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[
{
"from": "system",
"value": "Suggest treatment for depression due to unhealthy relationship between my husband and parents"
},
{
"from": "human",
"value": "Hi doc, I am XXXX from XXXX.24 yrs married girl. Also have cute baby named XXXX.my life is only for XXXX.I have lots of family issues. Everybody want their won victory. No one look back to me. Every time one thought is in my mind that is..... I want to die........ But I can t because of my baby. He has a dangerous heart problem. I know after my death no one care my XXXX like me. My hus love me a lot. But I don t think so. Because after my marriage there are so many issues in my husband s house.my 2 baby s are aborted. XXXX is my third one.my parents don t do anything for me after my marriage. This thing increase husband s angry. But he love me don t my parents. Every time he talk bad about my parents. I know they don t have their daughter after marriage. But they are my parents... What can i do.when I call my parents they says that we don t give anything to them..I don t want to live in between of this selfish people. Nobody think about me...... But my XXXX...."
},
{
"from": "gpt",
"value": "Hi, Don’t panic. Suicide is not an option. Better take Diazepam 5 mg and talk to psychiatrist nearby. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parkavi Gunasekaran, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "Suggest treatment for frequent memory loss and mood swings"
},
{
"from": "human",
"value": "my husband is having some memory problems. He can t remember the names of the members of our church which is only about 15 people. He can t even remember the pastors wife s name. He also ask me the same question over and over in a short period of them. He has mood swings and sometimes gets angry for no reason. He still drives but sometimes ask me as we are on the road now where are we going and what for ."
},
{
"from": "gpt",
"value": "Hello, Memory loss may not be termed per se. There are many tests to diagnose memory problems. So unless you get your husbands tests done, nobody will be able to diagnose and provide treatment. Get the help of a neurologist in person. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist"
}
] |
[
{
"from": "system",
"value": "Suggest treatment for psychosis"
},
{
"from": "human",
"value": "I am pretty sure I have a psychosis due to the use of cannabis. I have the feeling that I don’t have all my focus and things don’t feel like its really happening. I have accepted these changes but was wondering if there is a medication that I can take to get back to normal, and what are the side effects of the medicine?"
},
{
"from": "gpt",
"value": "Hello, There are no major side effects of the medicine. Medicines are beneficial for cut down psychosis which develops after the use of cannabis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Mithlesh Khinchi, Psychiatrist"
}
] |
[
{
"from": "system",
"value": "How can paranoia be managed?"
},
{
"from": "human",
"value": "My nephew is exhibiting very paranoid behavior. He denies he is on pain meds but we don’t believe him. He is accusing his father-in-law of poisoning his water and his nephew of putting feces on his pillows for ex. He has had many back surgeries. Would there be some way we could speak to his dr. Considering the hips laws or do you have another suggestion."
},
{
"from": "gpt",
"value": "Hello, People suffering from a paranoid personality disorder or paranoia do behave in such a way. That is the way their psychology works. You should be careful in dealing with those. He will never believe anyone near if you try to advise, contradict him again and again. You must consult a psychiatrist at the earliest for treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist"
}
] |
[
{
"from": "system",
"value": "How can mood swings and dizziness be managed while on Escitalopram?"
},
{
"from": "human",
"value": "My husband has been taking Escitalopfram for about 3 weeks now. Lately his moods have gone up and down. Sometimes he has a lose of interest totally and other times he feels like he is about to crawl out of skin. Also, has been feeling light headed. Is this normal and will he even out eventually after time?"
},
{
"from": "gpt",
"value": "Hello, From the description, it seems that depression is not getting addressed by the given medicine. You should talk to your psychiatrist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist"
}
] |
[
{
"from": "system",
"value": "Is doctor consultation advisable for lack of motivation and tiredness in an adolescent?"
},
{
"from": "human",
"value": "Hello, I am 17 years old and I’m trying to diagnose myself for depression. Recently my parents have divorced and our family has been falling apart with lots of internal problems. I can barely wake up in the morning and find the motivation to get dressed. I’ve worn sweatpants and a sweatshirt 3/5 days at school. I can’t motivate myself to do homework or anything really. This is unsual as I am a good student and athlete however, I just can’t find the drive and motivation in me. I’m tired 24/7 and I’ve gained 45 pounds (used to be around 165 now 205). I still like to talk with friends and videogames help me escape from everything. Now a days I feel dismal sitting in my room in front of a computer trying to find something to do. Is this normal or should I consider going to the doctor?"
},
{
"from": "gpt",
"value": "Hello, From the description, it seems that you are depressed due to the events that transpired in your family. You can self motivate yourself to an extent. But help from a therapist should do wonders. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist"
}
] |
[
{
"from": "system",
"value": "Is it normal to have intrusive thoughts?"
},
{
"from": "human",
"value": "hello.i have been getting some intruisive thoughts since 2 monthsfirst it was only thoughts but when i started accepting and feeling comfortable with those thoughts .then suddenly again one day i became hyperaware about swallowing my saliva,then breathe then blinking.though now it is more comfortable than before.i used to have panic attacks before but now it is just a little frustration.i wanted to know if this is ocd or some other mental health issue?"
},
{
"from": "gpt",
"value": "Hello, Intrusive thoughts, up to an extent, are manageable. Are you able to manage your intrusive thoughts? Are the thoughts affecting your day to day activities adversely? If yes, you need to go for cognitive therapy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist"
}
] |
[
{
"from": "system",
"value": "Can anxiety and depression be managed without any consultation and with OTC medication alone?"
},
{
"from": "human",
"value": "I have depression and anxiety and every time I ask for help my dad says that I m doing it for attention and it s a ware of money to pay for a local psychiatrist since I m doing it for attention I just wanted to know if there is anyway I can get depression and anxiety pills at a drug store without my dad finding out because I know I ll eat in trouble if I ask him."
},
{
"from": "gpt",
"value": "Hi sir/ madamWelcome to health care magic,I can certainly understand your concern towards your symptoms you are suffering with...First of all I wanna find out how is your sleep pattern and your daily activity as these may get disturbed in anxiety and depression and the other symptoms that are bothering you like easy fatiguability, lack of interest in work..... Because if these are present , you would definitely needs to be treated.I can suggest you some drugs like antidepressants ie escitalopram ,which works both on anxiety and depression ...As per my knowledge , you can get these medications only with prescription....But you can try in some stores... Please let me know your place...So that I ll see if I can help youBut definitely there is necessity for you to be treated for atleast 6-9 months, if You have any of the above symptoms...Please take carePost your further questions if any, I will always be available to answer themThank you"
}
] |
[
{
"from": "system",
"value": "Is it normal to have night emissions with premature ejaculation during sex?"
},
{
"from": "human",
"value": "hello doctor, I am 30yrs old whenever i hve intercourse with my gf it just ejaculate aftr 1-2minute when i insert the penis in her vagina..am i suffering from premature ejaculation and i want to know whthr it is normal to have night emission twice a month..please provide suitable remedy.."
},
{
"from": "gpt",
"value": "Hello,I suggest you apply topical lignocaine jelly once penis get erected. You can practice master and Johnson stop and start technique. You need to learn when to slow down stimulus during sex to delay ejaculation. Performance anxiety is common cause for such problem. If problem persist than fluoxetine can be prescribed.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "How can I manage lack of energy and sleeplessness while suspecting depression?"
},
{
"from": "human",
"value": "About 4 years back I suspected I may have depression due to some tendencies. I took several online tests which all had the same result - severe depressions. For reasons I couldn t and still cannot got to a psychiatrist. I have zero energy. I wish to do so much in life but also have no ambition. I have trouble falling asleep and then have trouble getting up. I feel like a failure all the time and some times.. I feel like I can t take it anymore. I need help ..."
},
{
"from": "gpt",
"value": "Hi Good eveningplease start tablet sertraline 50 mg in morning for depression and tablet clonazepam 0.5 mg in night for sleep disturbance and reduce clonazepam if excessive sedation is there.please consult any nearby psychiatrist before starting any medicine.also you require counseling if you have any stressor.Thank you.Dr Ramashanker Yadav psychiatrist"
}
] |
[
{
"from": "system",
"value": "Suggest treatment for lack of focus, a feeling of brain fog, anxiety and mild depression"
},
{
"from": "human",
"value": "HI MY 21 YR OLD SON IS A COLLEGE STUDENT AND HAS HIS FIRST FULL TIME JOB. HE HAS ALWAYS STRUGGLED WITH ANXIETY AND MILD DEPRESSION, BUT HE IS STRUGGLING EVEN MORE WITH THE ADDED STRESS OF FULL TIME WORK. HE STATES THAT HE HAS BEEN FEELING LIKE HE CANT FOCUS WELL AND FEELS LIKE HE IS IN A FOG, MAYBE ADD SYMPTOMS (IM HIS MOTHER AND I STRUGGLE WITH ALL OF THIS TOO!). HE WANT TO TRY A REALLY GOOD BRAIN BOOSTER FOR MENTAL CLARITY, FOCUS AND ENERGY. IM THINKING OF PROVASIL? UNLESS SOMEONE HAS A BETTER SUGGESTION. HE ALREADY EATS VERY HEALTHY ORGANIC FOODS AND DOES MILD EXERCISES, NO ALC OR DRUGS. THANKS SO MUCH!"
},
{
"from": "gpt",
"value": "hi there, your son might be having performance anxiety for exams which is very common and it almost always accompanies with mild depression. This condition required anti anxiety pills for at least 6 months with some relaxation therapy. I am sure he will be fine. All the best"
}
] |
[
{
"from": "system",
"value": "What can be done for excessive weight gain despite eating very less when diagnosed with anxiety and depression?"
},
{
"from": "human",
"value": "Hello I m 34 female and been fighting anxiety since about 5yrs.old it turned to depression & anxiety after that . I didn t say anything till about 16 when I had an abortion so I was proscribed Zoloft and it wasn t for me it made me not wanting a hung from anyone even sex with my boyfriend even though I was aloud to have him stay the night while in high school mom bought condoms and spermicide lubricant. I ve always been insecure about my looks my whole life wondering how great it would be wonderful to be her ( any beautiful / well off financially women ) that I people watched, not like that though lol people in my presence. I m sooooo depressed and leg myself go. I was very good looking then but still wasn t happy. My looks changed during the years and I gained 100 pounds out of no where I was even eating less never a weight issue in my life always athletic till my back surgery. I didn t stuff myself I ate a lot less but continued to gain with no alcohol and maybe 600 calories a day pears or oranges mostly. I went to the endocrinologist and got on lasix nothing happened next visit diet pill and nothing my thyroid checked its fine . so my prolaction levels fine good diet not a lot of carbs or junk I ve been in a gym and took ballet tap pointe lyrical gymnastics hip hop and jazz since ages 11-23 then taught for a living all genre s. I even had my so 3weeeks early ( 37week) chechup then I gained 15pounds from the week before visit! I had my son that day due to preclampcia and in 9months went from 200pounds (really 187pds. Before preclamspcia) to 114pounds and I walked every day and took hydroxycut to help was it bad to do that? I stopped and stayed smaller heaviest was 125 I m 5 2 I had c4,c5 replaced due to car accident . Then 2 dequeryvains release surgeries on left wrist with carpel tunnel surgery on the hand for the 2nd dequeryvains release . I then had L4-5 replaced with a cage put around it. I had no connective tissue when my surgerion operated he said now he believes the pain I was in . I was also diagnosed with fibromyalgia when I was 20 and I m still in a lot of pain and carry and retain sooo much fluild and nothing is helping either not even starving myself only seating flood with fiber or super foods none of. Y meds had any weight gain for side effects even cymbalta a side effect has weight loss as one ? Help I don t like me I m nervous .,anxious over weight and need to have an orgasam I haven t had sex in 2years well any suggestions?"
},
{
"from": "gpt",
"value": "hi, i think u r conscious regarding your body. which leads to severe anxiety in u. i will suggest u start cap.flunil(20) 1-0-0 along with tab.oxmazetol(300) 1-0-1 with tab.lonazap(0.5) 1/2-1/2-1 for 15 days."
}
] |
[
{
"from": "system",
"value": "Suggest treatment for severe anxiety, depression and paranoia"
},
{
"from": "human",
"value": "I need some help. I do have an apoitment with mental health but not until December. I was in detox for alchole about a month ago. Upon returning home my boyfriend took my 3 year old twins and will not let me see them much. Not only is this man my x now but he also is my boss at work. For years now i have had anxiety paronia and depression. Now lately its 100 times worse. I dont want to leave my house. I have been missin time at work. My work has told me to go to the dr and get put off of work so i can get myself right. I do not know how to ask my dr that? Im actually terrified to even go to him. My x and my family this im being stupid but i cant help the way i feel. Its like i know what i have to do but my mind wont let me. How do i ask my dr for help? What could be wrong with me ? I do not understand why 24 hours a day i am feeling like im failing. I keep my doors locked and my curtins closed. I do not want to leace the house. I feel like ppl are talking about me and judging me. Im sad all the time. Nervous amd stressed out all the time. I find it so hard always feeling this way."
},
{
"from": "gpt",
"value": "Hello! Welcome to HealthcareMagic! Presently your in depressive state. So, now you're suffering with all the depressive symptoms like feeling low and sad, wanting to stay alone, unable to concentrate on work, low self esteem, etc. I guess you also feel hopelessness and guilt along with sleeplessness. It indicates that you're in a moderate to severe depression state, which ought to be treated with a psychiatrist. Mostly, they prescribe medications like SSRIs and TCAs. I recommend you to consult a psychiatrist immediately. Also, start practicing relaxation exercises like mindfulness, meeting friends, going for a walk in the morning, which will help relieve your stress. Hope that clarifies your concerns. Thank you for the question. Take care Regards, Dr. Bhagawan Rajana, Psychiatrist"
}
] |
[
{
"from": "system",
"value": "How can I help a loved one showing signs of depression and anxiety when he is reluctant to consult a doctor?"
},
{
"from": "human",
"value": "Good Morning, I am very,very worried about a brother with health issues which have led to depression and anxiety over the top. I have encouraged him to go to the hospital , however, at this point he has not….his spouse is aware but I don t think she sees the severity I hear..Please advise"
},
{
"from": "gpt",
"value": "Hi,I read that your friend has some health issues which have led to depression and anxiety. In this case, this is a specific type of condition named \"situational\" depression and it means that the depression is a product of the chronic stressor, namely health issues.This kind of depression is usually treated when the health issues causing the problem are resolved, relieving so the person from the chronic stress. When this is not possible, the best treatment is psychotherapy.If your brother/friend doesn't agree to visit a therapist, what you can do is try to be close, encourage and listen to him. You need to be very persistent but not annoying, understanding that people suffering from depression have lost interest and pleasure in their activities, but there is still hope for them. You also have to be watching out for signs of suicide intent, as few as they may be, and contact your doctor immediately.Hope I have answered your question. If you have any further questions I will be happy to help.I hope your friend will get better and stronger, and you will find the strength to be persistent in helping him. Wish you good health."
}
] |
[
{
"from": "system",
"value": "How can depression and anxiety in a bipolar, alcohol addict be managed while mourning the loss of a celebrity role model?"
},
{
"from": "human",
"value": "hello my name is XXXX. I have a very disturbing PSYCOTROPIC MED ???? one of my ROLL MODELS IN MUSIC JUST DIED @ 52 years old. The MEDICATION IS ADDIVAN and social media is calling the death a suicide. I take ADDIVAN ( PRN ) for ANXIETY when needed to mellow out some. My diagnosis is I am a chronic addict (STRONG ALCOHOL & STREET DOPE ) with 24 plus years dope free AND I am bipolar 1 ( rapid cycle ) / psysophetric with suicidal/homicidal leanings. the mans name was CHRIS CRONELL from 3 grunge rock AMERICAN BANDS. Out of SEATTLE ( SOUNDGARDEN,TEMPLE OF THE DOG and AUDIO SLAVE ) My PSYCHIETRISTS name is Dr. ROY / I feel I should contact him emediatly to attempt to find a much safer alternative MED"
},
{
"from": "gpt",
"value": "Dear userWe understand your concernsI went through your details. Lorazepam, sold under the brand name Ativan among others, is a benzodiazepine medication. It is used to treat anxiety disorders, trouble sleeping, active seizures including status epilepticus,etc. It is a common anxiety medicine and there is no need to worry about it. Do consult your psychiatrist for clarification, and if required, change in medicine. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck."
}
] |
[
{
"from": "system",
"value": "How can one overcome complex post-traumatic stress disorder and borderline personality disorder?"
},
{
"from": "human",
"value": "Hello, I have been diagnosed with Complex PTSD and BPD traits and have done three modules of the DBT course but am yet to complete the last module. I have seen a few psychologists over many years but am at a complete loss . i just need to talk to a psychologist (but an insightful one whp understand what I need)i FIND THAT IT is very difficult to find doctors who are interested and engaged and really want to help ppl like me as most want to lump us all ito the group of hard baskets and many believe that we are out to just stalk them or do some crazy stuff so many are unwilling to even see ppl with DBT. not many are compassionate as to the circumstances that have brought up thus far. so basically my Q today was wether yoi knew anyone just for one or two sessions for me to talk to about my progress thus far and what my future with this psychological illness holds. or what I can expect in future. Thank you for your assistance."
},
{
"from": "gpt",
"value": "Hi, In both, we need to have a combination of pharmacotherapy as well as psychotherapy to have a better outcome. Tab sertraline along with PPI works wonders. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Junaid Nabi, Psychiatrist"
}
] |
[
{
"from": "system",
"value": "What course of treatment should be done for depression, anxiety disorder and post traumatic stress disorder?"
},
{
"from": "human",
"value": "I am a 70 year old female and have diagnoses of major depression, PTSD, generalized anxiety disorder illnesses, plus several physical illnesses. I was gradually removed from cymbalta, due to side effects, by the psychiatrist i am seeing. Gradually taking vibryd but became more ill while taking it. Stopped taking all vibryd, and then stopped lorazepam. I have been very ill, physically, since that time (some nausea,which is lessening); diarrhea after meals (not eating much or regularly, not hungry); not sleeping, but that is improving gradually, but have terrible rls, which I take med for, in early morning hours every night. I am wondering if I should see my family practice doctor, go see my psychiatrist, or who; or just tough it out. It has been 6 was from beginning of withdrawal from cymbalta. I am also very tired when I try to do a short time of Christmas shopping, going to see family, etc (5 hrs excursions). Thank you for any advice you can give me on how to proceed."
},
{
"from": "gpt",
"value": "Hello, Giving benzodiazepines in the geriatric population should be avoided to the maximum. We can give a good dose of SSRI along with that 5 to 10 sessions of counseling works wonders. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Junaid Nabi, Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Are Valdoxan and Trileptal advisable to cure the bipolar spectrum?"
},
{
"from": "human",
"value": "Dr, my relative, over weight, is diagnosed with bipolar spectrum. She gets severe depression and irritated mud. She has recovered fully with VALADOXIN 2 at night (Antidepressant) with TRILEPTAL (mod stabiliser). When Dr withdrawn TRILEPTAL depression came back full blast in 2 months time. Later only with TRILEPTAL she became ok, but depression came back in 2 months. Now she is back with both and she is feeling better (sleep ok, no panic attack, not irritable, appétit is ok, but drive to do things still improving).Is the medications she is taking now will get her full relief.?"
},
{
"from": "gpt",
"value": "Hello, There is no harm if he responded with combination of oxcarbamzepine and agomelatine. As you know both the medications are used for treatment of bipolar disorder and this has been proved well in case of your relative. There is good chance that he will be under remission with both the medications. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ashok Kumar, Psychiatrist"
}
] |
[
{
"from": "system",
"value": "How can one overcome depression, bipolar disorder, seizure disorder and anxiety?"
},
{
"from": "human",
"value": "I have been diagnosed with depression, bi-polar disorder, seizure disorder, extreme anxiety, cronic headaches I was beaten by my ex husband for23 yrs it started at the age of 14 ive tried to kill myself twice. my great grandfather, grand father, father, sister, brother and neice have all commited suicide. I hear the voice of my ex husband telling me to do bad things to myself. I have been cutting myself for years. Im so scared I am blind in one eye from the abuse and have had a broken hip as well plus many many different trauma. my anxiety level is so high I hide in my room cause I cant stand the grand babys yelling and screaming and crying I have horrific night mares please can you help me please"
},
{
"from": "gpt",
"value": "Hello, From the available description I feel you need a treatment at hospital setting where number of mental health professionals are available. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ashok Kumar, Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Can masturbation affect sexual health?"
},
{
"from": "human",
"value": "Dear im masturbating since i was 15 years old and now im 29 mean im doing this since last 15 yearsnow i feel that im sexually week because of thiscan u suggest that how can i control my premature masturbation does masturbation effect our ejaculation period"
},
{
"from": "gpt",
"value": "Hi, Masturbation is an innate response to increased libido. But when we overdo it, it causes negative effects on our body like, reduced testosterone levels, weakened central nervous system which together leads to premature ejaculation and erectile dysfunctions. It's advisable to completely quit masturbation to reverse its negative effects on your body and a healthy lifestyle that includes a nutritious diet full of milk nuts fruits and vegetables , and regular exercise and a good amount of sleep will get you back on track. You should expect a gradual improvement in your sex health as 15 years of damage does take some time to restore. Take care. Hope I have answered your question. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "What does a raised red spot on head of penis indicate?"
},
{
"from": "human",
"value": "hello, i have one slightly raised reddish spot on the head of my penis, it doesnt itch, burn or hurt at all, i have no foreskin and am sexually active with my girlfriend, i have unprotected sex but this is the first this has happened, its only one spot"
},
{
"from": "gpt",
"value": "Hello, The raised reddish spot on the head of your penis should be rashes unless your girl friend has any skin ailments or STDs. Do talk to your skin specialist. Therefore I suggest consulting a skin specialist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. K. V. Anand"
}
] |
[
{
"from": "system",
"value": "What causes sudden swelling of testicles and penis?"
},
{
"from": "human",
"value": "MY HUSBAND BALLS AND PENIS JUST SWOLL BIG AS 2 BASE BALLS AS HE WAS SITTING DOWN LOOKING AT THE GAME, AFTER HE WOKE UP. HE SAID HE FELT IT SOME WHEN HE FIRST WOKE UP. HE HAVE SUGAR.HIGH BLOOD P. HIGH C. HE IS HEAVY. TAKES THE NEEDLE FOR HIS SUGAR! DO THAT MEAN HE HAVE CANCER IN HIS BALLS OR PROSTATE?"
},
{
"from": "gpt",
"value": "Hi,The swelling could be due to inflammation. The infection might be the cause for swelling. You can start antibiotic and anti inflammatory drug course for five days. Meanwhile I suggest you investigate primarily with ultrasound of testes and penis.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "What course of treatment should be taken for bipolar disorder and depression?"
},
{
"from": "human",
"value": "Hello.,...I am seriously struggling, suicidal ideas, diagnosed with Bipolar 5 weeks ago, am taking Sodium Valpororate, psychologist just told me in a hospital my levels would be up in 3 days, my family do not believe this about me, my mother used to work in mental health, very difficult to talk to her, my dad does not understand.This pains me greatly. I am 45, single, no children,lived alone last decade, had C3\\C4 fusion,Central Asia_D syndrome. Extremely depressed."
},
{
"from": "gpt",
"value": "Hello, Your psychiatrist is right to say that the level of medications will be achieved in few days. There is good possibility that you will feel better over the coming days. I understand that you have little social support from family members but I think help of friends can be asked at this time. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ashok Kumar, Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Suggest medication for obsessive compulsive disorder"
},
{
"from": "human",
"value": "Hello. My son formally diagnosed w OCD. Has been on Zoloft for two yrs but ineffective . Has been up to 150 mg day at times but could not tolerate side effects of sexual dysfct , poor appetite , blurred vision , insomnia. 200 mg way too much. We tried tapering him off Zoloft and now been off for couple months. His rituals are returning and becoming more withdrawn . We would like to start a different med . Can u share w me the next best two drugs for OCD in. 16 yo male who is very active sports and working out in gym . Thank u in advance for ur help"
},
{
"from": "gpt",
"value": "Hello, The other better options for OCD is fluvoxamine and clomipramine. I personally prefer fluoxamine because of lower side effects and better effect. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ashok Kumar, Psychiatrist"
}
] |
[
{
"from": "system",
"value": "What are the chances of having schizophrenia and bipolar while being treated for depression?"
},
{
"from": "human",
"value": "My aunt was diagnosed as being bi-polar, my grandmother is diagnosed with OCD, one cousin is schizophrenic, and another committed suicide because of schizophrenia. They are all on my mother s side. I have been diagnosed with depression in the past, and was almost diagnosed with Boderline Personality Disorder. My question is what are my chances of having schizophrenia, BPD, bi-polar, or any other mental illness?"
},
{
"from": "gpt",
"value": "Hello, Since you have no first degree relative with psychiatric illness, your chances are lower than the persons with first degree relatives with psychiatric illness and higher than general population. For example you have 3-5 % chance of having schizophrenia which is just 1% for general population. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ashok Kumar, Psychiatrist"
}
] |
[
{
"from": "system",
"value": "How can depression, low appetite and sleep disturbances be treated?"
},
{
"from": "human",
"value": "I feel sad. All the time. I sleep for a regular amount of time but its always very bad sleep. When i wake up in the morning, my chest feels heavy. I just feel empty inside. I just went through a breakup that left me feeling insecure about myself. Sometimes i find my self reminiscing on my relationship and crying and other times i find myself pointing out my flaws and crying. I eat once a day usually and sometimes i have to force myself to eat and sometimes i dont. I do consume marijuana more frequently because i feel it numbs me of my pain temporarily."
},
{
"from": "gpt",
"value": "Hello, It seems that you are trying to help yourself with use of cannabis but unfortunately this is complicating the things rather than solving your problem. I feel you need to contact a psychiatrist without delay fort treatment of depression. There are number of antidepressants available which can be used to help you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ashok Kumar, Psychiatrist"
}
] |
[
{
"from": "system",
"value": "What course of treatment should be given for bipolar and paranoid schizophrenia?"
},
{
"from": "human",
"value": "My wife was diagnosed with bi polar b- into paranoid schizophrenic just over 9 years ago or so. At that time she was receptive to the fact that something in her mind just wasn t right. She began medication and once a few months had past I began seeing real changes, it brought me so much hope and is what made me decide to go ahead and marry her because I thought we found the answer and all was solved. I was wrong, she became pregnant and due to the pregnancy she could not take her medication, I had no problem with that as she agreed once she had the child she would return to taking her medication. She became pregnant again before starting her medication back up and therefore could not, then after that pregnancy she said she wasn t going to be getting back on the medication because it just made her sleepy at night. I was devastated and afraid what would happen. 5 years after no medication, she had a really bad episode that I was unable to manage or cope with myself and I ended up in jail for her lying and making things up that didn t happen. Before she was diagnosed, she begged me to kill her for hours on end, I obviously refused and when I told her, not even if you wrote an authorized letter to do so would I even be able to think about doing such a thing. She then did just that, as if doing what I said wouldn t matter would change my mind? I am now sitting at my father s house because she wants a divorce because she is having an episode of extreme negative thoughts and is being very hostile just for starters. I have 4 kids I do not want to lose, how do I take control of the situation and not lose my wife and kids and everything I ve worked for?"
},
{
"from": "gpt",
"value": "Hello, In case she lost her judgement about her illness leading to consequences (impending divorce) there is option for forced treatment as per the provisions of mental health acts prevailing in your country. You can approach the law enforcement agencies for rescuing her and treating her as per the need of hour. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ashok Kumar, Psychiatrist"
}
] |
[
{
"from": "system",
"value": "What care can be taken for trichotillomania, ADHD and borderline personality disorder?"
},
{
"from": "human",
"value": "In the past five years I have been diagnosed with ADHD and Trichatillomania. I also show signs if compulsive eating and compulsive lying. The compulsive lying has burned bridges with all the members of my family, and even though my mother is a psychiatrist she hates me and will not help in any way or refer me to her colleagues. Even though I know I brought this upon myself, it still hurts to have the members of my family say I m self-centered and have no conscience . I am sick of being a dishonest, untrustworthy person. I have low self-esteem as well, and often hate myself. I would go out on a limb and say I had Borderline Personality Disorder. I show many of the symptoms including the feeling of emptiness and extreme mood swings. What do you say?"
},
{
"from": "gpt",
"value": "Hello, If your mother does not agree with you I think you need to seek the second opinion. It is never a good idea to deal patient from family for a psychiatrist and I do not think you need to consult her (my personal opinion).There are many options which can be used in borderline personality disorder depending on the symptom profile of individual patient.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ashok Kumar, Psychiatrist"
}
] |
[
{
"from": "system",
"value": "How can withdrawal symptoms of Gabapentin be treated?"
},
{
"from": "human",
"value": "After 5 months of gabapentin in 2015 I am still suffering from what seems to be severe withdrawal from the drug. This feeling started before I began the weaning process off the drug. A therapist and myself agreed this was what was causing my anger and intolerance toward perceived transgressions toward me. Life has become worthless. I always feel sick with anxiety and depression. Busperone and hydroxine HCL take the edge off."
},
{
"from": "gpt",
"value": "Hello, First of all I do not think they are withdrawal symptoms of gabapentin. Most likely your depression needs better medications and this will help you to control your anger as well as intolerance. Although I am not sure of your age and past history of depression but trying a SNRI will be better option provided your doctor agrees with this recommendation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ashok Kumar, Psychiatrist"
}
] |
[
{
"from": "system",
"value": "What causes short term memory loss while bereaving the loss of a son post a head injury?"
},
{
"from": "human",
"value": "I have had a strange experience that happened about 10 days ago. I can only liken it to amnesia . I seem to have lost a month or so. Just had put a 55 yr old son to rest who died on Dec 3rd, 2017. Memorial service was Jan. 14th..which I rather grazed through. About all I remember after that is a feeling of being semi-conscious, memory loss . I hit my head on an end table and stressed my neck, which had been broken a few years ago. I am not myself, for sure. What do you make of this? Lots of dests done: blood work, EKG, CT, etc. Started with new doctor and husband took me to Emergency where they kept me Sun afternoon, then was told to go home and to see my new doctor in 2-3 days. We are seeing her at 3 PM today."
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As all tests were done and nothing was figured out, psychologically, the problem could be due to stress and anxiety related to your son's demise. Don't take that incident along with you. Just leave it as past. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck."
}
] |
[
{
"from": "system",
"value": "What causes short term memory loss where conversations cannot be recollected and an uncontrollable habit of constant humming?"
},
{
"from": "human",
"value": "For year when I sleep I remove my earing and other jewerlly from my body, I also have conversation with my roommate, when she tells me about it I have no memory of it even taking place! I need to mention that when having these convocation I am actually walking about so she tells me, what could be causing this? And for the past 10 months I have been humming non stop, I hum when I m awake, I hum when I wake to go to the bathroom and also hum until I fall a sleep, I ve tried to stop but seem to have no controll over the humming, what could be going on?"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You can do pranayam and yoga which is helpful for improve your memory. You can take almond with milk in the morning best way to put almond in the water and eat in the morning. Meditation is also helpful. aAlways be positive. Negative thoughts is also harmful. Take proper sleep. Consult psychiatrist if you have same complain. Hope I have answered your query. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "How can short term memory loss be managed when one does activities that they don't remember doing?"
},
{
"from": "human",
"value": "At my daughter s wedding there are times that I do not remember and I was told I was acting crazy , for instance I insisted I needed to get water during the picture taking and left for a long time until someone found me and brought me back and I do not remember any of this. I don t remember a lot of things from the wedding and I do not understand what happened"
},
{
"from": "gpt",
"value": "Hello, Consult a neurologist and get evaluated. An MRI scan will be helpful to rule out possible causes like dementia and Alzheimer’s. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "Will nightfall resume after stopping masturbation?"
},
{
"from": "human",
"value": "sir i used to masturbate at an average 3-4 times a week. i am 19. Then it suddenly came to my mind that why not stop doing it for a while and see whether nightfall resumes or not, just to check whether everything is normal or not and to make sure that i did not do it excessively. I asked one of my friends and he said it will never resume. please tell me whether it will resume or not? and if yes then how much time it will take for it to resume?"
},
{
"from": "gpt",
"value": "Hello,The duration of night fall and time for night fall cannot be predicted if you stop masturbation. Three to four times a week masturbation will not cause any harm. You might have night fall if you stop masturbation because after few days to weeks semen need to be ejaculated from storage genitals and so night fall is obvious.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "How can periventricular leukomalacia be understood while having short term memory loss and the inability to use the right words?"
},
{
"from": "human",
"value": "I had two MRI s, diagnosis- periventricular leukomalacia. I did not understand what my neurologist was trying to explain to me. I have short term memory loss and sometimes say the wrong word or can not find the right word. Would you please explain this to me in words I can understand ? Thank you XXXX"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I thin they want to explain that sometimes you may have excess stress or intention result is appear as not proper commanding in your speech. Or speech you say may be pronounced without thinking about it. Please take some memory enhancer like saraswatarista or tab Mentat. Both are Ayurveda product can felt you better. Hope I have answered your query. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "What causes short term memory loss where one cannot recollect what happened the past hour for a short while?"
},
{
"from": "human",
"value": "I am a fifty one year old female and had a kidney transplant in December. I have bouts of waking up and not remembering where I work or recent events. If I go back to sleep then usually I remember everything. I also have bouts of an aura and do not remember the past hour or so. It coems back but am in a fog until then. Usually this last five to ten minutes."
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Short term memory loss can be due to anxiety, depression, stress, emotional problems or mild cognitive impairment. Try to stay relaxed, take plenty of sleep, go for morning walks & take nutritious food along with the medications prescribed. Visit ER, get EEG done. You may take the help of a neurologist & psychiatrist if required. Short term memory loss is an indication of developing dementia/Alzheimer's disease. Hope I have answered your query. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "What could cause the inability to remember certain things such as events that have occurred earlier in a 26-year-old?"
},
{
"from": "human",
"value": "I Am 26 years old female and I have a few questions and concerns I am healthy but I am having trouble remembering things and my memory is getting worse I can t remember details from something that happened earlier in the day what are some things that could cause this"
},
{
"from": "gpt",
"value": "in my opinion do u have any worries / anxiety features . during u feel sad most of the time , not interested in ac tivities if so that could be reasons check b12 levels, hemoglobin levels ...does any one in the family have memory problems moderate exercise, good water intake and brain stimulation with help of sufoku is useful"
}
] |
[
{
"from": "system",
"value": "Would Exelon patches help cope with short term memory loss?"
},
{
"from": "human",
"value": "I am 72 years old and I have therapy appointments weekly with a clinical neuropsychologist. My therapist and my wife have noticed me having short term memory loss. Would you suggest that I use Exelon patches? If your answer is yes, what strength would you suggest that I start with? Thanks YYYY@YYYY"
},
{
"from": "gpt",
"value": "Hello,Yes I suggest you to use Exelon patch which will increase acetylcholine in your brain and decrease the symptoms of dementia. Initial dose of 5 to 4.6 mg/24 hours. Gradually increase according to the clinical response, best tolerated dose after minimum 4 weeks treatment is 10 to 9.6 mg. Apply on flat, hairless area of the outer arm/upper back/chest/lower back, press firmly for 30 seconds and be sure it sticks.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Purva Patel"
}
] |
[
{
"from": "system",
"value": "What causes short term memory loss about things that have happened yesterday?"
},
{
"from": "human",
"value": "My husband doesn t remember things. He can t remember the things that we have planned at all. Yesterday, we went to the store and he insisted that we bought 2 packs of paper plates and got upset when I told him we only bought 1 pack. This happens a lot. He says that I m always trying to prove him wrong."
},
{
"from": "gpt",
"value": "it appears heis having demantia. should take antioxidant and omega six.he will slowly improve. these are available in medicine form like shark or cord liver oil."
}
] |
[
{
"from": "system",
"value": "How can anxiety and depression along with unwanted and negative thoughts be controlled?"
},
{
"from": "human",
"value": "Hello sir , This isXXXX. actually wt my problem is anxiety & depression. I always feels anxious without a reason . My mind is nt accepting any new into my life if any thing happened i feel anxious ex: house change . Unwanted thoughts , negative thoughts , emotional detachment."
},
{
"from": "gpt",
"value": "Hello, Negative thoughts are part of anxiety or depression. I suggest you not to diagnose yourself. Please provide the symptoms you are facing and I will help diagnose and treat. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist"
}
] |
[
{
"from": "system",
"value": "How can one cure ADHD disorder?"
},
{
"from": "human",
"value": "Son is been been diagnosed with ADHD in addition to trying two medications on him already that have failed he s developed a tick which he is shutting his eyes closed tight for three seconds or so then opens them really wide then raises his eyebrows like a surprise reaction can you please consult on this please I believe there s something other than ADHD going on with my son"
},
{
"from": "gpt",
"value": "Hello, You have not given your son's age. Your son has been diagnosed with ADHD. Am I correct? In some cases, tick disorder is part of ADHD. Is your son taking any medicine for ADHD? Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist"
}
] |
[
{
"from": "system",
"value": "Can manic depression lead to paranoid schizophrenia?"
},
{
"from": "human",
"value": "Hello, I was diagnosed when I was 12 with manic depression. Lately, my depression has gotten worse and I feel I have no control of what I do anymore. I m worried that how I am feeling lately could be symptoms of schizophrenia. Paranoid schizophrenia is inherited every other generation on my mom and dads side of the family."
},
{
"from": "gpt",
"value": "Hello, If you have a genetical orientation towards paranoid schizophrenia, you also may have the risk. But, you can avert it with proper lifestyle changes using CBT. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist"
}
] |
[
{
"from": "system",
"value": "What course of treatment should be done for fatigue and concentration difficulty in an ADHD patient?"
},
{
"from": "human",
"value": "My husband Robert is 65 years old and was diagnosed with ADHD four and a half years ago. He has been working on his high school diploma and has noticed his attention span getting worse over the last seven months. He has been under much stress trying to learn Algebra. His body shakes,he cannot concentrate, has mental and physical fatigue. Sometimes he has blurred vision. What do you recommend? Thank you, Donna"
},
{
"from": "gpt",
"value": "Hello, Adult ADD is a cause of concern. Your husband is 65 and therefore the treatment is always psychiatric as well as could use psychotherapy. The combined treatment can do good for him. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist"
}
] |
[
{
"from": "system",
"value": "What course of treatment should be done for bipolar disorder?"
},
{
"from": "human",
"value": "A few years ago I was diagnosed with bipolar disorder, can t remember which type. After a while of seeing my psychiatrist and trying different medications, I still felt the same. I stopped going to see my doctor and taking the medications. That was about 3 years ago and I just want to do more with my life but I feel so apathetic and have no confidence in myself or my abilities. I want to go to school and try to see if I can find some topic of study to be passionate about but it s hard for me as I don t really feel that interested in things. Even the stuff that usually fascinates me. What should I do!"
},
{
"from": "gpt",
"value": "Hello, If you have been diagnosed with bipolar disorder, it becomes customary that you have treatment with medicines and psychotherapy until you get cured. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist"
}
] |
[
{
"from": "system",
"value": "What is the cause of dull ache in the balls and upper half of legs ?"
},
{
"from": "human",
"value": "Hi, in the past few days I have been getting ball ache, I'm really conscious about myself so I really don't want to go to the doctors about it. The ache is a dull ache but it also feels like it's my top half of my legs as well. It is also worrying me so bad I feel like I am having anxiety problems as well."
},
{
"from": "gpt",
"value": "Hello,You can take anti inflammatory medicine like brufen. Wear loose cotton underwear. Avoid tight clothing esp. Undergarment. If no improvement than investigate with ultrasonograohy of testes for further work up.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "What medical condition could cause a person to become too emotional while talking to seniors?"
},
{
"from": "human",
"value": "HI doc, I am 28 yr male from . I think i am suffering from some psychological disorder i am not sure if it is true or not. I tend to get too emotional whenever i speak to somebody senior to me and at level of anger shoots up to very high even though i don t react nut inside it build a pressure which makes me to feel my head gonna blow up"
},
{
"from": "gpt",
"value": "Hello, Yes. There is a possibility that you are having a psychological issue called association disorder. It can be cleared de-association therapy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist"
}
] |
[
{
"from": "system",
"value": "What type of specialist doctor should a person affected with dementia be taken to?"
},
{
"from": "human",
"value": "I have. neighbor whose mother has dementia that was diagnosed by a family physician. The family would like to see a specialist that can answer more specific answers and make sure this is the correct diagnosis. If the mother does definitely have dementia, they want a plan of care. What type of specialist should they take their mother to? Thank you very much."
},
{
"from": "gpt",
"value": "Hello, You can take the patient who has been diagnosed with dementia to a Geriatrician for better management. You can even consult Geriatric Psychiatrist, Neurologists or Neuropsychologist's for tests related to memory & thinking. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "Should I take Lexapro for poor concentration?"
},
{
"from": "human",
"value": "I am very sensitive to the slightest correction for my faults. My head fills with a fog and it is hard to concentrate. It also affects my eyes with a slight pressure. I had taken lexapro for 5 years with results. I stopped it 4 years ago. I have tried shrinks and the meds they have prescribed without success. I experience head clarity but it is short lived. I have tried breathing exercises, meditation etc. Should I go back on lexapro? Ed"
},
{
"from": "gpt",
"value": "Hello, Please let us know your age. Lexapro is mainly used to treat a major depressive disorder or generalized anxiety disorder. Are you trying to connect your lack of concentration issue with depression and anxiety? I suggest you not to connect those. You should talk to a psychologist first for the assessment. It is possible that your problem could be cleared with psychotherapy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist"
}
] |
[
{
"from": "system",
"value": "Are migraine headaches associated with dizziness and numbness symptoms of a panic attack?"
},
{
"from": "human",
"value": "I think I have been experiencing panic attacks but not sure -two experiences within this last yr - ( long history of headaches and vertigo) started out with a week of migraines followed with dizziness - both times going to a function and had to leave - symptoms are hard to explain - a lot of dizziness followed with fatigue, numbness and worry how to get home."
},
{
"from": "gpt",
"value": "Hi, Welcome to Health care magic. I have read your query. Migraines if left untreated may cause complications like major depression, post traumatic stress disorder, agoraphobia, substance abuse disorders, etc. At times migraines can also cause sleep walking, sleep talking, night terrors, abdominal pain, vomiting or dizziness & vertigo.Dizziness & vertigo may be due to middle ear problem also, get your self physically examined by an ENT specialist to rule out vertigo. Get evaluated, get treated. To get evaluated for the severity of migraine you will have to go for CT, MRI, EEG, Eye Examination, Spinal tap, Blood chemistry, Urinalysis. Hope I have answered your question. Take care.Regards,Dr Nupur K"
}
] |
[
{
"from": "system",
"value": "How can severe depression and PTSD symptoms due to physical, verbal and emotional abuse be treated?"
},
{
"from": "human",
"value": "Hello Dr Carmichael My name is Winny. I haven t had the best childhood given that I had an abusive alcoholic father who used to abuse my two siblings and I as well as my mother too. We would even sleep outside the house (in the yard) in fear of him hurting us. I was in like 2nd grade when this started happening and I was the youngest child. My depression started then and i had a couple of suicidal thoughts back then. Last year I found myself crying every night because it was hard for me to focus on my studies and still come back home to a drunkard father eveyday who would swear at me whenever he wanted. I am 22 now and he has actually stopped drinking and isn t abusive anymore. But, now my mother is always angry at me. I feel as though she treats me differently than my two siblings (who are living in their own homes now). Whenever she shouts at me she swears at me with the most disturbing swearwords ever. I always find myself crying and I lock myself in my room and just sit and watch movies... Just to escape my reality. I feel like God doesn t love me. For me to experience my dads abuse for 15 years of my life, get some sort of healing, only to get ill treated and disrespected by my own mother a few months later. I feel like I am the black sheep of my family. I dont feel like my mother loves me. I know my mom would flip if I brought this up to her because she s so old schooled that she doesn t see the importance of having a heart-to-heart with your own kids. I really don t know what to do or who to talk to. I talk to my sister , and she doesn t get it. All she tells me is to pray and have faith that things change. Something I ve been doing for 15 years. I am unhappy and I feel unloved. I just wanna cry and drop out of school and run away altogether! Coming home everyday is depressing. I always lock myself in my room because no-one understands me. I need help. What are your suggestions?"
},
{
"from": "gpt",
"value": "Hello, The treatment of PTSD and depression is often accomplished with the use of medications and psychotherapy. As you might be aware no two patients are similar and often complete assessment is required before starting the treatment. In my opinion, there is a need to get evaluated for depression and PTSD. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ashok Kumar, Psychiatrist"
}
] |
[
{
"from": "system",
"value": "How can severe anxiety due to alcoholism be treated?"
},
{
"from": "human",
"value": "Hello sir,This is Sandeep .My father had anxiety problem he is in high level . He consulted doctors they gave some medical tablets with high dose . My father used to drink alcohol when it came but after consulting doctor he combining tablets and alcohol that to he is taking over dose more than doctor sugusted .He is torchering my mother after taking alcohol and tablets he was taking 3 times a day alcohol and tablets he completely addicted he has no control on him . We don t have money to join in de addiction centre . Please give us an solution .we were suffering as hell ."
},
{
"from": "gpt",
"value": "Hi, Anxiety can get better provided the doses of the medications are taken exactly as prescribed. Alcohol and addictions of any kind are to be avoided. If the patient is not taking medications as suggested, CBT (Cognitive- Behavioral therapy) is recommended. This therapy helps to change thinking and behavioral patterns towards the better. Improvements can be seen in 12-16 weeks, when the patient learns self-control. Exposure therapy reduces fear and anxiety. RTC (Residential treatment center) effectively reduces substance abuse and other behavior problems. Alternative treatments are also available like stress and relaxation techniques. You can also consult a Psychiatrist, Counselor or Therapist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "How can severe depression, tension, suicidal thoughts and insomnia be treated?"
},
{
"from": "human",
"value": "Hi doctor am just 21 years old girl I feel like tensed and I can t get enough sleep always sad and I feel like to kill myself I was consult a doctor she give me 3 medicine 1. Oxetol 300 2. Lonazep 0.25 3. Zapiz 0.5 Doctor I want to know about the details of above medicines and solution of my depression...?? Help me sir please"
},
{
"from": "gpt",
"value": "hello there.. at present it looks like you are having depression... the medicines which your doctor has prescribed are not going to help you because there are not given for depression... so I suggest you to consult another psychiatrist and to start on antidepressants. if I were your doctor I would have started you on SSRI group of antidepressants. you also require relaxation therapy and cognitive therapy... you can continue taking this zapiz for your sleep.. all the best..."
}
] |
[
{
"from": "system",
"value": "What does a rash like circular blemish on the penis indicate?"
},
{
"from": "human",
"value": "I am currently deployed, no sexual activity for months, however during my shower I noticed a reddish/white/purplish circular blemish on the side of my penis, maybe 1/4 in diameter midway up the length. It s causing me to panic. It is not raised nor sensitive to the touch. It doesn t appear to have any fluid inside of it and it is easily distinguishable. The previous night I had attempted to masturbate, and I had no lubrication, and due to the environment I was running through my boxer briefs in a circular motion for several minutes. Could that have caused this or is it more serious?"
},
{
"from": "gpt",
"value": "Hi.,Welcom to Healthcaremagic.com I had gone through your question I can understand your concern. As per your history it seems to me it is traumatic bruise, that had happened because of the friction with rough surface. You don't need to worry about it will heal with a week. You must keep it dry because of the less karatinization this area is prone to fungal infection so any fluid may be of concern. If the bruises will start swelling or become painful or itchy you may need antibiotics like levofloxicin but in normal condition no need to take one. Hope the answer will be helpful to you, come back to us if you feel any further assistance. Regards Dr Muzaffar."
}
] |
[
{
"from": "system",
"value": "What medical condition causes inability to focus, fatigue and sleepiness?"
},
{
"from": "human",
"value": "I have been suffering with brain fog for last 6 years. I have not found any solution to this yet. The symtoms are : Inability to focus or concentrate, remember,think, comprehend ( brain symptoms). Other symptoms besides these r fatigue, sleepiness, . Psychiatrists say its depression or anxiety but I don t feel depressed or anxious. Its just after a bout of drink i developed brain fog and it continued from that point. I had no ADHD in childhood and have not been diagnosed by any psychiatrist for the same. What is it that i have been suffering from? I don t know . Plz share ur views. Thanks"
},
{
"from": "gpt",
"value": "Hi, It would be useful to check thyroid and hemoglobin levels. Also, do brain stimulation exercises, sudoku, learning words etc. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gayathri, Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Is Tancodep suitable for severe depression and constant suicidal thoughts?"
},
{
"from": "human",
"value": "Hello doctor. I m 21 years old man. I m all time thinking about to die...i have sucide thought...i want to leave this thinking for about to die. So can i take tancodep 5mg.. is it ok for my body....Please help me...I m confused and depressed...Please reply doctor. Thank u..."
},
{
"from": "gpt",
"value": "Hi. What has led to this thinking? Do you have a lot of stressors like financial, relationship etc? Do you have any psychiatric history like depression?It is needed for a thorough assessment to evalyate you and determine the risk for suicide. Admission might also neccessary if doctors feel its needed. I suggest you see a psychiatrist for evaluation and further treatment.Regarding the treatment, it can numb the symptoms you have and help to sleep but in the end the roit of the problem is not attended to."
}
] |
[
{
"from": "system",
"value": "Why is the speed of my ejaculation reduced with age?"
},
{
"from": "human",
"value": "Hi there up to about one year ago, when masterbrating the ejuclate would travel about 18 inchs. Now that i'm 47 years old my ejuclate travels only about and inch and no more. I'm in good health, no heart or any other problem that i'm aware off, is this age related or should I be worried. Thank for any advice."
},
{
"from": "gpt",
"value": "Hello,Your problem is age related. The semen might not be ejaculated with force like that of young age. You may need not to worry according to my opinion. Don't worry.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "How can severe depression, excessive weight loss and symptoms of Alzheimer's disease be treated?"
},
{
"from": "human",
"value": "My brother has been suffering severe depression, lost 200lbs, has signs of elhiemer s. He cant walk for well and he is now in diapers. My family thinks its alhiemers. I know he mentioned to me about 4 years ago that he was able to get as much oxicoton as he wants from his doctor. A year ago he called me all upset cause he said he had to change his sobriety date after havig 23 years clean and sober. I believe a year ago when he told me this, he was trying to kick painkiller addiction and had major side effects to where it leads his condition now. He says he doesn t want to live. My mom and his wife was diagnosed with cancer over a year ago. That is a reason to be depressed. this with the combination of kicking painkillers, I believe is why he is in the condition he is now. Could I be right?"
},
{
"from": "gpt",
"value": "take counseling from clinical psychologist. it appears to be depression and he is having anxiety neurosis. donot take any medication without consultation with phychiatrist since it is a psychological problem."
}
] |
[
{
"from": "system",
"value": "How can severe grief and depression after losing a loved one be treated?"
},
{
"from": "human",
"value": "hello sir, my mother was suffering from mentally disturb after death of my father. she talking with herself in alone nd never want to go anywhere out of house and also not talk to our relatives and other people. so,I want to star a proper medicine for my mother.. plz help.."
},
{
"from": "gpt",
"value": "Hi, Depression is a common thing observed after the death of loved ones as in your mother's case. Such things can happen to anyone. However, it is non-permanent and with time she will feel ok. Let me tell you to get an appointment with a psychiatrist. She may need a drug therapy for some time. However, this can be managed by non-drug therapy as well: 1) Don't keep her alone. 2) Engage her in physical activity. 3) Talking to friends or social interaction can reduce it. 4) Support her emotionally. 5) Engage her in humorous discussions. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Soheel Hussain Zargar, Dentist"
}
] |
[
{
"from": "system",
"value": "How can depression, sadness and stress from abuse be treated?"
},
{
"from": "human",
"value": "Sometimes I Cry because I get mentally abused sometimes I cry because I worry about my childre Sometimes I Cry because someone else is crying All My Children I feel that I failed my children stay married and overlooked some of the things but I couldn t and I m so proud of my children for not wanting to be around the same it breaks my heart to see my baby when he drinks I know what he s got on his mind he really needs to talk to someone professionally it would be great to get him in and Evansville psychiatric done now and then"
},
{
"from": "gpt",
"value": "Hi...Welcome to healthcare magic. As you mentioned you have problem of severe depression. I will suggest you to consult a psychiatrist for further treatment. Yoga and meditation is helpful to you...Stay connected with your friends and family. Do a activity which you like...Don't worry about each and every condition..Read a motivational articles...Try to think positive in every situation. Behaviour therapy is helpful to change your thoughts and decrease negative thoughts..Consult a psychiatrist for further work up. I hope my guidance helpful to you.. Get well soon...Thank you."
}
] |
[
{
"from": "system",
"value": "How can severe depression after the birth of the second baby be treated?"
},
{
"from": "human",
"value": "My daughter has been on Laotrigine 100 and Venlafaxine for about the past 14 months. Since the birth of her second child. She is takes xanex at times. She drinks a couple times or so per week. Her personality has changed, she is more depressed and talks crazy. It is effecting her 5 and 1 year old kids and ruining her marriage. To top it off, she is way overweight, wears a nicotine patch and is more depressed, now. What should we do to intervene? Thx Janis"
},
{
"from": "gpt",
"value": "Hi and thanks for question.your daughter have major depressive disorder , in which treatment given is good. i think she need some psychotherapy. second thing if she take medication since long than change the medication by consulting doctor. stop alcohol and why she took nicotine patch. consult psychiatrist first.thanks"
}
] |
[
{
"from": "system",
"value": "How can severe depression and OCD be treated?"
},
{
"from": "human",
"value": "I have been taking Luvox since 1987. It treated my OCD and major depression for many years. For the last seven or eight years, my depression started up again. Now is is a major depression. I have lost my husband, my father and two close friends in less than 4 years, but the depression started before they died. I almost lost my daughter, who has Type 1 diabetes. She was dead, but the third time they were able to bring her back. They put her in a coma for over a week using Propopol. I have it in the back of my mind that I could lose her again. My doctor doesn t seem to think there are other meds I can use for my depression. I am barely coping, have no family, except for my daughter. I hang on only for her and my lab. My question is: What suggestions do you have for treating my depression that will not bring bring my OCD back? I tried ketamine, but it did not help at at and was quite expensive. My doctor has left my twisting in the wind. She put me on Zoloft, but I had horrible nightmares. Maybe it was because I took the Zoloft before I went to bed. Can you suggest something for the Major Depression, without the OCD coming back, too? Thank you. Claudia EMAIL ADDRESS: YYYY@YYYY"
},
{
"from": "gpt",
"value": "Hi and thanks for question.u have depressive features due to u saw recently lost in your family and also your daughter is in critical condition.i will suggest to start desvenlafaxine at 50 mg dose which improve your depressive features along with ginkotal a supplement. along with that u can start psychotherapy to overcome your depressive features. thanks"
}
] |
[
{
"from": "system",
"value": "How can severe depression after losing both lower limbs be treated?"
},
{
"from": "human",
"value": "June my husband was said to have vertigo for about 10 years dizzy falling he is a Vet. lost both legs below the knee put in the hospital given meds. still so dizzy, can t walk now but you would never know he had no legs only if he had shorts on but just stays in bed most of the time very depressed Please help this Vet."
},
{
"from": "gpt",
"value": "Hi, I understood the problem. Your husband can try taking antidepressants like fluoxetine 20mg or escitalopram 10mg. He can get through his depression and can motivate himself to overcome problems arising from vertigo or because of lack of legs. Since these antidepressants are prescription drugs, need to be taken under supervision of a doctor. Wish your husband early recovery and any further queries can write again"
}
] |
[
{
"from": "system",
"value": "How can severe depression be treated when the only medication that works is Methylphenidate?"
},
{
"from": "human",
"value": "I have tried with great care many kinds of antidepressants, prescribe and bought online. I do not drink or smoke, do not have succestibilty to dependence and avoid tolerence. The only medication that I find works for me is methylphenidate. I take great care with meds, and responsibility. I do not have physical or mental problems, except for long term depression, which I have to Live with, which causes me much unhappiness and social difficulty. After many years or trying various meds, including the current favourite SSRIS. METHYLPHENIDATE is the only med that has been successful. I have no intention of taking large doses, or even consistent dailyl doses. Even though it compares very favourably with contra-indications and interactions, it seems negatively viewed in UK. I have undertaken much research with many meds and do not understand this reluctance in UK, apart from possibility of abuse. Can you help ? Regards Barry YYYY@YYYY"
},
{
"from": "gpt",
"value": "Hi and thanks for question.u wrote that u have depression and u will take methylphenidate. methylphenidate is not used to treat depression it mainly used for ADHD treatment. so first off all stop taking it. take antidepressant like sertraline and desvenlafaxine for depression along with benzodizepines for anxiety relief. consult psychiatrist.thanks"
}
] |
[
{
"from": "system",
"value": "How can severe depression, insomnia and panic attacks be treated?"
},
{
"from": "human",
"value": "THIS MIGHT BE AN EMERGENCY patient : 20 years old, male, student, no loved ones around - lives in a hostel and I can t go and help him, HE DENIES MEDICAL CARE. I MAY USE ANY SUGGESTION TO HELP HIM DEAL WITH HIS DEPRESSION. My friend is going through depression for about a year now. I m his love of his life. He has had panic attacks, insomnia, no hunger - vomits right after eating, lost interest in things once he used to enjoy, can t feel any emotion, suicidal thoughts. Yesterday, he had a trigger, followed by a panic attack, he said he had shivers, body cold, was taking breath 2-3 times a second, he is presently having an acid reflux PLEASE ASSIST ME HELP HIS CONDITION THANKS"
},
{
"from": "gpt",
"value": "consultant a doctor immediately in my opinion pantoprazole 40 mg daily before breakfastto treat depression mirtazapine 7.5 mg every nightu r being very sensitive to your friend. plz support your friend encourage him to be active"
}
] |
[
{
"from": "system",
"value": "How can severe debilitating depression be treated?"
},
{
"from": "human",
"value": "Hi, my brother, who has severe, debilitating depression just started taking this med,he is having good results. I have more of a situational depression myself. I have not been on an antidepressant in many years. I do have a seizure disorder. Completely controlled on meds. Can this antidepressant be of use to me?"
},
{
"from": "gpt",
"value": "Hello thanks for asking from HCMWhich antidepressant drug is your brother taking? Depression is a mood disorder and if he is on antidepressants then most likely he is on SSRIs or SNRI drugs. Fluoxetine, Escitalopram, Sertraline etc are SSRI drugs while Venlafaxine, Duloxetine etc are SNRI drugs. These drugs help to treat the depression symptoms and have great efficacy. So if you think that you have depression then please visit a psychiatrist for evaluation and take proper treatment.Thanks and Take care"
}
] |
[
{
"from": "system",
"value": "Is Lexapro suitable for anxiety and severe depression?"
},
{
"from": "human",
"value": "what would you suggest for a for a 16year old girl experiencing depression with frequent crying, mood swings, excessive guilty, high anxiety! and starting to display paranoia, potential psychosis with fears of others knowing about what she s done . Been on Prozac 20 mg for 6 months, and prescriber took her off the Prozac and now suggesting Lexapro 10 mg. Will this cover the anxiety well enough or would you suggest something different-- something that targets the mood as well as the intense anxiety better than Lexapro? When do you try an antipsychotic or a mood stabilizer with a 16 year old that has never displayed any psychosis before? or is this just part of the depression?"
},
{
"from": "gpt",
"value": "Hai *Paranoia suggest evolving Psychosis in the depressed state *Antidepressents SSRI is the first line of choice .But i personally feel the dose used was less .... The dose could have beed escalated according to the clinical condition *Kindly get a opinion from another Psychiatrist. He may increase the dose of the Antidepressent *in case of Severe depression with Psychosis, addition of Antipsychotic with Antidepressent is a usual practice. Thank you"
}
] |
[
{
"from": "system",
"value": "Suggest medicine for erectile dysfunction"
},
{
"from": "human",
"value": "One and half month back I moved to USA and my wife joined me here 3 days back. When we trying to have sex, my pennies is loosing pressure before I start penetrating into vagina. We did foreplay for 10 to 15 minutes that time pressure was there but while start penetrating it will loose pressure. Not able to get into to her. When we were in India, we were having sex as usually and having no issues. But now it’s not all possible to penetrate into her. Please let me know is there medicine for this? Your help on this is much appreciated."
},
{
"from": "gpt",
"value": "Hello,There is no need for taking medicines. It can be psychological issue related to doing sex at new place. You can wait for next few days to do sexual intercourse again. You can apply lignocaine jelly after penis get hard for doing smooth penetration into vagina. If problem persist than kindly revert back.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "How can one help their spouse who is in severe depression?"
},
{
"from": "human",
"value": "I am the spouse trying to learn how best to support my loved one. my wife is in a pretty severe depressed state and I just want to say and do the right things to best support her. She is feeling very guilty about how this affects me. How can I assure her she is worth whatever it takes."
},
{
"from": "gpt",
"value": "Hi and thanks for questions.first off all talk to your wife that what happens to her and what r the symptoms for depression. second guilt is because of some action so try to find out that problem. if u r unable than consult psychiatrist for same. during this period u will give escitalopram along with clonazepam for relief.thanks"
}
] |
[
{
"from": "system",
"value": "Suggest alternative medication to Adderall for depression"
},
{
"from": "human",
"value": "Hi Dr. Rynne, My name is David Pruitt. I m 62 years old and have been on adderall for about 7 years. MY doctor moved away and the clinic assigned me to a lady nurse practioner who doesn t like adderall and stopped writing the perscription. I had blood tests done, EKG, everything was good. I don t drink, smoke, don t smoke pot or drugs of any kind. I ve been off 2 month, and it takes 2 to 3 months to get an appointment with another dr. and all I m doing is laying around all day, can you help. I have depression and this is the only thing that has ever helped me"
},
{
"from": "gpt",
"value": "in my opinion it would be useful to undergo therapy sessions with a therapistalso antidepressants like escitalopram is useful regular activity scheduling is also useful"
}
] |
[
{
"from": "system",
"value": "How can abnormal notions about ill-health after noticing minor brain shrinkage be managed?"
},
{
"from": "human",
"value": "My father is 78 years. Last year we have done the MRI of brain suggested by a neurologist. Minor brain shrinkage is detected but he was normal for about one year. But now he is in severe depression. He is physically fit no blood pressure no sugar. We have consulted psychiatric but not great effect. He is feeling like he has been bitten by dog when he was child. And so the poison of it is converting now my body into a dog. What should I do now?"
},
{
"from": "gpt",
"value": "HelloI have read your statement and i understand that your are concerned about your father conditionYour father is suffering from ''Major Delusional Disorder'' of 'Somatic' Type. Delusional Disorder comes among category of Psychosis. You have to take him to reputed Psychiatrist where he will do1. Personal Psychotherapy sessions about 8 in number2. CBT ie Cognitive Behavioral Therapy that will help him in overcoming his delusional thoughts3. Will start him on antipsychotic medications such as atypical antipshycotics such as resperidone etc"
}
] |
[
{
"from": "system",
"value": "How unhappiness around family members due to lack of attention and inexplicable episodes of crying be treated?"
},
{
"from": "human",
"value": "i feel very unhappy around family but when i m with friends it like i can trust them more. i mean at least they listen to me well sometimes .i feel lost most time .i cant pass any grades .and most of the time i hate life as it is and i don t think i m in a depression but when i m not talking to anyone i just cry my eyes out why is that i never talk about this to anyone ???? nvm it was a waste of my time to tell anyone now knowing what this is but it whatever"
},
{
"from": "gpt",
"value": "Dear userWe understand your concernsI went through your details. Depressive disorder or depression is a neuro chemical disorder. Suicidal tendency is one main symptom of depression. You must be able to distinguish between mental disease and mental disorder. Your problem is a mental disorder. Not a mental disease. These mental disorders are usually treated with a combination of medicines and other means like awareness, meditation, Psychotherapy techniques, life style changes etc. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck."
}
] |
[
{
"from": "system",
"value": "Suggest treatment or medication for clinical depression post a brain injury"
},
{
"from": "human",
"value": "A decade of failed treatment and doctors using terms like I slipped through healthcare cracks Has left me with clinical depression and a untreated class2b brain injury which makes my anger and sadness uncontrollable and I have no willpower or drive(cannot force myself to do anything) My question is is there something( like a pill or treatment of sorts) that gives ..for a lack of terms, drive and willpower? Let me give you an example if I want to walk the dogs. I will get as far as walking out the door and than I start to feel exhausted and go back inside and lay down, but not sleep just get very down and think terrible . This happens with eating sleeping daily activities. Everything. Is very tedious. And very very hard to do even the smallest tasks without giving up before I even start. I ve gone through many councillors and talk therapy for a nuero-psychologist to say talk therapy would never help me. After he did testing of his own. Of course. Cause my huge file is never enough. And I ve tried countless anti depressants that all have had very bad effects or no help. I also went to a psych ward ( by choice of going to the hospital for depression and them sending me away in ambulance ) and they just sent me home Please help?. I m so tired of not being able to do anything or live any sort of life. And when I ask for anything to help drive they say there s no such thing. Yet when I search online people have similar problems with drive but have prescriptions that how they describe help that very feeling."
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There are many options for treatment of depressive disorder with lack of drive. Most often the non addictive medications used include modafinil , armodafinil, methylphenidate in addition to antidepressants. Unfortunately none of them is over the counter medication and you need to get a prescription for same.Hope I have answered your query. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "How can excessive crying due to overwhelming emotions along with loneliness be managed?"
},
{
"from": "human",
"value": "I have symptoms of being extra emotional and end up crying badly many times, turns out to be an emotional fool in situations. sometimes I feel like misunderstood from near ones. I try to sort things out in life by mind but cannot pursue it because of heart even though it impacts me. I feels like being alone."
},
{
"from": "gpt",
"value": "Welcome to HealthcareMagicin my opinion from the query you asked, you doesn't seem to be having depression but personality traits can be found.so better to consult a psychiatrist and open up yourself to him so that the cause of your emotional disturbance to be ruled out.You feel alone i can understand your situation but trust me you aren't alone we all are with you, we cant help until unless you share your problem fully.RegardsDr Varun"
}
] |
[
{
"from": "system",
"value": "How can severe depression, feelings of worthlessness and overwhelming stress be treated?"
},
{
"from": "human",
"value": "Hi, I don t know if this is where I m supposed to go. I don t know what to honestly do right now. I just need to talk to someone and nobody is around me right now. My family is tens of hours away and I don t have close friends by my side. Plus, I have a feeling nobody will believe me what I feel and just belittle whatever I tell them since I m considered to be tough. There is a lot of things happening around me and not just today, but I think I hit the lowest point. For two past years I ve suffered from depression states(?) something like that - my psychologist said so but she was the type of person to pick up calls while I was opening to her about what I feel. That s why I m looking for help whenever, I know I need help to cope with everything. I don t know what is happening to me. I ve been overwhelmed by stress from school/university, my grandma s serious health issues, my health issues and other factors. There is no emotion in me for months, I laugh of course, I tend to smile but it s nothing that I feel inside. It s like a thing that has to happen, I don t know how to explain it. It s just so empty. Few things happened today that pushed me into thought I never knew I would have and I ended up sobbing for hours now. I had this before, when I was still at school I would explode in crying. Feeling little, unimportant, forgotten, not worth anything. It has been so long and I m just tired of everything. Seems I could sleep for hours during the day because I m free off everything, but I m awake at night and that s when the guilt I m wasting my life, destroying myself. I don t know what to do. I don t even know if this is the right place to go, I ve been searching online for hours. I don t want to feel all this today, I want this to be over as fast as it can be. How do I get out of this? Where should I go? All of what is happening to me goes on on inside, but I have a feeling it s seriously starting to affect me on the outside to, but I don t have the strength to talk to anybody about this that s why I m writing. What should I do? I m sorry my English may not be the best but I m not native. I just need a hint. Anything please, I m desperate."
},
{
"from": "gpt",
"value": "hi sir,i could understand your present situation. presently your suffering from moderate to severe depressive episode which needs to be treated immediately. the features you mentioned like feeling sad with crying spells, loss of interest in daily chores,sleep issues, guilt and hopeless ideas are all due to depression only. Don't worry. you ought to get treated with a psychiatrist. treatment options will be antidepressant most probably SSRIs. along with it, counseling with cognitive behavioral therapy too helpful. but, unlike other psychiatric disorders which continue treatment for prolonged duration of time, your depressive episode treatment last only for 6-8 months."
}
] |
[
{
"from": "system",
"value": "How can constant uncertainty regarding the future and one's purpose in life be managed?"
},
{
"from": "human",
"value": "sir ,i m so worried about my future ,my studies and my physical appearance .I always wanted to do something different than others.I wanted to be unique .but i feel like i m simply wasting my time and i can t do anything .i m getting so bored with my life .sometimes i feel depressed,i m getting mad .i m always asks my self that who am i?..i don t know anything.sometimes i wanted to die to become free from this life.I wanted to live alone.but i cant....is i really have any problem???"
},
{
"from": "gpt",
"value": "hi sirI have gone through your question and understand your concerns.In my opinion, your currently suffering from severe depression which should be treated immediately.All your features like low self esteem, not interested in daily chores, feeling tired, sleep disturbances, hopeless and worthless ideas, bleak and pessimistic views about future and finally most dangerous suicidal ideas and acts are all due to depression only.If I were your treating psychiatist, I would recommend you to start medication immediately. My choice of medication would be an antidepressant like SSRIs or SNRIs or Mirtazepine along with cognitive behavioural therapy.I also recommend you to go for routine thyroid checkup."
}
] |
[
{
"from": "system",
"value": "How can mood swings and depression after discontinuing Paxil and Wellbutrin be treated?"
},
{
"from": "human",
"value": "Due to the loss of my prescription drug coverage, I cut back on some medications. I was taking 40 mg. of Paxil and 200 mg. of Wellbutrin daily. For almost 3 weeks, I ve been taking 20 mg. of Paxil, and 100 mg of Wellbutrin. I am very emotional, and find my self crying more...Also, two days ago I quit smoking, after 17 years of being a non-smoker, then, picking it up again after a trip to Ireland. So, after a 17 month relapse of cigarettes, and the doseage change, which one should I up? I feel the Wellbutrin may help with the smoking, but I would so appreciate any advice..."
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As you rightly mentioned, Wellbutrin helps in deaddiction of smoking and also relieves you from depression, it's better you continue higher dose of Wellbutrin and cut down Paxil in a tapering way. Withdrawal symptoms are more severe with Paxil, so slow tapering off Paxil is very important to avoid withdrawal symptoms. It's better you consult psychiatrist and take a decision. Go for a morning walk daily, exercise for 2 to 3 days per week which helps you feel relaxed. Interact and enjoy with your friends, listen to music, go for a dance, have a healthy diet. Hope I have answered your query. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "Suggest treatment for an extremely sensitive person who is troubled and depressed"
},
{
"from": "human",
"value": "I have lots of trouble in my life , from last few months I feel that everyone make me feel down , i got so much hurt on little things , n I m tired from my life. ...my family treat me like I m a most foolish person in the world I can do anything in my life ....what should I do plz help"
},
{
"from": "gpt",
"value": "Hello,Depression can affect anyone and you can overcome it completely. This is a phase and it will go. Depression symptoms include feeling low all the time, loss of interest in the previous pleasurable activity, feeling lonely, low in energy, hopeless, helpless, worthless feeling and sometimes even suicidal ideas. Few of them or all can be present at a time. Consult a nearby psychiatric clinic. Make sure you are not alone trying to be with someone close to you, share your thoughts, sleep for an adequate time, have healthy meals on time, involved in activities you used to enjoy earlier. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Rohit Kothari"
}
] |
[
{
"from": "system",
"value": "What is the treatment for nocturnal emission?"
},
{
"from": "human",
"value": "Yesterday, I had a wet dream, and for some reason I flexed the muscle that you would when you're trying to stop yourself from peeing, and I stopped the sperm from coming out. I later read that that could be very harmful, and I've done it more than a few times (only during wet dreams, not while masturbating). That whole day I couldn't seem to have a proper erection, and when I did, it would go away in a few seconds. Is there anything wrong with me? I think the problem is I was scared that there could be something wrong down there so I couldn't have the erection, but I'm not sure that's the case. Also, I have a slight discomfort in my left testicle. It feels like it's trying to push up into my body a little. Please help!"
},
{
"from": "gpt",
"value": "Hello,Its completely normal to have nocturnal emission for men. Keep a towel while asleep, if at someone else home keep an extra pair of underwear with you. You can have regular sex or masturbate 1 hour prior to sleep to avoid nocturnal emission. Your problem with erection seems to be psychological to me. Don't be afraid of anything, its a normal thing to have wet dreams. whenever there is overflow of sperms, you are going to face nocturnal emission.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "How can feelings of helplessness, loneliness and lack of self-worth after physical abuse be treated?"
},
{
"from": "human",
"value": "I m 23 yrs old woman and I m from India I m feeling helpless and lonely I was bullied when I was at school I had no friends because they thought I was violent I want to be respected and valued within my family and friends but I feel like I m no one to them I m currently married I love my husband but he spends less time with me it s like he is less interested in me i was beaten by my father I m scared of him My mother just rubs off my feelings as if it s nothing to get worried I don t know what to do about me i feel like I ve lived my life as a useless one wasting"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.These are all symptoms of depression. Depression can affect anyone and you can overcome it completely. This is a phase and it will go. Once you improve you will be able to handle this situation easily. Share these feelings with your husband. Consult a nearby psychiatric clinic. You can contact me for any further help. Make sure not to be alone and trying to be with someone close to you, share your thoughts, sleep for an adequate time, have healthy meals on time, involved in activities you used to enjoy earlier. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Rohit Kothari"
}
] |
[
{
"from": "system",
"value": "How can insomnia and weight loss be dealt with while managing depression?"
},
{
"from": "human",
"value": "Hello my name is jenny im 18 and struggling with sleeping and have a few more concerns. as ive never been diagnosed or checked with a doctor for depression, i can feel that i have been this past year. however my family and friends have been helping me with that issue and i feel as ive made progress and am improving. but i know ive lost some weight as well and its something that really bothers me. My two main concerns are gaining weight and getting more sleep. are there any medications i can bring up to my doctors? asking for help."
},
{
"from": "gpt",
"value": "Hello,Insomnia can be treated with drugs like Zolpidem and Alprazolam. It is better to go for Zolpidem instead of Alprazolam drug because alprazolam will lead to dependency on chronic use.Zolpidem is available in the trade name of Zolfresh.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Srinivas Bandam"
}
] |
[
{
"from": "system",
"value": "Can erectile dysfunction due to thoughts of one's partner with another lover be treated?"
},
{
"from": "human",
"value": "My wife had an affair, but we are trying to work things out but I can t get an erection without taking a dietary supplement pill that s bought over the counter. Now they aren t working, a couple times it was really good and we enjoyed each other, but I keep thinking about him being with her and can t get anything going. My wife is beautiful, but I feel useless and not like a man. I went to ED doctor and he gave me testosterone gel, said my level was just over 300 which was in the normal range. I don t know if my problem is physical or mental. I m getting really frustrated trying to figure out whats wrong with me. Can you please help me?"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your problem is not physical its more likely to be mental stress. Because erectile dysfunction is mostly due to stress or depression or performance anxiety so kindly consult psychiatric and get treatment accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhadresh Lakhani, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "What advice can you provide for a debilitated person with lost hope?"
},
{
"from": "human",
"value": "October of 2015 My mom went to the hospital because her face had gotten swollen after getting her tooth pulled.. Her face had got so big that it covered her airway and she lost oxygen to her brain. The doctors had to resuscitate her. she went through having to use a breathing machine (witch she has been off for 1 year and a half now) but every since then she has lost her ability to talk and her ability to walk, her arms are stuck in one position and he is extremely emotional. she is able to understand everything and she remember everything she answers yes and no by nodding her head.. i have faith that she can come out of this but i feel as if i can do a lot more to help her out of this. so is there any advice or something that you guys think i can do, that will make her less emotional and give her a little hope shes a strong women and was extremely healthy before this its been 3 years almost and shes go"
},
{
"from": "gpt",
"value": "Hi, As per your description it may be possible that your grandmother have hypoxic (due to oxygen deficit) brain damage which may cause walking disabilities and emotional instability. You may give positive motivation, physiotherapy exercise, which may definitely help her a lot. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Adish V. Doshi, Psychiatrist"
}
] |
[
{
"from": "system",
"value": "What can cause extreme mood swings and short temper?"
},
{
"from": "human",
"value": "if a male mid 40 s has extreme mood changes one minute happy next day anger and very impatient. Always speaking negatively about everything, always see the worst in all situations. Short tempered. Extremely emotional and hard to make simple decisions. What could this be?"
},
{
"from": "gpt",
"value": "Hi, If these symptoms were noticed just recently, there could be some sort of deep disappointment and related stress. You should try to find out the reason behind this. Talk to the person and also try to talk to his friends and near family. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist"
}
] |
[
{
"from": "system",
"value": "What can cause hot sensation from the feet to the chest while suffering from Alzheimer s disease?"
},
{
"from": "human",
"value": "My grandmother is in her late 60s and has been diagnosed with alzheimers in the past year. She s been experiencing these spells lately she explains as a heat sentation that goes from her feet to her chest. She says her actual skin Gets hot also she puts a cold cloth on her legs it s so bad. She feels weak and tired after and confused. It was happening alot, then stopped for a couple weeks then suddenly they are back and she s had afew in the past two days. They come in numbers. She goes to a small town hospital and I don t think they are doing much to look into this. They keep telling her she is fine because they did a heart monitor for 24 hours and it came back fine. I m just looking for an actual professional opinion because I can t seem to find anything this even relates to.. we re all at a loss.. and worried. Please help"
},
{
"from": "gpt",
"value": "Hi, Burning sensation from foot to the chest may be due to deficiency of the vitamin, or sometimes it may be associated with diabetics. So I would like to go for sugar test and nutritional supplement. Sometimes in Alzheimer's disease, it may be psychological also. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Adish V. Doshi, Psychiatrist"
}
] |
[
{
"from": "system",
"value": "What can be done to increase appetite while on anti depressant medication?"
},
{
"from": "human",
"value": "I was on bipolar and antidepressants for four years and I decided to stop taking them because I didn t like the way I felt on them. So since April I been off my meds and I feel great but my eating habits has changed dramatically. I went from eating three to four times a day to once or twice a day and I went from 230 lbs to 145.Is there a way that I can increase my eating habit or what can I do a increase my appetite?"
},
{
"from": "gpt",
"value": "Hi, You are suffering from bipolar disorder. it may be possible that drug of bipolar may increase your appetite, so when you stop it; this may reduce your appetite also. You can do exercise and go for small and frequent diet may balance your weight also. Hope I have answered your query. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "What can be done for stomach ache and headache caused by mental stress?"
},
{
"from": "human",
"value": "Hi sir Giod Morning, Sir actually their is no illness in body of my mother But she always says about the illness of her body that she alwasy have pain in stomach , headache etc. I think its not physically problem but ita a mental situation, so what shoud i do"
},
{
"from": "gpt",
"value": "Hi, Stomach and body ache is because of mental stress. You need to find the cause of that stress. After that, try to adjust or find an alternate positive way to overcome it. Simultaneously, you can do exercise, yoga, relaxation therapy, music and dancing to overcome it. Hope I have answered your query. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "How can OCD and borderline personality disorder be managed?"
},
{
"from": "human",
"value": "My wife has had mental health issues for several years now. They started getting progressively worse in her late teens, and now that she s in her late 20 s they gotten to an almost unsafe level. She was diagnosed with OCD and possibly borderline personality disorder and was prescribed Lexapro several years ago. This does not seem to be helping as well anymore and her episodes are increasing in frequency and severity. We need advice on what exactly we should do."
},
{
"from": "gpt",
"value": "Hi, First, identify what kind of obsession is there. It is for cleaning, counting or something else. According to obsessional thought, we go for pharmacotherapy and psychotherapy. In my opinion, exposure and response prevention with relaxation therapy may help her a lot. For borderline personality, we have to go for management of the target symptoms and emotional control. Hope I have answered your query. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "What can cause memory loss and social anxiety?"
},
{
"from": "human",
"value": "My cousin is taking medicine risperidone 1 mg for past one year his father is givung medicines to him he not just informed his problem to his mother and elder brother i just came tO know what drug he is using i have pic of another drug name was not clear would yu tell me what could be the diagnosis ?he was not able to decide clearly about his career ,he was not talking or get mingled with anyone but he has memory no less in that he can remember and talk clearly"
},
{
"from": "gpt",
"value": "Hi, Risperidone is a drug that is second generation antipsychotic drug. The drug is used in a number of conditions like psychosis, schizophrenia, mood disorder like bipolar disorder or depression. If you can elaborate what kind of symptoms your cousin has, it would be easier to advice you. Hope I have answered your query. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "What is the treatment for premature ejaculation?"
},
{
"from": "human",
"value": "Respected sir, i have a 25year man, having a problem my pines size only 7inch and my sexual time was facing very short maximum a 3mints, i want to growth my pines size 13 to 15inch and sexual facing time will increasing the 15 to 20 mints , kindly give your advice for the my future growth.. Regards Ashish.. Respected sir, i have a 25year man, having a problem my pines size only 7inch and my sexual time was facing very short maximum a 3mints, i want to growth my pines size 13 to 15inch and sexual facing time will increasing the 15 to 20 mints , kindly give your advice for the my future growth.."
},
{
"from": "gpt",
"value": "Hello,the average flaccid penis size is 3.61 inches and average erected penis size is 5.1 inches and your size is above average. Sex time of 3 to 7 minutes is a desirable time and i think you are doing just fine. There is no need to worry about anything and size does not matter, your technique does. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "How can I deal with extreme difficulty in focussing in my daily activities?"
},
{
"from": "human",
"value": "hi I have trouble focusing with anything from homework, to talking with parents, to regular work. I have anxiety and take medication for it but my problem about focusing is still there. also I lash out very easy, and can never own up to anything. I have been trying to fix this problem for a few years now and cant seem to figure out anything"
},
{
"from": "gpt",
"value": "Hi, First of all, the above mentioned symptoms are suggestive of anxiety with inattention. Poor attention leads to difficulty in completing tasks and causes anxiety as a result. There are a few medications which will help you recover from your problem. These medications are psychostimulants like Methylphenidate. These medicines are not available over the counter. I would suggest you to visit a doctor. In more than 40% of the people, these symptoms are reduced with medication. Hope I have answered your query. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "How can OCD and depression be treated?"
},
{
"from": "human",
"value": "hello ,sir .. i am suffering from mental disorder since last 18 years and is looking for right treatment. i have rumination ,ocd , depression and mood problems . i also face lot of problems in thought process and cognition also and face paranoid thoughts as well . currently i am on Desvenlafaxine(100mg)and Apriprapazole(30 mg) . please help me sir."
},
{
"from": "gpt",
"value": "Hi, Desvenlafaxine is a good antidepressant drug but if the problems are OCD, rumination and mood issues then other drugs like Fluoxetine or Clomipramine or Paroxetine, etc., should be kept in options. These drugs have great efficacy and have good actions in controlling the OCD symptoms. You can talk with your psychiatrist for these drugs. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Seikhoo Bishnoi"
}
] |
[
{
"from": "system",
"value": "What causes swelling in the uvula while suffering from panic attacks?"
},
{
"from": "human",
"value": "I am curious about something that s happened a few times to me now. This is embarrassing, but I really want answers so I m asking here. My uvula will sometimes swell to the point where it can lay down on my tongue. I don t suffer from any anxiety disorders, but each time this has happened, I ve had a panic attack and hyperventilated. In my head, I KNOW I m not suffocating/ choking, but the constant swollen pressure inside my throat makes me agitated, sweaty, and manic. It s like my body is in terror, but my mind is saying There s nothing to worry about. It feels like I can t breathe (which ironically makes me hyperventilate) and it triggers my gag reflex. It s incredibly stressful. I start to shake, hyperventilate, gag, sweat, and experience panic despite the head knowledge that I m really not in danger. It s hard to explain what it feels like to feel your uvula touch multiple sides of your throat. It feels like my throat is clogged (because the contact is the circumference of the uvula) and I unconsciously swallow to clear the obstruction , which only makes it worse. If it matters, the sensation feels like I ve got thick mucous on my uvula, so I feel the need to repeatedly swallow. I suspect the swallowing inflames my uvula which makes it grow WAY bigger. Then it becomes hard to swallow and the sensation of having something stuck in my throat makes me feel like I m choking. In reality, I can still breathe, but it certainly raises all the alarms physiologically that I am choking/suffocating. I m a normal weight (170 lbs, 6 foot tall, 27 year old male). The panic attacks only ever happen AFTER my uvula swells. The uvula swells over the course of hours then stays swollen for hours more. At a certain critical mass, I feel the sensation of having the uvula down my throat which feels like I m choking. Additionally, my saliva glands go into overdrive. Since I can t really swallow, I m left leaning forward over a bowl and spitting to keep my mouth from filling with spit (which only exacerbates the sensation of drowning/ choking/ suffocating). Leaning forward also keeps the uvula from going down my throat though, feeling it lay on my tongue isn t exactly a huge improvement. This only happened 4-5 times in my life and all within the last 3 years. The first three times this happened, I ve gone to an emergency room. Each time, steroids reduced the swelling. I ve been referred to an Otolaryngologist about surgically reducing the size of my uvula. However, when the swelling goes away, my uvula is quite small and it s not medically necessary to do surgery. I ve had blood panels taken before by the ENT to see if I had some rare condition that caused the repeated swelling. Negative. The doctor suspected that I had strep throat, which can uncommonly cause swelling. However, I ve noticed that 4/5 times these swelling episodes happened, I ve had dry mouth due to Vyvanse or Mydayis. When on these medications, I swallow a lot more and my mouth often feels uncomfortable and a little swollen. Right now, as I write this, I am experiencing that same mucous in the back of my throat that makes me want to swallow sensation. If it becomes necessary, I ll see a doctor if it swells more. Are there any medications I can discuss with my doctor that can alleviate this problem? Final stipulation: my family has a history of drug abuse. With the sole exception of Mydayis (previously Vyvanse), I avoid any addictive medications and ask for alternatives that don t come with the risks. I love my life and I ve seen too many loved ones lives ruined by addiction. So if there are non addictive medications I can take to help, I would love to know what they are so I can consult with my doctor about taking them. Additional information: I have tried taking Advil to reduce the swelling. Any reductions in swelling weren t noticable. I ve tried Benadryl in case I m allergic to something (could be anaphylaxis for all I know), still no alleviation of my symptoms. Each time I ve gone to the doctor, it has taken multiple rounds of steroids (shots, don t remember the brand/name) to relieve the swelling. I suspect if I could take medication when I feel the uvula begin to swell, I could altogether avoid these episodes. However, I can t afford to see the doctor each time I SUSPECT it s going to happen. More often than not, the swelling has been minor no worse than a mildly sore throat. But 4-5 times have progressed to the point I described."
},
{
"from": "gpt",
"value": "Hi, Panic attacks come under the anxiety spectrum of disorder and need to be treated fast. Due to anxiety, several neurotransmitters start malfunctioning. Hope I have answered your query. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "What causes anxiety and blood in stool?"
},
{
"from": "human",
"value": "i have three 62 year old males in office with chf, cad, dm2, ckd2, hypothyroidism, anxiety and a-fib. one is on lasix had 2 stents placed in 2009 on metoprolol. on metformin and lantus and lisinopril for dm2. last bun and creatine was 24/1.3 in may 2017. taking synthroid with a tah of 3.1 in may. anxiesty is uncontrolled and no kedications for 2 months. a-fib on metoprolol and coumadin with a inr of 3.7 in may having complaints of more anxiety, bleeding on and off with bowel movements and diarrhea woth augmentin for his sinuses. the second patient had an echo in febuary with an ef of 50% on lasix and kci. had 3 stents in 2001 and 4 in 2012, and on lisinopril. dm2 uncontrolled with humalog and levemir. last a1c was 8.9 in april. last bun and creatine was 29/2.1 in april, tsh 1.2. ablation in january nsr now and no medication. having complaints of palpitations several times a day. he has been very thirsty but has been working in his garden alot. he no longer has to get up at night to uriniate and is now having more lef cramps. the third patient had an echo in 2015 with an ef of 30%, currently not on medication for it but has taken lasix in the past. last cath was in 2015, with 40% stenosis, lad. dm2 improved with diet. last a1c 6.1 in june 2017. previouslt on levothyroxine for hypothyroidism with a tsh of 4.1 in march 2017. was taking lexapro for aniexty now controlled wirh excercise. a-fib controlled heart rate of 65 today worh no medications. patient states he has been working hard to change his lifestyle and changed to a 100% wholefood, plant based doet. stopped taking his meds four months ago. complaining of being more lethargic recently. have constipation again and his memory is getting worse. who is the most important patient of the three patients and why?"
},
{
"from": "gpt",
"value": "Hi, Anxiety can be an inner feeling of bad happenings or outside situations which leads to it. Blood in the stool can be due to a local injury, infection or internal bleeding. There are many causes. Hope I have answered your query. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "What causes aggressive behaviour and temper tantrums in a child?"
},
{
"from": "human",
"value": "My 7yr old grandson has terrible meltdowns. He gets very angry and nasty. He s had a lot of new changes and that has contributed to his meltdowns getting worse. Sadly to say he s been spoiled badly and if he doesn t get his way always he gets nasty. Is there a medical reason for these meltdowns or just being a spoiled boy."
},
{
"from": "gpt",
"value": "Hi, Yes, there could be some psychological issue behind these symptoms. He might have a behavioral disorder of childhood. This could be a mood disorder or oppositional defiant disorder. This should be evaluated by a psychiatrist. Please visit a psychiatrist for his evaluation. Hope I have answered your query. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "What can cause memory loss and hallucinations after a head injury?"
},
{
"from": "human",
"value": "since last year a friend has mentally changed. She has fallen and hit her head several times leaving large lumps. Never went to Dr. She started forgetting important dates, got lost driving to familiar places, and had hallucinations. EEG, MRI (brain), meds. have been checked, seeing physicians but nothing seen. What conditions, ailments would cause this. Her mental condition continues to down slide and her quality of life is diminishing. Who does she need to see to get a dx?"
},
{
"from": "gpt",
"value": "Hi, Memory is a complex process where many areas of brain in involved and regarding hallucinations we need to focus on the which sense is involved. Hope I have answered your query. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "Why does my brain freeze and cause difficulty in concentration?"
},
{
"from": "human",
"value": "For 2 years now all the brain freeze‘s I get all concentrates in my right eye literally in the eye ball I feel the brain freeze start of normally with the cold in the back of your mouth and it raises but as it going up it concentrates into a thin line going across my head and builds up in my right eye it’s incredibly painful but am good at handling pain so it’s no issue usually you can tilt you head up or out your finger in your mouth poking the top of it and it makes the brain freeze go away really quickly but it no longer works for me I have to wait for it to pass which is from 15seconds to 1minute and I am wondering if someone knows what this is?"
},
{
"from": "gpt",
"value": "Hello, The symptoms you are mentioning here needs to be evaluated carefully. I suggest you to consult a neurologist at the earliest. Hope I have answered your query. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "Does Alzheimer s disease cause memory loss and losing track of time?"
},
{
"from": "human",
"value": "I am 54 years old and have started noticing that I am forgetting things and remember them later. Forget peoples names etc. I don t lose track of time and my math skills and such are fine. However, it is becoming more noticeable to me. My question is, Is it possible I am developing Alzheimer s? My dads mom died from it. But, she was 84. Also, I have low blood sugar, and low iron levels. I also, get tired during the day. My doctor did blood work and I take iron supplements. b"
},
{
"from": "gpt",
"value": "Hello, Forgetfulness in day to day routine, difficulty in remembering the names, memory issues especially related to recent things are common symptoms of dementia or Alzheimer's dementia. If your parents had dementia then its very likely that onset will be earlier in your case. You should pay a visit to a neuro-psychiatrsit for evaluation. Mini mental status examination or MMSE is a small test that can help to screen the memory impairment. If needed MRI brain should be done to confirm any cerebral atrophy.Visit a doctor for help. Drugs like Donepezil or Memantin can be used to improve the memory and will surely help you. Hope I have answered your query. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "How can memory loss be treated?"
},
{
"from": "human",
"value": "I've been looking for something to slow down my memory loss. I don't have Alzeimers, but I sure do \"misplace\" a lot of things and spend a lot of time looking for them. A nurse gave me the name Donepezil, but after looking at the side effects, it a no-no for me. I am 95 and still living in my ownhome with an aid a couple times a week. Is there any other medicines you might suggest?"
},
{
"from": "gpt",
"value": "Hello, You are 95 and its common to day cognitive decline at your age. Age related cognitive decline is common reason for memory issues than the Alzheimer's in your case. Donepezil is a safe drug. Some individual develop side effects with this drug but in most of them these last for only a week or two. You will start tolerating the drug. You should restart the drug and this will surely help you. Hope I have answered your query. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "Can severe panic attacks while walking and driving be a symptom of agoraphobia?"
},
{
"from": "human",
"value": "My thirty-five year old son has panic attacks and can t walk outside. He is afraid to drive. He can t work anymore. I am afraid he has Agoraphobia. He is afraid to call for a psychiatric evaluation. This has progressed for a year or more. We live in YYYY. His insurance is Medicaid."
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Panic attack and agorophobia go hand in hand. Severity of panic attack has direct link to agorophobia. Hope I have answered your query. Let me know if I can assist you further."
}
] |
[
{
"from": "system",
"value": "Suggest treatment for nightfall problems"
},
{
"from": "human",
"value": "hi sir, i am 16 years old age boy.before 3 years i got nightfall several times in a month (7-10).but,recently from 6 months i got nightfall at 2 or 3 times a month.if i am normal?,please tell me...,i don't done masturbation yet.but i mostly all time during sleep i will dreaming about sexual matters...please reply me at YYYY@YYYY"
},
{
"from": "gpt",
"value": "Hello,It is completely normal to have night falls. Whenever there is a overflow of sperms you are going to have night falls if you don't have sex or masturbate. Don't be afraid of night falls, consider it a normal behavior. If you are concerned or worried then you can have regular sex or masturbate to avoid night falls.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician"
}
] |
[
{
"from": "system",
"value": "How can dyslexia be treated?"
},
{
"from": "human",
"value": "I havent she had advance to read anything. ##%$&+!!!!I HAVE DYSLEXIA!!! SO I ESSENTIALLY SPEAK MY! OWN LANGUAGE,!!!!! I HAVE TO TRANSLATE WHAT YOUALL SAY INTO MY HEAVELY VISUAL/SYMBOLIC_-----PATTERNS BASED UNDERSTANDING OF ACHAOTIC WAR ZONE OF LIFELONG EXPERIENCE????? THEN!!!!THROUGH ALL THAT DISTORTION AND ODDLY. EIRED BRAIN TRANSLATE IT INTO YOUR MANY VERSIONS OF COMMUNICATION-- --MATH IS THE MOST ABSOLUTE ,THEREFORE MY MOST TRUSTEDFORM OF COMUNICATION IF THIS CONFUSION GETS TO BE TOOMUCH JUUST LET ME KNOW AND I,LL /we can try again ALSO so etching when I get off topic!!No PROBLEM!!!!!!!!!!!!!!my question is how can a professional dx PTSD or anything else when the post !s not post and the abuser is given higher value than the client/patient.THUS RECREATING THE EMOTIONAL ENVIRONMENT THAT DAMAGED ME IN THE FIRST PLACE!"
},
{
"from": "gpt",
"value": "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. All people are unique with their qualities . You are having problem with dyslexia. You can adjust your life with problem with your dyslexia by psychotherapies. please visit a nearby doctor Hope I have answered your query. Let me know if I can assist you further."
}
] |
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