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[ { "from": "system", "value": "Shaking legs while sitting, walking when tensed, unable to sit for long duration. ADHD?" }, { "from": "human", "value": "I am 22 yr old male. I study in college and have always been good in studies. I can t stop shaking my legs while I am sitting. I don t feel comfortable sitting for long duration and I start walking especially when I get tense and don t seem to have a lot of control on it. Also I find my attention wandering off unless I am working on something that requires urgent attention. I have started to think I might have ADHD , I had these symptoms for years but i never thought they could point to a condition. Is it possible I have it? If I do, do I need to do something about it." }, { "from": "gpt", "value": "Hi, Welcome to HealthcareMagic Forum Considering your age and nature of symptoms, I would consider possibility of anxiety disorder first in your case. Common symptoms of anxiety which may or may not be present in your case: nervousness, restlessness, mild irritability, excessive worry regarding own health, tremor, muscle spasm, heaviness in body, easy fatigability, headache, sleep disturbance, palpitation and dry mouth. Out of them you mentioned restlessness, tremors and poor concentration. These symptoms increases during stress. As you have symptoms for years then possibility of ADHD need to be ruled out too by examination by psychiatrist. Till you meet psychiatrist, following simple measures will help you: -Healthy diet: Milk and fruits in diet. -Daily morning walk -Breathing exercise, yoga and meditation (which you can learn from some expert in person) Wish you Good Health and all the best. Regards," } ]

[ { "from": "system", "value": "Will frequent masturbation affect sexual life?" }, { "from": "human", "value": "hey doc i want to ask that i am masturbating since i am a child now i am 24year..i am doing this daily if i mean daily means daily so im really concern about that regular masturbation may efeect my future sex life or having problem in kids plzzz answer me....waiting for your reply" }, { "from": "gpt", "value": "Hello, Masturbation is not bad but regular masturbation needs more energy and nutrition. You need a constant supply to prevent tiredness. For reducing masturbation you can join an athletic sport or yoga. If the problem persists need a psychiatrist review for medication to control masturbation. 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": "Effected with dengue, SGPT got very high and have severe Belching. Recovery from Belching?" }, { "from": "human", "value": "My husband was effected with dengu on Nov 1 2012.After that his SGPT got vrey high to 300 and he was having sever Belching .If he eats then also he has belching and at other time also he is having belching continuously. After that doctor has prescribed UDLIP 300 and his SGPt came down but the Belching/burping remains same.The doctor who was treating him though due to anxiety it was not recovering so we where asked to consult psychiatrist he has been given anti depression and anti anxiety and sleeping pills .We are consulting him for the last 20 day but he has not yet recovered. The belching is reduced some time but if there is any tension (as because he is not able to go to office) that is increasing tremendously.Please advise me whom to consult so that he could be recovered." }, { "from": "gpt", "value": "Hi there ~ The belching / burping is clearly related to high anxiety levels and it has been proven in studies that anti anxiety medications can help reduce gastric irritation and symptoms that result thereof. I am glad that you have all the testing done for your husband. You need to consult a psychiatrist for your husband and get him on antianxiety medications as soon as possible. I hope this helps. Take care." } ]

[ { "from": "system", "value": "Start stammering in the mid of seminar, moral lowers on reminding the situation. How can I fix this?" }, { "from": "human", "value": "hello ,is anyone here? i am a student of computer science field and pursuing m.tech in it. so in my field generally we have to talk to persons and have to give presentation..but whenever i am giving any presentation i start to stammer,not only that whenever i think of those situation that i have to give presentation on that day my moral goes down...suggest me some way to get free from it.i am facing this problem for the last 3 years and thus loosing my confidence. mail YYYY@YYYY" }, { "from": "gpt", "value": "Hi there ~ Clearly your stammering is related to your anxiety of performing in a social situation. This is also known as performance anxiety and is easily treated with beta blockers. Also anti anxiety medications can help. Therapy can help regulate your stammering and boost your confidence and self esteem. Please consult a psychiatrist as soon as you can to find your remedies and referrals. I hope this helps. Take care." } ]

[ { "from": "system", "value": "Suffer from Remitting Relapsing MS, taking interferon, the test results are increase. How to hinder progression of MS ?" }, { "from": "human", "value": "I am writing because I would like to have a confirmation and I want an alternative method to the hinder the progression of MS. My investigations were motivated because I want to stop taking interferon beta and find an alternative method that is based on a natural basis. The long-term study results from last summer that were on interferon-beta, have not had a positive outcome: (MS Society - WWW.WWWW.WW / NY Times: WWW.WWWW.WW . After 4 years of taking Avonex, I still experience serious side effects that have been fought with Celebrex and Ritalin. There are also positive side effects, because I do not get ill as often as I did. After weeks of research, I reached the following conclusions: I understand that a vitamin D deficiency is a component for some diseases and one is MS. Vitamin D increases the interleukin (IL) 10, and simultaneously reduces the IL-6 and IL-17. It retains these two cytokines in balance. An increased IL-6 creates plaques in the brain and IL-17 is responsible for the autoimmune system. Should the IL-17 be too high, it upsets the immune system and it begins to attack its own cells. Interferon-beta is mainly focused on the IL-17 and neglects the IL-6. I also struggle with the herpes virus which is designated as vIL-10, and this fits into the same receptors that are intended for IL-10. Vitamin D is as you know, created by sunshine and after a 30 minute long sunbath in the summer time, you can have up to 20,000 IU in the body. So I think that a 10,000 IU per day cannot cause toxicity . Vitamin D is dependent on vitamin K , zinc, magnesium and boron, to activate it. I would like to take the following orally: - Vitamin D3 - 10,000 IU - Multivitamins per day which includes, among other things: o Vitamin K - 20 - 60 micrograms (mcg) o Zinc - 11 - 15 milligrams (mg) o magnesium - 100 - 120 mg o Boron - 150 mcg - Omega 3 to 1272 mg - Omega 6-928 mg - Omega 9-475 mg o A balance of Omega 3 and 6 is wanted If the above values are too high, or if there is something missing, please let me know? I will continue taking interferon, but I would like to stop it as soon as possible. I am 39, 150lbs, 5 8 and suffer from RemittingRelapsing MS" }, { "from": "gpt", "value": "Hi there ~ I empathize with your situation and that you have been having a tough time with relapsing remitting multiple sclerosis. One thing that you may have noticed yourself is that you are focusing too much on labs. One way to reduce your anxiety is to distract yourself from thinking about your condition too much. If you start acting like you have no symptoms you probably will end up not having any problems. I know this is easier said than done but one thing that surely is treated is the anxiety which can make MS symptoms worse. Consulting a psychiatrist may help with getting you on anti anxiety medications and appropriate therapy referral. I hope this helps. Take care." } ]

[ { "from": "system", "value": "Hyper, talkative, weird moods. Get irritated, angry if not taken Vyvanse consistently. Reason?" }, { "from": "human", "value": "I have known my whole life that something was different about me. I am almost 20 years old and two years ago i went to a doctor to try and get some answers. i found that i was noticeably more hyper than any of my friends, i couldn t stop talking, i would get in these weird moods where all i would do is think about random things, i would tap my foot or leg, feel rushed when there wasn t a need to be rushed, and i would always snap on my parents, sometimes for no reason. i went through perscriptions of concerta , adderall , and vyvanse , just recently upping my dosage of vyvanse to 60 mg. my question is, is it common to feel extremely irritable and angry towards people i care about when i accidentally forget to take my vyvanse? this has always been a question i have. i always feel much more calm and relax and not easily angered or upset when i take my vyvanse consistently." }, { "from": "gpt", "value": "Hi There, thanks for asking. That is true, you should take Vyvance regularly in order to avoid to be jittery or irritable. Attention deficit hyperactivity disorder has another component which is \"impulsivity\". Many boys who have attention deficit hyperactivity also have impulsive behavior. For example, they may become aggressive toward their friend and they feel remorse soon after it. Vyvance is not only useful for your hyperactivity, but also helps you to manage your behavior. On the other hand, drug level fluctuation may change neuronal function and it is better to be used regularly. I wish you the best performance at school and in life." } ]

[ { "from": "system", "value": "Pain in the testicles and lower abdomen while having bowel movements. Loose stools. What could this be?" }, { "from": "human", "value": "Sometimes When I poop my left testical hurts. Mild pain like tenderness on the underside. And also accompanied by mild pain in the lower abdomen on the left side above the left testical . This wouldnt be the first time. Happens normally after I really had to go and poop was runny or partially runny. What could it be. What should I do." }, { "from": "gpt", "value": "Hi, . You should get yourself clinically examined. There are many causes for pain in the testicles like trauma, orchitis, testicular tortion, epididymitis, inguinal hernia, etc. Once you are assessed clinically you will be diagnosed and treated. For loose stools you can take metronidazole and ranitidine tabs ( before taking medicines consult your doctor and take prescription) to get relief. Take home made boiled food and avoid spicy, oily, junk food. Keep yourself hydrated, take care." } ]

[ { "from": "system", "value": "33 year old smoker, overweight getting treated for anxiety and depression. Raised heart beat after walking" }, { "from": "human", "value": "I am 33 year old female, smoker, overweight , drink 4 cups coffee per day, treated for anxiety and depression with 125mg Effexor XR daily. I ve always had a resting heart rate in the 80-100 range. In the last month, it has started jumping up to 140-150 just from walking up 15 steps or when I m out walking around while shopping. I ve also experienced severe weakness, hypersomnia , and tremors in the last month. Bloodwork showed no indication of thyroid problems or deficiencies." }, { "from": "gpt", "value": "Hi, Welcome to HealthcareMagic Forum Effexor contain Venlafaxine which is used for anxiety and depression. Venlafaxine is associated with cardiac side effects like increase blood pressure. Get your blood pressure while on treatment. As you are having cardiac symptoms in form of increase heart rate 140-150 BPM, it is better to rule out cardiac problem first. Although increase heart rate can occur in anxiety too. Apart from that coffee contain caffeine which increases anxiety, BP and heart rate. It is better to slowly stop or reduce coffee use to 1-2 cup every day only, it will reduce some of your symptoms. Following simple measures will help you: -Healthy diet: Milk and fruits in diet. -Daily morning walk -Breathing exercise, yoga and meditation (which you can learn from some expert in person) Wish you Good Health and all the best. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Painful period, mood swings, depression. What is going on?" }, { "from": "human", "value": "Hi, I m 46 years old and I have had a regular monthly cycle every 4 weeks on the dot. The last 6 months my periods have been very painful with terrible mood swings and almost depression . The last period I had was on November 16th 2012 and I have had not had a period since. I would describe myself as healthy and I have no apparent health issues and I have not been in a relationship for a while so I know for a fact its not pregnancy. Should I be concerned its a relief not to have them....." }, { "from": "gpt", "value": "Hi, Welcome to HealthcareMagic Forum As you are 46 years old, you are in peri menopausal age. Menstrual cycle stop around 45-50 years of age. Before that women used to have irregular and prolong gap between the periods which is frequently associated with anxiety, depression, mood swings and hot flushes. You can meet gynecologist and psychiatrist to rule out other pathology. Anti depressants and hormone replacement therapy provide relief in symptoms. Wish you Good Health and all the best. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Pain in the shoulder, fluttering in the chest. Had a panic attack. Not able to sleep due to fear. Need help" }, { "from": "human", "value": "Hello. I started to have this pain in my shoulder . The best way to describe it would be a medium pain. It s not extremely sharp, but it s not all to dull either. Then I noticed the pain was in my left upper arm a bit and I had this light weed fluttery feeling in my upper middle chest . Like in the middle of where my breasts are at the top. (I deal with very bad hypochondria, I try to contain it but simply cannot.) So I went into a full blown panic attack. I m just not sure what s going on. If I should be concerned. Anything. It s 5 am. I m battling myself on sleep from fear. Is there anything to help? Please. It is so greatly appreciated. Thank you." }, { "from": "gpt", "value": "Hi there ~ It seems like you know that you have panic attacks. If you have had a recent ECG and it was normal, I would suggest that you consult a psychiatrist who can help you with medications. SSRIs along with short term benzodiazepines are helpful. You may need to be on them for a while to experience benefit. It is also suggested that you practice relaxation techniques, deep breathing exercises and physical exercise to gain maximum benefit. Adjuvant psychotherapy or counseling may also be helpful. Sleep difficulty is common and treating the panic attack and associated anxiety should help with insomnia. I hope this helps. Take care." } ]

[ { "from": "system", "value": "Taking oxetol, topaz and lonazep for mood swings. Not able to stop medication. Weight gain with sleeplessness. Permanent cure?" }, { "from": "human", "value": "Hai Doctor, My wife is not having sufficient sleep because of mood variation since 20 yrs, this may having yearly 2 or 3 times, having medicine oxetol xr 300, 2 daily + 1 topaz 50 + (solefresh 10& lonazep 2mg in the night) as per doctors advice, this continuing for 1 month when problem reduces she stopps the medicine, she is cannot handle the serious problems and anybody talks against her may leads to sleep problems and going to small disorders and over thinging etc- now she is too worry with weight gain because of medicine, Can you sujjest how can we get rid of the problems from our life permnantly,because we worried too much of this un balance occuring in our life, is there any solution, if she continue medicine long time is the problem solve..." }, { "from": "gpt", "value": "Hi There, Thanks for asking. The medication you mentioned do not have much side effect, especially they are not in high dose. If she continues the medication and this is the first episode she is experiencing, her doctor can stop the medications after a year if she does not have any especial issue then. It is very interesting that if you control you emotional expression in the family, she will have a controlled mood. Actually, Low emotional expression can decrease the chance of worsening situation from 44% to 10% in the future and it has been shown in the studies. It means you may not only less be critical to her behaviors, but also less show strong emotions to everything she does. Have a good health!" } ]

[ { "from": "system", "value": "Does tremendous stress cause memory loss? What to do to regain memory?" }, { "from": "human", "value": "I lost my short-term memory almost - I think - 1 yr. ago. It was supposedly due to something psychological, but I didn t get a MRI for months into my memory loss . Can tremendous stress cause this type of memory loss? It was terrifying like having Alzeihemer s and knowing it. What can cause this and what helps regain memory?" }, { "from": "gpt", "value": "Hai mitchell,Memory loss for 1 year . stress?Memory disturbance can be due to many causes.If your memory is due to stress induced. Don't worry because it is temporary and you will be better if your stress is managed.PseudoDementia is one condition where it appears to have memory loss in a Depressed individuals. But it will vanish once Depression is treated. Meet a nearset Psychiatrist & he will help you to get better Alzheimers disease Usually develop after 65 years of age and it has specific pattern of symptoms & signs . so Don't worryMy best wishes for you!" } ]

[ { "from": "system", "value": "Suggest treatment for stress" }, { "from": "human", "value": "I am stressed due to my love. My parents married me to some other guy.I cant able to forget his memories.I cant able to sleep.I am sleeping only 3 hours daily. felt like dying some times. cant able to accept my husband any way.please suggest me how to get out of this stress." }, { "from": "gpt", "value": "Hello, Regular exercise, athletic games can help you get you of this issue. Still, you need to get a psychiatrist review so get your life in your control. 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": "Having mood swings, anger, irritability which is affecting love life. On antidepressants previously. Suggestions?" }, { "from": "human", "value": "Alright, Im 17 and am a Junior in Highschool. I am male. I am an active computer user and also play sports year around. I have a good group of friends and a girlfriend (currently not right now becuase of this issue). I seem to get mood swings. I really like being with her, but for some reason i get really angry and usually causes a fight or arguement. It use to happen and be really bad, but were working on it and trying to work together to get it to stop. Thats why were on a break right now, she wants to make sure it doesnt happen as often. I dont really know what it is. I have been depressed and was on meds when i was 14. I stopped at 15 feeling great. I still feel great, but for some reason i get these really bad swings out of nowhere, and have no idea how to get better. I dont really know what the problem is. I just kind of get a headache pain, and get mad/angry/irritable." }, { "from": "gpt", "value": "hi there am dr.surendiran nice to meet you in hcmagic Take a break as soon as you recognize that you're angry. Breathe deeply. If your heart hammers with rage, slow it down by controlling your breathing If you're still having a difficult time calming down, imagine yourself in a scene you find incredibly relaxing Practice positive self-talk Ask for the support of someone you trust Try to see some humor in what angered you. Engage in physical activity Restructure the way you think about your life. Cognitive habits are the hardest to break, but it can be done. Ask yourself honestly if you see everyone and everything as an adversary or an obstacle hope helped your query regards dr.surendiran" } ]

[ { "from": "system", "value": "Getting anxiety and stress, lack of concentration , recurring thoughts. What am I suffering from?" }, { "from": "human", "value": "Hi, I am 26 years male ..I have been suffering from lack of concentration , recurring thoughts since last 10-11 years . My mind never gets relaxed and settled down even while sleeping I am continuously having dreams and I can remember then all . From last 3-4 years I have started feeling very anxious and stressed , most of the times I have worries which doesn t have base , my head feels dizzy ,I dont feel comfortable talking to people as i lose my concentration and feel irritated and restless.I get angry easily, feel vulnerable and confused . Some time i feel that I will lose control on myself . Please suggest the possible problem and solution ." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query.From the description of your symptoms, you are likely to be suffering from an anxiety disorder, probably a generalised anxiety disorder. However a detailed history and psychological assessment is necessary to pin-point the diagnosis.There are effective treatment options - in the form of medication and psychotherapy, which will help you overcome your problems. So, please consult a psychiatrist for further evaluation and treatment.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist" } ]

[ { "from": "system", "value": "Had panic attack, got tachycardia, have agrophobia. Do I have flux?" }, { "from": "human", "value": "hi my name is mouheb and i m 24 years old.i was a normal person since i had my first panic attack in the summer wish lead me to a tachycardia .it s been now around 6 mounths since i started bieng obssesed with my heart i check my pulse around 100 times a day. i went to the emergency room so many times and every time they say to me i m fine.but this make me feel worst i always prepared for my next panic attack. also i had now an agrophobia i can stay alone in the house(in the past i was so confortabale when i stay alone in the house). realy i became so depressed and i feel like i m going to die from a heart attack .the problem is that my pulse is always gd at rest it never pass 100. plz doctor help me i wanna be normal again. BY THE WAY I HAVE A FLUX NOW AND MY PULSE IS AROUND 90 SOMETIMS 80 AT REST and when i stand up it s start beating fast. is that normal? is it coz of the flux? thank u doctor." }, { "from": "gpt", "value": "Hi there ~ I understand that your panic attacks are causing you a lot of distress, to the point where you are thinking about when the next one is going to happen. This is called anticipatory anxiety and may lead to precipitating another panic attack. I think that with all the anxiety that you have been having, having variations in your pulse rate is not uncommon. I recommend that you get an electrocardiogram done, and if there is anything suspicious a cardiology referral is in order. I hope you are using relaxation strategies to control your panic attacks. You should see a psychiatrist to have your panic attacks treated with medications and get appropriate therapy referral. I hope this helped. Take care." } ]

[ { "from": "system", "value": "What frequency burst could break the OCD traps?" }, { "from": "human", "value": "what frequency burst would break my OCD traps, in other words when I m stuck doing the repetitious OCD things, what frequency could I burst to give me a shot of eltric serotonin to break the thoughs I get stuck in? FORGET IT, iF I COULD PAY FOR THE ANSWER i D SURELY SEE AN OUTSIDE DOCTOR. iM JUST ANOTHER THROWN UNDER THE BUS CUZ EVERONE WANTS THE MIGHTY BUCK, NO ONE REALLY CARES ANYMORE, WHERE AS iM THE OPPOSITE." }, { "from": "gpt", "value": "Hello....... Thanks for your query. OCD is a psychiatric disorder that especially deserves a thorough in person psychiatric evaluation so that effective treatment strategies like anti-OCD drugs or psychotherapy eg. exposure and response prevention can be attempted. Hence, i would suggest you to seek a professional in person psychiatric evaluation for OCD. It would be worth the money and time. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "Episodes of breathlessness, dizziness, flashes, nausea, heart pain towards the end of the day. Cause and cure?" }, { "from": "human", "value": "hello my names ohlivia and i always feel mostly tworads the end of the day that i can t breath and i get dizzy, the room flashes in and out, i feel like i m going to puke , i get really light headed and my heart feels like it s being squeezed and it hurts. it s been getting stronger lately and i actually had to go to the nurses office and lay down and even then when i tried to slow my breathing and rest it pounded and i got hot like i always do during these attacks but worse i m scared that something worse will happen and this time and i won t wake up. i tried to tell my family but they just laughed. i told them it was because of stress and i tried to explain the pain and that i ve been going through it for years, actually like 3 years after my father left me. one time i had an attack in school and got my friends worried sick. please helpha me" }, { "from": "gpt", "value": "Hello......... Thanks for your query. What you describe are suggestive of anxiety attacks. What i would suggest you is to undergo an ECG to rule out cardiac pathology. If normal, you would require a thorough psychiatric evaluation followed by anti-anxiety agents and psychotherapy. Yoga/meditation/breathing relaxation exercises are recommended. Hope you found the information useful. Regards Dr Sundar" } ]

[ { "from": "system", "value": "Have reasons to be upset. But cannot verbalise them. Usually keep things to myself. How to overcome that?" }, { "from": "human", "value": "How can I share my feelings? I dont know how to share/express how i feel. Usually its not a problem i dont have many things that bother me. I have a very very long fuse and i hardly get upset. I tend to keep things to myself if that makes sence. In this case i want to share my feelings with my fiance. We have been togeather for about 6years, and he knows when somethings wrong... he usually stats with whats the matter? Whats wrong? ect My problem is i cant really answer the question. Its like i dont know whats wrong. For example he will say something and it bothers me, but im not sure why. I used to just ignore it, lately ill sit there for a while and say i dont know how i feel about that. I feel like i have reasons to be upset but i dont know how to verbalise them. I know its a problem, i want to fix it. But i dont know how to start. How to share without feeling stupid? Or sound like im complaining." }, { "from": "gpt", "value": "Hello......... Thanks for your query. The lack of ability to articulate one's thoughts/feelings is a delicate issue. I would suggest you to seek help from a trained clinical psychologist who can train you in better social skills, assertiveness training and undertake a behavioural analysis to suggest you remedies. This issue can lead to anxiety disorders/depression. Hope you found the information useful. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "Interested in reading, cooking, drawing. Sometimes cannot concentrate, focus on just one thing. Solution?" }, { "from": "human", "value": "hi how are you? First of all i wold like to introduce my self. I am a women 20 years old and iam awife and mother. i have a problem and its i like to learn and know every things i love to read books alot of books and i love to make desserts And be expert and in the same time i love to draw and alot of things and my brain confused And i cant do any things and if i did some thing i dont keeping up i just stop and do another thing Help me what should i do ?????" }, { "from": "gpt", "value": "Hi There, It seems that your motivation is not enough for doing a special thing. It is natural, because motivation needs time to be built and it should be related to your needs. Your good self esteem also helps for persistence on what you decide to do. For working on your self esteem, you may focus on your physical appearance or some achievement and also you should keep in you mind that the goals you set for yourself should not be too far from your standing point. Then you can pursue them in a steady pace. Please do not hesitate to ask me if there is any question." } ]

[ { "from": "system", "value": "Anger and frustration with depression. Have low heart rate. Been on alcohol. What next?" }, { "from": "human", "value": "i feel tired all the time i get angry or depressed sometimes which I manage by thinking angry thoughts and smoking smoking cigerets make me feel nothing like i have no emotions so i don t care if i huts someone or if they hurt me i sometimes think people are hiding things from me my heart rate is low but my head is always too hot i almost fall asleep if im in a hot room. i have drunk alot but it didnt use to effect me but now if i drink too much i wake up the next day remembering nothing" }, { "from": "gpt", "value": "Hi there ~ I understand that you have been having problems with depression and being frustrated with it. Maladaptive mechanisms to deal with one's depression would involve diverting yourself by using substances that just reinforce the addiction cycle and make your psychiatric condition i.e. depression worse. Alcohol is also a depressant and could make depression worse by itself. You also have been having blackouts which indicates that your body is physiologically and physically dependent on alcohol. You need deaddiction treatment and I think that you may need to see a psychiatrist and a substance abuse counselor to help you get over your depression and alcohol/nicotine dependence. I hope you seek help as soon as you can. Take care and have a nice day!" } ]

[ { "from": "system", "value": "Was on depo, came off it, started to bleed, painful sex, sore breasts, cramps. What is wrong?" }, { "from": "human", "value": "hi there right this is a long one ! i was on the depo for 2 years and i have been off it for 19months when i didnt have my shot i started bleeding all the time and when i stoped my period me and my would make the most of it as we wouldnt know when i would next come on and we are trying for a baby.over the months i was in pain when having intercourse but i did go to the docotors and they said oh you just have irregular cycles it will take awhile to get back to normal.so i gave it time but still nothing so i went back to the doctors and in the end they sent me to a gynecologits (sorry if spelled wrong) i got put on two diff anitibiotics as a course to see if i had any infection and also the pill to help control the bleeding. i go back 3months later and everything is a little bit better the pain had gone from intercourse the bleeding wasnt so heavy and more in a cycle so he said as everything is getting better i will see you in 6months time.so when my cycles got better i started to track my ovulation ect and getting all happy that i was normal i had 4 months of regular periods. then xmas came and i was stressed from work and home things and i came on again i had 3 periods that monthso a week free inbtween each one i know this can happen if you stress the body out so i wasnt to bothered it was 27th dec i saw blood lasted 7days and was heavy the next one was 7th jan and lasted 5days ! i am getting so fed up with this now because my period finished last week and my breast are still sore more than normal havin little cramps and cant go to the loo very well ! i know all the symtoms to be pregs but i never am and how am i ment to know if im always on my p! ? i cant take a test if i was on last week can i ? and when i wiped today there was a little bit of pink and i mean it was tiny what do i do ? could it be im pregs? i want to take a test but i have this feeling it wont work someone please help me many thanks" }, { "from": "gpt", "value": "Hi there ~ I am sorry that you are having problems with your menstrual cycles. For all that you might just be pregnant now, and you will have to get a pregnancy test to have this checked out. If your test is negative, you will have to see a qualified gynecologist to have a complete gynecological examination, and maybe labs and imaging done. Anxiety may have a relationship with heavy menstrual bleeding, and you may need treatment for the same with therapy or medications. I hope this helps. Take care." } ]

[ { "from": "system", "value": "Difficulty in deep breathing. Was diagnosed with COPD in the past, using Flomax. Suggestions?" }, { "from": "human", "value": "Hello I have a friend who is experiencing difficulty in taking a deep breath without yawning. She is unable to get a deep breath even when trying to yawn to get a deep breath. She was diagnosed with COPD a year ago and is currently using Flomax along with something else. She noticed others on line with the same problem and anxiety was listed as possible cause. She does not feel anxious about anything but now the breathing is causing anxiety. Do you have any suggestions." }, { "from": "gpt", "value": "Hello ~ Anxiety can be induced by breathing problems and vice versa. COPD exacerbations can be difficult and anxiety can result in such situations commonly. Flomax also has an infrequent side effect of anxiety, however please do not stop using this medication as it could be life saving in this situation. Changing medications may be an option only if recommended by your pulmonologist. If anxiety persists, please consult your psychiatrist. I hope this helps. Take care." } ]

[ { "from": "system", "value": "Suggest treatment for erection problems" }, { "from": "human", "value": "hello my age is 23 year.i m doing masrebation from 13 year..at present my problem is that i can't do sex except maserbation.my penis was not stand at that time but when i am doing masterbation it will be ready.but tightness is decreases....plz suggest me what i do in hindi.........." }, { "from": "gpt", "value": "Hello, It happens for a few males and females too. But only during the initial period of sex slowly you will be alright ( by regular sex). If its prone masturbation it will take more time, still can be treatable by regular sex. 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": "Deeply affected by family member's demise, have difficulty in sleeping, nightmares, heart sinking, breathing issues. Help?" }, { "from": "human", "value": "Hi, my grandmother passed away this morning. I haven t come across any death in my family befor this. I look physically and mentally fine from outside where as I feel I m deeply affected. I am unable to sleep. If I sleep, I have nightmares from which I wake up jus after 2-3 minutes. I m also having heartsinking and heavybreathing problem. Please help." }, { "from": "gpt", "value": "Hi there ~ Bereavement can be a difficult thing. It appears that you have not had any prior experiences with death in your family, close or extended, nor do you have any friends of friends who died. Having problems with sleep and being anxious are common symptoms of bereavement and is not a cause of concern if the bereavement is recent. You will probably get over the symptoms or they will gradually improve over time. However, if you feel like they are affecting your daily functioning in any way, I recommend that you see a psychiatrist for anxiety. I hope this helps. Take care." } ]

[ { "from": "system", "value": "Should I see a doctor after 72 hours of being released from a mental health hospital?" }, { "from": "human", "value": "yes i was released frrom a mental health hospital with enough medication untill my appointment but i havent been seen but only once for the intake.I still havent seen the DR. to get my medication. its been since december 13. Am i not suppose to be seen by the DR. 72 hours after being released and havent had any medication since jan.11.2o13" }, { "from": "gpt", "value": "It is not clear why you stopped medicines. You are saying in the first sentence that you were released from mental health hospital with enough medicines. Since you needed admission in M H hospital, I assume that you had a psychiatric illness requiring hospitalization. Most of the disorders need a treatment for more than one month. If you stopped your medicines because of some adverse effects, your doctor may be able to change your medicines to those without adverse effects. It may not be proper to re-start the medicines in the prescribed dose as many medicines require gradual increase in dose after stopping. So you should see a doctor as soon as possible" } ]

[ { "from": "system", "value": "Fully depressed with life. Any online doctor can help?" }, { "from": "human", "value": "Hi i have been looking online for a solution or an answer to my questions i never really been gd at going to doctors so dont go there when im ill just stay at home. Well im 22 years old now i had a preaty horrible childhood until the age of 7 with an abusive father and i was fine then when i got to 13 years old everyone in my family would put me down say im gonna be just like him then i started acting out in school and got in trouble alot mixed in with worng crowd then got bullied at school and got abuse at home evverywhere i turned people would put me down and hey i dont mind thats its life but they put me down to the extent where when i was 15 i wanted to just die and did try to kill myself and ever since i was 15 right upto now i have times when i will be happy one minute and then all of a sudden will cry for no reason at all cause inside im hurting and then i try to lsten to music but that makes it worse sometimes the only think that takes my bad thoughts away is to close eyes lie down and for a second as stupid as it sounds i see myself saving someones life the hero honestly its affecting my life and my working life cause one second i up the next im down again i dont want to get up in the morning i just dont see the point i dont see my friends i have no social life and thats not cause i sit down all day its because i feel to low to go out sometime i ask myself do i really have a ppurpose to be here am i being punished for something i did i dont know maybe im being stupid with these feelings but i just want a bit of professional advice cause i just cant go on like this i thought it would go away as i got older but it just gets worse and harder every day thanks in advance sorry about my grammar i was never really big on english" }, { "from": "gpt", "value": "Hi, Welcome to HealthcareMagic Forum From history following are possibilities in your case: -Personality issues -Anxiety disorder -Depression -Combination of above problems Considering severity and long duration of problem, in person history, mental status examination and general physical examination are needed to diagnose and treat such cases. Apart from above advice following simple measures will help you: -Decrease worrying by keeping yourself busy and distracted from worrisome thoughts by talking to family members or watching T.V. or counting back (100 to 0). -Healthy diet: Milk and fruits in diet. -Daily morning walk -Breathing exercise, yoga and meditation (which you can learn from some expert in person) -Online treatment with cognitive behaviour therapy (form of psychotherapy) . Wish you Good Health and all the best. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "How can one get rid of mental abuse?" }, { "from": "human", "value": "My four grown children say my husband is a mental abuser and that he is abusing both my one grown son who moved back in with us about two months ago and myself. I know for a fact he is mentally abusing my son, glaring eyes, getting on his back (when I am not around). Telling him he is useless because he is having trouble getting a job. How can I stop this and how do I know he is abusing me. We have been married 40 years, I do not know what to do." }, { "from": "gpt", "value": "Hi, Welcome to HealthcareMagic Forum Your husband is not happy with your son, which is leading to adjustment problem between him and your son. As a mother, you can discuss about difficulties faced by your son, with your husband. Try to find out problem which is leading to adjustment problems, like not getting job is one of the problem. After findings start working on solutions of problems and involve your husband actively in problem solving. Sometime stress, anxiety and depression may also lead to irritable behavior, in that expert like psychiatrist help may be needed. Wish you Good Health and all the best. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Swelling in the face and head. Due to psychiatric problem?" }, { "from": "human", "value": "My mother has internal swelling on her face and head .... she has consulted a neurologist , he suggested to contact a psychiatrist . Now, when she consulted a psychiatrist , he said its cz of tension . He wrote so many medicines . She has so many medicines to eat but the swelling is still there . I cannot see her like this please help." }, { "from": "gpt", "value": "Hi, Welcome to HealthcareMagic Forum Cases for only swelling is not referred to psychiatrist. There may be other issues too, affecting her condition. Many time these cases are difficult to solve. In person history, mental status examination and general physical examination are needed to diagnose and treat such cases. Many time treatment with psychotropic medicines take 4-6 weeks to show response, so if treatment is started recently, then wait for some time to see response. Wish you Good Health and all the best. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Get feeling of people staring and talking about me, laughing at faults on entering school. Is this Obsessive-Compulsive Disorder?" }, { "from": "human", "value": "I m a 14 year old girl in freshman year of highschool. Everyday, when I enter my school, I feel like people are staring at me and watching my every move. I feel like they re all talking about me and laughing at my faults. I get really scared that I ve done something wrong or that I look bad. I sometimes start to panic if I can t find a friend to stay with me. Do I have Obsessive-Compulsive Disorder?" }, { "from": "gpt", "value": "Hello There, It is pretty common among the adolescence to worry about their image and appearance in this way. It is classified in the spectrum of Anxiety Disorders. Your guess is very close because Obsessive-Compulsive Disorder is also one of the disorders in the Anxiety Cluster. It could be mended with improvement of self esteem. It should be mentioned that it is a developmental issue. So you should not worry about it. If you work on some of your potentials like upgrading your grades and working on your artistic potentials and also in the sport you like, it would be of great help." } ]

[ { "from": "system", "value": "Pain in the chest, difficulty breathing due to stress. Elevated heart rate, dizziness. Need emergency help?" }, { "from": "human", "value": "Back n December my son is a good boy but got mixed up with some others and got n some trouble. His court date is n feb.2013. Ever since that, my chest has ache and ache bad to where it s hard to breathe alot of times. And when I think r talk about my problems it hurts worse even when I m getting on to my kids it hurts and my heart gets to feeling like its beating real fast and a few mins ago my whole insides felt like it was on fire and I felt dizzy. My kids gave me a cold rag I relaxed for a moment I seem to be ok right now at this moment but my chest still aches. Should I go to the e.r.?" }, { "from": "gpt", "value": "Hi, Welcome to HealthcareMagic Forum Your current symptoms may be due to: -Cardiac related -Stress and anxiety related Stress and anxiety also increases chances for developing cardiac symptoms. It is better to visit ER as soon as possible to rule out cardiac problem. Wish you Good Health and all the best. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Strange feeling like a snake will come to the restroom when using it. Reason?" }, { "from": "human", "value": "Whenever I go to use the restroom I always get worried that a snake is going to come up it of the toilet. Some days are better than others, sometimes I m fine and other days I worry a lot. It used to not be like this. Nothing strange with snakes has ever happened to me. I hold off using the bathroom sometimes. Please help" }, { "from": "gpt", "value": "Hello and , Thank you for your query. I understand this could be frustrating and troubling for you. If you do not mind me asking, do you have a history of depression or anxiety? Are you stressed? Is this only a phobia, or have you also seen anything? Your condition is treatable and with a little more information on your behalf, a doctor can help you. In my opinion, it is best to schedule a visit to a psychiatrist, who will surely help rid you of your fear. Please be open to help, as this would be winning half the battle. I hope I have succeeded in answering your questions, you could write back to us anytime for further clarifications. Best wishes." } ]

[ { "from": "system", "value": "Feeling depressed, loneliness, feel sad and angry. How to overcome?" }, { "from": "human", "value": "hello doctor i m a 18 year old girl.i have been getting depressed a lot since i entered college. because i feel alone people barely talks to me and this makes me feel more sad,and sometimes i even cry for no reason,i feel really depressed i feel lonely my family barely talks me, because of that i always tend to get angry at them.my life is a mess my grades are dropping people scold me alot and i get really scared and more sad...i dont even have many friends..." }, { "from": "gpt", "value": "HI, thanks for using healthcare magic It sounds as though you may have depressed mood disorder. This is diagnosed if a person has at least 5 of the following for at least 2 weeks: depressed mood, loss of interest in activities, fatigue, change in appetite with weight loss or weight gain, difficulty sleeping though some persons have hypersomnia, difficulty concentrating, feeling guilty, suicidal ideas. Depression is a serious condition that can impact all aspects of life. You need to consider visiting your doctor for an assessment as soon as you can. Management involves counselling and the use of medication for a period of time. I hope this helps" } ]

[ { "from": "system", "value": "Had a TKR on knee, swelling, suspected rheumatoid arthritis, allergic to fluids in lab. Now what?" }, { "from": "human", "value": "I had a TKR on 12-8-11 on my left knee . I had extreme swelling of the leg from mid-thigh all the way to my foot from the beginning. I did everything I was told to do, but the swelling is still there, though not nearly like it was. I have had what I thought was fluid on my knee since shortly after the surgery, but I was told the swelling would go down. I went in for the yearly checkup and was told the swelling could be scar tissue . When I disagreed with the doctor, he said that it was fluid that needed to be drained. He aspirated it, sent the synovial fluid to the lab, and told me there was no infection, but that he suspected rheumatoid arthritis . I went to a rheumatologist who told me there was no RA, but very possibly I was experiencing an allergic reaction to the components of the implant. I was not given any information at all about the implant that I received. I called the OS and was told that they don t even keep that info in my file there at their office, and the MA, I felt, proceeded to send me on the proverbial wild goose chase. I suspect, after doing a lot of research, that I could be having a reaction to the metal. How do I find out exactly what implant was used in my knee? If I need to have another TKR, do I dare use the same doctor? What about insurance? I have been made to feel that I just haven t worked hard enough to get this knee in shape, etc.... I can t even walk very far because of the popping in the knee. It doesn t really hurt, but it is so uncomfortable and causes me to walk differently and makes my back hurt. It s a domino affect. When I ve mentioned that, I was told that when the knee sets itself or when the swelling goes away that the popping would stop. I just do not know what to do next. Any advice will be considered. I am very depressed and confused and upset and frustrated!!! Thanks!" }, { "from": "gpt", "value": "Hi there ~ Your being upset, confused, depressed and frustrated is understandable. The surgery that was expected to make your life better did not actually turn out to be so. However, you need to look the life before and after surgery. You describe everything after surgery and how your knee should have been and how you should have walked, etc,. However you do not mention what you expectations were and how your life or your problem knee was before surgery. It is very possible to feel depressed, however you need to reconcile with the fact that the surgery and the consequent improvement is gradual and it should have been alluded to by your surgeon. I feel like you might need to be seen in personal consultation by a psychiatrist or a counselor. I hope you feel better and that this helped. Take care." } ]

[ { "from": "system", "value": "Will masturbation cause any health issues?" }, { "from": "human", "value": "hi .iam 19 years old, since whn i become 15 .i started ejuclation, i qiut it inbetween years bt nw since 6 months i startd again nd it becomes my habit .i mostly ejuclute 2 tymes.? wil it efct on my physique and how i should get it relive . me a 1styr medical student. i evn cnt pay attetion to ma stuies?" }, { "from": "gpt", "value": "Hello, Masturbation is another way of sex. Masturbation is not wrong, it's good for your prostate. Tiredness can be due to vitamin deficiency or lack of exercise. 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": "Mental illness, attempt to suicide, refuses to take medicines. What can assist?" }, { "from": "human", "value": "Hello doctor, I m krishnan staying away from my family after my marriage.my mother have mental illness for last 15 years.she s 40 now . My father trying to treat her by taking her to a doctors in vellore ie tamilnadu,India.but now she became worst not taking medicines and showing severe anger and fighting with everyone and trying to burn herself ie suicide attempt.i dono wat to do .we r from poor family.already spent much money.still I want my mom to be alright .money s nt a matter .pls help me.whether she needs to be hospitalized since she s not taking medicines and hiding the medicines and throwing it away...pls help me" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you are concerned and worried about your mother's mental illness. From your description, it appears that your mother may be having a chronic mental, probably a psychotic disorder. Also, the main problem seems to be that she is not taking medication regularly. In such case, where symptoms are sever, she is suicidal and refusing to take medication, admission would be a good option. She can have in-patient treatment till the severity of the illness comes down and she is in a position to take medication. When the illness is severe and the patient is suicidal, then electro-convulsive therapy is also an option. Please discuss further management options with her psychiatrist to ensure that she gets the required treatment. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Feels that someone is controlling him, no medicines have helped. How can we remove this thought out of him ?" }, { "from": "human", "value": "Hi Sir , My brother has a special symptoms, He is always saying one of the bollywood actor is controling him using some device like remote and what ever the actor is saying my brother can able to listen .We are not able to follow whats going with him.I have taken him to many Psychiatrist .All are giving medicine mostly like sleeping pills but am not sure what to do .its been more than 10 years please advice.How we can bring that thaught from his mind that no one is controlling him." }, { "from": "gpt", "value": "The problem you mention is a really important issue. It could be dangerous for him or other people if he thinks that anybody is ordering him something because he may act on those commands. This problem is defined probably as psychosis and first episode of psychosis should be investigated for many things like hormonal problems, like hypothyroidism or adrenal gland dysfunction and also some blood work to see if there is some medical problem (like hypercalcemia) which is showing itself in this shape. If all the possible medical problems are ruled out, he should take an antipsychotic mediction, not just merely sleeping pills and the symptoms will subside." } ]

[ { "from": "system", "value": "85 years old, stays mostly in bed, uses abusing words, prescribed Olimet, no changes. Any help ?" }, { "from": "human", "value": "Dear doctor, My mother, 85 years old, stays mostly in bed, is, now-a-days constantly talking alone, using abusing words to someone she can t see but hears. When asked, she complains that some people are loudly announcing to cause harm to her sons and gran children. She says, these threatening come through cell phone signals, through TV signals, through electrical wire in the room. Initially, it used to be only while TV is on next room. Now, she talks all the time, mostly after breakfast and lunch, except when she is sleeping. She sleeps early in the evening and she continues talking after she is woken up for dinner till very late in the night. Psychiatrist has prescribed Olimelt 2.5 mg two times (morning and evening). This dose is continued for four days. but there is no apparent improvement in her behaviour, except that she is sleeping in the morning also for sometime. Please help. AAAAAAA" }, { "from": "gpt", "value": "Hello There, The symptoms you mention are actually pretty similar to the symptoms of Dementia or Alzheimer disease. In many cases of dementia, people may show some aggressive behavior because of confabulation they have to cover those lost part of their short memory. When we are suspecious about Dementia, some blood tests like thyroid function and also B12 serum level should be done, because these are from the reversible causes of dementia. At the end, Dementia could be well controlled with medications which enhance the memory and cognitive ability in the brain. Good luck with your work about grand ma." } ]

[ { "from": "system", "value": "6yrs old has behavioral problems, aggresive, looses temper, is sad about being fat. What's wrong ?" }, { "from": "human", "value": "my son is 6yrs old and since christmas has a lot of behavioural problems. he can be very aggressive and has loss of temper tantrams. he freuses to tell me what is wrong but tells me he is fat and nobody likes him. he also says he has nobody to play with in school. he has lost weight and is continually going to the toilet and w\\shing his hands, even waking 3 and 4 times a night to do so. at the moment he has sores on his hands from over washing. he begs me not to send him to school. i have spoken to his school teacher and she has spoken to the children and can not see what is happening if anything at all. he does not sleep well and sometimes tells me and his dad he hates us. i am presently waiting for an appointment to meet a physicologist but may have a lenghty time to wait....my child is suffering and i dont know whats wrong. please help -AAAA" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you must be quite concerned by your child's behavioural problems. From the description of his problems it appears that he may be having some obsessions and compulsions. He also seems to be coming out with depressive thoughts and ideas. However, in young children, these symptoms may be more complex than what is obvious and expressed. So, your son definitely needs a detailed psychological assessment in order to arrive at a diagnosis. As you wait for the psychologist's appointment, I would suggest that you continue to be supportive to him and encourage him to talk about his problems to someone he trusts. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Very good in studies in childhood. But later became religious with seeing God in dreams, fearful. Suggestions?" }, { "from": "human", "value": "since his childhood he was very serious regarding his studies.But few years ago,after study the Hindu Veda,the religious bad dreams begin to arise his dreams.when fears comes day and night,the Dr. gave him joyjol 5 and later Alanzopine2.5.Its continuing till date. Now he spending a normal life but sometimes he again sees bad dreams. Actually he is a devotee of Lord Sri Krishna.He feels that if another God comes in dream and if he could not pray his Krishna,then he cannot get God.He gets threatening in dreams,if he violates the rules of religion.It makes him worry, repetitive thoughts,fear of dying.Presently he thinks odd thinking about God unwillingly.but thinks comes.Then in the dream he gets that his God goes away from him.Sir,how he will increase the positive thinking and whats about his medicine?" }, { "from": "gpt", "value": "Hi there ~ I am sorry to hear that your son is having troubles in his sleep. I understand that the medications are helping him but he continues to occasionally have problems in his sleep. It would be helpful to distract him during the daytime when he is not doing anything and thinking negative thoughts. However with regards to sleep, maintaining good sleep hygiene and a good daytime routine are helpful. Medications may help to make his sleep better, however I recommend that you see a qualified psychiatrist to help your son with his difficult sleeping. I hope this helps. Take care." } ]

[ { "from": "system", "value": "Had dry sex, been dehydrated and cumming more than usual. Is that normal?" }, { "from": "human", "value": "Hello, Im new to this whole thing... me and my boyfriend were dry humping 3-4 days before I was scheduled for my period. He kept his underwear on but mine were off.. he went in only about an inch and he didn t cum inside of me.. and I haven t started my period yet.. I ve been stressing about it like crazy, and this semester is I have a lot of stressful classes at the college.... Ive also been pretty dehydrated.. I ve been really dry down there lately but today 2 days after I should have started my period i ve started cuming... is that normal? Please help!?" }, { "from": "gpt", "value": "Hi there ~ You need to take are urine pregnancy test to rule out pregnancy. If it is negative and you continue to have no periods, take the urine pregnancy test again in a week. If this turns out to be negative as well, you need to see a qualified gynecologist immediately to have a pelvic examination and an ultra sonogram. Having dry sex and being dehydrated with cumming more than usual are things that are not related to one another. I hope this helps to rid you of your worries. Take care." } ]

[ { "from": "system", "value": "Pain in the shoulder and hands, stress and memory loss. Taking anxozap. Not able to stop the medication. What to do?" }, { "from": "human", "value": "RESPECTED SIR MY MOTHER AGED 47yrs IS TAKING tab ANXOZAP 30mg SINCE Dec.2010 . OUR LOCAL Dr. (MD) PRESCRIBED THIS MEDICINE AS SHE FELL DOWN UNCONSCIOUS AND GOT PAIN IN SHOULDER & HAND NERVES BECA USE OF HIGH MENTAL STRESS . SHE HAS DEVELOPED SLIGHT MEMORY LOSS , FRIGHTENESS &LAZYNESS BUT THESE HAVE NOT OCCUR BEFORE . MOTHERS SLEEPING PERIOD IS HARDLY 3-4 hrs .INSPITE OF GREAT DESIRE SHE IS NOT ABLE TO STOP THIS MEDICINE & LOCAL DOCTERS ARE ALSO INSISTING TO NOT TO DO THAT.HER WEIGHT IS 53 kg. KINDLY SEND YOUR VALUABLE ADVISE ." }, { "from": "gpt", "value": "Hi there ~ Anxozap is a medication that is effective with anxiety and stress. If your mother is still not feeling better with the medication, it is advisable to gradually go off of the medication, since it may be hard to go off cold turkey. Memory loss, and some laziness while taking the medication are common side effects. However there are effective alternatives to these medications. I would recommend that you see a psychiatrist to change medications. Using relaxation strategies, like yoga and pranayama, deep breathing exercises and also keeping up your general physical health will also help with mental health. I hope this helped. Take care." } ]

[ { "from": "system", "value": "One pupil larger than the other, have had costochondritis, been stressed. Cause?" }, { "from": "human", "value": "Hi. I only noticed about 2 weeks ago that my left pupil is larger than my right pupil. I have had costo chondritis, fibre maliga since 2010, just had a stress test and heart alright. I haven t been able to read signs unless ontop of them or read tv guide on tv, or see peoples features since last April. The pain from these costochondritis attacks almost cause convulsions. Medication changed and pain better now, but do the difference in pupils relate to any of the above or what is the cause? Thank you" }, { "from": "gpt", "value": "Hi there ~ A difference is the size of pupils is not uncommon. It is also not affecting your vision and so I would advise to stop worrying about the size of your pupils. I am sure it has also not come up in normal conversation. I am glad that your stress test was negative and your costochondritis is also better. If your fibromyalgia is giving you problems, I would advice you to see a qualified psychiatrist. Deep breathing and relaxation exercises are helpful in these situations. Take care and have a nice day." } ]

[ { "from": "system", "value": "Have an indentation on forehead, whooshing sounds in ears, have dizziness, extremely tired. Am I okay?" }, { "from": "human", "value": "Hi I have an indentation on my right forehead , there is a line which then works its way up. This is getting worse. I have loud whooshing sounds in right ear, i suffer from fibromyalgia and chronic fatigue but am unsure of what symptoms are what. I have no nauseous but am very dizzy when walking i have floating objects in eyesight and often cant focus because of my extreme tiredness. The indent began two years ago . Saffron" }, { "from": "gpt", "value": "Hello ~ I am unsure of the indentation on your forehead, it seems to be of recent origin and needs more evaluation. I am sure you must have had the idea of having imaging done to know what the indentation is about. In any ways, the whooshing sounds in ears and dizziness are classical symptoms of vertigo. You need to see an otorhinolaryngologist (ENT doctor) to make sure you do not have any serious condition and to have yourself treated. I hope this helps. Take care." } ]

[ { "from": "system", "value": "Had TBI previously. Having difference in personality since. Have sexual inappropriateness, no impulse control. Undergoing crisis?" }, { "from": "human", "value": "My husband survived a TBI over 20 years ago. He had very little rehab afterward. He seemed to have differences in his personality afterward, but nothing huge. However, over the years I have noticed more and more little things developing. Over the last year he has been to a neuropsychologist and told he had serious deficits from his injury. His behavior had gotten out of hand regarding sexual inappropriateness and he has no impulse control . Over the last month he is acting like a whole other person. He is distant, seems depressed. wants to be left alone, and is not sure about being married anymore. What was once my loving husband whom always showed me affection, is now cold and unfeelilng and doesn t want to come home. He is currently taking 20mg of Adderall to help his focus, but it keeps him up most night until 3 or 4 a.m. He is very easily aggitated and has had some extreme violent outbursts. Is he having a crisis of some kind?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. A recent onset change in behaviour or personality could be due to the following possibilities: - Related to the brain injury - frontal lobe injuries can typically present with personality cahnges, disinhibited behaviour, emotional lability, sexual inappropriateness, etc. - A superimposed of underlying psychiatric disorder which could be the cause for the recent worsening. For examples, psychotic disorders, mood disorders - like a hypomania or mania. If his agitation and inappropriate behaviour is quite troublesome and difficult to handle, there are medication (such as anti-psychotics or mood stabilizers) which can help him calm down. Please consult a psychiatrist for a detailed evaluation and further treatment. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "What does this semen analysis report indicate?" }, { "from": "human", "value": "hellow sir I am 40 year old my semen analysis is following Volume 4ml, colour - grayish white, Reaction - Alkaline, Semen fructose - Positive, Actively MOtile 20%, sluggushly- 10% and Non Motile - 70%., morphology- Normal 70%, Abnormal 30 %, Pus cell 2-3/HPF, Epithelial Cell 1-2/ HPF Testicular Cell 1-2/HPF , RBC Nill/HPF. May I recover to have an Issue." }, { "from": "gpt", "value": "Hello, There is decreased motility in sperm it can be due to: 1.     Infection due to sexually and non sexually transmitted infection 2.     Injury 3.     Inborn errors 4.     un-descended testicles 5.     Previous surgery 6.     Testicular malignancy appropriate treatment will help you recover from this issue. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Suicidal thoughts, OCD, PTSD. What treatment will help?" }, { "from": "human", "value": "Hi! This last year has been hell with my thoughts. I went to a psyche ward last summer. Unfortunately nothing has helped me in the long run from having intrsive thoughts and urges. I have had numerous med changes. I had thoughts of suicide . I walked in front of three cars last summer hoping to get hit-its good that I didnt get hit. I am currently reading Mans Search For Meaning by Viktor Frankl. I feel I dont know what the right thing is. I have OCD ,PTSD, Scizo-effective, dystymia and other mental disorders. I have automatic thoughts of insane hanus stuff." }, { "from": "gpt", "value": "Hello welcome to health care magic Don't worry and relax. In case of OCD, SSRIs are treatment of choice but the main point is adequate dosages and adequate duration. If you are changing medicines without reaching adequate doses or duration, you might not get results. I advise you to discuss all this with your doctor and have faith in him as it often takes long time to treat this condition. Psychotherapy and relaxation exercises are also required along with pharmacotherapy. Sometimes in resistant cases, ECT may help. Hope it helps Good luck Thanks Thanks" } ]

[ { "from": "system", "value": "Stroke-like symptoms, pulling sensation in groin, losing coordination. Taking Cipralex" }, { "from": "human", "value": "Hello, I have been living under alot of stress for the past 3 years. I have also overdone meditation . I recently admitted myself to the hospital after experiencing what was diagnosed as stroke like symptons except all tests came back clear. No stroke but am experiencing a strong pulling sensation on left side of body and in the nerves in my head and neck to the point of extreme discomfort. Pulling sensation in the groin area. When walking still noticed uncoordination at times with feet. Am continuing to lose weight even though eating healthy. Have done research and know something is out of balance with sympathetic and para-sympathetic nervous systems. Am on Cipralex (10mg.) and Lorazapam (.5 in am and .5 at night). Could these be harmful if there is something depleted with nervous system. Am 54 year old female. Thank you," }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Cipralex (Escitalopram) is an anti-depressant / anti-anxiety medication and Lorazepam is an anti-anxiety medication. These are not harmful to the nervous system. They are used commonly and can be effective in controlling anxiety. It is likely that your symptoms are predominantly anxiety-related. It is important to understand that anxiety can present with not only psychological symptoms but also with physical or bodily symptoms. These medication would have been prescribed to you to control your anxiety and unnecessary fears. Please follow the advise of your doctor and go for regular follow-ups. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Suffering from depression, anger issues with no improvement. What can help?" }, { "from": "human", "value": "hello sir,my brother is suffering from depression and quickly get angry.From last 6 years he is under treatment but there is no improvement in his when he get angry then he throw n breaks all the things like mobile,bike or some time car also and after that he said that mujhe kuch samaj nai aata h .We dont know what to do please help me." }, { "from": "gpt", "value": "Hi there ~ Anger problems are common in psychiatric disorders. Physical aggression may be the symptom of a more severe underlying psychiatric issue that needs to be addressed immediately. Although you have give me very little information about your brother, it is clear that he is suffering and needs psychiatric help. The sooner you get him to a psychiatrist, the better it would be. I hope this helped. Take care." } ]

[ { "from": "system", "value": "Fever, cold and shivers, nausea, pain in eyes, high BP, blood in stool. Help?" }, { "from": "human", "value": "my husband is 51 recently he had a pain in his chest . it went away. then a week later he had a fever (he was much hotter to the touch than normal, his temperature was 48.9) and he had mild tremors (he felt cold and shivery) and was breathing quite fast. I have never known him to breathe like this. He felt nauseous, and had a sharp pain behind the eyes whenever he coughed (he has a small dry persistent cough for 2 years now). The next day he went to the doctor and she said he had high blood pressure 160/100 both lying down and standing, he has always had low blood pressure till now, and she thinks this may be caused by the varnish he had been coating the floor with. A week later his BP had gone down to 140/100. I cannot find any internet information which link a mild fever to high blood pressure. His fever has cleared up, but the high blood pressure is still there. Possible background risks may be exposure to ticks recently, a moderate drinking problem (about 1.5 litres of beer daily) and a family history with heart attack (only 1 case, his grandmother at the age of 65) a problem with blood in the stool for twenty years now, that comes when he is stressed, and then goes again." }, { "from": "gpt", "value": "Hi there ~ All that you mention in your history for your husband, including exposure to ticks, an alcohol problem, family history of heart attack, physical stressors and recent chest pain along with exposure to varnish and his inherent non-modifiable risks of being a middle aged male are contributing factors to his hypertension (high blood pressure). I believe that using relaxation strategies like breathing exercises - pranayama, yoga, meditation, regular scheduled activities as well as exercises are helpful with the high blood pressure. These are non-medical interventions. Modification of lifestyle including diet is one part and using medications is another. It is always helpful to seek the expert advise of a qualified doctor or your family practitioner with regards to any persistent problems. I hope this helps. Take care and have a good day !" } ]

[ { "from": "system", "value": "Behavioural changes after dropped out of medical school. No help from psychiatrists. Worried about violence towards wife, baby. Suggestions?" }, { "from": "human", "value": "Hi its regarding my elder brothers mental health .hes is a 35 yr okd,married for 10 yrs abd a 1 yr old baby.he does not work, has not finished univerdity rducation.highly intelligent,very shy,very violent has trouble controlling his anger.now I am his younger dis 3 yr younger snd have grown up together. Hes behavior changes took place after he dropped out of medical school after 1 st yr dedpite being a good student.he then camr back and lived with family in isolation.no ineraction with outside world and very suicidal. Hence bomy mum and dad listened to every thing he said or wanted. And covered his behavior wuth family.however some family mrmbers were approached snd came to concil after ehivh he was mire violent.also haf a pschycatris come to examin and prescribef anti depressants of which sone were discretely mixed wiyh foof and coz my mum worrued about sude effects stopped giving them.in addition to this he showed signs od sadism and vulgarity and urge if having sec and dirty thougjts .due to tjis mt parents took him ti ibdia to get narried .byt he had to work in dads shop for 1 year. He marrief a lively girl and settled togethet. And contnued working at the shop fr one mmore year. Aafter whuch he stopped and had been at hime ever since.hus eife had brrn worrief because if his vuolance towards ger byt dedpite that she had a baby and us worrued about vuolence toeards naby.my parents to mske mattets worde spoon feed him by giving money minthly as they are scared uf they dont di so he will get violent.im worried fir my parents and my dis in law n baby pls help" }, { "from": "gpt", "value": "Hi there ~ I understand that your brother's situation is complicated and it is giving his, you and your family a lot of heartache. It is understandable that you are quite worried about the whole situation. I am unsure of what the current living situation is for your brother. It would be very well to consult a psychiatrist or a qualified psychologist in your brother's case. It seems like he does require both medications and therapy. More needs to be known in terms of his symptoms and this can only be elicited during a direct interview with the patient. I hope this helps. Take care and keep posted." } ]

[ { "from": "system", "value": "Suffering from anger attacks, throws and breaks things during attack. Has dizziness and nausea on taking Arip. Suggestions?" }, { "from": "human", "value": "Hello, I am from India. My husband has problems of anger attacks. He gets angry very easily on simple things and he also has mood swings. When he gets angry, he cannot be controlled. he throws things, breaks things and even once tried to put things on fire. He also beat me one day hard during his anger. I took him to a psychiatrist and he gave him Arip Mt 30 mg, but he is not willing to take it after taking 3 doses as he is experiencing nausea and dizziness . Kindly suggest." }, { "from": "gpt", "value": "Hi there ~ It is not uncommon to experience anger and physical aggression in psychiatric disorders. Your husband seems to be having problems with mania which is common is bipolar disorder. I am thinking that your husband gradually got worse over time and assuming this, it is easier to put someone on medications and try to wait and watch for results. However, symptomatic treatment is recommended in acute and subacute cases and anger management or sleep management might be of initial use before going on to titrate the dose of the mood stabilizer, in this case Arip MT. It may also help to seek the expert advise of a psychiatrist regarding medication changes and a counselor to help with any stressors/family problems. I hope this helped. Take care." } ]

[ { "from": "system", "value": "Feeling of bug bites. Mental illness?" }, { "from": "human", "value": "i have the feeling that bugs are biting me all the time have been to dr ad they state that it is all in my head. although i can feel when i lands on me, which is a very small black thing. looks like a hair after you get your hair cut. they are on my face ears private areas arms. if you can tweeze the fine black like thing out fast it will not grow. they then turn white, after awhile they are brown. they are in my mouth also and have rotted almost all my teeth since june of last year. i have been to dr s 9 times." }, { "from": "gpt", "value": "Hi there ~ You seem to be suffering from a form of somatoform illness. Psychoeducation about such illnesses is one way to treat them. You will find more information about your particular kind of illness on the national institute of health's website, an example weblink is posted below: I hope this helps. Take care and have a good day!" } ]

[ { "from": "system", "value": "My husband is emotionally abusive. What can I do?" }, { "from": "human", "value": "I have recently become aware that my husband has been mentally abusing my kids and I for 12 years. I have been a stay at home mom during this time making it almost, next to impossible to get out quickly or at all for that matter. My 11 year old son has been displaying unusual behavior and has been feeling like, as he states, a ghost and the behavior began two months ago after I had to cave and let his dad move back in. He just told me about 4 days ago about the ghost like feeling. I know I need to get out but if Im not careful it could end up back firing on me in a form of mental retaliation. Should I take the kids to a shelter or would this only cause for irreversable damage? I have absolutely no means to support myself or my children if I leave and am unable to work due to Chronic Graft verses Host disease from a stem cell transplant for recurring hodgkins disease. I only make 600 a month on disabilty. I kicked my husband out for 11 months but let him back in because we couldnt survive. My other concern is my kids are active in sports at school and the nearest shelter is 45 minutes away. I would not be able to get them back and forth to school. I considered waiting until school gets out but with the recent discovery about my sons feelings it has me me deeply concerned. My children are already emotionally traumatized and unstable due to the fact I have had so many life threatening illneses and I am so afraid one wrong move could be catastophic. Please help I am so confused about making the best decision." }, { "from": "gpt", "value": "Hi there ~ I suggest that you report this to your closest child protective services since there is cause for doing so and your resources seem to be limited. You will be able to get these services if you contact teh nearest shelter. I hope you do this as soon as you can. I hope this helped. Take care." } ]

[ { "from": "system", "value": "Depression, difficulty sleeping, difficulty concentrating. What should I do?" }, { "from": "human", "value": "hi my name is raheem i am 22 years old ,male , i am feeling very lonely and depressed from last week ,cant able to sleep properly ,cant concentrate on work i don t know whats going in my mind some times i feel like why my life is so difficult and when ever i am feeling depressed or lonely my mind runs towards my friends and family ... and after spending some time with them i want to stay alone again what should i do ?" }, { "from": "gpt", "value": "Hi Raheem, Thanks for query as you said you are facing depression and loneliness… 1st you should find the region why r you depress and try to solve it may b family problem or working problems or may be frustration that it’s not happening what you wants To b mantle calm you should try yoga and lesion light music rad good books it will help you a lot . But if you not get relief than consult psychologist . Take care" } ]

[ { "from": "system", "value": "Experiencing stress, depression, anger, jealousy, anxiety. How to treat these emotional disorders?" }, { "from": "human", "value": "im worried i stress too much. i think i have an emotional disorder. on days where i feel good emotionally, it never lasts long. im usually depressed, upset, angry, sorry, anxious, jealous, insecure, and unappreciated. and im 18 years old (male). whats wrong with me? and how can i fix it? i feel like im such a burden to my girlfriend and i love her very much and i try to give her the best. but i hate myself when my emotions ruin me." }, { "from": "gpt", "value": "Hi there ~ Having variations in mood, sometimes having depressive symptoms and sometimes the opposite of these symptoms, are a predictor of bipolar disorder. You may have to give more history to a qualified psychiatrist to be able to identify the disorder. However, any disorder can be fixed and you should consult a psychiatrist for the same. I hope this helps. Take care." } ]

[ { "from": "system", "value": "What causes chronic pelvic pain?" }, { "from": "human", "value": "Do you have any information on chronic pelvic pain in men? I have had several massages where the therapists did deep inguinal and perineal massage. It sure helped for close to a week. I have seen a M.D. who told me that I have chronic prostatitis- non bacterial. It sure is an agraviting situation. I also have had relief after seeing the Dr. to have my anual prostate exam. It sure would be nice to know more about massage or where to get it. It is just too wierd to ask someone to go there. I do take ANSAIDS which I think helps a little. Any information you could suggest would be greatly appreciated. I will try most anything. Thank you, Mike" }, { "from": "gpt", "value": "Hello, In some cases of chronic prostatitis, if antibiotics and pain relief medications fail, massage help. Prostatic massage helps to remove infections from the prostate, helps to drain the secretions and make you feel comfortable. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sujoy Dasgupta" } ]

[ { "from": "system", "value": "Suggest remedy to overcome homosexuality" }, { "from": "human", "value": "i am riad age 29,height 5'6\" weight 63kg from bangladesh.i am a lecturer of national university,bangladesh.i have been suffering from gay problem.i have no interest on female.plz give me a solution so that i can lead a normal life and make charm to sex with female.plz help me.i am in a great frustration." }, { "from": "gpt", "value": "Hello, Having a feeling for the same sex is not a disease or problem. It's a natural feeling. Having a consulting with a psychiatrist will help the cause and decide your future. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Suffering from depression, anxiety. Prescribed deanxit. Side-effects of stopping medication?" }, { "from": "human", "value": "hello, I ve been told by my psycho-pharmacologist to take Deanxit to control my anxiety level in the phase that my depression hit and affected me badly. i want to inquire about Deanxit, how long it takes to affect the body, what happens if a person consumes alcohol of any kind,what are the changes that occur if the medication is stopped, and how long does it take to notice these changes? thank you." }, { "from": "gpt", "value": "Hi there ~ Deanxit is one of the many benzodiazepine group of medications that is helpful with anxiety. However, there are studies that indicate that depression is made worse by benzodiazepines. Deanxit has a very short half life, i.e., it is eliminated from the body rapidly and also has a quick onset of action, usually anywhere between 5 and 30 minutes. Drowsiness is a side effect of the medication and using any other kind of sedative including alcohol is best avoided. Your body may have become used to the medication and you may need to go off of deanxit slowly by a tapered dose method. Please consult a qualified psychiatrist for doing so. I hope this helped. Take care." } ]

[ { "from": "system", "value": "Have anxiety. Normal blood pressure. Lightheadedness. Worried" }, { "from": "human", "value": "I am 45 year old woman and suffer from severe anxiety but my blood pressure is always ok normally 110/74 or there abouts but I suffer from light headedness and I was convinced it was my blood pressure but my doctor says its anxiety I am really worried and its affecting my whole life I rarely go outside the house. Thank you" }, { "from": "gpt", "value": "Hi, I think your doctor is right. Its a good thing that your blood pressure is normal. What you need now is accepting the situation and living with it. Anxiety management is first of a your personal decision , and you see if you decide to live and be happy in life with yourself, most of the symptoms will degrade on their own. It would be advisable to spend more time with your loved ones, avoid isolation and maybe involve your self in some physical activity or group activity that you enjoy. Answer if not well managed could lead to depression. Drugs are available for anxiety, but proof to be generally ineffective when the patient himself is not motivated. It could be advisable at some point in time to discuss with a psychologist and a psychiatrist, but the key of the treatment depends on your personal effort to motivate yourself, avoid isolation and take your drugs as prescribed in case they are by your physician or psychiatrist. Quick recovery and just the best, Luchuo, MD." } ]

[ { "from": "system", "value": "Have hallucinations in the morning. Taking cymbalta and metoprol. Seeing things in detail which are not real. Need help" }, { "from": "human", "value": "Hi, I have morning (upon wakening) hallucinations. I take Cymbalta 90mg. and Metoprol 25,mg BID. I have been taking these medications for quite a while and never had these hallucinations before. They happen everymorning upon wakening and seem to be circular in shape. A circle of bees a round spider or crab. All kinds of random things. And when the object is like a ball of yarn or tennis ball etc. they are always spinning. They are very detailed and realistic. They use to scare me but I have become aware and they don t unless they are really close to my face as they are there the moment I open my eyes. My counselor doesn t feel these have a mentle health base. Can you help me??? Taylor from Idaho" }, { "from": "gpt", "value": "Hi there ~ Cymbalta is not known to commonly have this side effect of hallucinations. Dreams close to waking up is associated with a normal physiological process. We tend to remember these dreams as they occurs during the early morning hours when we are waking up. It is however interesting that you are having the same kind of dream all the time. I would not give it much though however and try to distract yourself. Hope you are practicing relaxation exercises like yoga and pranayama. It is also useful to have good sleep hygiene and night time habits. I hope this helps. Consult a doctor if this problem persists and is causing you to have problems during your daytime. Take care and have a good one." } ]

[ { "from": "system", "value": "Feeling depressed after taking lyrica. Took tramadol. Stomach pain with diarrhea. Are these related?" }, { "from": "human", "value": "Since taking lyrica , my husband has been experiencing depression . He takes 150 mg at night along with 2 tramadol tablets. He did not take the lyrica lastnight because he thought it might be the source of his depression. This morning he woke up with stomach pains and diarhea. Is there any connection? He also had not eaten any food or taken any of his meds until about 2pm. He took 2 tramadol and went to sleep. He had horrible nightmares at that point. Any suggestions?" }, { "from": "gpt", "value": "Hi there ~ Lyrica is not commonly associated with experiencing depression. However Tramadol, which is a pain medication is known to precipitate depression in some patients. Stomach pain and diarrhea when initiating any medication is common and usually goes aways in a week or two. Please be patient with these medications and always eat before taking your medications unless expressly advised not to do so by your doctor. Nightmares are not related to either of those medications and seem to be related to anxiety. I suggest that you see a physician if the problem persists. Take care and I hope this helps." } ]

[ { "from": "system", "value": "Been on birth control, have brown discharge, bad anxiety, stressed. Should I worry?" }, { "from": "human", "value": "Hello im a 18 year old female, I have been on birth control for about a little over a year now, My boyfriend of three years have intercourse, only about twice a month, last month my period did not come, I figured it was because I messed up my birth control a few days but not that serious but I had the symptoms, cramping and such, My periods are usually only two days long on the pill , usually if my cycle was normally I would be starting my period today, but after I was finished going to the bathroom I saw a brown discharge on the toilet paper but never got my period, Ive been having my normal cramps and stuff, I have gone a month without my period before when I first started birth control, Is this normal? Could I be pregnant? Should I worry? I do have really bad anxiety and get stressed alot if that helps" }, { "from": "gpt", "value": "Hi there ~ It is not uncommon to have these symptoms while you are on birth control pills. You are also advised to take a urine pregnancy test to rule out pregnancy. It may be worthwhile discussing the results with your boyfriend. If the pregnancy test is negative you may need to have a pelvic ultra sonogram. However you need to consult a qualified gynecologist to have things sorted out and relieve your anxiety. I hope this helped. Take care and have a nice day !" } ]

[ { "from": "system", "value": "Numbness in the hand and foot while having stress. Reason?" }, { "from": "human", "value": "I am occasionally feeling numbness in my left hand & foot , also it happens for a couple of minutes & post this I feel pain in left, It has happened thrice so far & usually occurred when ever I had any stress like working on excel sheets or thinking deeply. Please suggest what it could be. Also my Hb is too low @ 7.7, I am a female, age 26" }, { "from": "gpt", "value": "Hi Shalini, Thanks for writing your query. Numbness and pain in your hand and foot can be due to decreased blood supply to that part. In your case this may be due to low hemoglobin. You should take measures to increase your hemoglobion. Eat green leafy vegetables, jaggery, pomergranate, beet root in addition to fresh fruits and vegetables. Also get a dose of de-worming done as parasitic infestation in the body can also result in low hemoglobin. Taking iron preparation under medical supervision wil also be beneficial. You should get yourself examined by a Gynaecologist, if you are having more bleeding during mensturations. Also get your urine examined for presence of any RBC. I hope this is helpful to you. Thanks." } ]

[ { "from": "system", "value": "Having suicidal tendency due to indifference from parents, no interest in studies, in socializing. Suggestions?" }, { "from": "human", "value": "i m suffering from major mood swing problem,,, sometimes i think of commeting suside. I feel like indifference of my parents and family background is responsible for it till a large extent. I am also not able to create interest in my studies. chain of thoughts bother me a lot & i also feel problem in socializing with the people around. kindly help me." }, { "from": "gpt", "value": "hello welcome to health care magic Don't worry and relax. Your symptoms might be due to depressive episode. I advise you to take the help of a psychiatrist. You will be alright after medication (antidepressants) and psychotherapy (CBT). Till that time, try relaxation exercises like meditation, yoga or progressive muscle relaxation. Wish you good health Good luck Thanks" } ]

[ { "from": "system", "value": "Anxiety, depression, jelly legs. Under medication prescribed by a therapist. Cure?" }, { "from": "human", "value": "I have a brother who is suffer from anxiety and depression . He has jelly legs and it doesn t seem to get Better. He has gotten all sort of testing and all come out negative. He also see a therapist and is under medication . Hes legs could be fine for a few but then he gets the jelly legs and doesn t have the strength to walk he throwsself on the floor n drags himself. This is like everyday for the past year or so. He is just so tired would like to fine a solution. His therapist States is all in his mind. What else can he do to try to get back to normal." }, { "from": "gpt", "value": "hello welcome to health care magic I understand your concern for your brother. According to your details, he is showing attention seeking behaviour which could be due to conversion disorder (Hysteria). There could also be a possibility of depression/anxiety etc. However, you don't worry. As all investigations are normal, take him to a psychiatrist for detailed evaluation and management. I am sure he will be alright after some medication and psychotherapy. Good Luck Thanks" } ]

[ { "from": "system", "value": "Try to self harm in order to get away with the pain due to sexual abuse at an young age. How can I get over it?" }, { "from": "human", "value": "i was sexuly abused into i was 5 im now almost 18 years old old will i ever get over it. i confart eat or use to salf harm my self to deail with the pain and now im at the stage of 14 stone but is there anyother way to deail with the pain. i use to talk to my ex boyfriend about it all but we dont talk to eachother anyone so i feel like i am on my own and it was my falt that i was sexuly aboused is there any think els that works to get over the pain please help me get over the pain so i can get on with it safely" }, { "from": "gpt", "value": "Hi there ~ I am sorry to hear about your past history of abuse. It is not uncommon to have these feeling of guilt surrounding sexual abuse. However I suggest that you seek qualified psychiatric or psychological help to better manage and deal with your pain. I hope this helps. Take care." } ]

[ { "from": "system", "value": "Scoliosis, depression, on norco, lexapro. Suggestions?" }, { "from": "human", "value": "i have moderate to severe neck and upper and middle back pain . i see a physical therapist 2x a week and take norco10/325 BID i was diagnosed with scoliosis after seeing a chiropractor aprox 5 months ago. the only time i have been hospitalized was in aug 2012 for childbirth , I am 29 years old and i take lexapro for depression due to the stress of having a newborn, a mother who I take care of who is terminal becasue of ALS and i am in the middle of a divorce" }, { "from": "gpt", "value": "Hi there ~ I am unsure of what you are asking for in terms of suggestions here. However, I understand that you are going through a lot. Having depression can be stressful. Physical problems like the neck pain and upper/middle back pain that you have may be adding to your stressors, along with the stress of divorce. It may help to increase the dose of lexapro, however you will need to see a qualified psychiatrist for the same. Norco, though helpful with pain may alter your mood. It would be best to seek the advice of your psychiatrist who knows of your complete medical history. I hope this helped. Take care." } ]

[ { "from": "system", "value": "How to align hanging testicles?" }, { "from": "human", "value": "hi doctor, age 24y ; 6 feet 2 inches; 78 kg; My left testicle is hanging.. n i cannot take a erection faster, and my Penis length is reduced to 5.7 inches.. so is there any possibility that Testicles alignment is possible and my penis can have a faster erection with good size.." }, { "from": "gpt", "value": "Hi, Hanging of the scrotum can be due to Hydrocele, Hernia, Epididymitis. Doing an ultrasound scrotum can help you diagnose the cause. Increasing in size in the scrotum can make your penis look smaller. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Been stressed, had panic attacks, was on paxil, sense heart attack. What can help?" }, { "from": "human", "value": "Hi, I m a recently retired, (63 years old) female . I haven t driven in ten years. I felt that once I retired, the stress from work and job would help me to overcome the panic attacks of driving. Now that I am retired I m a prisoner in my home because I m unable to drive to get out and move around. I want to be able to go to the health club, drs appt mts. and simply shopping. I was told by several doctors (internal medicine) that I was experiencing panic attacks. I was prescribed paxil 20mg. At one time I wasn t able to be alone in my home for fear I may have a herat attack. Since I ve taken paxil I m now able to be alone in my home with no problems. My main concern is I have major panic attacks when I m driving alone. Hence, I have completly stop driving for ten years. I so desperately want my indepedence back. I want to drive again without fear of any of panic attacks. Please help me . What can I do to overcome this major problem in my life that has stripped me of my mobility to get around? Public tranportation is imited where I leave and the cab service expense is overwhelming. I want to do this for me. I ve burned my husband, family and friends out with requesting rides. I would like to see a psychiatrist in the south chicago suburban area who specializes in this disorder. My e-mail is provided. I appreciate any advice and suggestions you can provide. Thanking you in adevance. I" }, { "from": "gpt", "value": "Hi there ~ Having panic attacks can be stressful. I understand that you have been started on paxil. However you do not give me more details regarding dosage and how long you have been on it. You need to be on an adequate trial of paxil for it to be efficacious. In other words you may have to wait (or let your doctor know during your next appointment). However, there are other strategies that may help with panic attacks. Psychotherapy or counseling sessions and short term trial of benzodiazepines that are quick and efficacious may be helpful. You need to consult a qualified psychiatrist for referral. Take care and I hope this was helpful." } ]

[ { "from": "system", "value": "Anxiety symptoms followed by panic attacks, daily headaches, dizziness, stuffed ears, metallic taste in mouth. Seizure?" }, { "from": "human", "value": "I m a 15 year old female. About a month ago I had what appears to be a panic attack in my sleep and ever since then I ve been getting loads of anxiety symptoms that are followed by panic attacks. I used to have a severe fear of illnesses when I was younger and now it s back, I ve experienced daily headaches and dizziness , stuffed ears and muscle tension which has decreased and is replaced by neck pain . What s worrying me now is the weird taste in my mouth I ve had the past two days, I m not sure if it can be described by metallic or salty but it s worrying me and worsening my health anxiety. Could this be a seizure or just panic?" }, { "from": "gpt", "value": "Hi there ~ It is unclear to me as to what the chronology of your symptoms were, except for the fact that there was something that happened a month ago in your sleep that worsened your symptoms. I am unclear of what the details of the \"panic attack\" in you sleep was, however there are various sleep disorders that may cause you to have anxiety symptoms during the day. I recommend that you see a psychiatrist as soon as you can, with your parent/guardian. I hope this helped. Take care." } ]

[ { "from": "system", "value": "Having heart murmur, panic attack. Occurs while smoking. Solution?" }, { "from": "human", "value": "I have a heart murmur & last week I was smoking & I started having a panic attack & passed out I thought I was alright but this Wednesday the same thing happen I started having a panic & called 911, at the hospital they just said I was dehydrated . So I havent been smoking because I have been scared too but yesterday I was just around the smoke & my heart started beating really fast, I am very worried I have a nervous feeling everyday My Question Is What Should I Do ?" }, { "from": "gpt", "value": "Hello....... Thanks for your query. It is possible that you are suffering from panic attacks. It requires anti-anxiety medication and psychotherapy interventions like cognitive behavioural therapy are useful in such cases. However, you would need to rule out cardiac problems with ECG and thyroid disorders before psychiatric evaluation. Smoking is not advisable in patents with panic disorder. Hope you found the information useful. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "Frustration, difficulty controlling anger. What should I do?" }, { "from": "human", "value": "HELLO. I HAVE BEEN MARRIED FOR 11 MONTHS. BEFORE MARRIAGE I HAD A VERY HAPPY GO LUCKY TRAIT. BUT 2-3 MONTHS AFTER MARRIAGE I FEEL FRUSTRATED AND OFTEN HAVE PROBLEM IN CONTROLLING MY ANGER. I LOVE MY HUSBAND A LOT AND SO DOES HE. BUT THESE DAYS HIS ATTITUDE MAKES ME FEEL ANGRY AND I BURST IT OUT ON HIM. I DONT WANT TO RUIN MY RELATIONSHIP WITH HIM AS HE TRIES A LOT TO MAKE ME HAPPY. WHAT SHOULD I DO" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. A recent increase in anger or irritability could be indicative of underlying stress. Often, newly married people can experience stress because of the change of environment, adapting to new people and taking up more responsibilities. So, it is likely that these things, may be making you feel more stressed out and frustrated. It is good that you have been able to realize your problem and have taken the initiative to seek help. I would advise you to see a psychiatrist or a counsellor, for a detailed psychological assessment and further management. You can benefit from learing relaxation exercises, stress management techniques and coping skills.You can also try yoga or meditation to relax your mind and avid stress. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Is paranoid personality disorder curable?" }, { "from": "human", "value": "Hi, My girl friend is showing signs of paranoid personality disorder .... could you please let me know if this is curable? Or please let me know how to deal with it. I really love her but because of this we are facing lots of problems. I havnt told her about this to her. Is it advisable to let her know that she is showing symptoms of paranoid personality disorder. Kindly help" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I appreciate your concern regarding your girlfriend's psychological problems. Firstly, I would like to mention that a diagnosis of \"Paranoid Personality Disorder\" is a clinical diagnosis and has to be done by a psychiatrist or a psychologist after a detailed history and psychological assessment. Merely exhibiting symptoms of being mistrusting or extra-cautious may not warrant the labelling of a personality disorder. In case, a diagnosis of a paranoid personality disorder is confirmed, then treatment is often challenging. It requires long term psychotherapy or sometimes, medication, and is usually not curable. If you feel that your girlfriend's symptoms are causing major problems between you, I think that the best way to tell her is that since both of you are having difficulties, it would be a good idea to seek professional help to sort out the difficulties. The psychologist or psychiatrist can then assess her to see if she has any symptoms of a paranoid personality disorder. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "26 year old addiction eraz ex correction fluid and there is a change in his behavior. Is this a physiological problem ?" }, { "from": "human", "value": "hi doc, my brother whose age 26 year. three years before he started smell Eraz-ex correction FLUID and this time he is totaly addicted. i feel so many changeg in his behaviour. he is always talking about money .he is not intrested to do any kind of job.when he is not take fluid he looking norml.his behaviour is aggresive. he drink alcohol bt in limit.doc he says always abnorml thing like Amerika president OBAMA won ellection with my support. he always coorelate him to any kind of TV news . he says that he handle all over world. plz tel me what we do? hi has mentel problem, depression or addiction i dont know." }, { "from": "gpt", "value": "Hello........ Thanks for your query. Erazex fluid contains toluene, an addicting substance. It is notorious for causing psychological changes as well as neurological deficits. Hence, i would advise you undergo an evaluation by an addiction specialist so that suitable anti-craving agents as well as psychotherapy (eg motivation enhancement to quit substance use) can be suggested. I would advise to do this on urgent basis. Regards Dr Sundar Addiction medicine specialist" } ]

[ { "from": "system", "value": "Can I have a psychiatric problem as I always feel I may get some disease ?" }, { "from": "human", "value": "I have always a thought that I would develop some deadly disease in that part of the body. This time I am feeling as though I will develop prostate cancer and feeling nervousness and stress in that area. I feel anxious in my penis area now. Can i really get prostate cancer? I am 15 and I am really worried. Is this a psychiatric problem?" }, { "from": "gpt", "value": "Hello....... Thanks for your query. The symptoms you are describing i.e preoccupation with developing a deadly disease is referred to as hypochondriasis, a form of anxiety disorder. Hence, i suggest that you undergo a thorough psychiatric evaluation so that suitable anti-anxiety medication and psychotherapy (eg cognitive behavioural therapy) can be started. Wish you good health. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "Suffering from depression after mothers death. What should I do?" }, { "from": "human", "value": "I found my mom dead on Jan 9 on my sisters birthday my mom was every thing to me I cant quit crying I cant help my husband and son I need my mom I listen to tapes with her voice I want to be with her so bad I cant stand the pain in my heart she lived with me for the last ten or so years and I loved that lady so much and I don t know how to live with out her" }, { "from": "gpt", "value": "Hello and welcome, Thanks for writing to us. I understand you have suffered a great loss. And the grief can take over everything in your life and make everything else seem less important. But, it is how we deal with this grief and come out smiling and successful is when we can say we have won one of the battles that life forced us to face. Before anything else, I would like to ask you one question. How far did your mother go to make you happy as a child? How far out of her way did she go to get you something that might have brought a 2 second smile on your face? Did she do things on a daily basis to make you happy, to see to it that you don't get hurt? I am guessing, always!! What was the purpose of this? Well, there can be only one. To see to it that you are happy always, that nothing should sadden you. Right? Well, if she were given a chance to ask you for something before she left, what do you think it would be? She would want you to always be happy. Always smile. There is a famous saying in my part of the world, \"When I am gone, do not cry. Think of me, and all the beautiful memories we shared, and smile\" I am sure she would want you to be happy always. And I am sure you can do that for her. Face your grief, don't just think about her passing away. But, think about all the times she was happy when she was around. I know this is not going to be easy, but this is something you will have to do for her. Why did she love you so much? Why were you so attached to her? It is because she kept her child (you) before everybody else, and you will have to do the same. Without her, your family wouldn't have lasted a day, in her prime. Follow the examples she has left for you to learn from. Your immediate family needs you. And you need to prove to everybody that, although you may never fit into your mothers shoes, you certainly are her daughter, and will live life with the same principles and love for people, that she had. Dealing with grief is greater than just losing a loved one, it is how you show your respect for the departed and how you register every lesson that person has taught you during their life time. I am sure you would want to make her proud, and better than anybody else, you know how to do that. My condolences and best wishes to you and your family. You can always write back to us/me for any assistance you need. Best wishes." } ]

[ { "from": "system", "value": "Severe OCD, depression, anxiety, get flu like symptoms with viibryd. Medicines without side effects?" }, { "from": "human", "value": "i have severe ocd ( germs ) and severe depression and anxiety..i have been put on just about every psych med there is..my dr. had just put me on viibryd and it made me very ill, flu like symptoms, i take meds for my stomach issues nexuim and promethazine and was wondering if there are any meds out there that would not upset my stomach nor have alot of side effects? Thank-you" }, { "from": "gpt", "value": "Hello...... Thanks for your query. Most of the psychotropic medication, particularly the anti-obsessional agents have abdominal side effects. Dividing the medication and using controlled release tablets is one option. The other option is psychotherapy (eg cognitive behavioural therapy/ exposure & response prevention) can be tried for OCD and they are devoid of side-effects since they are non-pharmacological methods. Wish you speedy recovery. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "Suffering from delusions and hallucinations, not in touch with reality. How to prevent a relapse?" }, { "from": "human", "value": "Respected sir, I had been suffering from delusion and hallucinations from 2007 to 2010, but now i am afraid that what if the symptoms relapse. I would like to know about the causes for this. I feel i am not in touch with reality and i see a stark as to how people generally view and understand things and myself. I have come to know the difference recently when i introspected, but i behaved like right from my childhood. please reply to my letter." }, { "from": "gpt", "value": "Hello.... Thanks for your query. Delusions and hallucinations are signs of psychotic illness. The treatment would be antipsychotic group of medication-either first or second generation. I would suggest you undergo a thorough evaluation by a psychiatrist including personality profiling considering the latter symptoms you describe so that appropriate management can be initiated. Schizotypal and paranoid personality disorders also need to be ruled out in your case. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "What causes pain in penis while urinating?" }, { "from": "human", "value": "I m mahantesh 22 years old, i have some urinary problems, when i feeling the full of bladder and at the time of releasing the urine its very pain in my penis, burning sensation and i m feeling some drops of urine are blocks in my penis. what is the causes of urine infection and urine blockage, may sexual intercourse is also caused to urine infection and urine blockage? or any other reason? what is solution of this problem? is it create to kidney problems? I take to tretement and continuing tablets are levoday-500mg, alfoo-10mg, pandac-40mg for the past of two months. pls give suggetion" }, { "from": "gpt", "value": "Hi, It can be urinary tract infection or renal calculi. If you already did a urine culture you need to go for ultrasound abdomen to rule out renal calculi. Going for a higher antibiotic shown in your urine culture will help you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Feeling dizzy, stomach pains, phobia of germs. Could this be vertigo or mental illness?" }, { "from": "human", "value": "Hi, My mum has been off work for over two years feeling dizzy and sick, the doctors first said it was vertigo but now believe it s down to depression , she also has stomach pains and is very erratic and will kick off at the slightest thing, its as if she likes to argue and she over exaggerates things, she also has a phobia of germs, toilets and being sick, she constantly asked us if her hands are clean and if the washing is clean, when she does the washing if it goes near the toilet or if she walks past the toilet with it and the doors open she thinks it s not clean. Could this all be down to her depression or does she have a mental illness?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query.Depression is a form of mental illness. It can present with various psychological as well as somatic or bodily symptoms. In addition, from the description of your mother's symptoms such as phobia of germs, obsession with cleanliness, etc. it appears that she may also be having an obsessive-compulsive disorder (OCD).Both depression and OCD are treatable conditions and usually there is a good response to anti-depressant medication. There are also effective psychological therapies and counselling techniques which can help her overcome these problems. So, please take her to a psychiatrist for a detailed evaluation and further treatment.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist" } ]

[ { "from": "system", "value": "Have anger management issues. How to help him?" }, { "from": "human", "value": "What can I do to calm my boyfriend who has anger management issues? When driving, he screams at people who drive too slow, complains about the bad traffic, picks fights with waiters who try to overcharge him (causing me a lot of embarassment) and cusses all sorts of vulgarities. He says that when he gets angry it is mainly because of people who have bad ethics , otherwise he would have no reason to get so angry. My boyfriend is not a regular bully, he is a highly-educated professional who just has problems controlling his anger. However, he should take a good look at himself when he is angry. His face is beetroot red and his eyes dart around and he screams as loud as a volcano erupting. He won t let the matter rest until I talk him out slowly. When I am out with him, he gets jealous and glares menacingly at any men who looks my way for more than a second. I will tell him to stop but he continues. Only when I threaten to walk away will he stop his nonsense. But of course, a few days later, his bad attitude and anger management issues start again. I have known him for 5 months. He likes being by himself, doesn t have too many friends and spends most of his time working and working on his doctorate. He plays squash (which many think of as a violent game) and is an otherwise active and healthy 39 year old (I am 24). He has not been verbally abusive towards me, but I fear that it is a matter of when. Why is he like that? What can I do to help him and myself?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query.If your boyfriend's anger irritability and poor frustration tolerance has been of recent onset, then underlying psychological problems like stress, anxiety or depression have to be considered.If they have been long-standing, without any other psychological problems, then they are more likely to be part of his personality.If you feel that his anger problem is prominent and causing inter-personal or social difficulties, I would advise you to ask him to get professional help. There are various good psychological therapies and counselling techniques which can help with such problems. Also practicing relaxation techniques, learning stress-management and coping skills will also be beneficial.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist" } ]

[ { "from": "system", "value": "What is the possibility of changing the mental balance after a therapy?" }, { "from": "human", "value": "i have been in a relationship married for 15 years. he used to beat me first then he used to say sorry. but i felt that sometimes its my fault because i too shout at him sometimes. however, last couple of years it got worse, he stop me seeing my frineds, calls them prostitues. and also i have to get home if i\\ go anywhere before 9pm initially then it became 8pm. if i come home about 5 mins then he wont open the door then i had to bed. Last incident i had was he was cleaning the kitchen, then he found some dirt which i left on the kitchen board from the bread toaster. he told me that i have not cleaned, i said what the just leave it i will clean when i can. for that he came and hit my neck once, he was not satisfied, he hit me so hart i thought i burst my ear drum... and head was aching for few days. After that one day i went to colleage for a short course i told him i have cooked everything that i will be home late, for that he was not happy he told me not to come so i went to hostal and then move out following day. he didnt ask me to come home immediately but after 1 week when he realised that i am not going back he start to beg now i have bought a house, but i talk to him, its been a year and 4 months since i left him. Somehowe, now we talk and he expects me to come home. i told him lets go on a holiday and see how you behave then will decide. when we went to america last month he was not very different, but a bit tolerent. he says he has changed, and i wind him up thats why he behaved like that. he asked me for no reason whether i am blind.. anyway he went for some therapy for 9 months... last year i was very sure of what i want to do.. which is devorcing him.. now i am confused.. should i give him a chance. most probably i m feeling like this because i am lone, i bought a house on shared owner ship and living here and have some problem with the house too.. Dr. what do you think i should do, will this kind of people change?" }, { "from": "gpt", "value": "Hello and welcome, Thanks for your query. First of all, physical abuse cannot be tolerated no matter what. If it happened once, I advise people to over-look it. But, anything more than that is serious business. Yes men are usually frustrated with work and responsibilities, but there is no excuse to treat another human being that way. Now, I hope your hearing and head is fine, I hope you do not suffer from decreased hearing or headaches or any symptoms after he abused you physically. If so, please get yourself checked. I understand he has made an initiative to try to correct himself, that is the first step after realization, and I am happy he has done that. But, it is still not safe enough to be around him. Please do not go back to him just because you have problems with your house, or financially, it will never be worth it. Try to sort your financial and residential issues, without even thinking about depending on him. Take as much time as possible to trust him. Do not jump to any conclusions, you have suffered enough. Also, observe his behavior without telling him about your observations. Meet and talk to him more often so you can learn more about him and make an informed decision about returning to him or not. A man who has done so much wrong to you cannot do anything worse, as this is the worst. So do not settle for any behavior less than good behavior just because it is better than his previous behavior. I personally don't think such people can change much, but we should give him one chance. Do not move in with him till you are completely sure about him and his behavior, because it will be very difficult to get out again. Also, if he really has changed, learn to let go of all old memories of him and his behavior. If you do not do this, you can never be happy with him. Please be very careful with everything you do. You have a million choices out there, and you are always the best judge, do not take anyone's word for it. I wish you a happy life, and lots of luck. You can always write back to us for any help you need. Regards." } ]

[ { "from": "system", "value": "Get anxiety attacks and lack of confidence while mingling with other people. Is there any treatment?" }, { "from": "human", "value": "Okay i think i have high anxiety because i get really stressed and nervous about everything i do. i don’t like meeting people, talking on the phone. I get an extreme fear about everything and that everything will go wrong and think of worse case scenarios. i get really nervous when talking to new people and lack a lot of self confidence.. i hate it when all the attention is on me so i try and stay back and not talk or do anything that could get people attention. Every time someone calls me on the phone i get really fast heart rate and never answer because i won’t know what to say. There is a lot more things that i can’t really explain.. a lot of people say that I’m just a baby and need to man up, but i can’t. oh and i get scared to go places by myself unless I’m walking and know exactly where I m going and i hate getting public transport by myself, because i get scared ill bump into someone i know. Plus... sometimes i have random confident moments or days" }, { "from": "gpt", "value": "Hello...... Thanks for your query. The symptoms you report could be part of your personality-anxious avoidant personality or part of anxiety disorders like social anxiety disorder. Hence, you need a thorough psychiatric evaluation for the same. We have both effective anti-anxiety medication as well as psychotherapy (eg cognitive behavioural therapy) available for the same. Wish you speedy recovery. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "Miscarriage, still birth, extreme fatigue, history of depression and hypertension, advised thyroid tests. Is that right?" }, { "from": "human", "value": "I m 35. 2 mc and 1 full term stillbirth Nov 2010. I m rh neg. was given 12 shots of rogram after c section. History of depression , htn (on meds since daughters birth). Extreme fatigue . CBC are off. I m now being checked for thyroid issues. Do I need to see a specialist that studies blood? Something is wrong and I need answers. Thank you." }, { "from": "gpt", "value": "Hello....... Thanks for your query. As you mentioned many of symptoms of hypothroidism like extreme fatigue, generalised weakness can mimic depression. Also sometimes throid disorders can have onset after a still birth. Hence, i would suggest to go ahead with thyroid function tests and consult an endocrinologist. You would also require an evaluation for depression by a psychiatrist. Hope you find the suggestions useful. Regard DR Sundar Psychiatrist" } ]

[ { "from": "system", "value": "Tingling sensation from legs to head, hot or cold flush. Panic attack?" }, { "from": "human", "value": "hi Ive had this sickness for roughly 3 weeks now and it mostly happens after eating its starts of with a tingling sensation running from my legs to my head and then i get either a hot or cold flush then i feel like im about to be sick but never am its a really uncomfortable feeling and Ive been to my doctors and they said it could be some sort of panic attack but im not so sure about that if you could help i would be so grateful." }, { "from": "gpt", "value": "Hi there ~ It is not uncommon to have this feeling of hotness or feeling flush after a meal, particularly a spicy or a heavy or an unusually warm one. Everyone's physiology is different. However, if you feel that it is unusual for you and that it is causing you discomfort in any and every situation, I would recommend that you see an endocrinologist first since it could be hormonal. If you have ruled this out, an unusual form of anxiety disorder may be the case. However, you would need to consult a psychiatrist for a detailed evaluation. I hope this helps. Take care and have a safe day !" } ]

[ { "from": "system", "value": "Lack sex drive, busy life. Why is life lifeless?" }, { "from": "human", "value": "I feel irritable at work and i hate my job,im a single mum and im irrritable when my kids are around me, feel like screaming sometimes, im not as bad when im on my own. I lack sex drive also, just feel too tried to bother, then i feel guilty as my partner mite think im getting bored with him and i only see him at week ends. I sometimes feel over whelmed by how much i have to do before i can relax and that gets me really irritable. When i do finally relax, feels like its not long before i have to go to bed, then its sleep, which a really look forward to,but then morning comes quickly again and the same old horrible day begins again. Have been on antidepressants before but have now took my self off them approx 2 months ago, didn t feel like they were doing anything." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your symptoms such as increased irritability, lack of sex drive and fatigue may be indicative of depression. You have mentioned that you have been on anti-depressants before and have stopped them on your own recently. An abrupt cessation of antidepressants can sometimes cause a worsening of depression, and this could be a probable reason for your prominent symptoms now. Since these symptoms seem to be causing you significant distress and dysfunction, I would suggest that you seek professional help. There are many other treatment options available like trying a different class or combination of anti-depressants or trying psychological therapies like CBT. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Maniac depression after taking zypera, later pancreatitis, numbness in foot, liver failure, taking vitamin B. How can I regain normalcy?" }, { "from": "human", "value": "I have been a victim of the bad side affects of the drug zyprexa ,I was presribed it for mild depression which I totally trusted my Dr. and was truthful in answering his questions no matter how embarrassing or lack of good judgement it may have made me look to someone else.After 6 months of taking this zyprexa and finding out it was for severely or manic depression , and suffering from anti- psychosis , I quit taking the drug.In the years to come I suffered pancreatitus(the first time mild). The 2nd I spent 2 months in the hospital.Also my douediem got infected and kept regurgitating a green bile .Throughout the next 4 years had intestinal blockages, liver failure ,lost 6 pints of blood due to varisie veins in my esophagus, and have lost the feeling in my toes,walking barefoot is extremely painful(virtually impossible),and cannot get rid of ingrown toe-nails?How do I get body back to normal I m now 42 yrs. of age.Already injecting vitamin b sub-cutaneously, is there anything else I can do?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Zyprexa (Olanzapine) is commonly used anti-psychotic medication which is used in the treatment of a psychotic disorders, severe depression, etc. You seem to be suffering from multiple medical problems which are unrelated to the side effects of Zyprexa. Pancreatitis, oesophagial varices, liver failure, intestinal blocks, etc. are major medical problems which are indicative of a serious systemic illness in your body. So, your problems are very likely to be due to an independent systemic disease and not due to the side effects of Zyprexa. You will need a thorough medical evaluation to find out the possible causes of your serious medical problems and further treatment needs to be given appropriately. Please discuss with your doctors treating you about your problems and they will be able to give you a better picture about the cause of your problems. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Difficulty concentrating, feeling sleepy. What is the problem?" }, { "from": "human", "value": "I report to work at 7.30am. am usually alert and productive till 10.00 when i become sleepy, slowed down and cannot concentrate though am not tired physically, i only feel sleepy till around 1.00 when i take lunch, work for an hour then the sleepiness comes again. Please note that i go to bed at 11.00pm and sleep till 5.00. what could be the problem and how can i help it?" }, { "from": "gpt", "value": "Hi there ~ What you describe to me is a typical circadian rhythm (day night time table) sleep problem. It is quite possible that you feel sleepy after meals as is normally the case. However sleeping late like in your case and waking up early may result in less hours of total sleep time which may result in daytime sleepiness. It is also quite possible that you may be able to undo this by sleeping early and waking up at the same time. You would just need to put behind all those things you were doing closer to bedtime to an earlier time and start winding down early to go to bed. If this, and relaxation while trying to sleep are still not helping, you may need to consult a doctor. I hope this helped. Take care." } ]

[ { "from": "system", "value": "Suffering with OCD, have withdrawn form fludac. Relief measures?" }, { "from": "human", "value": "i am suffering from ocd for a long period. i was releifed from the problem and doctor told me to continue maintanace dose (fludac 20). but i withdrawan capsule the medicine myself and i am feeling the same problem from last two years after taking the medicines ( fludac 60 + amixide ). can you advise me how can i get releif. thanks & regards dipak datta" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. OCD is a usually a chronic problem and requeries long term medication. Sometimes medication can lose their efficacy if used irregularly. 60 mg of Fluoxetine is a good dose of the medication. If you are still continuing to have OC symptoms, then other treatment strategies have to be tried. Further treatment options include a change to a different class of anti-obsessive medication or trying psychological and behavioural therapies. I would advise you not to make any treatment decisions or alterations on your own, but consult a psychiatrist near you, so that you can have a detailed psychological assessment and further treatment can be planned accordingly. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Suggest remedy for nightfall" }, { "from": "human", "value": "Hi, docter . I am gurjeet. I am 19years old. I am suffred from nightfall last 3-4years. It had happend 2-3 times in a week. I had taken many medicine for this. But no one medicine satisfied me. I am Feel very weak. my weight is 55kg. I have take a high diet but all waste throw the nightfall. Pls reply me the best treatment for nightfall. thanks.." }, { "from": "gpt", "value": "Hi, Nightfall or nocturnal emission can be prevented byregular masturbation regular sexdecreasing erotic thoughts Feeling weakness can be due to vitamin deficiency, diet pattern and lack of exercise. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Depression, anxiety, disturbed sleep, fatigue, appetite change, unable to concentrate. Will medicine resolve the problem?" }, { "from": "human", "value": "Sir My wife suffering some problem depression and symptoms of depressive illness , including anxiety, loss of interest in usual activities, disturbed sleep, change in appetite, fatigue , feelings of worthlessness or guilt, difficulty thinking or concentrating, and recurrent thoughts of suicide . A doctor recomended below medicine, is this medicines can resolve her problems ? Nexito Plus Tablet , LAMITOR OD 100,MODALERT 100,PETRIL BETA 10" }, { "from": "gpt", "value": "Hello....... Thanks for your query. I understand your concern with your wife's depressive symtoms. The medications suggested : nexito is escitaopram, an antidepressant of SSRI class; Lamitor is lamotrigine, an anti-depressant mood stabiliser; modalert is modafinil, a psychostimulant and petril is clonazepam, a sedative. These are standard drugs prescribed for depression. You need to ensure she is compliant to these drugs. Wish her speedy recovery ! Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "Feeling jittery and dizzy. Could it be due to depression or anxiety? Any relief?" }, { "from": "human", "value": "hi i feel jittery everytime i go out.. This is after i got dizzy and puked when i went out one time Seems like i cant get rid of that worry out of my head. What should i do? this is effecting my social status sometimes i dont go out anymore because im scared of getting dizzy.. I know its all in the head but its easy to say. When it slaps me i feel uneasy, my feet feels light and i feel like i need to rush somewhere or rush home. I calm myself with water sometimes and a menthol rub but it seems like its getting worse. Some people say it could be because im depressed or its anxiety .. what should i do?" }, { "from": "gpt", "value": "Hello.... Thanks for your query. On going through your symptoms, it appears that you are suffering from social anxiety disorder which has adolescent onset. It is characterised by anxiety symptoms only ion social situations. Effective anti-anxiety medication are available in addition to psychotherapy (eg exposure & response prevention). Hence, i would suggest you undergo a thorough psychiatric evaluation so that appropriate management can be initiated. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "Got suicidal tendencies and unable to control anger. What's wrong with me?" }, { "from": "human", "value": "i m suffering my anger, and have got suicidal tendencies. i have a gf of 4 years, and when ever i land into any argument with some1 only she is able to calm me down, help me basically. she is like a force who calms me down. i want to know what is wrong with me?? even my parents cant help me nor control my anger. it s like in anger i don t know what i feel or do, its just an instant without conscience..... i also feel like keep hitting things to let my anger out but my gf stops me." }, { "from": "gpt", "value": "Hello......... Thanks for your query. On going through your symptoms, it appears you have pathological personality traits. The other alternative could be mild mood fluctuations refereed to as cyclothymia. Hence, i would advise you to undergo a thorough psychiatric evaluation as well as personality profiling so that above disorders can be ruled out. Effective anti-aggression agents like mood stabilisers and beta blockers are available to deal with the condition. Avoid any substances of abuse as they may worsen your state. Wish you speedy recovery. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "Suffering from anxiety, seratonin syndrome. Taking pristiq, lexapro. Safe to increase medication dosage?" }, { "from": "human", "value": "I am taking 200 mg of Pristiq and 30 mg lexapro and 450 wellbutrin. i need to raise my lexapro up to 40mg because i have alot of anxiety and it helped so much when i took 40 mg before i started the pristiq but now that pristiq has been added i m afraid to up it because of seratonin syndrome . what is your opinion on this? is it safe to up it to 40mg?" }, { "from": "gpt", "value": "Hello...... Thanks for your query. Simultaneous administration of three antidepressant that too at higher doses is not advisable. At the maximum only two antidepressants are recommended to be combined together.It definitely carries the risk of serotenergic syndrome. Self medication is not advisable. Request your psychiatrist to minimise number of medication and optimise the dosage. Wish you speedy recovery. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "Rib cage pops and clicks when I breath, been stressed, painful. Is it connected to smoking?" }, { "from": "human", "value": "hello either when im laying down sitting sometimes standing up and I take a deep breath my left side under my rib cage makes a pop or clicking sound?started today maybe lastnight I had a family crisis lastnight can stress have anything to do with it also I really haven t ate the past 2 days maybe one meal related also I heard it could be guess it doesn t really hurt but more of a weird feeling but when I sit it feels uncomfortable also I do smoke cigarettes maybe 5 a day at most" }, { "from": "gpt", "value": "Hello there ~ The popping sound that you hear is possibly the same mechanism as when you pop your knuckles. Yes, there are joints in your rib cage too. If you feel like stress may be adding to it, I suggest that you try relaxation and deep breathing exercises, as an alternative to cigarettes. It may also be helpful to get a chest X-ray just to clear any doubts about any rib-cage problems. If you are still not satisfied, please consult a doctor. Take care and have a stress-free day." } ]

[ { "from": "system", "value": "Have psychotic depression. Taken Valium. What is happening?" }, { "from": "human", "value": "CDear Doctor, my son has been treated w/various antipsychotics over the past 4 1/2 years while living in Croatia.He suffers from major psychotic depression and has responded favorably to electro-stimulus treatments for his condition,whereas when antipsychotics were administered he suffered from a major crisis of neuroleptic malignant syndrome(CPK 5,000). He was immediately taken off all antipsychotics and flushing out his system was begun. He was doing alright at home w/only a small daily dose of valium(Normabel) which he would take on occaision. However he had a relapse w/ deteriorating condition characterized by not speaking,eating and drinking only minimally and anxiety w, drooling. frequently he would display a state of confusion and be oblivious to his surroundings. Lorazepam 2mg dosages are being considered w/ eventual ES treatments.However it has been very difficult to arrange this in Croatia. What is your sense of what is happening to my son,Luka? What can you suggest given this brieand incomplete history of illness?Yours,a very worried and concerned father." }, { "from": "gpt", "value": "Hello ~ Suffering from Major Depression with psychoses is a very difficult problem to have, and for a care-taker it may be taking its toll on you as well. I understand that your son has been on various medications and is currently only on valium. Valium usually tends to depress the brain since it is a sedative. I would suggest that your son be assessed completely psychiatrically and combinations of antidepressants and newer antipsychotics be tried before ES treatments. I am unsure of what resources are available in Croatia, however consulting a doctor should help. Take care." } ]

[ { "from": "system", "value": "Pimples on knees and thighs, recovering from anorexia, been taking fluoxitine to treat depression. What is going on?" }, { "from": "human", "value": "Hi, I ve got some pimples on my knees and lower thighs, have start recovery from anorexia about a month ago, and have began taking fluoxitine to treat depression . Lately I ve noticed that I have frequent bowel movements, almost hourly, and my stool has an orangish tint as well as a bright orange oil that floats to the top in bubbles. Do you have any explanation?" }, { "from": "gpt", "value": "Hi Sara Elizabeth, Having anorexia nervosa is a serious condition. You need to be eating frequently and I hope you are seeing a counselor for therapy sessions. If there is no access or difficulty obtaining one, I suggest that you do some self-help books on anorexia. Eating frequent meals and hydrating yourself would be one aspect, while not working out too much and stressing yourself would be another. Increasing the dose of fuoxetine might help, however it would be wise in that case to consult a doctor. Take care of yourself and have a good day." } ]

[ { "from": "system", "value": "Face tingling, shaky vision, stomach pains, numbness in legs, back pains post eating outside, diagnosed to be anxiety. Guidance?" }, { "from": "human", "value": "Hi I have been feeling tingling on my face and pressure like someone is pushing it down and pressure that runs from the back of my ear and makes my Vision shaky I feel out of it also fell like a weird tast in my mouth from time to time. Also fell like I can t breath like some one is taking my oxygen from my body it makes my body fell frustrated and anxious. Fell shaky and my eyes fell a burning sensation. Stomach pain have to go urinate really fast. Numbness in my legs when I am asleep and my back hurts like a burning sensation. This all happend after 5 mint of going to eat at a restaurant. I went to the hospital they told me it was something that did not set well with my stomach and it had caused me to get a anxiety attack. But I think it might have somthing to do mercury . Can this be? its been a mouth in a half no more anxiety just all these symptoms. And if it could be well they do a test at the hospital?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. It is likely that the symptoms which you are experiencing are anxirty-related. It is important to understand that anxiety can present with not only psychological symptoms but also with physical or somatic symptoms. Shakiness, burning or tingling sensations, breathing difficulty, etc. are symptoms which are commonly seen in anxiety disorders. It is possible that you could have had a panic attack initially and the present symptoms are residual symptoms of anxiety. It is an unlikely clinical possibility that your symptoms could be due to mercury toxicity. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Neuropathy, used to get duragesic patches and xanax, now seem ineffective. Help?" }, { "from": "human", "value": "I was diagnoised with neuropathy over nine years ago I was given a nerve stimulation test 3 times on each leg nerves so damaged ICOULD NOT TOLERATE IT so the nerologist told my MD he would not put me through that again after many med tries I have had good results with duragesic patches on a 24/36 hr schedule along with xxanax I also am w/c bound with arthritis and now for some reason neuropathy has become uncontrolable with the xxanax not holding for more than 2-21/2 hours may doseage of xxanax is 1mg every 4 hours 7 x per day my MD doesn t have faith in what I say and neither does my family my husband does to some intent it scares him if stuff makes me sleepy but lately it has no effect. please help" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. 7 tablets a day of Xanax is definitely excessive and indicates that you have developed an addiction / dependence on the medication. You must remember that long term use of benzodiazepines, like Xanax can result in \"tolerance\" to the medication - which means that progressively higher and more frequent doses will be required to produce the same effect. So, increasing the dose is not only dangerous but will just push you into more dependence. I would advise you to consult a psychiatrist for further help in coming off the Xanax, and planning other treatment strategies to tackle your chronic pain. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]