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Nitral_Medical_Dialog_Fixed

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[ { "from": "system", "value": "Skin colored bumps on fingers, redden, liquid filled. Is it Herpes? Is it connected to OCD?" }, { "from": "human", "value": "I have small 1mm max skin coloured bumps on my fingers, sometimes in clusters not often near the nail. I mention this because my fear is that this could be herpes whitlow and I bite my nails often and the skin around them as a compulsion to reduce stress for my OCD . The bumps do not pop easily and when they do the skin sort of deflates and goes red. The liquid is clear like water. When popped they disappear after a couple of days and stop irritating within a few mins. I never thought you could get herpes on the hand or I would have fought harder not to bite my hands! I do not care about my health but rather the effect I could have on my wife or more specifically and children we decide to have as I know herpes in any form can kill babies! And that you can pass the virus on even when not having an outbreak! Not so bad if it s oral or genital but you use hands for everything! Can I hold hands? Again, engage in foreplay? Hold children? Suck food off my fingers? This is crazy? Why didn t I know about this and why is herpes called an STD when you can get it on your hand from a coldsore and give it to yourself through masterbation! I m really stressed and upset. I am also due to start training to be a mental health nurse soon. If i have herpes whitlow can I still be a nurse? Or will I infect others? This is crazy I can t belive you can get something this contagious on your hands!" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. There are two major varieties of herpes - genital and non-genital, and both are contagious. It is possible to get herpes in the hands (herpetic whitlow). However, it is also possible that the lesions in your hands around the nail could be from the reccurent irritation caused due to excessive biting of your nails and the surrounding areas. Since, these you seem to be extremely worried whether these lesions could be due to herpes, I would suggest that the best way forward would be to get yourself tested for the same. So, please consult a dermatologist for a proper physical examination and further investigations. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "What causes homosexual attraction?" }, { "from": "human", "value": "Hi, may I answer my name is akash. My age is23. I am working in one private company in banglore. Nowdays i am feeling homosexual attraction towards ageed people especially more than 50 aged people. I want to sleep with them..and full attraction..i am confused. Please advice..?" }, { "from": "gpt", "value": "Hi, It can be due to stress in your life. Need to meet a psychiatrist as early as possible. So you can get help in choosing your future life. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Smoking weed, have thyroid disease, on inderal for rapid heart rate. Now?" }, { "from": "human", "value": "hi i have a question i know its bad but i smoke weed a lot it calms me down...and i am now recently diagnosed again with a thyroid disease its overactive..ive had it since i was 8..they said it was gone 6yrs later then i started smoking pot and it helped alot for me..now i cant see my dr till a few weeks from now for my meds for it..i went to the er and they gave me inderal 60mg for my heart rate cuz its too fast...i am in need of help please weed is the only thing that works for my anxiety and depression.. sincerely phil" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Inderal (Propranolol) is a medication which is prescribed for an increased heart rate as well as to reduce the physical symptoms of anxiety like palpitations, tremors, etc. Both thyroid disorders as well as smoking weed (cannabis) are known to trigger or worsen anxiety problems. You should not depend on smoking weed for tacking your anxiety and depression, as it can have long-term harmful health consequences. There are effective treatment options available - in the form of medication or counselling / psychotherapy which will help him overcome your problems. I would advise you to see a psychiatrist for a detailed psychological assessment and further treatment. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "On sertaline for mental disturbance, depression and anxiety. How can I fight my lifelessness?" }, { "from": "human", "value": "i dont want to live problems r so overwhelming i cry loads i shake loads i sleep more than anyone i know i dont want to eat i dont get out of bed fr wks at a time i dont go outside oftern my doc gave me sertaline 100ml but i dont feel there working is there anything stronger i can take doc said i have depression and anxiety bn on tabs now since nov shouldnt they be working by now" }, { "from": "gpt", "value": "Hello..... Thanks for your query. I understand your concern with depressive symptoms. Sertraline is a standard antidepressant that is prescribed to alleviate depressive symptoms. However, antidepressants take atleast 6 weeks to start acting. Hence, you need to be patient. Many other effective classes of antidepressants like SNRI's and TCA's are available in addition to psychotherapy (eg cognitive behavioural therapy). So please do not lose hope. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "Suffer with severe anxiety and panic attacks during exams, spells of breathing difficulty, going through social withdrawal. How can I recover?" }, { "from": "human", "value": "Hi I suffer for anxiety and panic attacks, the worst time was last year in my alevel exams and Ihad to go and see a psychaitrist about it. That helped alot and during the summer I was like my old self again and couldn t be happier as I though it was all behind me. Since I started university this year I have been having panic attacks and just general periods of anxiety before assignments are due in and exams. Last week through exams I was sick every one of then, I would barely speak, and my firends said I looked like I had seen a ghost, I have been talking sleeping tablets occasionally when I m so ehausted I just need to get knocked our for one nights good sleep. The incident this week has left me pretty shaken up as I had a panic attack straigt after a running race (I felt anxious all the way down there in the car), I had to run and pretend I was being sick as I couldn t bear everyone seeing me like that as its weird. Since then I came home to my uni flat and have scratched my hands raw, it wasn t until today when one of my friends saw the slashes and scracthes and likened me to one of her friends that was also a cuter that I realised what was I was doing to myself (there are so many scars on my left hand now) Now I have been about to stop crying since, and when I do for lectures my throat feels really tight like I can t breadth, I feel like I m gripped in this massive fear of waiting for another panic attack. After my lecture at three I took a sleeping tablet so I could just sleep all afternoon that to feel like this any more, but I know this is silly and I can t carry on like that because I went through a period of social withdrawal all the way though sixth form and I was known as the weird girl who doesn t leave the library. I don t want it to get to that again as I love my sports clubs. I don t know how to stop feeling like this and to stop cutting myself before it gets any worse. Please help :) Thankyou for you time for reading this I m sure worse things have come up all the time." }, { "from": "gpt", "value": "Hi, Welcome to HealthcareMagic Forum From your detailed descrition it is clear that you have symptoms of generalised anxiety disorder, panic attacks and social anxiety disorder. All these are types of anxiety disorder. Untreated cases lead to severe dysfunction in social/academic life and depression. I do not know if you had stopped treatment from psychiatrist, on which you improved in past. Considering severity of your problem, I would advise re visit psychiatrist and start treatment. Till that time do deep breathing exercise, yoga and meditation. Wish you Good Health and all the best. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Suffering from anxiety, addicted to alcohol, advised stopping rivotril. Alternative for rivotril?" }, { "from": "human", "value": "Dear Sir, I am under medication of Quitipin, Depakote 250 xr, Betacap 40 mg sr.Kindly note i am suffering from anxiety and also take alcohol.Now doctor told me not to take Rivotril 1 mg and stopped it as they say it should not be taken if i am continuing with alcohol,Pls give me best option for rivotril as i feel betacap is not at all effective and i am getting anxited even after taking it.Pls suggest me. My weight is 95 and height is 178 cms." }, { "from": "gpt", "value": "Hi, Welcome to HealthcareMagic Forum Long term alcohol and rivotril use lead to dependance on them, due to that person will require higher doses to produce desired effect. In your treatment it is better to stop alcohol, as alcohol itself increases anxiety and medicines do not work 100% in presence of substance use. After stoppage of alcohol rivotril can be tapered slowly, but do not stop it suddenly. Till that time do deep breathing exercise, yoga and meditation to decrease your anxiety to some extent. Wish you Good Health and all the best. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Extremely aggressive behavior, says nasty things, denies it. History of diabetes. Will relicalmor help?" }, { "from": "human", "value": "My mom is very aggressive and is also a diabetic. She is. 77years old. She says a lot of nasty things and all of sudden she denies it. I cannot say whether she suffers from Alzheimer s because her answers she give is not o f a person suffering from Alzheimer s. ca She is a state patient and we cannot afford expensive medication . Can we give her Relicalmor any other arming medication. Thanks." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Agressive behavioural change in the elderly can be due to various causes. Some of the common causes are late-onset psychosis, depression and dementia. Certain types of dementia like frontal lobe dementia can present with a predominant change in behaviour, without any significant impairment in memory initially. Your mother will need a detailed psychological assessment in order to find out the probable cause of her problem. It is not advisable to start medication on your own since they can have untoward side effects, especially in the elderly. Relicalm is an anti-psychotic medication which has to be prescribed only for specific indications in the appropriate dosage. So, please take her to a doctor for an evaluation, so that appropriate treatment can be started. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Slow heart beats, dizziness, numbness in jaw, bluish nails, red and itchy pupils post panic attack. EKG, ECHO normal. Guidance?" }, { "from": "human", "value": "Hello ! i am 23 years old male and i had a so called panic attack 1 and a half years ago. Since then i am upset regarding my heart and have taking atenolol 25mg (as per symptoms). i sometimes feel my heart slows down and also feel slight dizzy but it recovers in a fraction of a second. sometimes my temporal veins engorge as well and i feel light-headed and slight numbness in my left jaw. Sometimes i also wake up at nights with mild pain on my upper back and my eyes are red and itchy with pupils dilated. since this winter i also notice my nails getting slightly bluish. I had my EKG and Echo 4,5 months ago which were normal Please guide me in this matter. Thank you" }, { "from": "gpt", "value": "Hi, Welcome to HealthcareMagic Forum Panic attacks can occur in physical and psychological illness. As your ECHO and EKG is normal, then it is better to rule out psychological reasons (panic disorder, GAD, stress and depression) and other physical reasons (thyroid imbalance, anemia or increase BP) in your case. For evaluation and management you can meet nearby psychiatrist as your symptoms started after a panic attack. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Had a heart attack, installed stent, taken plavix lisinopril. Under stress. Looks like?" }, { "from": "human", "value": "hi i had a heart attack 4 yrs ago widow maker they doc caught it in time installed stint no damage is there an average life span expectancy i take plavix lisinopril simcore and metropolol tish oil krill oil and asprin every day i know this can vary i do smoke about one pack of cigs a day i know i should quit i will soon to be 61 male i used to have a lot of stress at work and past relationships and i am 5 ft 8 inches a weigh about 195 dropped from 233 lbs thanks for you input dennis merrell" }, { "from": "gpt", "value": "Hi, Welcome to HealthcareMagic Forum Excessive stress in your may be due to excessive work load or due to anxiety disorder. History of heart attack also increases chances of anxiety disorder. You can meet nearby psychiatrist to rule out anxiety and stress management in your case. Till that time do morning walk, meditation, take proper sleep and take balanced diet to reduce stress. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Frequent tingling, numbness in fingers, have lump under foot, often have shooting pains in chest on waking. Cause?" }, { "from": "human", "value": "HI I would like to know I often get tingly then numbness in fingers of the right hand . I recently past couple of months developed lump under my right foot . I wake up sometimes and my left leg caves in for a few secs the evening before i normally have quick sharp shooting pain like a stitch starting on my right side of chest and then goes to left normally lasts about 20 minutes then goes I do not know if the lump under my right foot is caused my hurting my ankle last couple of months. This past year I have been under quite bad stress and dr is treating me with a few things at the same time i have had a sore in my eye which the eyespecialist said its a dry duct i have had this for over 2 months now and have recently been given antibiotic and antiobiotic eye drops it has gone down but comes up again Sorry loads to ask merry christmas" }, { "from": "gpt", "value": "Hi, Welcome to HealthcareMagic Forum Your case is complex due to multiple complaints and involvement of multiple systems. More than one problem is possible in your case. From this history there is multiple possibilities in your case, which need to rule out or treated: -Cardiac illness: need to rule out first as there is complaint of chest pain. -Anxiety disorder: as there is history of stress -Vitamin deficiency: So take healthy diet. -Substance use: Stop use if present. -Hormonal imbalance specially thyroid Apart from that get your foot examined by general surgeon for diagnosis and management. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "On kolladpin from long term, have chest pains, anxiety attacks, mood swings, shortness of breath. Related?" }, { "from": "human", "value": "hi i am a 47 year old woman, have been on kolladpin for probably 2 years now, i took myself off it, for no other reason then cannot afford..which i believe was a big mistake, i have been having chest pains, anxiety attacks , mood swings, shortness of breath. is this all related to getting off them? should i just get right back on them? i started taking them because i am going thru menapause, was depressed, mostly anxious, and lack of sleep, so my dr prescribed these" }, { "from": "gpt", "value": "Hello, Klonopin is a good drug for the anxiety disorder. Its only after a proper course of these drugs, that they are gradually tapered off under supervision. Withdrawing them suddenly would have surely brought you the above symptoms. Best way would be to re-start them and then consult your psychiatrist. You should also try CBT and other psychotherapies along with the drugs. Hope I am able to answer your question. Wish you good health." } ]

[ { "from": "system", "value": "38 year old suffering from illusions and depression. Hearing voices. Treatment?" }, { "from": "human", "value": "My widowed mom aged about 38 yrs. is suffering of some illusions and always depressed.she can hear things which we cant hear.she thinks the neighbours are talking about her badly.she shout very loudly to reply for that voice.she doesn t sleep at day or even in night.she forget her laugh long back.pls help..is there any treatment for this." }, { "from": "gpt", "value": "Hello... Thanks for your query. Talking to self and hearing voices that others do not are referred to as auditory hallucinations and hallucinatory behaviour. These are symptoms of psychotic illness. Effective antipsychotics are available to deal with the condition. I would suggest a thorough psychiatric evaluation followed by appropriate antipsychotics for management. Sedatives can be precribed for sleep difficulty. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "What causes pain in testis with dead cells in the semen?" }, { "from": "human", "value": "i feel slight pain in my testis, i went for seamen culture cause i was yet to pregnate my wife, the result showed moderate growth ot staph and many dead cells, few weak cells, am i fertile? Am 35, 6 ft tall, weigh 102 kg, last blood pressure check was 150/90" }, { "from": "gpt", "value": "Hi, Your result shows you have a bacterial infection. It can be urinary tract infection prostate infection starting antibiotic as early as possible will help you dead cells can be due to infection Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Friend in an abusive relationship, feels everything is her fault, always feels she is over reacting. Suggestions?" }, { "from": "human", "value": "Hello, my friend is in an abusive relationship and i am afraid i do not have enough information to help her! She believes she is the problem and she just needs to try harder and it is all her fault. She also believes that she is ment for a relationship with obvious abuse and she feels she is over reacting. Is there something i can have her read or any other resources i could use to help show her what i dont have to words to do?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I appreciate your concern for your friend. Some people can have dependent personality traits which could be making it difficult to stand up for themselves, and so, have a tendency to kep accepting and tolerating abuse in a relationship. Sometimes, a chronic depression (dysthymia) can also result in negative thoughts and low self esteem. I think that your friend needs professional help. I would advise you to take her to a psychiatrist or a psychologist for a detailed psychological assessment and further management. There are effective counselling and psychological techniques which can help her overcome her difficulties. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Depression, anxiety, self doubt, constant worrying after quitting alcohol. Is this normal?" }, { "from": "human", "value": "I ve finally managed to quit drinking, but now I feel the real battle has begun - DEPRESSION , anxiety , fear, self-doubt, and constant worrying. Is it normal to feel this way after quitting alcohol? I feel it has been with me in a lot of areas of my life for so long (I m 24...started when I was 16). Will these feeling subside?" }, { "from": "gpt", "value": "Hello........ Thanks for your query. I would like to complement you for successfully quitting alcohol use. The symptoms you are reporting of like depression/anxiety can be part of withdrawal symptoms. Hence, i would suggest you to undergo evaluation by a psychiatrist/substance use specialist to undergo an effective detoxification process with sedatives (benzodiapines) so that you eliminate withdrawal symptoms. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "Diagnosed with OCD, advised CBT. What is it?" }, { "from": "human", "value": "Hello doctor.Thanks a lot for your help.I consulted a psychologist last week and she said that am actually suffering from OCD and stated that it can be from moderate to severe OCD.I told her most of the things that troubles me and she stated that I must do CBT .What is it actually?She said its a kind of therapy but she won`t be able to do it just like that.I need to take medecines before starting to do the CBT as the medecines will make me feel more relaxed. And for that i need to consult a psychiatrist who will prescribe the medecines while she i.e. the psychologist will do the therapy.But will the therapy work?And y should i visit a psychiatrist?I thought psychologist and psychiatrist are mostly the same. Can`t the psychiatrist do the CBT?In that case,i won`t have to see 2 doctors and this will reduce the cost as i don`t want my parents to keep spending so much money on me.And also i feel the psychologist is a bit too young...maybe she has worked only 2-5 years and i feel she might be a bit unexperienced.Am not sure but i want a treatment with someone who is experienced and understand the problem really well. The psychologist seemed surprised at times when i was telling her my problems of repeated washing etc" }, { "from": "gpt", "value": "Hello..... Thanks for your query. i understand your cost constraints and need for both type of therapies. To clarify, a combination of medication and psychotherapy works better in OCD, particularly moderate-severe OCD. Psychiatrists are trained medical professionals authorised to prescribe medication while clinical psychologist are not authorised to prescribe medication but undertake psychotherapy. Only few psychiatrists would be well-trained in psychotherapy. If feasible, i would suggest you continue the current combination therapy. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "Fluttering sensation in the upper abdomen. Could this be heart related or stress?" }, { "from": "human", "value": "I have been having quick flutterring sensations in the center of my upper abdomon (especially at night when I am sitting in a chair watching t.v or reading.) This has all come on in the last two weeks, and I thought maybe it was from stress or nerves, but now at almost 60 years old, I wonder if it could be heart related? What could be causing this?" }, { "from": "gpt", "value": "this is called muscle fasciculation and this is not a serious problem .many people had this. the cause may be anxiety/stress/neutritional,electrolyte imbalance etc u may try some anti oxidant like almond/ginsangand calcium" } ]

[ { "from": "system", "value": "Get sexual thoughts, bad things in mind on memory flashback, recently started acne medicines. Help?" }, { "from": "human", "value": "this is pria i am facing problem from last one month .Never Ever felt this kind of problem before. Initially sexual thoughts started to come in my mind that i m doing with that person and all. Old memories came in my mind. all bad things come in mind. Story started to make automatically in mind when ever i see anything. If old memories ,person come in mind so sexual thoughts or linking of that person with other person come in mind . Only bad things come in thoughts i unable to understand what is going on with me. I took medicine of acne for harmone balance i feel these kind of things after that please help" }, { "from": "gpt", "value": "Hi there ~ It depends on the kind of acne medication you are taking. Some emotional dysregulation may occur with certain kinds of acne medication. However you would have to give more information regarding how the problems started and what kind of acne medication you are on. I would give this deeper thought once you pass on more information. However, you need to see a doctor to find the right solution for having these kinds of feeling after taking acne medication. Hope this helped, take care." } ]

[ { "from": "system", "value": "Smoke weed, get panic attacks that worsen with medicines, seem to feel disconnected from the world after stopping medicines. Suggestion?" }, { "from": "human", "value": "I started smoking weed when i was 13. It was not a common thing, maybe once a week if that. After a HORRIBLE trip using a gravity bong, i made a pact with god that if he let me live i would never smoke again..And i didnt until a year ago. A year ago (im now 17) ...i was suffering from extreme depression . My new boyfriend at the time, now fiance, smoked weed everyday all day and after convincing me it would heal all my problems i decided to smoke. Everything was wonderful and life started to seem better and i fell in love with smoking weed until recently. In september i got strept and it went downhill from here. It was a normal day (besides the strept)..I smoked and i had a panic attack (heart racing, irrational thoughts, thought i was going to die, ect.)..Not sure what the cause of the panic attack was, i smoked again the next day and it happened again. I decided to wait until the strept was gone to smoke again thinking maybe it was because my immune system being weak. So after a week of waiting, i smoked 2 hits and here came the panic attack. I than decided i was done smoking weed for good. THe panic attacks were to much to handle and extremely scary. The last time i smoked was 9/25/09. I do not miss smoking and dont crave for it but im having constant panic attacks and insane anxiety. Everyday i wake up and it seems to be getting worse. I went to the doctors yesterday and they gave me 2 month samples of lexapro which is an anti- depressant and is supposed to helpwith anxiety attacks . I took my first dose last night and WILL NOT continue taking them. IT was awful, the anxiety and panic attacks were increased by 100. My doctor told me it takes a few weeks for your body to regulate and not to give up, but i cannot deal with these symptoms for a few weeks., Since stopping, my world view is completely off. I feel disconnected from the world. I am here, am able to talk and function but the way i see things is just weird and that scares me the most. I just want to feel normal...and i feel like the way im seeing things is wats offsetting my attacks to begin with. Ill start to think about why im seeing things the way i am, and than my heart starts racing and than its a full blown attack. After reading ALOT on this, i know im not alone and that has actually helped me remain calm all day today. How long is it going to take for my brain to get back to its normal state and for me to start seeing the world normally again? IM going to start excersing and eating correctly and i think that will help alot (one less thing to be concerned about). I appreciate any similar experiences with weed causing anxiety and having panic attacks/distorted views after quitting and of course any advice on what i can do!" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Cannabis (Weed) abuse is associated with a variety of psychiatric problems, and anxiety / panic attacks are indeed very coomonly reported adverse after effercts. The feeling of disconnection from the world (termed as \"derealization\") is also another symptom frequently associated with cannabis abuse. Cannabis can also result in an \"unmasking\" or triggering of underlying anxiety-related problems. Lexapro (Escitalopram) is an SSRI medication effective in the treatment of anxiety disorders, but like your doctors have mentioned, some people can experience a transient worsening of anxiety in the first 1 to 2 weeks. There are other anti-anxiety medication which may not have this side effect and can help you. There are also many psychological therapies which can help you deal with the anxiety. So, please consult your doctor regarding further treatment options. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Stopped nicotine years ago, get stressed and tensed, increased tendency to start nicotine. Suggestions?" }, { "from": "human", "value": "I had a habited of smoke and love to enjoy any nicotine stuff for three years with daily consumption of these kind of stuff very much.slowly I was not enjoyed with this stuff or maybe I was suffering in bad health or very weak.After that I tried to avoid it by doing meditation for improving my self confidence to control over those bad habits.And I was successfully control myself from last five years without been touch with those stuff.But when I feel stress and any tension enviroment my tendency for nicoten again increase and sometime I want to start those stuff again. please advise what to do?" }, { "from": "gpt", "value": "Hello....... Thanks for your query. I would like to complement you for your efforts to quit smoking. There are multiple medical strategies available including nicotine chewing gums and bupropion. Additionally, relapse prevention and motivation enhancement strategies can be used to help you. Hence, i would suggest you undergo an evaluation by a substance use deaddiction specialist and try out the above strategies. All the best. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "Suffering from OCD and panic attacks. Paroxetine prescribed. Already taking roaccutane. Can I take these medications together?" }, { "from": "human", "value": "Hello doctor.I am 23 years old.I have OCD and panic attacks.Yesterday i went to see a psychiatrist and he gave me paroxetine 10 mg to take daily.But am also following roacctuane treatment.Will there be any problem while taking the 2 medecines?And i read on the net that paroxetine increases weight even thouvh you execises a lot and eat healthy.Is this true?Because i don`t want to gain weight.I exercise but not daily.Please help me.Thanks in advance!!" }, { "from": "gpt", "value": "Hi there ~ Paroxetine may have the side effect of weight gain due to increase in appetite. However there are other SSRIs (Selective Serotonin Re-uptake Inhibitors) that can be used to treat OCD and panic attacks. To answer your other question, I checked if there is an interaction between roaccutane and paroxetine. You have no problems with using the two medications together. I hope this reduced your anxiety about medication interactions. Wishing you the best in health ! Take care." } ]

[ { "from": "system", "value": "Red dot like rashes on upper thighs. Have eczema and dry skin. Stress related?" }, { "from": "human", "value": "Hi there...I ve never done one of these before...but I have this strange purpley red dot-like rash on my upper thighs. I am a 15 year old female with eczema and fairly dry skin . I have gotten this dot-like rash thing for the last two years..mainly in the fall and winter. It comes and goes faded out and returning. I initially thought it was stress related, but now I am really unsure. Any help or advice would be greatly appreciated. Thank you. Have a nice day." }, { "from": "gpt", "value": "Hi there ~ What you have in the form of skin rash seems to be a dermatological (skin) condition that needs expert advice with treatment. I suggest that you visit your dermatologist (skin doctor) as soon as you can to have yourself checked out. Best wishes in good health to you. Take care and have a nice day !" } ]

[ { "from": "system", "value": "Tummy cramps, sickness, shakes, blurred vision. Stressing out. What can I do?" }, { "from": "human", "value": "I had my breakfast this morning, lunch at lunch time then a snack...about 20mins ago I got bad tummy cramps , sicky feeling, shakes and blurred vision . I get this feeling often, it usually feels like I m about to pass out but if I dive for the chocolate/lucozade quick enough it usually passes off within 10minutes. It s clearly not hunger as I m eating plenty. I have noticed that recently I m not sleeping as well I should be; I struggle to sleep but once I m asleep I can t get up..I have to set 5 alarms in the morning for work and am late regularly. It s all just stressing me out. What s up with me?" }, { "from": "gpt", "value": "Hi there ~ symptoms such as yours i.e. eating something and subsequently having cramps, having a sickly feel, shakiness and blurred vision seem to me like they are related to a gastrointestinal condition. Feeling of passing out or passing out after food also needs medical attention. I suggest that you see a gastrointestinal (GI) physician. However, if it is stress and you need to elaborate on the kind of stress please feel free to do so here, I may have answers for you. Alternatively, speak with a psychiatrist or psychologist about your stressors. I hope this helps. Take care and have a good day !" } ]

[ { "from": "system", "value": "Can intercourse with multiple partners cause roughness on the penis?" }, { "from": "human", "value": "my boyfriend and i have sex maybe twice a month. He does masterbate maybe 2-3 times a week. I do suspect some infidelity. last night i did perform oral sex and felt that his penis felt abrasive only while performing oral. Can this be from him having sex with another partner? He states he is having no pain or irritation, but i felt the abrasiveness in my mouth.." }, { "from": "gpt", "value": "Hi, There is a 50% possibility. It can be a simple fungal infection due to hygiene issue makes you feel the change in the skin. It can be an infection from another person too. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Suffer regularly with attack like feelings, hang over, nausea, dizziness, head pressure. Normal results for all tests. Cause?" }, { "from": "human", "value": "Hi, i have been feeling ill for the past 10 months, having had ct scans done on my heart also ecg & x-ray & nuclear scan plus stress test, they were all fine, ct on head, ct on abdomen, an endoscopy , all were fine. Still i suffer daily from attack feelings like, waking up feeling hung-over, Nausea, dizziness/ vertigo feeling, pressure in my head then that on-sets aniety feeling" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. It is possible that the episodic symptoms which you are experiencing could be indicative of panic attacks. Panic attacks can manifest with a variety of physical symptoms like dizziness, vertigo, nausea, heaviness of the head, chest discomfort, etc. Anxiety can manifest itself with not only psychological symptoms, but with physical symptoms also. Since all medical tests have been negative and since these symptoms seem to be quite distressing to you, I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Brother remembers previous birth. Can foresee incidents, most of the times right. Unable to study, work. Solution?" }, { "from": "human", "value": "Hello sir. I hvvv a major difficulty that my brother says that he has remember his past born nd he want to meet them.he has also proof but his past father is famous plliticin of india so how can. It possible?nd other matter is that he consist nstural power like aura..he can see the incidence which occurs so far..like accident tererrist attack,sport matches. Life of other plannet etc..nd we observed that 75% he spoeak right..but because of this power he can t study nd joinother prrofession..we r in so confusion..so plz guide me what should we do?" }, { "from": "gpt", "value": "Hello ~ It would seem like your brother is suffering from delusional disorder a form of psychosis. It would be helpful to consult a psychiatrist as soon as possible." } ]

[ { "from": "system", "value": "Recurring anxiety, high BP after stopping medicines with hand pain and shortness of breath. Help?" }, { "from": "human", "value": "hi doctor this is ashok i suffered with anxiety from last 4 years,3 years back my bp levels also raised ,when i consult doctor he suggested to take metaloar xr 12.5 and paxidep cr12.5. i took them continously 6 months later i stopped taking medicine.recently 3 months back i feel same feelings when i consult more than 3 doctors they suggested clonafit 0.25 for 10 days but i dont have any change .i have feelings like lefthand pain,shorteness of breath. pls help me" }, { "from": "gpt", "value": "Hello ~ Feelings of left hand pain, shortness of breath may be related to psychiatric disorders. However, I would like for you to clear all the non-psychiatric symptoms first and then go on to see a psychiatrist. I hope this helps." } ]

[ { "from": "system", "value": "Loss of sleep, mood swings, lost job. How to attain better mental health?" }, { "from": "human", "value": "i lost my job back in october and have not been able to sleep properly since few hours here and there ,im always active through the day as i have a two year old boy ,and my moods are up and down like a yo yo which is not good as i dnt want to be a bad dad to my son and its getting to me ,anyone knw what this could be or have any ideas of what i could do thank you" }, { "from": "gpt", "value": "Hello........ Thanks for your query. I understand the difficulties you are undergoing currently. It is possible you are suffering from adjustment disorder following loss of job. Hence, i would suggest you undergo a thorough psychiatric evaluation following which appropriate medication like antidepressants/mood stabilisers and psychotherapy (eg cognitive behavioural therapy) can be tried that is likely to benefit you. Hope you found the information useful. Regards Dr Sundar Psychiatrist" } ]

[ { "from": "system", "value": "Nauseated after fast food, sweating, strange colors in vision. Borderline hallucination? Delirium?" }, { "from": "human", "value": "So Wednesday night I had some fast food, about an hour and a half after I finished I began to feel nausea . So I went to sleep early to rest it off. An hour and a half later I woke up and vomited, and I did so two more times after that. That night consisted of waking up many times sweating so much my clothes and sheets felt wet, other times parched and thirsty as heck, and a sensation I can only imagine would be labeled delirium . It was borderline hallucination , and I couldn t get up and reach my cup of water, not because I wasn t able to, but because in my own mind my sheets wouldn t let me. It was a bizarre sensation with strange colors in my vision as well. Since then I haven t had an appetite to eat and I have a constant sloshy feeling in my stomach that makes me feel like eating would only make it worse. It s probably noteworthy that I had an upper respiratory illness clear up about a day before. Also two days before that my wisdom teeth were removed, so there s that as well. The pain has yet to subside and I ve lost nearly 10 pounds. It s now Sunday, 4 days after that illness and I still feel no hunger at all. I m just wondering if that is my body saying take it easy or not. I ve had a stomach bug before and it usually improves immediately after I vomit. This is just been a constant uneasiness sense then." }, { "from": "gpt", "value": "Hi there ~ You seem to have had a bout of food poisoning during the night that you had some fast food. I would also think that you may have had food laced with some kind of hallucinogen by the description of visions that you mention, although this could happen in electrolyte imbalance that happens commonly when you have that much vomiting and are not replacing it with an isotonic solution. I would avoid the fast food that you had but would also consult a doctor if the problem persists. Take care." } ]

[ { "from": "system", "value": "Been sexually active, missed period, PT negative, stressed. Suggest?" }, { "from": "human", "value": "hi. im just concern about my period cycle. i ve have my period regularly since i became sexually active. but last dec.11 i didn t have my period. after 10 days of missed period i took a Pregnancy test and it says negative. after 25 days of missed period i had PT again and it says negative. In short i didn t have my period last december. I was expecting to have it this january coz the PT is both negative but it s already the 13th and still doesn t have my period. I took a test again the other day and it still says negative. hope you can help me figure it out. it s becoming a stress now coz my husband and I are just starting and we re not really planning a baby anytime soon. thanks." }, { "from": "gpt", "value": "Missed periods with negative pregnancy tests are common. They may be related to stress and anxiety. However if you have other symptoms related to periods and/or do not have a period during your next cycle, it may be appropriate to get an pelvic ultrasonogram done. It may also help to consult a gynecologist before seeking professional psychiatric help. I hope this helps. Take care." } ]

[ { "from": "system", "value": "Numbness in hands, feet, tongue, cold, pain in vagina, anxiety, depression. Treatment?" }, { "from": "human", "value": "My hands, feet , and tongue feel numb and tingle. Its been cold and it hurts so bad. My neck also feels tight and it hurts when I move it certain ways. I noticed the numbness has spread to my vaginal are.my doctor said I have high anxiety and depression. And postpartum depression . He gave me pills. But they made me feel so sick. Please help me. Iss it really what he said?..." }, { "from": "gpt", "value": "Hi there ~ It seems like you are suffering from multiple sclerosis or a form of neuropathy. These disorders usually tend to get worse with depression. I suggest that you consult a neurologist and subsequently a psychiatrist to help with your condition. I hope this helps. Take care." } ]

[ { "from": "system", "value": "Suffering from bowel irritability, cold, weakness, depression, anxiety. What does it sound like?" }, { "from": "human", "value": "I have lots of problems. I always suffer from various illness every now and then i.e. bowel irritability , coldness, weakness, over or less sleep,depression, anxiety, almost no- sex- drive, nervousness together with frequent urination and bowel etc. which doctor should I consult with? NB: Few problems were found with hormone and I took medicine for that but no improvement." }, { "from": "gpt", "value": "Hello...... Thanks for your query. I understand your concern with a myriad of symptoms in various body systems. However, many of your symptoms seem to have a psychogenic origin i.e either depressive/anxiety-related. Hence, i would suggest you undergo a thorough psychiatric evaluation first and foremost. For your information \"irritable bowel syndrome\" is a famous psychiatric entity. Hope you found the information useful. Regards Dr Sundar G Psychiatrist" } ]

[ { "from": "system", "value": "Have common cold, breathing trouble. Twitches of the eyelids. Due to stress and anxiety?" }, { "from": "human", "value": "I am 24 y/o female with no known illnessness besides the common cold . For about 6 months now, I have had trouble breathing . It feels as if the upper portion of my lungs wont expand. Breathing through my nose , I feel as if I cant get a deep enough breath so I resort to taking very deep breaths out of my mouth once in a while. I also have been getting extremely flushed in the face. It feels like my face is on fire but the rest of my body temp is regular. My eye lid twitches on occassion as well so I thought I could have a mild form of anixety or alot of stress . Is this anything serious or should I just try to relax?" }, { "from": "gpt", "value": "Hi there ~ Relaxation may help with anxiety and stress. There are different forms of relaxation and assuming you are well aware of those and have been using those strategies to overcome your anxiety problems, and they are not helping, I would suggest that you consult a doctor. A pulmonologist would be the person to go to, to have your breathing problems addressed. The twitches though seem to be a tic disorder, exacerbated with anxiety. Hope this helps. Take care." } ]

[ { "from": "system", "value": "Child has stomach infection, also autistic. How does one detect autism at a young age?" }, { "from": "human", "value": "Hi doc, my daughter aged 2 years and 7 months has not started speaking full sentences, she speaks few words like , mumma, papa, dada, didi etc. few days back i took her to a doc cos she was suffering from stomach infection, i asked the doc the reason why she has not started speaking yet. doc observed my daughter for a while and told me that she is suffering from autism . although he said that he is not sure and recommended me to consult a child physicrist. i want to know what are the specific reason of my daughter being suffering from autism. i am very tensed and needs your advice." }, { "from": "gpt", "value": "Hi there ~ To answer your question I have added a link here from the American Academy of Child and Adolescent Psychiatry (AACAP) which has facts for families (in many languages) that have children and adolescents with problems similar to yours. I hope this helps. It may also be helpful to find a child psychiatrist that is able to treat your child for specific symptoms locally. Take care." } ]

[ { "from": "system", "value": "What causes pimples on the penis shaft?" }, { "from": "human", "value": "Hi...i have a fleshy red pinple on two spots on my penis shaft...i went to hospital and i received antibiotics two days ago..they didnt test me because they said they didnt think it was an std...what could it be...its been there for about two months and it started out small and white" }, { "from": "gpt", "value": "Hi, Pimples appearing after shaving can either be allergic reaction or foci of folliculitis. If you upload a good quality picture, that can help me in differentiating the two. You have a feature to upload the reports/image by yourself at the right side of the query page, please utilize that so that I can answer your queries better. Allergic pimples will be filled with clear fluid or no fluid at all. This need not any treatment if asymptotic and will resolve its own in a few days. Anyhow, an antihistamine like levocetirizine and steroid creams will speed up recovery. Pimples from folliculitis are usually filled with yellowish fluid/pus. If this is not associated with pain/surrounding edema/redness, this just needs draining the pus with a clean needle and applying antibiotics creams (like mupirocin or povidone-iodine). Otherwise, we will need an oral antibiotic too, for which your doctor will guide you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon" } ]

[ { "from": "system", "value": "Suffering from depression. Taking BP medicine and lexapro. Chances of getting mental disease?" }, { "from": "human", "value": "Hello. My name is Cathy my husband lost his job as a cpa in may and since then has had major mood swings from depression to rages of mania throwing fits etc. He is normally a very quiet person son of a preacher and is spiritual. I work as a resp therapist, registered sleep technologist and eeg technologist. He has gone to see his family md and was started on bp meds and lexapro . It does help but the rages still come and go in a cycle of like every two to three weeks. I think he has bipolar but I cannot get him to a psych. Do you know anyone or have a opionion for us. We have to kids 9 and 11 and I do not want them repeating him. 13 yrs ago when we married he was not like this. This has just surfaces the last year. He is 47 and to me he is a late blummer. He lived at home until marrying me at age 36. Any help appreciated. thanks in advance cathy thanks I do not feel I need to pay since I work closely with a neuro MD. I was just looking for an outside opinion. I truly feel I have the right answer just need to go from here.thanks for your website and offer for others that do not have MD s readily at their disposal.cathy" }, { "from": "gpt", "value": "Hi there ~ It seems like you have the answers to your own questions. However, I would like for your husband to have a consultation with a psychiatrist, since bipolar disorder would require him to be on mood stabilizers rather than/in addition to an anti-depressant. I wish you the very best. Take care." } ]

[ { "from": "system", "value": "Hypothyroidism, diabetic, dealing with anxiety, severe stress, have palpitations. Do I need to worry?" }, { "from": "human", "value": "I am 63 and have a heart rate of 108.. I have been under much stress lately and have a problem with anxiety . I am pre type two and also hypo thyroid patient. My endo doctor did increase my synthroid a while back and I am wonder if I am getting to much. I have also been having some palpitations which I also can have if I am getting too much synthroid. I have know pain but I have had a virus this week that really put me down. I think I am answering my own question!LOL! I need to get my thyroid tested and see the doc. Do I need to worry about my HR of 108.. my blood pressure is 118/77" }, { "from": "gpt", "value": "Hi there ~ The symptoms and their chronology suggest that you probably are getting a little too much of your thyroid hormone. It may be a good idea to get your Thyroid Function Tests (TFTs) done as soon as possible. Your blood pressure is also related to stress and high thyroid levels, if the case might be. Hope this helps. Take care." } ]

[ { "from": "system", "value": "Weight gain after taking elleste solo though improvement seen in hot flushes and mood swings. Will weaning it prove beneficial?" }, { "from": "human", "value": "I have been taking Elleste Solo 1mg for 3 months and have gained over a stone in weight! Although my symptoms i.e.: hot flushes and mood swings have improved the weight gain is making me feel depressed and miserable. Can I come off of the Elleste and see how things go and try and exercise more and change my diet to improve my symptoms rather than taking the Elleste." }, { "from": "gpt", "value": "Hi there ~ You seemed to have answered your own question. However it may be prudent to consult your gynecologist regarding going off of hormone replacement therapy. Take care." } ]

[ { "from": "system", "value": "What could be the cause of body temperature reading of 95 related to stress, anxiety, anti-larceny?" }, { "from": "human", "value": "A Licensed Clinical Addiction Counselor (LCAC) is teaching a four-phase program titled A Game Plan in his anti-larceny class. In this class, the LCAC gives each student a hand held thermometer and instructs each to hold with index finger and thumb for reading. The LCAC states that by phase four, each student will be required to hold the thermometer and the reading must be 95 degrees or student will be dismissed. My question; do any of you know of and explain how a body temperature reading of 95 degrees is related to stress, anxiety, or anti-larceny? If so, I would like to research this topic for an understanding of how this four-phased class obtained a State certification to become a court ordered requirement of a diversion agreement. Thanks so much!" }, { "from": "gpt", "value": "Hi there ~ I am unsure of how a person could reduce his/her body temperature to 95 F. However there are treatments for anxiety and stress that can be found on the website for the American Psychological Association at: I hope this helps. Also larceny is more of a criminal matter and how anti-anxiety measures would be of any use may be answered by a forensic psychologist / psychiatrist in your case. Take care." } ]

[ { "from": "system", "value": "Body becomes numb and heavy breathing upon getting angry. Why is it happening?" }, { "from": "human", "value": "i usually never get angry and i m good at keeping feelings to myself, but when i do get really angry to a point where i need to express it i tend to tear up, breathe heavily and squeeze my hands in a fist really tight to a point were my body starts to tingle or become numb. Why does this happen? A friend told me it could possibly be because i hold in my emotions to often." }, { "from": "gpt", "value": "Hi there ~ Getting angry in itself may be manifested by tearing up, breathing heavily and sqeezing hands in a fist form as well as your body becoming tingly and numb. These are all somatic symptoms (or bodily symptoms) which are a response to your internal emotions (anger in your case). I would recommend that you practice relaxation and breathing exercises. Yoga and pranayama have also evidence base for relief of anger and related issues. Take care." } ]

[ { "from": "system", "value": "Scared to eat in front of people, anxiety. Had a choking incident in the past. Need to come out of this fear" }, { "from": "human", "value": "A couple of months ago I was in a social event, I started choking on a small food particle, luckily after a traumatic of choking for couple of seconds. I have become scared to eat in front of people and scared to eat, every time I eat i become anxious and especially in front of other people. How can I overcome this fear?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query.It is possible that a very socially embarrasing or traumatic event can trigger a social anxiety. Now, it is good that you have been able to recognize your symptoms early and have sought help. It is important not to avoid social situations or eating outside due to this fear or anxiety, since this avoidance will only end up reinforcing the fear.I would suggest that whenever you get such anxious thoughts, you can practise relaxation techniques like deep breathing or try distract your mind from such thoughts. If you learn to counter the anxiety using these techniques, without avoiding or escaping from such situations, then soon the fear and anxious thoughts will subside. In case the problem is persistent or worsening, please seek professional help from a psychiatrist.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist" } ]

[ { "from": "system", "value": "Had unprotected sex, have PMS, no sign of period. Is it stress delaying period?" }, { "from": "human", "value": "Hi I m 19 years old and when I was younger I ve had an Irregular period but as of now I ve been pretty normal. Last month I was late and I wasn t too worried although I am having unprotected sex with my bf. I m the type of girl that if I m stressed out or if I m having anxiety my period will be gone in two seconds. I m late this month also and before I was supposed to start I was having really strong PMS symptoms..there s been a lot of family drama and just stress in general. Do you think that s why I m late or why I missed my period? I m having suffer abdominal cramps and sometimes I don t feel like eating and I m dizzy and just sickish in general. Please someone help." }, { "from": "gpt", "value": "Hello, , I am Dr. Das Look, whatever the story is, the basic thing what you have to do is to do a home pregnancy test. The next step is to be decided depending upon the test result. I think, you have missed your period. There is very high chance of pregnancy. REgards." } ]

[ { "from": "system", "value": "Suffering from stress and depression. Looking for suggestion" }, { "from": "human", "value": "hi doctor, i have been under sever post marital stress , essentially because of 2 families not getting aligned. More so because my wife refuses to understand or even discuss these. I have because of this physically injured myself on various occasions, which brings temporary relief. Even thoughts like suicide comes to my mind, but because I understand the plight it may leave on the people left behind, refrain myself from doing anything stupid. Please suggest what to do?" }, { "from": "gpt", "value": "Hello Mr Rishi...... Thanks for your query. I understand the difficulty you are going through. I would suggest you to contact a psychological counsellor skilled in marital counselling/ family therapy to try and bridge the differences as the family at present seems to be dysfunctional. Interpersonal psychotherapy focusing on role transition or disputes needs to be attempted. There is a possibility of the current adjustment disorder progressing to full blown depressive disorder and hence i would suggest you try the above measures as early as possible. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Feeling weak, lazy and mentally disturbed. Any guidance?" }, { "from": "human", "value": "I am feeling very weak, lazy, no inspiration to do anything just want to sit, my thoughts are not steady i can think anything for just few mints and can go elsewhere thinking something entirely different...please help me i lost my job also because of this lack of inspiration and motivation to do anything even to work for living." }, { "from": "gpt", "value": "Hello, and thanks for posting, From your description you are suffering from Humor disorder which is a syndrome of depression. You will need to visit a psychotherapist or a psychiatrist for proper assessment and counselling. You might require antidepressive medication such as tricyclic antidepressants. All you will need is the will to move out of your present state and live a healthy and happy life. If you are the type that is not very sociable, you should learn to start going out and hanging/talking with friends and family members. That will be a good place to start. You might also need to choose a job that you enjoy doing and that makes you derive pleasure from it. I strongly suggest you consult with a psychiatrist. Hope this helps" } ]

[ { "from": "system", "value": "Why does a person wake up in the middle of the night and do strange things? What is it?" }, { "from": "human", "value": "HI JUST WANT TO ASK A QUESTION ABOUT MY HUSBANDS SLEEP PATTERN HE DOESNT SLEEP MOST OF THE NITE HE WOULD GET UP OUT OF BED AND WALK AROUND THE ROOM SEARCHING FOR THINGS SOMETIMES HE GOES DOWN STAIRS AND BRINGS FOOD UP TO THE ROOM AND EATS IT ALL WHILST SLEEPING HE WOULD SOMETIMES REMOVE MY PAJAMAS LAST NITE HE WAS UP AT THE WINDOW TRYING TO OPEN IT IS THERE ANYTHING U WOULD SUGGEST THAT HE COULD DO TO STOP THIS" }, { "from": "gpt", "value": "Hi there, your husband seems to be suffering from what is commonly known as sleepwalking and sleep eating. Technically they are called somnambulism and are a group of sleep disorders known as parasomnias. It would help to develop a good sleep hygiene and avoid any habits associated with loss of sleep at night and daytime sleeping. Good sleep hygiene handout at this website is helpful - . It might also help to consult a doctor if none of these suggestions seem to improve sleep. I hope this helps." } ]

[ { "from": "system", "value": "What causes lack of concentration after ejaculation?" }, { "from": "human", "value": "Hi I'm a 24 y.o. male,healthy and in good physical shape. My Problem is that after ejaculation by means of a wet dream or masturbation I have a lack of concentration. Basically, for 5 to 6 days it becomes extremely difficult to concentrate on anything, I simply cannot sustain a train of thought to think things through. I become extremly absent minded. This makes it difficult to read, hold conversations, follow lectures, take tests, remember things, and learn things. I feel extremly tired and jittery, both physically and mentally. I also become depressed Its like being totally burned out. Its having a huge affect on my life. I would like to know what causes this and how to treat it?" }, { "from": "gpt", "value": "Hi, It can due to vitamin deficiency - taking proper and also check for vitamin deficiency from a good laboratory. Masturbation is another way of sex, so you may have a similar issue if you have sex too. It is better you can start your yoga so can do both masturbation and get concentration on things. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Was raped previously. Suffering from PTSD, major depression, anxiety, OCD, bipolar, fibromyalgia, CFS, IBS, arthritis, bursitis. Self-bite in sleep. Suggestions?" }, { "from": "human", "value": "I already typed in my query. As to your questions, I am 53, 5 7 , 180lbs (after losing 150 lbs with surgery, drugs, fad diets, etc.; just prayer) and have gone from a 32Plus to a 14Misses. I am on disability after being raped for the 4th time in my life 10 years ago. I am being treated for, among other things, PTSD, major depressive disorder , anxiety disorder, OCD, and bipolar I as well as fibromyalgia, CFS , IBS, arthritis, and bursitis . I was a practicing attorney at a renowned law firm when the last rape occurred. I developed tardive dyskinesia 2.5 years ago after a series of hospital stays. The injury about which I am inquiring was the result of a self-bite in my sleep several weeks ago. I have an appointment with my PCP toward the end of the month but I have the two listed questions in the interim." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. In the Public Forum, it is not possible to ask follow up questions. So, I'm sorry to inform you that I am not be able to view or access the questions which you have listed in your previous post. It may have been answered by some other doctor on the forum. If you would like to ask follow-up questions or clarifications after your initial query, please use the premium service. I understand that you must be going through a difficult time due to your multiple problems. But since I don't know what your specific queries, I can only give you general advise for your problem based on the brief information you have posted here. Self-biting during sleep can be due to a condition called bruxism. There can be various causes for this and psychological stress is one of the most important causes. So, if you are having this problem repeatedly, I would suggest that you have a detailed evaluation to find out the possible cause. If you are having difficulty handling your multiple psychological problems, I would suggest that you consult a psychiatrist for further treatment. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Experiencing bad mood swings, always had a non-stressful attitude. Cause of change?" }, { "from": "human", "value": "i am 49 years old and have started having bad mood swings. i have always been happy go lucky, laughing never stressing. now i am ready to bite anyones head off for no reason and find myself getting depressed for no reason. then the next day or two i am fine. then after a couple of days i am back to biting heads off. lucky ia can usually bite my lip and walk off before i hurt anyone feeling. but i was never like this before. any idea." }, { "from": "gpt", "value": "Hello, Thanks for choosing health care magic for posting your query. From the description that you have stated it appears that you are suffering from a mood disorder like cyclothymia or dysthymia . Some times it can also be a personality disorder. For the problems such as these, you need to consult a psychiatrist who can evaluate you in detail and discuss with you the treatment options - both psychotherapy and pharmacotherapy. Hope I am able to solve your concerns. Wish you good health" } ]

[ { "from": "system", "value": "Light sweats, numb hands, depressed due to stomach bug lasting for long. Is anxiety taking over?" }, { "from": "human", "value": "I came down with what seemed to be a stomach bug a month ago. I had a panic attack (I think) on the second day. The whole illness has been very draining and put me in a bad mood most of the time. It s just wearing off but the whole experience has left me rather down and depressed with anxiety of the bug or another illness returning. I ve had a lot of time on my own which isn t nice when you re ill and down. I ve also woken in light sweats and with completely numb hands. Is anxiety taking over? I ve never had troubles with it before. Many thanks" }, { "from": "gpt", "value": "Hello, Thanks for choosing health care magic for posting your query. From the description that you have given it appears that you are having an anxiety disorder. You need to consult a psychiatrist who can assess you in detail about various issues. If you are diagnosed with depression or anxiety, I am sure he can use various psychological or pharmacological ways to help you out. Hope i am able to solve your queries. Wish you good health." } ]

[ { "from": "system", "value": "Extreme Dizziness, taking medication for stress and depression. Cause for dizziness?" }, { "from": "human", "value": "I experience extreme dizziness at the same time every day, it feels like my head is spinning, similar to drunken dizziness but I do not drink at all. It gets so bad that I have to lie down, sometimes for hours and it makes me feel very sick. I take zopiclone and olanzapine for post traumatic stress disorder as well as fluoxetine for depression which I have been taking for years but the dizziness is new." }, { "from": "gpt", "value": "Hello, Thanks for choosing health care magic for posting your query. Dizziness can be a psychological symptom, but then you have to rule out the physical reasons for this dizziness. You need to see an ENT specialist who can examine you for vertigo. You may be advised a few tests that will confirm the reasons about the vertigo. Hope I have answered your query. I will be more than happy to help you if you need any further clarifications. In case if you want to discuss with me directly you can use the link: Wish you a good health!" } ]

[ { "from": "system", "value": "Had a panic attack, breathlessness, heart skipping, painful chest, swollen lymph nodes. Am I just hypochondriac?" }, { "from": "human", "value": "Hi. im 22 years old, male. 3 years ago i had my first panic attack, i wasnt able to breath properly. 1 year later (and after maaany panic attacks) i felt my heart skipping a beat. 1 year later (actualy before 9 months) i had a painful panic attack. with pains at my chest and back. and my heart started skipping beats again. since then, when i start thinking i have sum kind of desease, i start feeling the symptoms. most extreme was that, when i read in a magazine about lemphoma, i felt like my lymphnodes got swollen. (the same night) and now, 2 months now, i can feel my lymphnodes -by touching them- on my neck and groin . Can someone please tell me if hypochondria and anxietty can couse enlargment of lymphnodes (they are around 1cm now -3-) ? thank you!" }, { "from": "gpt", "value": "Hello, Thanks for choosing health care magic for posting your query. An enlarged lymphnode can occur due to many many different reasons and most of the reasons are very trivial. Even a simple pharyngitis or ulcer in mouth can also cause increased sizeof the lymphnodes. Lymphoma comes very down the order. Considering you previous history of anxiety disorder, you shouldn't worry much and start taking treatment for the anxiety by visiting a psychiatrist. Coming to your specific question: No! Anxiety and hypochondriasis doesn't cause an enlarged lymphnode! Hope I have answered your query. I will be more than happy to help you if you need any further clarifications. In case if you want to discuss with me directly you can use the link: Wish you a good health!" } ]

[ { "from": "system", "value": "Been dizzy, lasts a few hours, unable to do any task, ears and face gets red. Help?" }, { "from": "human", "value": "I have major anxiety and fear about beig dizzy. I have een dizzy a few times in my life and now it seems to be back. I get dizzy when I move my head down but it s not bppv because it only lasts like a few hours n it doesn t last days. Everyday I wake up worrying I I will e dizzy and I can t do anything without thinking about. Could. The worrying about being dizzy actually cause me to be dizzy? My fa e and ears get rely got and red too sometimes." }, { "from": "gpt", "value": "HI I have gone through your mail and as you said that you had faced few episodes of being dizzy in your past and type of tendency you are again suspecting. As you said that you are not having B.P.P.V.You have asked weather just thinking about dizzy may cause dizzy? For your this question I would like to say YES, because psychological factor are also included in the list of causes of vertigo.But as for as diagnosis is concern we should rule out other causes of vertigo and if no pathological cause could be detected than only one may think about psychological vertigo.You are advice to go for these basic investigations like- (1) E.N.G., (2) C.T.scan head with comments on C.P.angle, (3) Audiometery - pure tone & impedance. After this you should go for physical examination by Physician, E.N.T.specialist, Ophthalmologist and lastly Cardiologist and clinical co-relation of recmonded investigations to find out cause of your dizziness." } ]

[ { "from": "system", "value": "Hyperactive, irritable. Taking epilum, seroqual mood stabilizers, stopped. Withdrawal symptoms?" }, { "from": "human", "value": "Hi. I would really appreciate if some one could he ll me with this. I used to be on a lot of mood stabilizers but my doctor felt I was on too much of the same things. Since November last year I came off 800mg of Epilum and 100mg of Seroqual. My doctor says I m still irritable and hyperactive because of the withdrawal. After this time period is it still possible? Many thanks" }, { "from": "gpt", "value": "Hello, Thanks for choosing health care magic for posting your query. Withdrawal symptoms from november to january is a bit unlikely. If you are having bipolar mood disorder, then you are prone to develop anxiety disorder as well. You should visit your psychiatrist and insist him to add up a benzodiazepines untill you recover with your symptoms. CBT will also help you a lot. Take proper diet and plenty of exercise. Hope I have answered your query. I will be more than happy to help you if you need any further clarifications. In case if you want to discuss with me directly you can use the link: Wish you a good health!" } ]

[ { "from": "system", "value": "Get stressed easily, head feels like exploding, failure in exams despite of efforts. Is there a way to relax?" }, { "from": "human", "value": "I don t really know what my problem is.. I get stressed out so quickly--so easily at almost everything. I m going to be graduating from high school this summer and everything leading up to this point has my head feeling like it s going to explode every day. I put off my college search because of fear to go, and because of that, I ended up applying to so many places now I just can t keep track. I studied so hard for my SATs and failed. Failing has become a trend ever since. Before the SATs, I felt motivated to study, to actively do my work. Now, despite how hard I try, I fail. I feel that I m failing at literally everything I do now. I can t pass an AP Biology test. Despite my hours of reading and taking notes, it doesn t work. There s so much to this college application process I want to stop. I get so stressed out I can t think about trying to finish my homework. I have a 10 page paper due Friday and I haven t decided my topic. I m tired. I don t want to do anything. I just want to sleep and pretend that college isn t happening for another 4 years. I don t really know what I m asking for. Is there a way for me to be relax about it and believe that everything happens for a reason because honestly, at this point, that sounds like bologna. Will I ever be as laid-back as I want to be?" }, { "from": "gpt", "value": "Hello, Thanks for choosing health care magic for posting your query. From the description that you have given, its although difficult to comment on with confidence, but it seems that you may be having depression at this point of time. Your symptoms of hopelessness, sadness, not interested and reduced pleasure are all suggesting the diagnosis. You should consult a psychiatrist who can guide you on these issues. He will conduct an interview and then train you in some behavioral therapies and also prescribe you certain drugs that can make you feel better. Hope I have answered your query. I will be more than happy to help you if you need any further clarifications. In case if you want to discuss with me directly you can use the link: Wish you a good health!" } ]

[ { "from": "system", "value": "History of regular masturbation. Loss of memory, difficulty concentrating. Help" }, { "from": "human", "value": "hai doctor i am 21 years of age i started masturbation at the age of 12...... i was not aware about the after efffects till nw......but wen i look at the after effects in google i could find that i am experencing most of that...... the main problem is my nervous system ....loss of memmory ,,,,lazzinesss to study,,,,cant remember.....grasping power becoming low....etc... can u help me.... i am enginering student nd have lots to study...but nw i cant...pls pls pls help me.....suggest me some remedies other than medicines to overcome this.....pls" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Masturbation is considered as a part of normal human sexual behaviour and is very common among young males in their teenage. It does not have any bad effects on health and does not lead to any medical problems. Some people have many wrong ideas about masturbation - that it causes ill effects on health like nervous weakness, reduced energy, etc or sexual problems like impotence in the future. All this is not true and these are just myths and misconceptions. So, the problems which you are experiencing are not due to your masturbation practice in childhood. Regarding your problems, I would advise you to see a psychiatrist for a detailed psychological assessment and further management. Wish you all the best. Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Breathlessness, left arm pain, cold and hot flashes, white spots in vision. Due to anxiety and depression?" }, { "from": "human", "value": "Hello doctor I had short of breath and my left arm was uncomfortable and I couldn t speak and I was having hot and cold flashes and shaking and white spots in vision I called emergency they came checked me and told me nothing was wrong and I told them to take me to the hospital they did blood work everything was ok and went 3 more times to the emergency and done more blood work and everything was ok I went to my family doctor and told me its anxiety and depression" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you must be going through a difficult time with your undiagnosed symptoms. Now, you have mentioned clearly that all medical examinations and tests have turned out negative. In such cases, one of the most likely possibilities to be considered is an anxiety-related disorder. It is important to understand that anxiety can present with not only psychological symptoms but also with physical or somatic symptoms. Shakiness, shortness of breath, and other vague bodily sensations like tingling, hot or cold flashes, etc. are symptoms which are commonly seen in anxiety disorders. I would suuest that it would be worthwhile to consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Suggest remedy for swollen foreskin infection" }, { "from": "human", "value": "About one year ago I had a bad yeast infection due to heavy antibiotics. Now every few months I have the same symptom. My foreskin from time time becomes swollen and it looks like I have small little cuts . My tip is itchy. What can I take since I don't have medical insurance. I'm 36, male 240lbs no medical history." }, { "from": "gpt", "value": "Hi, Since there is itching it can be due to fungal infection and small cuts can be due to dry skin caused by phimosis. Sharing a picture will be helpful for better understanding. Using antihistamine and local steroids can help you for itching. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Child suffering from autism. Fell on right arm, unable to lift. X-ray normal. Neurological?" }, { "from": "human", "value": "My daughter is autistic she fell on her right arm at daycare, they didn t think she hurt herself. We had x rays and everything appears to be fine. She can t lift her right arm, she can move her fingers tho She helps get arm with her other. she appears to not be in pain and also doesn t cry when any part of her arM is touched could this be neurological?" }, { "from": "gpt", "value": "Hello....... Thanks for your query. I do understand your concern for your child. It is definitely possible that your child could have developed a neuro/vascular deficit following the fall. Being an autistic child she would have difficulty in expressing the symptoms as well making assessment difficult. Though x-ray is normal, i would suggest you visit a neurologist/orthopaedician for an opinion on the same. Hope you found the information useful. Regards Dr Sundar G Psychiatrist" } ]

[ { "from": "system", "value": "Depressed, anxiety disorder, relief with medication. Getting serious night dreams. How to overcome this problem?" }, { "from": "human", "value": "Sir Iam having frequent dipression disorders .I consulted a pshychologist and started taking drugs. many drugs didnt worked for my.Now a drug started working and I felt some relief from my problems.I think there is no specifict reason for my anxiety disorder .Now when it felt some relief Iam having serious night that felt sometimes when I immediately felt sleep and it comes.when it occur my mind know that it is a dream but I cant get it...off...I need to make a sound in that dream to wake up...plz...plz...suggest me some cure...." }, { "from": "gpt", "value": "Hello....... Thanks for your query. Depression and anxiety may have both conscious and unconscious origins. Hence you cannot always pinpoint a reason. It is encouraging to note that you have improved with medication. What i would suggest is to consult your psychiatrist to prescribe a long acting benzodiazepine like clonazepam that would tackle the problem of intermittent nocturnal awakening associated with night mares. Also avoid consuming carbonated drinks/tea/coffee post sunset and keep your place of sleep comfortable. Hope you find my suggestions useful. Regards Dr Sundar G Psychiatrist" } ]

[ { "from": "system", "value": "Constant broodiness, difficulty in taking decisions. How can I fix this?" }, { "from": "human", "value": "hai. i m a student of age 22.actually maximum time i always stay in a unminded condion.i always feel that i m soo..deeply busy in me. some times when i see myself i can t believe that its me. don t know why.i can t able 2 take decision of mine.when some one saw me he thought that i m thinking. 4 that i feel soo... sad. can u help me" }, { "from": "gpt", "value": "Hello, Thanks for choosing health care magic for posting your query. From the description that you have given, there could be various possibilities of what might be wrong with you. It could be any where between a personality disorder or a brief depressive episode. But it will be too early to comment on unless we know some more details from you. You need to visit a nearby psychiatrist who can guide you about your problems. Hope I have answered your query. I will be more than happy to help you if you need any further clarifications. In case if you want to discuss with me directly you can use the link: Wish you a good health!" } ]

[ { "from": "system", "value": "Been having heart palpitations, stressed, tingling down the arms, shortness of breath. Will it leave?" }, { "from": "human", "value": "I ve been having heart palpitations for about 3 weeks. I have had them before but just for a day or so and it goes away. I thought it was just due to the stress of the holidays but this last week it s gotten worse. Every single day and all day long intermitantly. I had a really bad day a couple nights ago where it did really big flips like my heart was going to jump right out of my chest , I had tingling sensations down my arms. It seems to have improved now but still going on. And I m having shortness of breath also. I ve made a doctors appt, but it s not for 4 more days. What is going on? Will this go away?" }, { "from": "gpt", "value": "Hello, Thanks for choosing health care magic for posting your query. A lot can be answered in a better way ifI was knowing your age. But the kind of problems that you have described doesn't appear to be physical in nature. It more so ever appears to be psychological. You should get an ECG done and get a consultation from a cardiologist. If he says it is fine, which mostly is what he will say, then you should visit a psychiatrist who can train you with some relaxation techniques and also help you with CBT. He may use some drugs initially to make you feel better. All said it is not something big you need to worry about. Hope I have answered your query. I will be more than happy to help you if you need any further clarifications. In case if you want to discuss with me directly you can use the link: Wish you a good health!" } ]

[ { "from": "system", "value": "Talking to oneself, violent at times, eases with medicines. Cause and cure?" }, { "from": "human", "value": "Dear Sir, My brother Rajan has a mental problem since 11 years. His problem is that he always talks to himself and sometimes becomes violent. He has been taking medicine from beginning itself, but after taking medicine, he becomes lazy and less talks to himself. Every time this problem is regenerated if someone says something wrong to him or he feels wrong words from the receiver. This problem started when his lover dumps him. Regards, Rajani" }, { "from": "gpt", "value": "Hello, Thanks for choosing health care magic for posting your query. Rajani, Your brother appears to have serious mental illness. Since it is 11 years,you surely might have shown it to many psychiatrists. From the description that you have given it appears that he might be having schizophrenia- but it will be too early to make a diagnosis and we need to talk to him first to confirm the diagnosis. There are many newer drugs in the market which cure this illness with out causing sedation. Viz Aripiprazole, Amisulpiride etc. You can ask your doctor to prescribe you those. You should try changing your psychiatrist if you are not convinced by the treatment. Hope I have answered your query. I will be more than happy to help you if you need any further clarifications. In case if you want to discuss with me directly you can use the link: Wish you a good health!" } ]

[ { "from": "system", "value": "Reacts to small things, distrust in everyone. Cause and cure?" }, { "from": "human", "value": "i m talking abt my mother she is 56 year old. she can t trust to anyone, she is angry and reacting on small-small things. talks much more on it.she is doing more work so as she may want to busy the whole day. due to this she said i m busy the whole day.the whole family disturbed especially my father. he is retired. please help me the problem is serious." }, { "from": "gpt", "value": "Hello, Thanks for choosing health care magic for posting your query. The description that you have given is not sufficient enough to comment on the diagnosis, but it appears that she may be suffering from a serious mental illness like schizophrenia or schizoaffective disorder. But then we need further details as certain times even normal people can have these kinds of personality traits. You should take her to a psychiatrist, you can examine her in detail and prescribe her some medications. Hope I have answered your query. I will be more than happy to help you if you need any further clarifications. In case if you want to discuss with me directly you can use the link: Wish you a good health!" } ]

[ { "from": "system", "value": "Autistic child. Feel frustrated and stressed. What should help me?" }, { "from": "human", "value": "Hello doctor iam 30 year old married women as a homemaker taking care of 2 childern whose age is boy with mild autism and 11 month old girl baby husdand working for a private concern... I use feel so frustrated and feel so stress and get hurt for silly issues and getting angry lot of time burstout... don t know y what should I do?" }, { "from": "gpt", "value": "Hi, In your case first there is need to investigate cause of your stress and frustration. Care of Following are possible causes of stress and frustration in your case: -Anxiety and depression: due to stress of looking after 2 kids, specially to one kid having autism. -Poor medical condition: As you delivered just 11 month back, so check your hemoglobin level and take healthy diet. -Adjustment problem: Involve your husband and other family members to care kids. You can meet nearby psychiatrist/psychologist to ascertain cause and treatment according to cause. Till that time take healthy diet, accept your child problem and do morning brisk walk. It will relax you and will reduce stress and frustration to some extent. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Suggestions on how to deal with people when they make me angry?" }, { "from": "human", "value": "Hi sir! i am 25byrs old, married since 2005 have 17mnths boy baby. I was very patient in the begining of my marriage life now i am not. just becoz of all the scenarios which am going through in my life. i am getting angry i am unable to stop myself when i get angry. i will start beating myself i will hurt myself infront of my husband but he doesnt reacts to it. i will cry cry cry then i myself will calm down. now a days am unable to stop myself from shouting at them, i beat my son as he is not having food at all. now i feeling sad for what i did. how can i stop my anger? how should i deal with people when they make me angry please please help me." }, { "from": "gpt", "value": "Hi, In your case first there is need to investigate cause of your anger. Following are possible causes of anger in your case: Anxiety and depression, Hormonal imbalance, Personality issues and Adjustment problem. You can meet nearby psychiatrist to ascertain cause and treatment according to cause. Till that time take healthy diet, keep yourself busy and do morning brisk walk. It will relax you and will reduce anger to some extent. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Short attention span, difficulty concentrating. Taken Adderall. Can you help?" }, { "from": "human", "value": "I have had hard time staying focused on anything.my attention span is very short. I start several projects but get bored and move on to the next one. I can t even watch a movie. I get up and down and piddle with other things.i don t concentrate like I should at work and find myself sleepy all the time. My children take aderall so I tried one. They commented to me that I seem calm and not bouncing all over the place. Can u help?" }, { "from": "gpt", "value": "hello welcome to health care magic According to the symptoms given by you, you could be having some sort of anxiety disorder or even depressive episode as these symptoms (difficulty concentrating/attention) are common in these conditions. There is also a possibility of Adult ADHD but that diagnosis rests on detailed evaluation by a psychiatrist. I advise you to stop taking adderall on your own as it is associated with significant side effects. Consult a psychiatrist for proper diagnosis and management. Hope it helps Thanks" } ]

[ { "from": "system", "value": "Heart palpitations, skipped beats accompanied with belching, consistent pms, on medicines for anxiety, BP. Any inputs?" }, { "from": "human", "value": "Hello Dr. Christensen, I have been having heart palpitations. Actually they feel more like skipped beats. They started about 6 months ago. However, they are becoming more frequent (happening daily for 4 days now). With the first day having an extreme attack of skipped beats in a row which threw me for a loop while I was at the supermarket. I have been diagnosed with anxiety but for some reason these seem different. It is not so much my heart racing like an anxiety attack it is a skipped beat. Also, I don t have a panic when they are happening like an anxiety attack. I also do not feel dizzy or pass out or any other symptom but complete discomfort! Also, the only other symptom is that I feel like belching when they skip a beat (I know that sounds crazy). I am 46 years old and believe that I might be in the stages of perimenopause. My menstrual cycle, although pretty regular, only lasts a day now. I also seem to have pms all the time! I think I have about 1 or 2 good days out of the month. My husband has said I have PMA (pretty much always!..lol) I did go to a physician for the skipped beats and they happened when he listened to my heart (for about not even a minute). I am on meds for BP ( atenolol ). The doctor told me to up my dose to 50 mg (I was on 25 mg). It hasn t done anything for the palps at all! Also, my blood pressure wasn t high on my normal dose that I was previously on. I am also on Xanax for anxiety. I do take the xanax when the palps are happening and it doesn t help either. The doctor did order some bloodwork and I do have to return to see him after I get the bloodwork done. However, at this time, I do not have health insurance since I started a new job and cannot afford for all sorts of expensive testing. I do have a stressful job working for a family law attorney and have been doing this type of work for over 20 years. Your input would be greatly appreciated. Thank you in advance! Regards, Laurie" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. It is possible that your palpitations could be anxiety related. Especially, the perimenopausal period is a period where hormonal imbalances can also contribute to changes in mood or an increase in the anxiety levels. It is important to understand that anxiety can present with not only psychological symptoms but also with physical or somatic symptoms. Shakiness, dizziness, fast heart rate (palpitations), etc. are symptoms which are commonly seen in anxiety disorders. However, considering your age and since you mention that you sometimes have \"skipped beats\", it is also important to rule out a cardiac cause. So, I would advise you to have an ECG done to rule out the possibility of an cardiac arrythmia. For your anxiety symptoms, in addition to the medication, I would suggest that you try relaxation therapies, like deep breathing, progressive muscle relaxation, yoga, etc. Avoiding excessive stress and adopting a healthy lifestyle with regular food and sleep habits and regular physical exercise is also essential. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Suggest treatment for itching and burning sensation inside penis" }, { "from": "human", "value": "i have itching and burning sensation insided my pennis from past 2 monthsThe is not blood in my urine.long back urine test reveiled 12% of pus ClessEalier i had ejaculation during sleep. but now a days there is no ejaculation in sleep i had shown it many time to doctorDoctor had prescribed me 1) azithral 5002) Doxycycline3) uripasbut still problem persist" }, { "from": "gpt", "value": "Hello, Maintain hygiene. Keep the are clean. Take adequate water. Check urine for culture to make sure if there is any infection. Check blood sugar as it is persisting for long time. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sujoy Dasgupta" } ]

[ { "from": "system", "value": "What causes itchiness in penis with blisters?" }, { "from": "human", "value": "im a 47 year old male and my ball sack is very itchy and has been for a couple weeks. when i sit in a bath they sting and itch with contact of water then gets better. play a lot of sports, and now the ball sack area (skin) is very hard and now penis is itchy from contact with area. today i noticed they itch even more and now a clear liquid type, (like popping a blister wetness) has been noticed. i put hydrocortisone cream on this morning and the washed are and did same this afternoon. anything i should be doing differant?" }, { "from": "gpt", "value": "Hi, It can be a fungal infection. Sharing a picture will be helpful in proper diagnosing. Application of antifungal will be helpful. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Getting sound in stomach related to anxiety. How to get cure from this?" }, { "from": "human", "value": "My stomach has been making an embarassing popping noise for the past month or so. It isn t gas, I am certain of it. It usually only happens during a very quiet situation, becasue then I am nervous of the noise coming. I have been told the noise may be linked to my anxiety , which I would understand. I get very anxious durning a quiet situation, and then the noise comes. I need it to stop, as it is affecting my confidence, and how well I am doing in school. Help?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. It is important to understand that anxiety can manifest itself with not only psychological symptoms, but with physical symptoms also. It has been found that anxiety disorders are associated with certain neuro-chemical imbalance in the brain and this can cause the person's sensory threshold to get lowered and he / she can become 'hypersensitive' to sensory stimuli, and therefore have a variety of strange symptoms. The underlying anxiety also causes a person to become more worried about these symptoms and soon this worry / anxiety itself then starts worsening the symptoms more. Since this problem seems to be causing you a lot of distress and affecting your school performance also, I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your anxiety and its related problems. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Diagnosed with epilepsy. On Oxetol. MRI normal. Talks to herself, sleeps, laughs the whole day. Having psychological problem. Solution?" }, { "from": "human", "value": "hi! i have an elder sister who is of 36 yrs and been sufferring from various problems from about 20 yrs. we have not got a proprer solution regarding her problem ,so can u please hepl us with it.She has been taking the tablet OXETOL 300 mg for the past 20 yrs but still ther has been no improvement .since some yrs she has been becoming worst. she is suffering from something called as the EPILIPSEY but all her reports are normal,we haveeven done her MRI but that also was normal.she keeps on talking to her self the whole day but we dont khow excatly wht she talks.she does all her day to day work properly.she eats well sleeps on tme evrythng but does not do any household duties at home.for more than 10yrs she has been treated from BANGLORE THE NIMANS HOSPITAL.but still there no such improvements in her yet. the doctors there have told us that she is having a phycho problom and so has to be treated under a phsyciatric.she is on OXETOL 300 mg RESIDONIA PLUS . She has become very agrrogant these days.she only sleeps laughs and talks the whole day.kindly help us with some solution or help us with the best doctors for consultation. this is my email idso indly send in ur reply to the YYYY@YYYY or call on MR.RATNAKAR AMANNA at 0000. thanking u." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. From the descripion of your sister's psychiatric problems, it appears that she may be suffering from a psychotic disorder, probably schizophrenia. Schizophrenia is a chronic pschiatric illness where the patient can have hallucinations (like hearing voices - the \"talking to self\" is actually the person's response to hearing voices), delusions, deterioration in personal, social and occupational functioning, etc. In addition to the anti-epileptic medication (Oxetol), she has been put on an anti-psychotic medication (Residonia Plus). If her psychiatric symptoms are still not controlled, then you have you go for a follow up, to see if medication has to be increased or changed. It is important to understand that since this psychiatric problem is a chronic one, treatment can only control or decrease the symptoms, and not cure the illness completely. So, regualr medication and follow up is a must continuously. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "GAD with panic attacks, depression and anxiety, subsided. What can assist emotional damage?" }, { "from": "human", "value": "Gud night sir, i am from Kashmir. I am a clinical Psychology student. My query is my brother is under Psychiatric treatment from last 15 years. He was initially diagnosed with GAD with PANIC ATTACKs. The condition has now subsided. NOw the Doctor has now diagnosed him with F25 i.e. Schzoaffective disorder. Sir my real query is, He is having good insight of his behavior . He gets angry when someone tells him you are alright. His is having emotional problem as well.Our socio-economic condition is also not sound. Sir we have also genetic disposition towards Depression and Anxiety . sir please help me to understand his real problem, so that i can help him and my family and others as well to get out of this mess." }, { "from": "gpt", "value": "Hello Nasir, Thanks for choosing health care magic for posting your query. You have missed to mention the exact symptoms of your brother. Many times schizophrenia and schizoaffective disorders are mistakenly diagnosed as anxiety and depression initially. the only way you can get out of this mess is by taking proper psychiatric treatment and adhering to it for a few years with out missing out the doses. if you have socio-economic issues, you should visit a government hospital having psychiatry where you can also get the required medications. Hope I have answered your query. I will be more than happy to help you if you need any further clarifications. In future if you want to discuss with me directly you can use the link: Wish you a good health!" } ]

[ { "from": "system", "value": "Has childhood schizophrenia, avoids eye contact, lacks concentration. On dicorate. Curable?" }, { "from": "human", "value": "Hi Sir, My brother is 25 years old and as per doctor he has had childhood schizophrenia and I have heard them even discussing that he has autism as well. According to my parents he was very fine until 5 years. I remember him hating school when in kindergarten and he was forced to attend school that time. He is at home now and I take care of him. He needs 24 hours attention or else he gets restless and agitated. He is under medication , i.e. Dicorate ER 500 mg b.i.d., Tryhp plus b.i.d, quitipin 100 mg h.s., and Frext 50 mg a.m. As I have observed him, he acts like a 3 to 4-year-old and other than my family at home avoids eye contact with everyone else and lacks concentration in any particular work. I would like to know whether his condition is curable and if so to what degree. And what is the best way to control him when he gets agitated." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. From whatever little clinical information you have provided, it appears that your brother may be suffering from autism or an autistic spectrum disorder. He also seems to be having a significant level of mental retardation (which is commonly associated with autism) and many behavioural problems. Childhood schizophrenia is a very rare psychiatric disorder and has a presentation similar to that of autism. In fact, before the clinical entity of \"autism\" was established, most of the children with these symptoms were termed as childhood schizophrenia. Currently, this trend has changed and children with these symptoms are diagnosed as having autistic disorders. Unfortunately, both these disorders are not curable and these persons have to be on medication and need additional support throughout their lives. Regarding your brother's agitation, it can be managed with a combination of medication and behavioural therapy. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Tension, several negative thoughts, inferiority complex. Cure for symptoms?" }, { "from": "human", "value": "i have severe tension so many thoughts are coming to my mind .my mind is always searching for some tensions .actually i was not like this . i dnt know what hapnd to my life after my 18 yrs old am not able to mingle with any persons .i want to mingle with everyone bt i cant what i have to do plz reply" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. From the brief description of your symptoms, you seem to be suffering from an anxiety disorder, probably a generalized anxiety disorder. In addition, you may be having symptoms suggestive of social phobia. Since these symptoms seem to resulting in poor self esteem and causing you significant social dysfunction, it is important that you seek professional help. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome these problems soon. So, I would advise you to consult a psychiatrist for a detailed psychological assessment and further treatment. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Get stressed easily, head spinning, talk fast, trouble calming down. How to fix this problem?" }, { "from": "human", "value": "I tend to get stressed really easily, and most of the times I do I feel like my heAd is spinning, and I talk uncontrollably fast and I have trouble calming down for a while and I jut feel like breaking everything and I don t know why it happens or what I can do to fix it some things that stress me out are when I don t k ow if plans are confirmed even hours before or when I can t comprehend stuff people say an I don t know if it is a disorder but it makes my head spin and I talk really fast but I don t notice I am and I feel horrible and ashamed about it." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you are going through a difficult time trying to deal with your problems. From the brief description which you have given, it appears that you could be suffering from an anxiety disorder. Getting tensed about minor things, feeling tense most of the time, apprehension about what is going to happen, etc. are all symptoms of anxiety. In addition, you also seem to be having poor coping skills and lack of sufficient stress management skills. Since these symptoms are putting you under significant distress, I would suggest that you consult a psychiatrist for a detailed assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome these problems Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "50 year old showing changes in behavior,not taking proper diet and rest, getting angry without any reason. What is wrong?" }, { "from": "human", "value": "hello sir. i am nivedita .. i want to discuss about my mother .. she is 50 year old .. she is nt normal or behaving normal from some 3 years.. she has changed alot she s not taking proper food and rest .. used to pray alot and behaves very rudely ... whatever we do she always gets irritated.. she refuses to see a doctor and dnt accepts that she is not well.. she is litle stubborn since her childhood but now she used to get aggressive for her stubbornness.. she used to mind each and every thing and feels insulted for no reason.. she dnt take much care of hygine and do whatever she feels correct .. never listens to anybody and used to argue.. other than these things there are many more she used to do .... please suggest what is she suffering from and what can we do for her ...." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I understand your concern regarding your mother's psychological problems. Now, increased irritability and anger, mood changes, poor food intake, poor self care, etc. in elderly persons could be indicative of a depression. However, we need a detailed history and a proper psychological assessment to make a definitive diagnosis. I would suggest that you take her to a psychiatrist for a detailed psychological evaluation and further management. Don't worry, there are effective treatment options - in the form of medication or counselling / psychotherapy which will help overcome you mother's problems. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Currently taking Prozac for OCD, feeling tired, worried about serotonin-syndrome?" }, { "from": "human", "value": "Hi, I am on 80mgs of Prozac for OCD . I have started a huge health change which includes working out. Because I am so tired all the time with Prozac most likely being the reason, I tried some pre work out supplments and a pre work out/ fat burner supplment walked Detonate. They worked great for me, and I had a great work out, great focus. However, at the end of the day, ( 7 hours after supplment) I had a really bad headache . I would love to continue taking this supplment but I m worried about serotonin- syndrome . Please advise?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Acoording to the manufacturer's information, Detonate supplement contains Dendrobium Extract (Stem), B-Phenylethylamine HCL, Tangerine Extract (Fruit), Caffeine Anhydrous, Green Tea Extract (Leaf), Green Coffee Bean Extract, Asian Ginseng (Root), Black Pepper Extract (As BioPerine®) (Fruit). Among these ingredients, many are stimulants which act on the sympathetic nervous system and increase the body's metabolism. In addition, Ginseng is a herb which is supposed to have serotonergic properties. Also, it is possible that these supplements can contain other ingredients which are not mentioned in the label. Now, 80mg of Prozac (Fluoxetine) is a high dose and you have to be very careful while taking other medication or supplements along with it. So, my opinion is that it is better to avoid taking this supplement along with this high dose of Prozac, and a risk of serotonin syndrome cannot be ruled out. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Disturbing dreams of past abuse causing sleeping problems and other issues of life. Help?" }, { "from": "human", "value": "Hi My Name is David I am a 49 year old white male I have been having disturbing dreams about the abuse I suffered at my mothers hands. It was all physical and emotional. It lasted until I was 18. I m afraid to go to an anylist because I don t know if I really want to remember everything. I can t sleep anymore because I m afraid the dreams will come. It is really causing issues in other areas of my life as well, sex life, friendships ect. Please help me." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I can understand that you are going through a difficult time due to your disturbing dreams about your abuse in childhood. It appears that this is causing you significant personal and socio-occupational dysfunction. You also report inability to sleep. No, since your symptoms are causing so much of distress, it is important that you seek professional help. You need not necessarily see a psychoanalyst to relive your past traumatic experiences. But you definitely need emotional support and counselling to help you handle these problems. I would suggest that you see a psychiatrist for a detailed psychological assessment and further management. trist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems and help you have a proper, restful sleep. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Mentally disturbed, unable to sleep, angry, upset on small things. Suitable medicine for treatment?" }, { "from": "human", "value": "my younger brther is mentally disturbed, he is not able to sleep in the night, he get angry and upset for small smaal things which ends up in an argument then it ends up i a fight and he get violent and uses bad langauge on everyone, he is well qualifies and unable to find d right job, he never socialisses even with the family, he feels secluded and lonely, for whic we consulted psychaitrist who prescribed prodep for 2weeks, by the info frm internet i understand it has too many side effect , so we visited another doc, who prescribed serta 50mg and clonotril 0.25mg, can u please suggest as to which presciption shud i ask him to follow" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query.I understand that you are concerned regarding your son's psychological problems and worried about what medication to give. The nature of his symptoms appear to be indicative of a depression, but a detailed psychological assessment is required befor making a definitive diagnosis. Regarding the medication, both Prodep (Fluoxetine) and Serta (Strtraline) are very similar medication - both are anti-depressants belonging a category called SSRIs. Clonotril (Clonazepam) is a sedative medication with anti-anxiety functions also.You must understand that any medication which you take can have some side effects, and the doctor's decision to give the medication is because the benefits of the medication will far outweigh the possible side effects. Secondly, the manufacturers of the medication are required to give a complete list of all \"possible\" side effects of the medication. This does not mean that a person will have all the side effects listed. In fact, most persons will not experience any significant side effects. So, I would advise you to have faith in your doctors and start treatment without delaying time unecessarily. Please stick to one prescription and one doctor and go for regular follow-ups. If you have any doubts or problems, you can always feel free to clarify or sort them out with the doctor.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist" } ]

[ { "from": "system", "value": "Suggest treatment for difficulty in walking with raised PSA level" }, { "from": "human", "value": "My father s psa was 7300 and has an appointment next week to see a urologist. Had bone scan yesterday. Lots of difficulty with pain and walking. I know metastic disease is likely but now has fever of 101 and feeling very sick this is all of a sudden . Should he be taken to er" }, { "from": "gpt", "value": "Hi, Yes, should be taken to ER. Fever can be due to infection, early start of antibiotics will prevent a lot of future complication. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Suffering from depression and obsessive thinking. Not able to concentrate. Whom can I consult?" }, { "from": "human", "value": "Hello, I would very much like to see a psychiatrist in Kerala. My son has been suffering with depression and obsessive thinking which he cannot get rid off. He finds it difficult to concentrate and really he has given up hope of getting better. We are planning to come to Kerala towards the end of January so would be grateful for a name of a good doctor we could see. Thank you." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you are concerned about your son's psychiatric problems. It is indeed a good decision which you have take to take him to a psychiatrist for consultation. I would suggest Dr. C.J John who practices at Medical Trust Hospital, Ernakulam. He is a senior and well-experienced psychiatrist, and is easily approachable. Don't worry, there are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome these depressive and obsessive thoughts. So, please go ahead with your plan of consulting a psychiatrist for your son's problems. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Suffering from extreme fatigue. Using cymbalta. Any side effects? Have mild depression" }, { "from": "human", "value": "HI, I HAVE A VERY DEAR FRIEND WHO HAS BEEN EXPERIENCING EXTREME FATIGUE FOR SEVERAL YEARS. TRADITIONAL DOCTORS TELL HIM THERE IS NOTHING WRONG, HE HAS HAD A MENTAL/EMOTIONAL EVALUATION SHOWING ONLY SLIGHT IF ANY DEPRESSION . WHEN SEEING A BIOFEEDBACK (SCIO) PRACTITIONER IT SHOWS DEPRESSION, (ATYPICAL) . THE PRACTITIONER FEELS IT IS A GENETIC DISORDER . HIS ENERGY SEEMS TO BE MUCH IMPROVED WITH CYMBALTA, HOWEVER THERE ARE MANY SIDE EFFECTS. HIS IMMUNITY IS VERY LOW AND IS SICK OFTEN EVEN THOUGH HE EATS HEALTHY AND TAKES MANY SUPPLEMENTS . HE HAS BEEN SUFFERING WITH THIS FOR YEARS. ANY IDEAS WHERE TO START?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Fatigue and decreased energy can often be the predominant complaints in depression. You have mentioned that you friend has been diagnosed to have depression by two different practitioners and that he has shown significant improvement on Cymbalta. Now, Cymbalta (Duloxetine) is an antidepressant medication, which has been found to be more effective on the 'somatic' symptoms of depression. Another possibility for your friend's problems could be Chronic Fatigue Syndrome, which is also classified as a psycho-somatic disorder and is also treated with antidepressants. However, you have mentioned that Cymbalta is causing him many side effects. I would advise your friend to consult a Psychiatrist for a detailed evaluation and psychological assessment. Depending on the diagnosis, further treatment options can be planned. If he needs anti-depressants, then there are other classes of medication which can be tried. There are also effective psychological and behavioural therapies which can help deal with his problems. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Suffering with OCD, habit of washing hands frequently. Am I liable for treatment?" }, { "from": "human", "value": "Hello doctor. I am a girl of 23 years old and live in Mauritius. I have been suffering from OCD since 2-3 years and am not following any treatment. I came to know about my problem through this website itself but i can`t follow any treatment since my parents are not supportive. They know that am doing all those rituals like washing hands etc and taking long hours of bath because i feel that am dirty.They know the reason why i behave like this but they do not accept that am suffering from a problem. They scream everytime and say that one day i`ll definitely kill them with the way i behave. Am really fed up and i feel my life has become like hell. My parents always scold at me and they say all this is in my mind and i must know how to fight with it. I wanted to consult a psychologist without letting my parents know about it but since am not working i depend upon them and i was waiting for the day when i get a job to start a treatment. I always cry when they scream at me and now they have started to keep a watch on me when i have a bath etc but i feel more stressed with their attitude. Yesterday my mum was so angry with me that finally she contacted a psychologist.She did this only to make me fear but actually am happy that finally i`ll be able to go and consult a psychologist. But what is making me worried is whether the psychologist will understand my problem?Will my parents understand me after that and try to atleast support me?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you must be going through a difficult time trying to deal with your obsessive-compilsive symptoms. I'm sorry to hear that your parents are not being understanding and supportive to you regarding this. Unfortunately, many people have a poor understanding of psychiatric disorders and some even have a negative attitude towards them. Anyway, it's good that you have got a appointment with a psychologist. Don't worry, psychologists are well-trained professionals who will be able to explore and ascertain your psychological problem. They will also be supportive to you and advise you and your parents on further management of your problems. Once your parents are able to understand the nature of your problem and that it requires professional help, I'm sure they will be more understanding and supportive. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Troubled marriage, several misunderstandings, mistrust, psychological issues. Professional help needed?" }, { "from": "human", "value": "This request is for Dr XXXXXXX. I have a very close relative whose marriage is in trouble because of series of cascading misunderstanding and mistrust and probably more. Probably there are psychological issues haunting both. I want your professional help to enable them live a happy life; something that has deprived them for at-least a decade. BTW, they are in no mood to seek professional help. Can I seek your help?" }, { "from": "gpt", "value": "Hello, Thanks for choosing health care magic for posting your query. You seem to be bothered about you relatives marriage. Marriage is a relation which needs tons of understandings. We take it for granted that its going to work but it takes efforts for it to work. If its doesn't work, then there is not much an option than to take professional help. You can discuss with both the partners and convince them for a marital therapy. Hope I am able to solve your query. I will be happy to help you if you need any further clarifications. You can contact me on the following link: Wish you good health!" } ]

[ { "from": "system", "value": "Is it a medical condition to be arrogant about one's believes and thoughts?" }, { "from": "human", "value": "my sister is always arguing with everybody when she starts on a subject she doesnt let go of it for weeks once something is stuck in her head she will not let go of it. at the present she thinks that everyone is against her and she is right about everything at the moment i was wondering whether this is a medical condition or it is just in her nature she believes that she is right about everything and everybody are her enemies please reply as she is getting worse she has started on a subject since yesterday 11.00pm and the same subject she is going on about all day she just doesnt let go and forget about it." }, { "from": "gpt", "value": "Hello, Thanks for choosing health care magic for posting your query. The kind of behavior you are describing appears to be part of a personality trait (Feature) and not mostly a illness. It can be some personality disorder but then she needs to be examined by a psychiatrist. We don't know the exact age of your sister. that would have helped us in providing you a better answer. If it is adolescence, then children at this age do exhibit this kind of behaviour but it is actually very transient and will reduce as she grows old and becomes more mature. Hope I am able to solve your query. In case you want a direct and detailed discussion about your problem, you can contact me on the following link: Wish you good health!" } ]

[ { "from": "system", "value": "Having guilt by doing wrong at the past. Depression, anxiety, pain in stomach. Is it due to guilt?" }, { "from": "human", "value": "I did something wrong a while back, and now I feel like I have guilt and perhaps depression/ anxiety . My stomach has been in pain for months now. Could this be the guilt? Or should i see a doctor? I m really worried and it s caused a lot of discomfort. I haven t taken any medication in about 4 years. So far all I feel is an upset stomach and as a result, I have a hard time enjoying myself, and often don t want to interact with people or go anywhere." }, { "from": "gpt", "value": "Hello, Thanks for using health care magic. Yes anxiety can present with many types of physical complains including abdominal pain. However abdominal pain can also have many different reasons . So firstly you should get a USG abdomen done to rule out any organic cause. If not then then you should treat yourself for some psychological causes. If USG is normal you should contact a psychiatrist who can involve you in some talk therapy to ventilate your guilt and make yourself think rationally. Hope I am able to solve your query. I will happy to help you if you need any further clarifications. You can contact me directly on the link:" } ]

[ { "from": "system", "value": "Have been sweating at night, bad dreams. What is causing it?" }, { "from": "human", "value": "hi. since i lost my jobi have been awakning the past month or so during the nyt because i have been doing alot of sweating during the nyt so i have to get up to change my t shirt. but the last 2-3 days i have had the flu and it has become worse.( every hr or so) i am also remembering my dreams alot more and they arnt right aswell. really weird and sometimes scary. what do you think might be causing it? thanks." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Unpleasant dreams and disturbed sleep can be frequently associated with stress. You seem to be going through a stressful period currently, due to the loss of your job. So, it is quite possible that your sleep problems are being caused due to your stress. The night sweats can also be a manifestation of night time anxiety / panic attacks. However, there are also a few medical conditions which can result in freqent night sweats like hypoglycemia, certain infections, hormonal imbalances (such as in menopause), etc. The recent worsening of this sweating could also be due to the flu and the associated fever and chills. So, I would suggest that you try stress management and relaxation techniques in order to tackle your stress. If you are feeling overwhelmed by your stress and the related symptoms, then you need to seek professional help from a psychiatrist. There are effective treatment options available - in the form of medication or counselling / psychotherapy which will help him overcome your stress-related problems. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Stabbing pain in the chest. Diagnosed as a somatiform disorder. Chest x-ray showing clear lung, heart not enlarged. Suffer from anxiety and depression. Is the x-ray report normal?" }, { "from": "human", "value": "a week ago i felt stabbing pain in the chest area left side , i went to my doctor he said i am suffering from a somatiform disorder physicaly i am fine , he asked for a chest x ray i got it today and the reoprt stated that 1- clear lung field and both costophernic angels with no evidence of active focal plumonary lesions. 2- no hailr or mediastinal adenopathy detected 2-the heart shadow appeards not enlarged 4- the osseous structure is intact. i did suffer from anexity and depression fro a long period in my life but the pain is reall and i have shortness of breath as well and loss of appettite and weight loss can you please help me understand the x-ray reoprt" }, { "from": "gpt", "value": "Dear Concerned., Thanks for writing to us. Your CXR is normal or NRA-No radiological abnormality seen in roentgenogram. The shortness of breath is due to Hyperventillation Syndrome which is an accompaniment of Anxiety Neurosis. Loss of Appetite with loss of weight are also a sequelae of Anxiety Neurosis. Do you have any anterior neck bulge/protruding eyeballs? Do you have constant sweating? In your history you have not actually mentioned your most important Vital Parameters- Pulse Rate//Resting Pulse Rate., Blood Pressure and Respiratory Rate. These are very important to differentiate between Anxiety and Hyperthyroidism.In addition to CXR, you should have undergone Thyroid Function Tests /baseline blood and Urine Tests and a resting ECG in 12 leads. If all the above are Normal, your Anxiety Neurosis will be confirmed., Pls take a consultation with Psychiatryst for \"Talk Therapy\" or Psychotherapy to analyse the root cause of anxiety and then \"Medicine Therapy\" or Pharmacotherapy as decided by your Psychiatryst. Avoid hot //spicy//oily// food. Take over the counter antacids. Walk for 15 mins after food. These will help to regulate Hyperacidity which may cause above type of pain in Acid Peptic Disorder(APD). Wishing you a speedy recovery., Best Regards., Dr Lt Cdr ASN Bhushan., Ex-Navy." } ]

[ { "from": "system", "value": "Mild BP, severe stress, get tensed easily, erectile dysfunction occasionally, concentration problems. Will this lead to heart issues?" }, { "from": "human", "value": "i am 29 and is having slight blood pressure . My pulse rate varies from 70-90. My biggest problem is stress . I get easily tensed even on silly matters. I also sometimes feel that I have erective disfunction. But sometimes I get proper errection also. I always feel my pulse rate is high. I cannot sleep fully. some week ago I had an ECG . In that my doctor said that there is nothing in particular except minor case of blood pressure. But I cannot concentrate on anything. After getting tensed for a few time I again get tensed fearing that tension causes heart problems" }, { "from": "gpt", "value": "Hello this is DR ARPAN , You pulse rate is with in normal limits and you have not mentioned the any exact recording of your blood pressure. But as per your own description of \"slight\" i can consider it as with in the range of normalcy. Your erectile dysfunction may be due to hypertension but seems to be more of psychogenic ,as its normal some times too with out any reason. Ecg is also found to be normal. So, i can consider as perfomance anxiety as you are also having some features of mild depression. Idealy you should consult to your nearby psychiatrist for that. I can advice you tab- Nexito(Escitalopram) 10mg one tablet bed time. it will surely benefit you." } ]

[ { "from": "system", "value": "Sensitive nature, anxiety, stress, cannot take a joke. How to control my emotions?" }, { "from": "human", "value": "Dear Sir, My age is 29 yrs and I am XXXXXXXX, I have found myself as a sensitive nature person and feel some anxiety and unnecessary tension . Please advice me how I can control myself. Most of the time I feel myself in minor stress . If something is happened I cannot forget,the same thing is always running in my mind without any reason.In normal gossiping with my friend, I feel myself more sensitive, Cannot bear others joking and cannot digest it and the same thing running in my mind for long time. Please advice how can I control this and spend a stress free life. Thanks & Regards," }, { "from": "gpt", "value": "hello your query suggests of that your sadhak pitta ana pran vayu are bit on increased side under the influence of rajas guna. Do you have some gastric upset and sleep disturbances too? For the time you can do some simple things to get stress free: do some deep breathing when you wake up for atleast 15 mins , do bhramri for next 10 mins , instill 2 drops of seasme oil in each nostril after your breathing exercise daily , do massage of your head on regular basis , avoid over spicy meals, junk foods, carbonated drinks and alcohol , hydrate yourself. You will feel better in a weeks time . If still any more querry do tell Hope it satisfies your query" } ]

[ { "from": "system", "value": "Can masturbation cause any problem in later stage?" }, { "from": "human", "value": "I am diabetic patient. I am taking regular medicine. My age is 62 years. Height 5.10\" Height 76 Kg. I have habit of mustubirating since the age of 25 years. Is that mastuburation is bad for health thrice in a week. I will be having any problem at later stage. At present I am in normal please. Please answer my question and help me." }, { "from": "gpt", "value": "Hi, No need to worry, having masturbation 3 times a week is good and a healthy habit. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Suffering from anxiety and depression. Feeling fatigue all the time, body ache. Had a major trauma in life. Taking lexapro. Need a cure" }, { "from": "human", "value": "Hi, I am 39 year old female. I suffer from anxiety , depression , can never wake up one morning and say I feel good today no matter how many hours I sleep, I feel fatigue . I either have gastro issues, or zaps in my body, and the most recent one is a few days before my mentrual cycle, My whole body aches...including my shoulders, arms, back and neck. have no energy and want my life back...I lost my 7 year old daugter in a car accident 5 years ago, so have had a major trauma in my life. I am taking 10mg of lexapro . any ideas on what this could be?" }, { "from": "gpt", "value": "Hello...... Thanks for your query. The symptoms you report of anxiety, depression, bodily symptoms lack of energy and fatigue in the aftermath of a stressful life event point towards an underlying chronic depressive disorder or somatoform disorder with an overlay of depression. I would suggest you undergo a thorough psychiatric evaluation for the above disorders. Lexapro is escitalopram, an effective anti-depressant that should work in any of the above disorders. There is always scope for increasing the dosage substitution with other anti-depressants as well as psychotherapy (eg cognitive behavioural therapy). Hence there is no reason to lose hope. Wish you early recovery. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Anxiety issues, irritated, mood swings, depressed, troubled sleep. What is wrong?" }, { "from": "human", "value": "i have been noticing alot in my life lately i have alot going on right now but i always did have anxiety issues especially when i know i have something important coming up. also i find myself in a different mood everyday ive been irritable and just recently lost friends cause i say things that are mean for whatever reason and i have been very forgetful lately and tired alot but have trouble getting to sleep at night and i have a hard time letting go of relationships that are over and moving on im almost always talking about the same things over and over again and i have no money to go to a doctor i was on medicine for a while when i was little for depression and anxiety and things but everyone keeps telling me its nothing just me being stressed out but im not sure anymore." }, { "from": "gpt", "value": "Hello..... Thanks for your query. I can understand the concern with your symptoms. Most of the symptoms you report of point towards an underlying depressive disorder with an overlay of anxiety symptoms. I would suggest you undergo a thorough psychiatric evaluation for an underlying anxiety or depressive disorder. Effective antidepressant/anti-anxiety medication are available in addition to psychotherapy (eg. cognitive behavioural therapy) for management of your condition. Adjunctive sedatives can also be prescribed for your sleep difficulty. Hope you found the information useful. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Suffering with OCPD. Is there any specific drug for treating this?" }, { "from": "human", "value": "I have OCPD and not OCD . They are completely different from what I have researched and learned. I have done CBT and meds including anti anxiety drugs. Do you know any drugs specific for OCPD? It seems like its really just a need to control the anxiety that comes when things don t go my way. I feel very little if any difference on the drug I have been taking. Thanks" }, { "from": "gpt", "value": "Hello....... Thanks for your query. I am unsure as to whether a psychiatrist assessed you and labelled you as \"OCPD\" or if it is based on your understanding. As you said rightly both are entirely different and OCPD is a personality disorder. OCPD in mild form can be one's asset as it includes punctuality, cleanliness and dedication to work thought it might be harmful if full blown as a disorder. It is not possible to change one's personality though behavioural interventions might be helpful. There is no need for any psychotropic medication if is indeed OCPD. Hope you found the information useful. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Concentration problem causing unorganized behavior. How can I fix this?" }, { "from": "human", "value": "Hello, I am worried because I cannot concentrate. I started a new job and am having difficulty remembering names and my duties. I am having difficulty organizing my day and figuring out what to do next (prioritizing). I sit down to read and feel the urge to get up and do something else. For example, as soon as I sit down, I feel that I must do laundry or dishes. I just feel that I have so much to do but can not figure out what to do first. I am worried that I will loose my job because I am so unorganized and can t focus." }, { "from": "gpt", "value": "Hello....... Thanks for your query. I can understand your concern regarding an inability to sequence or organise your tasks. You require an assessment by a psychological counsellor with regard to the reason behind the same-lack of interest or lack of flexibility in your thought process. You might require a guided structured scheduling of your activities and home work tasks in organising sequenced activities in a graded pattern. This might help you in addressing your concerns. Hope you find my suggestions useful. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Suffering from mental problems, unable to control negative thoughts, frequent headaches. Cure?" }, { "from": "human", "value": "hello doctor, im suffering from mental problems..it s managable the time i sleep and wakeup. but i can hardly sleep i cant control negative thoughts that come across me. im already suffering through a grief after losing my boyfriend. and now what ever i think even a bit i get a bad headache . headache like my brain nerves get pulled like a stroke . and i hardly feel sleepy." }, { "from": "gpt", "value": "Hello Naina Thank you for getting in touch with us. As I see, you are suffering from a grief reaction after losing your boyfriend. It is natural for anyone to have a grief reaction if they lose someone close to them. As we don't know when you lost your boyfriend, it would be tough for us to make a diagnosis. If this has carried on for more than a year, then we would recommend you to get in touch with your Doctor. You can also consult him/her if this grief reaction interferes in your day to day functioning. Hope this helped. Regards Dr. Gagandeep Dhillon" } ]

[ { "from": "system", "value": "Emotional turmoil on being looked down, not given due respect. How can I overcome this?" }, { "from": "human", "value": "Hi madam, i have a strange query. it relates to my culture (i meant my bringing up), hence it may seems silly to you. i am a 35 year old guy. i have to been taught to respect elders while behave and talk to them, by my parents. the way i was taught to respect, is to take care while address them in day to day life like addressing elder brother or sir before i talk to them or atleast address by their name. i fllowed the same thoughut my life. But whenever i come across the younger than me guys (even 7-8 years younger than me), they used to address me like as we they talk to guys very younger to them . even the actions and words reflect they way when we talk to guys younger to me. I am a guy at 35 feels very bad about it. second thing is the managers who is very younger to me talk as if they order me . i caught on these thoughts always and become neurotic and spoiled my life, they (younger than me) unaware of that i am holding my anger within me in humiliation, enjoyed their life through and i spolied me. i dont know how to react on those situations, i dont have guts just because i dont want to hurt them. i thinks same time that, they thinks me as a friend thatsy. but its truely iritating to hear the way they speak. i always controoled myself and soiled my health in holding back becuz i worried all the time for same. how to respond or not getting hold of these ego related things? is it a right thing? cant i expect the way younger behave to me as i respect my elders? is it okay if i respond again each and everyone who does this? the interesting things which make my thought worse is they even repect others of age with respect as i want, just for the reason they look older and i look youger. how to get rid of this and be cool in life and save head going into devils grave? pls help" }, { "from": "gpt", "value": "Hello! Thanks for using healthcare magic for your queries. I can understand, whats going in your mind. Even in a single country, there are many sub-cultures and you should always expect some variation in them. You did what was good when you were young and you felt good about it. it was a selfless behaviour. One can always control oneself. Expecting others to behave in the way you want, is now a selfish thing. Only the fact that they are not behaving the way you do, doesnt make them wrong. Please try to understand that its only your behaviour, feeling and emotions are under your control and nothing else. If you dont think so much about these facts, may be you will change your feelings and mood as well. Try getting yourself involved in some hobbies or stuff that you always wanted to do. Spend some time with your family. If these things do not help you, you should seek a Psychiatrist to discuss these issues in detail. Hope I am able to solve your queries." } ]

[ { "from": "system", "value": "Depression, taking cotalopram, have a feeling of bipolar. What could be wrong with me?" }, { "from": "human", "value": "I have been diagnosed with depression since I was about 18, and I have been on and off anti depressants and been to counselling! I used to cut mysef and have extreme highs and lows! I am currently 25 and I have been on cotalopram for about 2 years! I genuinely do not believe I have depression though, counselling does not help or uncover anything, I have never had a bad life or have anything to be depressed about, my life is currently perfect as far as I am concerned and even when I am feeling my extreme lows which I still get on my tablets I know that I am actualy happy but I can not control that feeling that I want to tear my brain out of my head! Then all of a sudden 2 days later I will be the happiest hyperactive person you have seen! My boyfriend has said that it sounds to him like something called bipolar and looking into this further i have all those symptoms but my doctors dot seem to do anything... And I just want to know what s wrong with me n feel normal because it is ruining my work life due to so many days off" }, { "from": "gpt", "value": "Hello..... Thanks for your query. The symptoms you are describing seem to be that of bipolar disorder. In that case, anti-depressants are to generally avoided considering the possible switch from depression to mania. Hence, i suggest you undergo a thorough psychiatric evaluation and be started on a standard drug regimen for bipolar disorder rather than taking on-off medication by yourself. Hope you found the information useful. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Mother having mental problems. Talks loud, behaves weirdly, does not recognize anybody. Does not want medicines. Suggestions?" }, { "from": "human", "value": "I have problems communicating with my mom. She is getting worse. She talks out loud and says shes talking to other people. My sister sent her a Christmas card with her picture in it. She threw out and said it wasnt my sister and she was dead. She says weird things, talks out loud in the middle of the night. Help! She wont see a doctor and wont take meds. She thinks that i m not me or thinks theres four of me.... any suggestions" }, { "from": "gpt", "value": "Dear Shelliszek! Hello. I understand what you are going through. Its difficult sometimes to handle people with mental illness. By the description you have given, its quite obvious that your mother is suffering from serious mental illness probably psychosis. However you failed to mention her age and since when she is having these symptoms. Most of the countries have laws pertaining to in-voluntary treatment of people with mental illness. May be you can contact your police or a local psychiatrist who can guide you regarding the local legal matters and procedure for forced hospitalization. Such patients can harm others or some times themselves. Until you take some help, you be careful with her and take care of her properly. Hope I am able to solve your concerns." } ]

[ { "from": "system", "value": "Consistent insomnia after stopping Deanxit. Restarted the medicine, have high tachycardia since. Suggestion?" }, { "from": "human", "value": "Hello, I took Deanxit two years and a half, when I wanted to stop the medication , I consulted my doctor who told me I could stop suddenly without any problem. I stopped Deanxit 4 months ago but I went through hell, depression , insomnia (sleepless nights, anxiety , chills, fevers and heat, and many other symptom ...). All symptoms disappeared in 2 months, except insomnia which had become frequent because I was not sleeping more than 5 hours a week. At first I did not know it was related to weaning. I changed my doctor advised me to take the Deanxit found for sleep. I followed his advice and my sleep is back again after 5 days of medication. It s been 2 weeks and a half now that I took the medicine, but I find that I have a very High tachycardia (116 beats per minute at rest), and I m very excited. Unfortunately my doctor did not know stoper tell me how this medicine. Could someone help me please. thank you Gregory from belgium." }, { "from": "gpt", "value": "Dear Gregory! Hello! Deanxit is a combination of 2 tricyclic antidepressants popularly known as the TCAs. This drug is not approved in many countries cause of absence of clear clinical efficacy . Moreover TCAs as such are unpolular cause of the various cardiac complications caused by them. Considering that you are on a TCA and have a tachycardia (increased heartrate), first thing is you should get an ECG done and get your self examined by a physician. There are much safer anti depressants in the market and you should consider starting them from now on. hope i am able to solve your query." } ]