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[ { "from": "system", "value": "Why am i not getting erection?" }, { "from": "human", "value": "Hello i am 25 years old and i cannot get a hard enough erection to penentrate i am a fit athlete i play rugby i only have one testicle from age 8 and it could be that i wasnt sleeping much and a bit of psychological to the story but i dont know i have tried for over 14 times with only 1 good penentration which was around 5 in the morning. When i take viagra its all good, i dont know what to do" }, { "from": "gpt", "value": "Hello, You may be suffering from erectile dysfunction ED and if you have a partial cure by taking Viagra (sildenafil) its more likely ED. Since you already physically fit and would maintain a proper diet. Doing a hormone investigation will help you. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Suffering from ADD, on Adderall, cannot manage clutter. Suggestions?" }, { "from": "human", "value": "Hello. I have been dating a man approx. 11 years and he is ADD, on Adderall interchangable with Vivanse (mispelled?). He tells me he can get his clutter under control when there is normal stress , but he gets so stressed at times that his clutter piles up and his house doesn t get cleaned. Obviously I don t live with him but we are good friends. He said if he knows (acknowledges to himself) that it (clutter issue) will never get better that he will lose hope. What advise can you give on this, as we are very close yet I don t think I could marry the man. It is not my style to have clutter everywhere and when I cleaned for him before a few times, it went right back to the way it was, if not worse. Thank you." }, { "from": "gpt", "value": "Adderall - Used for: Treating attention deficit hyperactivity disorder (ADHD) and narcolepsy (sudden and uncontrollable attacks of drowsiness and sleepiness). It may also be used for other conditions as determined by your doctor. Adderall is an amphetamine. Exactly how it works is not known. Adderall affects certain chemicals in the brain that may affect attention span and behavior. Adderall and dextroamphetamine is a central nervous system stimulant. It affects chemicals in the brain and nerves that contribute to hyperactivity and impulse control. Lisdexamfetamine dimesylate (L-lysine-D-amphetamine; sold as Vyvanse) is a psychostimulant prodrug of the phenethylamine and amphetamine chemical classes. As opposed to Adderall, which contains roughly 75% dextroamphetamine and 25% levoamphetamine, lisdexamfetamine is a single-enantiomer (dextro) amphetamine formula. This pure formulation may reduce side effects, but certain individuals exhibit a better clinical response to the mixed isomer preparation. ADHD persists into adulthood in about 30 to 50 percent of cases. Those affected are likely to develop coping mechanisms as they mature, thus compensating for their previous ADHD. Along with taking medicine some sort of BEHAVIORAL THERAPHY is also needed. Then he will be far better than now. Best of luck." } ]

[ { "from": "system", "value": "Low mental health, hypertensive, has sleep disorder. Taking clonazepam, mirtazepine and zolpidem." }, { "from": "human", "value": "hi..my mother is 47..she has sleep disorder for past 16 years now for which she took medicines on and off..now for last two years she is on regular medicine by a psychiatrist .she has been taking clonazepam ,paroxetime,mirtazepine and zolpidem(sos)..She is hypertensive..now i think she is losing her mind.None in our family wants her to take medicines regularly..please guide me sir. i want my mother to lead a healthy long life.." }, { "from": "gpt", "value": "Hi, Thanks for posting your query. I understand your concern for your mother. Let me give you a few suggestions: 1. Your mother has been suffering from past 16 years. She needs continuous monitoring of her symptoms. 2. The idea of your family not wanting her to take medicines is wrong. Please think for the benefit of your mother. Psychiatric illnesses are usually chronic; they persist for years. Relapse and recurrences are common. Continuous treatment for long duration is required in most patients. I do not understand as to why your family is unhappy about her taking medicines. 3. Please help and support your mother is getting a stronger life and living healthy life. She needs to continue her medications and go for regular follow up. 4. Stopping the medications may worsen her symptoms. 5. I am sure; with continued medications, she will be able to lead a long healthy life. Hope this helps. Regards," } ]

[ { "from": "system", "value": "Excessive P waves on EKG, excessive sweating, fatigue, chest pain, palpitations. Is there any heart problems?" }, { "from": "human", "value": "I have excessive P waves on my EKG and a resting pulse that has begun to stay between 104 and 120. I have excessive sweating, fatigue easy, chest pains palpitations etc. I had a stress echo and they didnt see anything obvious. My bp was 117/57 and my pulse was 120... They said that my test was clean. But that i definately had the symptoms but there is nothing that says my heart has something to do with it. Said to push my Dr to find out what is going on. I am wondering of there is a next step I should try." }, { "from": "gpt", "value": "hi..although your BP and echo are normal, still something is going on as you are experiencing palpitation and chest pains..excessive P waves may be due to some atrial arrhythmias..may be some supraventricular ectopic beats are intervening..so just visit your cardiologist and report regarding your discomfort..there are so many anti-arrhythmic drugs now-a-days..also its to be discussed whether some intervention like pacing may be required in near future..don't worry much..have a good health.." } ]

[ { "from": "system", "value": "Headache, body pain, swollen lymph nodes, blood test and x-ray normal, not able to sleep" }, { "from": "human", "value": "i have had headaches and complete upper body pain for weeks. over the last week all of my lymphnodes have swollen but without any syptoms of being sick. Im jus in pain, I have been to er and they did all the blood tests and swabs and cat scan chest xrays checked my heart , everything fine... i cannot sleep at night because im scared to death there is something really wrong with me and i wont wake up for my two children i raise alone 500 miles aeay from family" }, { "from": "gpt", "value": "hi..this painful generalized lymphadenopathy may or may not be serious..its important whether they have any infective or chronic inflammatory origin..blood tests and imagings ar ok..but sometimes biopsy like FNAC is needed to confirm what lies within..so just report to your physician to investigate thoroughly for this..don't worry much..wish you good health.." } ]

[ { "from": "system", "value": "Extreme fatigue, blank minded, on cipralex for depression. What can be done?" }, { "from": "human", "value": "DEAR DOCTOR IN FEBRUARY 2011 I TOOK CIPRALEX FOR FEAR AND LIKE DEPRESSION STAGE AFTER ONE OR TWO WEEKS I AM ALRIGHT AND TOOK MEDICINE FOR TWO MONTHS. THEN AGAIN IN JULY SAME HAPPEND AND TAKEN MEDICINE FOR ONE MONTH. AGAIN LIKE SITUATION HAPPEND AND TAKEN FOR ANOTHER ONE MONTH AND GONE. NOW FROM FEB-25TH I FELL IN DEEP DEPRESSION AND FEAR AND STARTED TAKING CIPRALEX TILL NOW I AM ALWAYS TRIED AND BLANK MINDED NO INTEREST IN ANY THING. PLEASE HELP ME WHAT TO DO" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. You seem to be in the midst of a depressive episode. I would advise you not to sef-medicate yourself without a proper consultation and evaluation. Moreover, anti-depressants should not be taken on a \"as required basis\", but should be taken for continuous periods as advised by your doctor. So, I would advise you consult a psychiatrist for a detailed evaluation and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Anxiety, depression, bipolar type 2. Varying emotions, taking Prozac, Remeron and Trileptol" }, { "from": "human", "value": "Hi doctor I have a diagnosis of Anxiety , depression and Bipolar type 2. I am currently on medication for these the problem is I don t think in bipolar, I think I m suffering from borderline personality disorder because my emotions flip flop often through out the day. I don t think my doctor believes me and she says the meds I am on will take care of that too. I m on Prozac forty milligram, Remeron fifteen milligram, and Trileptol three hundred milligram a day. I very frustrated cuz I feel like if I had the right diagnosis then maybe my counselor could help with learning coping skills. Thnx" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Anti-depressants and mood stabilizers also have a role in borderline personality disorder. Moreover, a bipolar 2 does not present with typical manic episodes. You may have multiple episodes of depression with a few hypomanis episodes only. However, irrespective of the diagnostic label, learning coping skills, stress management techniques and learning to handle your emotional fluctuations will definitely help you. So, if you have access to a psychologist or counsellor, please seek help. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Daydreaming, mood swings, irritability. Previously had situational depression. How to talk to doctor?" }, { "from": "human", "value": "Trouble sticking to tasks and daydream often. I know I have many things to get done that I want done but I simply do not do them. Adult, 24. Previous diagnosis of situational depression . Mood swings , irritability , and stationary most of the time. How do I talk to a psychiatrist about these symptoms effectively? What questions should I be prepared to ask/answer to help a psychiatrist determine what options I have?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. You don't have to be so worried or 'prepare' yourself to see a psychiatrist. It's best to be yourself and answer whatever comes to your mind. Psychiatrists are well-trained to deal with people of different age groups and varied mental make-ups. So, please consult a psychiatrist without any hesitations. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Depression. Possibility of bipolar disorder. Taking Lexapro. No relief. Measures to control bipolar symptoms?" }, { "from": "human", "value": "I have been on Lexapro 10 mg once daily for 4 years now. I have recently noticed that the medicine has not been helping me at all. I am feeling the need to wean myself off of the medicine. I quit cold turkey three months before Christmas and got back on them a few weeks after Christmas because my depression was getting worse. A couple different doctors are wanting to send me to a psychological doctor to find out if I am bipolar but I have not found a doctor that takes my insurance yet so I do not know for sure yet. I would like to know if it is a good idea to wean myself off of the Lexapro or not and if so then what would the best way of doing so would be? I would also like to know if you can give me any advice about how to get control over the symptoms of bipolar-ism that i seem to have." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Lexapro is an anti-depressant medication and it is not advisable to stop it without consulting your doctor. (You have mentioned of a worsening of depressive symptoms after stopping it. If your depressive symptoms are not getting controlled, there are further options in the form of other medication and / or talking therapies. As regards to your possible bipolar disorder, you need to consult a psychiatrist for a detailed psychological assessment to ascertain this. If you are found to have a bipolar disorder, then you need to be started on a mood stabilizer medication. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Excessively aggressive, headaches, obsessively clean, improper sleep. What is wrong?" }, { "from": "human", "value": "HELLO DOCTOR , MY YOUNGER BROTHER IS FACING A MENTAL ISSUE , HE IS UNDER TREATMENT IN RENPASS RANCHI MENTAL HOSPITAL SINCE LAST 6 MONTHS .HE USE TO BE VERY AGGRESIVE SOMETIME .HE ALWAYS FELL HEADACHE .THE OTHER SYMPTOM ARE FOLLOWING :--- 1.HEADACHE 2.VERY MUCH CONSIOUS ABOUT CLEANING HIS BODY ,BED (FIVE TIMES IN A DAY) 3.HITTING FAMILY MEMBER 4.DOESNT HAVE FAITH ON ANY FAMILY MEMBER 5.UNPROPER SLEEPING 6.SLOW WALK kINDINLY GUIDE ME FOR THE SAME AND HELP ME TO FIND OUT THE BEST DOCTOR ." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. The details you have provided are insufficient to make a definitive diagnosis. Your brother needs a detailed psychological assessment to find out what psychiatric disorder he is suffering from. Further treatment will have to be based on the diagnosis. So, I would advise you to discuss about his diagnosis and treatment plan with the psychiatrist treating him, in order to get a clearer picture. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Mitro valve, have increased heart rate, high pulse rate, trembling, sweating, headache, shortness of breath, lots of stress. Not a panic attack. Is it due to stress?" }, { "from": "human", "value": "The last few days my heart has raced. I thought it was anxiety bc I have a TON TON of stress. No heart disease except mitro Valve with my Mom. I took my pulse and it s been 100-106 and shaky sweating and headaches. A little out of breath. Can stress do that and should I see a doc ? It s not a panic attack bc I ve had those. Thank you" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your symptoms could be anxiety-related. 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 stress, then I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "What causes loss of sperm in the morning urine?" }, { "from": "human", "value": "hii doctor i have a problem when i am using toilet in the morning i have sperm loss with urine. also sometimes when i have some sex feeling i also loss my sperms in drops i want to know the problem please TELL ME any medicine name or plz tell me that laser treatment is good for this" }, { "from": "gpt", "value": "Hello, Two things 1. Loss of sperm in urine can be due to retrograde ejaculation. Checking for blood sugar and doing an ultrasound help you diagnose common cause diabetes, prostates. 2. Sperm release without sex can be due to pre-ejaculatory secretion. It's due to increased aerosol by porn or hyper sex thinking. Having regular sex and shedload exercise paten will help you. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Emotional fluctuations, irritation, anger, depressed, self injury. Whats wrong with the mental health?" }, { "from": "human", "value": "Hello I am a female 18 years of age. I m having a lot of highs and lows related to my emotions and often feel annoyed,irritated,angry and depressed and after a few days I have sudden bursts of happiness and this is very extreme as when I am feeling down I sometimes hurt myself for reasons I myself don t understand and sometimes have thoughts of dying but I know I wouldn t kill myself but the thought is still there I am normally a fun loving , adventurous person but with these ups and downs I feel like there is something wrong with my mental state I want to know if I need to see a doctor" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. You definitely need to seek help for your mood fluctuations, suicidal thoughts and self-harming behaviour. Your symptoms could be indicative of a dosorder of emotional instability. You need help to deal with this problem and control your emotions and mood fluctuations. I would strongly advise you to consult a psychiatrist for a detailed psychological assessment and for planning further treatment. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Why is conversation difficult?Why am I shaky and anxious?" }, { "from": "human", "value": "Hi, I ve been wondering about this for over half a year now and I have not told anybody except for a best friend who is also my lover.. I ve been searching over the internet for anything that i could be experiencing. I live at home with my Farther who leaves at 6 am and returns home anywhere from 3pm to any later then the next day. When he is home we don t speak. I find it difficult to make conversation with anyone in general. I get shaky and feel like burtsing into tears when anyone even greets me with a Hello . I feel very loanly and I ve started seing things from the corner of my eyes. I ve had experiences with alot of night mares and sometimes I wake up moody, as if I could go on a rampage and break everything, but then I ll sit down and have a think about and feel like burtsing into tears again because nothing seems real- Once I locked myself in the bathroom for about 2-3 days because I thought there was someone waiting behind the door ready to stabb me. I have abit of a fear of Windows, during the night and of closed doors. I hide all this frm everyone around me. People call me the girl that never crys . I feel so depressed and the only thing the internet tell me is that I may have an anxiety disorder .. That makes me feel so stupid and really freaks me out. I just would like to talk to someone who can help me work this out for abit, I don t exactly know if i would have an anxiety disorder, but everything seems to link to it. Can someone please tell me if I have an anxiety disorder or not, or if it s just something every teenager goes through. Thankyou, Jael." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your symptoms could be anxiety-related or even indicative of a psychotic disorder. You need a detailed psychological assessment to ascertain what psychiatric problems you are suffering from. I would advise you consult a psychiatrist for a detailed evaluation and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which can help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Cannot concentrate on work, self-esteem issues. What is wrong?" }, { "from": "human", "value": "Hi, My name is mark. I am 25 years old, I am a web developer. From my childhood i was very good in studies even when i not study well i still do very good in exams. It was till about 16 years of age. After that I understand that i need to achieve something in my life so i decided to work hard on my studies and became a very good software engineer. But don t know now i started showing bad results in exams while i study day night and work hard. In this way i completed my degree 3 years ago it was recession period and i not able to find good job. So i started with small one and i got success and open my own software company. But i don t know now i have to work hard to get my company to top. I am not able to focus on my work. I continuously play games and watch movies on my notebook instead of doing my work. While i know i am doing wrong, but i can t help it my mind just stop working and force me to these stuff. Please help me what is wrong.... I also want to tell you my family history and about my personal life may be it helps. My father was from a joint family. He get married to my mother and they live together with my grand father, and my father s other brother and sisters. My father is the oldest one in all. But no body respect him because i also found he is bit lazy and don t know much family relationship. My father s brother and sisters hate my mother while my mother do all good for them. So after facing much torture from them my parent get separated. My parents love me a lot and upto 10 years of age of mine they try to provide me everything i wanted. But after that i realize financial state of my family is not good at all. So i started saving money. From my childhood i keep having long discussion fights with my mother, but i love and respect her from my heart . I am not much good looking, so i keep distance from girls from i was a child. From about 12 years of age I mostly like to be in my room. I don t like to go out, may be i afraid from getting disrespected or ignored by other, as i don t like this. Now I am living a life just equal to prisoner always in my room in-front of my notebook, in this way i have lost my company. Have worked on 2 of my own websites, which developed taking very long time and much of time i wasted in playing video games and watching movies. Please i want to know why i do wrong while i know i am doing wrong and why i keep myself in my room only don t want or afraid of being out. Is this a mental disorder or something else. Please suggest how can i get rid of it....... Please help me. Best Regards, Mark" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your symptoms could be indicative of a mood disorder. However, you need a detailed psychological assessment to make a definitive diagnosis. I would advise you to consult a psychiatrist for a detailed evaluation and further treatment. then there are effective treatment options available - in the form of medication or counselling / psychotherapy which will help him overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Eye shifting, taking Clonopin, taken Meth, not sleeping or eating. What is causing this?" }, { "from": "human", "value": "I have a problem where when I m doing certain activities - any activity - I begin to all of a sudden associate my actions with negative adjectives about people. This developed into a problem where I begin to think that when I shift my eyes I m killing all the people in the whole world. I know this sounds crazy, but I think the original problem developed in response to stress. EXTREME STRESS. It went away for about 4-7 months after it developed, but when it came back I had one episode that was really bad. (the eye shifting). I also noticed that approximately 1-1.5 mg of clonopin would make it stop, but I went on a meth binge for about a month and a half and the clonopin didn t relieve it - at least, it took a very high dose to get some relief (it may have gone away completely). As in, 2-5 mg. I wasn t sleeping or eating very much in general either. (I m sober by the way.) What could be causing this? Is it common? (not the specifics, but say, when you re typing that you begin associating keystrokes with the phrase your car is stupid . I think that when I m pressing the key I m actually communicating that to the person. I want some information: in 2006, I had a cocaine induced seizure . I want to know the exact dose range, in g per pound of body weight , that could induce a seizure causing disorientation upon awaking, (with a good prognosis from the ER and a CAT scan showing impairment to the tune of the a 40 year old alcoholic). Approximately 30-40 minutes after the seizure I had blood pressure of 176/104 and a heart rate of 150. I may have been taking some kind of antidepressant , had been abusing cocaine daily for about three weeks and a few weeks before that (with a short break)." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your symptoms could be indicative of a psychotic disorder. Your psychiatric problems seem to be compounded by your drug abuse and medication abuse and the dosages of Clonopin which you are 'abusing' are definitely dangerous. Please stop self-medicating yourself and seek professional help. I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Episode of sudden break in sleep with difficulty in moving hands, feet and head, arrhythmia, eased on moving the head." }, { "from": "human", "value": "last night while i was sleeping i would feel odd all of the sudden and for some reason i could still here the sound of my fan, all of a sudden the fan would start sounding a little different and then i would tense up and not be able to move. i couldnt move my hands or feet but i could move my head, but i had to really strain to do so. As soon as i was able to move my head the episode would stop. im preety sure i was awake when this happend and one time i had my hand over my chest and when the attack happend my heart would have arythmeas" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your symptoms could be indicative of a sleep disorder, probably a sleep paralysis. However, you need a detailed psychological assessment to make a definitive diagnosis. I would advise you to consult a psychiatrist for a detailed evaluation and further treatment. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Stress, anxiety, anger, frustration, prickly sensation on neck, bad eyesight" }, { "from": "human", "value": "I have had stressful time downsizing, selling up larger house and moving house to smaller house. I m 69 and have been suffering dreadful anxiety with everything that s happened, which has made me very nervous, waiting for next thing to go wrong in new house with little help. Generally lots of anger and frustrations. Had very busy life efore moving in July 2011. Trying not to go on anti-depressants but to change diet etc. Lost husband in 2006 so think living on own is partly causing sad fearful feelings. Waking at 4am is the worst part when I start thinking and my mood gets worse and a weird prickly /tingly sensation creeps over the whole of my left side into my neck which worries me as I think it must be to do with my nerves. My eyesight has also deteriorated badly over last few months." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your symptoms are indicative of a anxiety-related disorder. 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 stress, then I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Depression, worried, convincing of being pregnant after taking microgynon 30. How to get relief?" }, { "from": "human", "value": "I ve been on microgynon 30 for over a year, around beginning of december 2010, never had any problems with it, was able to take pills back to back wouldn t have any issues what so ever. Since december 2011, i began to get all depressive , started worrying about everything, like worrying my boyfriend didn t love me, my friends didn t really like me, and also started convincing myself i was pregnant , even though i had all my periods on time, and they were normal (partly thing this was because some girl at college got pregnant for using no protection, auntie was pregnant, it was just always mentioned) so i got it in my head that i could be and got myself all worked up. I even managed to get things like sore breasts, pains in my stomach , tiredness, everything, but only when i think about it, anything i get wrong with me i am convinced is a symptom of pregnancy because i sat there looking up symptoms and scared myself big time. I ve always been quite an emotional person but i feel since december i have become worse and all i can think of is my pill. I take it at 7am everyday unless the odd day my alarm doesn t go off and i ll take it 8:30am latest, never miss any, i m VERY conscious about it, i ll always think i ve forgotten to take it when i haven t and panic. I m 17, nearly 18 and just want to be able to sort out this issue as it s genuinely effecting my life now, We don t always use condoms as in the leaflet it says you don t have to as long as you take the pills correctly and I am fully aware you aren t protected against sti s but me and my long term boyfriend are each clean." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. You need professional help to deal with your depressive symptoms and the false belief that you could be pregnant (which could be anxiety-related or sometimes, indicative of a delusion). I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Increased heart beat, intense fear, nausea and dizziness after a dejavu. Cause?" }, { "from": "human", "value": "I keep experiencing intense deja vu, this has increased significantly in the last few months or so. I get this feeling of warmth and familiarity which is then followed by an increased heart rate , intense fear which is almost unbearable, nausea and dizziness . It mostly passes after about a minute but I do feel strange for a while afterwards. I am taking sertraline and have been doing so for around 1 yr (no side effects apart from yawning and some nausea right at the start), I was diagnosed with depression about a yr ago but was fully discharged by the community health team late last year after a course of CBT ...my meds are also reduced...the last reduction was around 5-6 mths ago (from 150 to 100mgs). I do not take any other medication. I ve just had one of these turns and feel very hot and a bit shaken and tired now. I ve had 2 today so far. I don t feel scared of the dejavu, it s like the anxiety & all the other symptoms just come with it, I ve tried to explain it to people but it s very hard to describe, what do you think could be causing this?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your symptoms seem to be indicative of a anxiety-related problem, probably a panic disorder. I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Fluttering belly button, skin discolouration, twitching eye. Stress?" }, { "from": "human", "value": "Hey. I ve been experiencing some fluttering under my belly button recently. I am a 21 year old male. I also have skin discoloration on my inner elbow (it was reddish at first, it has been 3 weeks now and it is now a very light - almost faded - brown). My eye also has a constant twitch. I have no idea if these three are all related, but my inclination is that it might be all from stress. Is this possible?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your symptoms such as fluttering of the nelly button and twitching of the eye could be anxiety-related. 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 stress, then I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Heart beats fast when I smoke. Is it due panic attacks?" }, { "from": "human", "value": "Went from no panic attacks for 28 years since I was born to three in the last 2 months. I stopped smoking 9 months ago but have started Hookah Pipe Smoking . It seems to happen when I feel my heart beat when I smoke . Is it a trigger for my panic attack and is it normal to get a higher heart rate 100 to 129 bpm when smoking? Thanks" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your symptoms seem to be indicative of panic attacks and smoking can indeed trigger such attacks. It is definitely not normal to have a such a high heart rate when smoking. Please consult a psychiatrist for further evaluation and therapy - both for your panic attacks and for help in quitting smoking. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Can prostatitis cause semen infection?" }, { "from": "human", "value": "I am a married 54 year old man, 165 lbs, exercise regulary and have a healthy lifestyle. 2 months ago I had the symptoms of prostatitis (slow urine stream, discomfort, and about 10 days of a mild fever). I saw my doctor who confirmed prostatitis with a blood test that showed a sudden PSA elevation and diagnosed an antibiotic. Just before seeing the doctor I my semen suddenly became clear and watery. After the antibiotic treatment, all the symptoms of prostatitis disappeared except that the semen is still completely clear. The quantity is the same as before, it is oily with the viscosity of water, contains some geletanous parts, but there is absolutely no whitish color to it at all. Abstaining from sex does not change it whatsoever. I wonder if the vas deferens are blocked from scaring due to the infection. It is hard to find reliable information online about what component(s) of semen causes the whitish color. My doctor considers this change trival but I'm worried that there is damage somewhere from the infection and that the change is permanent. Thank you in advance for your advice." }, { "from": "gpt", "value": "Hello, Prostate infection is not that easily treatable , even after antibiotics it will take time for complete recovery. Yes as you said there can be a block too. Doing a ultrasound scrotum and semen complete lab test will help you diagnose. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Heart problem. Why does it act up? Is it stress? Why dizziness?" }, { "from": "human", "value": "Hi my names Danielle. My bf has a real bad heart problem and no matter what he does or eat or doesn t eat it still acts up and we don t know what to do. His heart goes from 74 to 104 just like that. His been to the hospital so many time they just keep telling him its stress or something else. Its only better when he s in the shower. He gets dizzy sometimes and even tho he looks fine he feels like he s going to fall over. Can you help us?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your boyfriend's symptoms could be anxiety-related. Anxiety can manifest itself with not only psychological symptoms, but with physical symptoms also. However, the first step is a thorough medical evaluation to rule out ant possible medical problems. Once this is done then, he can consult a psychiatrist for a detailed psychological assessment and further treatment of his anxiety / stress. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Taking anti epileptics since several years, paralysis and fractures, has psychological problems, abuses family. How can this be cured?" }, { "from": "human", "value": "NAMASTE SIR MY HUSBAND TAKING EPELEPSY MEDICINES SINCE 30 YEARS AS PER MY KNOWLEDGE JUST SIX YEARS BACK HE FELLDOWN AND HE GOT PERALASIS TO HIS LEFT SIDE AND HE GOT FRACTURED HIS RIGHT HAND AND HE IS HAVING PSYCHOLOGICAL PROBLEM, WE MET SO MANY DOCTORS AND THEY HAVE GIVEN SO MANY DRUGS TO CURE HIS HEALTH PROBLEMS. BUT NOW HE IS TALKING TOOMUCH AND SHOUTING TOOMUCH AND TALKING WULGER LANGUAGE TO HIS CHILDREN AND SERVENTS. HE WILL BEHAVE VERY NICE WITH GUESTS AND TALKING NICELY . NOBODY KNOWS HE WILL DO MISBEHAVE WITH FAMILY. NOW TELL WHAT TO DO AS EASY AS TO RECOVER. HE CANT MOVE." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your husband's symptoms could be indicative of an underlying mood disorder. However, he needs a detailed psychological assessment to make a definitive diagnosis. I would advise you to take him to a psychiatrist for a detailed evaluation and further treatment. If he does have a psychiatric disorder, then there are effective treatment options available - in the form of medication or counselling / psychotherapy which will help him overcome these problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Recurring dejavu episodes, head pressure, nausea. MRI, EEG done. How to get relief?" }, { "from": "human", "value": "I am a 50 year old female. I began having recurring episodes of dejavu followed by pressure in my head and nausea . I never vomited but after the thirty second or so episode was over, I was left feeling this pressure or I guess it could be described as a dull headache for the remainder of the day. When I was young - 8 or 9 years of age, I would get these when I particular commercial played on the radio in the mornings as I was getting ready for school. I would ask my mother to turn off the radio because the commercial made me sick. Over the years, these episodes continued but seemed to taper off in my 40 s. Most of the time from 8 or 9 years of age until my 40 s, I would experience these while in the shower. I have recently seen an increase in my episodes in the last two months. My office moved to another building and I sit very close to the closet on our floor that houses the telephone lines/internet/wireless technology etc. My naturopath suggested it could be geopathic stress that was causing my epsiodes to recur so frequently. I did see a neurologist in 2007 for neck pain but after filling out the paperwork she sent me on a wild goose chase of a sleep study, MRI of my head and an EEG - all of which showed nothing. I was diagnosed with Chronic Lyme Disease w/coinfections in 2008 after being misdiagnosed with other conditions over a twenty year period. I am alarmed at the frequency as of late. In the past I might have three episodes per year but in the last few months, since moving to the new building, I have several per week, sometimes more than one per day. Any suggestions would be appreciated." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. De javu can occur in a wide variety of conditions - ranging from being a normal phenomenon to being a symptom of many psychiatric disorders or even temporal lobe epilepsy. You need a detailed psychological assessment to get a clearer picture. I would advise you consult a psychiatrist for a detailed evaluation and further treatment. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Lightheaded and blank vision while standing, dizzy, severe headache, no appetite, tired and depressed" }, { "from": "human", "value": "When I stand up I get light headed my vision goes black and then I see spots then I get very weak and have have to grab something so I don t fall over. And get really diszzy I get savear head eachs. That last weeks sometimes even months ... and then on the other hand I m not has hungry as normal I m always sad and.moaping I m always tired I feel guilt I blame my self for everything I just want to be alone and deppressed" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. You seem to be having prominent depressive symptoms. However, you also need a detailed medical evaluation for your physical symptoms such as vision problems, dizziness and headches. I would advise you consult a psychiatrist for a detailed evaluation and further treatment for your depressive symptoms. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Chest tightness, need to focus on breathing,smoking since several years, stress, panic attacks, heart palpitations. Is this problem anxiety related?" }, { "from": "human", "value": "I am 25 years old and have been experiencing chest tightness every day for a few months. It s definitely not a pain and it s generalized over my breast area. I don t necessarily feel short of breath, but at times I feel that I need to focus on breathing (if that makes any sense ). I have been a smoker for 10 years but I am also currently enrolled in a rigorous academic program and am prone to stress . I have experienced a couple panic attacks since beginning the program and have also been experiencing heart palpitations every now and then. I exercise regularly and eat well. I am assuming this problem is probably anxiety-related but would like a second opinion. Thanks" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your symptoms could be anxiety-related. 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 stress, then I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Suffering from Restless Body Syndrome, depression, sleeplessness, suicidal tendency. Suggestions?" }, { "from": "human", "value": "hi Doc. I am suffering with RLS from last 5 years and from last few days with Restless Body Syndrome . few days before I consulted with Physchiatrist regarding depression and sleep less night problem and wrote Zoltafreshand Nexito ls. I can now sleep now but started to suffer with Restless Body Syndrome. and still suffering with depression. I dont want to talk to anyone. I want to live alone and sometimes thought of sucide comes in my mind. I also sometimes get so depressed that I want to leave everything and to go to some holyplace without carrying anything...pls suggest." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you are going through a difficult time. Anti-depressants usually take a few weeks to bring out their full therapeutic effect. In the initial few days, sometimes, side effects may be more prominent that the benefits. Most side effects are temporary and self-limiting. So, please be patient till your medication takes full effect. If your RLS is severe, then you can report this to your psychiatrist and discuss other treatment options. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Skin patches like hives on the arm. On gluten free diet. Could this be stress related? Suffering from anxiety and panic attacks" }, { "from": "human", "value": "I have skin patches that look like hives that appear on the part of my arm above the elbow where blood would be taken. I have researched into tinea vesicolor and also psoriasis . I have also changed my diet as I am a homeopathic person. I currently am on an all gluten free diet hoping to see a difference and I did for the first 4-5 days it started to clear up but now it has returned the only thing I can think is it could be stress related. I used to be a competitive runner and very healthy as well as active and since my son was born 5 years ago I ve been battling anxiety and panic attacks. My biggest concern is liver related issues and wondering if I should continue the gluten free lifestyle?" }, { "from": "gpt", "value": "Hi, Your case is not straightforward or simple. There are multiple possibilities for cause of your problem. We first considered a skin disorder in your case. Almost all chronic skin disorder exacerbate by stress. If problem is very severe and leading to frequent interpersonal problems, then for assessment and treatment, you can visit specialists like dermatologist, general physician and 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": "Mental fatigue, tension and headache, thin semen, feels anxiety, hallucination, tired. Suggestion?" }, { "from": "human", "value": "hi i am rakesh i have a problem of mental fatigue tension and headache sometime i feel anxiety and i noticed my semen is now very thin.sometime i feel hallucination i think its due to lack of rest and sleep. when i try to play or dance then i become tired in few moments like i have asthma but i dont have. plz suggest me what should i take" }, { "from": "gpt", "value": "hi..you should visit a psychiatrist now as seemingly you are in depression..lack of sleep, fatigue and anxiety are signs of it..this discharge of thin semen is due to your assumption that you are getting weaker day by day which is again a symptom of depression..you may need a few blood test also to confirm any precipitating factors..this is absolutely curable..so consult now..have a good health.." } ]

[ { "from": "system", "value": "Sadness, disappointed, like being alone, crying without reason" }, { "from": "human", "value": "hello Doctor I m a teenager girl I have alot of problems that I can not tell to anybody sometimes I feel so much sad and dispointed I look for something..anything.. that makes me happy ...I just lose the sense of life and think about my goals and how it is hard to achieve it ... I always feel like that ..I love being alone and talk to myself like a crazy and cry without any reason besides everybody noticed that I m selfish I want everything and everyone only for me do you believe my best brother is getting married this july and I feel so sad about that I mean he will have a home and never think about me I m afraid to lose him he is my best brother I need advices pls Doctor" }, { "from": "gpt", "value": "Hi, From your description you are having depression. Depression can occur due to many reasons which need evaluation. Try to do daily aerobic exercise and involve yourself with friends/family members. If problem is very severe and leading to frequent interpersonal problems, then for assessment and treatment, you can visit specialist like 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": "Want advice for Parkinson's disease patient" }, { "from": "human", "value": "Respected Dr. this is thyagarajan originally from b lore and presently in Mt Abu. i vividly remember having suffered due to Cervical spondylosis during mid 2002 and yr goodselves treating me and freeing me off my ailment. I am a railway official. now my colleague in Mt Abu is suffering from Parkinson s Dis for the last 5 yrs. Can i bring him to you for consultation or seek your esteemed advice in the matter, via email ? any info u may require may be emailed to me which will be promptly replied. may also please let me have yr bank a/c # to enable me to remit necessary fees in your account. with warm regards, wd also request u to let me have your phone #. MAY GOD BLESS U AND YR FAMILY MEMBERS." }, { "from": "gpt", "value": "Hi, Your problem is incomplete here. Please elaborate it further. For detailed reply, you can use ask a specialist portion of healthcaremagic.com to ask question. It is very simple and user friendly. 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 get rid of the frenulum?" }, { "from": "human", "value": "i have a frenulum piercing right where normaly there is some skin between frenulum and penis . so right in the middle of the frenulum. now i want to get rid of that frenulum. i was thinking to just cut it off but am affraied about bleeding, i was also thinking to tie it off at the 2 endings and wait till is dead and fall off. what way do you advize me to use? i have emla cream , plaster, razor blade and thread. how painfull would that procedures be and how much bleeding involved?thank you" }, { "from": "gpt", "value": "Hello, There are experts available for this procedure, who regularly do this procedure, called SURGEONS. I would advise not to do the procedure on your own, there are chances of Bleeding - you cant control by normal thread or pressure. Infection - you won't be having a sterile material with you. Don't experiment on yourself. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Emotional shock, psychological disorder, stammering, unable to finish sentences. Treatment options?" }, { "from": "human", "value": "hello i was talking very fluently until i reached the age of 25 when i suffered from psychological disorder that happened to me because of emotional shock which cause me to talk hardly and stuttering and my words were blocked before finishing them i can not say one complete sentence especially in front of people i hardly can move my lips to say a words" }, { "from": "gpt", "value": "Hi you need a detailed psychological counselling along with the proper management from psychiatrist therefore consult both them of them for proper mangement. Thanks" } ]

[ { "from": "system", "value": "Can you help in reading the pregnancy ultrasound report?" }, { "from": "human", "value": "My ultrasound report read the following. And I need I to know all the terms pls Obstetric profile A single active fetus in utero Cephalic presentation and longitudinal lie Posterofundal placenta Biophysical profile Non stress test reactive (2) Breathing Normal. (2) Fetal body activity-Normal(2) Fetal tone Normal. (2) Amniotic fluid index normal(2) Placental grading-II. (2) Composite BPS\\E score= (12) Organ survey- CNS ,GIT,Urogenital and skeletal systems showed no gross anomalies No masses Maturity=29wks+5days U\\S EDD=29th August 2012 ±3days Gender= xx Est.fw=1.47kg(now) The cervix is closed Summary of findings: active gestation" }, { "from": "gpt", "value": "Hi, It appear normal for 30 weeks old fetus. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Had a flashback involving operating room, nurses, an abortion and fear. hat is the meaning of this?" }, { "from": "human", "value": "Hello,Dr.Samuel. This is difficult to write,but I have had a flashback of having an abortion when only a teen-a young teen(13,or 14).In this flashback I am in an operating room-I was watching myself like watching a movie.I am on a table,and there are several people in this room,and a big bright light shining on my face.I am laying there crying-I keep saying, No! Leave me alone!Please,I don t want to do this.Please,help me! Please,I don t want to do this. I am crying,and begging for them to stop,but they don t.I see myself with my legs up,and a blue sheet over them.Then a very cold ,robotic acting nurse(all the nurses are wearing white,short dresses with white caps,and white shoes-the kind they wore in the 70 s.) is standing at my side and holding my hand .She is harsh,and keeps telling me to be quiet,and that it will be fine.But she does nothing to make the doctor stop.I smell an overwhelming stench of rubbing alcohol ,and my body feels heavy from the drugs they have given me.I keep on crying,and the cold nurse keeps telling me to hush . Then I came out of the flashback. I had this happen while in the mall,in a store that had bright lights everywhere.And all of a sudden the present was gone,and the store became an operating room. It was so scary,as this never happened to me before.I am 48,and this happened about 5 yrs ago. I can t find anyone to tell me what happened.Have you ever heard of this before?" }, { "from": "gpt", "value": "Hi, This kind of flashbacks are common in post traumatic stress disorder. In this stress-or used to very severe for sufferer. If this flashback occur only 5 year back, then no need to worry. If problem is very severe and leading to frequent interpersonal problems, then for assessment and treatment, you can visit specialist like 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": "Episodes of difficulty in sleep followed by tinnitus, increased heart rate, affected speech, pressure above the roof of mouth and Adam's apple. Considerable relief with Verapamil, B-12 shots. What else can be done?" }, { "from": "human", "value": "I am originally from North Europe. I have had episodes for over 20 years and nothing helped and I had no diagnosis. I lie in bed and can‘t sleep. With time I start to get tinnitus . My heart rate increases and I become hyper. Then something happens in my head. My speech is always affected, accent increases and my choice of words changes. Get confused easily. Coherent but not connecting. Feel some of my abilities were taken away. I don‘t really know what is a normal baseline for my abilities during episodes. Kind a like I have to rediscover my self. Usually associated with pressure above the roof of my mouth (what I would call base of brain for lack of better words), and/or pressure or pain in the Adams apple. Overexerting my self as well as drinking can also bring it on. Few years ago one neurologist here in Oklahoma put me on Verapamil (1-2 tables a day to help blood flow in brain)and it has helped me significantly. It has cut down the duration of the episodes from 3-6 weeks to 6-7 days. I have also began to take B 12 vitamin shots and they seem to help my condition also." }, { "from": "gpt", "value": "Hi, From your description possible causes of your suffering in order of preference: -Hypertension: as you are responding to verapamil -Anxiety episodes: need assessment by psychiatrist -Alcohol use increase problem in long term, so it is better to stop its use. -B12 deficiency: it lead to anxiety and depression. If problem is very severe and leading to frequent interpersonal problems, then for assessment and treatment, you can visit specialist like 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": "Pain behind head, pressure, dizziness on lying down, weird feeling in right foot, going up to chest, snoring problem. Treatment?" }, { "from": "human", "value": "hi! this is the first time i ask a question to a doctor by internet but anyway.. uhm in the past few days I ve been getting pains on the right side, back of my head. its like a pressure pain its not strong but i feel it there. when i lay down to go to bed i get very dizzy and get strange feelings on my right foot and up to my chest .. its very strange... it has happen 2 times now that when ever i get that feeling i fall asleep but am still awake. I m just snoring really loud but I m not actually sleeping i get back up and am super dizzy. do you know what it can be? i do have a stressfull job i saw a doctor and he gave me 2 types of pills for it and told me its because i bite down when ever i get stressed." }, { "from": "gpt", "value": "yes your doctor is right.. your symptoms are due to stress. consult a psychiatrist. do aerobic exercises.. reduce your stress level.." } ]

[ { "from": "system", "value": "Emotional shock, severe anxiety, clinical depression. On neuro feedback. Treatment options?" }, { "from": "human", "value": "I had an emotional shock last year which sent my mind reeling and put me in a severe anxiety state - I have not been able to recover since, despite trying many different medications and also natural therapies (including counselling). I still have extreme anxiety and this has subsequently gone into a clinical depression - to the point where I can hardly function anymore. The only thing that worked a couple of months ago was neurofeedback , but that only lasted a couple of weeks. I am at desperation stage of what to do." }, { "from": "gpt", "value": "hi..well, if this is clinically depression, you must try for proper management..combined approach of both pharmacotherapy and psychotherapy can work..visit a psychiatrist and let him prescribe anti-depressants in full dose first..also we have augmenting agents if they don't work..we have add-on regimens further..also ECT and rTMS..so don't worry..about counseling, you should visit a clinical psychologist once again and request for some another form of psychotherapy like interpersonal therapy and cognitive therapy if neurofeedback fails..so we have enough of options left..so please don't lose heart..have a good health.." } ]

[ { "from": "system", "value": "Mentally stressed, gets irritated soon" }, { "from": "human", "value": "Hi Sir, My brother age is 38 years old ,married. he is not much educated and he always remains quiet and disturbed . always keep on thinking one or another things. last year he go some issues wiht his wife and wife stayed separate from him with her parents . today he is in situation where he fights with his wife for all those behaviours which his wife s family did when he was not having job last year.he stoed everything in this mind and he usually argue with wife which inturn result in gud fight.he start shouting and weeping and say all those old things which happened with him. can you please help on this. it is crucial Regards" }, { "from": "gpt", "value": "hi..well, its difficult to diagnose the problem..may be depression or may be OCD..may well be neither, only an adjustment problem where marital therapy would just work..but whatever it is, please visit a psychiatrist to prevent the matter going worse and follow his advice, whether medication or psychotherapy..thanks.." } ]

[ { "from": "system", "value": "Spells of lightheadedness, sweats, cheat pain radiating to shoulder without rapid heartbeats. History of anxiety attacks. What could this be?" }, { "from": "human", "value": "Since last night, I have getting light headed, I got the sweats while doing dishes and a pain in my left chest going back into my shoulder blade area. I have had anxiety attacks before. It almost felt like that but with out the anxiety or rapid heart rate ." }, { "from": "gpt", "value": "hi..this may be serious as it resembles pain of ischemic heart disease like myocardial infarction..so please visit a cardiologist..after his clearance, you can visit a psychiatrist for valuable advice..thanks..and remember, although you may have experienced past attacks, the causes may not be the same..and we should err on the wrong side.." } ]

[ { "from": "system", "value": "Does Citanew and Olepra increase drowsiness?" }, { "from": "human", "value": "I am 20 years old male.I have been taking Citanew(Excitilopram) 20mg and Olepra( Olanzapine ) 5 mg for 4 years because my parents complained I was frustated,angry and depressed.Since the day I took it,my hunger and sleep has increased.If I dont sleep 10-12 hours a day,I feel exausted and drowsy.I have told this to my psychiatrist but he insists I take it.I put the matter before you" }, { "from": "gpt", "value": "hi..escitalopram is not so famous ( or infamous ) to induce sleep, but olanzapine is..and olanzapine increases hunger, thus may worsen your metabolic profile..so you require periodic check-up and also regular exercise..also some dietary modification may be required..you can also try to take it in the evening so that it would not delay your arousal in the morning..discuss the issues with your psychiatrist..have a good health.." } ]

[ { "from": "system", "value": "Sharp pain shoot up and down, heavy breathing, panic attacks, lot of stress, depression, anaemia, cold finger tips and toes, loss of energy" }, { "from": "human", "value": "i get accasional verry sharp pains that shoot up and down my right and left arm after walking for some sime and some times accur when not doing much at all ... these pains are also followed with heavy breathing making pains in the upper left side of chest close to the armpit. Once i stop walking cause i kinda feel like im having a pannic attack cause of the heavy breathing but with terrible pain ( which is so bad i just wanna chop my arms off ) all symptoms slowly go away. Some days i have more of these attacks then others but if i start to take a short walk like from my car to a mall enterence or store i will begin to have all these symptoms ... unless i walk verry slow ..I had this promlem once before like 2 or 3 years ago and i started to slowly work out more and eat verry healthy and all of a sudden it kinda all went away but now its all back again .. im also stressed allot and verry weak and depressed.. i do think i have anemia as well .. have verry cold fingertips and toes all of the time and just always feeing drained of energy.( 26) year old feamale Help please" }, { "from": "gpt", "value": "hi..the nature of pain you are describing and also the exertional exacerbation, you should visit a cardiologist first to rule out pain due to ischemic heart disease..after the clearance, you can visit a psychiatrist..have a good health.." } ]

[ { "from": "system", "value": "Suggest a remedy for nightfall" }, { "from": "human", "value": "Hi, Now I am 29 and my height 5.5'' and weight is 67. My problem is last 10 years night fall has been continuing (some time once in a week or 7 to 8 times in a month) , besides that some times I do masturbate (2 to 3 times in a week). So is there any problem in future ? Or tell me how to get red of this night fall and masturbate." }, { "from": "gpt", "value": "Hello, It can be due to increased arousal and less outlet. You can decrease arousal by yoga, exercise, particular sports. You can let out your sex arousal by having sex and increasing masturbation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Depression, panic attacks post hysterectomy. Have one ovary intact. Is of result of surgery?" }, { "from": "human", "value": "I had a hysterectomy last year. As a result from this I am experiencing depression on 10mg Paxil for this. I also am experiencing panic attacks could this be related to the surgery or not. I still have my left ovary and everything on the left side. I had to have right ovary,right falloopian tube and scare tissue removed 3-4 months after initial surgery due to ovarian cysts rupturing on that side." }, { "from": "gpt", "value": "hi although the left side is intact, you may consult your gynecologist to exclude a phenomenon called 'hot flush' after surgical menopause..otherwise paxil is a good choice to counter panic although it may or may not be related with the operation..don't worry..you can also try for some psychological management..thanks.." } ]

[ { "from": "system", "value": "Feels that someone is following, gets angry and irritated" }, { "from": "human", "value": "HELLO DOCTOR, my sister is not stable by mind she feel always that some one is following her and she will be always angry in both home as well as in office. she was not like this before marriage. she will be talking and scolding her self and saying that she will see some one in the home even though no one is there and she is not ready to consult any doctors or any one. kindly help us. regards shilpa" }, { "from": "gpt", "value": "hi..she must consult a psychiatrist now as these are unusual..following is something delusional and probably she has hallucination also..it may progress to psychotic illness unless you intervene..but whether marriage is related or not, that's a different issue as marriage itself is a stress is somebody is vulnerable..so take care of her..thanks.." } ]

[ { "from": "system", "value": "Depressed due to being over weight. Supplements failed. What can help?" }, { "from": "human", "value": "well i am 12 years old and am weighing 67 kg am really depressed about it i dont feel happy at all am always ashamed to go out with others cause they are all slim am the only one odd it sickens and troubles me alot i really want to get slim and think like a naturally slim girl i ve tried alot of supplement but it dosent really works with me i need your help i know you are speacialist i just need the right tips ,answers ,vidoes and all those stuff you know please i really need your help please.............. sobs,,,," }, { "from": "gpt", "value": "hi..well, obesity per se is distressing..so please consult a dietician and a physician..then a psychiatrist..also bariatric surgery may be needed if required..so mental health issue may be addressed later following all these..have a healthy life.." } ]

[ { "from": "system", "value": "Trouble falling asleep due to fear. Why am I scared of loneliness, dark and noises?" }, { "from": "human", "value": "Recently i had an issue with fear. early one around 4:30 in the morning i woke from a sound sleep . I could not fall back to sleep due to a serious fear to every little sound i heard, like house creeks and other house settling sounds. The next day all day long i had an anxiety type feeling. The for the next 6 days after that I feared everything, every little noise made me jump and get chills, I was constantly on edge, had a weird feeling that someone was going to jump out of the dark and get me like paranoia , and got no sleep. It was almost like i was a child again, scared of the dark, being alone, strange noises, and im 28 yrs old. It got so back so bad i couldnt do my job. On day 7 i woke up 100% normal. What happened to me?" }, { "from": "gpt", "value": "hi..this transient anxiety states are difficult to explain..may be you were going through some kind of stress..or there was some precipitating factor..we normally experience alteration of sleep pattern for a few nights..that is normal..so you need not worry..if it would have persisted, you could have visited a psychiatrist to investigate..thanks..have a good health.." } ]

[ { "from": "system", "value": "Severe bloating, frequent and intense urination, missed period, fatigue, weakness. Due to stress?" }, { "from": "human", "value": "Severe bloating for a month, frequent and intense urination , no period for two months( tubes are tied - 31 years old), extreme fatigue , bumps on left side of head, weakness (trembling when tired), tingling sensations in extremities has increased ... am stressed, but am not able to deal with stress with fatigue these symptoms are causing, vicious circle ..any ideas?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Many of your symptoms are likely to be stress / anxiety-related. Anxiety can manifest itself with both psychological as well as physical symptoms. If you are having recurrent such symptoms or having difficulty managing your stress, then I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Taking agomelatine 25mg to sleep and cure depression. Feels tired in morning. What is causing this feeling?" }, { "from": "human", "value": "Is it possible that when you are taking an antidepressive, such as agomelatine 25mg at night to sleep and cure your depression ,you have the feeling that you at a certain time of the night you had a light sleep and you wake up in the morning with will to continuing to sleep with pain in the eyes and feeling tired, but can t continue sleeping? Even though it s possible that I slept well, even having those feelings?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Agomelatine is an antidepressant which has positive effects on sleep. It is more likely that your erratic sleep is due to the depression, since depression itself can cause significant changes in sleep pattern. If these symptoms are problematic or distressing, please report this to your doctor, so that appropriate treatment modifications can be made. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Self-hurting, hitting my head against the wall. Why am I like this?" }, { "from": "human", "value": "i m a teenager and i recently relized that when i hit my head agsinst the wall or claw at myself or bit myself that i am self hurting i thought because i m not cutting that it didn t count but now i m more courious i sometimes feel like i m two diffrent people like there the bully and the sweet girl i feel like i m pmsing constently i used to be better at hding my feelings but i seam to have lost that skill i m wondering if there is something eles wrong with me and why i feel like this i m trying to stop the self hurt but when i try the feeling just gets stronger i m paralized because if i move i will hurt myself when that state comes the walls around me call to me all i see is a way to hurt myself my nailes long to get deep in my skin and my teeth only want to punctur into my flesh am i just exagerating and if not please i could use ur help thanks" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your self-harming behaviour could be indicative of an emotional instability. You need help to deal with this problem and control your emotions and mood fluctuations. I would strongly advise you to consult a psychiatrist for a detailed psychological assessment and for planning further treatment. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Constant mood wings, happy and sad at times, excess negativity. How can I overcome this?" }, { "from": "human", "value": "My husband id 41 years old and sometimes he happy then sad it s a up and down constantly he can be very negative at times and this kind of behavior is about to push me away and not be apart of this marriage anymore. I did hear from a family member that he had a plate placed in his back head area but he has never dicussed this matter with me at all." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your husband's symptoms could be indicative of a mood disorder. However he needs a detailed psychological assessment to make a definitive diagnosis. If he does have a psychiatric disorder, then there are effective treatment options available - in the form of medication or counselling / psychotherapy which will help him overcome your problems. I would advise both of you to see a psychiatrist or a counsellor to help sort out your marital problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Severe anxiety and stress, facial and body pain, feeling of dying. Normal test results, elevated ana. Signs of bipolar disorder?" }, { "from": "human", "value": "Hi, my brother about three months ago, was taking magic mushrooms at least once a week. The last time he took the mushrooms he had a bad experience. Since then he has had a constant ongoing problem with what seems like severe anxiety . He complains of some pain in his face and body, and says that he feels like he is dieing. He goes to the hospital, where he has worked for several years, like it is a doctors office. He has been to the er about twenty times in the last two months and they have found nothing but an elevated ana reading in one of his latest visits. He has been generally healthy his whole life with no diagnosed mental deseas. However my mother and I suspect that he may be slightly bipolar, and other mental diseases like alzimers are present in my family. My brother is only 24 and just got married , probably not the best time, he and his new wife are also adopting his wife s sisters baby, as the sister is a drug addict. All of this is a huge stressor on him. I would love to know how to help him if you could point me in the right direction. As well as help his wife keep him from running to the hospital any time he starts to panic and starts to think that he is dieing. Thank you Josh" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Magic mushrooms (Psilocybin) can cause a variety of psychiatric problems like anxiety disorders, psychotic disorders, etc. They can also exacerbate underling dormant psychiatric conditions. Your brother needs a detailed psychological assessment to arrive at a diagnosis and further treatment will be based accordingly. I would strongly advise you to take him or encourage him to go to a psychiatrist for further evaluation and treatment. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Sensation of being hot and dizziness suddenly. Have anxiety and panic disorder. What is the cause?" }, { "from": "human", "value": "hi, as i am sitting here on my computer, I all of a sudden experienced dizziness and an overwhelming sensation of being hot. I just had blood work done las monday,all was normal. I have anxiety/ panic disorder , but has been under control somewhat. This feeling started and stopped in a matter of 2 minutes. Could you tell me what this may be caused by?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your symptoms could be anxiety-related, probably a mild panic attack. Anxiety can manifest itself with not only psychological symptoms but also with physical symptoms. However, more details such as your age, sex, past medical history, treatment history, etc. is required to get a clearer picture. If you are having recurrent such symptoms, then I would advise you consult your doctor for a detailed evaluation. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "What causes tickling when having sex?" }, { "from": "human", "value": "Hi, i have never once enjoyed sex, its like i cant feel anything and i do get an aroused feeling before hand but then once foreplay begins i just go ticklish then completely unaroused, i dont think i am normal as i have had several sexual partners who i have found physically attractive and been perfectly comfortable around, i am too ashamed to go to my male doctor or even to a nurse." }, { "from": "gpt", "value": "Hello, Type of sex is not equal and the same for all. Your body may need different kind of experience during sex. Explore a lot and experiment and find a way your body accepts your mind arousal. Comfortable partner in social and during sex is different. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Suffering from nightmares, irregular heart beats, chest pain after starting Atripla treatment, suspicion of stress. Is it due to HIV treatment?" }, { "from": "human", "value": "I stared my Atripla treatment on October 23 2011. After 2 months on I suffer from nightmares , irregular heart beat, and chest pain . After visiting my doctor and had some blood work and heart test. On my heart test they found some liquid around my heart and the doctor tome is not danger. They tink is stress related. Today is June 24 my HIV meeds is working perfect and I m undetectable. The only problem I m having is I continue to have disco ford on my left side lower chest, back and under arm. Is this do to the HIV treatment ?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. It is possible that your symptoms could be stress / anxiety-related since anxiety can manifest itself with both psychological as well as physical symptoms. However, it is also possible that they could be due to the HIV treatment also and Artipla is known to produce a variety of side effects, including psychiatric symptoms. If you are having recurrent such symptoms or having difficulty managing your stress, then I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Occasional rapid heart beats, sudden onset of tension when someone shouts aggressively, shivering. Help?" }, { "from": "human", "value": "good noon sir, i am having a little problem....sometimes fast beats occures in between and little below my chest ...i dont understand what is that...it sometimes feel me tensed and it occures generally when there i see something wrong or when someone shouts aggresively...and there s someking shivering that occures in the body...please help.." }, { "from": "gpt", "value": "This phenomenon is called 'palpitation'. From the description, it seems to be related to stress/anxiety. Take some deep breaths when you are feeling stress/tensed. May be relax with eyes closed for few minutes. Yoga can be very helpful as well. I don't feel medicines are needed at the moment." } ]

[ { "from": "system", "value": "Gastritis, high uric acid and BP, occasional heart burn. Spells of abdominal pain with heart shivers, breathing difficulty. Cure?" }, { "from": "human", "value": "i am 60+ years old women from nepal i have got gastric problem i.e. about 37 years old. I also have got high uric acid and High blood pressure I sometimes suffer from severe heart burn and often get gastric attack. Sometimes my heart shiver with no cause and during that process abdominal pain increases so much that I forget how to breathe. I also get depressions." }, { "from": "gpt", "value": "You have got several problems, 1. Gastritis- 37 years 2. High uric acid- may lead to GOUT 3. High BP heart shivering- Cardiac cause 4. Depression I think you should consult the doctors in following order- 1. Cardiologist- To thorough heart check up and exclude any heart disease. 2. Psychiatrist- To treat depression because several symptoms may be this also. And now it is the second most common disease in the world. 3. Gastroenterologist- To treat the gastritis and prevent heart burn by proper medicine and their proper dosages. 4. Medicine- General health check up and treat high uric acid etc. Best of luck." } ]

[ { "from": "system", "value": "Suffering with psychosis, gets drowsiness, tiredness on taking Clozapine. Prescribed also with joykem, parkin. Right medicines?" }, { "from": "human", "value": "Hi Doctor! My brother is suffering from Psychosis . He has been advices to take Clozapine 100mg to 300mg. however, when we have administered him 100mg clozapine, he is not able to even do any activity for more than 5 minutes. he is drowsy, tired , does not even want to step out of house.. Another doctor on seeing these symptoms reduced the dosage to 50mg daily and added joykem & parkin 2mg to it. all these medicines have not cured him and seems have dangerous sideffects. Earlier Oleanzapine was been adminitered to him (before clozapine for nearly 5 years).Dr can you please advice as how much time dosuch patients take to be perfectly ok ? and whether these are right medications to be given?? The problem faced by patient is: Not been able to concentrate, to continue his course beyond 1 year, carry out daily work like bathing, brushing etc.,taking initiative, thinking maturely. He does not hallucinate or hear any voices. He does not want to talk also" }, { "from": "gpt", "value": "I dont think only for those above symptoms he need too many drugs like clozapine, parkin(trihexyphenidyl), joykem. There must be some other features of psychosis. A detailed mental evaluation is needed. Any way the drug is right for psychosis but symptoms are not verifying the diagnosis. Please go and consult a good psychiatrist. Or you may give a detailed history and course of illness otherwise it is very difficult to comment on the medicine." } ]

[ { "from": "system", "value": "Severe stress due to loss of near one, feel vomiting on talking, have anxiety attacks. Any ideas?" }, { "from": "human", "value": "I have a friend who is going thru a stressful time. His best friend was in an accident & may die. He has been visiting the hospital & spending time with the friend s parents. He says hes trying to be strong for them but that he is a mess & will go to therapy next week. What im curious about is that he says he cant talk without wanting to vomit . I have had anxiety attacks etc & I have never experienced this nore ever heard of it. Any idea what could cause it? He has told me that he used to be very anal. (His words) he has also said he has OCD ." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I'm sorry to hear about your friend's difficult situation. I hope his therapy helps him to manage his stress. Now, regarding your question, anxiety can manifest itself as psychological as well as physical symptoms. The physical manifestations of anxiety can vary widely and can literally present with symptoms of any system in the body. Moreover, when the mind is anxious / in a state of arousal, there can be a heightened perception of sensations and stimuli, which would otherwise be ignored by a non-anxious person. So, it does make sense that your friend's nausea sensation could be anxiety -related. Please encourage him to see a psychiatrist for a detailed evaluation and management. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Increased heart beat followed by headache with feeling of a beat in head, pain in neck and eyes with pressure during a bout of mental disturbance. How can I avoid this?" }, { "from": "human", "value": "Hi, my name is Tim. Today I got upset about something, I did not yell or get physically angry, I was sitting down the whole time, but just thought about a situation and was disturbed and upset, and worried about it. During this period I could feel and tell my heart rate increased and it was beating very hard. A short while later I had a headache that took over my whole head and I could feel my heartbeat even on the top of my head. But it hurt from my neck to my eyes. My eyes felt like there was pressure and very painful, it didn t help to close them or open them. Can you please help? Thank you!" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your symptoms could be anxiety-related. Anxiety can manifest itself with both psychological as well as physical symptoms. If you are having recurrent such symptoms or having difficulty managing your stress, then I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Teeth chattering, cold hands and feet, excessive perspiration. Can it be depression?" }, { "from": "human", "value": "Hi.. It s the 4th day and my teeth wouldn t stop chattering. The teeth chattering has disrupt my sleep and it gets worse everyday. It s starting to affect the way I talk. I m slurring already and it s beginning to affect my job. Besides that, I also have cold hands and feet . I perspire more than usual. I went to see the doctor and he said it might be thyroid . My sister has thyroid and the doctor said it s hereditary. Besides thyroid, can it be depression? 6 months ago, I have suffered depression. Back then, the doctor prescribed lorazepam and aposertraline for me. I was suppose to take the medication for at least 5 continuous months, but I stopped after 2 mths. Recently, I feel like it s coming back. I m very stress at work and with my life too. Im starting to break things when I get angry... I ll throw and slam everything I could lay my hands on.. I get so angry all the time and emotional too.. My boyfriend is my victim. With this teeth chattering and all, I m getting more stressed up and anxious. I m waiting for my blood test result tomorrow to see if I have thyroid. Meanwhile the doctor prescribes propanalol for me to control my chattering teeth and jaw. It s not working! My whole mouth is still chattering. It s getting worse! I m so angry! Cos I can t believe I was give a lousy medicine. If it s not thyroid, what could it be? My depression? I think I m suffering from bipolar. What s wrong with me? Please help me. I m only 22 yrs old.." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. It is likely that your symptoms are due to a psychological cause - probably a depression or anxiety-related problem. Moreover, it's clear that you are quite stressed out and are in significant distress. Also, since you've had a recent history of depression for which you discontinued medication permaturely, you have a risk for relapse of symptoms. So, I would strongly advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Body sweats on committing mistake, whenever anybody scolds, not due to nervousness. Suggestion?" }, { "from": "human", "value": "i m raj, 26 years with healthy body. unmarried, now working in back office job. when i have mistake in my work, given speech on stage, i have sweating in my body or any body(teacher) told me loudly when some mistake done by me. suddenly i filling very hot in my body and i have sweating very much. ( just like afraid & like nervous but that time i m not afraid even though i have sweating. i try to control my self but it s happen.. this problem happening last 2 years.. it s any kind of nervous problem.. pls sir help me...with your good suggestion. pls reply with mail. i m waiting your reply..." }, { "from": "gpt", "value": "hello welcome to healthcare magic You are probably suffering from \"Panic Disorder\" characterised by intense anxiety attacks with feelings of impending doom. I advise you to consult a psychiatrist for proper evaluation and management as there are number of treatment options available for this (Drugs like SSRIs- paroxetine, sertraline, psychotherapy and relaxation techniques etc). Good Luck Thanks" } ]

[ { "from": "system", "value": "Depression, fear, loss of confidence, loneliness, anxiety, quick pulse. Taking stelopram, zolfresh. Cure?" }, { "from": "human", "value": "I am feeling very much depressed and feel fear also.I am loosing confidence. Ocassionally i start feeling fear, self conscious also. I am not able to concentrate. I feel myself alone ( loneliness ). If somebody speaks loudly/ arrogantly with me i feel as if i will start weeping. I feel anxiety very much. Sometimes feel trembling in neck and hand , heart beating becomes fast as well as low. I am taking STELOPRAM 10 for the last 4 days twice a day. Sometimes zolfresh 5mg whenever it requires. But i am not getting result. Kindly suggest me antidepresent." }, { "from": "gpt", "value": "hello welcome to healthcare magic You probably are suffering from depression with anxiety. Stalopram contains escitalopram 10 mg which is an antidepressant (SSRIs). These drugs begin their effect in 10-15 days time. So relax and don't worry. Keep taking the drug and have faith in your doctor. Other antidepressants (SSRIs) - Sertraline, fluoxetine, paroxetine etc. Good Luck Thanks" } ]

[ { "from": "system", "value": "How to get rid of small bump on my scrotum sack?" }, { "from": "human", "value": "hi dr. i have small bumps on my scrotum sack. i am having that since 10 yrs. now i find it is growing and two more are emerging now. whatz the remedy?" }, { "from": "gpt", "value": "Hello, It can be due to acne or skin tag, sharing a picture will help for better diagnose. If no pain or irritation no need to worry. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Delusional behavior, depression, keeps getting arrested, shop lifting tendency. Treatment for poor mental health?" }, { "from": "human", "value": "Good Morning, I worried about my brother (age 63) who thinks he has invented something that will make him rich. The thing he says he invented makes no sense and I don t see how it can work. I m in XXX, he is is XXX, his friends think he is acting delusional. He has started to drink alcohol (he guit 30 yrs ago) and other things out of character. He keeps getting himself put in jail for shop lifting. AS SOON AS HE GETS OUT, IT S LIKE HE DOES THE SAME THING AGAIN TO BE PUT BACK IN JAIL! HE HAS NO HOME, (RENTS A ROOM SOMETIMES) BUT HE HAS HIS RETIREMENT CHECK. DO YOU THINK HE IS GETTING ARRESTED ON PURPOSE. HE HAS A LONG HISTORY OF DEPRESSION . HIS FRIENDS SAY HE IS NOT DEPRESSED, BUT ON A MANIC HIGH? WHAT DO YOU THINK IS GOING ON? THANK YOU, WORRIED SISTER" }, { "from": "gpt", "value": "hi..there is a strong possibility of manic high if he has a long history of depression..but if he did not have any manic episode in the past, you must rule out any organicity by a brain-imaging as late onset bipolar mania is rare..also, it may be an alcohol-related mood problems..whatever it is, just consult a psychiatrist and report this problem..wish him good health.." } ]

[ { "from": "system", "value": "Chronic insomnia, fatigue. History of stress. Burning in lower back and tingling in hand and feet. Could this be MS?" }, { "from": "human", "value": "Chronic insomnia , fatigue for almost a year. Stress for several years.Foggy thinking. My doctor tested me for Lupus and my ANA came back negative. Rashes , painful joints, just recent ER visit for dizzy spell that I felt my legs weaken...I didnt fall. Brain MR done with and without contrast shows no evidence of intracranial mass,hemorrhage,or acute infarction . Second Impression shows :Non specific white matter (FLAIR)signal abnormalities. These are commonly seen and have been described in migraines, and other infectious and inflamatory and ischemic disorders. Clinical correlation and follow up is advised . So the ER doctor refered me to a Neurologist. Im now experiencing burning in my lower back, with the tingling in my hands and feet. I did experience a stiff neck this morning as well. Could this be MS? All my blood work came back normal and my magnesium was low so they gave me Magnesium by IV 2 grams. Could I have MS Im really scared. My name is Concetta" }, { "from": "gpt", "value": "Hi Concetta. Welcome to Healthcare Magic and thanks for your query. It is very unlikely that you could have Multiple Sclerosis when your MRI brain scan is within normal limits. MRI brain scan has a very high predictive value for MS and is alone sufficient to make this diagnosis. Your chronic symptoms could be a manifestation of an underlying depressive / anxiety disorder also. I think that it would be worthwhile to consult a psychiatrist for a detailed assessment. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Same sex relationship, one partner depressed, angry, suicidal, frustrated. Treatment?" }, { "from": "human", "value": "hi i have been with my partner for three years this is my first same sex reltionship and can honestly say i am totally happy though we have some problems my girlfriend lost her mum at a young age and blames herself she has a son who is fifteen and talks to her like crap i have four children myself that live by rules though are not strict however we have a few good months then all of a sudden her son plays up and talks to her like crap she tells him off but then feels bad goes into depression and starts cutting herself i keep helping her through but am t loss because then she starts on me and my kids about silly things like washing etc i work thirty nine hours a week cook take kids too and from school plz help" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. You partner may be having emotionally unstable or borderline personality traits which may be the reason for her mood instabilities, poor coping skills, low frustration tolerance and self-harming behaviour. I would advise you take her to a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which can help can handle these emotional problems and depressive symptoms. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Teenaged daughter seems to be aggressive and hostile, often threatens to stab herself, prescribed with Serta. Is it safe?" }, { "from": "human", "value": "My daughter is 16 and is quite aggressive and hostile. She thinks everyone including the parents are against her and the only people who are with her are her friends. She often threatens to take a knife and stab herself. The doctor prescribed Serta tablets. I would like to know if it is OK for a 16 year old and if there could be any side effects" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. These symptoms could be indicative of an emotionally unstable personality disorder or even a psychotic disorder. Your daughter needs a detailed psychological assessment (which will include a detailed exploration of her symptoms as well as past, personal, social and childhood history, plus a mental state examination) to make a definitive diagnosis. Serta (Sertraline) is an antidepressant medication which is relatively safer when compared to the older antidepressants and 50mg is a low dose. However, this medication will usually take about 2-3 weeks to take full effect and there can be a mild increase in anxiety symptoms due to the medication in the first few days. Sertraline has been approved for the use in children and adolescents, but some studies have shown that SSRI mdication can cause a slightly increased risk of suicidal ideation among this age group. This doesn't mean that these medications should not be prescribed. In fact, the benefits which these medication provide clearly outweigh this mild risk, but it's just that patients should be more cautious. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Suffering from depression. Online tests reveal major depression. Can I be helped?" }, { "from": "human", "value": "iv felt really low for a few months now and i think i may be suffering from depression i also took a few online tests and they state i have major depression. But im grounded at home and cannot get out the house to see a doctor and i also do not want my mum to know i was wondering if you could help me find out if i have depression? thanks" }, { "from": "gpt", "value": "hi..you MUST visit a psychiatrist lest it starts to take its toll over your life..there are so many anti-deprerssants now-a-days and you need not require lifelong treatment in all cases..so please consult..have a good health" } ]

[ { "from": "system", "value": "Sense of unease, ideas becoming mixed up, lack of precision or clarity" }, { "from": "human", "value": "I feel a vague sense of unease that some of my ideas are escaping me, or cannot be sufficiently defined. I am often troubled by a feeling of being only half awake, as if I was living in a kind of semidream state which I cannot break out of My ideas become all mixed up, and have no logical sequence or direction. There is a lack of precision or clarity, and exaggeration or distortion of ideas. Sensations are rarelyclear, often bizarre, and tend to be grossly out of proportion. Actions suffer from the same defects." }, { "from": "gpt", "value": "I think you are saying that the sensations felt somewhat unreal. This is known as de-realization. Your thoughts and ideas get mixed up means you may be suffering from some kind of thought disorder. There are two kind of perceptual abnormalities which are commonly seen illusions and hallucinations.Your description fits more into illusions. You did not mention your mood (happy/sad/ anxious) Though you complain about clarity of thought it is not seen in your mail. But information given is inadequate to give a correct diagnosis or advice. Possibility that you are having de-personalisation disorder or depressive disorder. But I am not sure because of incomplete information. You must see a psychiatrist and discuss these symptoms/ complaints." } ]

[ { "from": "system", "value": "Breastfeeding, have illusions of heavenly bodies taking over me. History of bipolar disorder. Which medicines can I take to overcome this?" }, { "from": "human", "value": "i am a mother i am feeding a 3 months child i am taking depakote 250, oliment 2.5 mg, ativan 1 mg, nexfolin,folvite 5 mg.i have a query i want one answere i have been suffer with bipolar disorder since ten yrs.i don take these tables as prescribed i used to skip.My first baby came out properly ,my second baby has also come out properly, but the problem is still hidden some where and now is peeping out .i feel as if something is coming out of me which is not Rachana .sometimes Rachana{I} feels as if rachana is weak but thru tratak she has called ambe ma,ganeshji,padmavati ma, and now she is becoming strong she speaks in a loud noice she tries and acts dances like ambe ma with all the horrified postures as if she is taking a round in the country and wants to change all the wrong things and bring right things to make india like a forgien place bring green revolution but mother feels that she wants to give a end to her life but remembers that i want to look my child grows up in front of me so again rachana come to the normal situation but still at some points she gets irritated and speaks up in loud noice above the normal line . i wanted to know that the medicine given to me should not harm the 3 month old baby ? when these medicines will come to an end in my life.i do not wnat to be adictted ." }, { "from": "gpt", "value": "hi..well supposedly its a manic phase of bipolar disorder..bipolar disorder is an episodic illness in which you require prolonged therapy and should discontinue medication after consulting with your psychiatrist to prevent further mood swings..as you are lactating, its wise to go for some artificial food supplement for the baby and continue the medication on consultation..there is no addictive potential of these medication..but these help you to live better..have a healthy life.." } ]

[ { "from": "system", "value": "Friend, tries to hide his identity, talks to himself when alone. Serious?" }, { "from": "human", "value": "my friend is worrying me abit, he is in the army and his first name is tyrn, but wen he is in the army not at home he calls himself tyrone, i always catch him out with his lies, well there not lies but hes exsaderating the truth all the time, i always see him talking to himself when he thinks hes alone, is that a problem?" }, { "from": "gpt", "value": "hi..you should ask him what's going wrong with him..also self-muttering without any reason is a sign of some mental illness..so try to acquire some more information about him from his colleagues if possible..also history of any psychiatric problem before joining army is important..please consult a psychiatrist after gathering these collateral information..wish him good health.." } ]

[ { "from": "system", "value": "Tremors, anxiety. Taking concor, paroxat. Correct medication?" }, { "from": "human", "value": "Hi Dr. I am 30 years old and my doctor has prescribed me Concor COR 2.5mg for tremors and Paroxat 20 mg for anxiety? I have read the leaflet of both of them and got really worried about the side effects. Concor is for heart disease, why has he prescribed me for tremors? Also are both of these medicines rightly prescribed? Thanks" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Concor (Bisoprolol) is a beta blocker medication which is used for a variety of conditions. It is used not only for hypertension, heart diseases but also commonly used (in low doses) to treat the physical symptoms of anxiety like tremors, palpitations, etc. Paroxat (Paroxetine) is an SSRI anti-depressant used to treat depressive as well as anxiety disorders. So, yes, both your medication have been rightly prescribed. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Severe pain in the shoulder, upper arm and elbow. Advised for percentile thallium stress test. Taking balcofen" }, { "from": "human", "value": "I have been having very severe pain in my left shoulder and pulsating pain into my left upper arm and elbow area. I am supposed to have a persantine-thallium stress test tomorrow in which I have to raise my arms over my head. I have been taking Baclofen but this does nothing much. The pain is a heaviness and is excruciating." }, { "from": "gpt", "value": "Radiating Pain can be due to decreased blood supply (ischemia) of heart muscles. percentile thallium stress test is a test to see how healthy your heart muscles are. Doctors must be suspecting that the origin of the pain is from heart and not from your shoulder. You might have had your test and results by now. Baclofen is a drug relaxes muscles, which is useful in pain and movement disorders associated with muscle spasm. Hope your either you had a cardiac pain or a musculoskeletal pain, you must be better by now." } ]

[ { "from": "system", "value": "how to increase mustache and beard growth?" }, { "from": "human", "value": "hello sir, i'm 29 years male, i had a problem to less growth of beard and mustace, is this affect my marriage life, i'm asking to some other doctors, they told that this nothing at all. i'm confusing myself, may i check myself to the dr., and which type of practice dr.," }, { "from": "gpt", "value": "Hello, Yes, there are very less options, testosterone will work but you are already 29 years and there are many complication for testosterone. Implantation has good results, you can give a try. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Loss of memory, unable to remember events. Taking celexa daily. Treatment?" }, { "from": "human", "value": "Hi I am currently taking celexa 40mg daily for over 5 months...I have noticed I am losing time usually its only a few minutes here and there but today was different..... It was a signification amount of time from 12:27 until 3:15...A coworker was leaving work and it triggered me to ask him what time it was. He said 3:00 or so I only thought and felt like around 30 minutes of time had passed and I don t recall what I was doing during all this time....." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I'm not sure for what psychological problem you have been prescribed Celexa. As regards to your memory lapses, they could be indicative of a neurological problem or a psychiatric problem (called 'dissociative disorder') You need a detailed evaluation in order to establish the cause. So, I would advise you to consult a psychiatrist for further evaluation and management. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "On effexor XR, want to start oxyelite pro. Is it safe?" }, { "from": "human", "value": "I just started taking 75 mg of effexor XR. I just purchased a bottle of Oxyelite pro, and read on the bottle to check with your Dr about taking it with SSRI s. My body is used to stimulants, I have been taking Lipo 6 on and off for over 5 years now, but I have not taken anything except caffiene since starting effexor." }, { "from": "gpt", "value": "First of all why do you want to take a product which is not found scientifically proven values and follows unethical marketing practices? The promotional website has a disclaimer in the bottom \"Note: This website is not run by or affiliated with USPLabs, LLC. To visit USP Labs' official website, please go to USPLabsDirect.com. Please note that none of the statements made on this website are approved or endorsed by USPlabs LLC. All statements are the sole property of this site's owners.\" The official web site of the USP labs cannot be found. If the drug works through a mechanism claimed in the site (it is not believable, the reason I am not discussing here), it can be dangerous. Better avoided. Effexor acts through neurotransmitters serotonin and noradrenalin. So there could be possible adverse effects. Better method for weight loss is health diet and exercise. Exercise will lift your depression and anxiety and you may need less medicines if done regularly." } ]

[ { "from": "system", "value": "On antidepressants. Feeling weak emotions, no social activity, low energy. Need help" }, { "from": "human", "value": "Hey I m really in a bad spot right now with every passing day its harder and harder and harder to do anything I cant function anymore I don t see the point anymore my memory , focus basically all of mental health isn t there I feel like a slow retard and I very rarely consume any mind altering substances also I have very little energy to do anything. When I m not depressed I don t care about anything and the things that I should care about and feel happy about them. I can feel how my brain or my whole self is just degrading with weeks,months and years passing, I have been trying to resolve it for years now, I ve taken antidepressants for 1.5 years altogether and the result I have is even worse mental function and weak emotions, more like ignore everything around me type of mentality, I respond very little to social activity (i.e. talk very little, don t know what to say, don t get the jokes or not find them funny). I feel like the end is near. I ve spent loads of money on supplements , herbal remedies to try and get more energy and fix my mental health but no big results came from that. I m so sensitive to everything and even the slightest things can upset me so much that if something really bad happens I think I might just end my life because from inside it s too much to handle. And I have another problem, I don t feel anything when having sex no joy or nothing and I can t reach orgasm s, I ve started my sex life when I just turned 17 and I m 23 now, male. If I don t get help and get better I think it s gonna be the end of me soon. I m sorry to pour all of this self pity on you but I m lost for hope and I can t talk to anyone about this because its pointless it s not gonna change anything if I do. Steve." }, { "from": "gpt", "value": "Dear Steve, I don't know what were the medicines you tried. But there are a lot of them (around 35) if one antidepressant did not suit you some other will be helpful. May be you are having Bipolar Disorder ad presently in a depressed state Psychotherapies will not be of great help at this stage. Electro Convulsive Therapy (ECT) is a safe and effective treatment for severe depression. More effective than any other treatment. It is a painless procedure with proven safety. Unfortunately it is a treatment which most misunderstood (due to propaganda by antipsychiatry groups). In spite of having long years of experience and good scientific evidence supporting it, the treatment is not popular due to these misconceptions. I think you should consult a psychiatrist and discuss this option. Also watch this video" } ]

[ { "from": "system", "value": "Starting with encorate chrono for epilepsy. Why am I shivering and unable to concentrate on work?" }, { "from": "human", "value": "Hi sir, I am a degree student,i had started my medicine course from 2007..starting with encorate chrono 200 for epilepsy ,but gradually my condition got worse,and started to get shaked up..then i started having encorate 300 along with levipil 250..after 2-3 years..i started getting shivering problems with ma hands ,my hands do shiver when i do each and every work..I dont know y this shivering came..and i had found that..its more seen when iam concentearting and working..when i get tensed ..its found morre..what should i do..should i continue with the same medicine??is ther any side effects for these medicines..please help me out..??" }, { "from": "gpt", "value": "hi..well, this may be a form of drug-induced tremor possibly arising out of valproate..anxiety may also be a cause..whatever is the case, you should consult with your neurologist regarding proper dose-adjustment of the drugs you are taking..you can also repeat your EEG again if you are seizure-free for a considerable period..have a good health..thanks.." } ]

[ { "from": "system", "value": "Variation in human behavior on alternating days" }, { "from": "human", "value": "i am a phd student. one day I am very active and i can grasp things or do reading very fast and i can concentrate well and can work for long hours without any tired but on the second day i am not able to concentrate and feeling mentally tired and slow in reading. can i know the reason for this variation on alternate days" }, { "from": "gpt", "value": "hi..variation in alternate day in such a cyclic fashion is uncommon..probably its due to fatigue out of which you are performing poorly on the very next day..otherwise considering this history, I cannot stamp you an ultra-rapid cycler bipolar or like that..so try to change your life-style and work moderate..let's try..have a good health.." } ]

[ { "from": "system", "value": "Indulged in negative thoughts, sudden panic attacks, feeling of pass out, all tests normal, withdrawn clonazepam. Which medicine can be taken?" }, { "from": "human", "value": "Dear sir I am suffering mental illness from 1years.my problem is that whenever i think i always thinking negative thing and sudden i feel panic attack then i feel short breath and i feel that i will die.I have been visiting many doctor they suggest me ECG, FREE T4 ,s. tsh everything and all reports are ok.AT last i visited a mental heath doctor he suggested nexito 10mg daily first 4days 5mg and increased to 10mg.But i after taking i am n0t feel good and i again visited him and he advised me repose 25mg drug daily but after 1 tablet took my hy head was dangerous feeling.I took clonazepam .25 daily from 1year and dr. advise withdraw it i am depending this medicine.Now i feeling always panic and i feel i will die.I am doing nothing from 1 year and totally frustrated.now i get job and join november.Please advise me which medicine i will take.please please help me.................................... thanks.pls email me any mental health professional help me please please.i also tell that i have sleeping problem and always feelin g fears too much when panic will occur. Md.hasanuzzaman Bangladesh mail: YYYY@YYYY" }, { "from": "gpt", "value": "hi..well, escitalopram and sertraline have already been tried..also there is a drug called paroxetine from the same group that takes care of panic disorder quite well..but before that, you are not receiving the optimum dose of the drugs you were prescribed..just use a single drug and only switch if it fails in full dosage, for example sertraline upto 200mg per day, after a considerable period of time which I think you were not advised..anyway, visit your psychiatrist once again and discuss with these issues..also psychotherapy may well help..so never lose hope..its a curable disorder..wish you good health.." } ]

[ { "from": "system", "value": "Always get bad thoughts, negative feelings, difficulty in concentrating, severe anxiety. How can I get over this?" }, { "from": "human", "value": "hello dr.monnica williams ..here navjt from india..i just want to tell that i have some kind of bad thoughts and bad thinking in my mind n i m not able to concentrate on mind...i always think on double side that should i do this or not....and even i think much about enemies and those people to whom i dont want to talk,,they usually comes on my mind along with their photos..sometimes i feel so much anxiety n bad thought,whenever if i enjoy i think this is temporary ,then what is the fun of enjoying because one day we have to die,please tell me how i can become normal" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. You seem to be suffering from an anxiety disorder, which is causing you all these bad thoughts and negative attitude. I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Suffering with dysphagia, phagophobia, anxiety disorder. Normal blood and other tests. Treatment suggestion?" }, { "from": "human", "value": "Hi...I have severe problemS...I went to otolaryngolog and he said to me that isn T any danger problem...but I still have problems like as: dysphagia , phagophobia, high anxiety disorder ...and simply I don;t know what to do...I visited severe doctors and I did blood tests...and so many tests...but all of them are good...PLeassee helPp..meee..." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you are going through a difficult time with your problems. Anxiety disorders can cause not only psychological symptoms, but can manifest as various physical symptoms too. Since, all your medical evaluations have been negative, it is very likely that your physical symptoms like dysphagia could be due to the high levels of anxiety. I would advise you to consult a psychiatrist for a detailed evaluation and further treatment. There are safe and effective treatment options available to control your anxiety, and once your anxiety levels are brought under control, many of your physical symptoms will also subside automatically. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Angry, upset, violent, uncontrolled behavior due to brothers death. Treatment?" }, { "from": "human", "value": "Hi my name is XXXX and the other year my older brother hung himself and since then i ve had problems controlling my emotions and my anger, Nearly all the time i feel sad and upset. When i get angry i flip out and when i do, inside my head feels like it is burning and my pupils get bigger. Last year i used to punch walls. I hope you can help me!" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I'm sorry to hear about your brother's death and can understand how difficult and stressful this situation must be for you. Your symptoms seem to be indicative of depression (which has been precipitated by the sudden, extreme stress). I would advise you to consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options in the form of medication and counselling which will help you handle your emotional problems. So, please don't hesitate to seek professional help. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Suffering from BDSM, submissive nature. How to get rid of this obsession?" }, { "from": "human", "value": "Hi. I am 30 yr old male and my question is about BDSM. I consider myself a submissive. I believe I think too much i about BDSM and spend lots of time looking over bdsm photos over net. I also try to chat a lot about Femdom (try some online roleplays) and I feel anxious if I dont get anyone to chat with. I want to know if this is normal or not and if its not, are there methods to come our of this obsession?" }, { "from": "gpt", "value": "hi..look this is called gender identity disorder if you are categorized at all..and medicine won't cure it..counseling may help in a great way if you want an orientation regarding gender..people may not want so and they are happy..so the ball is in your court..thanks.." } ]

[ { "from": "system", "value": "What is the treatment for erectile dysfunction and premature ejaculation?" }, { "from": "human", "value": "I am Mr.Ranjan Banerjee 43 age,height 5ft2\" and weight60.I am married. I am married before three yars.I am suffering eractile disfunction and premature agaculation. I can not satisfation my wife. At the time very depresed. I have no issue.plese I am Mr.Ranjan Banerjee 43 age,height 5ft2\" and weight60.I am married. I am married before three yars.I am suffering eractile disfunction and premature agaculation. I can not satisfation my wife. At the time very depresed. I have no issue.plese helpe me." }, { "from": "gpt", "value": "Hello, Erectile dysfunction and premature ejaculation are usually due to psychological reasons unless you have thyroid problems, diabetics, high blood pressure etc. Get yourself checked for these. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist" } ]

[ { "from": "system", "value": "Feeling miserable, tired, sad, depressed, anti-social, suicidal. Will counselling help?" }, { "from": "human", "value": "I feel misrable, tired, and sad all the time. I feel that my life s not worth living most of the time. I feel like I have to put off seeing my friends as I don t want to leave the house. I have often thought it be best if I was not in the world anymore. I feel like I have let my family down as well. I have been told I am depressed but will just counselling help me?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. You seem to be going through a depression and all your symptoms and such feelings are indicative of this. There are indeed effective treatment options available - both in the form of medication as well as counselling / psychotherapy, which will help you overcome your problem. If your depression is severe, then, in addition to counselling, you may need anti-depressant medication to hasten your recovery. Please consult a psychiatrist urgently for further evaluation and treatment. Also, please keep talking to someone close about your feelings, as it will help you to offload some burden and make you feel more supported. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Irritability, burning in feet, ears, loss of memory, feeling low. Treatment?" }, { "from": "human", "value": "irrability,fire starting in my feet and working its way through my whole body and feels like flames are shooting out my ears, confusionion, feels like im going to lose my mind, everything mentaly feels its fling through my mind, no bad thought. that is really low, to think some one is going to help you, but wont give an answer unless you pay, i will go to a doctor." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. You seem to be suffering from an anxiety-related disorder, probably panic attacks. You need a detailed evaluation including a psychological assessment to find out what exactly your problem is. I would advise you consult a psychiatrist for a detailed evaluation and further treatment. There are effective treatment options available - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Stress, dizziness, fainting spells, fits, shaking, screaming, head injuries, vomiting sensation. Treatment?" }, { "from": "human", "value": "hi doctor i am 25 years old, and i experienced the following conditions 6 times till now which first appeared on 2002. During some stress condition i will get fainted. After that i will show fits like vibration with screaming. Last time when i fainted my head got hitted on the ground and when i gained consciousness i had a vomiting tendency." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. You history may be suggestive of a seizure disorder. So, you need to have a detailed medical evaluation to establish the cause of your fainting episodes. Please consult a doctor at the earliest for a thorough medical evaluation, which should include an EEG. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Waking up from sleep with dizziness, anxiety, bloated stomach. Wants to do colonoscopy. History of stress, anger, depression. Treatment?" }, { "from": "human", "value": "Hello, I m a 26-year-old male. Now it is almost 4 months when I sleep, I wake up with dizziness , shaking, anxiety , and a heavy (over-filled) stomach. Additionally, I feel like I have to poop. I ve gone through different blood and stool examinations and am fine from those aspects. Recently, I consulted a doctor and he prescribed me a colonoscopy procedure; but, I haven t done it yet. I must add that for the past one and a half year, I was under consistant stress and anger. Now I m seriously depressed as well. Thank you" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your symptoms may be suggestive of nocturnal panic attacks, which is a type of anxiety disorder. Since this problem has been causing you significant problems and since you have been in constant stress recently, I would advise you to consult a psychiatrist for a detailed evaluation and further treatment. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Tension, fear and inability to communicate. What can guide my life?" }, { "from": "human", "value": "hi doc i m a 20 yrs old boy doing my WWW.WWWW.WW course.i m worring about my different personality.my problems are and others.sometimes i can t talk to others.and also i have lot s problems.i don t have parents,so i m living with my relatives.i need ur guide to move my life.plz give me a reply to my letter." }, { "from": "gpt", "value": "hi..I don't know what you mean by 'different personality', but I feel you are finding yourself lonely..and loneliness hath no cure unless you are supplemented by some people..so look for them in your life..and please visit a counselor if you feel very disturbed..thanks..have a healthy life.." } ]

[ { "from": "system", "value": "Loneliness feeling, want to stay indoors all the time, get angry over small instances, have frustration. Was an outgoing person earlier. How can I get over this?" }, { "from": "human", "value": "hi i am 29 years old and i feel alone all the time, i have a boyfriend and all i do is fight with him, if he leaves the house i get angry at him and just feels like leaving and never coming back, i don t want to go anywhere, i just want to stay at home all the time, there is times i sit down and cry if i am alone and i when i don t get what i want. it is really taking over my live and i am sick of feeling like this all the time. i used to be an outgoing person and loved to go places but now i am just angry and frustrated all the time." }, { "from": "gpt", "value": "hi..your symptom-profile indicates towards depression..so just visit a psychiatrist and get well..have a healthy life..thanks.." } ]

[ { "from": "system", "value": "Mental disturbance leading to laughing and talking with self, in-obedience, loss of temper. What treatment can be taken?" }, { "from": "human", "value": "Dear Doctor, One of my close relative is disturbed metally and behaving very differently like speaking with himself and laughing and not listening to his elders, not taking bath for couple of days and will get angry (high temper)immediately if you suggest him to do some task. Patient name:Balanjaneyulu(Male) Marital Status: Unmarried Age:32 Since last 5 to 6 years he has this problem and his parents are very sad due to this guy.We took him to couple of doctors and they gave some medicines to have and no improovement even after using them for 3-4 months. Could you please suggest us how can we proceed further or let us know if Doctor who has good exeperience in solving these kind of patients in Hyderabd (Andhrapradesh - India). Thanks in Advance, Srinivas." }, { "from": "gpt", "value": "hi..whatever history you have put forward, it seems to be a case of paranoid schizophrenia..please consult a psychiatrist and start treatment..I don't know about Andhra Pradesh, but you can at least visit NIMHANS, Bangalore..thank you.." } ]

[ { "from": "system", "value": "Disturbing thoughts when alone causing fear resulting in profuse sweating, breathing difficulty, tummy tightness. Subsides on getting involved with other activities" }, { "from": "human", "value": "when i am silent and alone ,Suddenly some thoughts comes in my mind and i starts to fell fear . When this happens i sweat in my head and the whole body and feel i go cold . Also i feel my breathing becomes heavy and tummy becomes tight. This happens when i am relaxed and not occupied with any work. The if i starts reading something or listen hard to music or play games on phone/laptop. then gradully that fear subsides down and i becomes normal." }, { "from": "gpt", "value": "hi..well, this may well be anxiety-spectrum disorder, esp. panic disorder..so please visit a psychiatrist and get consultation..you may also require counseling..so please don't worry..have a good health.." } ]

[ { "from": "system", "value": "Had blocked parotid glands. Swelling and fluid in head and neck. Help" }, { "from": "human", "value": "I have had blocked parotid glands for 4 years now. I am on EVOXAC 3 x a day. I run around 100-101 degree fever everyday. I have started having fluid and pain in the back of my head and neck on the left side. You can feel the fluid and swelling . I have some auto-immune diseases. My immunologist is checking me for Sjogren s. They swollen part at the base of my skull hurts to touch and to turn my head. I am just anxious and wonder if I should let my doctor know about this before my next visit or just wait." }, { "from": "gpt", "value": "hi..Sjogren syndrome is an immunological disorder involving the exocrine glands..also gives rise to dry mouth and dry eye..most importantly, there is a possibility of lymphoma and also lymphadenitis for which you may be running fever..this may get infected also..evoxac is taking care of these dryness symptoms, but for the lymphoma, if present, you should consult the immunologist once again and also an oncologist..there are other immunosuppressant medication also which may well be tried in your case..have a good health.." } ]

[ { "from": "system", "value": "Wife's behavior suggests disinterest in marriage. Cries alone. Is she abnormal?" }, { "from": "human", "value": "Sir, I got married 2 years ago i feel my wife in different attitude she tries to quarrel with me regularly on the next day i admire that she is not aware of that quarrel. I feel she is abnormal sometimes.If feel that she is good to all but towards to me her approach i feel that she is not intersted in this affair.she likes to sit alone in a room closed always sleeping attitude." }, { "from": "gpt", "value": "hi..this is adjustment problems..if you cannot solve the issue, take help from a counselor to undergo a few sessions of marital therapy..thanks.." } ]

[ { "from": "system", "value": "What causes tightness in scrotum and testicles?" }, { "from": "human", "value": "hello i have a question, im 18 years old, almost 19, i am wondering if i might have the symptoms of delayed puberty or anything related to that category. about 90 percent of the time my scrotum and testicles are tight against the body and seem to be the same size of when i was younger. rarely are they relaxed. my penis size is also a question i would like to ask. fully erect i say its about 5 and a half, yet when relaxed it can be an inch at sometimes maybe little more. when my scrotum is elevated which is most of the time this is when the shrinkage is most noticable. i am a confident man yet this does worry me to a point where i need to ask a question. im 5'8 142 pounds, on vyvanse 50 mg and introducing myself to cylase something like that its a depressement med. i dont have much facial hair, i do have some on my chin, i do have pubic hair, but all in all can u help me out with some suggestions or diagnosis?" }, { "from": "gpt", "value": "Hello, Regarding hair growth, some people may have \"constitutionally\" less hair growth, which may be determined by hereditary factors. However, to be sure, you need examination by the doctor to detect the stage of puberty (called \"Tanner\" stage). The same staging applies for testicular size and penis also. However, in most cases, they are found to be normal. Therefore, please do not suffer silently. Consult doctor to find out the cause and get the solution. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sujoy Dasgupta" } ]

[ { "from": "system", "value": "Suggest remedy for cracking, dry skin in head of penis with bruises" }, { "from": "human", "value": "hi.I have been having sex with my girlfriend every night and ive noticed around the top of the shaft and just before the headof my penis cracking and really dry and aroud that area has become bruised.Its a bit embaressing, is there anything i can do to prevent this?" }, { "from": "gpt", "value": "Hello, Do not feel embarrassed as it can happen in many men. It's probably because of some injury. Keep the area clean. Maintain hygiene. Do penile bath (dipping penis in lukewarm water containing BETADINE lotion and magnesium sulphate powder for 5 minutes) and then apply antibiotic ointment. Use condom or abstain from sex until they are healed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sujoy Dasgupta" } ]