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[ { "from": "system", "value": "Severe anxiety, panic attacks, depression, shortness of breath, fear of death. Cure?" }, { "from": "human", "value": "its been almost 14years i m suffering from severe anxiety and severe panic attacks.i ve consulted many psychatrists and psychologist but result iz zero.they gave me antidepressants. i m still in severe depression and anxiety stage.all the time i m feeling shortness of breath and it seems like i m going to die.it happenes almost every day an d i m fedup from my disease now i had also left my job because i was unable to fullfil my responsiblities over there.everytime i am i thinking that i am going to die.i have fear of dying .please help me" }, { "from": "gpt", "value": "Hello..... Thanks for your query. I can understand your concern with the panic attacks. I would like to clarify that panic attacks are not life-threatening and are self-resolving. Effective anti-anxiety agents are available in addition to psychotherapy (eg cognitive behavioural therapy) for management of panic attacks. You can request your psychiatrist for either an alternative medication or psychotherapy. In addition you can practise meditation/yoga/breathing relaxation exercises. Hope you found the information useful. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Suggest treatment for lack of libido and erectile dysfunction" }, { "from": "human", "value": "i am 30yrs, height 175 cm, weight 85 kg, male. i never had any medical problems except the occasional cold or fever. My problem is that i am not able to show interest in sex with my wife. during sex also the penis take long time to get erect and then loose the erection very soon. due to this i and my wife are not able to enjoy sex. i used to masturbate a lot when i was unmarried. kindly help me." }, { "from": "gpt", "value": "Hi, Masturbation won't be the cause for your issue. Low interest in sex can be due to hormonal imbalance or anxiety. Going for a laboratory investigation will help you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Have OCD. Taking Tramadol. Long term risks?" }, { "from": "human", "value": "professor, i was diagnosed with ocd 7 years ago, i ve tried many anti depressants, only got side effects, at last i tried the painkiller tramadol hcl, i have been on it for 4 years now, it s the only thing that worked for me. is tramadol hcl a proper medication for me? does it have longterm risks? i am on 100 mg every 6 hours. thanks alooooooot :) thank you dr." }, { "from": "gpt", "value": "Hello........ Tramadol is a weak opioid agonist that has definite abuse potential. Hence, it is not advisable to continue the drug for long. Further it is not an approved treatment for OCD. OCD can be sometimes difficult to treat. It requires a combination of anti-obsessive agents (eg fluoxetine, clomipramine) as well as psychotherapy (eg exposure & response prevention). You can request your psychiatrist for an alternative drug or psychotherapy which might work for you. Hope you find the suggestions useful. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Get angry, overreact for silly things. Ways to overcome it?" }, { "from": "human", "value": "hello sir, i am kayalvizhi MBA scholar but homemaker since i possess a girl child of 1 yr.now my husband is aboard and no doubt i soon join him..but now a days i am getting anger for no reason and i cant control.my words are harsh.my family members love me lot.but i fear this behaviour might wound them.i need to eradicate it completely 80% its my mistake only for reacting to chilly things.i need your guidence to overcome it successfully.thanks.expecting your kind reply sir" }, { "from": "gpt", "value": "Hello....... Thanks for your query. I can understand your concern with your behaviour. It is possible that you are suffering from a milder form of adjustment disorder successive to life events that is manifesting behaviorally. All you require is to learn anger management techniques and stress management strategies from a psychological counsellor. I do not find any need for psychotropic medication at this stage. Hope you find my suggestions useful. regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Took a dose of sudafed. Had disorientation, heart palpitations, hallucinations. What is wrong?" }, { "from": "human", "value": "I am a 39 yo female who is 5 0 and weight 110 lbs who recently took a dose of Sudafed12 hr. extended release for the first time. When I went to sleep, I noted a strange feeling of disorientation, heart palpitations, and possible hallucinations. Needless to say, I do not like the side effects I am getting. I am tired and want to go to bed. How long will I expect to feel this way?" }, { "from": "gpt", "value": "Hello........ Sudafed is pseudoephedrine which has been documented to produce the above side-effects-disorientation, palpitations and perceptual abnormalities. The half life of the drug is 10-15 hours which means the drug might take a maximum of 60-70 hours i.e 3 days to be completely washed off from your body. You might expect the drug effects to last 1-2 days. You can report the adverse effects to your doctor and avoid the drug in the future. Hope you found the information useful. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Difficulty in enjoying the present, work, due to habit of analyzing every situation. Suggestions?" }, { "from": "human", "value": "Mam, i have problem of analysing every situation and make all possible judgement of every action of other people, and of thinking all day anything which comes in my mind irrespective of its importance. I feel like my one mind remains in present and other strong one remain in its own imaginary world with no realistic thing, that is the reason i feel i am not able to enjoy my day,my work everything although i dont have any big major problem in life which disturbs me Can you please help me in this regard?" }, { "from": "gpt", "value": "Hi, From above description following are possibilities in your case: -Obsessive compulsive disorder -Generalized anxiety disorder -Depression -Combination of above There is need to confirm diagnosis by history and mental status examination by psychiatrist. Apart from that effective treatment is available for these conditions. So, it is better to visit nearby psychiatrist. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Breathlessness, increased pulse rate, shaking. History of panic attacks, stress. Treatment?" }, { "from": "human", "value": "I have been experiencing shortness of breath for moment and then my pulse increases dramatically. I then feel dizzy and get shaky. It has been going on for about 2 weeks several times throughout the day. It feels like panic attacks but they are occurring when I am just sitting at desk or walking at work. I am prone to panic attacks normally when I get extremely anxious about something or stressed out but nothing is going on when they occur. Sure I have some added stress with work, new baby, husband being gone but I feel that I am managing things even when these episodes come on." }, { "from": "gpt", "value": "Dear Lisa, Hi! Firstly I should appreciate the way you have so nicely described your symptoms. Please understand that the very nature of panic attacks says that they can occur any moment , and can occur even when you are not physically active. If you are prone to having panic attacks, any mild stress will make you have a lot many panic attacks. If its causing distress to you,you should surely visit a psychiatrist who would like to start you on some medications along with psychotherapy. The main information which is missing out in your write-up is your current age.if you are old aged, you should also get yourself checked by a physician and get an ECG done , just to be sure that we are dealing with only the panics. Hope this settles your concerns." } ]

[ { "from": "system", "value": "26 year old feeling scared and stressed, tremors in the hand and leg. MRI, ECG and blood test reports are normal. Have sinus problems. Need help" }, { "from": "human", "value": "Hi, From past more than a year I am having weird problem. I always feel kind of scared and stressed and find my right hand and leg tremoring making me difficult to stand. This happens for a 5-10 seconds and after that I feel good. I have done different medical tests including MRI, ECG, various blood test and all came normal. I am not sure why this is happening and how do I get rid of it. I am 26 Male. I have sinus problem. Can you help me? I am an IT professional so stress is always there. First time it happened while playing Squash. Then my friends took me to doctor and doctor said it is paralytic attack/ work in brain/TIA. Since then these words keep coming to my mind and even though I am not stressed it happens. From past few months I have tried not thinking about it and the episodes have reduced from daily to once in a week. Also, the tremor goes off with sweating. But it happens even when I am not stressed. Every morning I wake with the fear of what doctor told me. I really do not know whether I will get rid of this." }, { "from": "gpt", "value": "Hello........ Thanks for your query. I can understand your concern with anxiety symptoms. The symptoms suggest anxiety attacks referred to as panic attacks. I would suggest a thorough psychiatric evaluation for the anxiety symptoms. Effective anti-anxiety agents as well as psychotherapy (eg cognitive behavioural therapy) is available to manage the anxiety symptoms. In addition you can learn stress management strategies considering the nature of work from a psychological counsellor. You may also try put breathing relaxation exercises/ yoga/ meditation. Hope you find my suggestions useful. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "ADD, severe anxiety and stress. How can I get prescribed with Valium?" }, { "from": "human", "value": "I was wondering how I can get prescribed Valium by my doctor. I am a 19 year old Male and was prescribed 30mg Adderall XR in May of 2012 for my, just then diagnosed, ADD. I have always dealt with high anxiety, but recently it has gotten to a point that is distracting in my life. I am afraid to ask him and have him think I am some druggie, when I m not and I m afraid he d say something like the adderall is supposed to help with that. Please help! I am extremely stressed about this situation. Also, I think I may have generalized anxiety disorder but have never been diagnosed. Anything you can say about that would be GREATLY appreciated! Thank you!" }, { "from": "gpt", "value": "Dear dsoullie, Hi! Your concerns about your health are very natural. You have got all rights to discuss your health with your doctor including the need to take valium. Actually for anxiety symptoms, though diazepam (Valium) will help you symptomatically, there are better options than taking Valium. Discuss with your psychiatrist about taking some SSRI's along with your routine drugs. Also benefits of CBT and psychotherapy cannot be over emphasized for you. Trying seeing your psychiatrist soon and do discuss your concerns in detail with him/her. Hope i could solve your concerns." } ]

[ { "from": "system", "value": "Taking Deseril, Napra, Provonal and Topaz for migraine. Have depression, negative thoughts, bad mood" }, { "from": "human", "value": "Hi this Kirti here presently i am on Migrine treatment and my Doctor has advised me Tab Deseril 1 Mg, Tab Napra D, Tan Provonal 40 mg and Topaz 25 mg but for last 15 days or so I have symptons of Depression i.e. like lack of proper sleep in night, No interest in taking food, All way negative thought coming and mood is very bad. please help if any drug has side effected me or so" }, { "from": "gpt", "value": "Hello.... Thanks for your query. Deseril is methylsergide, useful in preventing migraine attacks. Other drugs you have been prescribed include naproxen, NSAID for pain relief and topiramate to prevent migraine attacks. Deseril can definitely result in sleep disturbance though the negative thoughts seem untreated to the medication. You require a thorough psychiatric evaluation for an independent depressive illness and may require anti-depressants or psychotherapy (eg cognitive behavioural therapy) for the same. In addition you need to remember that stress can precipitate migraine attacks and you need to learn stress management techniques from a psychologist. Hope you found the information useful. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Too much stressed without any work, excessive trembling in hands. Solution?" }, { "from": "human", "value": "Hi sir i got fed by regarding my health and also consulted doctors for my problems, clearly explained these things... problems 1) from morning 10 am onwards upto evening 6 o clock i feel stress too much without any work.. To much nerves looks on my hands, I feel like 100s of threads are tagged in brain and 10 elephants pulling ( stretching ) that threads. Without work i getting this problem 2)My age is 29 and height is 157 cm but my weight is only 44.5 kg and some time 45 kg. My hands trembles too much like 80 year old person.. Is this problem solve this medical field or not.. Now i lost trust from science.. Please i beg yo solve this problem, reply to my mail id : YYYY@YYYY" }, { "from": "gpt", "value": "Hello, Thanks for using health health acre magic for posting your query. I can understand what you are going through. First and foremost you should get a thyroid test done to evaluate its levels. In case if they come normal then in that case there is possibility of you having a depressive episode or anxiety disorder. However a final diagnosis can be commented on only after a detailed knowledge about your symptoms. You should meet a psychiatrist. You will benefit with antidepressants and behavioural therapy that he would suggest. Hope I am able to solve your concerns. If you need a detailed answer, I would be more than happy to help you." } ]

[ { "from": "system", "value": "Feeling of ADD, have difficulty in reading, focusing and memorizing. How can I recover?" }, { "from": "human", "value": "Hi Dr. I m 39Yrs manager in a s/w company. I think i have severe ADD. I have sufferred seriously in terms of embarrsements on failing on almost every occassions where ever i needed to learn something or remind and explain something. There are many affects in personality due to this.. list is endless... i have been suviving by trying hard, but want to live healthy and respectfully for atleast a brief period in my life where what ever i plan i should be able to do esp which invloves reading and being able to recollect it. I have observed it from the age of 14. AT the age of around 28-29 when i was newly married i met a Dr in NIMHANSE bangalore and took prodep for a month or so considering it OCD . Not sure if it was effect of medicine, or psycholigical or becasue i was jobless and had no distractions or becasue i was doing hour long pooja in the morning - but during that time my problem of focus was solved and i was reading few hundred pages in one sittng everynight and my face showed grace and confidence (despite being jobless at that time). but its again back to same and i find it very hard to read/focus/learn and remember - it spoils almost everything for me as in my job that is what needed 95% times. help me, i want that healthy condition for 1-2 years and i m sure i will do so much to be happy forever. thx, Ramit" }, { "from": "gpt", "value": "Hello....... Thanks for your query. You need to know that attention deficit disorder always has its onset during adolescence and on many occasions also associated with hyperactivity symptoms. Poor concentration might be feature of other disorders like depressive disorder and anxiety disorders. It may also be due to plain lack of interest in what is being done or specific learning disability. Hence, i suggest you undergo a thorough psychiatric evaluation for the above said disorders following which appropriate psychotropic medication or psychotherapy can be initiated. Hope you found the information useful. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Suggest treatment for erectile dysfunction" }, { "from": "human", "value": "Hi doctor,My name is Arvind and I live in Delhi, India. I have got two problems to share with you :1) I have been suffering from erectile dysfunction for the last 5 years but I did not find anything else other than Viagra and I am also suffering from Sinusitis which also could not be cured.2) My wife is suffering from Thyroid but her wait has been increasing since she did not have thyroid problem. She also feels regular 24 hour pain in her every body part.please help.Arvind, 19.05.11" }, { "from": "gpt", "value": "Hi, Yes, there are other drugs available (tadalafil). Still finding the cause for your erectile dysfunction id proper way. Share your blood sugar other hormonal investigation reports. For your wife - it can be due to hypothyroid, regular exercise and proper diet will help you adding a multivitamin also be helpful. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Miserable feeling that eases with smoking and drinking, pretend to be happy inspite of mental distress. Any help?" }, { "from": "human", "value": "I am very miserable although i never show it. I was raped at 16,aborted a baby at 18weeks, was bullied everyday at school 4 years straight. My mum was so poor when we were kids we had to have ice cream for breakfast. Ive never had a friend that hadnt stabbed me in the back and i cry everyday of my life. I feel better when i drink and smoke , i struggle with going to work cause if something bad is said about me i will take it to heart and just cry, reaslising another person i cant trust. I have thoughts of killing myself and the only reason i havent is because of my partner. We have been together 4years and helped me through everything. I also struggle to start convos with people my mind is just blank. I pretend to be happy tto not look like a freak but i am damaged beyond words mentally. I finally cracked today and need help. This isnt me. I was made homeless at 18 cause my parents couldnt afford to keep me and im the olddest of 4 kids. I have been struggling trying to live with this and work to pay my rent despite wanting to die. I am only 20 and this is not me mentally somethings wrong but i dont know where to start to look for help so i came here." }, { "from": "gpt", "value": "Hi, From description it appear that you have depression and substance use problem. Excess substance use also increases depression in long term, although it give relief for short duration. Considering complexity and severity of your problem, I would advise you to visit nearby psychiatrist. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Anxiety, panic attacks, dizziness, loss of vision. Taking cipralex. Cure for symptoms?" }, { "from": "human", "value": "I have been suffering from what my gp says is anxiety and am pretty much paralyzed from it. I have been on cipralex for a week at 5 mg a day. I am constantly dizzy and vision has decreased. Also I am tired all the time. I was tired all the time Aswell befor the cipralex but it seems to be worse. It is Christmas break at my dr office and I am not sure what to do. Should I continue with my dose today? I herd the symptoms would go away but I feel like I m just getting much worse. Please help. Thanks" }, { "from": "gpt", "value": "Hello....... Thanks for your query. Cipralex (Escitalopram) is an effective anti-depressant/anti-anxiety agent. However, the dosage of 5 mg is only starting dosage and can be gradually escalated till 20 mg/day. In addition psychotherapy (eg cognitive behavioural therapy) are available for depression and other effective anti-anxiety medication are also available. Hence it is premature to lose hope. Hope you found the information useful. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Depression, mood swings, anxiety, sleeplessness, hunger pangs, irrelevant talk, isolation, idleness after menopause. On medicines, no relief. Suggestions?" }, { "from": "human", "value": "my mom is of 50 yrs she s suffering from depression since 10 yrs. but nw since a yr she has menopause problem n lot of mood swings sudden change in behaviour agitation anxiety sleeplessness frequent hungerness irrelevant talk not mixing up with family members not carrying out any household chores. she s on olimelt 10 once at nit, risdone plus twice a day and qutan sr twice a day. she s on des medicines since 15 days.......but v r hardly seeing any change in her behaviour.pl help my sister s gettin married soon v want our mom to recover in a mth soon." }, { "from": "gpt", "value": "Hello... Thanks for your query. I really doubt is she was labelled as a case of depression considering the nature and the duration of symptoms. However, there exists an entity called \"agitated depression\" which fits your description. Also, the number of medication, that of three anti-psychotics seems inappropriate for her age. I would suggest you meet your psychiatrist again to clarify the diagnosis and the reason for multiple psychotropic medication and get back to us for an opinion if required. Hope you find my suggestions useful.RegardsDr Sundar GnanavelPsychiatrist" } ]

[ { "from": "system", "value": "Facing memory loss issues. What to do ?" }, { "from": "human", "value": "Hi Sir, Am a software Employee, working from 2 and half years, I think am suffering with memory loss ..I Observed myself manytimes, yesterday in my office, someone from the other cabin asked me, who is setting back of your row..I forgot his name and his Identity, but later after sometime, i realized he is my friend and my team member who will be sitting there..I was shocked. Not only this, am forgeting the Issues which I did in my Office, and evry thing seems to be NEW Please help me, what should I do now? Thanks and regards. AAAA." }, { "from": "gpt", "value": "Hello.... Thanks for your query. What you are describing is a common set of complaints presented by a stressed white-collar professional. I guess you are in your early career and this is usually not the age of onset for dementias/ illnesses of forgetfulness. Effective stress management strategies can help which you can learn from a psychological counsellor (hope your company has one). Breathing relaxation exercises can also help. If these do not hep, you can consider an evaluation by a professional psychiatrist. Hope you found the information useful. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Having body aches, feels like lump in the upper back. Sleeplessness in nights, suicidal tendency, no interest in family. Suggestions?" }, { "from": "human", "value": "i ve been tired for so long. every day my body aches, my upper back feels like it has a knot in it. i don t want to do anything anymore. i have no interest in anything except sleep. i stay up all night and cannot sleep, then sleep away the day....when i wake up i feel guilty for being so worthless. i put a gun in my mouth last night to see what it felt like...it wasn t as cold as i thought it would be. i wasn t really planning on killing myself...i don t think.....but if i accidentally did....it would have been ok. i can t keep a job, i sometimes do not shower for a week at a time, the thought of it make me tired, it seems like such a chore. i have no reason to feel this way. nothing tragic has happened. i have no energy. i think a lot about dying, it doesn t scare me like it used to. i don t really want to...but really don t care. its rather embarrassing...i have children...i avoid them. i m afraid they will see how i am and think badly of themselves....then i feel bad for not spending time with them...my poor wife. i don t know why she has not left me." }, { "from": "gpt", "value": "Hello.......... I can understand your concern. Your symptoms point towards either an underlying chronic depressive disorder or a dysthymic disorder which is a milder variant. You might also require assessment of your personality profile. Active suicidal thoughts are a psychiatric emergency. I suggest you undergo a thorough psychiatric evaluation as early as possible and get yourself admitted as an in-patient considering your suicidal thoughts. Effective anti-depressant medication and psychotherapy (eg. cognitive behavioural therapy) are available for management. Hope you found the information useful. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Going through emotional turmoil due to non-supportive family. Ways to strengthen and keep spirits up?" }, { "from": "human", "value": "Dear doctor, am a 37 year old single working parent of two daughters of 9 and 5 years age. hail from a very dysfunctional family of abusive mother and non existent father, brothers who have been dependent on me for years. amde one of them study and got him a job etc. when my marriage failed i stayed with them for 6 months and soon realised have no future here, moved to pune with my daughters and by gods grace was able to carve a fresh life and job etc for me n daughters...have requested my parents to stay with me as working and looking after daughters is not easy...now my problem is that i cant stand my family...they steal from me especially my mother, totally they depend on me for everything, instead of helping me out, they are becoming a liablity on me...my mother is chronically deprrssed i think coz sh eis hooked oto TV serials big time and she laughs and cries with them..eats n sleeps there infront of TV. if i let them go..i find it difficult to manage things physically, if they are there, i find it very hard to manage things physically. this march on a family holiday, my bro and father beat me up infront of my kids coz they were rude to me and my kids and i wanted to go home..and my bro is also gng through rough marriage coz of his lying cheating ways..and all that frustrations he took it out on me..and am not able to forgive and forget and i dont want to also...that beating publically by the same people i loved and supported fo ryears has taken a big emotional toll on me..and only coz of my daughters am pulling through somehow,,,but finding it very hard day by day to keep my spirits up and its eating me from inside that my own mother and brother can steal from me and do these things for me...when am already dealing wih so much in personal and professional life...want to totally cut them off but coz of kids cant do that as well...pls help to become the strong person that i was. I find myself absolutely alone as have moved cities post separation with very abusive/alcoholoic/ controlling/cheating hubby.. :( Mona." }, { "from": "gpt", "value": "Hello...... Thanks for your query. I can understand your emotional turmoil. As you described you indeed belong to a very dysfunctional family setting. You require to meet a psychological counsellor for venting out your thoughts in person. Following this interpersonal or family therapy can be attempted to modify your family roles and improve interpersonal relations. In addition, you require a thorough psychiatric evaluation and may need to be started on anti-depressants and psychotherapy (eg cognitive behavioural therapy) as appropriate. Hope you found the information useful. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Taking adderall bid and effexor for depression. No schizophrenia symptoms. Suggestion?" }, { "from": "human", "value": "Dear sir; I am a 45 y/o female RN with above average intelligence. In the last 6 months i was recently prescribed 30 mg adderall bid and effexor 325mg QD for depression, motivation and attention. While I don t have a real substantial hx of any physical nor mental dx s, my gene pool has several. ADHD , Tourette s, Asperger s, ODD, OCD, Depression, Bi-polar, Anxiety, Anger, IVDA, Polysub, ETOH. There is no schizophrenia , no suicide nor homocidal behavior. I am seeking answers to my behaviors that don t seem to be quite in-step with the general population, because I have always (mostly) brought out the worst in people, make them angry, resentful, assaultive (both physically and mentally), without meaning to at all. I am straight-forward, and am surprised when it s not appreciated and am perceived as mean." }, { "from": "gpt", "value": "Hello...... Thanks for your query. You have a family history of multiple psychiatric disorders while the medication prescribed appear to be for for ADHD (attention deficit hyperactivity disorder)/depressive disorder. However, the symptoms you report fit into cluster \"B\" personality disorder. The facts do not fit in together. I suggest you undergo evaluation of your personality profile and get back to us with the complete symptom profile and treatment records for a better understanding. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Suffer with sickness phobia, hesitation to try new foods. How can I get over the habit?" }, { "from": "human", "value": "Hi.. I have a big phobia of sickness.. Being sick.. Others being sick... Seeing sick.. Others saying they for feel good! I know what I am doing but I seem to always convince myself that I m going to be sick so I feel sick and get all panicked. I don t sleep well when this happens, I sleep with at least 4 pillows so that I m upright... I ve stopped trying new foods as I m worried they will make me ill, I don t drink alcohol anyway or if I have say 1 glass I m instantly in the panic stage! I just don t know what to do to control this as its really getting me down and upset! I feel like it controls my life.. I was going to try hypnotherapy but didn t know what was best.. Any advice?" }, { "from": "gpt", "value": "Hello.... Thanks for your query. Recurrent, intrusive thoughts of being sick can occur in various anxiety disorders including obsessive compulsive disorder (OCD) as well as neurotic disorders like somatoform disorders/ hypochondriasis. Hence you require a thorough psychiatric evaluation for the same prior to initiation of any anti-anxiety or anti-obsessive drugs. Also psychotherapy (eg cognitive behavioural therapy) might be beneficial to you. Hope you found the information useful. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Stomach pain, feel dizzy. Mentally and physically stressed, mood swings. Solution?" }, { "from": "human", "value": "Hi i am 22 years old, 5 5 and 8 stone , in the last 2-3 weeks i have been feeling mentally and physically drained, stressed, and having mood swings. I am sleeping alot more than normal, though when i wake up i still feel exhausted. I have aches in my side and stomach pains and feel dizzy now and then sometimes seeing little white spots??" }, { "from": "gpt", "value": "Hello....... Thanks for your query. I can understand your concern with the symptoms. It is possible that you are suffering from a depressive disorder that can explain your symptoms. However, you would require ruling out of anemia, thyroid disorders and an assessment by a general physician before considering the possibility of depressive disorder. Effective anti-depressant medication and psychotherapy (eg cognitive behavioural therapy) are likely to be beneficial if we arrive at the diagnosis of depressive disorder. Hope you found the information useful. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Is lack of concentration or hearing disability or depression which is leading to social isolation?" }, { "from": "human", "value": "Hi , I was diagnosed hearing impaired when I was years old but i have threw away my hearing aid since I was 10 years since it wasn t compatible with my hearing loss also i hear too loud voices and annoying noise i was unable to detect the words or make out of what people say . Until my university stage when I faced failure for the first time in my life i suffered of depression after failing first year . nevertheless I kept failing successively for 4 years till i recovered from depression last year after strenuous efforts to get out of it meanwhile I bought new hearing aids Now i am feeling really better and i don t suffer of amnesia or emotional unstability and fatigue But i find some difficulties in studying . I find it hard to assimilate the information or think critically about an issue unless i should do extreme efforts to make out of it also that takes long time ( days , months) to get the puzzle pieces recollected together my question is : is that the problem of concentration and ability to assimilate and think critically linked to my social isolation due to my hearing disability or it is lingering effects of depression ? Now im in last year and i am longing for graduate this year .. thank you for the effort you make to help people to overcome the depression :)" }, { "from": "gpt", "value": "Hello...... Thanks for your query. I can understand your predicament. Sensory deprivation like hearing loss predispose to depressive illness. However, it is encouraging that with hearing aids your hearing has significantly improved. Hence, i accept your depressive symptoms to resolve early without any intervention. You can seek psychological counselling and supportive psychotherapy in the interim. Hope you found the information usefu. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Suggest treatment for deteriorating health because of wet dreams" }, { "from": "human", "value": "sir my cousin wet dreams problems for last one year regularly.His age is 19yrs. His health is going to be poor day by day.He contact many doctors and take medicines suggested by them. But the result is nil.His not involve in bad company. Please tell us solutions." }, { "from": "gpt", "value": "Hi, Wet dreams or nocturnal emission can be prevented by - having regular sex or masturbation - decreasing the erotic feeling by exercise and yoga Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Irritability, excessive anger. Taking adderall medication. Treatment of side-effects?" }, { "from": "human", "value": "um, well adderall is seriously making me super irreitable/angry/mad.etc. i need something for motivation!!! something that will get me out of bed and ready to start a new day! also, i need something that will help with the super, super, feeling of being overwhelmed! shot,! i ll take any advice anyone could help me with!!! please!!!" }, { "from": "gpt", "value": "Hello, The fact that you are using adderall suggests that you are probably having a condition called ADHD. And the complains of decreased motivation and energy and feeling over whelmed suggest that you might be having a co-morbid illness of depression. We need to know further details form you regarding this Do visit a psychiatrist and discuss with him your depressive symptoms. Hope I am able to solve your concerns. If you need further detailed discussion, I will be more than happy to help you. Dr. Srikanth Reddy" } ]

[ { "from": "system", "value": "Short-tempered, unappreciative spouse, behavior causes depression. Treatment options?" }, { "from": "human", "value": "Hi Dr, Im having problem in my marriage life because of my hot tempered hubby..he dont appreciates me for whatever i do,im trying more than my level best to become a good wife and most of the time i just kept quiet when he shouts at me..day by day it causes more depression to me and i feel like want to find another companion to ease my pain...plz advice me....thank you" }, { "from": "gpt", "value": "Hello, Thanks for using health health acre magic for posting your query. Keeping quite is not a right solution. Any problem can be solved only by having a proper talk. You can stay silent when he is very angry but ones things settle down, you should discuss what actually went wrong. If you feel that your marriage is so troubled then in that case you should talk to him and convince him to seek a marriage counselor or marital therapist. That would help you both. Other than this you should take care of your health. Get evaluated for depression and if there is any seek treatment for the same. Hope I am able to solve your concerns. If you need a detailed answer, I would be more than happy to help you." } ]

[ { "from": "system", "value": "Anxiety, depression, social phobia. Taking cipralex, insomnia, GERD, numbness after stopping medication. Continue it?" }, { "from": "human", "value": "Dear dr i am using cipralex 10 mg /day for almost one yr for controlling anxiety ;reactive depression and social phobia ; i feel ok but once i stop it , starting to have insomnia ; hyperacidity and GERDs also i feel generalised numbness for few days but my concerns is insomnia and acidity ;shall i continue on it ? and if not what is the alternative ? Regards" }, { "from": "gpt", "value": "Hello, Cipralex (Escitalopram) is a good drug for depressive and anxiety disorder. Medications for these disorders are generally continued for 1-2 years to control the symptoms. Even after complete recovery, the drugs have to be gradually withdrawn other wise they lead to rebound insomnia or physical complains. At present it would be preferable to continue on the same drugs and discuss the issue with a psychiatrist before discontinuing drugs after 2-3 months. Hope I am able to solve your concerns." } ]

[ { "from": "system", "value": "Light headedness, wearing C-Pap, jerks while asleep, numbness in fingers and toes, mental fog. Immediate danger?" }, { "from": "human", "value": "My husband if often light-headed; he wears a C-Pap; he jerks during the night while asleep; he if feeling numbness in his fingers and toes; though he was known in the past for his freakish memory , he is now often in a fog. His GP told him to set up an appointment with a specialist - neurologist for an EkG? MY QUESTION: We couldnd t get an appointment until the end of the month. This worries me. Is he in immediate danger? I would hate to have something happen whle we were waiting to get in. I am nervouse because my husband hates doctors, but seems anxious to see one now. This reminds me of my mother, who saw a doctor on her own volition when it was too late. Can I relax, or should I call around to get a docto sooner?" }, { "from": "gpt", "value": "Welcome to healthcaremagic. Its not URGENT but essential to get him checked by a neurologist as soon as possible. No need of going into Panic, relax and find out way to take him to a neurologist. Hope this helps you." } ]

[ { "from": "system", "value": "Anxiety attacks, depression after witnessing several deaths. Cure possible?" }, { "from": "human", "value": "i only recently found out what is wrong with me, is called anxiety attack. it happen at a funeral after several deaths have happen. it stopped, but now it started and my doctor says i am lacking iron psychiatrist says i m depressed. i thought i was crazy. but i have been through this about 9 yrs ago and drs said it is my mind playing tricks on me.i lived in fear of it returning. it did. it is more fearful to not know what s wrong and if there is a cure. can i be cured" }, { "from": "gpt", "value": "Thanks for the excellent question. Let me try to give you as complete an answer as I can. Anxiety and depression march hand in hand quite often. After suffering a life trauma (as you did) one can develop anxiety, depression, or both. These are treatable, and sometimes, though not always, curable. Medication and psychotherapy will help with your panic and anxiety symptoms. Seek out a mental health professional (a psychiatrist is best) as soon as possible. Best of luck and good health to you. I hope I helped orient you a bit. -J. Clive Spiegel MD" } ]

[ { "from": "system", "value": "Diagnosed with dementia, memory difficulties and personality change. Life expectancy?" }, { "from": "human", "value": "My husband has recently been diagnosed with dementia and is in an assisted living facility (discharged from hospital one week ago to the facility.) I believe he is in the middle stages, memory difficulties, some disinhibition, okay with ADL s, definite personality change. He is 75 years old. How can I estimate life expectancy? I am absorbing emotional realities, but also must plan financially." }, { "from": "gpt", "value": "Hello. I feel sorry for your husband for having suffered from a illness which has not yet been defeated by the medical sciences. I understand that he is quite old (75 yrs)and also had to be hospitalized for his dementia and is living in an assisted living facility. He will most probably live for around 8-10 years but then he is a human and these things cannot be exactly predicted. The course of illness will also differ depending on whether he takes proper medications or not. As the days progress , he will require more of help and support. Meanwhile, you have to take care of yourself too and should seek psychological help cause taking care of a person of dementia is very very taxing. Hope I am able to answer your concerns." } ]

[ { "from": "system", "value": "Severe dizziness and sickness on trying to get off effexor. What should I do?" }, { "from": "human", "value": "Hi, I was seperated and divorced from my husband of 31 years over three years ago, i had a nervous break down so i was put on effexor, now my life has changed and i am with a wonderful man and am happy and doing well, i would love to get off the effexor but everytime i have tried my head just gets crazy dizzy and i get sick, help what can i do?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Effexor (Venlafaxine) is an antidepressant medication and your symptoms appear to be withdrawal-related. When taken for prolonged periods and stopped, antidepressants can cause withdrawal symptoms and rebound anxiety or depression. This can be prevented by tapering down the dosage very gradually before stopping the medication. In addition, practising relaxation techniques like deep breathing , etc. can help in controlling the rebound anxiety. Please consult your doctor for a tapering schedule for the medication. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Having mental block, curses everybody who oppose. Hated by everybody. Solution?" }, { "from": "human", "value": "My daughter is having problem , may be mental block,from many years .Though noticed it, we thought it is a passing phase that will be overcome. She is 32 years old, married ,having 2 kids aging 6 and 2. Now her husband & kids are suffering. At the outset she is sweet, cool, intelligent,creative and beautiful. Though right many a time,she thinks she is always right and others are fools.She wants everything in her way,otherwise she screams,scolds,curses using foul words, threatens to go to police or women helping centres. Also threatens that she will go away somewhere and she does not want anybody. Everyone is scared of her and hate her. I am very very worried for her that she may take drastic steps.She beleaves everybody who speaks sweetly to her,or talks to her according to the way she thinks, otherwise they are cursed. I want somebody to put her back to the normal track." }, { "from": "gpt", "value": "Hello......... Thanks for your query. I can understand your concern for your daughter. The symptoms of mood instability, threatening gestures for many years point towards an abnormal personality profile- what we call as cluster \"B\" personalities. Hence, she requires a through psychiatric evaluation focusing on her personality. Following this appropriate medication to stabilise her mood swings and psychotherapy can be initiated. Hope you found the information useful. Regards Dr Sundar Gnanavel Consultant psychiatrist" } ]

[ { "from": "system", "value": "Weakness in legs, fatigue and nausea. History of anxiety. Are these related?" }, { "from": "human", "value": "I have a feeling of weakness in the legs, fatigue and slight nausea (off and on) for the past week. There is mold in a bathroom in my house, but I do not use it often (however I do go in there a few times a day just to go to bathroom quickly). I also have a history of anxiety , but I do not feel anxious. Is it possible that subconscious anxiety manifests in purely physical ways? Any help with be amazing, i am very worried." }, { "from": "gpt", "value": "Hello......... Thanks for your query. Going through your symptom profile, it appears that these symptoms are manifestations of an anxiety disorder. You also have past history of an anxiety disorder. You require a through evaluation for various domains of anxiety disorders. Effective treatment options include anti-anxiety medication and psychotherapy (eg cognitive behavioural therapy. You ca also try out breathing relaxation exercises, yoga and meditation practices. Hope you found the information useful. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Severe OCD, smoking addict, rapid heart beats and chest pains post stopping vyvanase. EKG normal. Due to anxiety or something else?" }, { "from": "human", "value": "Im a 19 yr old female, I smoke and have really bad anxiety/ OCD . I was in vyvanse for less than a week and it made my heart race, so I stopped taking it. I also noticed around the same time that I have reddish blotchy skin on my thighs. Even after stopping the vyvanse my heart will race and have palpitations, and chest pain that comes and goes but is not consistent at all. It s in many different areas and sometime achey, other times stinging. I ve been constantly worried I have something wrong wih my heart. I went to the ER and my EKG came back normal. I still can t stop worrying. Are my symptoms due to anxiety, or something else?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you must be going through a difficult time with your symptoms. It appears that your symptoms seem to be predominantly anxiety-related. Moreover, you have mentioned that the EKG was normal, thus ruling out a cardiac problem. Vyvanse is a stimulant drug which can cause or worsen anxiety problems, and this could be contributing to the recent worsening of your anxiety. It is important to understand that anxiety can present with not only psychological symptoms but also with physical or somatic symptoms. Fast heart rate (palpitations), chest discomfort, vague tingling sensations,etc. are symptoms which are commonly seen in anxiety disorders. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome these anxious and worrisome thoughts. So, please consult a psychiatrist for a detailed evaluation and further treatment. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "What does this semen analysis report indicate?" }, { "from": "human", "value": "Hello doctor, my semen analysis report is given below: Time of Specimens: 10:00 Time of Examination: 10:30 Duration of Abstinence: 6 ,Colour: Whitish Viscosity: normal, pH: 8.2 Total Sperm Concentration: 56 million/ml Percentage Motility: 60%,volume 2ml ,Vitality: 85% Agglutination: Negative Longevity: 2 Hours Pus Cells: 20-30/hpf Red Blood Cells: Nil Epithelial Cells: NIL,Abnormal Morphology: 2% (a) Head : normal (b) Neck & midpiece: normal Tail Defects: normal Fructose, Qualitative: Positive please suggest me that as per the above report of semen analysis, could i become a father" }, { "from": "gpt", "value": "Hi, All are normal except for pus in the semen, so need to be started on antibiotics to cut down the infections. Also, rule out urine infection. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Have OCD, washing hands and bathing for a long time. Should my parents support me?" }, { "from": "human", "value": "Hello doctor.I am a girl of 23 years old.I live in Mauritius.I have OCD since a long time and my life is like hell since a few years. Am really fed up and am not following any treatment because my parents feel this isn`t a problem and that am doing all those rituals like washing hands etc because all this is in my mind.They say one day i`ll definitely kill them because i always make them scream or angry due to my habits of washing hands and bathing for ling time.I really dnt knw what to do. Today my mum caught me washing my hands and arms and she was really angry and phoned a psychologist to take an appointment. Am happy actually that i can finally seek some help. But am afraid if the psychologist doesnt understand my problem then my parents will continue to blame me for everything.Plz tell me...am i a bad person if i have OCD?Should my parents support me if i have OCD?" }, { "from": "gpt", "value": "hello welcome to health care magic Relax and don't worry. No you are not at all a bad person. Anyone can have any kind of problem in life. Your parents should definitely support you. Without family support, it will be difficult to get out of this problem. I advise you to take help of a psychiatrist as this condition is treatable with pharmacotherapy and psychotherapy. Good Luck Thanks" } ]

[ { "from": "system", "value": "Pinching sensation in chest, have palpitations due to panic attacks, have anxiety neurosis. Normal life possible?" }, { "from": "human", "value": "Hi Doctors, I usually get pinching senses in my left chest frequently from past 1.5 years. Around 1.5 years ago (june 2011), I got into Panic due to palpitations ans was very much anxious due to sudden palpitation attack ( no specific reason for palpitation at that time, as I got it when I was relaxing having a cup of coffee with friends). I got many ECG s done in a 1 month time and all advised to undergo TMT and ECHO tests. I went through TMT and ECHO and the reports are normal. I even consulted Physchologists and they named it as Anxiety Neurosis. I feel something is wrong with my left chest as I feel some pain and pinching senses quite often and also get palpitations frequently. I even got a chest X-Ray and it is also normal as per doctors. Few symptoms I get are :- palpitations, due to that fearness of death, uncomfortable, breathlessness, suffocation , sweating (sometimes) and lose my confidence. Due to all these problems, I get continuous thoughts about my death. Sometimes, reading articles about death make me to lose confidence and make me anxious and all these symptoms recur. Kindly advise me whats wrong with me. What I need to do to lead a normal life. Around 2 years back I lost my mother whom I loved very much. I got married recently, But still I am unable to come out of these problems. Looking forward for your great advises and suggestions. Thanks and Regards, Srinath" }, { "from": "gpt", "value": "Welcome to Healthcare Magic, I can assure your condition are treatable and you can live normal life. Your symptoms are very suggestive for panic attacks, anxiety disorder. You no need worry about , because your condition start recently , possible you had a shock when your mother passed away. Try to concentrate your attention toward your family , avoid any information, movies, stories, etc. with negative and pessimistic subject, start anxiolytic therapy, your Psychiatrist may prescribe you anxiolytics drugs, alternative you may consult Yoga and Ayurveda Specialist for second opinion. Be always optimistic with clear target in the life. I wish you good luck and speedy recovery. Hope this helps and I have answered your query. If you have additional queries don’t hesitate to ask. Best Regards, Dr.Mihail" } ]

[ { "from": "system", "value": "Depression. Have attempted suicide. Codeine can be dangerous if?" }, { "from": "human", "value": "How can I change the way I feel about myself? I hate myself sooooo much. I don t believe I suffer from depression even tho I ve spent the last 3 months in hospital for attempting suicide . I am out on leave and have to go back tomorrow but all I want to do is end it. I don t want to do it here at home with my family as I don t want them to see it, my death will be hard enough for them... I am hoping a massive codeine OD will do it and I know roughly 500-800mg of codeine can be fatal so I am aiming to take around 1200mg if I can get my hands on it. I know it is selfish but I honestly don t know how I can continue living feeling the way I do. These few days home from the psych ward were supposed to be good for me but all it has done was remind me why I wanted to die in the first place. I don t want to hurt my kids by dying either and they are the only reason I am still here but I feel having me the way I am will only hurt them more. I did not choose to fall pregnant, both my children are the result of rape, and I continued my pregnancies because I do not believe in abortion and I love my kids with all my heart . I just don t know what to do anymore, I don t know how to live." }, { "from": "gpt", "value": "Hello....... We consider active suicidal thoughts as a psychiatric emergency. My advice for you would be to contact your local psychiatrist or suicide helpline immediately and try to ensure you are re-admitted to the psychiatric ward. Treatment and alleviation of depressive symptoms require time and the symptom relief would only be in a graded/phased manner. Wish you speedy recovery. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Feeling depressed and dejected. What can help recover loneliness?" }, { "from": "human", "value": "I need to consult someone who can help me overcome this feeling of loneliness and Dejection that i constantly feel ever since i got the shock from my boyfriend...I need answers to some questions as in what did i do wrong...why did he suddenly change? there are many complications...I understand this was not a usual relationship...I had two kids and he was unmarried and all that stuff i understand. But for 6 years we were madly in love...I worshiped him and could do anything for him. Nothing has helped me...my kids are devastated. i am good for nothing. i am a complete failure. i always stood by him when he needed me and he left me alone and dejected. I am not a teenager. I barely found love of my life. I was happy and suddenly he decided to break free...cant get over the shock...cant get over the shock....someone help me....i am so depressed...now that he is settled, he told me he cant be with me anymore...simple bcoz now he doesn t like the same things that he used to like once. help meeeeeeeeeeee!!!!!! I need answers." }, { "from": "gpt", "value": "Hello.......... The sudden loss of a loved one-what we call as bereavement is a common enough phenomenon in most people's life. It usually results in an adjustment disorder though on occasions it can be severe, what we refer to as acute stress reaction. You would have to get over this initial phase of anger or depression over the next couple of months following which if required (if these symptoms persist), we would recommend appropriate medication or psychotherapy measures. At this juncture supportive psychotherapy by a (clinical) psychological counsellor might be appropriate for you. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Have severe shivers when i write. Affecting confidence. What can help me?" }, { "from": "human", "value": "myself XXXXXXX mandal depressed with my hand shaking prblem when i write inpresence of any person my writing ill become worst and can no write anything i am graduate. i am fear when i writing in pesence of any person .my impression is making bad with any person my confidence level is so poor.i am tring to recover from my problem but i can not .please suggest me either i can not live alive.this problem had not felt in my school days but when i joined my job after that i felt this type problem .please solve it. but when i write lonely i write smoothly.but ican not write in presence of any person.i afraid to write in presence of any person.may i afraid what they will think worst writing so i like to write lonely but i tried many time to recover from this type problem but i can not so please help me" }, { "from": "gpt", "value": "Hello........... The symptom you are describing trembling of hands in presence of people is a classic symtom of social anxiety disorder/ social phobia. It is a common problem with a high prevalence rate. Effective management is available in form of anti-anxiety medication as well as psychotherapy techniques (like exposure and response prevention). Performance related anxiety is common in this patient population which can be tackled effectively. Wish you early recovery. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Taken Curacne. Have mental disorder, hearing voices, have paranoia. Symptoms of which disease?" }, { "from": "human", "value": "hello doctor, Ive taked a medicament 6years ago, it was curacne wich causes me Mental disorder , at the start 3 first years and specialy first year ive been hearing voice i like had 2 brains one is normal and the other is paranoid and been living in hell, with my paranoia , then it comes the suicidial Ideas I couldn t talk to no one because i was suspicious of everything even my Self, the reason i Didnt commit suicide thought, its because of my Religion beliefs and that the one who suicide goes straight to hell, ok, after three years and after i started praying and letting out in my prayers I kinda felt better, the hallucation were kind of gone, and everything but the paranoia i m still stuck with paranoii suspicious about others motive (even thought there is no reason to) when i m in a cafe for exemple and went to the toilet i m afraid someone puts something in my cafe deadly or whatever, Its just not good, The point is after a years of research throught internet, I m pretty sure i had all the symptoms for Schizophrenic Paranoia but with time it got less and i was left when Paranoid Mentality disorder I heared that Atypical antipsychotics are good, but they are mostly not used for Paranoid mentality disorder Sorry for tapping too much, anyway and for orthographe faults, thanks in advance" }, { "from": "gpt", "value": "Hello....... You require a thorough psychiatrist assessment and observation over a few follow up visits to ascertain the nature of psychotic disorder you suffer from. It could be schizophrenia or a persistent delusional disorder or even a personality disorder with a quasi-psychotic breakdown. Atypical anti-psychotics after careful assessment and discussion of side-effect profile might be beneficial in your case. Regards. Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "On risperdal consta. Suffering from insomnia, depression and anxiety. Need medication without side effects" }, { "from": "human", "value": "I need to speak with a psychiatrist . I am looking for a new medication. I have been on 37.5 mg of Risperdal consta. It caused terrible problems with anxiety and depression and insonmia. I was then prescibed 100mg of seroquel xr . It caused my face to swell and eye lids. I was diagnosed and bipolar affective disorder (manic depressive). what can I take that does not cause so many side effects. Thank you for your time and consideration." }, { "from": "gpt", "value": "Hello........... I am able to understand your apprehensions regarding psychotropic medication considering significant side-effects in your cases. Medication you are on Risperdal consta (Risperidone) and Seroquel (T.Quetiapine) are standard medication prescribed for psychotic disorders. Kindly report your side-effects with medication to your psychiatrist so that your treatment plan can be re-evaluated and a suitable drug regimen that you can tolerate can be precribed. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Been using spasmo proxyvon. Been depressed and under pressure. What can help concentrate?" }, { "from": "human", "value": "Sir, I ve been using spasmo proxyvon for three years and nowadays i m using 15 daily and my routine is 5 before breakfast, 5 after lunch and 5 at evening around 5 o clock and the situation is to give up and same time i feel like taking more pills because of my depression and pressure for my career and my future. Please kindly help me out from this problem. I ve 1 month holidays and planning this to be done in this holidays and start over a new beginning and concentrate on my study." }, { "from": "gpt", "value": "Hello........ Spasmoproxyvan is detropropoxyphene which is a weak opioid. The underlying cause of your substance use i.e depression needs to be tackled primarily so that your need for substance use is managed effectively. In addition both medication and psychological measures are available to manage your substance use that it will help to wean you off spasmoproxyvan. I would advise you consult a substance use/mental health specialist in person who can tackle these dual issues effectively. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "In confusion, under mental trauma after confronting father's affair. Suggestion?" }, { "from": "human", "value": "Im a 16 old girl and i recieved a messaged today from a woman claiming to be my fathers girlfriend the problem is that he is still married to my mother and i do not knw if this woman is tell the truth she know a lot about him and im confused and scared i do not know if i should confront him or tell my mother or jst keep it to my self i do not live with him becauae he lives in a different country because of his job please help me" }, { "from": "gpt", "value": "Hello....... I can understand your predicament at this juncture. The foremost thing to do is to verify the authenticity of information and regarding the source of information. It is possibly just a prank. If you are convinced regarding the above, i would advise confiding the same to a trusted relative before proceeding in this sensitive issue. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Always get unwanted thoughts, sleeping difficulty, low concentration levels, mood swings. How can I get over this?" }, { "from": "human", "value": "Hi I am suffering for this unwanted thoughts , and my mind is spinng like any think , contionusly it thinks one or the other thinks , and i hadrly i catch sleep, i use to become restless, as a result i donot have concentration on studies nor work some time reading a passage is also getting difficlt for me , i am lossing my self confidence bcoz i feel that i am not productive at work nor studies . any my mood chages continously , frequently i use to get anger . Please help me what is this , do i require any treatmet all" }, { "from": "gpt", "value": "Hello...... Many of the above symptoms that you report of- difficulty in sleep, distractability, poor concentration, irritability might be normal or features of an anxiety or mood disorder. Hence a thorough psychiatric evaluation is required which would involve recording of the frequency, severity and duration of symptoms and a current mental state examination. Following this, appropriate medication or psychotherapy can be initiated as appropriate. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Does prolonged masturbation weakens the penis?" }, { "from": "human", "value": "Hi, may I answer your health queries right now ? Please type your query here...I did masterbation very long perod of time ,now i have the problem of no strongness in my pennis,premature ejaculation,dilute semens. Plz tell me the best medicine. I am 36 year old and faty body and good hight." }, { "from": "gpt", "value": "Hi, Long masturbation can cause penile Mondor’s disease. Prone masturbation can cause Premature Ejaculation, not the regular method. Kindly share your semen report (since you said diluted), so we can work on the cause. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Stubborn child. Suggest doctors to help handle?" }, { "from": "human", "value": "I am from India in Chennai at ayanavaram need a psychiatrist who could help my daugther who has taken a decision of going to another church which is spiritually not leading properly and we are unable to stop her because she is stuborn and strong in her decision and even ready to leave us and from home kindly sugesst a doctor for our mental decision to gain our child s future for her soul Mother of the child" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you are very upset and disturbed due to your daughter's decisions. But I would also like to let you know that the role of a psychiatrist is not to influence or change anybody's individual decision. If your daughter is a major and has made an independent, thoughtful and strong decision, (which may be against you), then it not the role and not ethically right for any doctor to influence the person according to your decisions or preferences. But a psychiatrist can do a psychological assessment to see if she is making any rash or misinformed decision without a clarity of thought and accordingly help her have a clear and patient thinking before making the decision. The decision is ultimately still hers. If you would like to consult me, I come for visiting consultation at V.K. Hospital Purasawakkam, Chennai (Phone: 044-26426922). Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Suffering severe anti depressant, taking Tancodep. Developed BP and mood swings. Is mood swings due to tablet stopped?" }, { "from": "human", "value": "Dear Doctor, i wold like to tell my entire health history 2 years back i got a severe Anti depressant say a psycatriat she prescribled me a Tancodep 2mg. I was taking almost 2years now i got BP problem it went to 160/100 and also got tinnitus i was unable to withdraw tancodep 2mg. again i went to another cardiologist for my BP told him about the entire story he asked me to stop tancodep 2mg and gave nexito 5 and lonazep 2.5mg along with BP tablet nebistar 2.5mg i took these medicines for 6days and stopped completely tancodep 2mg. but all of sudden my mood get changed get mild anti depressant feel restless. kindly advice what should i do further......is there any remedy...." }, { "from": "gpt", "value": "Hello...... Thanks for your query. Tancodep is a combination of impipramine (antidepressant) and diazepam (sedative). Sudden discontinuation of the medication is not advised as it can result in withdrawal symptoms which can be characterised by irritability, restlessness and poor sleep. I guess your cardiologist might have discontinued the medication considering it's poor cardiac safety profile. I suggest you again consult your psychiatrist to re-calibrate your drug regimen to suit you in terms of both efficacy and safety. Regards. Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Under stress. Numbness in body. What is the meaning of this?" }, { "from": "human", "value": "Hi,I have been going throw very bad situation and stress prusser of lots of issues in my life at the last few months and all of that happened while I was just starting my life with my husband I mean I married 3months ago Two days ago I had a fight with my husband and I was very angry I was crying badly then I was breathing very hardly and then suddenly I started feel numb all over my body especially my hands my fingers were sticking strongly and I couldn t releas them Today I cried because I was feeling stress then I felt suddenly numb in my face the part from my chin my cheeks and bellow my eyes I feel now so worried of what is happening with me Pls doctors tell me what is happening to me and what I should do to avoid the Worst" }, { "from": "gpt", "value": "Hello........ Thanks for query. Relax. What you are reporting is a normal phenomenon. Hyperventilation is related to transient imbalance in the body's acid-base balance. This either results in numbing or pins & needles sensation. However, considering your social and inter-personal situation an evaluation of your coping skills, personality profile as well evaluation for an underlying mood/anxiety disorder is required. Hence, you require a consultation with a psychiatrist in this regard. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Feeling down and unable to concentrate during morning times after changing tablets from Pexep to Mirtax prescribed for panic attacks. Reason?" }, { "from": "human", "value": "Hi I am Clint 40 yrs old I use to have panic attacks around 8 years ago until i went to a a doctor. he prescribed me pexep tabs which i started from 20 mg and went up to 40 mg. the medicines were of great and i felt good. but recently i went back to him and asked him to give me something cheaper as pexep 30 mg really got expensive and with age i found that less effect. now he has prescribed me mirtax 7.5 with maxgalan tbs before dinner ever since i started it i am feeling totally druged and and down unable to cosentrate on anything escpecially in the morning. Can you tell me the reason for feeling this ways or what should be done????? Regards Cllint" }, { "from": "gpt", "value": "Hello...... Thanks for your query. The symptom of excessive sleepiness can be attributed to T.Mirtax which is a sedative anti-depressant/anxiolytic and inability to concentrate might be due to anxiety symptoms which have increased following shift in medication. I would suggest you to consult your psychiatrist again and report of the above symptoms since you require a cheaper alternative to T.Paroxetine which at the same is equally effective and free of side-effects. Wish you early recovery. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Best friend had a love affair with a man who loves me, imagining fictitious things. Treatment?" }, { "from": "human", "value": "my friend....she is 22 yrs old...she is mentally suffering from some problem....she had an love affair but that man didnt love her instead he loved me...also she imagines that boy as her classmate, i have explained much but she never listened me....now it is getting serious....we have been best friends for the last 10 yrs but now she is avoiding me...plz tell me what to do...?" }, { "from": "gpt", "value": "Hello......... Thanks for your query. It could be infatuation that is normal for this age which would require sorting out the issue with help of a few common friends or the person concerned (your boyfriend) himself. However, if other facts you report are true like your friend wrongly claiming your boy-friend as her classmate and so on, it could mean underlying psychotic illness like erotomania (persistent delusional disorder) which i do not expect to be in this case. Hence i would suggest you try to sort out the same at the level of your friends initially and seek psychiatric evaluation if required later on. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "How can fatigue, lack of mental clarity and mental fogginess be cured?" }, { "from": "human", "value": "Hello, my name is Jacqueline. I just wanted to know how to cure fatigue and mental illness . When I say fatigue I am referring to lack of energy and feeling tired, even after one has taken a nap. As for mental illness I have Autism and I wanted to know if there was a cure for Autism, mental fogginess, and lack of mental clarity." }, { "from": "gpt", "value": "Hi, Autism is not curable. But some of the symptoms of autism can be controlled with behavior therapy and medications. For your current problems, it is better to rule out other causes like: -Depression -Vitamins deficiency -Substance use: stop if present -Thyroid hormone So, it is better to get evaluated for above possibilities for treatment. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Sleeping a lot, want to stay isolated. What is wrong with me?" }, { "from": "human", "value": "Lately I have been getting easily irritated with only my family. Everything they do annoys me, mainly because of the fact they are so predictable. I want to isolate myself from everyone and stay in my room to either be alone or fall asleep from boredom. I get more than the recommend amount of sleep, I normally sleep for 11 hours a da, not including naps. Recently I went Vegan, and I feel what I have to eat does have a connection with everyhing. My Mom does all the shopping and buys me junk food that is still techincally vegan..I try to explain to her I need healthy, whole foods, but I still receive fast, easy to make meals.I used to be positive and humble, now I am the opposite. What is wrong with me?" }, { "from": "gpt", "value": "Hello.......... Thanks for your query. Excessive sleep (hypersomnia) and irritability can be a symptom of atypical depression. Hence, a thorough psychiatric evaluation including mental status examination is required before deciding on management. Anti-depressant drugs and psychotherapy are the available options. In addition, hypothyroidism needs to be ruled out as it can present similarly. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Persisting chest pain, headache feeling during driving post avoiding moment of car collision. Help?" }, { "from": "human", "value": "Hi today i was almost involved in a head on collision where this guy was overtaking another vehicle my husband and kids were in the car and i was driving...i suddenly got severe chest pains difficulty breathing headache and nausea as our lives flashed before my eyes as the guy was coming around a blind corner....i managed somehow to avoid it by the grace of god....i am still having minor chest pains headaches and feel tense while driving...what should i do? I am 32 yrs old" }, { "from": "gpt", "value": "Hello......... Thanks for your query. It is possible that you are suffering from panic attacks that manifest as chest pain, palpitations and pain symptoms. An ECG is required to rule out cardiac causes. If normal, further assessment by a psychiatrist is essential. Anti-anxiety medication as well as psychotherapy would be useful in this regard. Wish you speedy recovery. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Anxiety and stress, have light headedness, dizziness, weakness, pressure on nose, eyes, nausea, high cholesterol. Cure?" }, { "from": "human", "value": "my symptoms are light headed, dizzy, a weak feeling in my legs(as if im gonna fall or pass out) a pressure on the top of my nose in between my eyes, nausea , sometimes blurry or shaky vision , now i have been through alot of the process like hospital visits, regular doctor, eye doctor, neurologist and everything always comes back fine, besides cholesterol being a little high, i do have anxiety and stress and i been wondering if my symptoms could be related to that or something else, i been going through this for about 6 months now and nobody seems to know the answer or cure, as you can imagine i am exhausted by this as all of this takes up my everyday life as it is all i constantly think of and feel like, i cant wait to hear from you and hopefully soon, thank you!!" }, { "from": "gpt", "value": "Hello........ Thanks for your query. The symptoms are likely to be secondary to anxiety disorder considering all investigations have turned out to be negative. A thorough psychiatric evaluation can be followed by anti-anxiety drugs or psychotherapy as appropriate. Breathing relaxation exercises and meditation practises can be helpful currently. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "How frequently peripheral neuropathy is caused by psychosomatic illness, if the patient has psychiatric health in check ?" }, { "from": "human", "value": "I know that these days a psychosomatic diagnosis for illness , especially any involving chronic pain and other issues that don t fit into an obvious diagnosis, is common. I also know that if a patient has an underlying anxiety disorder , doctors often jump to the psychosomatic diagnosis, because to them, it seems the most obvious. I agree with Occam s razor myself, but I don t agree with this if a patient exhibits chronic pain accompanied by other long term health issues, especially if that patient follows a healthy diet and exercise program and has their anxiety under control. I know how the human brain can effect the physical body, but I d like to know how frequently peripheral neuropathy is caused by psychosomatic illness, if the patient has their psychiatric health in check?" }, { "from": "gpt", "value": "Hi, First it is important to know that psychosomatic symptoms do not cause neuropathy. But neuropathic pain tend to increase in severity in presence of anxiety and depression due to somatisation of these illness. Distinguishing neuropathic pain from psychosomatic complaints is a clinical challenge to physician. Following clinical faeture help in identifying psychosomatic pain or exacerbation of neuropathic pain by somatisation: -Distribution of area of pain, atypical to neuropathic pain area. -Severity of pain is more than expected -Temporal relationship of complaints to anxiety and depressive symptoms. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "How can high triglyceride levels be controlled?" }, { "from": "human", "value": "Hi, I'm a 31 year old man, 5'5\" and a stocky 175lbs. I apparently have high tryglyceride levels and am wondering about how to lower these. I know I need to stop beer drinking and start working out, but I am a cigar hobbyist (twice a week I smoke a cigar) and am wondering if I should boot that too. Thanks for any advice!" }, { "from": "gpt", "value": "Hi, No, you need to stop cigar. It won't have a direct effect on your triglycerides. Both high triglycerides and cigar can precipitate cardiac disease. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Hearing voices when falling asleep. Could it be something serious?" }, { "from": "human", "value": "Hi, I have a concern about some voices I hear occasionally when I am just falling asleep. They have been happening for about a year now, they are never anything long. Usually only one word or a few words. They have never been harsh or even negative before the other night. I usually don t even remember what I hear by the next morning. The other night right before I fell asleep I heard a voice, it sounded very scary to me and It was a male saying it s the f**king end! It scared me and I couldn t go to sleep afterwards because I was so scared. Could it be something serious? Or just in my head? Please help me!" }, { "from": "gpt", "value": "Hi, First, it is important to know that these voices are not real. These voices come due to neuro chemical imbalance in brain. So, do not scared from them. Now good treatment is available to stop these voices. You should meet nearby psychiatrist as soon as possible for relief. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Shaky, pounding heart, breathing difficulty, sweaty if somebody comes near, touches. Feel tired, depressed, headache, stomach ache later. Solution?" }, { "from": "human", "value": "Im a normal 14 year old girl but about a week ago ive started freaking out(it some what seems like an anxiety attack..) when someone gets to close and or touches me. I will shake, my heart starts pounding, i cant breathe, my hands get sweaty, i start crying.. And afterwards i feel tierd, depressed, and i dont know what exactly just happened. I will get a huge head ache right after word too.. Or stomach ache and it will either for for shorter then 5 minutes or hours long... Somethings wrong with me and i dont know what.. Can you help ?" }, { "from": "gpt", "value": "Hello......... Thanks for your query. Symptoms like hyperventilation, palpitations, increased sweating are characteristic of anxiety disorder. A thorough psychiatric evaluation is essential which can be followed by anti-anxiety drugs and psychotherapy (cognitive behavioural therapy). Breathing relaxation exercises, yoga, meditation practices and avoiding tea/coffee would be beneficial in your case. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Trouble focusing, get distracted easily. Treatment?" }, { "from": "human", "value": "Yes my name is Darrel ,and I m 26 years old. Iv have issues focusing on anything to the point that I forget or get distracted .I want to start collage but I don t think I can focus long enough to get good enough grades to pass any class. I m smart just not focused enough what can I do or what treatments would u recommend" }, { "from": "gpt", "value": "Hi, In your age poor concentration may be due to multiple reasons like: -Substance use: stop use if present -Vitamin deficiency: take healthy diet -Stress and anxiety: need evaluation. Daily aerobic exercise will help. -Lack of interest in subject -Poor sleeping habit: follow sleep hygiene. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Suffering with intermittent anxiety, heaviness in chest, eases with lorazopam. Tips to gradually withdraw the medicine?" }, { "from": "human", "value": "i am 70 years old.had been suffering from intermittent anxiety/sress.had been taking for last 25-30 yrs one or other benevery night like diazapam,lorazopam,alprozam etc.Since early october have been suffering from moderate anxiety,gloom,melancholy with a heaviness in chest region.lorazopam 1 mg morning and in the evening gi8ves substantial relief i feel good & cheerful.i am also started homeopathic treament who wish me to continue allopathic medicines i.e lorazapam till i begin to feel better.i wish to how long one can continue taking lorazopam & how to leave it gradually at a a later stage thanks pbhalla" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Medication such as Lorazepam, Diazepam, Alprazolam, etc. belong to a category of medication called benzodiazepines. Now, this group of medication is used to treat anxiety as well as sleep disorders. When used for the treatment of these problems, these medication should be used only for short periods, because prolonged use can lead to medication dependence or 'addiction'. So, if you are continuing to take these medication on your own, then I would advise you to consult a doctor, preferably a psychiatrist for further advise regarding continuing these medication or gradually tapering and stopping them. There are also other non-addictive anxiety medication, which can be taken safely for long duration. There are also many psychological therapies which can help you effectively deal with your anxiety / stress. I would also suggest that you try relaxation techniques like deeep breathing, yoga, etc. for managing your stress and anxiety. Best wishes, Dr. Sheeba Stephen" } ]

[ { "from": "system", "value": "Depression, panic attacks. Taking censpram, fluanxol, dine. Continue medication?" }, { "from": "human", "value": "Dear Doctor, I am eighteen year old girl diagnosed with juvenile depression . After consultation with a child psychologist, I have been on the following medication for the past month: Censpram 10mg, Fluanxol 0.5mg and Dine 2.5 mg. Other than an increase in appetite , weight, sleep and drowsiness I do not feel any better. I still feel depressed and get panic attacks. Please let me know if I must continue with this medication or I need to try new drugs. Thanks" }, { "from": "gpt", "value": "Hello.... Thanks for your query. You have been put on accepted standard medication for management of depression. The sequence of improvement in depression is improvement in sleep, appetite followed by an improvement in activity level followed by an improvement in your thought process. It would take a minimum of 8 weeks for this cycle to complete. Hence, accordingly you are showing improvement on expected lines and you need to be patient. Com pliance to medication is vital for sustaining your improvement. Wishing you early recovery. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Suffering from anxiety and depression, taking medication temporary relief. Permanent cure?" }, { "from": "human", "value": "Dear Doctor I have been suffering from Depression and Anxiety for the last four and a half years. I have been continously on some medication or another. And in the last six months or so I have felt relief as well. Though it has been touch and go. I wouldn t say I near a cure. But then in the last few days suddenly the anxiety shot-up. Particularly, in the evenings I used to start feeling better. Almost normal. But this changed in the last week or so. Can you kindly advise what I should do? Thanks and Regards" }, { "from": "gpt", "value": "Hello, Four and half years is a very long period for depression to persist. The treatment of depression is said to be successful only if all the symptoms of depression remit. There are plenty of different drugs available for depression and anxiety and if you find relief on one drug, then you should continue with the same drug. The most common reason for the relapse of your symptoms while on treatment is generally an ongoing or new stressor. You also should evaluate yourself for thyroid. One should also consider adding psychotherapy or cognitive behavioral therapy along with the medication as research has proven that a combination of therapies is always better than any treatment alone. You should try to engage yourself in some hobby. Exercise can also help you. Thanks. Hope you get well soon." } ]

[ { "from": "system", "value": "Anxiety, depression, mood swings, tiredness. Frequently taking i-pill. Due to medication?" }, { "from": "human", "value": "Hello.. I am a girl of 20 years of age.. I have been taking i- pill since 2 years and i have taken 3-4 i-pills in a month but now I m out of this habit and I have left having i-pill since 6 months but now I have got a problem of weak nerves.. I m getting nervous problems of anxiety , depression , bad moods... I get scared so easily these days and getting tired very easily... I even fainted after taking hookah which had never happened earlier. So is it because of the i-pill I had taken?" }, { "from": "gpt", "value": "Hello......... Thanks for your query. I-pills are hormonal pills, when consumed erratically can result in mood swings. However, since you discontinued them 6 months ago they do not appear to be the cause of your symptoms. You need to be evaluated for an underlying independent anxiety or depressive disorder by a psychiatrist following which medication or psychotherapy can be initiated. SWish you early recovery. Regards Dr Sundar Gnanavel Psychiatrist" } ]

[ { "from": "system", "value": "Anxiety, panic disorder, numbness on left side of body, stroke like symptoms. Cure?" }, { "from": "human", "value": "Suffer from anxiety panic disorder almost 9 years now I have felt paralyzed unable to move chronic neck pain feelings of stroke lefr face and left side of body numb I ve had ro pull over on he side of e road while driving for the fear of something happening while my kidsare in the car its very emotionally damaging I ve been thru dozens of meds and lorazapam for 8 yrs" }, { "from": "gpt", "value": "Hello, its very unfortunate that you have been suffering from such excessive anxiety symptoms since last 8 years. It would have been very good if you could have also included the names of the drugs that you have taken in the query. In absence of your previous medication history, it would be difficult for us to comment on the adequacy and appropriateness of your treatment. There are plenty of different drugs available for anxiety and different people respond to different types of drugs. The key to the anxiety treatment is being in regular consultation with your psychiatrist who can change the dosage and medication frequently so that you get the relief. Lorazepam is a shorter acting benzodiazepine and hence clonazepam is preferable over it. Also please consider Cognitive Behavioural Therapy along with the meds. Dont forget to exercise regularly and eat healthy. Hope I am able to solve your concerns. Have a nice day." } ]

[ { "from": "system", "value": "Pain in right side face and ear, due to tension. Solution?" }, { "from": "human", "value": "Sir ji,namastey Mera naam saurabh hai aur pechle 6 mahino se right side of face aur ear ke aas paas bahut pain hota hai Ye mostly Tabhi hota hai jab mai kafi logo ke bich mai hota hu,ya phir mujhe tension hoti,ya koi dantta hai,sir is pain ke karan Na toh mai apni study mai consantrate kar pa raha hu aur na hi kisi bhi kaam mai,sir plz mujhe iska koi Hal bataiye.. Mai sada aapka aabhari rahunga...." }, { "from": "gpt", "value": "Hi, Anxiety and stress can also lead to headache, specially if your headache increases with tension. But headache due to tension occur both side of face most of the time. So, following problem need to be rule out first: -Vision problem -Glaucoma -Infection of tooth, nasal sinus and ear -Loose tooth -High blood pressure. To decrease tension: -Decrease worrying by keeping yourself busy and distracted from worrisome thoughts by talking to family members or watching T.V. or counting back (100 to 0). -Healthy diet: Milk and fruits in diet. -Daily morning brisk walk -Follow sleep hygiene. -Breathing exercise, yoga and meditation (which you can learn from some expert in person) I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Have osteoarthritis, Klinefelter syndrome. Suffering from depression. Loss of mobility. Am I eligible for SSI disability?" }, { "from": "human", "value": "i am a 43 yr old man, i was diagnosed with Klinefelter syndrome when I was 24. over the years I have developed osteoarthritus, cant seem to get a hold on the weight and am dealing with depressions. I have recently been put out of work, becuase i am losing mobility. I am appying for SSI Disability , Is klinefelter syndrome a recognized qualifying disease?" }, { "from": "gpt", "value": "Hello! Thanks for using health care magic for asking your question. Klinefelter syndrome with osteoarthritis and depression is surely disabling and i am sure you are having a tough time. However whether your disability illness is under the disability specific illnesses list of your country is something which will decide whether you will get the benefit. Moreover some orthopedics doctor has to quantify your disability before you are certified. Like in India, patient first approaches an orthopedician to quantify his disability and seek a disablity certificate from him. later on he approaches the specific government authority to authorize him for the possible state benefits. So it all depends on the country where you are residing. I hope i was of some help to clarify your doubts. Have a nice day." } ]

[ { "from": "system", "value": "What causes a itchy rash around the genital area?" }, { "from": "human", "value": "doctor..i am a 19 year old male ..having a height of 5'5 ..and a weight of 52 kgs..the problem is..i dont know whether it is a rash or fungal infection..but there is an itchy near jock area .from one week. i had applied itchguard since a week but there is no change in the affected area..so give me suggestion to control and eliminate it..and also i had developed a some black ..little swelled rash at that particular area..too" }, { "from": "gpt", "value": "Hi, It can be a fungal infection - sharing a picture will be helpful in proper diagnosing. Need to change the antifungal cream along the use of oral antifungal and antihistamine will be helpful. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "26yr old, having difficulty in sleeping, wakes up with a loud shout. Prescribed medicines. Little improvement. Suggestions?" }, { "from": "human", "value": "Dear and honorable online Doctors, I am writing this from Afghanistan, Kabul. My 26 year old son, for the last one year is suffering from restlessness, difficulty with sleeping, low mood, fear etc. He awake from sleep with a laud shout, even this happens to him during the day. Some time when he is busy with some work or computer all of a sudden, without any prior signs he shouts, and wants to run away ( Is it panic attack??). One year before we consulted a doctor in Delhi he prescribed: Symbal 20 mg Frisium 10mg, twice Clobazam , once at night Olanex, twice, 2.5 mg in the morning and 5mg at night Nitrosun, one tablet day and half at night Liberum, 5mg day and 5 mg at night He was better under medicine, however still was experiencing the attack. I was not comfortable with so many medicines. November this year again went to Delhi and consulted another doctor. After polysomnography test he prescribed him Depran 10 one tab. at night and Zapiz, 0.25 mg whenever he is in bad mood ( the later does not help him much). When he takes the medicine at night, he is feeling okay till next day evening, and then his mood is decorates and experience the same attacks. However, still he has difficulty with sleeping. I would appreciate if you honorable online doctors can advise him. Can he continue Nitrosun, which is a sleep medicine whit his medicine? Worth mentioning that I trust fully the doctor that we consulate, but he is far away from us ( in a second country) that difficult to reach him frequently. Appreciate your advice Best regards Gh.M Salem Email: YYYY@YYYY" }, { "from": "gpt", "value": "Hello. Thanks for consulting healthcare magic. Salemsahab, from the history you have narated, your son appears to have some kind of seizure disorder. That can also be confirmed by getting and EEG done. The drugs mentioned in your first prescription are right, but i should say that they are too many. He probably doesn't need these many drugs. If he has some abnormal EEG findings, starting him on a single anti-epileptic drug such as carbamazepine or leveteracetam will surely help him. if there is good control of his epileptic attacks, his mood symptoms and sleep should improve automatically. I understand that the distance is the problem. hope you get a good psychiatrist nearby who can consult you frequently. Thanks." } ]

[ { "from": "system", "value": "Sensitive feeling on the stomach, anxiety, ears feeling full and popping sound while yawning, pain above the right eye. Cause?" }, { "from": "human", "value": "i have two questions i have this weird tight sensitive felling in the top of my stomach , like in the muscles and i have really bad axciety always making things worse than what they are. My second question is My ears alwasy feel full and are always popping like when i swallow yawn i get dizzy and sometimes really bad pain above my right eye. im just wondering what these things mean" }, { "from": "gpt", "value": "Hai courtneyg0826 , --weird tight sensitive felling in the top of stomach associated with severe anxiety ---feeling full and always feel popping like when swallowing, yawn ---- getting dizziness with severe pain above right eye With available information you have multiple non specific symptoms . you didn't mention duration of illness If you have these symptoms for several months & if there were no demonstrable medical illness was found out then most likely it could be Somatoform disorder Here Mental worries/ stress is reflected as bodily symptom with dysfuntion in your daytoday routine life. You have to discuss the possible stress with your nearest psychiatrist he may give counselling , advise CBT & antidepressent if required. Gradually you will feel better All the best" } ]

[ { "from": "system", "value": "Feeling of bipolar disorder, frequent mood swings, suicidal feelings, feel low about looks. Normal?" }, { "from": "human", "value": "Hello. My name is Angela and I m 16 years old. I think I might have bipolar disorder ... but don t know if I m just making myself think I have the disorder but I actually don t. So, I ve been through a really though life. I ve never met my father, he lives in USA and he replies rarely to my messages on Facebook, my stepfather cheats on my mother and live us and my siblings without money, my grandma died in January and I was really close to her and I left Italy and relocated in UK only five months ago and I miss my friends , and here I don t feel accepted . My mood swings very easily...it can change like three times in a day or more. I can wake up happy, then I don t know how some bad thoughts come in my mind (for example, I imagine someone that I care about dies) and I m depressed and want to cry for hours. Then, everything came back as before, and I m normal. Or it can happen that I wake up happy, then I get to college and I start thinking that I m not good enough, that the others will always be better than me. And I stop talking for all day until I come back home and I m normal again. Then some days I can be very active and like jump around the house, sing, laugh. The thing that worries me the most is that I see things that are not real. My biggest dream is to become a singer and every night I pretend to be on a stage with my band and sing to an audience. That s not the big problem, my mom said she did that too when she was little, everybody does. But the problem is that those people, those places ... become real. I can see clearly those people and spaces, I can interact with those people, touch them, talk to them... I can even held long conversations. I remember the first time I saw a person that wasn t real ... I was 12 years old. It was a famous person, and idol of mine (even now this happens) and this person was watching everything I was doing... but it wasn t creepy. He was just there, standing by my door. And since then everywhere I go I feel that someone is watching me. That year I even started thinking about suicide . I thought about it two or three times. I ve self-harmed but I never went too far. I was just pulling my hair, biting my arm, scratching my wrists and veins with a scissor but I never bleed . Only scratches.. but I had the thoughts about ending my life. Now I don t think about killing my self, but sometimes I feel so disgusting, so fat, so ugly, so stupid, so not good enough that I hurt myself. Last time I scratched my wrist too much and I also burned the skin on my arm because I did it too strong. I m also suffering insomnia from three weeks apart. I can t go to bed before 5 am and I m super active in those moments, I never feel tired. Then I go to sleep and I sleep only two hours. And when I wake up I m super energetic, like someone that slept eight hours or longer. And this alternates to days when I sleep too much. I ve also lost interest in thing that I ve been doing for years. Okay, my passion was always singing .. but at 11 I started playing the clarinet and piano. I ve been studying it since last year in Italy. Then I move to UK and I started college. The first two months were brilliant. I got all Distinctions and Merits and I loved going to school. But then I don t know why I just started hating it ... my passion for singing became even stronger and now I don t even practice the clarinet anymore and I do a lot of absences. In three weeks (I go to school three days a week) I ve been going to school only three or four times because I didn t want to go because I don t like it anymore. I don t want to do it anymore. I want to sing. And play the piano. I think that in clarinet I suck even if everybody says the opposite. But I don t enjoy it anymore. I don t know if this is...maybe a normal thing for a teenager? Thanks in advance for your reply and sorry for any mistake I made, English is not my first language! Angela" }, { "from": "gpt", "value": "Dear Angela, Firstly I would like to appreciate your efforts in writing and describing your problems in such details. One thing that is clear from your write up is that you are surely having a problem which needs psychological help. Its too early and foolish to make a diagnosis with this much of information and moreover, more vital information will be available when some psychiatrist will interview you about your problems. You certainly have some problems with your cognition (thoughts) and you need to be put up into a Cognitive Behavioural Therapy by an experienced psychiatrist/ psychologist. Personality disorder also appear to co-exist. Harming your self is of the biggest crimes, and you should always seek help whenever you get an urge to do any act of that sort. Please visit a psychiatrist who will interview you and start you on some sort of psychotherapy sessions. I hope I answered your concerns." } ]

[ { "from": "system", "value": "Anxiety, blood pressure. Taking ramapril. Can I take KALMS?" }, { "from": "human", "value": "Hi, I take 5mg Ramapril a day for high b pressure, yesterday despite that my b pressure was 172 over - 80 -or ninty not sure which!! so have to have ecg etc next week, my question is ---- I am so anxious since she told me I could not sleep last night (Isuffer from anxiety anyway) so, can I take KALMS ?as I can feel my pressure is not good! I also take amitrypline for pain and pencillian as no spleen . thankyou." }, { "from": "gpt", "value": "You appear to be worried about changes in your BP measurement. Do not be preoccupied with it. could you please specify content of KALMS which you feel could relieve you of anxiety. It appears like some sleeping pill. It is recommended for you to relax till you get ECG done, carry out light activity. Anyways you are taking amitryptillline which could help you to relieve anxiety symptoms. If the symptoms persists for long then please get a review from your treating team" } ]

[ { "from": "system", "value": "Stressed, speaks jiberish while sleeping, nightmares, bit on arm. How to control?" }, { "from": "human", "value": "Last night my husband bit me on my arm . I quickly got up and told him to stop. I really got scared i told him what he had done and that if he had realised what he has done. his response was yes . he then got out of bed and went to the toilet. At this point he really sh?? me up.That evening he was watching a vampire movie with lots of blood and guts. He does not sleep well. His bedtime routine is sleeping between 1am and 3am. He gets up for half 8pm. He s got a lot of stress . He speaks jiberish whiles sleeping and makes sudden movements. Once he was having a nightmare until I woke I m up, asking him if he was ok. I think I saved him from his nightmare. Can you please help and give some sort of explanation. Thanks kera" }, { "from": "gpt", "value": "Hello Seethalkaursingh, The problem you have tried to describe, doesn't appear to a nightmare. Its more closer to being a night terror. Please understand that such complains are very common and increase at the time of stress. People generally don't discuss them as they don't cause any problem for themselves. Epilepsy / seizure disorder is another concern and he should be investigated by an EEG. There are many unanswered questions in your write-up. But one thing is for certain that your husband surely need some help from a psychiatrist. Please ask him to visit one who would like to explore many his areas. Hope this answers some of your questions." } ]

[ { "from": "system", "value": "Emotional distress, sleeping difficulty, increased aggressiveness due to break up. How can I overcome this?" }, { "from": "human", "value": "hi docktor , my name is jagpal..im 18. n so i have been loving this girl..for 5mtnh..n she was playng wit me all the time..i love her 100 per. truely i nvr cheat o lie to her..she left me bcuz i found out that its was love triangle..so i cried to her..n i did so many thing to make her come back..bcuz i juz love her so much..i tried to comit sucd .n it nvr hapnd..i cut my self..alot of time..its already 9mthn without her ..n im still in the pain..i cant sleep ..i will get angry very fast.i will start punching my self for no reason.i will get very agresive.i can see her every where ...which ever girl look like her ..i will scrd..i cant breath when i think about her at night..!!! .can u help me what wrong with me..n what is the way to over come ...pls tq" }, { "from": "gpt", "value": "Dear Jagpal Dave, Hi! The best part of your problem is that you really want to solve it and come out of it. From the description that you have given, it appears that you seem to be suffering from an adjustment disorder bordering on depressive disorder. If you leave the previously mentioned medical jargon, you have developed a psychiatric condition, a minor one though, which surely needs some psychiatric help. A supportive psychotherapy will surely help in relieving your problems. I recommend that you should soon get hold of a psychiatrist and start seeking some help. There is no reason to delay, if you already have made some suicidal attempts. Hope I am able to solve your concerns." } ]

[ { "from": "system", "value": "Emetophobia. Phobia dominates life. How could I relive from fear?" }, { "from": "human", "value": "Hello. I have Emetophobia . I am 15 years old, and this phobia dominates my life. I constantly worry that someone around me, or even myself will get sick. I freak out if someone even coughs or says that they do not feel well. I constantly feel sick because I worry that I m going to be sick so much. This only makes me feel even worse. What would you recommend me to do to relieve some of my fears?" }, { "from": "gpt", "value": "Hi Anna, Fearing that you will become sick by staying with sick people cannot be termed as emetophobia, as emetophobia is more of phobia about the vomiting, the act of vomiting or feeling nauseated. The problem you are having is more of negative thoughts that we frequently encounter in conditions such as depression. First and foremost, you did not mention, since when are you having this problem. If this problem is due to a depressive episode, the symptoms can be controlled by taking appropriate medications like SSRI and also cognitive behavioural therapy will also benefit you,wherein you challenge your automatic thoughts. All said, you will be well once you are into treatment." } ]

[ { "from": "system", "value": "Having depression, fast heart beats, dizziness. Due to depression?" }, { "from": "human", "value": "I am 15 and i have depression , confirmed by specialists. Lately life has been a bit tough on me and today when i was out running with the dog i could feel my heart beat hard, but just for one beat and then everything was normal but i felt dizzy afterwards and i just ignored it because i didn t think it was anything, but it kept doing that again, everytime i walked or ran. now a couple hours later it s still there when i try to walk only across the room, i don t know what to do, but my mom will call the doctor monday, but i would like an answer, because i think the doctors here are lazy and often ignore certain facts. Pleas help me, is it because of my depression, or something else?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I understand that it must be difficult to deal with depression at a young age. Though symptoms such as palpitation and diziness can occur due to anxiety (which often co-exists with depression), yet it is important that you have a proper evaluation done to check for any medical problems. Palpitations or dizziness, especially on exertion, can sometimes be due to certain medical conditions like heart problems, anaemia, etc. So, it is important to rule out possible medical causes before concluding that the cause is likely to be psychological. I'm sure that your doctor wil keep this in mind when you go for a check-up. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Severe anger issues, unable to control temper, violent behaviour. Causes and treatment?" }, { "from": "human", "value": "sir, my brother is having some trouble now. He is getting angry for simple things. After some talk he said that he is not able to controll it and at that time he cant think that his relatives are there and his hands shaking. and doing very badly to parents. Now he is almost trying to beat also. Sir What is the reson for this and what type of treatment he need?" }, { "from": "gpt", "value": "If he feels guilt after his behavior, medications are available." } ]

[ { "from": "system", "value": "Mother gets angry, shouts unnecessarily suddenly. On Donplus. Reason for such behaviour?" }, { "from": "human", "value": "hii sir my name is ajay.my mother name is van,actually my mom has a problem mentallyy,she will talk unnecesarly and shouts suddenlyy,in some times she would be very normal condition,and in some times she behaves very anger,,my dad take her to some doctor,,but she behaves like that onlyy,,,my dad is giving a tablet to her the tablet name is DONPLUS,,IS there any solution to cure her,,and whgat is the problem to my mom,,from my child hood she is not like that in the middle she became like that,,please help us sirr,," }, { "from": "gpt", "value": "It needs detailed history. The information you are giving is insufficient. Nearby psychiatrist may answer your query. It may be a part of personality or the illness." } ]

[ { "from": "system", "value": "How to treat spots like white heads covering the scrotum?" }, { "from": "human", "value": "I have small white spots that are like white heads covering my scrotum and i can pop some of them if they are small but some are slightly bigger and wont pop, they aren't itchy or painful, they are just annoying too see them there, I Would like to get rid of them because i feel embarrassed by them. thanks" }, { "from": "gpt", "value": "Hello, These are probably sebaceous cysts, occurring because of accumulation of special oil secreted from the skin. Keep the area clean. Don't pop them. They usually do NOT cause problems. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sujoy Dasgupta" } ]

[ { "from": "system", "value": "Suggest treatment for inability to get erection" }, { "from": "human", "value": "I am 25 years old and have been with my wife for 8 years (3 married). We used to have sex all the time, after we had our 2nd child, it seems that her sex drive went down. We stopped have sex regularly. We tried having sex the other night and I couldn't get hard for a while. When I finally did, it only stayed hard for about 5 minutes. Then we stopped because I couldn't get it back up, even after she tried oral sex. Please help, any advice?" }, { "from": "gpt", "value": "Hi, There are multiple reasons for Erectile Dysfunction ED. Stress can be the reason considering your situation (marriage with 2 kids).Frequent try during the early morning can give you a change. Other causes are 1.     Decrease sensation of the penis- can be due to infection, diabetes, spinal injury, recent masturbation2.     Varicocele3.     Negative attitude towards your partner 4.     Hormonal issue – thyroid issue, low testosterone 5.     Long term drug usage6.     Diabetes and Hypertension Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "19 year old having mood swings, dizzy spells, blurred vision and exhaustion. Need a mental health check?" }, { "from": "human", "value": "Hi I am a 19 year old female and I attend the uofm. I ve been experiencing some weird symptoms for a while now. I am not on any medication and I do not use any drugs. I experience mood swings, dizzy spells, vision blur sometimes, and exhaustion. When I go to the doctor for check ups I m always told that I m very healthy besides having low iron sometimes. However, I ve never had a mental health check before. Could something else be wrong ?" }, { "from": "gpt", "value": "dizzi spells blurring of vision and exhaustion may be features of anaemia. fisrt take iron to improve of your hemoglobin then think for other serious cause. Get checked your hemoglobin status with morphology of RBC." } ]

[ { "from": "system", "value": "Anger, nausea, lack of sleep, excessive crying due to loss of job. Cure for poor mental health?" }, { "from": "human", "value": "Hello doctor, my name is XXXXXX, and something is going very boring and that bothers me, doctor I do not stop to pull hair and everything is more frequent after I left my job. Doctor can not just start crying my hair. I am very angry with the people can not take or hear a noise, I do not know what to do because I m also feeling a very strong feeling of nausea and sleep well. Doctor helps me, tells me what I have to do because I m desisperada." }, { "from": "gpt", "value": "Hello, Thanks for writing your query to us. The symptoms which you had mentioned suggest that you are in depression. Depression is a mental state characterized by a pessimistic sense of inadequacy and a despondent lack of activity. It is an emotional disorder, and nothing to be ashamed of. But often, people who are in depression are suffering from pessimistic thoughts about themselves. These pessimistic thoughts lead to even further depression making a cycle that gets hard to stop. In depression a person loses his energy to cope with a challenge. I would suggest that you should meet a psychologist who will be able to help you. They will listen to your problem & start counseling sessions. You are really stressed out & you need to take this initiative Take care." } ]

[ { "from": "system", "value": "Anxiety, depression, tingling sensation in face, lack of focus. Taking xanax. Treatment?" }, { "from": "human", "value": "I ve been suffering with anxiety for 18 months, which has lead to some depression . I am taking pregablin and xanax and have just started to feel quite odd in the past hour - lack of mind focus and I now have tingling in one side of my face - much like when coming round from a dental anaesthetic. Is this most likely a nervous problem? Thank you" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your symptoms are likely to be anxiety-related, and don't seem to be typical of specific medical problem. Now, it is important to understand that anxiety can manifest itself with not only psychological symptoms, but with physical symptoms also. If you are having recurrent such symptoms or having difficulty managing your anxiety / depression, then I would advise you review with psychiatrist for further treatment. There are other effective medication like SSRI antidepressants which can help you with both your anxiety as well as depressive symptoms. In addition, there effective psychological therapies like CBT (Cognitive Behaviour Therapy) which can help you deal with your problems. Trying relaxation techniques, like deep breathing, and engaging in regular physical exercise can also be benefial in controlling your symptoms. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Suffering from acute paranoia, worried about wife being unfaithful. How to reduce delusions?" }, { "from": "human", "value": "Good Morning doctor XXXXXXX, I have suspected for many years that I have a severe case of acute paranoia . I am often am tortured by thoughts of my wife being unfaithful simply because she doesnt pick up the phone when I call sometimes. This behaviour is beginning to effect our relationship in a negative way. How can I reduce the paranoid delusions that I am encountering? Any help you can provide would be greatly appreciated." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I'm sorry to hear that you are going through a difficult time due to your paranoid thoughts. You are most likely suffering from a delusional disorder or a morbid jealousy. It is a good thing that you have a good insight into your problem and have come forward to seek help. Treatment becomes much easier in such situations. So, don't worry, there are good medication as well as counselling techniques which can help you control these paranoid thoughts. I would advise you to consult a psychiatrist for a detailed psychological evaluation and further treatment. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Anxiety, depression, chronic conditions. Tried antidepressant medications. Will brain scans help?" }, { "from": "human", "value": "I have suffered from anxiety from very early on in childhood many years now and depression for about 15 years now. I have tried many different antidepressant medications . I have recently read about brain scans/imaging technology and trying to find the closest place to me to be treated. We dont have that technology in XXXX. Do you know of any resources to help me find a place with this technology?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I'm sorry to hear that your anxiety and depression problems are persisting despite trying different anti-depressants. Though a majority of people respond well to anti-depressant medication, there can be a smal proportion of people who do not have an adequate response. Usually in such 'treatment-resistant' cases, the management approach first involves investigating for any causes for treatment resistance. Common causes include recurrent or ongoing stress, personality issues, or even certain medical causes, like thyroid problems, certain vitamin deficiencies, etc., which can cause treatment resistance. These complicating factors have to be looked into and treated appropriately, in order to improve treatment outcome. Don't get frustrated or dejected since there are still many treatment options available, like trying a combination of anti-depressants, thyroxine supplementation, augmentation the anti-depressant / anti-anxiety medication with other psychiatric medication like an anti-psychotic or a mood-stabilizer, etc. When medication is ineffective, psychological therapies like Cognitive Behaviour Therapy (CBT) can also be effective. Regarding, your query about brain scans . imaging techniques, you must understand that these are only diagnostic instruments and have no therapeutic role. However, there are certain treatment methods like Transcranial Magnetic Stimulation (TMS), which can be effective in treating depression. So, I would advise you to discuss further treatment options with your psychiatrist. Best wishes, Dr. Sheeba Stephen" } ]

[ { "from": "system", "value": "Taking nexito, etillam and ativan. What are the side effects? How to treat depression without medication?" }, { "from": "human", "value": "Hello , what are the side effects of NEXITO , ETILLAM and ATIVAN and is it compulsory to take these , i mean can we try to improve mental health and depression by talking or meditation etc, my mother was showing signs of depression after all other alternate treatments we finally decided to consult a psychiatric but the nature of her problem is very small, even the doctor said that this can only be resolved by talking with family members i can only give medicine to calm down your brain, my mother had an assumption that psychiatrist can give medicine that can remove negative thoughts from her brian , now after bringing the medicine , i have also given her the details of side effects of these stuff, and how can these medicines become addictive and damage her natural way of living, so she is considering not to take them , and we are also encouraging her to talk with use to mediate keep herself busy is this possible , can we try treating this way" }, { "from": "gpt", "value": "Depression can be treated with meditation,counseling and exercise but requires grading.Only physician consultation will not be useful if depression is major. Pt. will suffer illness will increase.Later pt.can develop multiple symptoms and ultimately you have to consult psychiatrist. Better early assessment to be done." } ]

[ { "from": "system", "value": "Feeling depressed, self harm and crying for no reason. Need help" }, { "from": "human", "value": "I feel forgotten by everyone. I m extremely lonely and depressed. I used to self harm from 14-19yrs old and now at 25 I m getting thoughts of wanting to cut again. I m just tired of being by myself all the the time. I feel like I cry all the time for no reason. I don t know if I need to get help or not because after years of feeling like this before I seemed to have worked myself out of it. Yet now I m back to the same feelings again." }, { "from": "gpt", "value": "Hi, You appear to have severe depression with some personality issues which is leading to harming self. Considering your symptoms severity you need urgent treatment from psychiatrist. You may require combined treatment in form of medicine and psychotherapy. Till that time, communicate your problem to family members and do not remain alone. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Have negative thoughts all the time. Why? How to avoid these?" }, { "from": "human", "value": "Hi doctor... i am always feeling of negative thinking...For eg. if driving bike, i am good to drive. But while in office or home, just my mind recalls like getting accident...in all occasions...even mummy is out for shop, i feel whether she crossed road safely or some vehicle may hit....something like this...how to avoid?" }, { "from": "gpt", "value": "Hi, Such negative thoughts can occur in following conditions: -Excessive worry due to generalized anxiety disorder. -Obsession of OCD. If problem is much and affecting your routine life, then it is better to meet psychiatrist. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Anxiety and depression, hears abuses when alone, on good diet. Taking amlopras-z, clonazepam. Treatment?" }, { "from": "human", "value": "My mother is suffering bu anxity & depression since last 10 years. The basic problem is : she says that some one is teasing & abusing her so she also answering him continiusly. this all occurs when she is alone otherwise in presence of family members she give proper response of any quarry. Her diet is ok. nonm diabitic, but taking amlopras-Z for high B.P. since 10 years . Dr. todays she is taking clonazepam 0.5 mg twice a day. but she dont cry loudly. Always she talks to unseen one slowly. Kindly requested to prescribe a little nos. of drugs with duration. thanks. ER. J.S.DEORI NEAR WATER TANK, JAGDAMBA NAGAR , MALLI BAMORI, HALDWANI DISTT- NAINITAL ( UTTARAKHAND) INDIA. EMAIL : YYYY@YYYY" }, { "from": "gpt", "value": "Hi, Hearing voices is a psychotic symptoms. She is not having simple anxiety and depression. Only clonazepam will not work for her. She also need treatment with antipsychotics, for which it is necessary to visit nearby psychiatrist. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Social phobia, tension problems, advised xetcr 25. Should I take this medicine life long?" }, { "from": "human", "value": "hello.......m 24yrs old.......i had social phobia since from childhood. i was prescribed to take paxidep cr 37.5..i had also phsycho therapy sessions for long time...now i am recovered and gain much confidence..... after than i stopped talking medicines.....after 2yrs i was facing tension problems...my psychiatrist suggested me xetcr 25....now i am taking after my breakfast.......i want to know do i have to take my medicines whole life" }, { "from": "gpt", "value": "Hi, Duration of treatment is a complex decision. It depend on many medicine, side effects, life circumstance, patient and illness related factors. It is better to not stop medicine without your doctor advice. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "How to treat pre-ejaculation problem?" }, { "from": "human", "value": "hi doctor i have done a lot of musterbation in my life since when i was just 13 years old. now i m 28 but still have the same habit, but i m now feeling pre-ejaculation problem.my stemna is just 1 or 2 minuts maximum. can u plz help me how to get back the power and overcom pre-ejaculation ? afrahim from pakistan" }, { "from": "gpt", "value": "Hi, Masturbation cannot be the case for your premature ejaculation. If it is 90% of males in the world will have premature ejaculation. To increase the duration or stamina - regular exercise and proper diet will help you. Other causes are 1.     Stressful work – night duties, 24-hour jobs 2.     Diabetes, hypertension, thyroid issue has an effect on Premature Ejaculation. keeping your Blood sugar, blood pressure and thyroid hormones under control will help you3.     On long term medication related to hypertension and anti-psychiatric medications 4.      Prone masturbation5.     Excess porn6.     Receiving less foreplay from partner or lack of knowledge regarding foreplay and female masturbation 7.     Having an affair giving you guilty feeling 8.     Lack of exercise, obesity Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Lack of appetite. No emotions. What is wrong?" }, { "from": "human", "value": "I take effexor XR 75 mg once a day. I have no appetite ever. Sometimes i go days without eating and don t even realize it. When i eat, i never want to be eating. Its like im just doing it because i have to. Food never sounds good. Also, i ve noticed i feel almost no emotion. Im always in a generally good mood... but when something tragic happens its like im completely immune to it. I feel no sadness. I feel no fear, no worry. When it comes to relationships.... i can take it or leave it. When me and my girlfriend of four years broke up.... She was devastated. Crying, saying how hard it was emotionally. I felt nothing. I haven t cried or even came close to crying in a very long time. Why is this happening? Is this normal?" }, { "from": "gpt", "value": "Hi Cablejm2 ! You are taking Effexor for your depression.now this medicine give you depression. If you taking this medicine for long time, do ask for change, cause like other psychotic drug it has bunch of side effect. This medicine made you emotionless so you can deal with life situation. Now take the advantage leave this medicine, do exercise and make hobbies and live your life. And don't leave medicine at once give gap gradually. And get out of this medicine trap. See you again bye." } ]

[ { "from": "system", "value": "Suspicion of suffering with HOCD, get obsessive unacceptable thoughts. How can I detect it?" }, { "from": "human", "value": "I think i might be suffering from HOCD. Its the fear of being gay. I think i have ocd. My dad has ocd and im positive i have it too. I tell myself that if i dont do something a certain way, something will happn to a loved one. Also, i have obsessive unacceptable thoughts. Like i cant get a disturbing thought or image out of my head. Please reply soon." }, { "from": "gpt", "value": "Hi addie , Family h/o OCD you have obsessive compulsive thoughts (doubts) fear of being Gay (ego dystonic) Kindly meet Nearest Psychiatrist . He may advice you to take a SSRI drug (eg:fluoxetiene) & Regular psychotherapy (Exposure & response prevention therapy). you will better within few weeks to months . All the Best" } ]

[ { "from": "system", "value": "Emotional turmoil due to breakup, heart fluttering, detected with tachycardia. Taking metoprolol. Is it safe to have wine?" }, { "from": "human", "value": "I am going thru a bad emotional breakup with my girlfriend. I am currently on metoprolol (25mg) 1xday. My heart began fluttering everyday a few times for over a week. i had a 24hr holter monitor and there was no afib , but twice my heart had extra beats, two and four extra heart beats. [I just recently (last week of August) got shocked for tachycardia . After six weeks came off the medicines and all was fine. No underlying issue was found.] My doctor said to take the metoprolol for a month just to be on the safe side of not going into afib. My question is can I have a one or two beers or glasses of wine occasionally while on the meds for the month?" }, { "from": "gpt", "value": "Hi Roblander91, Im sorry to know you are going thru a bad emotional breakup. Any form of Alcohol (beer/wine...) is basically a CNS Depressant . You may feel better for some time after a peg . But remember it has addiction potential & health hazards on prolonged use. You are experiencing Adjustment Disorder. Do not try to forget your Girlfriend. But try to accept the fact that currently Break up has happened . Meet your nearest Psychiatrist . He may give counseling to get rid of this problem. If necessary he may prescribe a Antidepressant. you will be better in few weeks. All the Best" } ]

[ { "from": "system", "value": "Unable to remember things. Memory messed up. How to retrieve memory?" }, { "from": "human", "value": "Hello, I do not know if there is actually something wrong with me or not. I would like to ask a doctor about it though for the possibility of doing something about it. So basically my memory is sort of messed up. I am only 18 years old and I do not have any medical problems. The only problem I am seeing is that I remember things that happen is a different way then they should be remembered. For example: I did something yesterday but I could have swore I did it today until hard facts prove me wrong. To be honest I usually can not remember what I did in the morning in some cases. I will wake up, do something things and then if someone ask me what I did this morning 10 hours later I will not remember and if I do remember it is actually what happened a previous day. My memory has been pretty flawed like this for a long time and I wish I could improve it somehow. There may be no medical issue with me but I thought I would ask someone about it. Thank you for your time, I am hoping for an email =)" }, { "from": "gpt", "value": "Hi ritysayoo , 18 Yrs old , Memory disturbance. Is there any h/o head injury in recent past is there any h/o seizure Are you taking any other medication If all the above is No Check for Thyroid function test Vit B12 level If found to be normal . Then probably you have Psedodementia due to underlying depression or Anxiety disorder. Anyway do not get Panic. Meet your nearest neurologist and then a Psychiatrist . After evaluation you may be prescribed a Antidepressent and counselling. All the best" } ]

[ { "from": "system", "value": "Which exercises enhance concentration power and diet to improve memory?" }, { "from": "human", "value": "hello sir, M 24 year oldn i wants to ask about some good mental exercise which can help to enhance my concentration power. also provide me some information about what food should i go for so as i can improve my memory ..also tell me some trickr or whatever else what can help me to remove the depression before exams.i will be very thankful to you for this." }, { "from": "gpt", "value": "Hi ashish31techboy, It appears your are health consious . Good. Schedule your activities Plan your work (studies) so that it is feasible Have time for physical exercise (Brisk walk 20 min in morning ) in your schedule Do not hesitate to get help from seniors to plan your preparation For improving concentation: Go for regular Relaxation Techniques : Breathing Exercise JPMR (Jacobson Progressive musle relaxation technique ) is useful All the Best!" } ]

[ { "from": "system", "value": "Having loss of memory. Suggestions and treatment?" }, { "from": "human", "value": "hi , i am 28 year old , & from last 1 year i think i am continuously loosing my memory as now i am not able to remember the names of my friends most of the times. i am totally frustrated now. i did consult to one of the neurologist but nothing good happened. please help me , what should i do now & what sort of medicines i should take? thankyou" }, { "from": "gpt", "value": "Hi bilal.wani, Issues : 28 year old ,1 year duration, loosing memory,not able to remember the names of friends most of the times,frustrated, Neurologist consulted. I Need to know 1. family h/o memory loss ? 2. h/o head injury ? 3. h/o seizure ? 4. h/o substance use (eg> Alcohol) ? If your answer to all these questions are No Also your Vit B12 level is normal Then Probably it is Pseudo dementia due to underlying Depression Do not get panic ! Meet your nearest Psychiatrist discuss about your Life events, stress at various domains in your life. He may prescribe you Antidepressant & advise psychotherapy. Then you will be alright. Best wishes" } ]

[ { "from": "system", "value": "Intermittent cold chills in the thigh and lower leg, numbness in the arm, shoulder pain. Normal chest x-ray and EKG. O citalopram" }, { "from": "human", "value": "I have intermittent cold chills on my left thigh and lower leg leg (no pain), this is sometimes accompioned with upper left arms numbness/neck and left shoulder pain, even when i do not feel anxious I suffer from GAD with emphasis on worrying about my health (mainly heart/ stroke ). I previously suffered panic attacks. Have had chest x-ray and EKGs & Heart ultra-sound and all is recorded normal. 35years old, smoker, take 10mg Citalopram & 2mg Diazapam daily. The chills in my legs concern me. Any advice please? Thanks Tom" }, { "from": "gpt", "value": "Hi there, Thank you for writing to us. With the symptoms that you are mentioning i.e.\" intermittent cold chills on my left thigh and lower leg leg (no pain), this is sometimes accompioned with upper left arms numbness/neck and left shoulder pain\" with your history of GAD this all goes in favor of the diagnosis of GAD and panic attacks. The great thing is that all your tests have been normal. The chills in the legs that concern you could very well be due to panic attacks or anxiety and these chills happen due to narrowing of blood vessels in the legs and hands. This narrowing of blood vessels is due to increased amount of adrenaline in your body as a result of the increased anxiety that you are having. So this is nothing serious or anything to worry about You should discuss these symptoms with your psychiatrist next time you visit him/her. Kindest Regards" } ]

[ { "from": "system", "value": "Suffer from anxiety and depression, taking Valium. Is this PTSD or bipolar ?" }, { "from": "human", "value": "PTSD vs bipolar. I feel like I have PTSD. After years of sexual abuse by my father. Doctors seem too clump everything as bipolar.I m not bipolar I take valium twice a day 10mg. I usually take them at night to sleep I suffer from anxiety and depression ,although I do disaster relief volunteering.I go to the gym,I quit smoking I take care of my grandson. Depression comes and goes Anxiety stays" }, { "from": "gpt", "value": "Dear Rachelwesson, Hi! I totally understand your concern for your health and its obvious that you are suffering a lot. To comment, whether it is a bipolar disorder or not, we need to have a detailed history of you and the same is lacking in the information given by you. We agree that there was a significant stress in your childhood, but the same can predispose you to depression, PTSD as well as anxiety disorder. Although you are taking \"Valium\" its more of a cosmetic relief and you may land up with benzodiazepine dependence and hence it will be always wise to start you on some form of SSRi medications. The other best option will be to consider psychotherapy and cognitive behavioural therapy. basically you need to see a psychiatrist for a detailed history and evaluation , who would like to run a few psychological tests on you, before he starts you on either psychotherapy or pharmacotherapy or both. I hope this answers your concern." } ]

[ { "from": "system", "value": "Depression, bipolar disorder, suicidal, heartache. Cure for symptoms?" }, { "from": "human", "value": "i ve been diagnosed with depression and bipolar 1. i ve had this diagnosis for years. i want to know, i have this feeling in my heart , sometimes it ll feel like it bursted into a million pieces, or that its sinking, sometimes it ll feel like a hole/empty space and sometimes i feel like its not even there. can it have anything to to do with my diagnosis and is there anything i can do about it. i am suicidal and i m afraid of what im capable of with this feeling persist." }, { "from": "gpt", "value": "Nic ! Listen to me every person has some mental issue, so don't over think and made it worst. Do you love sport join one, if your hobbies are dead make them alive, like dancing, singing, drawing, video games. Music and sometime study too. Ok ! Do you take your medicine regularily.some time these medicine you take for depression will give you sucidal tendancy. So ask the doctor for medicine change, and do not completely depend upon medicine, do above i say. So i can see your smile again. Bye." } ]