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Nitral_Medical_Dialog_Fixed

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[ { "from": "system", "value": "Have adult ADHD. Have sleep disorder, difficulty concentrating. Need help" }, { "from": "human", "value": "hi my son is 25 and has been diagnosed with ADULT ADHD .. he took medication for a very brief period and is still in bad shape. cannot complete his studies and also never sticks to his job. he is addicted to grass and has been to rehab once but nothing has changed. he refuses all help and just wants to laze around watching tv internet gaming eats junk and has sleep disorder .he is staying away on his own since last 7 months and we have to support him monetarily.he gets violent is he is asked to do anything. we just dont know how to help him out of this situation. its causing severy stress and mental fatigue .. plz help" }, { "from": "gpt", "value": "Hello Adult ADHD and Bipolar disorder has very thin demarcation. Some psychiatrists use term adult ADHD while other classify them into bipolar disorder variant. He is having poor symptom control. He has been in rehab for weed. He has poor concentration, don't follow commands, violence aggressive spells. Most likely they will fit in bipolar disorder. I will advise you to take him to Psychiatrist for revaluation of symptoms. Medicines like mood stabilizers as sodium valporate, Lithium are needed to control his aggression and violent behavior. thanks Dr. Seikhoo Bishnoi, MD" } ]

[ { "from": "system", "value": "Suggest treatment for erection problems" }, { "from": "human", "value": "Dear Doctor ,I am 40 years old.Married , I am facing erection problem for the last one year.I am free of blood suger and my blood presure is normal .this is my first consultation with u. I've not tried any medication that are availeable over the counter. Please Help me to get out of this crisis. thanking You ." }, { "from": "gpt", "value": "Hello, As per your history, performance anxiety. For that foreplay will also help. Take balanced diet and proper rest. Till then you can take tablet sildenafil one hour before sexual act. Avoid stress and keep your self hydrated 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": "Mentally, physically fit. Was forcefully taken to psychiatrist and prescribed medicines. Having dizziness, wild dreams. Suggestions?" }, { "from": "human", "value": "Hi, My name is Deepthi..Actually I m using SIZODON LS tablect half in the afternoon and half in the evening..Mentally and physically I m perfectly all right..I loved a person for 5 years and my parents accepted that and due to some reasons we broke up...After that some other guy proposed me and after so long by telling my past I accepted him.he is younger than me..But we both dont have problem to marry, problem is with my parents they dont accept us..what they are telling is that my decision is wrong and they told me that every time I m selecting a wrong guy and one important thing for their rejection is that he is from other religion..then I told my parents that I will marry that guy or else I dont wanna marry any other person and cheat both of them...so they thought that I am in depression and took me to the psychiatrist ..psychiatrist spoke to me and gave this medicine SIZOSON LS along with ZINCOVIT. I m physically and mentally alright but for my sake of my parents(they are thinking I m in depression but I m not) I m taking this tablets..but I m feeling dizzyness, getting Wild dreams...dont know whether i continue this or not????????? Feeling sleepy all the time.... Please reply for my problem, Thanks, Deepthi" }, { "from": "gpt", "value": "Hello, Thanks for choosing health care magic for posting your query. Firstly I would like to clarify that Sizodon is not an anti-depressant. It is an anti psychotic medication and is given to patients with psychosis. In Psychiatry, the patient should be well informed about the reason that patient is receiving medications for. Probably you need to insist in front of your psychiatrist to explain to you why you need medications and in what way medications are going to help you. Do visit your psychiatrist. 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": "Develop acidity while in tension or stress, causes headache, nausea and no sleep. Prevention?" }, { "from": "human", "value": "Hi Doctor, Whenever m tensed over some thing or over stressed. or At times i go in too much hot whether or i dint eat properly. I develop this gas ( acidity ) problem which in turn causes a v severe head ache and even vommitings. I take ENO in case of acidity however i dont get fine till i get a complete night sleep. Can you please advise me on this problem. How to prevent such situation as it spoils my whole day n ngt." }, { "from": "gpt", "value": "Hi there, thanks for asking. Reflux of acid is a common problem. In many cases it is aggravated with stress. Stress management is a skill that everybody should learn. You can ask your doctor to introduce you to a therapist to work with you for some sessions to get familiar or even mastery on them. On the other hand, some medications for reflux, are a combination of a medication specifically for stomach and another from the class of benzodiazepines. Many people are quite comfortable with low dose of these medications alongside with other therapies. You can ask your doctor about. Best wishes." } ]

[ { "from": "system", "value": "Taking cymbalta for fibromyalgia. Trouble sleeping. Is there a tricyclic antidepressant which would not cause weight gain?" }, { "from": "human", "value": "Hi. I spoke to a Dr.yesterday about trouble sleeping taking cymbalta for fibromyalgia and wondered if I could go back to the amytriptolene that I took before that was ok. I wanted to take it at night to sleep and the cymbalta in the daytime, He said the combo could be a problem with seratonin syndrom. Therefore after I am off the cymbaltra I will go back to amytriptolene. I was trying to lose weight on cymbaltra which I did 10lbs. But I couldn t sleep and ached and got depressed. Is there a tricyclic antidepressant that doesn t cause weight gain? I plan to see my Dr. this week. Thankyou" }, { "from": "gpt", "value": "Hello Welcome to Health Care Magic Cymbalta belongs to SNRI group and it has no effect on weight. While almost all of TCAs will have weight gain as side effect but they cause sedation so help in sleep. And combination will definitely result in Serotonin Syndrome. Other option you can discuss with your Psychiatrist regarding addition of some sedative drug for sleep for some time and continue taking Duloxetine for your problem of fibromyalgia. Thanks Dr. Seikhoo Bishnoi, MD" } ]

[ { "from": "system", "value": "Bladder feels raw, stressed. On citalopram. What is going on?" }, { "from": "human", "value": "I had symptoms of a water infection but results came back clear on four occasions. Regardless, doctors have given three different types of anti biotics which haven t worked. I am in agony and have been so for nearly six weeks. My bladder feels raw but dip tests don t show blood . Nine weeks ago I found out my husband had been cheating on me though we were about to start fertility treatment to have a baby. My doctor has given me citalopram (20mg) and says my symptoms are caused by shock and stress and that the stress is manifesting itself in this way. I m worried it could be something more severe which is being ignored. Please help x" }, { "from": "gpt", "value": "Hi there, thanks for asking. bladder irritation could be as a result of combination of several things or just one thing. It could be related to infection as you mentioned. It could be related to stress as the doctor has mentioned. It could also be related to the side effects of citalopram. It could be also due to all of them. If it is related to the medication, you can decrease the medication to half a dose after consulting with your doctor for several days. If it is improved you will know that it is related to that. Then he can give another medication which does not have this side effect. Best wishes." } ]

[ { "from": "system", "value": "Anxiety, anger. On vyvanse. Is it a side effect?" }, { "from": "human", "value": "My ten yr old son has been on vyvanse for approximately 4 weeks. He seems to have become more anxious and has displayed moments of anger. This is not his general behaviour. He has a computer at school and today he was so angry he threw it on the ground.....very odd for his to do this. He is on vyvanse for in attentiveness at school. Can you tell me if this behaviour. Could be as a result of vyvanse Thank you Michelle" }, { "from": "gpt", "value": "Hello Welcome to Health Care Magic Vyvanse is a good medicine for ADD. It belongs to amphetamine group. As you have mentioned that he has recently shown episodes of anger. He even threw the computer on ground. It may occur either due to poor control of his ADD or due to some mood episode. In a number of patients of ADD mood symptoms may develop. They may show anger outbursts, irritability, arrogant behavior. I will advise you to take him to Psychiatrist for proper evaluation. Medicines like Sodium Valporate which is a mood stabilizer can be given in such cases to decrease anger and aggression. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Severe anxiety, depression and panic attacks. Permanent solution?" }, { "from": "human", "value": "My husband suffers from severe anxiety and panic attacks. Whenever he hears about some bad things happening around like a death of a distant relative, illness etc he becomes very depressed and gets these panic attacks. He starts crying and screaming. Of late this behavior is repeating quite frequently and in public places also. Is there any permanent solution for this." }, { "from": "gpt", "value": "Hi there, thanks for asking. Panic attacks are treatable. There are good medications and also talk sessions can help for this purpose and also would be the ultimate choice in order to stop the medications after a year or so. There are good medication to control it acutely and there are medications that would be the main part of therapy and are not addictive and are without side effects or with very little ones. I suggest that he sees a doctor and tell about the issue. I wish him the best." } ]

[ { "from": "system", "value": "Sleeplessness, restlessness. What is wrong?" }, { "from": "human", "value": "Hi.. My sleep has been on and for few weeks now.. some nights i sleep well 9 hours and sum days only 3 hours if that... i was under alot of stress few mnths ago but i was sleeping ok. why am i having restless sleep 1-2 mnths lata. what is wrong with me... i dnt feel stressed or anxious.. i acyualky been goin gym everyday fir a mnth also?!" }, { "from": "gpt", "value": "Hello, Thanks for choosing health care magic for posting your query. There could be plenty of reasons for this disturbed sleep. Firstly you need to cut off all the caffeine from your diet including coke and coffee. Also use your room exclusively for sleeping and not for rest of the things. Avoid night time use of television or computer. Try going to gym in the morning as evening gym can disturb your sleep cycle. also try meditation as it well help in regularizing your sleep cycle. 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": "Suffering from nausea. Taking medication for depression. CT scan, thyroid test and endoscopy reports normal. Reason?" }, { "from": "human", "value": "Hi, My wife ( Sudha- Age 32 years) having problem of nausea ( vomiting) for the past 6 months. Basically she is a psychaitric patient( nervous+ depression for small issues) taking the medicines like SITA S-20, Pregobalamin+ Methyco balamin, Fregium 10 mg and Sompraz(Anti Acidic). But she is not getting cured the vomiting problem, When ever she take even a small piece of fruit is getting vomited. She was undergone CT brain, Endoscopy , Barium Meal following through, RBS, Thyroid test.. these are all test results are normal. Kindly suggest any panasia for this problem. Regards, T.V.Devi Prasad" }, { "from": "gpt", "value": "Hello, Thanks for choosing health care magic for posting your query. Thanks for the detailed and complete description that you have give, From what you have said, she is on sita s-20 which has escitalopram which is an SSRI antidepressant. SSRI are known to cause vomitings and diarrhea by acting on the gut serotonin. Most of the cases, the cause is not obvious. Her antidepressant should be shifted immediately to bupropion or some other drug. Please do consult you psychiatrist and discuss this issue with him. Also consider stopping all the drugs as of now and continuing with psycho therapeutic intervention until the vomitings settle down. Your psychiatrist may help you with such therapies. Also if she is vomiting so frequently, do monitor her serum potassium levels. 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": "Forgetfulness. Trouble remebering names, faces. Solution for bad memory problems?" }, { "from": "human", "value": "Hello, my name is Vanessa Cruz, and I m 17 years old. I wanted to ask if there is a reason for my bad memory . It s gotten worse over the years. I have a lot off trouble remembering the past 17 years of my life, or all the experiences that I ve had. I m always misplacing things, constantly! And I have trouble remembering names, even if I just met them a few minutes ago. I forget faces after a while, even if I ve seen them varies of times. I also forget things that people tell me even if it was a few minutes ago. I m scared that it might be something serious, or just a normal thing. Please help! Thankyou." }, { "from": "gpt", "value": "Hi there, thanks for asking. Since it has been present for many years, it could be related to attention deficit hyperactivity problem. It could also be related to delayed phase sleep problem (if you are not able to fall asleep until some hours after midnight). Sometimes it may back to dysthymia if you have been in low mood for many years, although it is not common before 18 years old. The most common issue that can cause it is ADD (attention deficit problem). You can ask your doctor to see if you have such an issue. It is easily manageable. Best wishes." } ]

[ { "from": "system", "value": "Is there anything called compulsive talking disorder? Talking continuously" }, { "from": "human", "value": "Hi, my partner never stops talking - day and night, anything and everything all the time! When the TV is on, when I am busy. It is wearing me out. I am by nature a quiet person but seldom get anytime to myself. He resents it if I go off on my own anywhere. Today I decided to look up and see if there was such a thing as compulsive talking disorder and find that there is. What can I do? How can I go about get him to see someone about it. I really am worn out. Any suggestions?" }, { "from": "gpt", "value": "Hi This disorder is actually called an attention deficit hyperactivity disorder (ADHD). This commonly results to psychological conditions like stress, anxiety and persistent avoidance. The treatment is as such not any drug treatment but a psychological sessions with psychologist which educates the patient using their skills of expertise. Its very effective with patients compliance. Thanks Regards" } ]

[ { "from": "system", "value": "Suggest treatment for nightfall" }, { "from": "human", "value": "I am doing mastuberation from 3 years mean while doctor ask me to dnt do that. So i stop that but now i am facing NIGHTFALL i want to get rid from nightfall. please if you suggest any medicine or treatment. Please give me advice for diet for bulding body though nightfall occurs" }, { "from": "gpt", "value": "Hello, Nightfall or nocturnal emission can be easily prevented by masturbation or sex. There should be let out for your produced sperm - you need to do it or it will let out on its own. Twice masturbation in a week is 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": "Suffer from depression and anxiety. Have fibromyalgia. Feeling numbness in the body with spots. Do I have to get tested for MS?" }, { "from": "human", "value": "3 yrs ago, i had a self inflicted stroke . i have suffered from depression and anxiety for years. many failed meds and lots of tries brought me to a bad place of also alot of physical pain where, i have been told fibromialgia.. tried lyrica , and now cymbalta... nothing can touch this constant pain..i am left with now, and in the last 2 months or so, numbness on the left side of my body, it is my hand, leg and now weird spots in my left side of my face, including little twitches in my face now.. my doc has got me on waiting list for , internal med specialist, ct scan , and mental health specialist.. i need to know if there is just a test for ms, could this be? pills r not my help now, i want a thought of what other things this may b now.. i have heard every excuse in the books, i need answers now, i am to young, and a single mom, to have this consume my life, in the way it has...Please help Me, with any info you can!!!" }, { "from": "gpt", "value": "Hi there ~ There are two angles to treatment. One is medications and the other is therapy or counseling. Please consult with a good counselor in your area who can help you with cognitive behavioral therapy for depression and anxiety. Studies have shown that a combination of therapy and medications is most effective, more so than either of them alone. So it is highly advisable to continue your medications and continue to see your psychiatrist to get optimum benefit from the same. I hope this works for you. Take care and have a lovely day !" } ]

[ { "from": "system", "value": "Discomfort, depressed. Unprotected sex. Taken Plan B. Suggest?" }, { "from": "human", "value": "I took the Plan B one step pill a few days ago, because I had unprotected sex. I ve been having all of the symptoms, some more than others, but I still feel really bad about everything. Is that normal? To feel depressed, humiliated and almost ashamed to have taken the morning after pill? I can t really describe it, I just feel sort of uncomfortable with the whole situation. Do you think it s because of the side effects still, or is this normal in others too?" }, { "from": "gpt", "value": "Hi there ~ It is a normal feeling and it may be a good idea to get yourself tested if you have not had your menstrual cycles on times despite taking the morning after pill. I hope this relieves your anxiety. Take care and have a lovely day !" } ]

[ { "from": "system", "value": "Depression, anxiety, high estradiol levels, low progesterone. Using progesterone cream. Will I be okay?" }, { "from": "human", "value": "Hi. I am 18. I used to have depression and anxiety due to hormonal imbalance. I have done a blood test recently, and the results showed my estradiol levels are high, 206 ng/ml while progesterone level is in the post menopausal range, mine baing 0.3 ng/ml. If this low progesterone continues this way, I might experience infertility later on in my life. I am currently applying progesterone cream at 0.5ml on the 18th-26th day of my menstrual cycle. I am currently also on a juice fast for detoxification for my liver. Can I have some advice on how to increase my progesterone levels and reduce the estrogen besides applying the cream?" }, { "from": "gpt", "value": "Hi there ~ You need to consult your gynecologist for this problem. However depression and anxiety can be treated by using medications including SSRIs and / or SNRIs. I hope you have a wonderful day ! Take care !" } ]

[ { "from": "system", "value": "Dizzy spells when tired, stressed. Feel very faint. Remedy for above symptoms?" }, { "from": "human", "value": "I have been having dizzy spells, particularly when I am tired and stressed.Probably 6to8 weeks apart. They last for approx 24 hours. I can have them every hour or so over this time period. They leave me drained and very tired. i feel like a black cloud is descending on me. I have had neurological tests which have shown nothing. I don not black out but feel very faint. These episodes are very distressing and I have to stop doing what I am doing at the time" }, { "from": "gpt", "value": "Hello Frequent episodic dizzy spells, tiredness, stress, feeling of blackouts etc symptoms may occur due to either an episode of Anxiety or it may be due to Mild Depressive Episode. As these are very distressing I would advise you to visit a Psychiatrist for proper opinion and evaluation. Various medicines of SSRI or SNRI group like Paroxetine, Sertaline, Fluoxetine, Duloxetine, Venlafexine etc are vey useful. They correct the neurochemical abnormality in anxiety and depression. Thanks Dr. Seikhoo Bishnoi, MD" } ]

[ { "from": "system", "value": "Pressure in temple, whooshing sensation. Is it related to stress or anxiety?" }, { "from": "human", "value": "I have this weird whooshing feeling in my left temple. Like, a little bit of pressure all the time, but every once in a while it speeds up to a whoosh like bugs or something are crawling outwards from the temple. It doesn t hurt, it just feels really weird. If it s just stress or anxiety then so be it. Just concerned it might be something more." }, { "from": "gpt", "value": "Hello The symptoms you have described like whooshing feeling in left temporal region and pressure are not typical symptoms of anxiety. They may occur due to other illness, it may be Migraine like headache, due to some somatic symptoms of depression, High Blood pressure, anaemia etc. I would advise you to please mention your symptoms in detail or visit a good Psychiatrist for proper evaluation of symptoms. thanks Dr. Seikhoo Bishnoi, MD" } ]

[ { "from": "system", "value": "Always tensed about failing BP test. How to calm?" }, { "from": "human", "value": "I always get nervous when getting my annual d.o.t. physical and am afraid of failing my blood pressure test. I must have a reading of no more than 139/89 and when they take it I always get nervous. Fight or flight, White coat syndrome . I would love to have a way explained to me to calm down so I dont recieve a failing b.p. number. My blood pressure goes up every time my department of transportation physical nears." }, { "from": "gpt", "value": "Hello Welcome to Health Care Magic The symptoms you described like tension and stress before physical examination are commonly seen in general population. A lot of people show White Coat Hypertension. The anxiety is also called as Anticipatory Anxiety. To get rid of this try Relaxation techniques like Progressive Muscle Relaxation Techniques or Deep Breathing Exercises. These techniques help to calm you down before examination. Other techniques like Yoga, Meditation are also useful. If not controlled Behavior Therapy by a trained Psychologist will help to get rid of this anxiety. Thanks Dr. Seikhoo Bishnoi, MD" } ]

[ { "from": "system", "value": "Have bells palsy. Is there any treatment and cure ?" }, { "from": "human", "value": "i have had bells palsy for almost 2mnths now and i need help.. the neurologist i was referredto says he cant do anything i developed this when i was 81/2 mnths pregnant. I am 23 and i just want some type of hope me not doing anything is making me more depressed. I have 2 young children and i want to be able to take pictures and enjoy my life with them.. ive seen ways people treat it at home but i dont want it to effect me worse i need help!!" }, { "from": "gpt", "value": "Hi there, thanks for asking. In 90 percent of the cases, improvement is almost complete. The most useful thing you can do is to do physiotherapy with your face muscles. It is easy to do and you can spend some minutes in the morning, evening or both to do. You can do it in front of the mirror. The other things that could be useful are just general things about health that can also be useful for every healing process, like a good sleep, a good diet, etc. I wish you gain the power to control your facial muscles soon." } ]

[ { "from": "system", "value": "Suffering from Depression and Anxiety, causing a lot of anger and rage. Solution?" }, { "from": "human", "value": "I have been DX with depression and anxiety . Some days I feel alot of anxiety then depression. Over the last few days I have a lot of anger and rage. Cussing at people for no reason. Wanting to run people off the road. Wanting to start arguements with wife about little stuff. Please help Im I going crazy dont know were to turn." }, { "from": "gpt", "value": "Hello You have problem of anxiety and depression. From last few days you have been suffering from problem of irritability, increased argumentativeness and anger. These may be sign of depression itself or may be feature of shift to mania or Bipolar Disorder. I would advise you to visit a Psychiatrist for proper evaluation. Various medicines can be given in your case in order to control anger and argumentativeness. Mood stabilizers as Sodium valporate or Carbamazepine can be used. So visit your psychiatrist for further treatment. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Suffering from anxiety, depression and panic attacks. Palpitations. Have smoking addiction. Do I have any other health problem?" }, { "from": "human", "value": "Hey my names Abbie Am always worryin about how fast my heart gets am a smoker and a drink a lot ove fizzy juice like even walkin upstair or tryin to carry on with my son my heart feels as if its gona come out my chest a suffer from anxiety and depression and panick attacks a would realy like to know if there s anythin a should be worryin about plz help me :( !!!" }, { "from": "gpt", "value": "hello welcome to health care magic You probably have \"panic disorder\" which is characterised by panic attacks (intense anxiety attacks). But since you smoke also, it is advised to stop smoking as soon as possible as it may aggravate your attacks. Secondly you should consult a general physician to rule out any cardiac pathology (heart disease). After that, consult a psychiatrist for detailed evaluation and management. Following treatment strategies are advised- 1) SSRI drugs like paroxetine, sertraline etc 2) Behaviour therapies 3) Relaxation techniques Hope it helps Good luck Regards Dr. Gourav Monga Consultant psychiatrist" } ]

[ { "from": "system", "value": "Borderline personality disorder, stress, anxiety. Taking zoloft, lamictal. Causes and cure?" }, { "from": "human", "value": "i have been told i have borderline personality disorder .Ive been really dressed and anxious ltely.I have a 21 month old and just had another who is 2 months.i am a stay at home mom and things are a bit crazy and i seem out f control someimes.could it be post-partum or the borderlline.im so sick of bein and feeling like this.i m on 100 mg zoloft ,100mg lamictal ,and1 mg ofklonopin already.if these arent working wha your opinion?" }, { "from": "gpt", "value": "Hi there, thanks for asking. The medications you mentioned work for post partum and for other kind of mood problems. I am sure that you use the medications under supervision of a specialist. It may take up to several months to see the desirable effects and most of the time their dose should be adjusted during the several weeks. Borderline personality disorder is a diagnosis that should be made with attention and after several sessions. In cases that specialist is sure about his diagnosis, a proper therapy which is a series of talks sessions (group or individual) is arranged for the person and the response is good. I wish you the best." } ]

[ { "from": "system", "value": "Suggest remedy for cuts on foreskin near testicles" }, { "from": "human", "value": "hello, i had a few cuts on my foreskin, the bottom facing the testicle part of my penis, to be exact. i thought it might of accidentally cut my self while shaving but more and more cuts appeared and they never seem to heal. i bleed just a little bit out of them but they sting a lot, especially when i am taking a shower. i haven't had sex, i am only 17, so i don't think is a sexually transmitted disease. i am very worry about it now 'cause this has been going on for about 2 months. is this going to go away by it self? or i have to take medications? because i really don't feel comfortable going to my doctor abut this." }, { "from": "gpt", "value": "Hello, It's probably \"Frenular tear\". It's injury, not STD. But it can create problems like pain and bleeding during intercourse. Until it's healed, refrain from sexual activity. Do penile bath (dip penis in lukewarm water containing BETADINE lotion and MAGNESIUM SULPHATE powder for 5 mInutes and then apply antibiotic ointment). If it persists (in few cases), you may need surgery. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sujoy Dasgupta" } ]

[ { "from": "system", "value": "What is the treatment for itchy and inflamed penis and scrotum?" }, { "from": "human", "value": "I am 42 years old male, weighing about 80 kg and 5'6\" tall. The skin of my scrotum and penis is itchy and inflamed. The skin in my penis has burning sensation as well. I am not sure if this came about after my contact with my wife and/or after eating shrimps. I say after eating shrimps because I remember two years ago after eating shrimp my scrotum had the same symptoms but at that time my penis was not affected but my armpits was as inflamed and itchy as my scrotum. What do you think is the cause of this and how can it me treated? Thanks" }, { "from": "gpt", "value": "Hello, If you had a history of shrimp allergy, we need to consider that possibility allergy only. Since you had sex with your wife, considering she is not having any sexually transmitted infection. 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": "Have increased heart beat and sweating during meetings and seminars. Treatment?" }, { "from": "human", "value": "Hi, I m shaik - 28 yrs old, working for a IT co., from past 2 year i m facing with somekind of anxeity and nervousness problem, Symptoms: suddenly i will get full swet ( eventhough i m in AC) my heart beat - increases more faster - i can t speak in this situation. mostly this occurs - whenever some one questions me, in meetings, in seminars - when ever i m talking with new peoples., ( but some times I can handle without any of these issues). Please suggest me how can I overcome with this." }, { "from": "gpt", "value": "Hello......... Thanks for your query. The symptoms that you describe are classical of social anxiety disorder. The treatment options for social anxiety disorder include..... 1. Anti-anxiety agents like SSRI's 2. Short term anti-anxiety agents like benzodiazepines 3. Psychotherapy techniques like exposure and response prevention This is a common enough anxiety disorder for which effective interventions are available. Wish you good health. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "Getting angry very easily, wants to get attention from everyone, flirting frequently. Treatment?" }, { "from": "human", "value": "Hello doctor, Myself xxxxx. I dont know why i get hyper very soon and also get attracted very easily. All I want is to get attention from eferyone and so I hafe started flirting inspite of being married. I dont liue it but iam not able to stop my self. Al the time I just want to be felt important and want someobe to touch me and feel me intensely. please help me." }, { "from": "gpt", "value": "Hi there, thanks for asking. It is a serious issue and can lead to some social and familial problems. I recommend that you refer to a psychiatrist to assess the situation thoroughly. It may be a mood problem which could be easily treated. It may be a personality issue which needs some talk sessions to explore and some talk sessions during the time to addressed. Since you are uncomfortable with your situation, you have a good motivation for the change and you will be able to change it, if it is so. Best wishes." } ]

[ { "from": "system", "value": "Taking Respond plus for psychic behaviour, keeps talking to herself. Why is Espazine prescribed for?" }, { "from": "human", "value": "My wife is a psychiatrist person since many years. she is taking Respond plus tablet at night. Now recently she gets up at 3.00 a.m. early morning and remembering her old incidents in life and keeps talking to herself. Why is Espazine prescribed for? How many days can she take Espazine? Waiting for your advise. A. S. Bhasker Raj Bangalore India" }, { "from": "gpt", "value": "Hello It is very common in Psychotic Disorder to have muttering or self talking behavior. She is having restlessness and disturbance in sleeping and due to this she is remembering past incidents. I will advise you to please visit her psychiatrist for proper medicine for sleep. Resperidone is a good drug for psychotic symptoms and it causes sedation also. But as she is having improper sleep please visit psychiatrist. Espazine is also an antipsychotic drug. It belongs to first generation antipsychotic drugs. It contain Trifluparazine. If she has been prescribed espazine also then it will cover problem of sleep also. For change in medicines if required please visit her psychiatrist. Give her warm and supportive care, she needs your help. thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Difficulty in forming friends, to control emotions due to physical deformities. How to control?" }, { "from": "human", "value": "Hi I have a nine year old daughter who was diagnosed a year ago with an under developed front left lobe, she has symptoms of severe ADD. We have her on 30mg of Ritilan and she seems to be coping well with school but her social behaviour seems to be getting worse. She is battling to keep friends and the little girls have even started ganging up against her which is making her behavious worse and she cannot control her outbursts. Please could someone tell me what the side effects are for this condition as I cannot tell what is normal or not anymore?" }, { "from": "gpt", "value": "Hi there ~ Your daughter seems to have what we commonly call as oppositional defiant disorder or ODD. It is common and it might become less with time, however it might be a good idea to give her medications and have her be seen in therapy for family sessions so that she learns to listen to parental figures including teachers. Making friends will be hard for such children and with comorbid ADD it is even harder to find and make friends. I am hoping that her ADD is adequately treated and it is under control. I hope this advice helped. Please have her be seen by an expert child psychiatrist as soon as possible. Take care and have a nice day !" } ]

[ { "from": "system", "value": "Suffering from depression, frequent crying spells, panic attacks due to abusive relationship. Treatment options?" }, { "from": "human", "value": "Already taking medication for depression ... continuing to have crying spells over ailing husband that is verbally abusive about life . Can t think just want to sleep and get away in my mind. Need suggestions or more medication so I can not have panic attacks. my life consists of going to work and taking care of a house and everything going with it. Husband talks about death and unloading remarks that are offensive to me. Help help help" }, { "from": "gpt", "value": "Hello Welcome to Health Care Magic First of all I would like to advise you that please be strong and be positive towards life. You have a lot of problems but only your determination will help in fast recovery. You are taking medicines for depression, and you have not mentioned them but on medicines you are having crying spells, poor sleep etc. So I would like to advise you to visit your psychiatrist again regarding dose adjustments. Depression is a recurring episodic illness and long term treatment is advised in cases of depression. Medicines like Benzodiazepiens as Clonazepam will help to relieve anxiety and stress. Short term use of medicines like Zolpidem will help to induce sleep for some time. You have continuous stress from your husband, I will advise you to talk with him regarding your problem. Or at least make him agree to go to Psychiatrist along with you. A proper counseling will help both of you. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Under allopathic treatment for OCD, symptoms of Schizophrenia, takin g medicine accordingly. How long will it take to cure?" }, { "from": "human", "value": "Respected Doctor, My son aged 18 yrs is under allopathic treatment for OCD for the last two and half years. Recently he was showing some symptoms of Schizophrenia also and was given medicine accordingly.Since in allopathy they are treating the symptoms, I am in doubt about its efficacy in long run.While taking allopathic medicine he has become very dull and weak emotionally.Kindly guide. A.K.Gupta Jaipur" }, { "from": "gpt", "value": "Hello Thanks for your query. Schizophrenia and OCD are psychiatric illnesses that have effective remedies for symptom control in the allopathic system of medicine. The medication are aimed at normalising the level of neurotransmitter chemicals in brain that are hypothesised to have gone haywire in these illnesses. However, the medication can have side-effects which can be discussed with your treating psychiatrist so that medication can be adjusted in dosage accordingly or even substituted with another medication. Hope you found the information useful. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "Have hypothyroidism, depression. Will working in night shift effect health?" }, { "from": "human", "value": "Hi, I have hypothyroidism which was found out when I became ill with depression , it was realised it was due to tiredness & shift work including nights. I have not be doing nights for 7 years they are now wanting me to return to nights which I say is detrimental to my health. Is there anything I can do or any information I can source to proof this will be the case?" }, { "from": "gpt", "value": "Hello........ Thanks for your query. Hypothyroidism can mimic depression in many cases and they share common symptoms that may augment each other. Regular sleep wake cycle is required to avoid precipitating mood disorders and in that sense night shift may not be apt in your case. You can request your authorities with necessary medical documents to sort out the issue. You can use information from NIMH (National institute of mental health), USA website to augment your treatment records and to demonstrate that adequte sleep is mandatory considering your medical history. Hope you found the information useful. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "What does AXIS I_AXIS II_AXIS III_AXIS IV_AXIS V in diagnostic psychiatric interview report mean ?" }, { "from": "human", "value": "I am trying to understand some paperwork I had gott en years ago from the doctor, This is concerning mental health . First page header is Diagnostic Physchiatric Interview.I can understand every question like Cheif complaint, history of present Illness , past medical history, social history,etc.., Then I come to the DIAGNOSIS: it has AXIS I_AXIS II_AXIS III_AXIS IV_AXIS V. Please explain what AXIS is on each different level 1-5 please." }, { "from": "gpt", "value": "Hello Axis system is used in Diagnostic and Statistical Manual (DSM) for proper diagnosis of Psychiatric Disorders. Axis I it includes all mental disorders except Mental Retardation and Personality disorders Axis II it includes mental retardation and personality disorders Axis III it includes any associated medical disorders with primary mental disorder Axis IV it includes any psychological or environmental factors affecting primary mental disorder Axis V it includes scores of GAF (global assessment of functioning) These criteria are laid by American Psychiatric Association in order to have uniformity in diagnosis of mental disorders. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Depression. Muscles restricting, shortness of breath, heart palpitations, imbalance. On xanax. Help?" }, { "from": "human", "value": "Yes please. I am a 51 year old female. In 1994 I had a panic attack and was diadnosed with anxiety. My doctor gave me a prescription for xanax .5 mg at the time and also diagnosed me with depression . He worked with me to get the right dosage of xanax, which was 1 mg 3X dily, as needed. I also went through several anti-depressent medications until I was prescribed 60 mg Cymbalta. This worked perfectly for me and I have been taking this medication since that time. My doctor increased my xanax too 4 mg daily and increased my Cymbalta to 90 mg apprxomately 8 months ago. Four months ago, he asked me if I could pass a drug test and I told him absolutely because I have always taken my prescription medication as directed. He said that my test came back positive for meth amphetamine . I have had sinus surgery and was recommend by my ENT to take the generic behind the counter pseudoefadrine. I just found out recently that my husband and I rented a home 8 months last year where meth was made in the house. We had tried to paint the house on the inside and paint would not stick to the walls. I have not ever done meth. I have looked up what could cause a false=positive drug test for this and there where several possible scenarios. My doctor cut my prescription for Xanax to 2mg daily in October and has tested me each month since where I had clean drug tests. I just went on February 19th and he discontinued my Xanax prescription altogether. I have had to beg, bum, and buy them illegally, which I am not proud of whatsoever and do not want to get in trouble. Last week, I began having seizures with my muscles restricting. I wish I did not have to take this medication...wish I never took it. My doctor recommeded me to go to a behaviorial science facility called OASIS in Huntington, WV but I lost my job 3 years ago and do not have any insurance. He said he would not prescribe me my Xanax and he did not give me my samplDear Doctor, I am a 51 year old female. In 1994 I had a panic attack and was diagnosed with anxiety. My doctor gave me a prescription for Xanax .5 mg at the time and also diagnosed me with depression. He worked with me to get the right dosage of Xanax, which was 1 mg 3X daily, as needed. I also went through several anti- depressant medications until I was prescribed 60 mg Cymbalta. This worked perfectly for me and I have been taking this medication since that time. My doctor increased my Xanax to 4 mg daily and increased my Cymbalta to 90 mg 8 months ago. Four months ago, he asked me if I could pass a drug test and I told him absolutely because I have always taken my prescription medication as directed. He said that my test came back positive for meth amphetamine. I have had sinus surgery and was recommended by my ENT to take the generic, behind the counter pseudoephedrine. I just found out recently that my husband and I rented a home 8 months last year where meth was made in the house. We had tried to paint the house on the inside and paint would not stick to the walls. I have never done meth and do not take illegal drugs or drugs not prescribed to me. I have looked up what could cause a false-positive drug test for this and there where several possible scenarios. In October 2012, my doctor cut my prescription of Xanax to 2mg daily and has tested me each month since where I had clean drug tests. I just went on February 19th, had a clean drug test, but he discontinued my Xanax prescription altogether. I have had to beg, bum, and buy them illegally, which I am not proud of whatsoever and do not want to get in trouble. I have heard medical panels have recommended to doctors to refrain from prescribing Xanax. Last week, I began having seizures with my muscles restricting, shortness of breath, heart palpitations, imbalance of equilibrium, fuzzy-like headiness, uncontrollable muscles, etc. I wish I did not have to take this medication...wish I never took it. At my last appointment, my doctor recommended me to go to a behavioral science facility called OASIS in Huntington, WV. He had recommended this in October of last year and I explained that I pay out-of-pocket because I have no insurance, that I was currently relying on my mother’s social security income to pay for my appointments, and that I could not afford to go to this behavioral science facility because of the cost involved. He then informed me he would not prescribe me my Xanax, he would give me a referral (which he did not), did not give me any samples of Cymbalta, and did not give me a follow-up appointment. I have called back to try and find out what to do but he will not return my calls. I have called other behavioral science places in Huntington, WV and receive a recording. I leave a message and nobody will return my call. I really need help. I don t know the results of any studies of long-term Xanax. Please help me find a doctor that will help me. I don t want to die. Please refer me to a doctor that will prescribe me Xanax or that will help my condition. I would sincerely appreciate it. Mrs. Millicent Allen 1173 County Road 1, Lot 49 South Point, OH 0000 304-730-9996" }, { "from": "gpt", "value": "Hello Xanax is a benzodiazepine drug. It is usually prescribed for short term control of anxiety. It is not advisable to take xanax for long time, because of its high abuse potential. If used for long time and then stopped suddenly it may result in severe withdrawal syndrome of restlessness, anxiety, irritability, seizures etc. As you have mentioned you have no xanax now and you are having tightness of extremities, just starting xanax again will not help you at all. This will land you in mess again. You will become dependent on xanax again. As you mentiond you were also diagnosed with depression and you were on duloxetine. Depression is a mood disorder and is episodic illness. Currently you are off drug. I will advise you to first of all visit a detox center for deaddiction of xanax and then take opinion regarding depression. Taking xanax again will only harm you. thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Having anxiety attacks followed by palpitations, night sweating, fear. What is happening to me?" }, { "from": "human", "value": "I have been having anxiety attacks followed by palpitations, night sweating, fear, insecurity etc. This happens on certain days, especially 10 days or a week prior my menses. The feeling is aweful. I go into depression and cry for no reason. Rest of the days am absolutly normal. Could you please tell me what is happening to me? I am a 42 yr old married woman with a 5 yr old son" }, { "from": "gpt", "value": "hello welcome to health care magic Don't worry and relax. You probably have \"Premenstrual syndrome\" which consists of dysphoria (depression), palpitations, restlessness etc. It commonly occurs in female related to menstrual cycles. Consult a gynaecologist for any hormonal treatment and also seek helps from a psychiatrist for some antianxiety agents and psychotherapy sessions. Keep yourself relaxed with yoga, meditation or deep breathing. Good Luck Regards Dr. Gourav Monga Consultant Psychiatrist" } ]

[ { "from": "system", "value": "What causes cyst on penis?" }, { "from": "human", "value": "Hey doc, After months of having a small cyst like object on my penis today I decided to squeeze it. It hurt and after about five minutes a small very hard sunflower seed like object came out very small but very hard. What is it? and should i be concerned?" }, { "from": "gpt", "value": "Hello, It can be a tiny abscess, you may be talking about punctum of the abscess. No need to worry if it's small. local antibiotic application will help you. If you had unprotected sex, need to think of sexually transmitted infection. 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": "Have depression, anxiety, nausea, night sweats, fatigue, muscle pain and headache. Suggestions?" }, { "from": "human", "value": "I don t know what is wrong. I have major depressive disorder , anxiety, fibromyalga, along with these symptoms, nausea, most often have heartburn , night sweats , headaches, muscle pain, fatigue , neck and back pain, extreme stress, unintentional weight loss , no appetite. I had an MRI which would explain the back pain. I give my permission to consult with the Doctors below, the results can be acquired through Fraser Health Authority Peach Arch Hospital in Surrey BC, Canada. Fax # 1-604-535-4535. My name: Charlotte Ann Flintoft, Ordering MRI, Dr.Lampbrecht, AlbertusJ. I was admitted Feb 8,2013. Family Dr. Adrian Hughes at Lake shore Medical Centre. phone # 1-250-764-8878 or fax 1-250-764-0889. I am a 64 year old female. Thank you, Sherry (Charlotte Ann) Flintoft" }, { "from": "gpt", "value": "Hello You have mentioned the diagnosis of disorders in you as Depressive disorder, Anxiety along with Fibromyalgia. You have history of night sweats, headaches, muscle pain, fatigue, neck pains, stress, weight loss, poor appetite etc. Fou your reassurance I would like to tell you that these problems can be treated easily. Various medicines like Fluoxetine, Sertaline, Escitalopram, Milnacipran, Duloxetine etc are used in such type of disorders. They will correct depressive symptoms as well as Anxiety symptoms. As per my clinical experience Duloxetine will be very useful in your case as it will cover pain symptoms and fibromyalgia also. Cognitive therapy is also useful. Please visit a good Psychiatrist for opinion. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "History of OCD, social anxiety. Taking medications. Facing learning difficulties, unable to maintain professional relationship. Cure?" }, { "from": "human", "value": "hi i m 25 yr old male with a history of OCD& social anxiety since 10 yrs and i am taking tab.veniz XR 75 mg1-0-2,t.clofranil XR75 mg 0-0-0.5,t.sizodon 2 mg 0-0-1 since 2 yrs.Now i m studying speciality nursing.i faced lot of learing difficulties and i cannot maintain professional relationship with any one..my handwriting get detoriated from day by day.really i m very much frustrated" }, { "from": "gpt", "value": "Hello OCD or obsessive compulsive disorder is an anxiety disorder. It is characterized by recurrent anxiety due to some intrusive dominant thought, idea. In order to get rid of anxiety individual is compelled to to some ritualized behavior that is called as compulsion. You are on right medicines and in right doses. Like Clomipramine 37.5 mg per day, venlafexine 225 mg per day and resperidone 2 mg per day. If you are not having proper relief then addiction of some SSRI drug like Fluoxetine or Paroxetine can be done. But take opinion of your psychiatrist for that. Behavior therapy is most important step in treatment of OCD. Exposure and response prevention is one of modality of Behavior Therapy. Thought stopping is also useful. Hope I cleared your doubt, if have any more doubts you can ask me a question. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Has depression and violent outbursts. Taking Celexo but no effect. Is suicidal. Suggestions?" }, { "from": "human", "value": "My son is 18 and seems very depressed. he went to his doctor and was put on celexa but it doesn t seem to help. He has been struggling for about 3 years now but seems to be getting alot worse in the last couple of months. he has gone from being a very talented hockey player and bullrider to hanging out with a very Questionable crowd. His son was born a year ago and I can tell that he really wants to be there for his son and his fiancee but he seems so sad and lost and angry. Lately he has had some violent outbursts and been in trouble with the law, this is really out of character for him. I have also had to take him to the hospital because he has been suicidal twice now. I am frustrated for him because we keep being told that it is normal for teens to be depressed, this is more than that. I don t know what it is but it is really scaring me. I don t know how to help him , I feel like we are losing him." }, { "from": "gpt", "value": "hello welcome to health care magic As per your description, following possibilities are there- 1) Major Depressive disorder 2) Bipolar disorder 3) Psychotic diorder like delusional disorder/schizophrenia 4) Substance use disorder Consult a psychiatrist for detailed work up and management as he may require other medicines also along with celexa which is an antidepressant. He may also need psychotherapy/ counselling sessions. Hope it helps Good Luck Regards Dr. Gourav Monga Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Taking prestiq 100, increased panic attack, anxiety. Cause and cure?" }, { "from": "human", "value": "Hi I m currently taking prestiq 100 and for the first month it worked and helped me but now and in the last month I have experienced a lot of panic attacks and anxiety and I don t understand why. I have an appt with my dr in a weeks time. What do you think is the problem and how does prestiq compare to Zoloft . Thanks Heidi" }, { "from": "gpt", "value": "Hello Prestiq is venlafexine and belongs to SNRI group. Zoloft is sertaline and it belongs to SSRI group. Both are nice drugs for anxiety disorder and depression. Over all venlafexine is mainly used in depressive disorders but its effects in panic is also good. But as per my clinical experience sertaline is better in controlling the symptoms of panic disorder and is also safer drug. Rest visit a psychiatrist for expert opinion. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Difference between Psychiatrist and Cycatrist?" }, { "from": "human", "value": "Hello Doc i have no problem but i need to know the diferant between Cycatrist and psychetrist . I have no problem with my hormons and evrtything is good in my health just a little bit feelin body eaching like an allergique at night . And some time feel like i am out of mood nervice fasty i can not hold the fault from the people around me exact ho has less smarty mind. I have 43 years old . My second husband i very younger then me but not looks like younger csuse i still have a good shape and good skin . And is make my mood up and down. He is very lovely this is nice love me also very good but he is not an educated man and he wont be or he can not get the points direct and he wana me cool and repet the information even 20 50 time no problem but don t nervice . Also he like to make sex more then 2 times every day . If i stop it him mean i heat him . I don not know ho need a doctor he make me feel like i am close to monopose ." }, { "from": "gpt", "value": "Hi there ~ You have your spelling wrong both times in the content of your questions. Assuming that you want to know what the difference between a psychiatrist and a psychologist is, I will let you know that psychiatrists go through medical school and complete training in psychiatry to be able to prescribe psychotropic medications. While there are many ways that one could become a psychologist (most of the times not being able to prescribe medications) the doctoral psychologist is considered or repute and a masters level a step below and so on and so forth. However the skill level depends on the experience with patients, either for psychiatrist or a psychologist. I hope this answered your question. Take care and have a nice day !" } ]

[ { "from": "system", "value": "Take nexito4 twice, gained weight. Is it side effect of medicine?" }, { "from": "human", "value": "I take nexito4 twice daily in the morning and night for For the last 6 years and have gained considerable weight which I feel is a side effect of this medicine.kindly suggest me a method or a substitute where I can keep a check on my weight gain .i have tried several times to do without this medicine resulting in depression .thanks and regards u.d" }, { "from": "gpt", "value": "Hello Nexito or Escitalopram causes gain in weight but it is not much significant in clinical practice. In a lot of people who are suffering from depression, hyperphagia may be seen and it causes weight gain. As have mentioned you have gained considerably. Best thing you can do is go for brisk walking daily. It will not only decrease weight but will also check the depressive symptoms. If any need in dose of medicines occur then visit your psychiatrist. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Old female with stress induced anxiety, depression. Will HGH hormone replacement therapy in a LOW dose help?" }, { "from": "human", "value": "I am a 56 year old female with stress induced anxiety and depression . I have gone from 128/130 to 104 since November 2011. My PCP says I cannot afford to loose more weight but cannot eat. This all stems from a lawsuit regarding my home that is sinking. I have read that HGH hormone replacement therapy in a LOW dose helps the anxiety, self-esteem, gives energy, and best of all, I would gain muscle. I have never lost this much weight over anything. Would one cycle of low dose HGH help me?" }, { "from": "gpt", "value": "Hello Anxiety and depressive mood symptoms are observed commonly in elderly females. And also you have stress factor due to lawsuit. To control anxiety, stress, and depression in elderly usually Anti anxiety drugs are advised. Some doctors recommend start of hormone therapy. But hormone therapy has its side effect. Antianxiety medicines like Duloxetine, Milnacipran are very useful in post menopausal females in controlling anxiety and hot flushes. For episodic relief you can go for Clonazepam. Visit a Psychiatrist for expert opinion. thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Having fibromyalga, rheumatoid arthritis, asthma, degenerative disc disease, chronic anxiety & depression. Any hope?" }, { "from": "human", "value": "Fibromyalga, rumthuid athuritis, asthma, degenertive disk desease, chronic anxity & depression , bi-bolor 1, P.T.S.D, ADHD , folcate athuritis in my spine , high blood pressure, Chronic Nervious Disorder, Chronic Fatigue , Obesity , Majoir swelling over whole body, exscially in lower abdomen, leg s, & feet, Chronic Migrain s, constent nausea, leaky right lucuptis valuve to my heart, very irritated, ithcey, dry skin , weak teeth, hair, & nails , very weak & shackeness, externaily & internaliy, dizziy spells, Elavated heart rate periodiclly, Trouble going to sleep and staying asleep, irregular menstral cycles, irregular sleep, eat, & daily habits, lack of motivation, chronic constinpation, constent red & dry eyes , irregular bladder control, low energy levels 24/7, low hormon levels, low cortisol levels in my blood & my urine, high cholesteral, I never ever feel good or want to deal with people exspecially for long periods of time, so i find my self locked up in my basement apartment around 90-95 percent of the time, easily affended & angered which sometimes will quickly turn to rarge on even the ones i need or love the most, almost constint feelings of fhrustraytion, irritation, neveriousness, fear, loss of control, and unsatisfaction with my over all health and the chronic amounts of pain and anguish I am in all day every day non-stop, not even for just a break, I have over active racing thoughts of fear, stress, anxity, failure in lfe and death, I Am 5ft 5inch. I wheigh approximently 227 lbs., have been retaining lot s of fluied through out my whole body for nearly a year now, along with all the outher symptoms listed above, and also have been dignosed with poloysistic Ovarien Desease, I am currently being tested for sleep apnea , cushings syndrom, diabeties hocshemotos desease & addissions desease, also looking at my thyroid and adrenal glands for some answer s, I have had 7 surgeries all together i beleive, 1) Gall Bladder removal, 2/3) Unbilical Hernia removal done twice, with the secound time using some kind of mesh, to hold my intistines in, 4/5) had two right lumbs removed from my right breast, that where both none cancerious, at two seperate times both only about 4 month s apart back in summer of 2007,6-8) had three live birth s, all natural and all were born healthy,9) then I had a C-Section with my last child due to some complications at birth, and feces from the whomb got in baby #4 s lung s and she was just about three weeks premature, so we were in the hospital with her for about a week, and she healed perfectly, but did struggle with childs asthma later on, 10) During that same time during the C-Section precedure I had a tubaligation performed as well, i had 3 girls & 1 boy, 11/12) I had a couple oral surguries performed in my mouth on two seperate accassion s, 13) I had my right hand ring finger broken twice, I have smoked ciggeritte s for around 17 yrs. now, I probally smoke a average of a pack a day now, I do not use street drugs or achocol at all, I have suffered with mental conditions most of my life since around 9 that I can remember mainly chronic depprression & anxity, until I started to get older when my mental health slowly but surely started to decline very rapidly, with all of the things I had already indured starting from a very young age of a child, born to both abusive drugies & alcoholic s majoirly at the time and most of my young adult life as well even though both my parents split up and me and my knew little baby sister went to go live with our alcoholic mom & her new alcoholic and drugie boyfriend, who very quickly she married, and i immeaditly felt out of place and unwanted & where me & my little sister both struggled together very hard to even have a place to sleep or food to put in are stomach, until we were finally split up when my mom decited i was a out of control and unrulie child, she could no longer handled and shipped me off to my dad s mom, Dorthey my sweet anglic grandma, that had already taken care of me most of my younger yrs. while my parents partied!!!... Where there i started to get sexually hurrassed by my uncle, and dads older brother, and when i finally got the nerve to tell someone, cause i was to scared to hurt anyone s feelings that my uncle johnnie would ever do something like that and to me his own necice, so as you could see not only was i scared to tell anyone because someones feelings might get hurt some where in all this new miss i was dealing with, but know what if they dont beleive me??? Well to make a long story short, they didnt beleive me, they only thought i was trying to seek attention, so i never menthioned it again out of fear of further disbeleive, and fear of retailiation if i did, so lets just say my life, way of living, and mental and phyisical health, just rappidlly diterated from there on out with more hardships, more loss s, more broken dreams, lost hopes, and utter failure just slowly but surely my life was falling more, and more apart, & heading straight for MORE DISASTER & DESTRUCTION, In what little live i had already lived, but the worst had not yut begun!!!!!.... anyways, sorry i got a little lost in all that, just wanted to let you know exactly where i am coming from, when i ask the Medical question I came here in the first place for!!!! :) Now with all my medical, phyisical, and mental damage from all these years of poor nuteiring, and mental and phyisical treatment from those that were suppost to care for me as a youg child and adult, until I could properly assume the role of taking care of my self, which was never givin to me & the oppertunity taken from me before i even had a chance to speak for my own self needs and wants, i have been severley & unfortuntly damaged by all of this mentaly, phyisically, & emotionally, at a very young are and also unfortuntly had to be put on Full disiability, & SSI, at the young age of only 23 yrs. old, and with not much work history or exsperience, I was also placed on ssdi and medicad, food stamps, & BAAD. benifites, that never had really added up to, to much really as of now, all together I make $689.00 a month on 1st i get $310.00 & on the 3rd. I get $387.00, and then just $200.00 in food stamps, I have no license & i have no car, And remember i am extremlly sick around 95% of the time and am unable to even leave the house by myself, and as of now i have 3 different doctors i have to see each of them once a month and 1 of them is 4 hrs out of town just to get my monthley meds from eac one every single month, and i live in a small town so there is no local trainspertation here, so i struggle continuesly every single months to find a ride to go to just 2 of places in town to be able to get my meds, that i must have, and the 3rd place i have to go is 4 hrs out of town to make sure i have all the meds i need on a daily basis to keep me healthly as i can be, and not only that, then after all three different appointments which are already spread out through the month, then i have to be able to make sure that i am also able to pick them all up!!!!! So after all that, now on to my question which i hope you guys can help me with, is there any way that i can have a doctor, or doctors online that will write my scripts for me just on a monthly or bi-monthly basis or whatever maybe at a affordable price, so then i can just pick the online pharmacy of my chocie or which ever you guys are whoever uses, may fill my much needed scripts, after one of your guys or some online doctors writes the scripts i need to be filled on one of the online pharmacys, and then simply be sent staright to my door, in a great discret pkg., and i will be able to get them way easier and not have to worry about how i am going to get them all each and every month, but better yet it just be all done over the internet and sent straightn to my front door, ohh my goodness that would make my already complicated life so much easier!!!!! Well anyways thanks for your time and all your efforet to help people in need like me, my friend reccommended you guys to me and said maybe, just maybe, you guys would be able to help me in one fron or another, so i thought, what the heck could it hurt, if you never try to get help, you never will get any help, right??? Sincerely Chrystle Kinlin :)" }, { "from": "gpt", "value": "you may consult with a psychiatrist. after detailed evaluation they might help you.tab escitalopram 10mg may help up in some of your symptoms. psychotherapy has a great role ..." } ]

[ { "from": "system", "value": "Been smoking. Anxiety, unconsciousness, emotional rush. Why?" }, { "from": "human", "value": "Hi, I have a friend who has been smoking put for maybe two years. he is also depressed. He had a bad trip last summer where he could not remember what had happened. He kept saying he was really scared and seemed really anxious. A couple of days ago he called me and days he had to talk to me in person about something important. He showed up at my house hyperventilating, anxious , and almost crying. After a while he started to just state out into space not responding to anything. Then he would try to stand up but couldn t. He was on the verge of fainting a few times. He said he hadn t eaten in the days but didn t want eat. He then started dating that he felt that he was gonna die, that he felt it, and those around him were in danger. He kept reaching got his razor blade saying that he had to die and that he was sorry. He then got a phone ca ll and after he hung up and seemed more calm but days he might hurt himself if left alone and he left. What happened?" }, { "from": "gpt", "value": "Hello He is showing symptoms of anxiety, restlessness, emotional turmoil, crying spells. He is smoking pot for two years. These features are common in some susceptible individuals who smoke pot. Also as you have mentioned that he felt he would die, or he felt that those around him are in danger. He is showing bizarre behaviors. He is also suicidal. These are psychotic features seen with pot or cannabis. If not stopped at this state he may land up in some psychotic disorder. I will advise you to take him to a good psychiatrist for treatment of anxiety. Motivate him to stop taking cannabis. For immediate relaxation medicines like Etizolam, Clonazepam etc can be used in consultation of psychiatrist. thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Extreme fatigue, chest tightness, heaviness in body, dry eyes, inability to concentrate. On anti-depressants. Suggest?" }, { "from": "human", "value": "Extreme fatigue , chest tightness, body feeling heavy, dry eyes , unable to concentrate, comeback pain for last 6 years. Cholesterol around 230 all other tests turned negative. No Bp no sugar. Good appetite and sleep. Pain all over body. Doctor put me on anti represents for a long time (wellbutrin etc) no improvement. Male 46. Frequent flu like symptoms but no temperature rise." }, { "from": "gpt", "value": "Hello, welcome to Healthcare Magic. Your symptoms like fatigue ,chest tightness, body feeling heavy, dry eyes, unable to concentrate and back pain can occur anxiety and depressive illness, for which you are already receiving treatment in form of wellbutrin, which contain bupropion. Bupropion is effective for anxiety and depressive symptoms. Some time patient (approx 40% cases) did not improve with initial treatment, in that case one of the following steps are used: -To rule out any medical condition leading to existing symptoms -Checking compliance to treatment: Take medicine regularly: as medicine used to show effect after 4-6 weeks of continuous use. -Detection and correction of vitamin deficiency (especially vitamin B12): so take vitamin supplement and fruits/milk in diet. -Screening of thyroid dysfunction: Get serum T3/T4 and TSH level done -Increase the dose of current medicines -Change of existing medicine -Addition of other medicine -Addition of psychotherapy in treatment It is better to get re evaluated by psychiatrist and follow above recommendations. Wish you all the best. Regards, Dr Ashish Kumar Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "What causes sore and burn marks on penis after sex?" }, { "from": "human", "value": "Hi i just had a long night of good sex with my wife,who was away for 4 days, my penis is really sore and has burn marks the skin is dry and peeling off ,what causes this and what can i do to ease the pain and not have it happen again! I am a 34yr male who is of good health." }, { "from": "gpt", "value": "Hello, There are 2 possibilities 1. Dry Sex - lubrication issue due to less foreplay or infection 2. phimosis - can be due to diabetes or infection 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": "Taking vyvanse for ADHD. Sensitive teeth. Any suggestions?" }, { "from": "human", "value": "I am 46 and just recently diagnosed with ADHD (ugh). I ve gradually increased my dose of vyvanse to 90 mg and it works pretty well. My problem is that my teeth have become incredibly sensitive...I may be clenching my teeth but it s only during the day and not at night. The are fine in the morning but ache all day and evening. Any suggestions?" }, { "from": "gpt", "value": "Hello, welcome to Healthcare Magic. Vyvanse contain lisdexamfetamine dimesylate. It is a psychostimulant prodrug and used for ADHD. It has oral side effects in form of dry mouth, jaw clenching and teeth grinding. On long term use because of above side effects, teeth may become sensitive and cause pain. It is better to discuss other treatment option or decrease dose of medicine, under supervision of psychiatrist to get relieved from these side effects. Wish you all the best. Regards, Dr Ashish Kumar Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Have Graves disease. Feeling tired. am I taking too much alprazolam? Alternate medication?" }, { "from": "human", "value": "I have graves disease and I still wake up feeling tired and sick. I was diagnosed in 2007. I do see a doctor regularly. Is there a reason for this or to be expected with graves disease? Is there something I can take to feel better? I currently take an alka seltzer and lay down for an additional 20 minutes. Throughout the day I am tired and fatigued. I tend to feel somewhat better with abit more energy after 5PM most days. Prior to bedtime I take 1 .25mg Alprazolam tab and then another half tab of .25mg. Maybe this is why I feel tired and unwell in the mornings? Too much Alprazolam? I take Methimizole, Bystolic , Synthtroid, Topomax and Cytomel as well. It seems as the day goes on I feel better. Maybe there is something I can take or do to feel better? Any information will be helpful to this very complex disease." }, { "from": "gpt", "value": "Hello, welcome to Healthcare Magic. From the history it appear that you are having anxiety and depressive symptoms. These symptoms are very common in thyroid related illness like grave's disease. So, monitor thyroid function test (T3, T4 and TSH) frequently, as medicine changes may require according to test results. Alprazolam is anti anxiety and hypnotic medicine. It should not be used unsupervised and for long term, which can lead to dependence on it. It is better to get evaluated by psychiatrist, so that long term treatment can be initiated in form of drug therapy or psychotherapy or combined treatment. Wish you all the best. Regards, Dr Ashish Kumar Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Depression, suicidal tendencies. Taking prestiq, loss of appetite, diarrhea, dry mouth. Common side-effects of medication?" }, { "from": "human", "value": "Hi,.After months of going thru massive depression ,constant suicida tendncies & Frozen l Ive started to take the prescribed 50mg daily Prestiq( desvenlafaxine ) 5 days ago & believe in such a short space of time Im not feeling nearly as depressd, debilitated as previous. Since starting I have had near total loss of appetite but constant diarroeha. Is this a typical sideeffect. Also dry mouth & jaw clenching, teeth grinding." }, { "from": "gpt", "value": "Hello, welcome to Healthcare Magic. Desvenlafaxine is used for anxiety and depressive disorder. It improve these symptoms by increasing serotonin and nor epinephrine neurotransmitters in brain. It usually take 3-4 weeks for this medicine to show its effects. In initial few days this medicine can increase some anxiety symptoms for that short term benzodiazepines will be helpful. Side effects like diarrhea and dry mouth can occur frequently at initiation of treatment, but later subside in most of the cases. At initiation of treatment, suicidal ideation has also been reported with its use, so it is important to meet your psychiatrist urgently. Wish you all the best. Regards, Dr Ashish Kumar Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Hollow feeling in chest, feeling of emotional pain. How can I stop it?" }, { "from": "human", "value": "I have a hollow feeling in my chest . Like its empty. Sometimes I feel like its the need to have someone to love but I already have plenty of people who love me. Its not a physical pain, more of an emotional pain. But it hurts a lot and sometimes I just want to break down and cry. I ve never been depressed and never had a boyfriend. So its not heartbreak. I want to know why this is happening and how I can stop it." }, { "from": "gpt", "value": "Hello Welcome to Health Care Magic It seems that you are having symptoms of Mixed anxiety and depression. Hollowness in chest is seen in anxiety. You are having feeling that you need someone to love, emotional pain. Many time you just want to break down and cry. These are the symptoms of mild depression. Treatment is available in form of medicines like SSRI (Fluoxetine, Paroxetine, Sertaline) or SNRI (Duloxetine, Venlafexine), you can consult any good Psychiatrist for that. Psychological methods like Cognitive therapy and behavior therapy are also very beneficial. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Suicidal thoughts, depression. What is cure?" }, { "from": "human", "value": "i m 40 year old lady having one son of 13 years. my husband is in love with other lady since about 10 years who have 2 sons. now since 2 years i come to know this. my husband is blaming me for very small matter of house or family. then torchers me that you r not doing properly or sleeping whole day. he don t allow me to do job or extra activity. he says, if i will start earning, i will go to my daddy s home. yesterday he told me that some of his friends r doing well today due to their hardwork and he is diverted on wrong track. so can t expand his business of construction,interior. now i can t understand how to behave with this guy. some times i feel that he will suiside." }, { "from": "gpt", "value": "Hi there ~ I understand that you have been having a tough time handling your husband's mood swings and feel like he is at the end of his ropes and is contemplating ending his life and has depression. I concur with you regarding his wanted to be treated. I feel that you have been stressed out yourself with his extramarital affairs. I suppose you both need to see a family therapist who can help you both out with your marital discord and also have you guys be referred to a qualified psychiatrist so that you can benefit from being treated appropriately with psychotropic medications as well as counseling. I hope my answer helped. Take care and have a good day !" } ]

[ { "from": "system", "value": "Suffering from memory loss, digestion problems, difficulty while studying. MRI, thyroid test normal. Causes?" }, { "from": "human", "value": "I am studying at xxxxx and I am suffering from memory loss problem.I had my MRI done and my vitamin b12 levels also seems fine.My thyroid test results were also normal.I have digestion problems and I am unable to wake up on time.6 months before everything was normal.This problem is also affecting my studies.I do not know what is the problem with me.I loved thinking and putting my brain into solving problems but now it is the opposite.I need your help." }, { "from": "gpt", "value": "hi thanks for your query You have digestion problem. Is it gastritis or loose motions? How is your Haemoglobin? There may be chance that you may be having low Hb. Get Complete blood count done, In case low Hb go for Serum Iron Studies and also Occult blood in stools. You can contact if problem persists Best wishes" } ]

[ { "from": "system", "value": "Had loose motions;. Taken aldicit. Affected emotionally. Help?" }, { "from": "human", "value": "Last year I sufferred for loose motion for nearly four month during gaps right from August 2012 till December after that I did recover but had Aldicit till April. After stopping medicines my bowls have become irregular some times I pass once a day some times twice a day or once in two days. Even after having cleared bowls I have urge to go for the whole day it has effected me emotionally I have stopped going out as I am not sure when I have the urge now since January I am much better but the urge to clear the bowl is there whole day and have lot of gas problem please help me" }, { "from": "gpt", "value": "Hi there ~ The urge to clear the bowels is what we medically call tenesmus and it is a condition that needs treatment. I would think that you should visit with a psychiatrist only after you have ruled out all medical and surgical causes for tenesmus or the urge to clear your bowels regularly, more so if it is affecting your functioning. I think that you should also consult with your family physician to see if you need referrals that are appropriate after testing. I hope this helped. Take care and have a lovely day !" } ]

[ { "from": "system", "value": "Diagnosed with ADD since childhood. Trouble in focusing. Suggestions?" }, { "from": "human", "value": "Hi, I m summer and I m 24 years old. Ever since i was a young child I ve been diagnosed with ADD/ ADHD . As a child i was able to get medication through medicaid, now that I m older medicaid no longer treats my disability . I work at O reilly auto repair in Hammond La. I m also having trouble focusing, and getting the job done correctly. Sometimes i find myself rushing too quickly while doing something, not noticing how fast i go. My boss recommends me to find a doctor that can help my disability. However, i have no insurance nor medicaid. Someone please point me in the right direction on finding a doctor for a reasonable price." }, { "from": "gpt", "value": "Hi there ~ I am sorry that you are having to go through this condition. Please look up the local social services in your area. To help I have looked up some on the net for you: Also the city of Hammond LA should have a social services department that can help. I hope this helps. Take care and have a lovely day !" } ]

[ { "from": "system", "value": "Polyps in colon. No emotions with wife. Got drunk. Had sex with other lady. Suggestions?" }, { "from": "human", "value": "My husband of 14 yrs and living together for about another ten has all the symptoms of thisdosease. We havebeen in constant struggling for at leat 3yrs and no sex for 2. He has just now admitted to me as of last week he has a lady friend and had drunk sex and I am just falling apart and heis feeling so guilty you will never know crying and al the rest. He mess and it all started after he had polops in his colon . and downhill frm there, No emotion to me and just became a workaholic but that is normal for him. He never was a cheat or a lier and now a adulter. So I am in the crying days now. Trying to be supportive but he has moved in her apt but sleeps on couch.HA." }, { "from": "gpt", "value": "Hi there ~ I understand that you are going through marital problems. It is a tough place to be in with your condition and have someone cheat on you who you have known for so many years. It is hard to build trust once you have lost it and it would involve you taking the time to take care of yourself as well as your family and children (if you have kids). I recommend that you see a family therapist or a couple's therapist to make the best use of the situation and have you be referred to a psychiatrist (since your husband seems to have alcohol abuse or dependence issues) if there is a need for medications. I hope this helped. Take care and have a lovely day !" } ]

[ { "from": "system", "value": "Issues in marriage due to overcaring, ego, lying . Worried, having suicidal tendency. How to overcome this situation?" }, { "from": "human", "value": "I am an IT professional I am now 25 years old the girl I am mentioning here have 23 years old. we started love at our degree time. she is now doing MCA final year and after my degree i search for job to make a career faster and getting settled with her, 2 years before we married legally and that was a secret marriage because we don t wan t to miss each other if any problems comes in future. That is the reason why we did that. But now she is avoiding me... she don t like my presence, she told me that I am always scolding her, I didn t gave her peace after marriage, I know I am over caring, but she told me that I am doubting on her etc etc. I loved her so deeply.., I can t bear while she is talking with any other boy or if a marriage proposal comes in her home. I feel afraid always by thinking all these things. I am from a middle class family and she is from a rich family, also she is post graduated now I am feared about that she is avoiding me because of all these reasons. sometimes I feel inferior about myself... that I am not suit for her. I have so many family problems and office tensions. Now I got promoted as Project Leader but I can t work properly... I am always gloomy, I just act as a machine in my office. I feel loneliness , she never try to understand me, I know some where in her mind there is a soft corner for me. But she have such a mind that she don t like to express love, love is a thing that we need to kept in mind. But in my point of view love is a beautiful feeling but without expressing love is nothing. I am crying most of my nights by thinking about her. I don t know how to make her happy. I told her that I am going to leave her because I can t bear avoiding. Sometimes I think about suicide but later I think about my family, my mom, dad...I am the elder son in my family and I have my responsibility towards them. I don t know how to manage all these situations. She never tried to understand me. Two days before she told me that she is in her village and will come back after three days. I can t call her while she is in home. But later I realized from our mutual friend that she is in college, and she told me lie that she is in home. I asked her why you lied... her reply makes me hurted more. She don t like my presence and she don t like to hear my voice. so I told her I am leaving her forever. I know that is not possible for me... but some how I managed one day by switching off my phone. But when I switch on my phone I got 6 blank messages from her that makes me writing this. Also I know I can t live without her. I don t know she loves me or not but her words... I can t forget. How can I disturb the person who don t like my presence. I don t know if I did write or wrong. Please suggest me... help me to overcome this situation." }, { "from": "gpt", "value": "Hello You have described your problem in detail. The problem is only due to misunderstanding. A lot of cognitive distortions are there which should be corrected. Assumptions should always be avoided in a relationship. You have mentioned that you are caring and over loving. You have also mentioned that you don't like her talking to any of male friends. Just ask your self is it really care and love or something else. She is a different individual and she also need her space. You are intruding in her space and this has resulted in a vicious cycle of doubt and fights. This is the reason she is avoiding you. She is saying that she didn't get peace of mind after marriage. But due to continuous mis trust she has started avoiding you. She just want peace of mind. I will advise you to go to a Counselor for proper counseling. Then request her to come along with you for Couple Therapy for strained relationships. Talk to her about restarting the life. Decide to change yourself. Don't feel inferior work had so that you can win her again. And also don't threaten her with suicidal threats. This will affect only you and no one else will be affected. If you both are ready to continue again then reach to a amicable state by talking to each other. thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "What causes tilting of the penis when erected?" }, { "from": "human", "value": "Hi... I am a 17 yr male, ht. 5'7'' ,wt. 55 kg. I have an errection problem, my penis turns little tilted while errection.. Other things are normal .i masturbated daily while i was 16 for about a month, then i slowed it down to once in a month and now i masturbate twice in a week.... Doc.. What should i do ??" }, { "from": "gpt", "value": "Hello, Little tilt in the penis is normal. The Vagina is made in a way to accept bent, tilted, a large type of penis. Masturbation is mostly not the reason, its genetic. 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": "Blurred vision, tingling arm, abdominal discomfort. Tested for celiac. Stress related?" }, { "from": "human", "value": "Hi there. I have had trouble with my abdomen for the last few months- there are times when it gets very distended to the point that I look pregnant. It usually goes back down to normal in the morning. For the past two-three weeks it hasn t been going down as much as it should, and by the evening it is huge again. I have cut out wheat, dairy, meat, and a few other foods, and it hasn t helped at all. I had my blood tested for Celiacs and it came back negative. I had an ultrasound done on my lower abdomen and it came back normal. My ferritan levels are low: 13. I have been feeling like my food isn t going into my stomach properly- like there is a pill stuck there or something. Any suggestions? I m so sick of this belly! I had symptoms a few years ago related to stress, ( blurred vision and tingly arm ) but I have that under control now. Could this be stress related?" }, { "from": "gpt", "value": "Hello, Thanks for choosing health care magic for posting your query. From the description that you have stated, general fullness of stomach in absence of clear cut physical diagnosis can be related to stress. However before these can be considered cause of stress, possibility of acidity should be ruled out. If need be a course of antacids should be tried. At the end, good diet and regular exercise go along way in helping to improve these non-specific symptoms. Hope I am able to solve your concerns. If you have any further queries, you can contact me directly using the link" } ]

[ { "from": "system", "value": "Prostate problem, overweight, asthma, no sound sleep, ADHD. Solution?" }, { "from": "human", "value": "Boyfriend, age 58...has minor prostate problems, little overweight , drinks daily, smoking with asthma . While in anxiety and fear, not having total control or the feeling he s in control and he constantly repeats himself ( started 2yrs ago ) and then when he s sleeping- he jerks, mumbles with angst and screams oh my god, sighs . It s unsettling and i worry about him. Oh and he s taken Dexometaphetamin (sp) speed for 8 yrs. 10 mg? Brown & white/clear capsules ( 2-5 daily). For ADHD . JG" }, { "from": "gpt", "value": "Hi there ~ Thank you for bringing up the situation of your boyfriend within a forum like this. I think your boyfriend needs expert help of a psychiatrist and a substance abuse counselor. His prostate problems, being overweight and having asthma apart (which need to be seen by a family medicine doctor), he needs to see a psychiatrist for his sleep disorder which might be secondary to a substance abuse condition. I also feel like he may have a primary mental health problem. Please consult these specialists as soon as possible along with your boyfriend. I hope this helped. Take care and have a nice day !" } ]

[ { "from": "system", "value": "Severe anxiety, rib area feels tight, nervy pain. What should i do?" }, { "from": "human", "value": "I suffer from severe anxiety. I wake though night with tingling pain from feet which goes to my bladder lower bowel & travels to my rib area, goes after a few minutes, but I think it has affected my bowel ( can t do healthy stools ) bladder feels bad, full sometimes, rib area feels tight, nervy pain. This is a vicious circle my symptoms make me more anxious. my Dr says I have IBS . & their are no tests for the symptoms I have, I am very depressed." }, { "from": "gpt", "value": "Hello Welcome to Health Care Magic Usually IBS or irritable bowel syndrome occurs in a person in situations of stress and anxiety. Anxiety increases the symptoms of IBS and IBS increases anxiety. So a vicious cycle results in deterioration of health. There are no specific tests that can detect IBS with confirmation. All major tests of stomach and bowels come normal. You should visit a psychiatrist for expert opinion. There are various medicines which can be used in anxiety and IBS. Medicines like SSRI as Paroxetine, sertaline are very useful in IBS with anxiety. A specific medicine Librax which contains clinidium and chlordiazepoxide is very effective in controlling bowel symptoms in IBS. In some patients stool softeners are also used to relieve constipation. As you are in pain, have thightness in rib cage, I will advise you to visit a Psychiatrist. thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Nausea and diarrhea. Mild gastritis and small hernia detected. Severe depression. Is there any relation between them?" }, { "from": "human", "value": "Hi Doctor, 2 months ago I was a very happy person , healthy and joyful. I was on holidays on a cruise and got sick on the last day of the cruise with possible food poisoning . My husband and son did not get sick. I had extreme nausea , diahhrea. Once I got home the nausea did not stop in fact it got worse and worse. This started in January 16th 2013... Then I got pain in tummy as well and ended up in hospital 3 times. I have lost 6 kilos and started getting anxiety as they said blood work was fine. I finally had an endoscopy and it showed mild gastritis and small hernia . I always vomit in morning and nothing comes out.lack of appetite. I feel sick and sore in tummy every day. What I also started noticing is that I am getting so tired it is hard to function and last couple of weeks I ve been crying all the time and feel like I have fallen into depression . I feel so exhausted , and emotionally empty even towards my family who I love so much I feel so empty with everything. I m on ppi and painkillers when needed but wanted to ask you why or how could I get depression all of a sudden and it all started from this gastritis 8 weeks ago as before then I was soooo happy. I m scared that I won t be the happy me again and feel joy again. It s very frightening . Lucky for me my husband supports me and tells me its not be but my body .. I still feel sick every day some days worse than others. I m getting more blood tests and stool tests done as well. Your help would be appreciated . Thankyou. I m 37 years old" }, { "from": "gpt", "value": "Hi Carmen, Sorry to hear that you are very depressed and going through this phase , but , lucky for you, you have got a very supportive husband. Even though there is no clinical correlation between gastritis and depression, I have seen a couple of patients where the disease starts with gastritis and they end up feeling depressed despite being on proton pump inhibitors. You will feel better once you take active steps to come out of this situation. Continue your medications as per your doctor's advise and try to do the following: 1. Sign up for yoga classes , if you have a good instructor in your area. Yoga and relaxation techniques are of great benefit to cure anxiety and depression. 2. Regular exercise 30 minutes a day for 5 days a week. 3. Listen to music, Read good books... like Robin Sharma's \" who will cry when you die\" simple book but it will make you fall in love with your life. 4. Eat healthy food. Keep a food diary. Avoid foods that seem to worsen your symptoms. Avoid spicy and oily foods. Have you been tested for H. pylori infection? Wishing you a speedy recovery :) Regards, Dr. Divya Kuttikrishnan" } ]

[ { "from": "system", "value": "Hands and feet are ice cold. Have depression and ejaculation on seeing a girl. Suggestions?" }, { "from": "human", "value": "Hi, I had my blood test done recently the blood sugay level was 104. My hands and feet are ice cold almost all the time. I feel depressed all the time. My hands and head tremble and I am only 28. I started masturbating at the age of 15 and now whenever I see a girl my semen just comes out within seconds. I have worse condition of PE. Please suggest whet shall I do to get rid of these conditions. Thanks" }, { "from": "gpt", "value": "Hello Your sugar levels are in normal range, there is nothing to worry. You have mentioned your hands and feet are cold most of the time. You are feeling low. Tremors are also present. First of all just to reassure you, Masturbation is a healthy practice. It has nothing to do with your symptomatology. Every adult male or female after attaining puberty masturbate. So it has nothing to do with your depressive symptoms. But continuous thinking about masturbation and beliefs about its effects are producing stress in you. It has increased the anxiety in you. Due to this you are feeling low and you are having tremors. You have mentioned that on seeing girls your semen just comes out. It is most likely not semen, it may be precum, which is lubricating fluid secreted on getting erection. I will advise you to divert your attention by reading good books, exercise daily, practice yoga daily. If problem increases visit a Psychiatrist for episodic control of anxiety. Medicines like Fluoxetine Paroxetine will not only cover depression, but will also help to delay ejeculation. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Mother hit herself in her temple and died, father wont get any help or anything, tried to replay it. What to do ?" }, { "from": "human", "value": "My mother past away February 10th. Its been the hardest thing I ve had to go threw! My father has been married to my mother Jeannine Russow for 34 years. She shot herself in the temple It went in the right side an came outa the middle of the front part of her head. I got the call at 4:30 am its killing me inside I don t no how to deal myself an my dads loosing his mind!!! I m the youngest of three girls. Even being the youngest I m the rock to the family everyone comes to me! Its a tough position an not sure how to keep that roll at this time!!! Please help me help my father? He won t go get help in any way no pills or anything! He watched her do it an he cought her in his arms she used a 44 an he replays it in his head over an over!!!" }, { "from": "gpt", "value": "Hello I am sorry about your mother. She shot herself in last month and your father has witnessed it. It was a married life of 34 years. So its natural to have such of grief reaction. Grief reaction like low mood, crying spells, not accepting incident, de realization etc is considered as normal to some extent. But you have mentioned that he replays the incident in his head, he is loosing his mind. This is not normal. Try to talk with him and explore if there is any suicidal intention. Closely watch him and give warm supportive care. It has been about 40 days of your mothers death so such levels of grief are not acceptable. He may develop Post Traumatic Stress Disorder. I advise you to take him to a Psychiatrist ASAP for immediate control of his symptoms. You have mentioned that you are also feeling low to some extent. But if this is not affecting your occupational and social life then its acceptable. Try to help your father, he need help from you. thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Experiencing extreme mood swings all day, 18.5 yrs old, just finished periods. Is this normal ?" }, { "from": "human", "value": "I m 18.5 years old, and my period just ended a week ago. I ve been experiencing extreme mood swings all day today. Justabout two hours ago i was really horny and then i was super calm even when there was too much noise around me, which is unlike me, and now I m suddenly very angry and just can t seem to cool down. I have exams in two days, but i just can t concentrate. This doesn t happen regularly, but i experience these symptoms once every few months. Is that normal? I m not sexually active yet, just so you know." }, { "from": "gpt", "value": "Hello The features you have described as mood swings, feeling horny, irritability, poor concentration that too don't occur regularly. These symptoms occur at intervals. Most likely these are part of Anxiety. It may occur due to hormone changes also. You should try to control the symptoms by relaxation exercises, deep breathing exercises, yoga or meditation. If symptoms increase in severity I will advise you to visit a Psychiatrist. Various medicines like Versidep (Flupentixole and Melitracen combination) or Propranolol can be taken for episodic relief of anxiety and also these medicines are non sedating and non addictive. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Panic attacks in night, waking up gasping for air, with cold and drenched in sweats. Is it due to stress?" }, { "from": "human", "value": "hi my name is SPC Brandon, Cody A i am in the army and i am away from base on vacation i am working throug a very stressful time.. i have developed what i think are panic attacks and at night i am waking up gasping for air like i held my breath in the pool or something.. when i wake up i am drenched in sweat and cold at the same time." }, { "from": "gpt", "value": "Hello, Thanks for posting a query in health care magic. If these episodes are occurring only at night,then they may not be panic attacks. Some cardiac conditions also present with such kind of symptoms. It depends on your age and if you have hypertension/diabetes or any other risk factors. You should undergo an ECG and echocardiograhy to rule out any cardiac cause. Hope I am able to solve your concerns. If you need any further details, you can contact me directly by using the below mentioned link: Wish you good health. Regards, Dr. Srikanth Reddy M.D." } ]

[ { "from": "system", "value": "Have Stickler Syndrome causing blindness, deafness, Mitral Valve Prolapse. On benzodiazpines, muscle relaxants, choral hydrate. Help?" }, { "from": "human", "value": "I have a rare, listed on N.O.R.D, called Stickler Syndrome ,named after Gunar B.Stickler. It is a connective tissue disease causing Blindness , deafness , and severe, end -stage DDD, and DJD along with possicle Mitral Valve Prolapse/ I am dependent on pain meds, benzodiazpines, muclse relaxants, choral hydrate. I have been to the Northwestern Clinic/ Hospital since age 2 y.o.s. Frankly, I m tired of being a human tutorial. My problem now is that I can t find a doctor who has even heard of Sticklers, therefore they choose to start all over again with medical treatment. Not one doctor has contacted my two latest geneticist or opthamologist, all of thise doctors could easily explain Stickler Sydrome and the treatments that work. The doctors in question whom a I ve seen have been Medical Director of NIH, Harvard, Duke and other such institutions. I don t share with doctors anymore because I was accused of being s doctor name dropper. I could drop a few names but no offenxe doctors are not on the list of those I would name drop. MY problem, I need to be put on the meds that took over ten years to work with the least side effects, so much so, that I was able to fininish my Mastar s Degree. I almost felt like a normal person , The thing I need nost is a doctor who understands any severe painfrul connective tissue disease but Stickler s Syndrome in particular." }, { "from": "gpt", "value": "Hi there ~ I understand that you have a rare syndrome and have been seen by many doctors, let alone be the subject of demonstration to a lot of clinical students due to the rarity of your disease. I can see that you feel like you have been feeling the way you have due to having gone through a lot your whole life. You seem to ask for help with medications I am assuming, due to there being no clarity in your questioning. I appreciate that you have done your masters degree. However you also need to give me more information on what help you need with regards to medications, so that I may be of some medical use to you. Hope this helps. Take care and until next time have a good time !" } ]

[ { "from": "system", "value": "Crying spells, get angry fast, chest congestion, sleep disturbances. Suffer from costochondritis. Have suicidal thoughts. What to do?" }, { "from": "human", "value": "I am 33y female weighing 251, I cry in short bursts for no reason, I get angry at little thing, I feel like my chest is going to burst if things don t go a certain way at work, I sleep in 30 to 90 minutes patterns wking up all night long for no reason what so ever, the last week I have horrible nightmare and have screamed or cried myself awake, I am in contant upper body pain that I have been told is chostochronditis for 2 yrs, sometimes the thought of killing myself sound extremely appealing so I don t have to cook clean work try to come up with money for bills" }, { "from": "gpt", "value": "Hello You are 33 and you are having crying spells, irritability. Ideas like your chest is going to burst if you wouldn't do things in a particular way. This is called magical thinking. You have also sleep pattern in 30 to 90 minutes pattern. Also you are having costochondritis for 2 years. From available information I can say that most likely these symptoms are due to OCD. Obsessive Compulsive Disorder is a anxiety disorder. It is characterized by obsessions and compulsions. Obsessions are intrusive ideas or thoughts which dominate the mind, individual tries to get rid of them but is not able to do so. These are invariably distressing and although the individual is aware of that these are purposeless still he can't control them. Compulsions are behaviors which are done in response to obsession to get rid of anxiety. In your case thinking that chest is going to burst is obsession and doing things in particular way is compulsion. These cause severe anxiety in individuals. I will advise you to visit a good Psychiatrist for expert opinion. Medicines like SSRI as Fluoxetine, Fluvoxamine, Paroxetine, Sertaline etc. are used in higher doses for OCD. Other medicines as Clomipramine are also used in OCD. Behavior therapy like exposure and response prevention is other modality of treatment. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "What causes yellow-white bumps around the top of penis foreskin?" }, { "from": "human", "value": "i am 17 and I have just recently been able to pull back my foreskin, there are yellow-ish white whit bumps around the top of my foreskin and on the bottom of the head of my penis . What is it and how can i make it go away i also have never had sex or sexual contact" }, { "from": "gpt", "value": "Hello, It can be smegma or infected smegma. Daily washing will help you. If issue persist need to use local antibiotic cream. 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": "Had fast pulsing under the middle rib cage, feeling weird in same spot. Is it due to Depression or Anxiety?" }, { "from": "human", "value": "i got fast pulsing right under the middle of my ribcage about 9 months or so ago and ever since i have been feeling wierd in that same spot? what could it be? i went to the doctor and he said it could be from depression or anxiety so he gave me pills, but i forget to go for more and stoped taking them about 2 months ago. but my stomach feels wierd what could it be?" }, { "from": "gpt", "value": "Hello, Thanks for posting a query in health care magic. It could be many times possible that there could be an abdomen organ lying exactly above the aorta in which you could have such kind of pulsations. the same can be confirmed by USG abdomen. If not then probably, it could be due to anxiety as well. You should give a try to the meds given by your doctor. If it improves with the given meds then it could very well be due to anxiety. Hope I am able to solve your concerns. If you need any further details, you can contact me directly by using the below mentioned link: Wish you good health. Regards, Dr. Srikanth Reddy M.D." } ]

[ { "from": "system", "value": "seven and half months baby not able to lift his head" }, { "from": "human", "value": "my seven and half month old son is having these symptoms please help me to cope with the situation.his weight is 8kg now and born with 3 kg of weight and cried immediately after birth. 1 not able to react on any sound (bera done, report showing severe hearing loss in both ear, VEP is normal) 2 still not recognizing mother or any kin (head size is little bit bigger but MRI read normal,EEG normal,Echo normal, 3 not able to lift his head while lying on back. but can lift head while in prone position 4 not able to sit, if we try to get him sit with support he shows stiffness,some time he sit for a while otherwise try to stretch on bed.he truns on bed himself 5 he is crying like a normal baby but not laughing some time smiles Transthoracic Echo Doppler Report says: No structural heart desease No evidence of any hypertrophy of ventricles Normal ventricular function and dimension please suggest me what to do now. all other activities are normal (eating,sleeping,passing stool,urine,can lift his both leg and bring leg near his mouth, licks his both hand and catch any article with both hand) waiting your valuable suggestin please" }, { "from": "gpt", "value": "Dilated ventricles mean ventriculomegaly and this could be either due to hydrocephalus, increase water content of ventricles, and a measurement of head circumference would tell you whether he this condition or not. The very fact you say that he is unable to lift the head; I have a strong suspicion that this could be because of that I mentioned and I recommend to take your child to a neuro surgeon immediately." } ]

[ { "from": "system", "value": "Extremely stressed, difficulty in breathing, sweating. Smoke marijuana regularly. Suffering from depression?" }, { "from": "human", "value": "I m beginning to suspect that I might have anxiety? I get extremely stressed over the most trivial things, and whenever I do get stressed, I feel like I can t breath, I start sweating & immediately start to cry. I feel like just about anything can cause me to have a break down, school and talking to authority figures in particular. I was very depressed in high school & I don t know if this could just be depression still. I have been smoking marijuana regularly for the past year. Being high is so far the only way I can cope with stressful situations without breaking down and crying in public." }, { "from": "gpt", "value": "Hello The symptoms of being stressed on trivial things, sweating episodes, crying spells, difficult respiration etc are features of anxiety disorder. Also as crying spells are present so chances of Mild Depressive Episode are also there. Smoking over all increases the anxiety. As it is an anxiety disorder so treatment is must for this condition. Management with Beta Blockers as Propranolol or Benzodiazepine as clonzepam will help to give symptomatic relief in anxiety. Other medicines like SSRI as Sertaline, Fluoxetine etc. and SNRI as Venlafexine, Desvenlafexine etc. will help to treat anxiety. Relaxation exercises, yoga will also help. Visit your psychiatrist for opinion. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Stopped zoloft suddenly due to night sweats. Need to be concerned?" }, { "from": "human", "value": "I do not have money to get my question answered if that is what you need unfortunately... but I am so worried about my 26 year old daughter who has stopped cold turkey taking the Zoloft her physician prescribed for her about 3 years ago for stress/Add & depression . She claimed that she was experiencing bad night sweats & lack of sdrive so she abruptly stopped it. Her mood swings range from being so nice like when she was on zoloft to abusive" }, { "from": "gpt", "value": "Hi there ~ I do not think it was a good idea for your daughter to go off of zoloft. However it would be good to speak with her and let her know that you have noticed her mood has changed since her having stopped zoloft. Giving them insight would be primary in making the diseased, better adherent and compliant. I would think that there will be a change in their attitude when such a change happens. I hope you understand and can talk your daughter into taking medications. Hope this helped. Take care and have a good day !" } ]

[ { "from": "system", "value": "Severe shaking in body, nausea, increased heart rate, whiteness in hands, face due to fear of work. Suggestions?" }, { "from": "human", "value": "Hi im a 19 year old female and for the past 3 years I ve been having the same problem. When I wake up in the morning my body is severely shaking and I can t control it. I m still alert and responsive but it just shakes. I get a feeling of nausea , increased heart rate , my hands & face turn white, my breathing gets heavy, and I get this overwhelming feeling of fear. This only happens on days I have to go to work because when I m home I sleep perfectly fine. It s become hard to even accomplish the smallest things. It s taking a toll on me and I just want to know what it could be." }, { "from": "gpt", "value": "hello welcome to health care magic It seems from your description that you are suffering from \"panic disorder\" which is one of the anxiety disorder and characterised by intense anxiety attacks associated with impending doom. However, you need consultation with a general physician once to rule out any medical etiology. For that, you might need some investigations. You have the following treatment strategies for panic disorder- 1) Drugs like SSRIs (Paroxetine, Sertraline etc) 2) Behaviour Therapies 3) Relaxation exercises like yoga, meditation etc Hope it helps Wish you good health Regards Dr. Gourav Monga Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Loss of memory. Used triazepam and diazpan. Have anxiety and depression. Help?" }, { "from": "human", "value": "hi i think my freind has date raped me usin triazepam n diazepam together,i have no recollection of this n i certainly wouldnt of slept with this person knowingly but i woke up unsure of what had happened to me the next day ,i also am diagnosed with anxiety n depression n im told these shouldnt be taken why im takin prozac please help me" }, { "from": "gpt", "value": "Hello Prozac is fluoxetine. It belongs to SSRI group. When this drug is taken it increases serotonin in brain. In depression and anxiety serotonin is assumed to be deficient. So this drug replenishes the serotonin in brain and improve the symptomatology of depression and anxiety. This drug is a safe drug, no sedation with this drug and also no long term side effects, so there is no harm in taking this drug. This will improve your anxiety and depression. You suspect your friend gave you triazepam and diazepam and date raped you. These drugs may cause ante grade amnesia, but I need further details to comment. You can ask again with detailed question. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Take logynon, have mood swings and anxiousness. Is it because of the pill?" }, { "from": "human", "value": "Hi I m 22 I have been on logynon for 7 years now and only the past two months I have been getting mood swings and crying and I think it may be my pill as I feel fine on my break and in the first couple of days on my pill everything else is fine but I feel down and anxious at times and my sex drive is really feeling it the past few months too" }, { "from": "gpt", "value": "Hello, Thanks for posting a query in health care magic. From the description that you have stated it appears that your mood swings might be associated with your medication use. You should try switching to some other medications so that the mood swings can be controlled. If the symptoms persist you will need additional psychotropics. Regarding your sexual drive, iot has more to do with the relationship issue. make sure that there is nothing wrong in your relationship with your spouse. If it still persists, then it may also be due to your medications. Hope I am able to solve your concerns. If you need any further details, you can contact me directly by using the below mentioned link: Wish you good health. Regards, Dr. Srikanth Reddy M.D." } ]

[ { "from": "system", "value": "Feeling that I am not breathing normally. Is this due to stress?" }, { "from": "human", "value": "its been twenty days.i feel im not breathing normally.its kind of short quick breaths. and i feel lightheaded all the time.its not pain.its just a feeling that cant be described.started from the temporal regions.now its just above my neck and persists in temporal region too.is is due to stress?as i tend to think a lot about future.what i will do..how will i cope in this competitive world.im an overthinker and im affected by little things easily.also this started after i had a breakup few months ago.what it it??i feel hopeless...i cant tolerate this feeling...PLZ HELPPP..." }, { "from": "gpt", "value": "Hello, Thanks for posting a query in health care magic. From the description that you have stated it appears that you are having an anxiety disorder. The light headedness, short breaths and anxiety are all associated symptoms. You need to seek help from a psychiatrist who can interview you in further detail. He may like to take you up for cognitive behavioral therapy and also start you on either paroxetine, venlafaxine or escitalopram. Clonazepam is also a good drug to reduce the distress. Meditation, yoga and progressive relaxation will also help you. IN the end good diet, plenty of water and regular exercise will go along way in keeping you healthy. Hope I am able to solve your concerns. If you need any further details, you can contact me directly by using the below mentioned link: Wish you good health. Regards, Dr. Srikanth Reddy M.D." } ]

[ { "from": "system", "value": "Suffering from mood swings, have suicidal tendencies, migraines, no family support. How to recover?" }, { "from": "human", "value": "I am suffering from mood swings. I feel sad on one day and happy on next. I love to hurt myself but I dont want to die. I think of suicides these days but in my teens I attempted many times. I also suffer from migraine and dont hold good childhood days. I dont have anyone supportive in family, they say I am mad when I ask them to take me for counsellings. I went for counselling, got some cognitive ways to love myself but asa a fight erupts like a volcano at home, i find myself discomfort and agitated. I decide to die and hurt myself. I never do, self restrain but tired now. I love to be alone at times, but when I feel good, I want lot of people. This is the only reason I activate and deactivate my profile. Please help! I feel loss in interest and always insomniac from my teenage. I feel really tired at times but I want to get free out of all this." }, { "from": "gpt", "value": "Hi there, thanks for asking. Such pressures can bring depression in long term. If you or anybody has depression, she cannot work or study properly and it should be treated. You may ask your doctor to give you an antidepressant or talk sessions will help. They should work on the stressors since they change the personality if it takes long. Headaches are intensified with these factors, so you should pay attention to them. Counseling is really useful and it is a good start. Let me know if you have any question. I wish you a good health. Take care." } ]

[ { "from": "system", "value": "Has abdominal pain, depression, stress, combination of constipation and diarrhea with blood. Cause?" }, { "from": "human", "value": "Hello, My 32-year old wife visited the ER last week with abdominal pain . Both blood work and Urine came back normal and an Abdominal CT Scan also came back normal. She was prescribed pain medication and released with instruction to follow up with PC. The PC has referred her to a GI to discuss issues. The past 12 months she has battled depression and stress and has a combination of consipation and diarhea with some blood. What could her issues be?" }, { "from": "gpt", "value": "Hi there ~ I understand that your wife is in a lot of pain and has been having these symptoms for a long time now. She has been battling from depression and anxiety. You do not mention if she has seen a psychiatrist or a psychologist however. I think that you would be better off taking her to a psychiatrist to have a complete history taken and proper medication taken for the condition that seems to me to be a somatoform disorder. I hope this helps. Take care and have a good day !" } ]

[ { "from": "system", "value": "What causes a crack underneath the foreskin?" }, { "from": "human", "value": "i have some cut underneath of foreskin not the frenulum, and i kept open the foreskin.after 2 days the foreskin became tight and couldn't be brought back to initial position and it began to swell. Now i brought the foreskin back to initial position somehow. Would my injury on inner side the foreskin will heal by itself?" }, { "from": "gpt", "value": "Hello, As per your history, it may be due dermatitis or dry skin. For that you can apply hydrocortisone ointment locally. Avoid harsh cosmetic products like soap and shampoo. Use plain water while washing. Use loose cotton clothes and avoid sweating. 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 Tremors ranging from moderate to severe fatigue and thyroid, soreness in elbow. Solution?" }, { "from": "human", "value": "I have tremors which range from moderate to severe with fatigue . Unexplained fatigue which is overwhelming, also have thyroid issues, which are now under control. Have seen a neurologist but he said they are familial, now having PT for soreness in elbows, tremors worse on right hand , pain in elbows worse on left I am tired of seeing doctors, and not getting answers what should I ask" }, { "from": "gpt", "value": "Hi there ~ It is understandable to be frustrated when one is one feeling well despite seeing many doctors. I think that you will find answers by seeing a good psychiatrist if you have not visited with one yet. Depression and somatoform disorders can be disturbing and can mimic anxiety which can all be comorbid. I advice you to go to a psychiatrist to have yourself checked out. I hope this helps. Take care and have a good day ! There are many medications for the range of symptoms you mention, so take heart and take my good advise." } ]

[ { "from": "system", "value": "Inability to read texts, letters seem like patterns, loss of memory. What is the cause?" }, { "from": "human", "value": "While reading I sometimes lose track of words and find myself following patterns on the page which form between letters. I find myself somewhere near the bottom of the page but have no memory of reading the text, I can see the letters but not the words and the pattern of space on the page standout clearly. This happens regularly when I read. What causes it? Other times I see red or green lines around the sentences and recognize the letters but not the words. Is this related to the pattern problem?" }, { "from": "gpt", "value": "Hi there, this could be related to concentration problem. It may be related to a medical problem or a psychiatric issue. You should pay attention to see if any other changes has happened, like tremors, palpitations, etc. You may also pay attention to see what is the pattern of your sleep. Reading problem can also be related to refractory problems in the eye. Sometimes we need an eye glass or it could be related to change in the eye pressure. For example some medications change the pressure inside the eyes, like some antidepressants, etc. Let me know more about it. I wish you a good health." } ]

[ { "from": "system", "value": "Paranoia, irritability. Currently taking Saphris, cymbalata. Prevent psychosis?" }, { "from": "human", "value": "Currently taking Saphris(5mg daily for 4 days) tapered from .5 for 3 days then up. Also taking cymbalata(30mg) tapered down withing the 3 day period of starting saphris. Also taking Clonazepan (.5mg) usually 1-x daily. Questionable paranoia and irritability since I ve started the Saphris. Don t know how to take it, is it a side effect or just a delusion . I have not felt so irritable as to where i felt a lack of control since starting this and feel it is alarming especially since the medication should prevent psychosis like symptoms...I am concerned." }, { "from": "gpt", "value": "Hello Welcome to Health Care Magic Saphris or asenapine is a newer drug and it is very useful in psychosis and bipolar disorder. Cymbalata is duloxetine and is used in depression, anxiety and fibromyalgia etc. When ever any drug like duloxetine is started a rebound increase in anxiety occurs along with irritability. But these side effects go after 1-2 weeks. Your complaints like paranoid, irritability etc. may occur with asenapine as during initial phase of therapy with antipsychotic drug, subjective and objective restlessness, irritability occur, which is also called akathesia. Although this type of side effect is common with typical older antipsychotic drugs and newer drugs are devoid of such type of side effects. Still there is a risk and we can assume that the symptoms are due to asenapine. I advise you to visit your psychiatrist and take opinion regarding the problem. Proper dose adjustments will help. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Living alone. Keeps speaking while doing work for hours. Am I having mental issue?" }, { "from": "human", "value": "does talking to yourself mean you have mental health problems ,as i live on my own iv noticed iv started to talk when cleaning and when sitting down find that i speak what im thinking about ,,sometimes its imagination`and other times past memories,,i use a computer an find i say things in relation to news an other topics like what i personally think, points of view ,,etc ,, however iv noticed that im talking more or less all the time when on computer for up to 3 maybe 4 hours at a time" }, { "from": "gpt", "value": "Hello Welcome to Health Care Magic You have complaints of talking to self. You start to talk to yourself while doing work, cleaning or while thinking any thing of past. Even while on computer you talk with yourself. This occurs about 3-4 hours per day. As you know that you are talking to self, so we can easily ascertain that it is not a psychotic disorder. Usually a patient in psychosis may talk to self, but he never accept it. So this is not a psychosis. Other thing it can be is part of anxiety disorder. You talk to self and it is also bothering you. Your work is hampering so we can label it as some form of obsession. Although detailed evaluation is needed to label OCD or obsessive compulsive disorder. If you think that you can handle it then its normal, otherwise visit a good psychiatrist. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Not interested to work and sleeps late. Does not take medicine or consult psychologist. Advice?" }, { "from": "human", "value": "hello doctor..my brother left the job..he is sitting idle in home for the past 2 yrs.he s not interested in goin for a job.. he does nt sleep till 3 in the morning..he is flirting with our house maid..my parents are very much worried about him..he is not ready to take medicines or consult a psychologist..pls help me out.." }, { "from": "gpt", "value": "Hello Welcome to Health Care Magic The symptoms your brother is showing are not going to work, lack of sleep, flirting with maid or increased sexuality. These symptoms should not be ignored as they may be mild signs of some mood disorder. In initial stages of mania patient may show such type of behavior. As you have not mentioned details of his symptoms, but with available information I can say that he need a Psychiatrist. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Sudden memory loss, disorientation. Headache, pain in ribs" }, { "from": "human", "value": "I had a sudden loss of memory and disorientation while skiing the other day. I also think i wiped out but i have no memory of how this happened. Apparently i called my wife during the episode. I told her I felt strange and disoriented and that i had scratches on my hands and face but could not understand how i got them. I was feeling strong otherwise. I also had no idea i was the one placing the call to my wife and could no remember we had talked earlier that day, a couple of hours ago. I woke up with a mild headache the following day, scratches on my head and pain on one side of my ribs." }, { "from": "gpt", "value": "Hello Welcome to Health Care Magic You had sudden memory loss, disorientation while you were skiing. You were feeling disoriented and strange. Also you had headache and also scratches on head and pain in ribs. Probably you had episode of seizure. Seizure probably Generalized tonic clonic type usually present with symptoms of sudden onset involuntary movements of limbs, loss of consciousness for some time. Usually episode last for few seconds only. After episode individual remain confused with fatigue in limbs as due to seizure. Loss of memory for episode occurs because of anterograde amnesia. You had scratches on head and injury because of sudden fall due to seizure. So as per my opinion visit a good Neurologist and take opinion regarding episode. EEG can be done to ascertain any seizure activity in brain if any. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Prescribed Eltroxin for irrelevant talking. Tests normal" }, { "from": "human", "value": "Dear Doctor, Now My father age is 81.He is retired state level officer from Tamilnadu government. Last week suddenly he was talking irrelevantly. We went to Doctor ,as per Doctor’s advice we have taken CT , MRI , Abdomen and Echo ,blood tests which these results are shown normal. TSH value (Thyroid test) only 39.6 which is above normal. SO doctor prescribed Eltroxin tab. But still my father is in same ." }, { "from": "gpt", "value": "Hi, , It seems that your father might have Transient ischemic attack in the brain giving rise to this problem, which is very common at this age. Continue with the medicine Eltroxin, if it is due to thyroid problem, it will take some time to give its effect. Ok and bye." } ]

[ { "from": "system", "value": "Been having concentration issues, carelessness and lethargic attitude. What medications are recommended?" }, { "from": "human", "value": "hi all i am a medical student studying fourth year and now a days i am not studying at all i am bunking a lot of classes and i don t want to meet people at all this days.. i stick to my room the whole day wandering here and there in social net works talking to some1 whom i don t know leaving my surrounding alone .....at my college i know that there is a strict rule to fill 75% attendance even if i know that still i am doing the same thing and it s my first time to be like this through out my life i don t know what is happening for me...is there any medication for this Doctors?" }, { "from": "gpt", "value": "Hello Welcome to Health Care Magic This is your forth year, and you should now take it seriously. The things like bunking lot of classes, spending time on internet, poor sociality are considered normal to some extent. But if they increase in severity like in your case then it should not be ignored. Poor concentration, carelessness, lethargy are due to your ignorance. Try to participate in out door activities, play with batch mates. Start doing assignments regularly, its never late. Other thing I would like to tell, if the symptoms persist then visit a Psychiatrist as it may be Mild Depression. Mild Depressive Episode may present with such symptoms of poor concentration, lack of interest in any thing, social withdrawal, lack of energy etc. Try to control by your self or visit a Psychiatrist. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Hypothyroidism and depression. Taking thyronorm and fludac. Need further treatment?" }, { "from": "human", "value": "my wife is having hypothyroid . She is taking thyronum-50. Also for her depressional attitude she was being treated by psychiatriest & was prescribed fludac 20. But when she was guided by another doctor who told thyronum is enough for treating depression & she stopped taking fludac. Now at every step she is showing symptoms of deep depression. What do you suggest" }, { "from": "gpt", "value": "Hi there, thanks for asking. Depression could be a symptom of hypothyroidism. however, it could be separately present. When stopping the antidepressant has led to depressed mood, it would be beneficial to restart the antidepressant. Sometimes, improvement of the effects of hypothyroidism (that has been present for months or years before it is diagnosed) need additional help for the body. It is quite natural if somebody needs taking antidepressant in this condition. She may take the medication under supervision of her doctor and she may need just 6 to 9 months to take it. Doctor will know when to decrease it. I wish her a good health." } ]

[ { "from": "system", "value": "Have impaired renal function, irrelevant talking, screams. Why? Schizophrenia?" }, { "from": "human", "value": "hi doctor, one of my colleague have impaired renal function ( Serum Creatinine: 4.1 mg/dl) and simultaneously undergoing Koch s ATT for past 3 months. Now she is behaving bizaare way, sometime screaming, talking irrelevantly and so., Is this schizoprenia or because of his impaired renal function he is behaving in that way?" }, { "from": "gpt", "value": "Hello rachelgunraj Welcome to Health Care Magic Her creatinine clearance is 4.1 which is high and most probably she is having severe renal impairment. She is also in ATT for 3 months. She is having history of screaming and irrelevant talking. First of all I would like to tell you that it is not Schizophrenia. With available information she might be having some electrolyte abnormality. Her sodium levels may be in abnormal range and this may cause symptoms of confusion, lathery, screaming and irrelevant talking. So I would advise you to get her Electrolytes level (Blood Urea, Serum electrolytes) checked as it is very common in renal impairment. Second thing is that due to multiple stresses she might be showing Acute Stress Reaction. When individual fails to cope with situation he/she may develop severe anxiety and abnormal behavior. So I would like to advise you to take her to a Psychiatrist after investigations come normal. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "What causes severe pain in the back of the head during ejaculation?" }, { "from": "human", "value": "Hi, David here i am teenager and iv been masterbating for about 3 years. I masterbate once everyday. since last week iv been having a severe pain in the back of my head near edaculation. Im really worried! does anyone have a solution? please do thanks." }, { "from": "gpt", "value": "Hello, As per your history, it may be due to harsh masturbation. For that kindly avoid harsh masturbation. For pain you can take tablet acetaminophen. Watch for symptoms like penile discharge, fever. In that case you may require detailed medical examination and evaluation 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": "Panic, depression, anxiety disorders. History of psychiatric problem. Long time solution?" }, { "from": "human", "value": "Hi Dr. I realised that i have certain psychiatric problem in 2005 and started with Feliz S 10, Mirtaz 7.5 and Clonotril 0.5. Was asked to take for 2 years and I was fine after that. But the symptoms came back in a worse manner just 6 months later. Again, I was put on Nexito 10mg and clonotril 0.5. Later, the medicine was changed to Fludac 20mg and then to Nexito 10 mg back again from last 1 month. I feel better for some time during medication , but if medication is off, then i return to same panic, depressed and anxiety disorders. What could be a long term solution? I am 31 and married. Thanks for your answers!" }, { "from": "gpt", "value": "Hello Welcome to Health Care Magic The medicines Feliz S 10 or Escitalopram, mirtazepine 7.5 and clonotril 0.5 are given in Depressive episode mixed with anxiety. You were given these medicines for about 2 years so I assume that you had episode of depression. When symptoms reoccured you ware given Nexito or escitalopram 10 and then fluoxetine 20. Both are of same group SSRI. Long term solution of your problem? Depression is a episodic illness, it tend to occur in intervals or in episodes. So if you responded to medicines and then relapse of disease occurred there is no surprise. You have to continue the medicines for long at least 2 years and also go for Cognitive Therapy for early response. Once you achieve pre morbid level then maintain the condition by Cognitive Therapy. Don't afraid of medicines as they are very safe drug. So visit a psychiatrist for opinion and continue medicines again. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Partner gets angry easily, does irrational things, physically abuses me. Chronic depression or ADD?" }, { "from": "human", "value": "hi, I have a partner who gets angry very easily. so angry that he does irrational things such as wrecking my place apart and physically abuse me. after these acts, he realised he is wrong and starts crying after that. the sudden change in mood puzzles me. what are the type of disorders he may face? his doc diagnosed him as ADD and Chronic depression . but I don t feel that he has ADD." }, { "from": "gpt", "value": "Hi antsha! try to listen him and figure it out, go for outing, give him small works and appreciate him, internaly control the system but don't show. Take medicine but don't depend on it, need him to do exercise and take fresh fruit juice. Things will be fine." } ]

[ { "from": "system", "value": "Have anxiety, stress, low iron levels, rapid heart rate. Taking gabba. Suggest?" }, { "from": "human", "value": "I have severe anxiety affecting driving, I fear I will faint or something silly. I had blackouts many years ago after stress so I fear I will get it again, even tho it hasn t returned. My iron levels are low. So I m taking gabba along with magnesium vitamin c iron 30mg a day and multi b vitamin hoping it will improve! I get slight pains around heart area but doc says I m unfit and iron low and anxiety plus high heart rate even tho I try to never drink caffeine! If I do I feel terrible. He prescribed pur bloka but I m afraid of long term effects on my heart. Can u make it clear? He says it s safe!" }, { "from": "gpt", "value": "Hello Welcome to Health Care Magic Low iron levels or decreased hemoglobin itself is a risk for anxiety. It may present as tiredness, fatigue and palpitations. So correction of this should be first priority. You are taking supplements and these may also increase the anxiety but they are needed. Take plenty of green vegetables, don't have tea or coffee in excess amounts. Symptoms like tiredness, blackouts, dry throat, palpitations, shakiness etc are features of anxiety. You have been given Pur bloka and this is propranolol. It is a safe drug of anxiety, it is a drug of group beta blockers. It tend to decrease heart rate, decrease tremors, decrease sweating. So overall it help to improve the symptoms of anxiety. But as per my opinion cause of anxiety should also be looked for. You can try deep breathing exercises, relaxation techniques, yoga, meditation at home for proper and sustained relief. It is safe to take propranolol or our bloka. This medicine is devoid of any abuse potential and is a safe drug. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Taking Mirtazapine. Have nightmares, paranoia, mood swings, irritability. Need help" }, { "from": "human", "value": "My 44 yr old husband is on Mirtazapine (generic for Remeron ): 30mg po daily hs. He is 6 3 , 192lbs. He is having very strange, vivid nightmares pretty much every night; so vivid, in fact, he sometimes thinks parts of the nightmares actually happened. Along with the nightmares, he exhibits paranoia , mood swings, irritability , and borderline-personality-disorder traits. He refuses to continue with counseling, and has not told his dr about the side effects above. Without going behind his back or forcing him to take action, which may essentially lead to another argument, what do I do on my end to help?" }, { "from": "gpt", "value": "Hello jeniwill78 Welcome to Health Care Magic Mirtazepine is an anti depressant drug. It is is group Nor Adrenaline Serotonin Specific Anti depressant (NaSSA). It is a drug that is devoid of side effects of conventional antidepressants. At dosing 15-30 mg it causes change in architecture of sleep. Individual taking it may have vivid nightmares and this is happening in your husband's case. But the complaints like Paranoia, mood swings, irritability and borderline personality traits need to be evaluated. So please visit your psychiatrist regarding these complaints, as with mirtazepine these symptoms usually not occur. There may be chance of having bipolar illness and development of mania. Thanks Take Care Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Had negative thinking and tightness in chest, advised for Antidepressants. Is Acupuncture right treatment for Anxiety?" }, { "from": "human", "value": "hi advis 6months back due to negative thinking it started to fell a chest tightness,that time doctor advised me to take antidepressant but due to side effect i didnt take and satrted to get well on my will power,then i started to feel anxiety even and then .Now i am trying accupuncture to get free from anxiety,there is some relief.Now i want to know will it reamin life time or get okay" }, { "from": "gpt", "value": "Hello sunil Welcome to Health Care Magic You have negative thinking, tightness of chest, anxiety for about 6 months and you were started on Anti depressants. The medicines you didn't take because of side effects. As when ever any antidepressant is started in a patient slight increase in restlessness, anxiety occurs in first week of therapy along with other side effects (also called as rebound anxiety). These side effects usually go by 1-2 weeks. But as you left medicines and relied on will power, but symptoms reoccured in 6 months. Depression and mixed anxiety is a episodic illness, and it tend to occur again and again. If proper treatment is taken at earlier stage individual becomes well in no time. So medicines are must for most of cases of depression. Medicines like SSRI, SNRI etc are very useful and are devoid of major side effects. Non medical treatment includes a lot of modalities and have effectiveness comparable to medical treatment. Progressive muscle relaxation techniques, meditation, behavioral therapy, deep breathing exercises are main stay of this treatment. For details of these techniques you can take help of Google or you can ask me a question directly. Acupuncture may help to improve symptoms but there are not much studies to support this. Thanks Take Care Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Constant feeling of being watched by someone. Vivid nightmares. Unable to tell sleeping or hallucinating. Why?" }, { "from": "human", "value": "I extremely and despairingly often get the feeling that someone is watching me. Ive felt like this since i was young, and I m 19 now Its terrifying. I cant sleep. I get vivid nightmares quite often and often cant tell if I m awake or not, like, in a situation where I feel like Im being watched, and I feel someone touching me, or moving my leg. I cant tell if I m asleep or hallucinating.." }, { "from": "gpt", "value": "Hello Welcome to Health Care Magic The symptoms you have mentioned are- - feeling that someone is watching or suspiciousness - fearfulness - feeling that someone is touching or hallucinations These symptoms may be due to some psychopathology. It may be prodromal features of schizophrenia as in prodromal phase sleeplessness, suspiciousness, hallucinations are seen It may be due to chronic insomnia, which may lead to heightened anxiety and then such symptoms As per my opinion discuss with your parents and visit a psychiatrist and get proper evaluation done. Hope I cleared your doubt. Thanks Dr. Seikhoo Bishnoi" } ]

[ { "from": "system", "value": "Anti-social, angry, tired. Gained weight. Having extremely heavy periods. Reason?" }, { "from": "human", "value": "I was social and now I am anti-social my boyfriend said I am no fun anymore. I feel angry and tired all the time. I am a student but studying is a struggle I do the minimum to get by. I have gained weight. I hate feeling like this and I am miserable. I also have been experiencing extremely heavy periods for the past year which are also draining." }, { "from": "gpt", "value": "Hi there ~ I understand you have been gaining weight and having problem with your periods. I would recommend that you visit with a gynecologist since your problems may be related to your having a syndrome known as PCOS. I hope you don't however and your problem then can be treated easily by a psychiatrist. Please consult with one as soon as you can and I hope you find solution to your problems. Take care and have a nice day !" } ]

[ { "from": "system", "value": "Prescribed Zoloft, lamictal, and ambien. Becoming unbalance, cannot move legs" }, { "from": "human", "value": "I am being treated with meds and cognitive therapy . I suddenly become unbalanced and sometime cannot move the(legs ). m.d. Psyciatrist says r/t stress Many meds have been tries . It occurs wit an obvious stressors and most time random. I had to leave my job I am currently on zoloft ativan and lamictal . ambien for sleep" }, { "from": "gpt", "value": "Hi there ~ It is not uncommon for you to experience side effects while being on psychotropics. However, not being able to move your legs is uncommon. I recommend that you see a neurologist if you continue to experience these symptoms. Take care and have a good day !" } ]

[ { "from": "system", "value": "Looking for a psychiatrist who accepts IBX, Personal Choice PPO, have sleep disorder" }, { "from": "human", "value": "i am looking for a psychiatrist who accepts IBX, Personal Choice PPO in or close to Media, PA, 0000. I have a sleep disorder . Each time I contact IBX for this information, I receive misinformation. This disorder is greatly interfering with my life to the point wherein I cannot work. I currently have a psychiatrist, however she is geographically located way too far away. It is also the policy of her office that I see a psychologist at this office. Too far away. My psychiatrist weaned me off of diazapam with the promise of a swipe test in my mouth to determine what meds would work for me, then did not follow through. Frustrated." }, { "from": "gpt", "value": "Hi there ~ Please call your IBX or PPO to find out who can take your insurance and work with you to make your sleep disorder better. I would think that there are many medications that would work to make things a lot better in the domain that you mention. I hope this helped. Take care and have a nice day !" } ]