comic books, cartoons.. she can go on and on about color shading, blending, smooth lines, rough lines, thick lines, shapes..etc.things that made me suspicious:she notices car plates and tells me if one had a cool number like 0000 or 9000 or something like that, she notices patterns, details, smells, sounds and spaces out a lot she told me she goes to her 'world' that she made, is it normal? she also plays the same strategy game she played 7 years ago on the internet, she locks herself in her room and just plays it or watch a movie or something. the way she acts is selfish and lazy and she says inappropriate things and when i scold her she knots her brows and say 'but it's fine.. why is it inappropriate?'she also gets angry or scared if someone yells or if there's a lot of loud noises and hates parties. she takes a while to register some things i tell her (like instruction or if i was being sarcastic.) she'd be perplexed then she realizes what i meant and find most jokes 'Not funny.'. also she used to stutter and find it hard to pronounce some words or express herself which often made me mistake her for lying..she's introverted but has a few close friends who share some of her interests. i just want to know, should i get her diagnosed or am i over-thinking?"
},
{
"from": "gpt",
"value": "Hello You have mentioned that your daughter has symptoms of poor social interaction, she spends her time in playing indoor games, she is intelligent than others in some domains, she can notice unusual number plates and she doesn't like that her routine get disturbed. Most likely these are symptoms of Aspergers Syndrome. She can speak and has normal language development so Autism is very less likely diagnosis. Other possibility that may occur is some form of Bipolar Disorder or some Psychotic Disorder. I would advise you to take her to a good Psychiatrist for expert evaluation and evaluation of IQ. IQ assessment is necessary to estimate her IQ and to rule out mental retardation. Thanks Dr.Seikhoo Bishnoi, MD"
}
] |
[
{
"from": "system",
"value": "Getting muscle cramps, trembling on occasions, taking amlodipine 5mg for hypertension. Should I stop taking statins?"
},
{
"from": "human",
"value": "i have just started taking amlodipine 5mg for hypertension and I am also taking simvastin 20mg. I find I am getting muscle cramps and trembling on ocasions. Should I stop taking statins? I see my doctor in a weeks time., another doctor prescibed them for me, i went for a heck up at the hospital and they could not find anything wrong with me. Blood test and ecg both normal."
},
{
"from": "gpt",
"value": "Hi, thanks for asking in Healthcare Magic. Myopathy or muscle tenderness is a side effect of Statins. Compared to Simvastatin the incidence of myopathy is less with Pravastatin. The symptoms of myalgia present as intense muscle pain and fatigue. You have not mentioned the details of blood test. You should have tested your serum creatin kinase (CK) and liver enzymes like AST and ALT. Simvastatin increases the serum creatin kinase (CK) levels in case of myopathy. If serum CK values are 10 times higher than the upper normal limit, then the myalgia is attributed is to statins. Statins also result in liver damage. although uncommon in the dosage you are taking. It is better to measure the serum values of ASTand ALT every 3 to six months. You should discontinue Simvastayin if both CK and liver enzymes are elevated. Otherwise, if only CK is elevated, then you can substitute Pravastatin instead of Simvastatin. I hope this is useful to you."
}
] |
[
{
"from": "system",
"value": "What causes swelling in the penis after masturbation?"
},
{
"from": "human",
"value": "I am 26 years old .I am suffering from stomach problem since last 3 years. I have gone through all types of test.but all reports are clear expect there may be some swelling inside.I have been living in pain since 3 years.I get aroused from 1 years old .I use to masturbate. i develop habit of doing this activity.Are there any chances that,by doing so I have damaged some thing internally.and that is not being diagnosed.?My friend told me that it may be due to damage of urine bladder sphincter.I f so please suggest me some medicines or some thing to solve this problem.This is such a cheap activity that I cannot tell to gastroenterologist that I used to visit.IF THERE IS SOME MEDICINES OR TABLETS AVAILABLE PLEASE RECOMMEND ME.PLEASE HELP ME OUT."
},
{
"from": "gpt",
"value": "Hello, Masturbation can't cause such an issue. There is nothing wrong in masturbation, more than 90% of men does that. You can masturbate twice a week with out any issue. Symptoms of chronic masturbation can be due to nutritarian issue. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist"
}
] |
[
{
"from": "system",
"value": "Suffer from seasonal depression, on zoloft. Need anti-depressant that works well with 12mg suboxone"
},
{
"from": "human",
"value": "i am trying to find an anti-depressant that works well with 12mg suboxone..i am currently on 150mg zoloft, but the side effects are extreme tiredness..could sleep all day. i spoke with my primary dr.on thursday and he increased zoloft 50mg because i have been feeling extremely depressed. but i see on drug interaction page that there is a moderate interaction..i usually only suffer from seasonal depression...any suggestion would be greatly appreciated as the way i am feeling tired depressed and lack of energy will lead me back to opiate use as this was the reasons that i enjoyed them in the first place..thank you jessica"
},
{
"from": "gpt",
"value": "Hi, thank you for using health care magic. Zoloft is very good anti depressant drugs that has very less drug interaction with suboxone. Your extreme tiredness may be due to 1) Opiate withdrawal 2) as a symptom of depression 3) as a side effect of Zoloft 4) Vitamin B12 or Vitamin D Deficiency You should consult a psychiatrist for detailed evaluation and proper case management. the treatment depends on the cause of treatment. For seasonal affective disorder, many times tricyclic anti depressants like clomipramine are very good. I hope you will be fine soon. thanks Dr Nehal Shah M.D.PSychiatrist"
}
] |
[
{
"from": "system",
"value": "Always hungry. Disoriented if not eaten. Blood sugar negative. Anxiety, depression? Suggestion?"
},
{
"from": "human",
"value": "I am always hungry even after I eat,I start to get shaky & feel a bit disoriented if I don't eat right away.I do have anxiety and my doctor has now told me that I may be depressed and that is causing me to be hungry all the time.I don't feel it is depression or anxiety I feel that my blood sugar is out of whack but the doctor says all my test came back negative"
},
{
"from": "gpt",
"value": "Hi, thanks for using health care magic. Stress or depression is usually associated with disturbance in apetite. 90% of depressed patients have loss of apetite but in atypical depression, There may be an increase in apetite and sleep. You should also rule thyroid disturbances as it is known to have these symptoms also. Yous hould consult psychiatrist for detailed evaluation. Meanwhile you can try stress management and relaxation techniques like yoga, meditation or self motivation. I hope you will be fine soon thanks"
}
] |
[
{
"from": "system",
"value": "Have history of PVC's, severe anxiety, depression. Should i start antidepressant. Safe?"
},
{
"from": "human",
"value": "Hi,I have a history of PVC's, that led to severe anxiety and depression. Structurally healthy heart, doctor's have no ideas what trigers these extra beats. Anyway, my psychiatrist thinks that i shold start take antidepressant (Citalopram) at low doses (10 mg daily) and I'd like to try also, but I am scared of the side effects - is it a safe drug to take with PVC's, or can it made them worse?"
},
{
"from": "gpt",
"value": "Hello, Thanks for using health care magic for posting your query. I have gone through your given history in detail. From your description it appears that you are an anxious personality and that you already have symptoms of anxiety and depression, you certainly need treatment for them. Now the treatment can be of two types - by medications and by talk therapy. When it comes to medicines citalopram is quite a safe drug at 10 mg and can be taken when you have a PVC. but before you start on the medications, it would be preferable to consider talk therapy before. if it doesn't help then medications should be sought. you should ask your psychiatrist to consider you for cognitive behavioural therapy. Do exercise regularly and eat a proper diet. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Dr. Srikanth Reddy M.D."
}
] |
[
{
"from": "system",
"value": "Scizoaffective disorder. On antipsychotics. Relief by dopaminergic antiparkinson?"
},
{
"from": "human",
"value": "my boyfriend is suffering from schizoaffective disorder and has quite a few anxieties, etc that his antipsychotics don't alleviate. He can't take benzos (he has a weakness for them), and is allergic to many antihistamines, so he can't take anticholinergics. I just read that dopaminergic antiparkinson meds may be an answer. What questions should he be asking his psychiatrist about this? He really needs some relief. He's pretty miserable :("
},
{
"from": "gpt",
"value": "Hello and welcome to Healthcare Magic. Thanks for your query. I'm not sure what you mean by \"a few anxieties\" which he is having difficulty with. However, dopaminergic anti-parkinson's drugs are not advocated in the treatment of schizoaffective disorder since these can cause worsening of the psychotic symptoms. They also have no significant role in the treatment of anxiety symptoms. Schizoaffective disorder is a psychiatric disorder where a person has coexisting and prominent psychotic symptoms as well as mood symptoms. The treatment is usually with anti-psychotics and mood stabilizers. If your boyfriend is having any anxiety symptoms then there may be other options to tackle them, like non-benzodiazepine anti-anxiety meication or relaxation techniques / psychological therapies. So, please discuss regarding these options with his doctor. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Have depression, taking vibrania, fludac but no change. Lacks study interest, confused. Diet?"
},
{
"from": "human",
"value": "my son anurag chopra is under depression for the last one year. He is taking medicine vibrania for the last 3 months and fludac for the last two months as advised by the doctor. but he is still in depression and doesnot able to make his mind for studies. He has done engineering with a back in one paper. He has filled the paper which has left but is not desired to study and is confused. Please advice of his diet etc. (Indu Chopra)"
},
{
"from": "gpt",
"value": "Hi, thanks for using health care magic. I have gone through your available history. the reason for non-improvement in depression may be because of one of following 1) inadequate dose of fluoxetine 2) non -compliance for the drugs 3) in efficiency of fluoxetine. You should consult your psychiatrist for detailed evaluation and to find out the cause of lesser improvement. doctor may increase the dose of fluoetine or may change the medication. Diet containing omega 3 fatty acids may increase the concentration level. He can also do Yoga, meditation and Breathing exercise to come out of depression and lack of desire. thanks"
}
] |
[
{
"from": "system",
"value": "Metallic taste in mouth, nausea, dizziness, sensation in head, heart palpatations. Is this anxiety related?"
},
{
"from": "human",
"value": "I had tinned salmon and a salad for dinner last night and a couple of hours later I had a metallic taste in my mouth, followed by a sudden feeling of nausea, dizziness and a weird sensation in my head, hard to explain but it felt for a few seconds like my head was about to explode. This morning I still have the feeling of nausea followed with heart palpatations, is this anxiety related?"
},
{
"from": "gpt",
"value": "Hi, thanks for using health care magic. I have gone through your availbale history. Your symptoms are related to inned salmon. you should consult to ER for the detailed evaluation. Anxiety may cause nausea and heart palpitation but it is less likely in your case. thanks"
}
] |
[
{
"from": "system",
"value": "Severe, painful squeezing edsensation in chest, fatigue. How to get cur"
},
{
"from": "human",
"value": "Hi, The other night I had a severe, painful squeezing sensation in my chest while I was laying down in bed. This lasted for several minutes. Now, I feel a sort of warm, liquid sensation that is somewhat difficult to describe. I've been feeling incredibly fatigued lately as well.I'm not quite sure what to do with this. I'm hesitant to go to the ER because it would be embarrassing to be told it's just stress and to waste people's time like that... however, it was pretty scary and this current sensation is very strange."
},
{
"from": "gpt",
"value": "Hi, thanks for using health cae magic. You should go to ER to rule out the physical causes of your symptoms. Once it is clear that is is becuase of the stress, you should do two things. 1) be happy that is is becuase of stress only and not becuase of any physical problems 2) consult psychiatrist fro the stress management and detailed evaluation. your psychiatrist may prescribe anti depressant or anti anxiety drugs or may refer you for a sessions of councelling, meanwhile you can try stress management exercise like relaxation techniques , yoga, meditation or self motivation. avoid use of excessive csffine, nicotine or alchohol which may in turn , increase anxiety. I hope you will be fne soon. thanks"
}
] |
[
{
"from": "system",
"value": "Prescribed Olimelt and Divalproex. Checked valporic acid level. Difficulty responding. What to do?"
},
{
"from": "human",
"value": "My son 22yrs old has been prescribed 10 mg OLIMELT 0-0-1 and DIVALPROEX SODIUM EXTENDED RELEASE 500mg 0-0-2.Yesterday we checked and rechecked VALPORIC ACID(Serum) and the obversed value is 102.56.He is sleeping for 18 hours. Even if he gets up after 12 hours he is awake but not able to respond or interact.Please advise what we should.He is not able to attend to his studies."
},
{
"from": "gpt",
"value": "Hi, thanks for using healthc are magic. I have gone through your available history. Serum valproic acid level is in somewhat higher range. Normal range is 50-100unit. so you should consult your psychiatrist who may decrease the dose of divalprorex sodium. usual dose range of divalprorex is 20-40mg/Kg per day for an avarege person. thanks."
}
] |
[
{
"from": "system",
"value": "Does taking femodene makes a person more anxious?"
},
{
"from": "human",
"value": "Hello, I have made an appointment to see my Doctor next week. My thoughts re that I may need some kind of help with my thought processess. I come from a broken home and have had two failed marriages, I am 40. I have recently started dating a lovley gentleman after a few years on my own with my two children, one from each marraige, I know, makes eastenders look tame dosn't it! However, though I am a naturally insecure person, which I know I have to work on, I feel that since taking femodene I have become more anxious. I have been taking them for two months. I would love to hear any thoughts you may have on this subject."
},
{
"from": "gpt",
"value": "Hello and welcome to Healthcare Magic. Thanks for your query. Femodene is a hormonal contraceptive pill that contains ethinylestradiol and gestodene. Hormonal pills can have a side effect causing mood changes, but this is usually mild and transient. However, it is possible that some persons may experience significant mood or anxiety symptoms due to the medication. If your anxiety symptoms are not severe, the I would suggest that you try relaxation exercises like deep breathing, progressive muscle relaxation, yoga, meditation, etc. and try to stay as stress-free as possible. If your symptoms are severe and unmanageable, then you should report this to your doctor to see if an alternative medication can be tried. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Under treatment for anxiety disorder, getting panic attacks. Can excessive caffine intake be the reason?"
},
{
"from": "human",
"value": "Hello Sir, I am under treatment for anxiety disorder since six months. The treatment started when I had my first panic attack. I was having no anxiety problems since then. But, today I had another panic attack. I took zapiz 0.5mg after that. I'm still not feeling well. When I looked up on net, I saw excessive caffine could trigger panic attacks and I had too much of coffee the previous day. Could that be the reason for my attack? I'm mainly having suffocation and stomuch discomfirt. Could you please guide me how to relieve myself from this? Thanks."
},
{
"from": "gpt",
"value": "Hi, thanks for using healthc are magic. Yes, excessive caffine intake is associated with increased frequency of panic attack so you should avoid caffinated food like tea, coffee, cold drinks. Clonazepam is mainly an anti anxiety drug but chances of addiction are increased. You should consult the qualified psychiatrist for detailed evaluation and treatment. You may be benefitted by anti depressant drugs having anti-anxiety proerties like peroxetine. you should also do breathing exercise and meditation for better control. I hope you will be fine soon. thanks"
}
] |
[
{
"from": "system",
"value": "Suggest remedies for weakness caused by masturbation"
},
{
"from": "human",
"value": "Hi im a 14 year old boy and i am musturbating since 2 year..my cheeks have gone iside and i dont look like a kid and the worse thing i feel guilty after musturbating please tell me a tablet which i can take please dont dissapoint me i am really frustrated please recommend me tablets i beg yo"
},
{
"from": "gpt",
"value": "Hello, Masturbation is normal. 90 % of men do masturbation. so no need to feel guilty about it. Your physical changes can be due to your physical growth. Exercise and a proper diet will help you regarding. Masturbation twice a week Is considered normal. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist"
}
] |
[
{
"from": "system",
"value": "Suffering from mental illness, kindly suggest her"
},
{
"from": "human",
"value": "my mom is suffering from mental illness for the past 5 years she thinks as if someone is looting everything from ours and something strange will happen always there is a fear angry towards something she is also very adamant she doesnt act like normal people dont mingle with people ,thinks that all were bad. .during the time of depression her negative thinking gets bigger and she doesnt eat properly this is the situation of our family we are suffering a lot along with her............ my question whether this can be cured 100% or she will be in this stage for her whole life. she is also under treatment and taking medicine, but it attacks her frequently."
},
{
"from": "gpt",
"value": "Hi, welcome to health care magic forum, your mother is having illusions and hallucinations, this is a mental problem which can be treated 100% with homeopathy, there are many reasons why people suffer from such kind of problems,other modes can give you only sedatives which will make her sleep. i want you to have a watch to this video and that how very severe cases of such kind of hallucinations and delusions are treated very effectively with Homeopathy after seeing this video you can decide what to do, for more info mail us at [email protected] or visit us at www.drkackerhomeopathy.com"
}
] |
[
{
"from": "system",
"value": "Been depressed and anxious. On Dian, lexapro, lyrica. Suggest?"
},
{
"from": "human",
"value": "I have been on Dian 35 on and off for about 15 years. I have has two bouts of major depression and I am on lyrica and lexapro for the past five years. I am 45 years old. I am now experiencing Utis. Could they be caused by dian 35 and could my anxiety and depression caused it too? Would you recommend that I come off Dian 35?"
},
{
"from": "gpt",
"value": "Hi there ~ Diane 35 is a contraceptive medication and will not cause UTIs. Anxiety and Depression are treated with Lexapro and Lyrica, however you need to understand that you should also consider if you are experiencing any changes in your symptoms of anxiety and depression that is making your lifestyle worse i.e. you are not drinking enough water, eating during meal times, etc. If that is the case then you might have had UTIs indirectly due to that reason. However, not good sexual or genital hygiene and dehydration is also a cause of UTIs. Please consult a doctor for any reason. I hope this helps. Take care and have a lovely day!"
}
] |
[
{
"from": "system",
"value": "Any treatment to minimize memory loss in old age?"
},
{
"from": "human",
"value": "My dad has got memory problems. He is 73 years old. is there a treatment which can help him minimize the loss.he has had this for last 1.5 years but now it has aggravated. we are giving him allopathic treatment right now and it is not of much help.My dad himself has practiced homoeopathy for 20 plus years and treated patients in depression but is unable to treat it for himself"
},
{
"from": "gpt",
"value": "Hello Memory loss is common in elderly and after the age of 60 years gradual decline in cognitive functions is common. The memory loss in elderly is called as Senile Dementia or Alzheimer's Disease. Many medicines are available which are used in dementias. These medicines can't cure the memory loss but they can halt or slow down the progression of memory loss. Medicines like Memantin, Donepezil are used commonly in elderly onset memory loss. Apart from medicine proper supportive care is must to slow down the progression. Always keep him in a room with proper access to sunlight. Please visit a good Psychiatrist and consult about his problem. I wish him a good health. Thanks Dr. Seikhoo Bishnoi, MD"
}
] |
[
{
"from": "system",
"value": "suffering from depression."
},
{
"from": "human",
"value": "i can't root out the real cause of my problem,i feel most of the times either highly excited or completely mood off,in a word i can describe it as on/off state.if things around me goes in the way in which i like or way in which i expected them,than i feel happy state if not i will be worrying or completely feeling sad even for days for no reason.this kind of on/off behavior i see repeatedly in a day . if i get a work ,which if i feel more interested than i don't feel hunger or sleep ,even 4:00 am appears like 6:00pm to me and if i feel sad or less interest at work ,than also i don't get proper sleep nor i can take food and i see always a inner voice in me questioning about my past or my future .i couldn't shut it up.only thing to make that inner voice go calm is to have a sleep.i am really worried about this behavior and i am seeing this behavior from past 5 years.so please friends can u recommend a good doctor who can give me treatment at an affordable cost"
},
{
"from": "gpt",
"value": "Hi, thanks for using health care magic. I have gone through your available history. your symptoms can be attributed to 1) Bipolar mood disorder particularly if you are having one pole of mood i.e either sadness or cheerfulness for some days and that comes into the phases, 2) personality disorder In any case , you should consult Psychiatrist for detailed evaluation and treatment. in Bipolar mood disorder, doctor may prescribe lithium od divalprorex sodium like mood stabilizers. thanks"
}
] |
[
{
"from": "system",
"value": "Still getting noice on his hear, kindly help us"
},
{
"from": "human",
"value": "My elder brother taking treament in nimans from 15 years but still he has problem that he is getting noice on his hear that he thinks everybody knows about him and they are asking him not to do this and do this and he tells you are asking me to die and do not take medicine and throw stone on them etc., he talks, kindly help us, he is 34 years old unmarried, he do not have anybody except my mother, she is very old and poor"
},
{
"from": "gpt",
"value": "your brother is suffering from schernophia. He needs life long treatment.."
}
] |
[
{
"from": "system",
"value": "Feeling restless, breathless and disturbed sleep. High BP at night. Alprax prescribed. Should I continue medication?"
},
{
"from": "human",
"value": "Hello! From past few days i am feeling restless, uneasy, breathless and not able to sleep properly. Due to some mishappening at home i am tensed and now BP shoots up at night. May be i have cough and sometimes feeling of acidity problem may be the reason. On last saturday my BP was 102/142/98 and got ECG done it was ok. The doctor prescribed Alprax 0.25mg. What do you suggest shall i continue taking this medicine everyday as yesterday i was not able to sleep"
},
{
"from": "gpt",
"value": "Hello, welcome to Healthcare Magic. From your history, it appear that you have anxiety symptoms. These symptoms can occur in anxiety disorders and in adjustment disorder due to severe stress in life. It is better to take help from friends and family members to resolve tension in family environment. Same time problem solving and supportive counseling from psychologist will be helpful. To de-stress yourself do relaxation exercise like daily morning brisk walk, yoga and meditation. As you have sleep disturbance you can use alprax (for few days only) as advised by your physician. Also monitor BP daily to rule out hypertension in your case. Wish you all the best. Regards, Dr Ashish Kumar Mittal www.99doctor.com"
}
] |
[
{
"from": "system",
"value": "Depressed and finding difficulty in anger control. Have alcohol addiction. Taking bystolic. Due to the drug interaction with alcohol?"
},
{
"from": "human",
"value": "I recently had a sudden outburst of anger at my brother in law in a restaurant. I have also been depressed lately for no reason. I have been on bystolic for 3 weeks and was drinking alcohol. I feel awful about the outburst. Now my brother in law won't accept my apology. I don't normally act this way. Was it the medication and the alcohol together ?"
},
{
"from": "gpt",
"value": "Hi there ~ I understand that you have been having some problems with your work and personal life and it is affecting the way you are functioning. I am sure you need help with your alcohol addiction since it can complicate the picture. Once you are off of alcohol, you will need to be assessed if you really have anger management problems, bipolar disorder, depression or any other condition that needs to be looked into. I feel like there is a scope to elaborate online, but you need to see a substance abuse counselor who will refer the patient to a psychiatrist if appropriate. I am glad I could be of some help. Take care and have a lovely day !"
}
] |
[
{
"from": "system",
"value": "Pulsating Bulging vein at left temple. Took advil. Experienced prism in eyes. Taking medicine for BP. Help me cure this."
},
{
"from": "human",
"value": "I have a pulsating bulging vein at my left temple, a slight dull ache. I have also experienced flashes of light \"prism\" from both eyes. I do take meds for blood pressure and have been under alot of stress. Is this a cause for concern?I took an advil and noticed that the vein went down in size. This has been on going for a few months."
},
{
"from": "gpt",
"value": "Hello Pulsating blood vessel in temporal region with dull ache along with flashes of light may be due to Temporal Arteritis. It is common in hypertensive patients. As you have mentioned that you are suffering from hypertension and also you are under severe stress so I would advise you to please visit a good psychiatrist for proper evaluation of symptoms. Don't ignore the problem. Thanks Dr. Seikhoo Bishnoi, MD"
}
] |
[
{
"from": "system",
"value": "Fast heart rate with bad shakes after taking anti depressant"
},
{
"from": "human",
"value": "currently taking anti depressants and temeazepam both 10mg, im around 8st and 5 7. iv not eaten anything or drank much in last 6 days. i woke this morning with really bad shakes and a heart rate of 132bpm"
},
{
"from": "gpt",
"value": "Hello, welcome to Healthcare Magic. Bad shakes (tremors) and increase heart rate (palpitation) are symptoms of anxiety. In the start of treatment, symptoms of anxiety can occur off and on as medicines show full effect after 3-4 weeks. Due to that at the start of treatment medicines with immediate effect on anxiety (like temazepam in your case) are given to control anxiety symptoms. If you are taking treatment for long time, then there need to reevaluate your case for poor treatment response, in such case it is better to visit your psychiatrist. Wish you all the best. Regards, Dr Ashish Kumar Mittal www.99doctor.com"
}
] |
[
{
"from": "system",
"value": "Uncontrolled urination due to psychological problems. On treatment for lymph node TB. Advice?"
},
{
"from": "human",
"value": "my wife is suffering with uncontrolled flow of urine. she has been suffering with this for last 10 years and doctors in India found nothing and said it is psychological. She recently diagnosed with Lymph-node TB in UK and is currently under medication. Doctors haven't confirmed TB as the reason for uncontrolled flow of Urine however we will have further tests after TB treatment. I just want to know from experts whether any such cases have been diagnosed with similar symptoms and wanted to take some advice."
},
{
"from": "gpt",
"value": "Hi, thanks for using health care magic. i have gone through your available history. In psychological cause of urinary incontinence, it happens only during stress or occasionally. If she has persistent symptoms, it is advisable to go for urodynamic study to rule out urinary tract pathology. You can consult good urologist for the same. pelvic floor exercises like kegel, can be of some help. I dont think TB lymphnode can be a cause of urinary incontinence. thanks. i hope she will be fine soon"
}
] |
[
{
"from": "system",
"value": "Suggest treatments for pain in scrotum after an injury"
},
{
"from": "human",
"value": "Hello doctor, A year ago,when i was swimming with my friends in a well,I got hurt in the right scrotum by hitting in the water(while attempting to dive from some height say 15 to 20m high).It's paining slightly now n then...8 months ago,i consulted a doctor,he told no problem...but still it's continuing the same pain.I have no idea of which doctor to contact n get treatment"
},
{
"from": "gpt",
"value": "Hello, There can be injury and inflammation, doing an ultrasound scrotum will help you diagnose. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist"
}
] |
[
{
"from": "system",
"value": "OCD, nervousness, high strung, painful arm. Done EKG. Reason?"
},
{
"from": "human",
"value": "Hi my fiancé is very high strung and a nervouse kinda OCD type of person we are getting married may 9th so we r both under stress I took him to hospiital two weeks ago because he had pain in his left arm so I was scared he spent overnight they ran bloodwork EKG everything checked out good but today he was very stressed and his arm was paining him again and he had a nose bleed what do you think??"
},
{
"from": "gpt",
"value": "Hello and welcome to Healthcare Magic. Thanks for your query. Anxiety and stress can manifest with not only psychological symptoms but with a variety of physical symptoms. Since his check-up, blood tests and his EKG were normal, I don't think there is anything serious to worry about. Regarding the nose bleed, some people get nose bleeds during cold and nasal congestion. If your boyfriend has been getting such symptoms on and off in the past, then you needn't worry much. But, if this is his first episode and the bleeding was prominent, then it is better to have this problem checked by a doctor. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Has alzheimers, dementia, coronary artery disease, peripheral vascular disease. On atorvastatin. Help?"
},
{
"from": "human",
"value": "I am a student at Bow Valley College doing a Health Care Aide program. I am doing practical and I have to Reseach a clients medication. I need to find out what these medications are for and the side affects for this client.ASA CHEW 80 mg daily ATORVASTATIN 10 MG - CALCIUM ELEMENTAL [CARB] CHEW- CHOLECALCIFEROL [VITAMIN D] - LANSOPRAZOLE RD [ PREVACID FasTab] 30 MG - LISINOPRIL [ZESTRILPRINIVIL,APO-METOPROLOL] 5 MG -MELATONIN 3 MG - METOPROLOL [LOPRESOR,BETALOC,APO-METOPROLOL 25 MG -MIRTAZAPINE [REMERON,GEN-MIRTAZAPINE] 15 MG -POLYETHYLENE GLYCOL POWDER 17 GM -RISPERIDONE 1 MG -ZOPICLONE 3.75 MG -GLYCERIN 1 SUPP -LOPERAMIDE 2 MGThis client has Alzheimers, Dementia, Coronary artery disease and Peripheral vascular disease, I know this is a long list but I will be grateful to know about this. Thank-you!b"
},
{
"from": "gpt",
"value": "Hello Your clint has Alzheimer's disease, coronary artery disease, peripheral disease. From available medicines I can tell you that he is taking following medicines- - Atorvastatin is a lipid lowering agent. It is given for cases of atherosclerosis. - Calcium elemental, cholecalciferol are given to supplement calcium and vitamin D in blood - Lisinopril and metoprolol are given is cases of high blood pressure. - Lansoprazole is an antacid medicine. It is a proton pump inhibitor. In your patient it is being prescribed to decrease gastric irritation due to so many drugs. - Mirtazepine is an antidepressant medicine, it also improve sleep. - Resperidone is an antipsychotic drug. It can be used in Dementia also in low doses. - Zopiclone and melatonin are added in prescription for sleep problems. - Loperamide is an anti motility drug. It is given to improve bowel motility. Thanks"
}
] |
[
{
"from": "system",
"value": "Experiencing stress attacks, sleeplessness, trembling, weakness, anxiety, adrenaline surge. Done US. What can be done?"
},
{
"from": "human",
"value": "Hi, I am 45y/o mum and I have been experiencing on and off waking in the morning around 3-4am and instantly going into a stress attack. I tremble and I clinch my jaws together also I am yawning constantly. I feel weak when I get out of bed because I feel the need to go to the toilet. I have had my heart checked out with a ECG also a Ultrasound and all is good, but this was because I was having elevated heart rate. They diagnosed me with Anxiety, but what I would like to know is when your heart races with an panic attack, is there something I can do to help me recover quicker and do to help my heart cope with the adrenaline surge. I ask because sometimes I get a aching in my shoulder blade and uncomfortable in my chest initially but then goes down to feeling sick and hurting at the top of my rib cage in the upper stomach area?Thank you"
},
{
"from": "gpt",
"value": "hello from ur complaints it seems like u are having anxiety symproms along with sleep problems as u are yawning and fatigued. these complaints alomg with early morning sleep disturbance may suggest depressive signs. its better to consult a psychiatrist to rule out depression. for the anxiety symptoms the options are antianxiety medications or exercise will help. thank u."
}
] |
[
{
"from": "system",
"value": "Diagnosed with Bi-Polar, anxiety and ADHD, on Ativan, Seroquel and Lithium. Feel like losing my memory. Advise?"
},
{
"from": "human",
"value": "Hi there I m a 37 yr.old female, I ve been diagnosed with,: Bi-Polar mania, manic. Severe Anxiety, and good old A.D.H.D. I m currently taking : Ativan, Seroquel, and Lithium. I m not really sure what I m supposed to be feeling with these meds. I ve been on them for about 9yrs. And at times, I converse with people, and before you know it. I forget what we were chatting about in the first place. Now that kinda concerns me. Hope I m not loosing my mind it sure Opps I meant to say memory. If this makes any kinda of sense please reply back with advise, comments, or what have you. I really appreciate it"
},
{
"from": "gpt",
"value": "Hi there ~ The medications you are taking are appropriate for bipolar disorder. However I am not sure what you are taking for adhd. You also do not mention at what times of the day you take these medications and at what dosages. However, it is possible that if you are taking any of these medications during the daytime, it may make you drowsy, which inturn might make your concentration poor. I hope this helps with asking your psychiatrist to modify the dosages and suggest the right times to take these medications. I advise you to also see a neurologist for any age related memory problem you may be having. It is advisable to take your evening medications early during the evening and sleep within a half hour of taking the medication. I hope this helps. Take care and have a lovely day !"
}
] |
[
{
"from": "system",
"value": "Worsening anxiety and depression, feel cold and clammy followed by hot flushes, dizziness, jelly feeling in legs. More serious?"
},
{
"from": "human",
"value": "I have recently been to the doctor, and diagnosed with severe depression and anxiety. This was around a month ago now. I have had up and down days, but more recently, as in the last couple of days, I have been getting worse, and feeling worse. Most of the time, I am cold and clammy. Then, I will get hot flushes and a dizzy, light-headed feeling, and like my legs are made of jelly. I'm also sweating a lot, and very fatigued; I can not concentrate on even the most basic tasks anymore.My question is this; is this just my depression and anxiety getting slightly worse, or should I go and see my doctor in case it is anything more serious? And if it is anything more serious, can you suggest what it may be? I really don't want to bother my doctor if I don't need to, as I do spend a lot of time in her office!"
},
{
"from": "gpt",
"value": "Hi there ~ You seem to have an exacerbation of your anxiety symptoms. However, there may be other reasons you are going through these symptoms. One of the other reasons that you might be having these symptoms is because you might be going through perimenopausal symptoms. You might want to increase the dose of your medication but make sure you are following the instructions of your doctor. Using yoga, pranayama and regular exercise may also be helpful to relieve your anxiety. Contacting your social services department may also be of help. I hope this helped with your question. Take care and have a lovely day !"
}
] |
[
{
"from": "system",
"value": "Frequent panic attacks after loss of near ones. Options other than tablets?"
},
{
"from": "human",
"value": "dear Dr samueli have just lost my young niece of a brain tumour, she was 34 years old, in a week of being told of the tumour she died she was like my daughter as i promised her mother on her death bed i would look after her,,my sister died of cancer i know i need some sort of medication to help with the panic attacks I now suffer from her death & yet i dont want to go the road of getting addicted to any tablets is there any medication you could offer me. thank you sandra"
},
{
"from": "gpt",
"value": "Hi, Thanks for using health care magic. I am sorry for your situation. I have gone through your available history. looking into it, I feel you have adjustment disorder with anxiety features. You should consult psychiatrist for the detailed evaluation. psychiatrist may offer way of treatment like Psychotherapy or counselling other than medicines . I hope you will be fine soon thanks"
}
] |
[
{
"from": "system",
"value": "Depression, lonely feeling, cry most of the times. Will this affect health?"
},
{
"from": "human",
"value": "hello doctor.. m very depressed and feel lonely and rejected... not professionally but in personal life... m single n never been into any relation so my prob is all related to family and friend... i feel like crying the whole day.. but i do at night or sometimes in the evening too... is so much of crying not good for health?"
},
{
"from": "gpt",
"value": "Hello The symptoms like feeling lonely, depressed mood, feeling of being rejected, crying spells etc are features of some Depressive Disorder. In depression low mood, crying spells, rejection sensitivity, inability to make close relationships are seen. I would advise you to please visit a good Psychiatrist for expert opinion. The symptoms can be treated by medicines as well as by Psychotherapies. Medicines like SSRI, SNRI are mainly used in depressive disorders. Cognitive therapy is also a good option in cases of depression. So please visit a good Psychiatrist and take expert opinion. Thanks Dr. Seikhoo Bishnoi"
}
] |
[
{
"from": "system",
"value": "Been masturbating excessively, weakness, depression, suicidal, sleeplessness, loss of memory. Suggest?"
},
{
"from": "human",
"value": "i am suffering from excessive masturbation.iIhave doing it from last 10 years and i am 24 years old now .I have serious problems like low eye sight,loss of memory power,unsleepiness, weakness depression ,suicidal thought .It has become difficult for me enjoy my life.People call me insane when they look in my eyes and look my facial expression. How can i recover my life back with those happiness drop this habit"
},
{
"from": "gpt",
"value": "Hello Welcome to health care magic I can understand your situation. I appreciate your effort to seek online support. You have probably \"Compulsive masturbation\" which comes under \"Obsessive Compulsive Spectrum disorders\". The other features described by you are due to associated depression. Don't worry and relax. Consult a psychiatrist for detailed evaluation and management. Following treatment strategies would be helpful- 1) Antidepressants like SSRIs (escitalopram, sertarline, paroxetine etc) 2) Antianxiety agents like clonazepam, lorazepam, alprazolam etc 3) Psychotherapy/ Counselling sessions 4) Relaxation techniques like yoga, meditation, deep breathing etc Hope it helps Good luck Regards Dr. Gourav Monga Consultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Have panic attacks, anxiety, breathlessness, high pulse rate. Taken phentermine, zofran. Worry?"
},
{
"from": "human",
"value": "I accidentally took two of my phentermine 37.5mg tabs today about an hour apart. I was taken to the er because my Bp was extremely elevated ranging from150/116-175/117 and my pulse ranged from 113-161 the er physician hung a bag of normal saline hooked me to the 12lead monitor gave me one dose of zofran iv and turned the lights off and told me to relax. my O2 sat stayed at 100% probably due to my conscious effort to control my breathing. I was monitored for a while and then out of nowhere had a massive panic attack. I was immediately given 1mg if ativan and discharged while still trying to recover and calm myself from the panic attack. I have been home for about 3hours now and am still having pains and tightness in my chest arms and neck. I am not anxious anymore but am worried that there may be an overlooked cardiac issue since they didn't even draw cardiac enzymes."
},
{
"from": "gpt",
"value": "Hello Phentermine is a stimulant drug, when taken in excessive amount it may cause toxicity symptoms like rapid heart rate, chest pains, restlessness, irritability, breathing difficulty, increased blood pressure etc. Although it causes increased BP and tachycardia but it don't damage heart directly. Due to acute panic attacks you received lorazepam and got relief with it. But still some anxiety and restlessness remain there which is happening in your case. There is no need to worry its just part of anxiety. Still if you want to remain on safer side get your ECG done. Cardiac enzymes are needed to check only when ECG show signs of ischemia. Thanks Dr. Seikhoo Bishnoi, MD"
}
] |
[
{
"from": "system",
"value": "Rapid mood swings, depression, stress. What can help?"
},
{
"from": "human",
"value": "Hello! My name is Kate. I'm 25 years old. I'm suffering from very rapid mood changes, stresses and depression that can be just for a few days or sometimes for long time. I don't know what to do as I told my problem to my GP and didn't get anything that could help me. I do suffer so much from bad mood and it is affects my family life. I'm married for 5 years and during this period of time I periodically getting very stressed that I feel very depressed sometimes that I can not stop crying hiding somewhere. I love my husband, but I feel like I'm driving him crazy. I don't want to go to see my GP as I know by definite that it won't help. If I say something about my stress or depression they just laugh... Please, help me! I feel that my family is breaking up..."
},
{
"from": "gpt",
"value": "Hello Rapid change in mood, stress, crying spells, depression etc should not be ignored. They are definitely the symptoms of mild to moderate depression. Your GP didn't pay attention to your problem. I would advise you to please visit a good psychiatrist for detailed evaluation. Medicines like SSRIs, SNRIs etc are used in depression. Apart from medicinal treatment other methods like Cognitive Therapy are very useful and have promising results in depressive disorder. Thanks Dr. Seikhoo Bishnoi, MD"
}
] |
[
{
"from": "system",
"value": "Does masturbation help lower the fever caused by rhinovirus?"
},
{
"from": "human",
"value": "Hello, if i have a low grade fever because of a rhinovirus URTI, does masturbation relief the fever, since ejaculation causes a momemntary decrease in body temperature ? Thank you I am 19 years old, a male, my height is about 163 and my weight is about 60 kgs"
},
{
"from": "gpt",
"value": "Hello, As per your history, no it does not. There is no relationship between masturbation and fever. For fever you can take tablet acetaminophen. Do steam inhalation and Saline or Betadine gargles. In case of yellow phlegm you may require antibiotics and chest X Ray after consultation Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "Nervousness, stress, shivering. What is wrong?"
},
{
"from": "human",
"value": "Hi, I have a major problem. My hands starts shivering when i get nervous and stress. I dont have any health problem. My hand starts shivering only when I get nervous and Stress, This makes me embrassed of myself and make me avoid from mingling from people. So please suggest me some tips to overcome my hand shivering problem"
},
{
"from": "gpt",
"value": "Hello Stress and nervousness lead to symptoms of anxiety. Anxiety may present with tremors, sweating, dryness of throat etc. symptoms. If you are getting tremors that are causing embarrassment to you and is hampering your work then I would advise you to visit a Psychiatrist for expert opinion. You can try relaxation exercises, yoga, meditation for control of anxiety and consequent control of tremors. Medicines like beta blockers as Propranolol etc are very useful in controlling features of anxiety and also tremors. Thanks Dr. Seikhoo Bishnoi, MD"
}
] |
[
{
"from": "system",
"value": "Have OCD, trouble reaching orgasm. Taking anafranil. Dosage increased. What can be done?"
},
{
"from": "human",
"value": "i am a 16 year old male. I have been taking a drug called anafranil for ocd. I have been taking it for about a month. every week the dosage was increased. i am now trying to get off the drug by decreasing the dosage until i don't take it at all. what i have become aware of is that i have had trouble reaching orgasm. i'm afraid that this is permanent or that if it does get better that i will still be affected in some small way. Please tell me if it will get better and how much better."
},
{
"from": "gpt",
"value": "Hi there ~ If your problem is the ability to not get orgasm and feel like that is related to anafranil it might be wise to go off of the medication. However I assure you that you will get better and reach orgasm when you stop taking the medication. I however feel like there is more to the story than just the medication. You should consult a psychiatrist who can take a complete history and make your problem better including your ocd. I hope this helps. Take care and have a lovely day !"
}
] |
[
{
"from": "system",
"value": "Taking Montek LC regularly. Smoking addiction. Is it safe to use the medication long term?"
},
{
"from": "human",
"value": "I am using Montek LC Tablet on regular basis, mainly 1 tablet at night, since March'2009. Till now I am continuing the same, because, if I stop taking it for a couple of days, then some irritation starts from the third day onward. Or else everything is fine. I am a regular smoker too, but drink alcohol very solemn and that also of a very little volume. Now, I want to know, what are the side effects of taking this montek lc tablet on regular basis for such a long period?"
},
{
"from": "gpt",
"value": "Hi there ~ I understand you have an allergy problem for which you are hugely benefiting from the medication Monteleukast. I would like to let you know that you might get better if you cut down on your smoking and start getting yourself on the path of recovery by giving yourself a deadline or a quit date. That way you could work on your goal. If you feel like you are not drinking alcohol and it is under your control, I would think that there is no need for treatment. However if you are benefiting from Monteleukast it would be in your best interest to just go with the flow and keep taking the medication as long as it is helping. Consulting an allergist would be another way to find out what your actual allergen? This way you can avoid the allergen and stop taking the medicine or carry it with you when you know there is a risk of exposure to the allergen. I hope this helps. Take care and have a lovely day !"
}
] |
[
{
"from": "system",
"value": "Suffer from trembling hands, palpitation. High sugar levels. Have suicidal thoughts. Need help"
},
{
"from": "human",
"value": "I am a female of 48 years age . At times my hands start trembling and I get the feeling as if my heart is running very fast. This happens only for a few moments and I become alright in a couple of minutes. I have normal BP and Thyroid. However blood sugar fasting remains around 110 to 117 since last 10 years and PP sugar is always in normal range. My mind gets triggered to a depressive stage very fast to a level wher I try to commit suicide. Have tried atleast 20 times in the last 20 years but was counselled and saved by husband. My friends consider me very sweet and humble but I start getting extremely negative thoughts as soon as I hear someone even routinely commenting adverse remarks regarding me. These thoughts keep building up leading to a stage where I want to commit suicide. So I have 2 problems - 1. My hands tremble at times (2-3 times a year) with feeling of my heart running like a vehicle engine. 2. Getting emotional triggers leading to suicidal tendencies. - from India"
},
{
"from": "gpt",
"value": "Hello and welcome to Healthcare Magic. Thanks for your query. The symptoms of trembling of the hands, rapid beating of the heart, etc. appear to be anxiety-related. You also seem to be having a problem with controlling your emotions and have engaged in self harming behaviour multiple times. Such emotional instabilities and self-harming behaviour could be indicative of a personality disorder, probably a borderline personality disorder. I would recommend that you see a psychiatrist for a detailed psychological assessment and further treatment. There are good psychological therapies which can help you control your emotions and your dysfunctional thoughts, and teach you better coping and stress-management skills. Sometimes, medication may also be beneficial in such cases. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Have problems with ex, want to get over it. Is there a way to get my feelings off of this ?"
},
{
"from": "human",
"value": "Hey, I have problems with my ex. We had a relationship for about 2 years. She is a good and nice girl with nice grades and such. Now she all suddenly is on to many guys, she has hurt two of my friends really hard, thinking they would get into a relationship with her. She have started to go on parties and drink, and kiss, and let others touch her. It s been about 2 month since the break up. I am an insanely sensitive boy, and I am 16. It s hard to go at school because I see her every day, we are still friends though. It s her life, but she have changed. The way she is on to and kiss random boys at parties or talks to people in a special way, devastates me. It s so hard for me, and I don t want to live with it, and it has been like this for two months. What can I do? I don t love her anymore, I just get really hurt when she is on to others. But I think about her a lot, and I miss the time together with her. I am confused and hurt. Is there a way to get my feelings off of this? Should I ask my parents to get a psychologist? I just want it over with, I am completely devastated. Thanks in advance."
},
{
"from": "gpt",
"value": "Hi there ~ I understand your situation. It would be in your best interest if you could get out of the relationship and officially break it off with her. Please let her know that you will be there if she needs help as her friend only, if you feel like she is on the wrong path. You deserve much better. I hope this advise helped. Take care and have a lovely day !"
}
] |
[
{
"from": "system",
"value": "Taking larizapan for panic attack. Have hypertension.Could that be the reason?"
},
{
"from": "human",
"value": "im 45 years old and about 5 or6 years ago i started having what my dr called panic atacs she put me on larizapan and they slowly went away i have not had one for about 2 years. but just the last month or so i started getting them agan and werse the befor it scares the heck out of me becouse i have high blood presher.and not sure if it s that or not"
},
{
"from": "gpt",
"value": "Hello Welcome to health care magic I can understand your situation. I appreciate your effort to seek online support. For panic attacks, SSRIs are the mainstay of treatment like paroxetine, sertraline etc. However, alprazolam, lorazepam and clonazepam are also helpful. Since you have high blood pressure (possibly related to these attacks ), you must visit a general physician first to rule out any medical illness. After that, visit a psychiatrist for detailed evaluation and management. Hope it helps Good luck Regards Dr. Gourav Monga Consultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Having behavior problem of talking to myself, anger. Work, life unaffected. Is it normal?"
},
{
"from": "human",
"value": "Hi i am by profession a fashion designer and running an interior firm too, running since past three four years.. since few months i have develop this unrest in me.. unrest means i swear out loud (mostly when i am alone, its like i am talking to myself or angry to myself) and i start speaking out when i start thinking deeply... i sleep well, do my work without any problem.. living a normal life.. i would like to know why i do this , is it normal..or do i need to take precaution"
},
{
"from": "gpt",
"value": "You should ask yourself the following questions How do you feel about yourself Do you feel depressed Do you feel somebody is trying to harm you Do you see abnormal things Do you hear any voices Are you able to sleep well Do you have any plans to harm or kill yourself Do you smoke or drink excessively Do you use any drugs or medications Have you been diagnosed or treated for any psychiatric illness If you have problems in any of these areas, then it is important for you to visit a psychiatrist. Also if you habit of talking to yourself is not affecting you from otherwise carrying on your life and activities, it is not a cause of concern."
}
] |
[
{
"from": "system",
"value": "Sleeping trouble on stopping alprax. Replaced with zolfresh. How long can I use this medication?"
},
{
"from": "human",
"value": "Hello Sir, I have been taking alprax got almost a year..but it was on And off..I decided to quit it and was able to sustain just for a week ..after that I started getting problem in initiating sleep..I used to wake up every hr in night and is unable to have a peaceful sleep.. I was suggested to have zolfresh 5mg and I had it fr 2 days..Am getting a good 7-8 hrs sleep at night.. I am a doctor myself doing my internship right now.. I just wanted to know how long can I continue having it and am even scared for side effects... so is it preferable to go for zolfresh over alprax?? And for me actually I had been disturbed in my personal life an yr nd half back so remained depressed al the time..I switched over to alprax by then... Sir I will be awaiting your reply soon... Thanking you, Sonali."
},
{
"from": "gpt",
"value": "Hello Welcome to health care magic I can understand your situation. I appreciate your effort to seek online support. Don't worry. You can take zolfresh for continuos 2-3 weeks. 5 mg is the starting dose and it can well induce the sleep and effective upto 6-8 hours without causing day time sedation. No need to be scared. You can easily taper down the dose. I advise you to visit a psychiatrist once for detailed evaluation of depressive symptoms as treating depression will treat insomnia too and have some psychotherapy sessions. Hope it helps Good luck Regards Dr. Gourav Monga Consultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Lack of family understanding and stress. Advice?"
},
{
"from": "human",
"value": "Hi I,m Harry, I lost my job about two years ago and was out of work for about ten weeks. And went back to work but for almost have the money I was making and have been very nervous about money every sense. I,m 54 years old and now have almost no retirement? I have tried to get my wife to help out financially? But she says thats the mans job! I,ve said this is not the old days when only the man provides that this is a 50/50 relationship and she needs to help? BUT this situation has made me very irratible and i know i,m taking it out on her at times and her me. Sorry about the spelling? she does baby sit her grandchild for 150 a weekand thats her money? Her money is her money and my money is her money?"
},
{
"from": "gpt",
"value": "Hello and welcome to Healthcare Magic. Thanks for your query.I understand that you are going through a stressful period with your financial problems as well as misunderstandings with your wife. Unfortunately, financial matters are one area which result in misunderstandings and problems between husband and wife.In such situations, if both persons continue to be adamant in their stands, it is difficult to arrive at a productive solution. Moreover, it will only lead to more stress and difficulty. It may be a good idea to allow the situation to \"cool off\" for sometime, so that both persons will be subsequently in a calmer and more stable state of mind to talk, discuss, and resolve issues.It may also be a good idea to visit a marriage counsellor, in order to help smoothen out the misundersandings between you and develop a more trusting and understanding relationship.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Taking cipralix for panic disorder. Stopped medication by tapering. Panic attacks and sleeplessness recurring. Not recovered?"
},
{
"from": "human",
"value": "in 2011 i suffered from panic disorder and my doctor prescribed cipralix 10 mg daily.i took this medicine for a year and half.afterward dose was gradually reduced till i stop taking it.now some times i feel panic and also i have sleeping problem.if i sleep i have lot of fearful dreams.may be i am not recovered completely.my doctor prescribed another medicine i have not taken yet please advise"
},
{
"from": "gpt",
"value": "Hello Welcome to health care magic I can understand your situation. I appreciate your effort to seek online support. Cipralex contains escitalopram which is an SSRI. There are various other SSRIs available and they are quite effective in panic disorder. But you have to take the medication for long time (may be 2-5 years) as you are experiencing the symptoms again. You may start with Paroxetine CR 12.5 mg or sertraline 25 mg. For sleep problems, you can have sedatives like clonazepam, lorazepam, alprazolam etc. Consult a psychiatrist for detailed evaluation and treatment. Hope it helps Good luck Regards Dr. Gourav Monga Consultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "How to stop premature ejaculation?"
},
{
"from": "human",
"value": "Dear Dr, I am facing sexual problem since last four yeras i was got married the same year after few days i realize I am unable to achive eriction and premature ejaculation still I dont know what to do and how to comeover with this problem. Kindly Advise."
},
{
"from": "gpt",
"value": "Hello, As per your history, it may be due to anxiety. For that avoid stress and take balanced diet. Take proper rest and keep your self hydrated. Discusses issues with your partner and foreplay will also help. Till then you can take tablet sildenafil one hour before sexual act. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "Twitches in head, arms, legs, probable mild concussion. What is wrong?"
},
{
"from": "human",
"value": "My 10 year old son suddenly in the past two weeks has started throwing his head back in what looks like a twitch , stating he is uncomfortable but without a great description. He is also complaining of twitching in his arms and to a lesser degree his legs and recently if you hold his arms in the biceps area you can feel both arms twitching involuntarily. He had a blow to the back of his head a couple of weeks ago which his pediatrician dxd as a probable mild concussion . He has no psychiatric history but is probably a bit on the anxious side, but my gut tells me this is not a psychosomatic symptom. The question is whether to take him to a pediatric neurologist and whether we have anything to worry about. He is basically a healthy kid."
},
{
"from": "gpt",
"value": "Hello, Thanks for choosing health care magic for posting your query. From the description that you have given it appears that he is having some kind of neurological movement disorder. There are various movement disorders that are possible for his age. You need to show it to a pediatric neurologist. He will need an EEG and an MRI brain. If everything comes out normal, then there is a possibility that the psychological causes may cause these twitches. Then in that case a psychiatric consultation will be useful. A child with psychiatric illness can look as a very healthy child. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Dr. Srikanth Reddy M.D."
}
] |
[
{
"from": "system",
"value": "Hearing voices but do not see anyone. Reason?"
},
{
"from": "human",
"value": "I m going to make this short and understandable, hopefully... Basically I can hear voices but not see anyone. I guess I would kinda qualify my other personality as a part of it, her name is Mandy, and she won t leave me alone. I don t know what to do and it s honestly scaring me. Hopefully this was easy to understand..."
},
{
"from": "gpt",
"value": "Hello and welcome to Healthcare Magic. Thanks for your query.You have mentioned two things here - about hearing voices and about your 'other personality' called Mandy. These symptoms are likely to be due to a psychotic illness. If you are hearing \"mental voices\" or having imaginary mental conversations or feel that you have an \"alter\" personality, then this could be indicative of a dissociative identity disorder (commonly known as multiple personality disorder).A detailed history and a proper psychological assessment is necessary to ascertain the correct diagnosis. So, I would advise you to see a psychiatrist for a detailed evaluation and further treatment.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Problems with reading, looking at screens, writing. Mixing up letters. Unable to concentrate. Dyslexia?"
},
{
"from": "human",
"value": "Hi, im a freshman in highschool but lately i ve been having a lot of problems with reading, or looking at screens, and also writing. I cannot concentrate on what i m doing because I daydream or I get headaches after a while, so I have to read it over and it is hurting my grades. When I write i ve been mixing up letters so I have to erase and write again. I can t concentrate on pwoer points and it is getting hard to take notes because when I look it hurts my head after a few minutes, or I just zone out so I can t write them down. My teacher thinks I may have dyslexia , help?"
},
{
"from": "gpt",
"value": "Hello The symptoms you have described as poor concentration, daydreaming, headaches and problem of reading one thing again and again. While writing you have problem of mixing letters and you have to erase and write again. It may occur due to dyslexia but dyslexia is common in childhood and less common in high school. It may occur because of mild form of depression. Mild form of depression may present with poor concentration, poor performance in studies. It may be a sign of early stages of OCD. As you have problem of writing and erasing words, it may be a feature of OCD. But for definitive diagnosis detailed evaluation is needed. I will advise you to please visit a good Psychiatrist for evaluation. Thanks Dr. Seikhoo Bishnoi, MD"
}
] |
[
{
"from": "system",
"value": "Feeling worms crawling in skin, invisible bugs everywhere, especially at night. Red dots on skin. What is this?"
},
{
"from": "human",
"value": "Hi. Lately I ve been feeling worms crawling in my skin. Or invisible bugs everywhere. Not all the time but mainly at night. I do have little red dots that look like blood marks but is more imprinted on my skin. I will even touch my body where I feel the sensation and sometimes feel convinced that I feel something swearming inside like a worm. But it is everywhere with no pattern. This has barley started happening since last couple day."
},
{
"from": "gpt",
"value": "Hello,Thanks for your query,Feeling worm crawling under skin can be due to irritation of never, drugs, stress/anxiety or Delusions of parasitosis.It is often known as formication and reassuring patients that no parasitosis exists can be difficult because they typically refuse to believe that their disease is functional rather than organic. Although results of objective laboratory tests may satisfy the doctor, psychiatric therapy must be approached in patients with delusional parasitosis.Hope it helps.Take care!"
}
] |
[
{
"from": "system",
"value": "Stressed. Taking lorazapam and nortriptline. Dependent on tablets?"
},
{
"from": "human",
"value": "Yes, and thank you. I have been taking a small dose of Lorazapam and nortriptline tablets since many years. Due to work stress , I find that I can,t sleep anymore. I barely sleep 2-3 hrs only. This is affecting my work. the doctor has now asked me to take Zolfresh 5 mg at bedtime while I continue with the other tablets. I truly think that if I can sleep for at least 6 hrs, I may be able to reduce my dependence on the other tablets gradually. Kindly advise."
},
{
"from": "gpt",
"value": "Hello, Thanks for choosing health care magic for posting your query. From the description that you have given it appears that you are having trouble with your sleep and are suffering from a long term insomnia. Firstly you should get evaluated from a good psychiatrist whether you are having any depressive episode or anxiety disorder. If not, the medications prescribed to you are proper. Along with the medications you should follow all the steps of good sleep hygiene. Go to sleep at night at fixed time and also wake up at the fixed time. Start some physical exercise during the day time. Avoid aerated drink or coffee after 12 noon. have a warm water bath before going to sleep. Also use you sleeping space exclusively for resting and not for any other purposes. Following all the procedures will surely get you good sleep. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Dr. Srikanth Reddy M.D."
}
] |
[
{
"from": "system",
"value": "Have tiredness, nausea, excessive hunger, irritable, impatience. On vitamin supplements. Help?"
},
{
"from": "human",
"value": "I m 65yrold female. Exercise frequently;speed walk, hike, vegetarian. Lately tired all the time, nauseous a lot, yet somewhat hungry and getting increasingly more and more irritable and lessening patience. Sudden outburst of anger. History of depression . Take numerous vitamin supplements and 100mg of wellbrutrin daily. Thinking of increasing dosage when see psychiatrist for next appnt. But mostly concerned about tiredness and nausea ."
},
{
"from": "gpt",
"value": "Hello,Thanks for choosing health care magic for posting your query.From the description that you have given it appears that you are having a recurrence of depression. Your complains of nausea and tiredness can be a part of your depressive symptoms. Although you are already on 100 mg of wellbutrin, you still can have a recurrence. Your psychiatrist may like to change your antidepressant and also add mood stabilizer as you are having a recurrent depressive disorder.Also in old age it is advisable to get your electrolytes and thyroid hormone levels checked. Also consider starting sessions of cognitive behavioural therapy with your psychiatrist. Lastly good diet and regular exercise go along way in maintaining your health.Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Dr. Srikanth Reddy M.D."
}
] |
[
{
"from": "system",
"value": "Diagnosed with Chronic kidney disease. Confusion when given options, confused with amounts of things. Suggestions?"
},
{
"from": "human",
"value": "I was diagnosed with CKD (54 GFR) and am confused on amounts of things I can and cannot have because of statements like Limit the amount of salt. Give me the exact amount I should have and I can adhere to that. I read conflicting things, like no dairy - then it ll say use milk instead of - am I allowed to have some. And fish - says you can have - then eliminates most kinds. Beans??? Melons?? No chocolate at all? How about coffee? Can I have occasional Ice cream?"
},
{
"from": "gpt",
"value": "Hi there ~ I am not an expert on CKD but these websites may be helpful: I hope this helps. Take care and have a nice day !"
}
] |
[
{
"from": "system",
"value": "Loss of memory, stressed, have pseudo-seizures, eye clinching. Help?"
},
{
"from": "human",
"value": "Hi, I m a 27 y/o Caucasian male. I have trouble with memories creeping in, and if I m not fond of these memories even if its unwaranted I get the overwhelming urge to shake violently if I m alone. If I m around people they manifest with eye clinching and then rolling them up or to the side until the urge passes. As long as i m engaged in conversation or there is a lot of noise around these urges come maybe once an hour sometimes not for weeks. Everytime I think I m done with them they come back. However one constant is they are always accompanied by a memory of me doing something or saying something, typically very vivid almost as an unwanted day dream. They could be memories from 10 days ago or 10 minutes, and typically are as simple as me saying something to someone and it not coming out the way I wanted, and regardless of the response it got I get that urge to have a pseudo-seizure. My best guess is its psychological in nature and just a stress factor. Possibly, because they happen more frequently when I m alone and it is quiet enough for my mind to drift uninvited, they are just my mind keeping itself awake and getting my body involved by going through pathways that are associated with something other than pleasantries. Maybe its just that the memories were not formed properly and it causes me to remember them differently then I would have liked to which stresses my brain. Anywho I m no doctor so I m interested if anyone could tell me whats going on. I don t want this urge to have a pseudo-seizure to become too strong to control in a place like work. Good to note that the eye clinching did not start happening until recently, probably the last year or so, while the shaking in private has gone on for more than 10 years, so there is a trend that its growing harder to control."
},
{
"from": "gpt",
"value": "Hello, welcome to Healthcare Magic. Your repetitive movements and thought process appear to compulsive behaviour to decrease anxiety related to obsession. Obsession and compulsion are seen in obsessive compulsive disorder (OCD). Pseudo seizure is not apparent from your history. OCD is a type of anxiety disorder and frequently associated with generalised anxiety disorder. If these disorders are not treated early they can lead to depression because of distress and dysfunction. You may need assessment and treatment with psychiatrist to treat your OCD. It is not clear if you received any treatment in past. As you are having multiple symptoms then combined treatment in form cognitive behaviour therapy and drug therapy will be best in your case. In drug treatment two types of medicine used. For immediate relief of anxiety symptoms benzodiazepines group of medicines are used and for long term relief most commonly SSRI (selective serotonin reuptake inhibitors are used. SSRI takes around 3-4 weeks to show its effect and cognitive behaviour therapy also takes weeks to show its effect. Wish you all the best. Regards, Dr Ashish Kumar Mittal www.99doctor.com"
}
] |
[
{
"from": "system",
"value": "When does lots of blood, thick white comes out of mouth? Took medications for hypertension, depression, methadone"
},
{
"from": "human",
"value": "found Mother-in-law passed away. she was face down on floor lots of blood and a little thick white coming out of mouth. Hx: hypertesion, depression , anxiety, she also smoked Rx: included xanax , some form of anti-depr,bp meds, methadone from a clinic for drug abuse problems (all dr. prescribed). All meds where found and had not taken anymore than what was prescribed. Had been passed away for 6-8 hours when found. No autopsy just bloodwork. No results yet. Does this happen (blood- thick white around mouth) when you have heart attack, pulmonary edema, or aneurysm??"
},
{
"from": "gpt",
"value": "Hello, Thanks for choosing health care magic for posting your query. Firstly I am sorry for what has happened to your mother in law. Thick white and blood can come out of mouth due to various reasons. Pulmonary edema is one of them. Froth can come out of mouth which after some time becomes thick. Blood can come if there is seizure before the death which normally occurs and when the patient bites his/her tongue. The description that you have given is very much possible. probably there is no need to suspect foul play. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Dr. Srikanth Reddy M.D."
}
] |
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