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Nitral_Medical_Dialog_Fixed

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[ { "from": "system", "value": "Struggling with OCD. Taking lanozep. How to overcome this problem. Any effect in planning pregnancy?" }, { "from": "human", "value": "Hello doctor, my concern is towards my husband. My husband is struggling with OCD and past few days he is taking LANOZEP on a daily basis. Lanozep gets him sleep and also he starts using abusive language, looses his power to stay calm and listen to me. I need to take him out of this at any cost. please suggest. And also we are planning for our second baby, is there any side effect Lanozep on this ." }, { "from": "gpt", "value": "Hello Thanks for question OCD or obsessive compulsive disorder is one of disorders of anxiety spectrum disorders. It is one of disorders that is very difficult to treat but treatment options are available and treatment is also successful. Both medicinal and non-medicinal (psychological) treatment are available, and combination of two results in best outcome Medical treatment is based on use of SSRI medicines (Fluoxetine, Paroxetine etc.) or Clomipramine. These drugs are used in higher doses for OCD. And the medicines are safe also with no major side effects. In addition to this benzodiazepines like he is taking (lonazep) are used for control of anxiety. But these are with abuse potential and individuals tend to become dependent on them. So they are usually prescribed on SOS basis only and these are controlled drugs. Non medicinal treatment includes- Behavior therapy, which is best treatment of OCD. Thought stopping techniques, exposure and response prevention, desensitization etc. are modalities of treatment used. So as per my opinion- - combination of treatment is best for OCD and you should consult your psychiatrist for proper addition of medicines if symptoms are not in control - Psychotherapeutic treatment is best if used with motivation. - as far as plan of baby is concerned, as per my opinion there is no harm to baby from your husbands side. thanks and take care" } ]
[ { "from": "system", "value": "Suggest a treatment for hydrocele" }, { "from": "human", "value": "I am 41 years, 170 cm, 75 kg. I have hydrocele for the last 15 years. But I do not have any problem in sexual intercourse, etc. However, I feel uneasy while wearing phants with shirts tucked in. I am afraid that I may not walk freely immediately after the operation. Becasue I have to attend my office within one week after completion of the operation. Moreover, will it affect my sexual intercourse in the future? Also I have noticed that the swelling is more whenever i have gastrious problem in me. Hene, swelling is not constant always. I am afraid of this. Please clear my doubt." }, { "from": "gpt", "value": "Hello, No need to worry, simple day care surgery are available for this issue, you can get discharged the same day of the procedure. Usually not doing surgery can cause sexual issues. 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 surgery for trigeminal neuralgia. Had meningitis, passed out after lumbar puncture. Memory loss since then. Solution?" }, { "from": "human", "value": "I m trying to get answers. I had surgery 10yrs ago for trigeminal neuralgia 3 days after discharge I developed menningingitis and was back in the hospital. I don t remember much of the experience, after the lumbar pucture, I passed out in the ct scanner with a temp of 106. I did recover And went back to work. I noticed ever since the experience, loss of memory , I would give a lecture at school, and if someone asked a question, I would be unable to answer it. Even thou I have answered the question many times in the past. Through the years I has increased to the point , that I don t teach any more. I ll give lectures , but I keep them simple. When I read I have a hard time concentrating, the woorse part is my retention ability is terrable.. Prior to the surgery, I could read something once and recall anything you wanted to ask.. I have had MRI , in th epast to find something, but mostly my primary told me that I have to learn to live with this , side effect of having severe menningitis with a high temp. What can I do?" }, { "from": "gpt", "value": "Hello,welcome to Healthcare Magic.Your current may occur due to following in given hierarchy:-Memory loss due to damage to brain/neurons-Organic anxiety/depressive disorder-Vitamin deficiency-Combination of above problemsExcept from the first possibility, you will get benefit from the treatment after evaluation by psychiatrist. For Memory loss due to damage to brain/neurons, some behavior intervention may be effective to manage routine social and occupational life.Wish you all the best.Regards,Dr Ashish Kumar Mittalwww.99doctor.com" } ]
[ { "from": "system", "value": "Have constant stomach bloating. Feeling depressed due to this. Suggestions?" }, { "from": "human", "value": "Hi I have constant stomach bloating , I exercise 5 x week eat a clean diet body fat 13%. I have had every test been to specialist several times feels like a waste of money they cant find anything wrong. I feel like I have a soccerball in my tummy. I have had 2 children natural and all went well. I am starting to become depressed because of this. I take a multi v, Fish oil, Magniessium and vit C. Any help would be appreciated. Regards Teresa" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. There could be a few possibilities for a constant bloated sensation in your tummy. - Acid peptic disease - Gall bladder problems - Irritable bowel syndrome - Anxiety You have mentioned that you have had multiple tests from many specialists and everything has been normal. In such cases, the possibility an anxiety-related problem should be considered. Since, you say that you are also feeling depressed because of this, I think it would be worthwhile to have a consultation with a psychiatrist for further evaluation and advise. I would also suggest that you try relaxation techniques like deep breathing, yoga, meditation, etc. Dietary modifications - avoiding oily, spicy foods and taking more of green leafy vegetables and fresh fruits - can help. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]
[ { "from": "system", "value": "Son has low self confidence. Rarely gets up from bed. On medication for anxiety and depression. Treatment?" }, { "from": "human", "value": "My son is 21years old. At age 13we noticed changes in his self confidence etc... we took him to the Dr had him evaluated after many Dr visits and the put him on anxiety medicine and anti depressants. Sad to say he continues to go downhill more and more. We have tried treatment at mayo clinic, many psychiatrists and no help to make a short story out of the past 8 years. Now he rarely gets out of bed because he says he has so much physical pain. Can you please give me a direction to try. My son is very smart and always feels like he knows the questions the dr s are going to ask before they ask them and I feel like all of the drs WE have had contact with doesn t want anything to do with him. I know that there has to be a place where these type of people go to get help and be around others that ate intelligent to a scary leg I would appreciate any suggestions. Thank you" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I'm sorry to hear that your son has been doing badly despite treatment. In such cases, where multiple trials of medication fail, it is a wise thing to re-evaluate the case completely and re-examine the initial diagnosis. With the very little information you have provided about your symptoms, it is not possible to get any definitive direction about the diagnosis. I would suggest that you try to get an independent, unbiased second opinion from another psychiatrist. You can also try psychological and behavioural therapies, in adition to the medication. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]
[ { "from": "system", "value": "Ugly, fat, depressed, hate my job, wear glasses, dry and itchy skin, blind in one eye. Will things get worse ?" }, { "from": "human", "value": "I m ugly, fat, depressed, hate my job, I ve let myself go over the years...such as not showering or bathing (although I do wash up with soap and water), I wear ugly glasses, my skin is very dry and itchy, one of my teeth are broken, I m blind in one eye, and a large toenail that needs to be cut off, but afraid to visit the podiatrist. Besides all that, no man wants me, but I do have at least one guy who s been my friend for a long time. He says he loves me, but still living with another gal. Wow, I just wonder how much worse my life can get...besides dying?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you are going through a difficult time in your life. You seem to having a lot of negative and self-defeating thoughts and ideas of worthlessness, and these could be indicative of a depression. Though you may be having a lot of adversities in life, it is still important to stay positive and not give up. I would suggest that you talk to a professional - a counsellor or a psychiatrist, so that you will be able to get help and support for your depressive thoughts. With appropriate help and motivated efforts from your side, you will be able to come out of this phase very soon. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]
[ { "from": "system", "value": "Having lot of stress, confusion, lonely feeling. What do I do?" }, { "from": "human", "value": "hi! I m Natasha Baira, i m looking for information that will find Attachment for my pain of feeling and thoughts of who i am, how i feel, what to do, and when to start or how to find that connection in whatever your belief and feeling of life society, and what can i do for myself esteem of inspiring in thought of Affirm in our Ability to our self instinct of knowing who we really are in the mind of our own thoughts of thinking and doing whatever is avoiding stress and lonely at heart of feeling of not knowing ourselves for the right restriction in life of determination." }, { "from": "gpt", "value": "Hi there ~ I am glad you are on the forum and it seems like you have a lot on your mind ~ a lot of metaphysical and philosophical nature. You also seem to be suffering from depression and anxiety, as is evident from the language you use. However this can only be determined by speaking with you and taking an entire history for which I suggest that you use a qualified counselor and / or a psychiatrist. Take care and I hope this helped !" } ]
[ { "from": "system", "value": "Taking Celexa for anxiety. Family history of schizophrenia. Hearing scratching noise" }, { "from": "human", "value": "I am on Celexa for anxiety. I have schizophrenia in my immediate family as well as depression anxiety and bipolar mood swings. A couple days ago I went to see someone about getting a divorce. My husband was very abusive and I have been diagnosed with PTSD. Since seeing her, my head feels like its rushing or expanding periodically. Last night I started hearing this scratching noise. I thought it was in my fan but realized when I went into the other room that it was actually in my head. I am really stressed right now and this is worrying me greatly. Am I going crazy?" }, { "from": "gpt", "value": "Hi there, thanks for asking. You have a careful observation. The most probable thing is that the symptom you mentioned could be tinnitus happened as a side effect of the medication you are using (Celexa). Tinnitus could be intensified with with stress and anxiety. There are some ways to decrease or eliminate it such as avoiding caffeine, not adding salt to your food, not using so much canned food and decreasing the stress level. Tinnitus may also be sensitive to red wine and old cheese (some people report it). It is very good that you are paying attention to the possibility of other mental illnesses as you have in your family. I suggest that you notice to the factors mentioned and also with managing your stress level see if it is controlled. You can ask your doctor to check your blood pressure since it could also contribute to tinnitus. I wish you the best health." } ]
[ { "from": "system", "value": "Have depression. Would having a dog help?" }, { "from": "human", "value": "I have bad depression and my family doctor has me on meds for it and have been trying to get him to write a note to let me have a companion dog and he keeps saying he doesn t se any need for it bit even with all the meds I m on I still have issues motivations my self to get out of my bed do you think one would help and if so how do I get a note for my landlord?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you must be going through a tough time trying to deal with your depression. Now, most countries have specific protocols which determine the necessity of companion animals. Usually, companion animals are provided only when the person is having a significant disability due to the illness, and is unable to manage his / her activities of daily living without external help. So, this decision is entirely upto your treating doctor. I would suggest that you try psychological / behavioural therapies for your motivation problems, in addition to your current anti-depressant medication. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]
[ { "from": "system", "value": "Tiredness inspite of good sleep, weird thoughts about the yet to be born baby. Cause?" }, { "from": "human", "value": "hello im 32 just about to become a dad for the first time, at the weekend i wake up and feel tired even though i ve had plenty of sleep. most of the time i have weird thoughts like everything i think about, good or bad, ends in the worst case scenario. ie, thinking about walking the baby in the park and then out of nowhere she gets attacked by a dog. ive been told by my gp that i have anxiety . i snap at my wife who i love and take the mickey out of her also when i should be complimenting her" }, { "from": "gpt", "value": "Hi there ~ I am sorry you are having problems with depression and anxiety with episodes of anger. I hope you practice relaxation exercises like deep breathing, yoga, pranayama, dhyana, and routine physical exercise. I hope you also consult with a counselor and a psychiatrist to help with sleep issues if the counseling does not help. I hope this helps relieve your anxiety about the yet to be born baby. Take care and have a lovely day !" } ]
[ { "from": "system", "value": "Habit of frequently washing hands, cleanliness freak, cry if dust flies on me. Tips to overcome this?" }, { "from": "human", "value": "hi, i am looking at everything with disgusting feel that its not clean or hygienic. Always keep washing my hands whenever i touch anything that i dont prefer to do. i am not able to move with colleagues like normal persons. Hesitate to travel in buses. Feel like no body should touch me or sit near me. Even if dust on road side flew away i start crying and if it rains and muddy water splashed on me i feel like i will die. Even i cry sometimes thinking whether i could commit suicide ." }, { "from": "gpt", "value": "Hi there ~ There seems to be a problem with your obsessions about dirt and you are compulsively trying to avoid the problem with dirt and unhygienic habits with avoidance behaviors. It is going to the point where it is affecting your life. I hope you recognize this as a problem that can be treated both with therapy and medications. Please consult your psychiatrist to get medications prescribed. OCD is common and therapy, both medications and counseling are helpful. I hope this helped. Take care and have a good day !" } ]
[ { "from": "system", "value": "Hearing voice in head advising to do things, if not bad things will happen. How to overcome?" }, { "from": "human", "value": "hi there i have recently started hearing a voice in my head that tells me to do things either to myself or to others and if i do not comply bad things will happen wich makes me scared to venture outside this happens all the time and i dont know what to do i have considered killing myself a few times please help thank you." }, { "from": "gpt", "value": "Hello sterky thanks for question First of all ask yourself whether the voices you are hearing in your head is your own voice or its coming from outside? then whether others are able to hear this voice? or they are not understanding your problem? if these voices are vague sounds or well formed voice? are you able to control these voices by closing your ears? are you able to sleep properly? usually hallucinations are one of important symptom in some psychotic disorders which resembles symptomatology you are describing.. and they are usually distressing to affecting individual, and usually ask to do derogatory things. Second possibility in such situation is in obsessive compulsive spectrum, person is compelled to do a particular thing otherwise some bad will happen. Its more or less similar to magical thinking. Dear friend in both of the situation you should consult a good psychiatrist. And don't worry treatment is possible in both cases. Try to interact with family members and discuss with them regarding the problem. thanks and hope you are satisfied. take care kindly rate" } ]
[ { "from": "system", "value": "How to heal anus skin after anal sex?" }, { "from": "human", "value": "Hi my name is Franko .recently I had anal sex with my boyfriend I think he hurt me when he penetrate me cuz we didn't use any lubrication ..so every time that I was going to the bathroom I was bleeding when I had it to use it..days pass and its getting worse isn't healing and I have notice it thta I have a lot of irritation around my anus looks like blisters and they r very painful can't stand the pain and it hurts when I clean my ass hole when I use the restroom. Feels like itching sensation. Burns ugh dunno what to do it hurts when I walk or move" }, { "from": "gpt", "value": "Hello, It can due to injury and progressed to anal fissure. If your partner has sexually transmitted infection then we need blood investigations. Review with a general surgeon and get a rectal examination done for the cause. 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": "Bipolar disorder, alcoholism. Getting a treatment. Worry?" }, { "from": "human", "value": "My son finish flight school in the navy got accepted in to jet program and his happiness got him into episode of mania he admit of drinking a lot in the past year on his time off school went to treatment for bipolar and alholism and right is going true medical boards to declare him unable to flight.....one episode and u life is done,,,how the can be so sure Never so him with symptoms before during high school etc ..he went to the Naval academy graduate 2011" }, { "from": "gpt", "value": "Hi there ~ Nothing is impossible. Your son needs treatment from a deaddiction center for alcohol and then rehabilitation. He has to make his choices - alcohol or flight school in the navy. Obviously the latter takes precedence, however giving up alcohol might be tough. Once he has been through treatment he can be certified fit to join the Naval academy and graduate as well. I hope you consult a good substance abuse counselor and a psychiatrist that can help your son achieve his dreams. I hope this helps. Take care and have a lovely day !" } ]
[ { "from": "system", "value": "Have anger outbursts, pulls hair from head and is suspicious. On medication. Alternate treatment?" }, { "from": "human", "value": "Hi! I have a friend who is a mother of 2 & had been physically abused by her mum since she was a baby. This friend has been pulling her hair (literally) from her head, brows, lashes & has anger outbursts, is suspicious, fears her husband will leave her etc. She was prescribed Citanew 10mg, Tryptinol 25mg for a week & then 50 mg after that & Tab Dosik 1.5mg. She says that she is not functional now & is always sleepy. Is there something that can be done for her without the meds or should there be other help along with the meds?" }, { "from": "gpt", "value": "Hi there, thanks for asking. Pulling hair from the head and eyebrow is called trichotillomania and it is often accompanied with anger bursts as you mentioned. Citanew and Dosik are good medications for such a condition which are commonly prescribed by doctors. I am sure that her doctor has prescribed Tryptonil for a special reason. In most of the time it can cause sleepiness during the day, since it remains in the body for long hours. She can talk about this issue with her doctor and she may decrease or discontinue Tryptonil to see if her sleepiness is improved. Her condition may become quite satisfactory after several weeks with just Citanew and Dosik. The response time for trichotillomania (pulling hair) and its related symptoms is longer than depression and is almost like the time needed for obsessive compulsive disorder (about eight weeks). I wish the best health for her." } ]
[ { "from": "system", "value": "Loneliness, drowsiness, attention grabbing. Is the behaviour acceptable?" }, { "from": "human", "value": "My daughter is 16 months old. From the age of 4 months she has a habit of crossing her legs & giving an internal push, like some sort of exercise. Earlier she used to do it lying on her back. Now she does it lying on her stomach . Many times she does it standing as well. Her legs will be crossed and she takes support of the wall or chair to do her exercise. If not stopped she continues it upto 10 minutes or more. Till 13 months this behaviour was sometimes triggered by lonliness, drowsiness, attention grabbing. Sometimes she used to start it if her demand was not met. From the last 3 months she does it without any reason also. If we ask her to stop doing the activity and get up, she listens sometimes. All other behaviour are normal. She is very active, likes to play, go outdoor, mingle with other children. She also understands what we tell her. Please let us know if this is something to worry about & when we can expect this behavour to stop. Do we need to give her any specific treatment?" }, { "from": "gpt", "value": "Hi there ~ I am sorry that your daughter is doing all these behaviours and is sometimes becoming a public embarrassment. I think that she might be having some obsessive compulsive behavior which makes her do it in places that she shouldn't and this is a cause of concern. However I recommend that you consult a psychologist to find out what the reason is and he/she can make the appropriate referral to a psychiatrist. I hope this helps. Take care and have a good day !" } ]
[ { "from": "system", "value": "Suffering from trauma, anxiety, psychosomatic illness. Having rashes, hands red and burning. Treatment?" }, { "from": "human", "value": "I have had a traumatic childhood and recently went through a family break up. My hands fee like they are red and burning, i get covered in a rash , my bowels are not working properly, my feet sometimes feel like im walking on hot needles. I hricave seen my great gp which said i was suffering from acute anxiety phychosomatic illness . Im off to a new Phychologist on Friday, my question is will I have to see a Phychiatrist ? and why are my hands so hot and ichy, will i have this forever?" }, { "from": "gpt", "value": "Dear J**** Hello thanks for your question first of all I would like to tell you that I can understand your trauma and its very difficult to cope in such situation but its life and we have to walk continuously. You have started experiencing burning sensation in hands and redness and altered bowels, needle like sensation. It is a part of Anxiety spectrum illness but you need not to worry as treatment is available. there are two modality of treatment for anxiety disorders and if its in beginning state then response is also very good. - first is non medicinal treatment which include Relaxation exercises, deep breathing exercises, meditation, progressive muscle relaxation, biofeed back etc. In these modalities individual is taught to relax himself by own. Individual is made learn to control his involuntary system which is responsible for anxiety. Once individual become receptive he is progressed to other modalities as Behavior Therapy etc. - second is medicinal treatment in which anti anxiety medicines are used to bring individual to level that he can start practicing first modality of treatment. drugs such as SSRIs, SNRIs etc are used which not only cover anxiety part but also improves mood. Mild levels of sedatives are used to relax individual in special circumstances. These are used for short period of time. Dear friend as per my opinion combination of both modalities is best for you, and be assured that you will be all right in very less time. thanks, hope I solved your query. kindly rate." } ]
[ { "from": "system", "value": "Pain in back of head, changes in personality, irritable, aggressive, weakness in part of face. Serious?" }, { "from": "human", "value": "i have this strange pain in the back of my head, like pressure, and it isn t a migraine , it hurts even more when i press against it and i ve searched online and from what i ve seen i should get it checked. I saw that the pain i feel is in the frontal lobe , and the symptoms described all match to what i feel. Changes in personality Swearing or behaving in a way that you normally wouldn t (loss of inhibitions) Losing interest in life (apathy) Difficulty with planning and organising Being irritable or aggressive Weakness in part of the face, or on one side of the body Difficulty walking Loss of sense of smell Problems with your sight or speech they all apply to me but i have been in therapy for a while and diagnosed with depression , anxiety, bipolar and they even checked me for schizophrenia as i hallucinate and hear voices. Could this be linked and should i be worried?" }, { "from": "gpt", "value": "Hi there, Thanks for asking. You have a careful observation. Change in personality (and also aggressiveness as you mentioned), as well as change in smell, may be induced by tumors (benign or malignant) in front part of the brain. Weakness in one part of the face and on one side of your body are also important focal signs which may contribute to a mass effect (like benign tumors) or vascular event (like shortage of circulation to your brain). It is necessary that a full neurologic examination will be done by your doctor to see what issue might be responsible for your problem. Headaches due to a mass are often more prominent in the early morning. Vascular problems are often seen in hypertensive people who may also have high cholesterol level and diabetes. It is useful that your ESR level be checked to assess any possibility of inflammatory problems. I wish the best health for you." } ]
[ { "from": "system", "value": "Getting depressed, over weight. Been using cymbalta from 9 months. Is vybrid good for me?" }, { "from": "human", "value": "I have been on Cymbalta for 9 months now 60 mg. I am so depressed again, see dr. tomorrow. On effexor I became this addictive person and never want that to happen again. Cymbalta was awesome in the beginning but i feel immune to it again. I heard about Vybrid and how it works for him. I am already overweight and cymbalta does continue to help with pain but no longer the depression . Would Vybrid be good for me. I need to feel better I am not functioning well with day to day I am not suicidal at all just want to feel better help!" }, { "from": "gpt", "value": "Hi there ~ I am sorry you are going through a lot with your depression. There is hope however since there is room to go up higher on Cymbalta to a 120 mg daily dosing in divided doses of 60 mg each in the AM and PM. Please try this for 2-3 weeks and you might see improvement. Vybrid is a new medicine of an older generation medicine that is useless almost, i.e. it is old wine in new bottle. I have not had much experience with it however it does make you drowsy and you need to be cautious. I would suggest that if the higher dose of cymbalta is not helping, you might want to switch to wellbutrin if you have not had a history of seizures in the past. Also try other things like psychotherapy, yoga, meditation, dhyana and daily physical exericise. They have proven evidence in treating depression in medical studies. I hope this helps. Take care and have a lovely day !" } ]
[ { "from": "system", "value": "Usually hoards, cannot convince otherwise if an idea occurs in mind. How to resolve this ?" }, { "from": "human", "value": "I have a friend whose mother hoards but is also displaying some different types of behaviors. I am just trying to find out if some of these behaviors are also common amongst people who hoard. One of the recent complaints that my friend has expressed is that once his mother gets an idea in her head about something there is no convincng her otherwise. He expressed that she told his sister that she had hid some money in her basement and is now unable to find it. She is convinced that he has gone into her home and taken the money since he has a set of keys to her home. The hoardind she does would make it impossible for anyone to enter the home and go into the basement to find the money without literally removing item by item just to get in and move around. A second incident has occurred where again she gets an idea in her head and no one or nothing can convince her otherwise. Almost like a paranoia" }, { "from": "gpt", "value": "Hello gemini671 thanks for your question Hoarding is one of important symptoms of Obsessvie compulsive disorder in a significant strata of population, compulsive hoarding is very anxiety provoking to patient as well as to care givers. It is characterized by inability to discard items and individuals suffering from hoarding tend to store the items and they even some times do not let others to know this, due to fear of embarrassment. It is a part of OBSESSIVE COMPULSIVE SPECTRUM disorder. Mostly the patients of hoarding also show other features of OC disorder like orderliness, cleanness, magical thinking, compulsive hand washing, obsession of doubt etc. In more than 50% of cases depression is also associated. And in a few cases paranoid ideation may be seen as your friend is observing in his mother. It may be persecutory delusion against any one or some times other delusional ideas like she is having. Her fixed firm belief about money is part of associated psychotic symptoms. In rare cases of Psyhcosis hoarding or obsessions or compulsions may be presenting symptoms thank frank delusions alone. Best thing to resolve it is first of all try to reassure her, once she is ready to talk then try to give her evidence to contrary and see whether her belief is still fixed? If she is a little shakable and ready to accept that she might be wrong then further strengthen the evidence. If thats not possible then take advise of some good psychiatrist for further management of her psychotic symptoms thanks, all the best hope i solved your query kindly rate" } ]
[ { "from": "system", "value": "Diagnosed with lewy body dementia, on WellbutrinXl, Rivatigmine, Zopliclone. Paranoid, constantly upset, feeling worse. Opinions ?" }, { "from": "human", "value": "My mother 87 has been diagnosedd with lewy body dementia . She has been on wellbutrinXl,300mg once daily ,rivatigmine once daily3mgand zopliclone 3.5 mg at nite. for at least 3 years. She is very paranoid (theft issues ) and is constanly waiting for a train(missing it, or it left with out her). These days it seems she is constantly upset. I would like to take her off all her meds. I do not think they are helping. I guess part of me even believes they are the cause or mking her worse. Her MD says he will not take her off any of the drugs. She would more than likely get worse. Please give me your opinion Thank you so much." }, { "from": "gpt", "value": "Hello David*** thanks for your question Lewy Body Dementia is really a serious condition in elderly. Your mother is feeling low, having paranoid ideation and is constantly upset. I hope she is not having much motor symptoms or there are under control. Wellbutrin xl in 300 mg is a very nice drug to control low mood and other behavioral symptoms but you can discuss with her attending doctor to start SSRI drugs like Sertaline in low doses which are more potent thank bupropion (wellbutrin). How is her sleep? If she is having good sound sleep (5-7hrs) then there is no need to stop zopliclone as stopping will worsen the condition and may cause rebound insomnia and will worsen behavioral problems. Regarding her paranoid ideation I think her doctor is not giving proper prescription as you can discuss with him to start some low dose Second Generation Antipsychotic drug like olanzapine or clozapine (last modality) which are comparatively safer in Lewy Body dementia. So as per my advise kindly do not stress on stopping drug instead ask the doctor to review prescription to start more potent medicines and to start medicine that cover paranoid ideation thanks hope i solved your query kindly rate" } ]
[ { "from": "system", "value": "Have dizziness, lethargy and loss of concentration. What can be done?" }, { "from": "human", "value": "hi, ive been feeling so out of place and not interested in anything. I don t feel happy. I feel like no matter what i do i wont ever achieve my goals. ive got personal problems and i try to maintain them as much as i can. i have no one at home to speak to about those problems and school is my only get away although i dnt speak about my problems but at least i forget everything for a little time. im 17 years old and im feeling all this discomfort and those ugly feelings that i cannot describe. its like hot rushes in my body and most times i feel dizzy and so lazy. what is all that?" }, { "from": "gpt", "value": "Hi Sarah To start with , I want to tell you that you have done a good job by asking your query as it may be the starting point of a serious problem and taking consultation early makes it easier to resolve it. Now to respond to your query , that you feel low in mood and energy, a generalized lethargy and not enjoying your surroundings , expericing dizziness and preference to be alone , I would like to say they are features of depression. Though you have mentioned that you have some personal problems and not able to resolve them and don't have anyone to share them with but still even if your symptoms are secondary to your stressor , I would suggest that you should consult a psychiatrist .your condition is treatable and you will be able to deal with your situation in a better manner after treatment by psychiatrist. Psychiatrist after detailed evaluation will be able to tell you that you need some psychotherapy or medication or both depending upon your preference and requirement. Hoping for faster recovery Tc" } ]
[ { "from": "system", "value": "Carried RH blood factor. Does it carry schizophrenia?" }, { "from": "human", "value": "Back in 1967 while pregnant with my first son I was told I carried the RH blood factor. After doing some research on Pschizophrenia, I read something about RH being passed down from mother to son.... have you had any experience or ever hear of this. My brother has that Mental Disorder , I do not..... but could any of my sons fall victim to it?" }, { "from": "gpt", "value": "Hi there, thanks for asking. The prevalence of schizophrenia is about one percent in the general population. If somebody has a parent who has schizophrenia the chance would be about 8 percent. If somebody has just one uncle who has schizophrenia the chance would be just slightly more than one percent. It means there is no reason to worry and as long as you keep the stress level low and he is taking a good nurturing, you can be sure that he will have a high level of mental health. I wish a good health for you and the family." } ]
[ { "from": "system", "value": "How to get rid of small black freckle like thing in my penis?" }, { "from": "human", "value": "1. I have a small black freckle likething on the shaft of my penis, what is it and what can i do to make it go away?2. There is also a slightly darker, round spot on my penis head, what is this and what can i do about it?3. Im still in puberty and i know my penis will still grow, but i dont like the size of it (my parents told me that my doctor could do something), what medicine/exercise can i do to make it grow larger?" }, { "from": "gpt", "value": "Hi, Very difficult to comment without seeing directly or pictures. Feel free to ask your doubt with more details and pictures. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr B. Radhakrishnan. Nair, OBGYN" } ]
[ { "from": "system", "value": "Type 1 Arnold chiari. Had balance issues, tingling sensation, numbness, functional disorder of CNS. Suggestion?" }, { "from": "human", "value": "I have been diagnosed with type 1 Arnold chiari in July 2011. I had balance issues could not walk without a frame for two months. Hospitalised for a month. Swallowing , speech and tingling and numbness down left side of body. Also bad headaches which lasted months. Don t sleep we ll. most symptoms have gone now apart from occasional headaches and nightly numbness in hands. Neurologist says it is nothing to do with chiari and that I have functional disorder of the central nervous system . I am not convinced. Chiari is 5mm herniated. What is you opinion?" }, { "from": "gpt", "value": "Hi there ~ As a psychiatrist I can tell you that you are having neuropathic pain symptoms from the arnold chiari malformation. It is not untreatable. There are various drugs that can help cure your condition and help relax your muscles. Lyrica is one of them and there may be more in the market and better ones. I hope you consult your neurologist to see if he has anything in his basket to help you out. I hope this helped. Take care and have a lovely day !" } ]
[ { "from": "system", "value": "Stress induced insomnia. Taken vyvanse and benadryl. Side effects?" }, { "from": "human", "value": "Hey, I recently took 30mg of vyvanse in a slow release capsule about 5 hours ago. I still feel wide awake and I really want to sleep tonight. I have stress induced insomnia and I am not prescribed any medication for it so I compensate with 125mg of benadryl . While this is not healthy by itself, I plan on taking 75mg of benadryl to counter act the vyvanse so i can sleep tonight. I just want to make sure I am not going to die if I take it or have another horrible side effect. This is a one time thing but I still want to make sure before I just go and take some pills." }, { "from": "gpt", "value": "Hi there, thank for asking. Benadryl is not a good medication for sleeping, although it is sold over the counter as sleep aid. Benadryl can change heart rate as well as vyvance can do. The arousal induced by vyvance will maintain and it is useful to take advantage of some relaxation method like meditation as they do not have any side effect. Vyvance is usually taken in the morning in order not to cause insomnia at night. The dose should be increased gradually in order to minimize the side effects and there should be a reason for it taking (it is usually prescribed by doctors for attention deficit disorder, etc). Otherwise, the side effects would be more than benefits. I wish you the best health." } ]
[ { "from": "system", "value": "Have panic attacks and chest pain . Stopped Citrolopram. Alternate medication?" }, { "from": "human", "value": "I have severe panic disorder in which i feel like i am having a heart attack with feeling of doom. i have had this yeder for more than seven years. I was taking citrolopram for about five years and decided to stop in July. Since then, my panic attacks have increased immensely. I started taking webutrin but only lasted days on that due to the side effects. I am now taking citrolopram mg again for the past six weeks and have tremors and chest pain when i wake up every morning. It then turns into a major panic attack. Then i find that i have to take klonopin to take the edge away. I want to change to a different med than celexa and have heard that klonopin is the answer. What do you suggest?" }, { "from": "gpt", "value": "Hi there, thanks for asking. You are right about clonopin. In the first few months of start or restart of the pharmacotherapy, clonopin or another medication from its class should be added to the treatment. Citalopram is a good medication for treating the panic attacks and you may use another medication from its class like escitalopram, paroxetine or even fluoxetine instead of citalopram. I understand that citalopram may have some side effects on you or even you may have become bored about using the medication. Wellbutrin is not an appropriate medication for panic disorder and can increase the attacks. I should say that management of panic disorder includes the combination of medication and talk sessions. When you talk in free association about the issues currently happening around you with a psychotherapist and get gradually some feedback, you will be able to discontinue gradually the medication without any problem. I wish you the best health." } ]
[ { "from": "system", "value": "Tiredness after eating, excessive sleep during day time causing depression. Suggested antidepressants. Help?" }, { "from": "human", "value": "Hi I find I am always tired especially after eating, I can sleep anytime during the day. I am regularly active at night during my sleep even to the point of sexual intimacy with my wife but with no recollection of anything happening. This tiredness leaves me to be unmotivated and sometimes depressed. I went to my GP and he prescribed me Anti depressants. This was about a moth ago, I have not taken the tablets as I feel these are just a cover to the real issue, I think I was prescribed these as I had a real hard break up with my ex wife and needed them at that time which was 6 years ago. I do intend to go back to my G.P. I hope this is enough info for you. Kind Regards Trevor" }, { "from": "gpt", "value": "Hi Trevor, thanks for asking the question. Sleep sex without recollection in the next day is a parasomnic behavior which may also be seen with sleepwalking and talking during sleep. It can be triggered and intensified by sleep deprivation, stress or drinking alcohol or using illicit drugs. It happens during NREM, stages 3 and 4 of sleep so a medication which restricts these periods like clonazepam could be useful for such a condition. Some cases are related to epileptic discharge so it would be useful if your doctor evaluates you for that aspect as well. I wish you can get rid of it soon because its management is easy and its impact on your life is great." } ]
[ { "from": "system", "value": "Broken up with long time partner, difficulty in getting over feelings, extremely emotional. Suggestions?" }, { "from": "human", "value": "i recently had a breakup..and its really difficult for me to move on...coz we had a good long 6 year relationship...and everything i do reminds me of him....though i have changed my city,and m trying to keep myself busy. we are now just friends..and he calls me sometimes....but i m unable to remove my feelings for him... what should i do....???" }, { "from": "gpt", "value": "may i ask why did you break up? why the continued friendship. Has he moved onto another relationship? how is this effecting you medically? any sleep or eating disturbances? how is your energy? you say you have tried to move on , what efforts have you made to do so apart from moving cities? I cannot tell you what to do without knowing more detail, and even then I cannot tell you how to continue with life. I will only be able to advise you on your options" } ]
[ { "from": "system", "value": "Have head tightness, depression, nervousness and fatigue. Head scan fine. Recommendations?" }, { "from": "human", "value": "Hi,I am have severe head tightness from the center of the head to neck . Below are my symptoms: I cannot concentrate on the work, become slow. sometimes this also increases if my seating position is wrong I feel like depressed, nervesness, angry for small things, dizziness , less energy, less active, sometimes when have more workload not able to respond.. some times when i went walk in cold (4 degrees and less), I felt like fainting . I have taken head scan when I went to india, but nothing was detected. I used many medicens,i used pain killers, multi- vitamins but not changing the condition." }, { "from": "gpt", "value": "Hello, welcome to Healthcare Magic. From your history, many of the symptoms are suggestive of depression. In depression head scan usually come normal. Depression usually occur neuro transmitters imbalance in brain, primarily involving serotonin, due to that medical treatment is effective in treatment of depression. For that you can consult nearby psychiatrist. Dizziness in cold may be due to thyroid hormone problem, so also get your thyroid function test done. Thyroid problem also increases chances of developing depression. Wish you all the best. Regards, Dr Ashish Kumar Mittal www.99doctor.com" } ]
[ { "from": "system", "value": "Diagnosed with severe symptomatic fibromyalgia, exhausted, depressed, weight gain. Anything to ease pain ?" }, { "from": "human", "value": ", Hello my name is AAAAA. One year ago, I was diagnosed with severe symptomatic fibromyalgia . At the time I was in my third semester of nursing school,exhausted and depressed. I was out-of-state, away from family, gained over twenty pounds and felt really alone. Now, I have graduated, returned to my home state, but I still feel a lot of the symptoms and I was wondering if better nutrition along with regular, intentional exercise would ease my symptoms, and pain. Thank you for your time." }, { "from": "gpt", "value": "Hi there, thanks for asking. The reasons for feeling exhausted are quite diverse. In some cases it is due to thyroid low functioning or other endocrine problems. It may be related anemia. It could also be related dysthymia which is a chronic feeling of low mood. With less probability, it could be related to liver or renal problems. It could be fibromyalgia if you have tender points around your elbow or on the sternum. It is appropriate to ask your doctor to investigate about all the possibilities. If no abnormality is found in the laboratory investigations, you can take advantage of some talk sessions for breaking the chain of events which bring for you exhaustion. I wish a good health for you." } ]
[ { "from": "system", "value": "Feel depressed, tired, lonely, hate going to school, people around. How to deal with it?" }, { "from": "human", "value": "Hi, I hate school.Not the education but the institution;that big place with many stupid people I have to deal with over and over again.Going to highschool is HELL for. I just can t do it anymore.I m depresive and tired and there s too much pressure.I think I may have social anxiety?I read about this but I m not sure.All I can say is,I feel so lonely.BUT somehow is better to be on my own.I can t stand people / classmates /teachers.I hate everything and everyone ,I even hate the people I love(does it make any sense?).I hate myself.I don t know how to deal with my life anymore." }, { "from": "gpt", "value": "Hello. Thanks for writing to us. What you are going through right now seems to be a behavioral disorder. You need to attend a few sessions with your psychotherapist for some behavioral therapy. The symptoms will improve gradually with proper medicines. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. RakhiTayal [email protected]" } ]
[ { "from": "system", "value": "Stomach upset, headaches, body pain, shaking, chest pain, severe stress. Depression symptoms?" }, { "from": "human", "value": "Hi my name is I been feeling not my self in a really long time. Im always sick to my belly , head aches all the time ,body aches, I have the shakes, There are time my chest hurts.. I think I might be depressed and I know im stressed really bad... There are so much more I can name that im going through its crazy im only 29 yrs my husband I and I worried about me.. please can u help me. thanks" }, { "from": "gpt", "value": "Hi there ~ There are two things to think about here - depression and anxiety. Either ways I understand that it is a difficult phase for you to go through along with your husband. I think that the stress is taking over you to the point where it is affecting your relationship and work. It would require to seek treatment. Anxiety is the most common psychiatric problem in the world and seeking the help of a qualified psychiatrist would be the first step in that direction. I hope this helps. Take care and have a lovely day !" } ]
[ { "from": "system", "value": "Heart fluttering , difficulty in breathing. Sleeplessness, worried about heart attack. Any treatment needed?" }, { "from": "human", "value": "Hello. Im a 43 yr old female. For about a month now, I feel like Im having such a had time breathing . My heart seems to flutter to, its quite painful but it s been going on so long, I m kind of used to it by now. I do try to go tot he gymn and excersize but i t so tiring. I only get about 6 hours sleep a night. I am starting to get worried that it s not going away. I feel like any moment now, I ll have a heart attack . My problem is, my insurance is like Medi-Cal. They wont really help me with much. Anything I can do for myself or research online?" }, { "from": "gpt", "value": "Hello, welcome to Healthcare Magic. Decrease sleep, excessive worries and fear of heart attack complaints can occur in anxiety and depression also. There is increase chances of such problem in peri-menopausal women. If your cardiac test and hormonal tests are normal, then you can also consult psychiatrist to rule out possibility of anxiety and depression. Wish you all the best. Regards, Dr Ashish Kumar Mittal www.99doctor.com" } ]
[ { "from": "system", "value": "Can lithotripsy cause aspermia?" }, { "from": "human", "value": "I recently had a lithotripsy done on my right kidney. 2 days after the treatment, i masturbated. There was no problem in the erection. I gained proper climax but i hardly ejaculated 2-3 drops of sperm. Later when i did the same act, nothing came out, inspite of having proper ejection and climax. I am having proper food and medications after the treatment. And before this i never encountered such a problem. Can lithotripsy be the reason behind it? If not, what can be?" }, { "from": "gpt", "value": "Hi, I can understand your situation. But make sure that you are not having retrograde ejaculation because of some drugs. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr B. Radhakrishnan. Nair, OBGYN" } ]
[ { "from": "system", "value": "Feel unmotivated and have weak emotions. No negative or sad thoughts. Cure for symptoms?" }, { "from": "human", "value": "Hi, for the last few years I ve had this problem that I ve never gotten treated because I didn t think of it as a problem at the time. I ve been feeling very out of energy and unmotivated for the last few years and feel like my emotions may be weak in some way. I can still laugh and cry, but I don t see many emotions going through my days for the last few years. I m also lacking in social interaction and my focus+ memory seem to be doing not too great. I ve been told I might have depression from people around me, but I don t think I have any negative thoughts or sad thoughts. I ve never thought of killing myself either and I don t see anything around me that d make me feel pressured or give me a negative feeling. My question is: What does it seem like I have? Do I need to see a psychiatrist to get anti-depressants or does it seem like my symptoms might just be something else or maybe nothing at all." }, { "from": "gpt", "value": "Hi there ~ You have all valid questions. You need to do some research on your own to feel empowered. I suggest the National Institute of Mental Health (NIMH) website for depression and the weblink is provided below: My thought is that after you read through the website (which is authentic) please visit with a psychiatrist as I do feel like you at least need to speak to one to help yourself with therapy if you are not a big fan of medications. However medications along with therapy have the greatest benefit in depression and related disorders. I hope this helps. Take care and have a lovely day!" } ]
[ { "from": "system", "value": "Forehead and eye voluntary tick, obsessive compulsive disorder. Suggest?" }, { "from": "human", "value": "Hi, I have a forehead and eye voluntary tick for over 40 years, it comes and goes. it gets worse when I am tired or I am in unfamiliar company. I am conscious of my eyelashes tangling together and I grimace to release it, resulting in obsessive compulsive disorder . I would love to have this problem resolved. I had relief from this with acupunture, but it comes back again, Paul" }, { "from": "gpt", "value": "Hi there ~ Tic disorders are common and respond to small doses of antipsychotics like risperidone. Please consult a psychiatrist before you get on these medications. I hope this helped. Anti anxiety measures, yoga, dhyana, pranayama, asanas, regular physical exercise are all useful. I hope this helps. Take care and have a great day !" } ]
[ { "from": "system", "value": "Suspected Paranoid Schizophrenia, anxiety disorder, bad dellisions. Possible problem. Whom to consult?" }, { "from": "human", "value": "Hello my name is Emily and I used to see a psychiatrist . While there he said he thought I had Paranoid Schizophrenia , he ended up passing away and now I am searching for a new psychiatrist for me to attend. I am not sure what Specialities the psychiatrist needs to have. I see a lot of Anxiety Disorders when i check their Specialities . But for my case I am not sure what to look for. I have gotten worse. I now have bad dellisions, here things, and am suffereing from a Voice in my head. I am currently searching for a professional in the Chesapeake, VA area and am coming up lost. What do you suspect I should do?" }, { "from": "gpt", "value": "Hi there, thanks for asking. Every psychiatrist can treat the problem you mentioned and it is very important for you to restart the medication as soon as possible. Paranoid subtype of schisophrenia has the best prognosis among all the subtypes of schisophrenia. When your situation becomes stabilized, the dose of the medication could be lowered enough to avoid any short term side effect (like tremors, rigidity, dry mouth, overly sedation) and also potentially long term side effects (like change in metabolism or irreversible movement disorders). They may even discontinue the medication in its own time. I wish you the best health." } ]
[ { "from": "system", "value": "Girlish natured boy, with thin voice and shy in nature, undergoing a lot of mental stress. Suggestion?" }, { "from": "human", "value": "I have one friend.he is a male.his problem is he feels that he is like a girl.he has attraction to boys.but he also sometimes like girls.he is very shy in nature.if he goes in a gathering of 5-6 persons, he cannot speak anything. his voice is very thin like girls. so he feels very shy and guilty to speak over phones and in normal also. because other persons laugh at him. he always live in a very mental stress . what is his problem?" }, { "from": "gpt", "value": "Hi there ~ Such problems during childhood are common and usually resolve when children hit puberty. Nevertheless, the fact that you have noticed it is of concern and to relieve the stress that your friend I would advice you to take him to a psychiatrist to get his problems resolved. There are many conditions that present this way and it could only be hormonal for all that. If there is emotional and psychological issues involved, it would need the expert opinion of a psychiatrist. I hope this helps. Take care and have a lovely day !" } ]
[ { "from": "system", "value": "Feeling uneasy, angry, irritated always. Reason?" }, { "from": "human", "value": "hi good evening sir i am jobash from wales. my problem is since 6to 7 years why am i filling like a drunk.and now a days i am filling dizzy.and i can t stay and eat in front od peaple. i am filling always peaple lookina at me.i have never happyness. i have to be act like happyness.filling always un easy.almost i am always angry.peaple errited because of me.to be happy some time i used alcohal aswell.and now days i am filling anger . doing lession filling more and more over weling. anxity." }, { "from": "gpt", "value": "Jobash, your symptoms of unsteadiness, dizziness, could be a result of your alcohol intake. The mood problems you are experiencing since 6 to 7 years may also result from alcohol use or be related to a co-morbid mood disorder. The feeling of being watched and difficulty eating in front of others may be related to a social anxiety or again it could be result of long term alcohol intake. You need to seek psychiatric help to get relief from your symptoms, control your alcohol intake, and address the mood and other symptoms if they persist." } ]
[ { "from": "system", "value": "Pain in the chest, arm and neck. Slow down of the heart beat. Could this be stress related?" }, { "from": "human", "value": "Hi im a 30year old Female height 1.56 and weight 86.3kg i have a pain in my chest and my right arm from where my neck and shoulder join right down to my wrist . It also feels at times that my heart beat is slowing down.The pain in my chest is not very severe but my right arm is very painfull espescially in my neck.What could be the problem with me. My doctor says it could be stress related but at the moment now i can t really think of anything that could be stressing me out. I don t have any stress that i know of. Please advise." }, { "from": "gpt", "value": "Hi there, thanks for asking. As you mention it is a serious issue. It is good that you are checked for thyroid function. Hypothyroidism can bring increased weight, and also slow heart beats. It could be also related to sleep apnea, because it is common in obese people (your BMI is 35.45) and it also could lead to slow heart beats. Other symptoms of thyroid hypofunction are change in your hair and skin texture and also constipation and loss of concentration and may be low mood. Other symptoms of sleep apnea are fatigue during the day and also being sleepy all the time, probably lower mood than normal. If you have allergy, deviated septum, enlarged tonsils, TMJ problem or you go frequently to washroom in the night or you have headache in the morning, this could be more likely. It is good that your basic electrolytes and also magnesium and calcium be checked. I wish the best health for you." } ]
[ { "from": "system", "value": "Want to stop taking metroprolol suddenly. Safe?" }, { "from": "human", "value": "Hi I am on metoprolol 12.5 mg 2 x a day for svt. I have been on it since aug 2012 due to all of the stress my family was put under in the summer. I want to stop it but am afraid to. Is it safe? My doctor said yes and to do it cold turkey but I was on 25 mg once a day and it made my anxiety very high. So I went back on with the 12.5 2ce a day." }, { "from": "gpt", "value": "Hi there, thanks for asking. Your doctor is right. You can discontinue the medication if you do not have any stressful situation in the family now. Metoprolol is a medication which does not enter into the brain so much and the most part of its effect is on the peripheral system, like heart and vessels. It means that it controls the manifestations of the anxiety over the body and so it brings a peaceful situation for your brain since it does not feel any alarm from the body. When somebody is under stress, any change in this medication could lead to the anxiety rebound, otherwise he/she can not to take it. I am glad that you have passed the stressful situation and wish you a good health." } ]
[ { "from": "system", "value": "Suffering from paranoid disorder. Refuse treatment. How to treat it?" }, { "from": "human", "value": "HI, My father is suffering from paranoid disorder. forl last 30 yrs he constantly accuse my mother of being unfaithful. the alligations are base less. She is not allowed to meet with people and go anywhere alone or without him. he is always saying absurd thngs to her. when we told him that he should get himself treated..he refused saying i am alright and whatever i say is right. we told him that then he should leave my mum, but he refuse to do so and says sorry , but then the next day again its the same...at once he was ready to get himself treated and doctor prescribed Sizodon drops at night to him, but he won t take the medicine.....what to do....how to give him the medicine..." }, { "from": "gpt", "value": "Hello. Thanks for writing to us. It seems that your father is going thorough a psychiatric disturbance. He needs to be dealt with tactfully. Such patients do need a careful assessment and behavioral therapy. Medicines may also be helpful. You can give him the medicines after mixing them with food. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL Regards, Dr. Praveen Tayal [email protected]" } ]
[ { "from": "system", "value": "What would cause low potassium levels in a patient ?" }, { "from": "human", "value": "Hi Dr Stephen. I was wondering,,what would cause low potassium levels in a patient? My sister was brought to the E.R 2 days ago, because she was having hallucinations. Seeing things,people that were not there. Mental illness runs in our family. Bi-polar, depression etc. She also is an alcoholic. I m thinking it is the alcohol causing it,,yet she claims to not be drinking any more. I suspect I am right on here!! Thank you!!" }, { "from": "gpt", "value": "Hi there, thanks for asking. If you think the reason for low potassium is drinking, she should have low magnesium level as well. Many medications could lead to low potassium as well. Lithium can cause it and it is used for bipolarity. Many anti hypertensive medications can cause low potassium level. If you and her doctor cannot trust on her not to drink alcohol, she may take a medication like disulfiram to avoid drinking. She also can join AA group therapy sessions in order to pass successfully the different stages of abstinence. I wish a good health for her and the family." } ]
[ { "from": "system", "value": "Had panic attacks, stress. Could that be the reason for delayed periods? Pregnancy test negative" }, { "from": "human", "value": "hi im currently 4 days as of today late on my period and im not sure if im pregnant. i took two pregnancy tests at different times and both were negitive. but i did have a panic attack at work a few weeks ago and have been under lots of stress . but i also noticed when i go pee this white liqued comes after. not to sure what that means, should i test again ?" }, { "from": "gpt", "value": "Hi, , Pregnancy test gives result after a week of your expected date of period. So this is early to go for this test. Go for pregnancy test after 8-10 days after the date of your expected date of period. Ok and bye." } ]
[ { "from": "system", "value": "What does pain in testicles with feeling of pulling down and abdominal pain?" }, { "from": "human", "value": "Hello,I need so help, from past 2 days i am suffering from testical pains and i am 21yr old. i feel so kind of lump formed at my left once. when i lay down it doesnt hurt, but while walking it hurts and feels like something is pulling down, and even my abdomen pains. Can anyone help me out. Pls.." }, { "from": "gpt", "value": "Hello, It may be simple muscle spasm. Try pain killer. however, it can be because of some infection, tumour (rarely) or stone. use tight underwear. if that does not give relieve, consult doctor for physical examination and do USG scrotum. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sujoy Dasgupta" } ]
[ { "from": "system", "value": "Can someone with abdominal hernia go hiking?" }, { "from": "human", "value": "my nephew has a bulge in his abdomin area. Hernia. He has to have surgery. His surgery will be approx. 5 weeks prior to a planned camping trip where we will be hiking for over 100 miles with 50+ lb backpacks. I keep telling him there's no way he can do the camping trip that close to his surgery. Is he kidding himself?" }, { "from": "gpt", "value": "Hello, No, it's not advisable to go for camping. There are chances of increase in hernia swilling and chances of obstruction too. High altitude climbing may cause respiratory distress can postpone the surgery. 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": "Diagnosed with PTSD. Taking lexapro and diazepam. How can I stop medication?" }, { "from": "human", "value": "I have diagnosed PTSD, my meds were changed 2 weeks ago to Lexapro and diazapam when needed,I haven t been able to get back to the doc to check in as I know I was supposed too because of floods in my neck of the woods. Along with the med change I m being ëncouraged to start seeing the psychologist again as I haven t been to see him for nearly 3 years. I didn t want to start taking meds again or seeing the psych doc, now the meds are making me feel all over the place. I feel that all the good work I did a few years back to get on top of the PTSD has been for nothing, I m back where I started from...is that normal with PTSD? Seems like one step forward and a whole heap back." }, { "from": "gpt", "value": "Hi there ~ I am sorry that you are feeling this way. I understand that you have been having problems with depression along with post traumatic stress and the floods in the neck of your woods are not helping any. I am sure you are having a tough time at this time of the year. I would highly suggest that you go back on the lexapro and the diazepam if you still have enough supply. I think that this is going to help you out a lot and make life easier for you as it had been for a long time. You should start feeling better instantaneously. I hope this helps and you start seeing a psychiatrist as soon as you can. Take care and have a lovely day !" } ]
[ { "from": "system", "value": "How to deal with psychological abnormal fears in people over 45 yrs old ?" }, { "from": "human", "value": "I would like to know if you work with adults over 45 who has some psychological abnormal fears and it is affecting their entire life. I can t get her to get help, nor will she listen to her dad or me. I told her that I needed some help for myself in order to get her to agree. She told me maybe the whole family needed help. I told her that I would check into something for all of us. I hope you received my inquiry but just in case that you didn t, I need help for my daughter who is having some psychological problems that causes her to think that someone is trying to kill her and this has consumed her life and ours. She has moved home with us because she is afraid of being by herself. This has been going on for over since September of 2012. We need help and I need to know if you can help us or refer me to someone who can. AAAAA" }, { "from": "gpt", "value": "Hi there ~ I am sorry that something like this is happening with your family. It is classically known as delusions of reference and persecution. No matter what the scientific terminology is, your daughter needs help. It is better to have her be on antpsychotic medications. A qualified psychiatrist should be able to help. I am glad you bring this up in a forum and hope you seek help as soon as you can. Take care and have a nice day !" } ]
[ { "from": "system", "value": "Episodes of dizziness while sleeping, weakness. History of panic attacks. Cause?" }, { "from": "human", "value": "Have had two episodes of dizziness while sleeping - last night and night before last. Never had this before. Am 70-year-old female in good health. Hx of panic attacks that started during sleep = 2006 -2008 after having minor surgery with anesthesia . None since then. Dx ed as panic attand had acks later thorough tests, including a arteriogram that showed no blockages. Currently stressed approaching major life changes in downsizing and possible move. i am awakened feeling like the bed is spinning. Sit up and still feel the room spinning and cant focus on one thing in the room. Pulse 85. Feel queezy and a little weak. Lasts around 15 minutes. Able to return to sleep but upon awakening, feel weak and still a bit off balance. Have also been having middle of the night awakenings and difficulty falling asleep after.- can,t shut down thoughts. Dizzy in PA." }, { "from": "gpt", "value": "Hi there ~ The feeling of not being able to sleep after waking at nigh and difficulty falling asleep are all symptoms of depression. You also seem to have anxiety which go hand in hand with depression. I think that you are also suffering from what we call panic disorder where you get panic attacks out of the blue and are unexpected. Surgery does not have anything to do with this condition though it may have contributed to your anxiety. I hope you start distracting yourself by doing yoga, pranayama, prayers, dhyana, asanas, mudras, and regular physical exercise such as walking. Also consulting a psychiatrist would be a fantastic idea. I hope this helps. Take care and have a lovely day !" } ]
[ { "from": "system", "value": "21 year old having heart attack symptoms. Palpitations, chest tightness and shoulder and chest pain. Chest x-ray normal" }, { "from": "human", "value": "Hi I am a 21 year old male. I ve been having a lot of what I call heart attack symptoms because I don t know what else they will could relate to beside stress maybe. I had my first panic attack about four months ago and since then I have had the following symptoms...palpitations.. chest tightness... jaw pains ... shoulder back and chest pain ...warm sensation like warm water running down the upper left ribs... cramps and dull pain in upper left ribs... warm sensation in legs feet and hands... heartburn indigestion ... I find it hard to find the triggers for the symptoms..they come on after smoking sometimes after eating and other times out of no where... my question is could I have a heart problem or is this all from stress and anxiety... I had a stress test and echocardiogram about three weeks ago...when I had my panic attack they ran blood work and chest x ray all came back normal" }, { "from": "gpt", "value": "Hi there ~ Chest tightness, shoulder and chest pain with a normal chest x-ray are all symptoms of panic attack. All the other symptoms that you describe classically fit into the diagnosis of panic attacks and probably a full blown panic disorder. It is a form of anxiety disorder and since you mention there are no triggers, medications are the best way to deal with such conditions. I would rule out any cardiac problems like yourself and visit with a psychiatrist who can prescribe the right kind of medication both pharmacologically as well as therapeutically. I wish you all the very best in you path to recovery. Take care and have a lovely day !" } ]
[ { "from": "system", "value": "Periodic chest pain and shortness of breath. Exposed to passive smoking. Could stress be the reason?" }, { "from": "human", "value": "I have just had a session with a heart specialist who says he has trouble matching my military service with ischemic heart disease. I told him I am not a smoker but was subjected to heavy passive smoking , also mentioned the combat stress and high expectations of fitness could have been a contributing factor. I served in Malaysia during the Emergency and Vietnam. I was an infantry non-commisonrd officer and later was commissioned. I served for 33 years. The specialist did not appear to have great familiarity with service life. At the moment I suffer periodic chaest pains and shortage of breath. I am not overweight (75.2 K ant 5ft 8in). Are there other factors like supressed feelings that contribute?" }, { "from": "gpt", "value": "Hi there ~ Stress can manifest in many ways. The technical term for the same is anxiety. Chest pain that is frequent in nature and not attributable to any cardiac disease, shortness of breath and other symptoms are classic of stress and anxiety. Usually they are accompanied by difficulties with appetite as well as sleep abnormalities. Will all the travel that you have been undergoing due to your military service, I would recommend that you see a psychiatrist as soon as you can to get help with medications. I hope this helps. Take care and have a nice day !" } ]
[ { "from": "system", "value": "Fear of going outside and being alone. Need suggestions" }, { "from": "human", "value": "i am getting fear at night when the surroundings become silent and also am getting fear when am going outside at any time my heart is beating very fastly and iam not getting what to do and at last i am getting that i wanna die to slove this problem am getting fear when i am alone and anybody going out of my home i have this problem since 6months" }, { "from": "gpt", "value": "Hi, . It appears that you have been suffering from some kind of phobia since 6 months. It is good that you have realized that the fear you experience is not reasonable. Sometimes fears and phobias arise due to some incident in the childhood, the fear may develop and present as phobia in adult life. Don't worry, just learn to take control over the things that cause your heart to beat. Avoid staying alone at night, try to challenge the negative thoughts that cause you restlessness. Meditation in a regular way will help you get relaxed. Yoga and breathing exercises will help you stay cool and take control over the fear. However, if you think things are not improving, talk to a counselor/psychiatrist. Probably you may be suffering from some type of personality disorder that needs immediate attention, the type and degree of the fear and phobia should be assesses and treated accordingly. Treatment in time will help you stay healthy both physically and mentally. I am always there for you. Take care." } ]
[ { "from": "system", "value": "On antidepressant to treat mental illness. Unable to swallow. Should Haldol be given at old age?" }, { "from": "human", "value": "Hi , My Father had been on many antidepressant and other meds to treat mental illness over the past six years. He became ill with some form of infection thispast december and could not swallow , he could not take his regular medication, trazadone and seroquel . He was in our local hospital, by the time i got there they had started him on Haldol. I could not believe the shape he was in. Extreme Delirium and had to placed in restraints to prevent him from hurting himself. On the forth day he passed away. The hospital agve him massive amounts of Haldol, large amounts of lorazepam and morphine in order to do a C T scan. My question is about my concern over the drug Haldol. I have had people say that his age and other drugs he had been on, Haldol was not the drug to be used. My Father had just turned seventy three years of age. Kind Regards, Sherry" }, { "from": "gpt", "value": "Hi there ~ What has happened has happened. I regret and am sorry about your father's loss. I think it is a time to grieve rather than think about what could have been done differently. There are varied opinions on how an agitated patient should be treated to get a proper CT scan done. However, I hope that your father's death was a peaceful one. I hope you are at peace and please try not to dwell over the situation. Take care and have a lovely day !" } ]
[ { "from": "system", "value": "Chest pain, pain in the body. Have panic attacks. Are these related?" }, { "from": "human", "value": "Hi im new to this. I have anxiety/panic attacks. I have been having aches all over my body but mostly on my arms. I also sometimes have chest pain but I think its heartburn . I went to the hospital like last year in octuber for this problem and it turned out to be just anxiety that was causing the chest pains the doctor at the hospital said. Today after I ate my arms started hurting. Ive had this for a long time now but its getting annoying. My arms hurt and sometimes my neck and my stomach . Im 18 and Im a little overweight . What can this be? Thx for answering" }, { "from": "gpt", "value": "Hi Daniel, Welcome to Healthcare Magic and thanks for asking a query. You are aware that you have anxiety/panic attacks. Last year, when you went to the hospital for chest pains, the doctor suggested that it was anxiety. I hope that you have been getting treatment for anxiety. Unresolved and untreated anxiety will get worse. It can cause physical symptoms, too. Chest pains are one kind of physical symptom. Muscle aches and pains are another. This happens because the muscles get tight due to anxiety and begin to ache. Most common aches are in the lower neck, between the shoulder blades, and legs. Sometimes the pain seems to be coming from deep inside the bones. I would strongly suggest meeting a psychiatrist for a full mental health assessment and planning treatment. All the best, Dr Maneesh Gupta" } ]
[ { "from": "system", "value": "Suffered panic attacks. Prescribed Lorazepam. Anxiety feeling reduced. Can I start withdrawing medicine?" }, { "from": "human", "value": "Good day, I had panic attack at the beginning of January, out of no where, no sign, no symptoms. Finally doctor gave me Alprazolma 0.25mg to take - I was on this for 3 days 1 table a day. Then I started to have headache and went into another attack after 3 weeks. This time doctor gave me Lorazepam 1mg 1/2-1 tablet a day. I have been on Lorazepam for the 2 weeks, the anxiety feeling reduce. Should I start withdraw from Lorazepam or its too soon?" }, { "from": "gpt", "value": "Hello, welcome to Healthcare Magic. Panic attacks can occur several psychological and medical conditions, which need to rule out in your case after examination and investigation. It is important to see a doctor to rule out the following possibilties: -Panic disorder and depression -Hyperthyroidism -Hypoglycemia -Stimulant use (amphetamines, cocaine, caffeine), so stop use if present. -Some Medication withdrawal -Mitral valve prolapse, a minor cardiac problem that occurs when one of the heart’s valves doesn't close correctly. Medicine like alprazolam and lorazepam are good medicine for panic attack but these are used for short duration only, due to risk of addiction on them. Long term treatment depend on the cause of panic attacks. Wish you all the best. Regards, Dr Ashish Kumar Mittal www.99doctor.com" } ]
[ { "from": "system", "value": "Partially sited deaf, has traits of asperges, unable to behave in public properly. Any solution ?" }, { "from": "human", "value": "hi my name is aaaa , I have a brother who is 37 years old he lives with my mum. I have been taking them out weekly since my dad died 3 years ago. My brother is partialy sited profoundly deaf and has traits of asperges , he likes to go looking in gaget shops and having meals out.The problem is he hates crowds and is fine for a few weeks then he has bouts of challengeing behaviour he sticks his fingers up and makes sexual gestures to the public places the problem is that about 4 times over the past year he has spat in peoples faces .I keep telling my mum that he needs help and mabe some medication could keep him calmer whilst out within the public environment but she says he won t go . Personaly i think she is scared that he might be taken from her and put in a home .Any advice would be much appreciated.Thanks AAAAA" }, { "from": "gpt", "value": "Hello Sue, Thanks for posting on HCM Coupled to your brothers disability he is suffering from a pyschosocial disorder that will require psychiatrist's attention. On my opinion his psychosocial disorder comes from two factors; your mother and his disability. Your mother seems to be the one encouraging this by trying to isolate/protect him and making him feel different, this causes him to actually realize that he has a problem and is different from other people he may meet. Given his age, integrating him directly to the society without prior psychotherapy from a psychiatrist might result to more issues in public. My advise is convince both your mother and brother to meet a doctor. Be diplomatic and do know that your doctor's decision is best for your brother and society. If your brother get to spit or behave abnormally towards another individual with little patience, you might not be happy find him in a much more worst state. So getting him to a doctor is paramount. Hope this helps Dr Nsah" } ]
[ { "from": "system", "value": "What does this semen analysis report indicate?" }, { "from": "human", "value": "Hello just did an MFT: Results are as follows: PH 8.0 Appearance: Greyish white Rapid Progression: 40% Slow Progression: 10% Non Progression: 20% Immotile: 30% Abnormal morphology: 2% Sperm count 7million What are the chances of getting my wife preg?" }, { "from": "gpt", "value": "Hi, Your sperm count is below the normal.You should repeat the semen analysis with 3 to 5 days abstinence. If it is same get a direct check up with urologist. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr B. Radhakrishnan. Nair, OBGYN" } ]
[ { "from": "system", "value": "Suffering from Tremors, prescribed Madopar. Can I take Arkine trihexphenidly as alternate?" }, { "from": "human", "value": "I am working in Indonesia? 48 year old male. ( Corrosion Engineer) I have been suffering from a tremor for years!! Recently a saw a Nueroligist in Singapore, she prescribed me with Madopar250its brilliant. I am running short of my medication , and cannot go into Singapore!!! The only Medicine ( Tablet) i can obtain here is a different type for parkinsons related symptoms Arkine Trihexphenidyl - Please advise. I think its the same type of tablet, just maybe a different trade name. Mark" }, { "from": "gpt", "value": "Hi there ~ Modapar is not the same as trihexyphendyl. I would have you consult your neurologist in Singapore before you change your own medications. I hope this helps. Take care and have a nice day !" } ]
[ { "from": "system", "value": "Have fear of dying, often get feelings of heart attack. How can I deal with this?" }, { "from": "human", "value": "Hi Monica I am having a death fear, like i feel I may get heart attack and will die because of that. can i know how to come out of that fear, i will get this fear during the nights and if I am fully occupied I am not getting such thougts, because of this my anxiety levels got increased and will get belching and my bowel movements will increased, This issue was troubling my daily routine, how to come out of this" }, { "from": "gpt", "value": "Hi there ~ Panic attacks are very common and a sense of \"doom and gloom\" or what you experience as a fear of dying is very common. Anxiety that you are going to have a heart attack and die are also common. They are also fearful of having such thoughts at night and do not get enough sleep. Gastritis may worsen with this condition as stress and gastritis as well as hypertension are related. Seeing a good psychiatrist who can take care of your medications is helpful. I recommend that you do so at the earliest. Take care and have a nice day !" } ]
[ { "from": "system", "value": "Having anxiety after an accident. Taking inhaler for asthma. Any treatment?" }, { "from": "human", "value": "I just bumped into this sight, My daughter was in a horrible motorcycle accident last March. She suffered a severe traumatic brain injury . She is living at home with her 8 yr old son, but has alot of trouble with depression ,anxiety, and just dealing with everyday issues. They have her on prozac & zyprexa , just switched the zyprexa to geodon . She also has asthma, was a smoker. has not had anything since the accident, but wants to smoke really bad, but her lungs are not good, takes inhalers. Is there somewhere on her for her to chat with others like her?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. It is not uncommon to have psychiatric disturbances following a traumatic brain injury. Often medication are required to treat such psychiatric disturbances. She is currently on a combination of an anti-depressant (Prozac) and an anti-psychotic (Geodon) medication. I'm not sure why there has been a change fro Zyprexa (also an anti-psychotic) to Geodon. However, it is advisable to continue the medication as prescribed. Smoking can not only worsen her asthma but it can also result in other lung and systemic diseases. If she has difficulty in staying quit, it would be worthwhile to consult a pschiatrist for professional help regarding the same. Motivational Enhancement Therapy and if necessary, certain medication can be helpful in preventing her from relapsing to smoking. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]
[ { "from": "system", "value": "Bouts of palpitations, dizziness and throat congestion. Is this a panic attack?" }, { "from": "human", "value": "hi I ve been having bouts of palpitations and the feeling of dizziness that can come on all of a sudden which I m finding quite scary and i am now getting the feeling of an obstruction in my throat that i can feel when i swallow does this mean i may be suffering from panic attack or could there be another answer as ive never experienced this and find it unpleasant and scary" }, { "from": "gpt", "value": "Hello...... Thanks for your query. The symptoms you are describing are classic of panic attack. However, other conditions like thyroid disorders, fluctuations in blood sugar/blood pressure and serum electrolyte abnormalities need to be ruled out. If the tests are negative, you would require a psychiatric evaluation for panic disorder and other anxiety related disorders. Wish you speedy recovery. Regards Dr Sundar Psychiatrist" } ]
[ { "from": "system", "value": "Difficult to manage anger. What to do?" }, { "from": "human", "value": "i really think im losing my mind!!! everytime i am with someone i get so angry at them especially my father and i dont know why. i try to keep meself to myself now because its easier that way and i just about what i have done in the past and feel so guitly about it. I went to see my dad tonight and i lost my temper with him again and i hate my self for it. I just dont know what to do anymore. Please help!!!" }, { "from": "gpt", "value": "Hello....... Thanks for your query. I understand your concern with inability to control anger. I would suggest a thorough psychiatric evaluation to rule out depressive disorder, personality disorders and impulse control disorders that can manifest this way. Subsequently anger management sessions along with choice of appropriate medication if required would be of use to you. Regards Dr Sundar Psychiatrist" } ]
[ { "from": "system", "value": "Obese, using gels for low testosterone levels and C-Pap for sleep apnea, have a stressful job. Suggestive remedy?" }, { "from": "human", "value": "My husband uses testosterone gel in the morning after showering. His levels are so low he uses 3 pumps per shoulder of the 1.62% prescription gel. He is 53 years old, causacian, 6 3 and 330#. I try to encourage him to exercise and lose weight but haven t been successful. He complains of being tired ALL the time and is grumpy most of the time. He also has sleep apnea and uses his C- PAP every night. His stress level at work is very high. What can I do to help him? I feel like I m losing MY mind. Thanks" }, { "from": "gpt", "value": "Hi there, thank for asking. You are right in your observation, because many people with sleep apnea may find change in the mood and energy level as well. A good strategy is to encourage him to lose weight. It can help for improvement in apnea. it should be at least 15 to 20 pounds to be effective. Honestly his BMI is very high and it makes the effectiveness of the CPAP lower than expected. He should also know that the CPAP pressure should also be adjusted during sleep assessment every one or two years to be effective. I wish him the best health." } ]
[ { "from": "system", "value": "Suffering from tension, difficulty concentrating, worried about death. Cure for poor mental health?" }, { "from": "human", "value": "i m xxxxxx..i m sufferin from mental illness since 2008..i.e i think of my past..ahatever happen..suppose i quarrel from someone in past..i grts tensed that he will kill me..somtime i thnk that nothing will happen..i become afraid of life.when i sit for study i m not able to concentrate..my friend says that u dont want to read.. but actuall think i know what is happening with my mind..if i come out of one tension than suddenly i started thinking about other tension of past..." }, { "from": "gpt", "value": "Hi there ~ What you are doing is procrastinating about what needs to done and also you may have poor concentration. These are symptoms of depression. Being constantly edgy and worries about death is also symptoms of depression. I would recommend that you follow a regular schedule and do yoga and pranayama also along with daily activities to rid yourself of your problems with depression. I hope you see a psychiatrist if you feel like things are not working out. Take care and have a lovely day !" } ]
[ { "from": "system", "value": "Panic attacks, sweating, disorientation, stress. Taking zanax. History of depression, anxiety. Treatment?" }, { "from": "human", "value": "HI. I am 36 years old (female) and have suffered from drepression and axiety panic attackes for the last 20 years. Over the last 3 years my panic attacks have gotten alot worse. I am on Zanax and wellburtrin now. I have notice that i am waking up in the middle of the night sweating and having attackes of panic and alittle dissoriented from it. My doctor wants me to go in for EKG test to see about seizers. Ive never known of ever having seizers at nite and from having panic attacks. I know i havnt had any seziers during the day either. I have alot of stress in my life right now, actually alot for the last sixteen years ( long story). Do you think I could be having seziers in my sleep by what Ive described of having panic during sleep or is it just anxiety?" }, { "from": "gpt", "value": "Hi there ~ Panic attacks can be a very difficult thing to deal with and for you it is getting worse by the day. Zanax and Wellbutrin are not a good choice for the illness that you are suffering. I feel i.e. you have to see a doctor to make sure that your stresses are relieved with the right kind of medications. I think that you might benefit from relaxation techniques like yoga pranayama and such and regular daily activities. I hope this helps. Take care and have a nice day !" } ]
[ { "from": "system", "value": "Feeling low, headaches. Taking nexito for anxiety. No history of stress or depression. Suggestions?" }, { "from": "human", "value": "Hello sir My name is xxxxx and i always feel very dull i don t have any stress on anything, I use to play Sports so much and enjoy lot, I was having some pain in my Head and went to doctor and he told i am having Anxity, He gave me Nexito 5mg but as i feel it is not required to me as i never feel any stress or Deprssion, Could you please advise something" }, { "from": "gpt", "value": "Hi there ~ Nexito is a good medication for depression. Headaches may be due to depression or they may be independent. Anxiety is also treated with nexito. I feel like there might be other things that you would like to discuss with a counselor or a therapist. I wish you all the very best. Though treatment is a process you will feel much better in the end. I hope this helped. Take care and have a nice day !" } ]
[ { "from": "system", "value": "Suffering from suicidal thoughts and actions, inferiority complex, seizure disorders. Treatment?" }, { "from": "human", "value": "HI, I am having trouble with sucicdal actions and thoughts. My doctor knows i am depressed but I am worried to tell her that I need to change medication again. I suffer from a seizure disorder that I cant recall how it started.. and my doctor cant get anyone in this area to see me for tests I need. I makes me feel like I am less of a person. I know she trys so hard to help me. But I dont think I will ever get better." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you are going through a difficult time with your depression and suicidal thoughts. Since your depressive symptoms appear to be persisying despite taking medication, it is very important that you let your doctor know about this, so that further management plans can be made accordingly. It is common to have hopelessness during depression and have thoughts like you won't ever get better. But, please remember that this is just a passing phase and you will soon be able to come out of it. I would also encourage you to keep taking to someone close to you - a close friend or a relative - so that you can share your thoughts and feelings. This will make you feel less burdened, or more supported and hopeful. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]
[ { "from": "system", "value": "How to get rid of red spots on grind and penis?" }, { "from": "human", "value": "I HAVE RED SPOTS/BUMPS ON MY GRIND AND PENIS THEIR IS ONLY ABOUT 4 OF THEM THEY COME AND GO THEIR LIKE SPOTS YOU GET ON YOUR FACE CAN YOU TELL ME HOW TO GET RED OF THEM COS ME GIRL FRIEND IS HAVEN A BABY AND DONT WANT TO HAVE SEX COS SHE MITE GET THEM?" }, { "from": "gpt", "value": "hiI can understand your concern for your symptoms, if you had unprotected sex , need to think of Sexually transmitted infection .if not it can be balanitis fungal infection - if there is itching I Hope I have answered your query. If you have further doubts , I would be happy to help you. Happy day" } ]
[ { "from": "system", "value": "Chest pain. Panic and stress related. What should I worry about?" }, { "from": "human", "value": "I am feeling chest pain and was admitted to the hospital yesterday in the emergency, recently my husband got laid off work due to some problems with his boss and also my sister got divorced after 2 months of marriage I don t know whether it has anything to do with how I feel right, I thought it was a heart problem but after doing tests it was discovered that the pain is due to panic and stress . The doctor prescribed some pills but it got worst since I began taking the pills yesterday." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. You have mentioned that all relevant tests were normal, and a heart problem was ruled out. In such a case, and taking into consideration the acute stressors which you have been facing recently, it is very likely that your symptoms are due to an anxiety disorder. It is important to understand that anxiety can manifest with a variety of physical symptoms, including chest tightness / pain, palpitations, difficulty in breathing, etc. I would also like to let you know that certain anti-anxiety medication (like SSRIs) can casue an initial and treansient worsening of anxiety symptoms, before befoming fully effective in controlling the anxiety. So, I would advise you not to worry about this and continue the medication. Also, practicing relaxation techniques like deep breathing, yoga, etc. can also be of good help. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]
[ { "from": "system", "value": "Suffering from depression, sleeplessness. Stopped medication. How to get rid of the stress?" }, { "from": "human", "value": "hii have deppression i have been to the doctors and was on medication for my depression and lack of sleep all the medication did was make me sleep most of the day so i stopped taking it now my stress levels have gone up and i have to get up and go to do things above all im being forced back to work by one of these new companys set up that are ment to help me but all they are doing is making me more stressed is there something i can take or ask my doctor for to help me calm down and get me moving again" }, { "from": "gpt", "value": "Hi, you shall need to be reevaluated by your psychiatrist and put back on an appropriate treatment. The signs you describe means which you are getting back into major depression, this could affect your quality of life and job performance. getting back to your drugs could be an ideal situation. Personal motivation and a visit to a nearby psychologist could also help. But getting back to your doctor and discussing your worries with him could be worthwhile. However, avoid isolation and try to go out wit your friends and enjoy life. Hope this helps and will be honored answering further questions if need be. Best regards and quick recovery, Luchuo, MD." } ]
[ { "from": "system", "value": "Have chronic fatigue syndrome and fibromyalgia. Taking Tramadol. Have depression. Need help" }, { "from": "human", "value": "I have Chronic Fatigue Syndrome and Fibromyalgia and I am still in pain after taking tramado and wondered what the next step up of pain relief options are open to me. I have been on pregabalin in the past but suffered too many side effects. My Fibro Fog is really bad and I forget what I am talking about mid sentence and find it embrarrassing. I also was diagnosed with bi-polar many years ago but they later said that it was just depression I had. I am finding it hard to differenctiate what condition is causing what at the moment but I feel depressed (majorly depressed) I cant get motivated to do anything I have removed myself from most social interaction as possible. I also am a comfort eater but have gained over 4 stone in last 18 months. I do not overeat as such but have to have chocolate every night and its becoming like a drug/habit and this in turn doesnt help my depression or self worth. I feel trapped, desperate and alone and as I am a single parent I am too scared that if I admit to having had manic episodes a great deal this last year that it will go against me with regards to my abililty to look after my 2 sons aged 11 and 9. It is this paranoia that prevents me telling my GP the truth about my feelings etc. I had a 2 year court battle with my ex-husband for residency on the children which I won but the fact that he contested my ability at first then later changed his mind. He was a mentally abusive man who like to play games, mind games and I am fearful of EVER telling GP the truth. I am no longer seen by the pschych team and know that I should be re-referred but I just cant risk it and I do not want to be put on any mood stabilisers as the additional weight gain is not going to help my mental health as I am already obese. I need HELP but dont know who to turn to." }, { "from": "gpt", "value": "Hi There, thanks for asking. Fibromyalgia is a disease which should be controlled in parallel with control of depression and also sleep. Tramadol may enhance your anxiety level so it is not a good option for fibromyalgia. Fibromyalgia induces more alpha and beta waves in sleep, so the patients find a shallow sleep and this aggravates their mood as well. If you ask your doctor to manage your sleep and also your mood, your pain would also be managed. talk sessions can be really helpful for the cases which there is no certainty about the type of depression (depression or bipolarity). I wish you the best health." } ]
[ { "from": "system", "value": "Taking Carbin and Secozam. Done MRI and CT scan. Cause?" }, { "from": "human", "value": "Sir I dont know what happen in my mind for 10 - 15 sec when i thinked much i go to the psychiatrist did MRI , CT scan but in last he said i have no problem that doctor was not able to find out my cause, so how can i contact to you so can explain about you and from 3 year i am taking carbin sr 200 mg and secozam 10mg both , so tell me what cause it is." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Carbin (Carbamazepine) is an anti-epileptic / mood-stabilizing medication and Secozam (Clobazam) is an anti-epileptic medication. You have not given a clear description of your symptoms, but from your statement that \"I don't know what is happening in my mind for 10-15 seconds\", it is possible that you could be having a seizure disorder, which could be the reason for the psychiatrist starting you on anti-epileptic medication. I would suggest that you have a detailed discussion with your psychiatrist about your diagnosis and the the reason for the current medication. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]
[ { "from": "system", "value": "Feeling sleepy when reading, difficulty remembering. Need help" }, { "from": "human", "value": "Good day, am so glad to be here, av got a problem with my system in the sense that whenever am reading or having serious and important studies i begin to feel very sleepy and that usually cause a lot because i end up not also remembering all what av been thought. Please i really need your help on this, thank you so much." }, { "from": "gpt", "value": "Hi there ~ You feel sleepy when you start reading because it is something that you are not interested in. To get your interest levels up you might need to start doing other things to help with concentration. Yoga, pranayama, dhyana, and regular physical activity are known to boost concentration. I would also recommend that you get evaluated by a psychiatrist to treat your condition if it needs medication. I hope this helps. Take care and have a nice day !" } ]
[ { "from": "system", "value": "Diffuse axonal injury after accident. Currently suffering from short term memory loss, rude behaviour. Treatment?" }, { "from": "human", "value": "Hi Doctor, my brother wilson met with an accident on 10 Oct 2012 and he suffered from diffuse axonal injury , 7 days he was in unconsciousness , after 10 days they shifted to general ward on that time his left side parts was not woking proprely like(strock) after doing oil massage and physio treatment now he can able stand and walk. now his condition is his suffering from short term memory loss . his unable to recognize what is going on surrounding him and nowdays his behaviour also changing rudely talking & beating every one. is there any treatment is there to recover completely how earlier he was, please help me on this sir am having one and only one brother in my life." }, { "from": "gpt", "value": "Hello, welcome to Healthcare Magic. I is sad to hear about your brother health. Neuronal injuries often are permanent, so complete recovery is rare in such cases. Over a period of time some improvement in memory and behavior is possible. After brain injuries some personality changes are possible which can lead to aggressive behavior. In such cases low dose anti psychotic medicines are helpful. For that you can consult some nearby psychiatrist. Wish you all the best. Regards, Dr Ashish Kumar Mittal www.99doctor.com" } ]
[ { "from": "system", "value": "Frequent dreams of murdering friends, family and strangers. How can I get over this?" }, { "from": "human", "value": "Im scared. Although I seem sane I can’t get the images of me murdering my friends, strangers and family. I am devastated when I awake from ether my day dream or just a night dream but I’m most traumatized be me waking myself up and knowing I let evidence and didn’t finish cleaning up. Just the very thought of losing my kill makes me sick. The reason I’m asking for your help and in answering my question ‘am I sane?’ is simple because I have found a way of dealing with my issues. I am no longer able to things because I am ashamed but I feel a sense of reality when I tackle my dreams. The reason I’m communicating with you people is because my friend has become scared for her life she stands in the corner screaming, shouting at me to stop but the fact I know she isn’t real and I’m the only one who can see her. Well it terrifies me!" }, { "from": "gpt", "value": "Hi there ~ What you are experiencing is an uncommon sleep disorder called REM sleep behavior disorder ( RSBD). It is easily treated with long acting benzodiazepines and is also known to remit soon. I would not interpret your dreams in any way. It is completely treatable and you need to see a qualified psychiatrist or a sleep specialist. I hope this helps. Take care and have a good one !" } ]
[ { "from": "system", "value": "Nervousness, hallucinations, vertigo, depression. History of anxiety, depression, panic attacks. Treatment?" }, { "from": "human", "value": "I suffered from anxiety , depression and panic attacks some 12 years back and was treated. I have developed some of the symptoms at present like feeling nervous, hallucinations, vertigo , depression etc. Mine is a happy family 2+2 and everything is OK. I am not getting as to what has led to such disorders in present situations." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Many psychiatric disorders, including depression and anxiety, have a high chance of relapsing. It is possible that your symptoms could be indicative of a relapse of your previous psychiatric problems. However, you need a detailed evaluation / psychological assessment - since your present symptoms are quite varied. I would advise you to see a psychiatrist as early as possible for a detailed evaluation and further treatment. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]
[ { "from": "system", "value": "Cranky, has instant mood changes, negative thoughts, verbal and abusive. What is this ?" }, { "from": "human", "value": "Hi My husband is always cranky. I would say about 90% of the time. He is very negative about everything & everybody. His moods can change in an instant, he can be really happy one minute than screaming & cranky at everybody.Then he can also change back quickly to quite happy.He had a very verbal & abusive father so I can see a lot of his father in him, only he doesnt physically hurt us he does verbally.He sleeps well,eats well but he just cant control his anger outbursts. Im just about to my wits end. Does this have any symptoms to anything like depression , bipolaretc. Ive been trying to research it on the internet Thanks AAAAA" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. If his symptoms, like irritability, anger outbursts, negative thinking, etc. are of a recent origin and different from his usual self, then it is likely that they could very well be symptoms of an underlying mood disorder. On the other hand, if these problems are rather a part of his 'usual nature', then it is likely to be unhealthy personality traits. Whatever be the cause, if it is causing significant problems in your family, then it would be worthwhile to consult a psychiatrist for a detailed evaluation and further treatment. Depending on the probable cause, treatment can be in the form of medication or psychological therapies. Counselling sessions focussing on anger management techniques can be of great help. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]
[ { "from": "system", "value": "Forgetting things, tired, emotional, feeling low. Need help" }, { "from": "human", "value": "hi i don t quite know what to do i am 25 years olds and for the last few weeks or so i have not been feeeling myself i seem to for get things really quickly and seem to be tired and very emoioutional even my partner has said he has noticed it as well. normall i m quite bubbley full of energy and in top form but have not been for a few weeks feel low tired all the time.could you help me as duno hat to do and getting worried about it now" }, { "from": "gpt", "value": "Hi there ~ It is not uncommon to have these symptoms of feeling low, having difficulties with concentration, easily forgetting things, feeling tired and lethargic, becoming emotional and hopeless in cases of depression. You may be able to attribute it to situational factors. I recommend that you consult a qualified psychiatrist to get on medications, SSRIs to help with mood elevation. Also, doing things that have traditionally given you pleasure might be one way to go. I hope this helps. Take care and have a nice day !" } ]
[ { "from": "system", "value": "Suggest treatment for erection problems due to masturbation" }, { "from": "human", "value": "I am suffering from these problems since last 23 years because of over masturbation suddenly while one day i did masturbation i felt loss of energy my penis shrink and not to able erect after that I use many kind of medicine like herbals,homo pathetic and aloe pathetic but useless. please suggest me suite able treatment thanks tariq ziad dobai" }, { "from": "gpt", "value": "hiI can understand your concern for your symptoms, masturbation can be the last cause of your Erectile disfunction .if masturbation is the cause 90% of male will have Erection issue .so erection issue of yours can be due to -Varicocele -Fear of failure - having one episode of ED once may make you feel you will end up with ED-smoking or alcohol-stress I Hope I have answered your query. If you have further doubts , I would be happy to help you. Happy day" } ]
[ { "from": "system", "value": "Had nightmares, interrupting voices in thoughts, sudden dizziness and sweating. What is this ?" }, { "from": "human", "value": "Hi. Last night I had nightmares all night and after waking, I kept expiriencing interrupting voices in my thoughts, but couldn t make out what they say, and immediately after sudden dizzyness and sweating. I am scared because it has happened like 6 times today. One time I even forgot where I was after. What could I have?" }, { "from": "gpt", "value": "Hi, . Nightmares can be caused due to sleep deprivation, sleep disorders, tension, depression, anxiety, stress, post traumatic stress disorders. It can also occur due to intake of some medications, drugs, narcotics,etc. Don't worry, it is the first time it happened to you. Just stop taking any drugs, alcohol that may trigger nightmares and cause you restlessness. Avoid taking snacks late night as it has the tendency to increase metabolism and activate the brain cells and neuro transmeters. Try to sleep on a comfortable mattress. Read or watch a comedy movie before you sleep. yoga, exercises and meditation will be helpful for you. If still you have nightmares you should see a counselor/ psychiatrist. Take care." } ]
[ { "from": "system", "value": "Broke up with a girlfriend, suffer from OCD, always think she could be pregnant. How to remove this thought ?" }, { "from": "human", "value": "hi, i am a 27 years old man, recently 3 months ago i had a break up with my girlfreind.i had several time physical relationship with her. since it occured, due to this now i am thinking frequently may be she got pregnent and dont want to let me know about it.our breakup was happened due to our personal behavior and my family agresiveness towards her.But instead of the fact knowing i frequenly thinks that she might get pregnent.i cannot concentrate on my regular life always finding and thinking repeatedly the incidents occured between us. always try to relate the things occured during our last quarrel even knowing the real fact that breakup as happened because she dont like my parent because she had insulted by them. But knowing all the causes i am thinking that she was pregnent. one thing i like to tell that few years back i was suffering from OCD due to the same reason that happened with my 1st ex girlfriend. i have searched all the details about how a girl can be pregnent,there also i did not relate the thing accurately.Please do me feber let me know how can this thought be stoped.you may be thinking why dont i ask to my girlfriend.The fact is i dont want to call her again and dont want to ask this thing as i am not assure.Please tell me cure process." }, { "from": "gpt", "value": "Hi Thank you for your query You need to divert your attention. If you have hobbies this is the best time to pursue them. Get out with friends. Meet new people. Go to new places. Avoid places you went to with your ex girlfriend. Concentrate more on your work too. Exercise. If all this also does not help, try to get to know for sure from a common friend regarding her status and get it out of your system. Break ups can be tough. Consult a psychotherapist. There drugs available too and you will get them with a proper prescription. Hope that helps God bless you" } ]
[ { "from": "system", "value": "Partner pulls back when getting close, does not call for months, pushes when kissing. Schizoid?" }, { "from": "human", "value": "I have a friend that we are attracted to each other but everytime I try to get closer he pulls back. Sometimes he will not call for months and then say that I know how much he missed me. He forgets places we have been together and sometimes when I go to kiss him he pushes back as if i were going to hurt him. He said he has never been in a relationship that last for a year and he is 58 years old because he has issues. Is he schizoid?" }, { "from": "gpt", "value": "Hello Thanks for your query. I understand your concern for your partner. With information available it is not possible to comment on diagnosis. It could be personality disorder or depression or simply interpersonal issues. Hence I would recommend a thorogh psychiatric evaluation to clinch the diagnosis and initiate appropriate management. Regards Dr Sundar Psychiatrist" } ]
[ { "from": "system", "value": "Suffering from bipolar disorder, paranoia, acting very strangely. Cure for symptoms?" }, { "from": "human", "value": "As a parent, where can I get help for my 25 year old son who has Bipolar and Paranoid Disorder. He is in denial about his problem and is acting very bizarre and wont take his meds. He has no health insurance. Im hoping that there is some kind of goverment medical assistance. If not, we are willing to help him financially to some degree" }, { "from": "gpt", "value": "The most important thing is if he is bipolar than his paronia will b secondary to grandiosity so dont get confused.Assuming he to b bipolar imp thing is the patient is not aware of the illness called as insight.........thus he lacks insight thatswhy not take medicine .So u should try to give medicine through drinking water or food .Many drugs now a days come in dissolving form without any taste or odour.To get gov assistance do admit him in gov mental institute and the most imp thing.... first accept and keep ur emotions away for sometime and admit him under care of Psychiatrist. thanx." } ]
[ { "from": "system", "value": "Suffer from OCD, depression and panic attacks. On setraline, clomipramine and clonazepam. How long should I take the medication?" }, { "from": "human", "value": "Dear, sir im suffer ocd ,depreesion,panicattacks in 3 yrs, i hv taken sertraline50mg, clomipramine25mg clonazepam ,bromazepam,up to 1.5yrs. my doctor stop my medication in 5 month.then my symtomp is come back. then he is start escitalopram in 2 months but i hv not imporved. last he start sertraline 100mg and clonazepam.5 .its continue 5 month i think my mood and ocd thinking is slightly improve. how much time i taken this medication in dose. pls reply 4 me. thnx" }, { "from": "gpt", "value": "Hi There, Thanks for asking. The dose backs to the clinical improvement. The medical treatment for OCD is usually long term, but if the clinical improvement is reached, the dose can be decreased to the minimal level. if you wish to discontinue the medication, you should take advantage of behavioral therapy for your compulsions. The advantage of behavioral therapy is that does not have any possible side effect and also its positive effect (when is achieved) is life time, because it is a skill which you learn. Its concept is easy and it needs several weeks to practice. You can ask your doctor to guide you to the person who can work it with you. Please let me know if you have any question in this regard." } ]
[ { "from": "system", "value": "Child stubborn with certain things. Does this denote OCD?" }, { "from": "human", "value": "My daughter will be 4 in june. On sunday she started with a few odd habbits. Not sure what they mean or if there is a problem with OCD or something. First she is keeping her hands in the fists position, she wont touch certin things, is asking for blankets, bedding, etc to be washed even if they were just washed. When I question her she doesn t have an answer for me, which I expect because of only be 4. There is no consistant pattern to any of it." }, { "from": "gpt", "value": "Hi There, Thanks for asking. Childhood onset OCD usually begins around the age 10 to 12 or sometimes in the years after. For many of them a family stress exists which contributes to the maintenance of symptoms. On the other hand, many children have some behaviors to show their autonomy (sometime by such behaviors you described). These behaviors manifest around age 4 and then gradually subside. However, it could be a sign that the child has a transient anxiety about a family or social stressor. I wish you a good health." } ]
[ { "from": "system", "value": "Concerned about the suspicious wife. Need a solution" }, { "from": "human", "value": "Sir, I have a problem.We married last 7 years.We love each others very much.But she suspected me very much that I love with other women like my old girlfriend,brother s wife etc.Actullay i am not talking with any woman except my wife and my mother.In this connection some querrelsome were took place.the situation is now very bad. Pl tell me the some solution. from -Rajib" }, { "from": "gpt", "value": "Hello.. Thanks for your query. I understand your turmoil. It is to remembered that this suspicion could be just part of normal interpersonal issues and not pathological. It can be also part of delusional disorder, paranoid personality disorder or other psychotic disorders. Hence, i would suggest a thorough psychiatric evaluation before clinching a diagnosis and initiating appropriate treatment. If required interpersonal psychotherapy mght also be a good option. Regards Dr Sundar Psychiatrist" } ]
[ { "from": "system", "value": "Getting angry easily, difficulty sleeping. Help" }, { "from": "human", "value": "Yes sure, I m getting angry very esialy. I m 35 years old man. most of the time when somthing that bugs me happend to me, then I m thinking about it during the night and telling to my self why I did not do like this? Why I did not say to him this...... this situation driven me to not sleep at all during the night. please help" }, { "from": "gpt", "value": "Hello..... Thanks for your query. Anger management skills can be learnt from a trained clinical psychologist. Yoga, meditation and breathing relaxation exercises are likely to benefit you. In addition, a thorough psychiatric evaluation is required to rule out anxiety and depressive disorders and appropriate management can be initiated as required. Hope you find my suggestions useful. Regards Dr Sundar Psychiatrist" } ]
[ { "from": "system", "value": "Mentally depressed. Have severe asthma. Want to commit suicide. is there any hope?" }, { "from": "human", "value": "all of my past tragedies are catching up with me finally. I was raped when I was 12, my family was already in the midst of my brother being institutionalized at a State Mental Hospital after slicing a man;s throat and being diagnosed with schizophrenia . I have three siblings he is the oldest almost 10 years older. My parents were always visiting him so nobody was around to talk to. Also I was afraid to tell anyone for fear of how much more turmoil it would cause. When I was 19 my father was killed in a skydiving accident. I became involved in an physically abusive relationship and than became pregnant. I have severe asthma and was hospitalized for two weeks when I was seven and a half months pregnant and had an abruption and went into DIC. We lost Nicole and I couldn t even go to her funeral. I became more entrenched with drugs and drinking and left my husband. Even though emotionally I didn t detach. Finally I helped my sister get out of KC the town we grew up in when her husband had been diagnosed with AIDS from using dirty needles and was caught robbing a store.My mother a friend and I brought her and her 2 children who were 3 and one and a half to michigan were my mom was living . Eventually she went back to her husband and I decided to stay. I met a man and had two children and married him. When my son was five and my daughter Liz was 3 we were in a car accident while I was driving and my mother was killed. I always rationalized in my own mind that there are so many people who have been through so much worse. My father taught me that you have to be strong. Don t show your weaknesses. You can get through anything, but you know what I can t anymore. I don t sleep. I hurt all the time both physically and emotionally. My asthma hasn t been under control for years. I m always angry not just mad like on the edge. I ve tried to commit suicide twice, obviously not successfully, but it is always in the back of my mind. My family thinks that if you need to see a counselor you re crazy. In fact they actually say that when they are trying to hurt me. My husband has a problem with drinking but won t do anything about it. I ve been on SSI for five years and only make $398 a month because I ve never been able to stay a a job for very long because I become ill. So according to them I really don t do anything to help the family, even though I do all of the housework, cooking etc... My asthma has gotten so bad that I have had to have a port put in because my veins are shot from all of the steroids. I don t know how many times I have heard things are so much better when you re not here. Please help. I don t know how much longer I can hold on!" }, { "from": "gpt", "value": "Hello....... Thanks for your query. I understand the multiple stressors you have faced and the devastating effect it has had on you. I would suggest that you seek professional help from a psychiatrist/ clinical psychologist to assess for depression/anxiety disorders/ adjustment / other stress related disorders as well as assess your range of coping skills. This can be followed by appropriate antidepressant/ anxiolytic medication and psychotherapy as appropriate. Hope you find my suggestions useful. Regards Dr Sundar Psychiatrist" } ]
[ { "from": "system", "value": "Mole on belly that itches, breathlessness. Is it die to stress?" }, { "from": "human", "value": "I have a lot of things that is going on. I have not had my cycle since December 28th. I have continue to take pregnancy test mail come back negative. I have mole that s on my belly that continues itches. I had chest pains that I think it s mostly due to stress . Went to the ER and they sent m e home. Stay out of breath. Littl exercise &I Just a little bit overweight 15 lbs." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Stress and anxiety can manifest with not only psychological symptoms, but also with a variety of physical or somatic symptoms. However, a mole or an itchy skin lesion is a dermatological problem and is unlikely to be the direct result of stress. You will need a proper physical examination to determine the nature and cause of your skin lesion. Irrespective of this, it appears that you are going through a lot of stress, and so, it would be worthwhile to seek professional help for the same. There are effective psychological therapies which can help you aquire better stress management techniques and coping skills. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]
[ { "from": "system", "value": "Suggest treatment for erection problems during inetrcourse" }, { "from": "human", "value": "sir due to masterbaton before marriage my penie is bend is any treatment to sraight the penie my married life is good and also have child but i have promblem that my penie is not hard during intercourse and i get discharged in 5 to 10 stocks i cannot do sex morethan one minute sir iwant to increase my sex time duration so pls help suggest me any medicine or suggest any technique" }, { "from": "gpt", "value": "hiI can understand your concern for your symptoms, masturbation can be the last reason for your issue .since you complain both erectile disfunction and premature ejaculation .need to rule out diabetes and hormonal disfunction .smoking and alcoholstress .I Hope I have answered your query. If you have further doubts , I would be happy to help you. Happy day" } ]
[ { "from": "system", "value": "Having mental disbalance after an accident. What should be done?" }, { "from": "human", "value": "iam currently writing from Dhaka, Bangladesh. One of driver s brother met with an accident 5 years back. He was a normal person till then and he was also working as driver till he met with the accident. After the accident he started behaving abnormally and he used to fight and abuse everyone till last year. Last year he started behaving normally after some treatment and now the problem is he is forgetting what happened after every 30 min to 1hr. He some time remembers some things like driving, manual gear first gear etc., What should be done to make him normal. Since they are from poor family, i want to help them to be normal. Please let me know, if i have to send him to India to any good hospital for treatment." }, { "from": "gpt", "value": "Hello........ Thanks for your query. It is possible that post accident the person has developed organic personality changes. A CT/MRI would be advisable at this stage. Also assessment of cognition would be helpful for management. Low dose anti-psychotics would be the preferred medication in this case generally. Hope you found the information useful. Regards Dr Sundar Psychiatrist" } ]
[ { "from": "system", "value": "Depression, weight loss, have knee replaced. On metformin and lesinopril. Suggest?" }, { "from": "human", "value": "My husband suffers from depression . He was injured at work and we had to deal with Worker s Comp. for 22 months. He had to have total knee replacement and the surgeon has told him he won t be able to return to work. He has applied for dissability but because he s only 47, he was turned down. We have a lawyer and feel he s doing a good job. My husband feels like he should be taking care of his family and of course, staying inside all day certainly doesn t help. Our doctor has tried him on Celexa (29 mg) and Effexor (150 mg). He had 1 refill left on the Effexor so he started taking it again. With all the medicines out there, we don t know which might be best for him. He has an appointment next week with anothe doctor to get a second opinion. He has been on Metformin and Lesinopril but has stopped those since his weight loss from close to 270 down to 217. He s such a wonderful person and am not giving up on getting him help. He just gets very frustrated trying different meds. Any advice you can give will be greatly appreciated! Thanks in advance. I m sorry I can t pay this since I am the only one working. But thank you anyway." }, { "from": "gpt", "value": "Hi there ~ I understand that not being able to work can be handicapping in a lot of ways for a lot of people. In your husband's case, I am sorry that his disability petition was turned down. If effexor had helped him before, it would be prudent to go back on that medication until he sees a doctor. However please watch for any side effects, most commonly gastrointestinal (nausea and vomiting) and increase in blood pressure. Celexa is also an effective adjuvant medication for depression. I am glad that he is working on making his day better. I hope he is eating at regular times and sleeping well, not too much not too little. Activity makes depression better, so the more he does with his hands the better he would be with his depression. I would not bother too much about the weight loss. Please wait for the doctor's appointment to see what the doctor says. I hope this helps. Take care and have a nice day !" } ]
[ { "from": "system", "value": "Diagnosed as manic depressive, uses drugs, meth, tried committing suicide. How to get her help ?" }, { "from": "human", "value": "My daughter was diagnosed as a manic depressive when she was 15. She was placed in an unit because she tried to commit suicide . She was on Zoloft , then she was of age an stopped her meds and didn t go see her doctor any more. She started doing drugs, meth , mariguna (misspelled) an pills from friends. Her house was raided, boyfriend in prison an children in state custody. For the last month she told me she had been thinking about committing suicide, still using meth by shooting up. Howcan I get her help?" }, { "from": "gpt", "value": "Hello....... Thanks for your query. Manic depressive illness is a psychiatric illness that worsens with drug abuse and leads to a vicious cycle. She requires a thorough psychiatric evaluation and management of both drug abuse and manic depressive illness. An inpatient setting will be ideal for treatment. Hope you found the information useful. Regards Dr Sundar' Psychiatrist" } ]
[ { "from": "system", "value": "Prone to depression, anxiety, taking Zoloft, want to quit smoking, try Champix. Safe to take both medicines?" }, { "from": "human", "value": "Hi, I have been on 50mg Zoloft now for about 5yrs ....... I am prone to depression and anxiety however want to give up Smoking . Iv heard great things about Champix and would love to give it a go - Im just scaared that I willl be one of those people who end up with the negative side effects. Is it safe to take these medications together? Does Champix permanently change your thought patterns?" }, { "from": "gpt", "value": "Hello........ Thanks for your query. Champix is varenicline, a nicotinergic receptor partial agonist that will control your craving but does not alter thought process. It is an excellent choice for smoking cessation. However, i shoukd warn you that champix increases suicidal tendencies and it might not be ideal for you considering your predisposition to depression. Regards Dr Sundar Psychiatrist" } ]
[ { "from": "system", "value": "Taking proxyone from 2 years so marriage life going to be destroyed" }, { "from": "human", "value": "my problem is , my husband is taking a drug from 2year which is proxyone. thay leave with medicine or treatment? for this my marriage life going to be destroyed. plz doc tell .he become normal with me." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Proxyvon is an opioid drug which has a high addictive potential. You have not mentioned the dose or no. of proxyvon tablets your husband is taking. If you feel that he has become addicted to the drug, then I would advise you to take him to a psychiatrist for further help. There are effective treatment options - in the form of medication and counselling, which can help him get rid of this addiction. So, please discuss this with him and convince him to see a psychiatrist. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]
[ { "from": "system", "value": "Pain in the arm and liver after quitting smoking. Suffering from anxiety and panic attacks. Need help" }, { "from": "human", "value": "I m 25 years old and have been having terrible anxiety for the past month. I recently quit smoking about 3 weeks ago and I feel this may be the underlying cause. My symptoms include pain and discomfort in my arm, pain between my shoulder blades, periods of increased panic and anxiety for seemingly reason at all. In addition to this I have had an odd pain near my liver or possibly gall bladder off and on for the past year. It is usually dull, sometimes worsened when I drink. I went to the doctor for both of these problems recently and he checked my heart and said it seemed fine and prescribed me anti-anxiety meds which I really don t want to take. He felt my liver and said there was no swelling. ...Quite honestly I am at a loss, I have been browsing google and I feel it is just doing me no good. Last piece of information.. whether it is helpful or not is I had Mono when I was 17." }, { "from": "gpt", "value": "after chronic tobacco use body produces withdrawal symptoms. you are having anxiety and somatization. take bupropion 150 mg twice a day and levosulpiride 25 mg in night..." } ]
[ { "from": "system", "value": "Anger, severe irritation, abusive, mood swings. Taking medication for polio. Treatment options?" }, { "from": "human", "value": "I need to consult psychiatrist for my brother My brother is 34 yrs old. He gets angry and becomes irritated on small small issues. He is working in a call centre. He had polio but after the polio has been treated he is become more short tempered kind of a person. he abuses when he is driving when someone overtakes him. we need some suggestion for his sudden mood change prob. He is very noble hearted person but when he gets angry he himself dont know how is is behaving with his elders but when he calms down he aplogise for his behaviour. He do not drink or smoke . Please advise?" }, { "from": "gpt", "value": "Hello ~ It seems like your brother has an anger management problem and impulsively becomes angry at little things. However it also seems like these anger episodes are predictable, which makes it amenable to treatment. I suggest that your brother take anger management classes or complete a do it yourself book for anger management. It is helpful to consult a psychiatrist if you or your brother feels like this is not helping and medications may hold a key to the question of anger. I hope this helps. Take care." } ]
[ { "from": "system", "value": "Depression, self consciousness, self rejection from happiness. Why do I hate my body?" }, { "from": "human", "value": "WHAT DO I DO? I am an attractive 21 year old. I lost my virginity at 18 and have had several flings that lasted between 1-4 months since then. Some of these would have turned into beautiful long term relationships but I am so frigid and self consciouos of my body and ESPECIALLY my nether regions (I find it disgusting) that it has made it too awkward. I thought I would let one person go down on me when I was very drunk and on holiday so I wouldn t have to see him again and feel embarassed but I just couldn t enjoy it. I hate being fingered but I think it is all due to my low self esteem about my body. Please please please help, I am desperate. It has caused me severe unneccessary depression and heart break..." }, { "from": "gpt", "value": "Hi, First thing is ur family history in most important because of various personality traits along with environment in which ur grown is very imp.U should understand our brain gets conditioned according to our childhood family life.Second thing if ur not able to form stable relations even if u want ......than do think... whether u assigns a role to evry individual in ur contact... from ur set of principles which other person has to accept because of ur forcefull nature or ur set of rules....if this is the case than u have to consult a psychiatrist because it may b form of personlity disorder because of which chronic emptyness,feeling lonely ,allways in serach of company,low mood,rejection,guilt etc occurs.A good CBT and psychiatric councelling will b helpful thanx." } ]
[ { "from": "system", "value": "Remained silent throughout life. No friends. Cannot think of anything to speak. Mental problem?" }, { "from": "human", "value": "I am 50 years old and I have no friends.And I work in the public and everyone thinks Im mad all the time cause I dont talk.I have this problem as long as I can remember I did marry and had 5 children was married for 20 years and he decided he wanted a younger wife.I have been single since for 12 years now.I get around people and it is like my brain shuts down cant think of anything to say so I say nothing and I always worry about what others think of me but yet I still cant think of anything to talk about.so I just wont to no if I have a mentail problem" }, { "from": "gpt", "value": "Hi From ur question type i think u must be having Thought Block.........mostly negative sign of latent 295. U bettre and early consult a psychiatrist to get relief from ur symptoms. thanx." } ]

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