conversations
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[
{
"from": "system",
"value": "Child could have consumed melted plastic. Danger?"
},
{
"from": "human",
"value": "May I know the following- : used a microwaveable steamer to steam fish for my one year old boy : upon washing the steamer, I was horrified to find a piece of plastic takeaway small food cover in the steamed water, having no idea how it even got there : the plastic warped n melted cos it was not microwv friendly : Ive fed my son the fish, b4 finding out abt the plastic How dangerous is it?"
},
{
"from": "gpt",
"value": "good morning , there s nothing to worry if the plastic piece is not sharp or big in size, it ll eventually be passed out in the stools in a day or two. u have to take the kid to er if he complains of severe pain in abdomen or develops loose stools. if the child is playing comforatbly having a good apetite and sleep , don not panic."
}
] |
[
{
"from": "system",
"value": "Suicidal tendency, hears voices post accident, depression history. Are the voices and attempted suicide from the accident alone?"
},
{
"from": "human",
"value": "my grandson 23 was in a car accident and suffered a concussion . He was in the hospital for an hour and sent home to be watched for 3 days. Two days later he set fire to his room and tried to kill himself. He is now in the hospital lock up room and hears voices. No alcohol or drugs in his system at either time. He has been depressed before all this happened and won t tell his parents why. Are the voices and attempted suicide from the accident alone?"
},
{
"from": "gpt",
"value": "Hi and welcome to Healthcare Magic. Thanks for your question... Since you say that he had been depressed even before the accident, it is more likely that his current psychiatric symptoms are related to the depression. When depression becomes severe, psychotic symptoms can appear (like hearing voices, false beliefs, etc.) Moreover, since he was well enough to be sent home after the accident, it is unlikely that he would have suffered from any significant brain damage. Depression can be caused due to neurochemical imbalances in the brain and need not be stress related always. So, it is notsurprising that he did not reveal anything to his parents. With appropriate medication and close follow up he should be able to come out of his depression. Best wishes, - Dr. Jonas Sundarakumar Consultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Feeling of bugs in skin, taking medication for mental illness. Can you help?"
},
{
"from": "human",
"value": "hi my partner as got a mental illness she takes medication every day and nite for it but she keeps saying she as got bugs in her skin and keeps trying to get them out but i keep telling her there is nothing there but she keeps saying the people in her head are telling her they are i dont know what to do she wont go to a and e with me can u help me please"
},
{
"from": "gpt",
"value": "This condition is Delusional perceptive disorder if there is no skin infection. Please take one antipsychotic in low dose like olanzapine, trifluperazine&trihexiphenidyl combination and antidepressant like fluoxetine,escitalopram with low dose anxiolytic like clonazepam."
}
] |
[
{
"from": "system",
"value": "Depression, manic behavior. Taking citalopram. Alternate medication?"
},
{
"from": "human",
"value": "Hi. I am on 125 mcg. I am feeling depressed as well.last time I was prescribed citalopram but I became quite manic .... Getting up to do the garden at 8.00am before work .... I also bought a sports care BMW and a sailing dingy!!!! I could afford it but it was a bit unusual. If I was to ask for a different anti depressant what would it be."
},
{
"from": "gpt",
"value": "Hello dear, I think you need a mood stabalizer drug rather than an anti depressant drug. in the persons who are having tandency to have bipolar disorder, the antidepressant medications may cause switching of mood to mania. so first of all you need immediate stopping of citalopram and thorough evaluation including personal history and family history by a psychiatrist, who will probably put you on a mood stabalizer drug."
}
] |
[
{
"from": "system",
"value": "Poor mental health, stress, intrusive thoughts, demure thoughts. Causes and treatment?"
},
{
"from": "human",
"value": "hello, i have just watched a documentary on mental health and was thinking about my own mental health.I have has problems with intrusive thoughts over the past few years that i cant get out of my mind.Basically, ive has a lot of stress in my life starting as a child, not im 37 and as a result of things that have happened in the past pop up in my mind and at times i cant get them out, and its tormenting me.I dont suffer with mental illness but imoure thoughts are horrbale"
},
{
"from": "gpt",
"value": "hi, still lot of history you need to describe, however your symptoms looks like obsessive disorder (OCD), needs medication and behavioral therapy"
}
] |
[
{
"from": "system",
"value": "Panic attacks, stress, talking fast, slurred speech. Causes and treatment?"
},
{
"from": "human",
"value": "i was feeling fine the other day i have panic attacks ive been overwhelmed with to much stress i was talking fast and slured my word alittle for about 2 or 3 min then i had someone on my mind i knew who i was talking to but i said the other persons name and then i really panicke what can i do to stop these attacks i worry for no reason"
},
{
"from": "gpt",
"value": "start taking paroxetine 25 mg in night. do deep btreathing relaxation exercices.. do regular aerobic exrcise and morning walk it will help you.."
}
] |
[
{
"from": "system",
"value": "Suffering with depression, OCD. Is it safe to take effexor with prozac?"
},
{
"from": "human",
"value": "I have been taking effexor xr for about 5 mmonths it works very well for depression although the down side is hair lossl i t does not however work with my ocd adn i was wondering if i could take both these drugs to tacke these two problesm i.e. prozac for ocd and the effexor for anxiety and depression many thanks Arria can i take effexor and prozac to treat anxiety problesm and also prozac for ocd the former is working real well for me but i still need to address my recurrent ocd"
},
{
"from": "gpt",
"value": "hi, OCD is one of the long term problem and itself can induce depression when the symptoms of OCD increase. or there could be separate depressive episode due to some thing else. and Prozac is a very good drug for both and OCD and depression however at different dosages, so its up to your psychiatrist to adjust the dose of prozac so that it can control both the symptoms together rather than taking 2 drugs.."
}
] |
[
{
"from": "system",
"value": "Dizziness, blurred vision, anxiety, depression. Taking Klonopin. Serious?"
},
{
"from": "human",
"value": "I stopped taking Klonopin , Lithium , Gapapentin, Lamictal , and Wellbutrin for PTSD, depression, and a dissociative disorder (possibly DID) two weeks ago. I ve been extremely weak, shaky, lightheaded, and dizzy. My skin feels like it s being hit with mild shocks and my vision has been blurred. Things seem very confusing and surreal, and I ve been completely dissociating for large portions of the day. My memory and concentration are so bad that I struggle to finish sentences. My anxiety s gone through the roof, and I ve started having nightmares again (although I have gone from depressed to unusually happy). This has all been getting consistently worse, although I normally deal with dizziness and blurred vision from concussions, anxiety, and problems with memory and dissociation. My psychiatrist won t see me because my home has bed bugs, and I don t have a general doctor. Is any of this indicative of anything serious, and will it go away?"
},
{
"from": "gpt",
"value": "Hi and welcome to Healthcare Magic. Thanks for your question... You have been taking a combination of medication - including a sedative, anti-depressant and mood stabilizer. Your current symptoms may be due to two possibilities - discontinuation / withdrawal effects of the medication or recurrence of your underlying psychiatric problems. It is definitely not advisable to suddenly discontinue medication without the advise of a doctor. So, I would advise you to visit your psychiatrist and continue medication and discuss your difficulties with him and decide on further management options. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "What causes pain under the nipple without any mass?"
},
{
"from": "human",
"value": "Hi, may I answer your health queries right now ? Please type your query here... I am male, 69, for the last six months I have had pain in my left nipple. The pain is directly under the nipple and can be felt when the nipple is pressed directly. There are no masses."
},
{
"from": "gpt",
"value": "Hello, It may be because of hormonal problems like high prolactin, high estradiol or low testosterone. Check blood for these hormones. Do NOT press the nipple as it can increase the discharge. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sujoy Dasgupta"
}
] |
[
{
"from": "system",
"value": "What does this semen analysis report indicate?"
},
{
"from": "human",
"value": "Dr. i m Rasmi my reportcolour- whitish grayvolume- >3.0mlviscocity- yhickReaction - Alkaline Active 60%,sluggish 30%,Dead 10% ,pus cells 3-4/H.P.F,Epithelial cells 8-10/H.P.Fsperm count 76.00milions/ml(50.00-150.00)millions/mli am 22 years old is it ok or suggest me to devlop"
},
{
"from": "gpt",
"value": "Hello, Your report seems normal, except for increased Epi cells may be due to UTI. Doing a urine culture will help you diagnose Urinary Tract Infection UTI. Otherwise no issues. 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": "Head spinning, unclear vision, nausea. Blood phobia?"
},
{
"from": "human",
"value": "Hello Doc. Im a 20 year old male having a healthy lifestyle no major diseases. Yesterday a young cousin of mine got injured pretty badly. I was the one who cleaned his wounds and applied antiseptic lotion to them. I even checked closely whether the wounds needed stitches or not. Till that instant was completely OK. But when i was walking him up to the Doctors Clinic, suddenly my head and my stomach started spinning badly and my vision became extremely unclear. I almost vomited a couple times and felt that i was gonna faint but finally somehow managed to reach the clinic where i became better after lying down. Everyone says that Im suffering from Blood Phobia but that cant be right because when i was cleaning his wound and checking them, i didnt feel any bit uneasy or disgusted. And i myself have had bad history of injuries in my childhood when i easily used to watch the doctor stitch up my skin. So what was this nausea all about?"
},
{
"from": "gpt",
"value": "Hi and welcome to Healthcare Magic. Thanks for your question...Phobia is a type of anxiety disorder where there is excessive and irrational fear of something, leading to avoidance of that fearful stimulus / object. In your case, the appearance of your symptoms seem to be corelating with the incident of closely obseving blood / injury and so is likely to have been the cause of your nausea. But still, in order to technically qualify for a diagnosis of blood phobia, you need to have had persistent such aversion to blood / injury, along with avoidance of such situations (...which you say is absent). It could be that the straining of your eyes to closely observe / clean his wounds along with fatigue may have caused the nausea. However, if these symptoms keep repeating again in similar situations, then it is more likely that you have a phobia.Wish you all the best.- Dr. Jonas SundarakumarConsultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Have weakness, nausea and dizziness. On anti depressants. Related to BP?"
},
{
"from": "human",
"value": "Hi my name is hashim i m 39 years old i m suffering blood pressure since the age of 20 doctors recommended me blood pressure tablets along with anti depressant and relaxent. I have some gastric problem as well and i feel my BP may cause of this gestric problem. I feel weakness nausea and dizziness most of the time while taking medicine. I want to ask should i further continue my BP medicine or have actually gestric problem because when ever i lay down for sleep then automatically my BP increase and it feels heaviness in chest."
},
{
"from": "gpt",
"value": "hello welcome to healthcare magic Since you are suffering from blood pressure since the age of 20 years......you should continue medication for BP....... However if it is not controlled....take consultation from a general physician Secondly, your BP problem as well as your gastric trouble may be due to stress and anxiety features you have....... get a review from your psychiatrist for readjustment of the dose... Once your anxiety features are over...... additional problems will also get solved.... Wish you a good health...... Thanks"
}
] |
[
{
"from": "system",
"value": "Psychotic, complaining about parasites or worms coming out of skin. What to do ?"
},
{
"from": "human",
"value": "Ex wife complaining about parasites or worms coming out of her skin. I personally have seen things that I can t explain. She has gone to the doctor and all they say is she s psychotic. But do no tests of any kind. They may be right, or they may be wrong, but I have seen things that are not right so something is going on. Is there history of parasites that live below the skin and penetrate the skin to come out? She says using vinegar makes them active and in time will make them come out."
},
{
"from": "gpt",
"value": "hello Your doctor is probably saying the right thing.... she is experiencing some psychotic phenomenon.....she is having delusion of parasitosis or tactile hallucinations...... Start psychiatric treatment as soon as you can and have faith on your doctor..... With proper antipsychotic medication.....she will stop experiencing such things Good Luck Thanks"
}
] |
[
{
"from": "system",
"value": "Continuous shaking in hands and legs during hunger, emotional distress, stress after putting braces. What could the disease be?"
},
{
"from": "human",
"value": "hi i am 28 year old girl my problem is that my legs specially my hand shake continiously. but when i am hungry or when i hear people argue in loud voice on im happy when people say do work quickly or when i am sad my whole body specially my limbs shake very fast. i am gatting weak.all the time i feel very tired and depresse.kindly tell what is my problem/disease. i got this problem after i wear breases and taking antibiotics till 3 months continiously"
},
{
"from": "gpt",
"value": "still needs of lot of information.. however looks like you might be having anxiety disorder, and needs a consultation and medications"
}
] |
[
{
"from": "system",
"value": "Depression, stress, frequent crying episodes, frustration. Suggestions to improve mental health?"
},
{
"from": "human",
"value": "I am having severe depression and major stress! I am 20yrs old and have 3 kids that are 4, 3 and 13wks! I cry all day every day and stress over simple things! I feel like I cant do anything because im so depressed and stressed over everything! My 13wk old has severe acid reflux and hardly sleeps and im so easily frustrated and dont like it at all because my baby needs me! What to do?"
},
{
"from": "gpt",
"value": "Hi and welcome to Healthcare Magic. Thanks for your question... You seem to be going through a post-natal depression. Now, there are very good treatment options available for this and you don't have to be suffering in silence. You may need anti-depressant medication for a short while to help you overcome these symptoms. Alternatively, certain talking therapies like CBT can also help you effectively. So, please consult a psychiatrist at the earliest and take help. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Fatigued, difficulty concentrating, was taking Adderall and stopped. Want to get prescriptions from online doctors ?"
},
{
"from": "human",
"value": "I work alot of hours but have a ton of fatigue issues and for a while now extensive difficulty concentrating at both work and daily life. I used to take adderall when I was in collage but stoped for a while, now I can see that I really need it in order to keep up with my work as it is effecting my abililty to get things done and my overall job. Also, I work in investment banking which entails extremely extensive hours and I never have the opportunity to get to a doctor as I can barely leave from 9 to 7pm for a full doctors apointment, plus i usually work until very late to midnight or so each night. I wanted to see how I go about getting adderal perscriptions by speaking with an online doctor or over the phone to get one. Please let me know. Thank you."
},
{
"from": "gpt",
"value": "Hi and welcome to Healthcare Magic. Thanks for your question... Online doctors can give their expert opinion, clarify your queries and guide you regarding your health concerns. But I'm sorry to inform you that it is not possible to for you to get a prescription online or over the phone. Please consult a doctor in person. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Have diabetes. Have mental stress. Personal desire for negative events. Very emotional. Help?"
},
{
"from": "human",
"value": "Hi. I m quite young. But I ve always felt like I ve had a disease. I don t believe I m depressed, because I am very happy. But even if something small happens that makes me mad or sad, and I wish bad things will happen to me. I know that I will NEVER go through with anything, so thats good. But I kinda wish that something slightly bad happens, just to see what my friends & family will do. If they even care. I also think I have diabetes . But thats another story. I frequently feel like I m someone else, but myself, I fell like Im gonna make a difference in the world. I had bacterial meningitis when I was born, and I have a very low immune system . I ve always had migraines too. And I cry over almost anything. Please help. I scare myself."
},
{
"from": "gpt",
"value": "Hi and welcome to Healthcare Magic. Thanks for your question... You seem to have an anxiety-related or a personality-related problem. Many of your symptoms are indicative of borderline personality traits. You will need a detailed psychological assessment to plan therapy accordingly. There are good psychotherapy / counselling techniques which can help you handle your emotions better. Please consult a psychiatrist in your area for help. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Long distance friend has Jekyll and Hyde personality, tries to be close at times and then refrains, had head injury in the past. Advice?"
},
{
"from": "human",
"value": "OK I have a frind who i ve known for almost a year now we have had many conversations and have talked a lot and sometimes we talk about things and i guess to me seems she has a jekyl and hyde personality what i mean is we would talk and after a while lots of times the conversations would go different ways for example she has stated she wants me just as a friend nothing more but then we talk and after a period of time she would start giving me indicators she wanted to be more then friends and tel me she loves me and sometimes would indicate again she would like to pursue seing if we coul be more then friends and then the next day i would ask her about it and she would go off on me saying she never said that i dont want nothing more then friends and i m not getting it to the point she involved others to get this through me and this has gone on and on and to me seems like i m talking to 2 seperate people do i make sense so far? to me its like when she goes to sleep a reset button is hit and i don t know what is fact and fiction. As I said sometimes at night we talk its ok then she does start indicating she wants more then friends and she even dictated a letter to me stating that but when i confront her about it she says i don t remember that or i never said that and some of her actions she does for example we went out once and we had a moment so to speak which was fine but then again i would ask her the next day and she would give the excuse i was so stressed out that dayi dont know what i was doing and it shouldn t have happened. I hope i have given enough information. now i know she had a car accident a long time ago and i think injured her head but i know she is seeing a psychologist and psychiatrist to help with a lot of problems so i honestly don t know whats going on or even if i explained this right its like things we talk aboutthe night before are erased and it goes back to square one"
},
{
"from": "gpt",
"value": "Hi and welcome to Healthcare Magic. Thanks for your question...Such kind of unstable, fluctuating behaviour can be seen in a variety of psychiatric problems, like personality disorders, dissociative identity disorders, etc. A detailed history (including past and personal history) and a comprehensive psychological assessment is required to come to a definitive diagnosis. It's good that she is taking the help of a psychiatrist and psychologist. Your level of involvement with her is your personal choice, but it is better to be cautious about getting yourself emotionally involved with her before understanding her completely.Wish you all the best.- Dr. Jonas Sundarakumar Consultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Abnormal increase in heart beat, breathing difficulty, slurred speech during stressful moments, advised Concor. Should I take this?"
},
{
"from": "human",
"value": "My heart beat abnormally increase with a little stress and that effect my breathing and some time even i could not speak in that situation. It happen normally in meetings and other stressful event with my seniors. Doctor has recommended daily usage of concor 2.5mg. Is it worth taking the tablet in this situation and how long i will need to take it."
},
{
"from": "gpt",
"value": "Hello and thanks Concor is a good medicine to control abnormal heart fast rate. But the main cause of your fast heart rate is stress or fear from seniors. Try to remove this and you will not need any medications to control your heart rate. Consult your psychiatrist and have a proper counselling and medications. Make you will power strong and do regular exercise to relax your mind. Yoga and meditation can help you a lot. Best Wishes"
}
] |
[
{
"from": "system",
"value": "Chest heaviness, leg pain, stomach gas, dizziness. Stress test normal. Causes for symptoms?"
},
{
"from": "human",
"value": "i had a stress test done, came back normal, i still having heaviness in my chest . i woke up this morning my left leg was really painful , i have a lost of gas in my stomach , take acids med it help some what. when i walk around something i get dizzyiness. lightheadness. i just still not feeling well. What can i do to make this go away."
},
{
"from": "gpt",
"value": "hi, welcome to healthcare magic Multiple somatic symptoms despite of normal investigations suggests possibility of 'somatization disorder'. In this disorder patients have multiple somatic symptoms like abdominal pain, gas, frequent bowel motions, chest pain, breathlessness without exertion, pain in limbs or joints etc. Repeated investigations donot suggest any illness. you should consult with a psychiatrist. Psychotherapy and antidepressant medicines are useful in this illness. best of luck"
}
] |
[
{
"from": "system",
"value": "How to recover from Varicocele?"
},
{
"from": "human",
"value": "Hi. My husband has varicocele. Can you recommend an athletic supporter for him? He is 60 years old and is a building contractor who does heavy lifting. Is there anything else he can do? He has gone to see a specialist, and they told him that surgery might not fix the pain. Any thoughts?"
},
{
"from": "gpt",
"value": "Hello, I can understand your concern for your symptoms, an athletic supporter cannot be the option for varicocele. Post surgery there will be pain and its only a temp. issue. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist"
}
] |
[
{
"from": "system",
"value": "Concerned about the constant negative thoughts, difficulty in concentration. Any treatment?"
},
{
"from": "human",
"value": "My mind is always full of negative thoughts & that thoughts keep on moving for whole day even when i am talking,writing,chatting ,or doing anything please do tell me how 2 eradicate these negative thoughts even i did not concentrate at temple and when ever i go for long trip i cannot resist my thoughts in car also. I will be very thankful if u will help me for the same..."
},
{
"from": "gpt",
"value": "Hi Welcome to the forum. Meditation is one of the natural methods to control negative thoughts and gain concentration. The other best thing that you can do is practice yoga under an expert to improve your power to concentrate and draw in positive energy for yourself. You should consult a counselor and get cognitive behavior therapy. This will help you to get into any kind of depression and feeling of being lonely or left alone. If you still feel sick, visit a doctor you may need anti-depressants. You can take natural mood elevators like walnuts, soyabeans, tofu, tulsi tea, broccoli if you are a non-vegetarian you can take fishes ( salmon, shrimps, etc ) Keep well hydrated. To keep away negative thoughts take some amount of sunlight everyday, visit a parlour, take a beauty massage, exercise, visit friends, watch movies, sing songs. Keep yourself stress free and merry."
}
] |
[
{
"from": "system",
"value": "Addicted to Zapiz, get confusion and memory loss, tremors in hands, stomach discomfort on avoiding it. Help?"
},
{
"from": "human",
"value": "HI SIR MY NAME IS SHEKHAR WANT UR HELP 3 YEAR AGO DUE MY SISTER DEATH I WENT ON DEPRESSION , I HAVE TOOK SO MAY DEPRESSION MEDICENES. NOW I AM ONLY TAKING ZAPIZ 0.5 & I M ADDICTIED TO THIS TABLET WITHOUT THIS I CAN NOT WORK . IF I DONT TAKE I GET CONFUSED & DONT REMMEMBER THE THING. MY HANDS START TRUMBLING & also feel like stomach discomfart , serve carmps on body part. pls help i want to come out from this, i worying about the sid effect"
},
{
"from": "gpt",
"value": "Hi Shekhar, Welcome to Healthcare Magic. Thanks for your question... You seem to be suffering from a benzodiazepine dependence syndrome. Zapiz (Clonazepam) is a sedative belonging to the class of benzodiazepines. All the symptoms which you develop after trying to stop the medication are withdrawal symptoms. My advise to you would be to very gradually decrease the medication i.e. take 3/4th for one month, 1/2 for the next month, 1/4th for the next month and then stop. If you have any difficulty with doing this on your own, please consult a psychiatrist who will be able to assess you in detail and advice you further. Following proper 'sleep hygiene' and a healthy lifestyle will help you regain your natural sleep cycle. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Severe anxiety, high TSH, take half dosage due to palpitations, shaking in hands and legs, remain confined to home due to enervation. Advise?"
},
{
"from": "human",
"value": "Hi I am 48 , Male. I have high TSH (14.8). I have typical hypothyroid symptoms. I also have very high anxiety level and depression. I am advised on thyroxin sodium 50mcg but unable to take even half of it because it gives me palpitations, trembling hands and shaky legs. I am taking Atenolol 25 (once a day) and alprazolam . 25 (twice a day). I was also advised Duzela 20 but didn’t take it. Now I am confined to home almost, very low energy, get anxious/depressed all the times , get dizzy many times. Please advise. Thnx, Rajeev"
},
{
"from": "gpt",
"value": "Hi Rajeev, As you told that you are suffering from hypothyroidism and have a very high level of TSH 14.8. This is really very high level and the only treatment for this is to take the medication properly and in proper dose so that this can be controlled. Other problems which you are suffering from can be because of this hypothyroidism only and once you can control this problem other things will also go off. Now as you told that you are not able to take the whole tablet and have some problem with that, than I would suggest you to consult your doctor and ask if it is ok to take medication in multiple doses and 2 or 3 times in a day or you can ask for some preparation which can be taken more frequently. You are already on medication for palpitation and anxiety and hope this help you in controlling your condition, but you have to take medication for this hypothyroidism and after controlling this your condition will improve. Thanks and take care."
}
] |
[
{
"from": "system",
"value": "Why do I dream all day long? Can it cause temperament and loss of words?"
},
{
"from": "human",
"value": "am short tempered and lose words and over react at situations. Please let me know if I need to use a course? I don t want any confusion in my life and also how much ever I know I am losing words I am not able to stop it. I am having this problem - I am always dreaming. Seriously. If I wake up in the morning by 7:00 I start dreaming and it takes one hour to brush up my teeth and thus the rest of the day. Even If I am getting ready to office or bathing... I couldn t stop this habit! There has been many many sxamples like that usually I am a procastinator and also creative writer. For example, I would have ot ready but for atleast!? 1 hour Ill be dreaming occasionally talking to myself. Due to this - I have become absent minded and also forgets to do the most necessary things. I love to dream and from my childhood I have always been a dreamer - school, college but now it looks for me like a problem. Please guide."
},
{
"from": "gpt",
"value": "Hi Welcome to healthcare magic As per your description you are preoccupied with some thoughts (dreams in your case) all the time which is hampering your daily routine... You probably have obsessions of some kind which requires a psychiatric consultation With adequate treatment in form of medication/psychotherapy, I am sure that you will be fine. Good Luck Thanks"
}
] |
[
{
"from": "system",
"value": "Had sore neck, headache and vomiting after a panic attack. What can help stress?"
},
{
"from": "human",
"value": "I had a panic Attack yesterday well I think I did it lasted about 30 minutes and made me vomit I was left with a sore neck and a headache all day Today I feel still stressed out a little and have a constant Headache and feel hot around my cheeks And also have spots flashing in my eyes What s wrong with me I am also havin slight stabbing Pains in my chest"
},
{
"from": "gpt",
"value": "Hi and welcome to Healthcare Magic. Thanks for your question... It is possible that your symptoms could be manifestations of anxiety. However, headache associated with nausea / vomiting and visual disturbances may be indicative of a Migraine. Moreover, the stabbing pains in your chest also seem concerning. So, I suggest that you have a proper evaluation done by a doctor, including a thorough physical examinations and basic lab investigations. Relaxation techniques like breathing exercises, progressive muscle relaxation technique, yoga, etc. can all help in relieving stress. In addition, you can seek the help of a psychotherapist to guide and help you learn better coping skills, stress management techniques, etc. There are also certain specific forms of psychotherapy like Cognitive Behavioural Therapy (CBT) which can be quite effective in dealing with anxiety, stress and negative thoughts. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist"
}
] |
[
{
"from": "system",
"value": "Cutting skin due to anger, depression, loneliness, self-harm. How to stop?"
},
{
"from": "human",
"value": "Hey, I really need help. I self-harm and though I don t want to, I feel I really need to stop. No one knows about it though I roll my sleeve up to 20 cuts and no one even cares. It s blatent that the cuts are there but it seams no one cares about it. I cut when I m either; angry, depressed, lonley or feel worthless. I need to stop so that my parents and boyfriend never find out, i just dont know how."
},
{
"from": "gpt",
"value": "It need to be taken seriously at least by you. It does not matter if for the time being if other people dont take it seriously I would say it is a psychiatric emergency and you need to consult a psychiatrist or clinical psychologist There are effective treatments available in form of medicines and counselling"
}
] |
[
{
"from": "system",
"value": "Depression, suicidal thoughts, overwhelmed by problems, lack of self esteem, motivation. Treatment options?"
},
{
"from": "human",
"value": "I am severely depressed and have frequent thoughts of suicide . I feel overwhelmed by my problems, and I question the general benefit of my own existence because I feel like I am a disappointment and a burden to those around me. I don t have the energy to do self-help work anymore, and I do not have the health coverage or the income to pay for any form of treatment. I think I would approve for medicare , but I lack the self esteem and motivation to gather the know-how to apply. I need help, I feel like I am a danger to myself, and my current circumstances in life are only making things worse. thank you for your time."
},
{
"from": "gpt",
"value": "There are 20-30 % of people like you who suffer from what you are suffering from This is treatable with medicines You need to consult any psychiatrist without delay. I am sure it will help"
}
] |
[
{
"from": "system",
"value": "Not happy with the way I look, constantly keep comparing with others, take long hours to dress up. Advice?"
},
{
"from": "human",
"value": "Hello I m so sorry to bother, but for the past few years ive never really thougt about but I have been experiencing issues with myself. I find myself looking in the mirror & constantly checking my face as Im generally not happy with the way I look. I often compare myself to other girls my age & just compare how other girls are better looking than me. I am often really nervous of what people think of me especially boys as ive never had a boy stare or comment me. Although my friends & family constantly tell me Im beautiful I just cannot see it at all & Im convinced they are lying to me. When I look in the mirror I just see ugliness. I don t wear make up to school as I have no time but whenever Im going out somewhere make up needs to be applied & I spend several minutes in front of the mirror making sure Im happy which Im usually not. Im not overweight at all & I live an healthy lifestyle I just don t understand the problem. I often find myself wishing I god would magically make me pretty . By the way I am a 16 year old girl."
},
{
"from": "gpt",
"value": "hello You probably have \"Body dysmorphic disorder\" which is characterised by \"preoccupation with an imagined defect in appearance that causes clinically significant distress or impairment in important areas of functioning\". If a slight physical anomaly is actually present, the person's concern with the anomaly is excessive and bothersome. It is an \"Obsessive compulsive spectrum disorder\".... So it is advisable to consult a psychiatrist and get proper treatment Good luck thanks"
}
] |
[
{
"from": "system",
"value": "17 year old suffering from severe anxiety. Stopped schooling. What are the risks involved in using escitalopram?"
},
{
"from": "human",
"value": "My 17 yr old son is suffering terribly with anxiety and we have been trying several therapies including seeing apsychologist kinieseology taking st johns wort and fish oil. He has had trouble with this on and off since he was little and has left school to start a bricklaying apprenticeship since the beginning of this year and his beloved best friend his dog died a month ago. His anxiety is crippling and was wondering if escitalopram would be worth considering , What are the risks for him"
},
{
"from": "gpt",
"value": "escitalopram is very safe medicine.. excellent in controlling anxiety..having minimal side effects.. consult nearby psychiatrist.."
}
] |
[
{
"from": "system",
"value": "Why has genital area strength reduced? Is it due to oral sex? What can help?"
},
{
"from": "human",
"value": "i m 25 years old and i recently noticed that the strength in my genital area has decreased drastically. I don t do too much exercise but that s never been a problem for me in the past and in the past i mean like a couple months. I am going thru some emotional stress due to the fact that my wife of 6 years and I are separated along with being unemployed after being in the navy for 4 years. My genital region has always been my best feature but recently for some reason its not there anymore. I used to get erect just by seeing something attractive but now i only get erect with sex and oral sex mainly. It scares me very much but I try not to let it get to me but it does. Please please please help"
},
{
"from": "gpt",
"value": "hi, welcome to health care magic it appears that you are pointing towards erectile dysfunction. Earlier you had frequent erections but now it's frequency reduced. Emotional stress is most important factor in erectile dysfunction. Whenever you will have a normal life, you functioning will improve itself. So you need not to worry for this and try to settle you issues of wife and employment."
}
] |
[
{
"from": "system",
"value": "How to get rid of inflamed spot on glans penis?"
},
{
"from": "human",
"value": "hi i have got a crater on my penis gland after i applied vinegar on a virus. it was a red inflammed spot on my penis glan. the spot is now gone i think all that is left is a crater. it has a red inflammed bumpy ring around the crater. please help it to go away it looks really horrible"
},
{
"from": "gpt",
"value": "Hello, Vinegar is not the treatment for wart. You need to start with an antiviral (Acyclovir). Conform the infection by lab investigation HSV 1+2, IgG, HSV 1+2, IgM. Also conform to other STI -TPHA, CHLAMYDIA TRACHOMATIS IgG, HIV 1&2, HbsAg, Urine Complete. 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": "Over-masturbation has side effects? Why is there loss of sexual desire? Will I recover?"
},
{
"from": "human",
"value": "Hi doctor, Does Over-masturbation for five months cause any major effects. I hve been doing it 4 times a week and that too only for 4 or 5 months.Once i came to know that it has effects, i left it. Now i dont have the sexual feeling at all. Will i get recovered if i dont masturbate for a year or it will take more time to recover?"
},
{
"from": "gpt",
"value": "hello welcome to healthcare magic Since you were doing masturbation 4 times in a week..... it does not have side effects as such except in some chronic cases (compulsive acts) Just relax and lessen your anxiety....... it does not cause any harm ..... wait for few days and do preferrably once or twice a week However, I would like to know the side effects you have experienced if any Hope its of some help Good luck Thanks"
}
] |
[
{
"from": "system",
"value": "Difficulty falling asleep. Why was I getting restless? Is it anxiety or depression?"
},
{
"from": "human",
"value": "hello im 25 yr old female.for the past one month i have diffficulty falling asleep at night.i was getting restless because of that.i started taking lesotanil 3mg half a tablet at night to sleep.it helps at nights but sometimes it doestnt.im still up al night.i dont suffer from anxiety or depression .but sleepless nights causes me depression and i cry for sleep.im shifting country and getting married in a month."
},
{
"from": "gpt",
"value": "hi, if you have sleep problem only, then follow sleep hygiene for 1-2 weeks before starting any medicine. 1. don't sleep in day time, even short naps 2. don't take tea or coffee after 4 pm. 3. don't watch TV and don't use computers in evening, although you can listen or read anything. 4. never look at watch after going to bed. 5. do some physical exercise in evening 6. wake up at same time daily, even if you slept very late in night. I am sure practicing these for few days will solve your problem best of luck, sweet dreams"
}
] |
[
{
"from": "system",
"value": "Anxiety, depression, insomnia. Taking zoloft, ambien. Will taking wellbutrin help?"
},
{
"from": "human",
"value": "I am currently taking zoloft 25 mg and occasional .25-5 mg xanex when needed for anxiety and depression .(2months total so far) Ambien at night for insomnia . I am feeling better but am so tired throughout the day. The sexual side effects are unpleasant as well. Do you think adding wellbutrin to my mix would be Ok/ beneficial? I am also an occasional smoker and would like to stop"
},
{
"from": "gpt",
"value": "hello welcome to health care magic public forum You are taking Zoloft 25mg , xanax 0.25 mg and Ambien for insomnia Symptoms experienced by you are - Feeling tired (probably due to sedatives) Sexual side effects (due to zoloft) Since you are experiencing side effects of these medication.... you should consult your psychiatrist for re-adjustment of the dosage so that these effects wane off Regarding adding wellbutrin (bupropion) to your schedule.... ..... its one of the drug used for smoking cessation.... but don't start it without proper consultation Good Luck thanks"
}
] |
[
{
"from": "system",
"value": "Anxiety, nervousness, slurred speech, shivering. What anti-anxiety medication can I take?"
},
{
"from": "human",
"value": "i have a interview this month and im already worried about it so if you could please advice if i can take any anti-anxity or any tablets which can help me to calm myself on the interview day. i usually get nervous,gt slurr voice and start shivering so please help me out. I do not have any medical problem im all fit. thankyou"
},
{
"from": "gpt",
"value": "hi, welcome to health care magic probably you are suffering from an anxiety disorder. Standard treatment includes counselling, and medicines like paroxetine, sertraline, fluoxetine etc. But these medicines may take 6-8 weeks to provide a relief. For an interview you can not use anxiolytics like alprazolam as they will make you drowsy. A better alternative is propranolol (market name-inderal) 10 mg before the interview, (but if you have any other medical illness then it should not be used without consultation with doctor). Inderal will be very helpful in relieving stress of interview by stopping symptoms of nervousness. Meanwhile you should consult a nearby psychiatrist for treatment of anxiety disorder. best of luck"
}
] |
[
{
"from": "system",
"value": "Suffering from overhead headache and ear close after a trauma. Taken Clonazepam 0.5 mg. How to cure?"
},
{
"from": "human",
"value": "hi, My age 26. I have heavy anxious mind. one day I saw car accident and many death of man. I was suffering huge anxiety . after that day i am feeling overhead headache and my ear is closed. If i take antidepressant medication such as Clonazepam 0.5 mg, I am feeling good. after taking one month when i leave this medication. after i am feeling same overhead headache and ear close. I have no hyper or hypotension . Can you please help this."
},
{
"from": "gpt",
"value": "hi, welcome to healthcare magic Probably you are suffering from 'post traumatic disorder'. In this disorder patients have severe anxiety after exposure to a stressful event, and anxiety may manifest in the form of somatic symptoms like headache and ear close. It is treated by use of antidepressants (clonazepam is not an antidepressant) like sertraline, escitalopram, fluoxetine; along with psychotherapy. Treatment should be continued for atleast 6 months. So you should consult with a psychiatrist for a proper treatment as longer duration use of sedatives like clonazepam will make you dependent on it. best of luck"
}
] |
[
{
"from": "system",
"value": "Have anxiety and panic disorder. Why chest pain? Why depression? What can help me?"
},
{
"from": "human",
"value": "I have recently begun University, which has triggered a lot of anxiety . Anxiety and panic disorder is something that runs in my family, though I feel mine is different - it s not so that I get panic attacks, its that I worry about everything that is given to me/ assignments/ social settings etc. I am a total perfectionist, which could also have triggered it, and throughout high school, I have struggled with this (I would feel overwhelmed with assignments, procrastinate, get upset if I didn t get over 90% etc). My body image is also something I struggle with. Lately however, I have become even more depressed ,stressed, and have been upset/crying for days.My head has been hurting for over a week (and I have booked an appointment with a doctor to look at that) and have minor chest pains as well. I am finding it even more difficult than usual to concentrate, read (I have to constantly re-read things just to understand them) and write/ say things (like the words are there but I just can t communicate them).I also have moments (like right now) where I am full of energy. I feel as though my mind is always racing with thoughts that I can t control, and I know I shouldn t look to the internet for answers, but I was wondering if anyone has had an experience like this and can share some advice. Please help!"
},
{
"from": "gpt",
"value": "hi, welcome to healthcare magic it seems that you are suffering form GENERALIZED ANXIETY DISORDER which is also an anxiety disorder like panic disorder. Your experiences are not unique; most of patients of GAD feel the same. Like panic disorder it is also treated by antidepressants as sertraline, fluoxetine ,escitalopram etc. you mood swings may be related to co existing biploar disorder in which persons has shifts of mood from depression to mania or hypomania. So consult a psychiatrist, and start treatment. very soon you will be free of symptoms. best of luck"
}
] |
[
{
"from": "system",
"value": "Bipolar disorder, several maniac episodes followed by severe depression, feel enervated, demotivated. Is there any Ayurvedic treatment?"
},
{
"from": "human",
"value": "Good Morning Sir/Mam I am suffering from Bipolar disorder for last 10 years.It started with severe maniac episode for few months and then continued with severe depression which has continued till date. Only relief by allopathic medicine (Lamotrigine) is that severity of depression has come down and i had no maniac episode since then. But still Iam not able to enter into the society and do my daily living. Iam isolated from the world.No energy,motivation,interest,pleasure. I want to know if there is any Ayurvedic treatment available for this disease?"
},
{
"from": "gpt",
"value": "hi, welcome to healthcare magic Although you are seeking ayurvedic treatment and it's you right to choose stream of treatment, i want to inform you that you can get significant improvement by allopathy as well. You didnot mention dose of lamotrigine. Lamotrigine is a mood stabilizer drug and if patient feels depression despite of maximum dose, adding an antidepressant gives definite relief. So i advise you to consult your psychiatrist for addition of antidepressant. you will regain energy, motivation, interest, pleasure with normal mood. best of luck for a cheerful mood ahead"
}
] |
[
{
"from": "system",
"value": "Recovered after rehab from alcoholism, having gastro paresis and mesenteric artery syndrome, abusive husband for divorce. Suggestions ?"
},
{
"from": "human",
"value": "Hi my name is Ann and I`m so sad and worried about my daughter and four year old grand daughter. two years ago my daughter collapsed from alcoholism and after huge prayer and rehab . overcame this disease in our family. Now she has gastro paresis and mesenteric artery syndrone so a lot of symptoms resemble past lethargy and her husband is being verbally abusive at times and is definately triggered by past. His Dad, who he works with is the same way with him. At this time it looks like divorce or separation and my grandaughter is so distraught and cries easily. Her Dad does not want to go to alanon or counselling. He is a workaholic. What are your suggestions? We have been thru the terrible affects of divorce thru her Dad and my other children and am distraught to have 2nd daughter be in this mess. Her husband smokes pot every day at end of day. Thankyou"
},
{
"from": "gpt",
"value": "hi, it's very unfortunate for anyone to be in this situation. if her husband is not ready for counselling, only way left is regular counselling sessions of your daughter. Now it's time for her to overcome and even compensate for her past mistakes. During counselling whe will learn dealing with a difficult husband. It is possible that after some duration of her imporved behaviour, husband will start noticing it and may change himself. This will be very difficult for your daughter,but it is the only and best way to deal with this situation. She should make a sincere effort to save her marriage for future of her daughter. In your story it appears that her husband's abusiveness is due to past mistakes of your daughter, so chances are very fair that he will be ready to accept changes in her to save this marriage. best of luck for you and your family"
}
] |
[
{
"from": "system",
"value": "On valance od 1000mg for mood disorder. Getting angry soon, hyper, suspicious and aggressive. What to do?"
},
{
"from": "human",
"value": "I am suffering from mood disorder for last 10 years and have been on medication . Presently i am taking Valance OD 1000mg per day. Off late since the last one year, I get angry very soon on small matters and show a mood to my family. All these years I have been sometimes irregular on medicines, which results in re-occurence of the disease. I become hyper and aggressive. I take medicines and then again slowly come back to normal. I also become very suspicious. Kindly help."
},
{
"from": "gpt",
"value": "first of take regular medicine. most likely you are suffering from schizoaffective disorder. continue valance od and take risdone LS also. it will help you further to improve.."
}
] |
[
{
"from": "system",
"value": "Shortness of breath, perspiration of hands, feelings of being trapped in a spacious room, worry, insomnia.What am i dealing with?"
},
{
"from": "human",
"value": "For the past 2 months I have been experiencing what I presumed to be anxiety . At certain times during the day I begin to feel out of touch with everything, as if my perspective has suddenly changed. A very common trigger to these feelings is observing a spacious room, however this feeling comes on frequently at any time of the day for no specific reason I can determine. Soon after experiencing this feeling, I begin to worry that I am going crazy or that at any minute I will begin to hallucinate or lose my mind (For the most part, going crazy or losing my mind are the biggest and only worries I have during these episodes). It is as if I have become overly aware of my thoughts. My mind becomes consumed with these worries and I am unable to concentrate on anything other than these thoughts. Watching TV or going out with my girlfriend often takes me out of these episodes; however the thought of being thrown back into this unfamiliar state of mind haunts me almost always. For the past 2 weeks or so these episodes have been effecting me for the majority of the day however the feeling of anxiety, in my opinion, seems to only be a result of these feelings and worries I get while being affected by these episodes. The symptoms of anxiety that I do get however are as follows: shortness of breath, perspiration of hands, feelings of being trapped in this state of mind, worry, and once and awhile insomnia . Depression is often a result of this as well. Some physical symptoms that I assume are related to all of this is diarrhea for every bowel movement the past 2 weeks, headaches , and exhaustion. The most concerning physical symptom to me however is that I have been waking up every morning with what I can best describe as pressure in my head, a slight headache, and light headedness; these feelings subside progressively as the day goes on. Apart from these symptoms I am physically healthy, I eat very healthy for the most part, keep myself very well hydrated, and work out frequently. I was just hoping someone on here would be able to give me an idea of what I’m dealing with and let me know if it is in fact only anxiety. Thanks - Daniel"
},
{
"from": "gpt",
"value": "you are suffering from anxiety and panic disorder along with agoraphobia. take paroxetine 25 mg for 2month and consult nearby psychiatrist.."
}
] |
[
{
"from": "system",
"value": "What causes molluscum contagiosum while on treatment for prostatitis?"
},
{
"from": "human",
"value": "Hello, 4 months ago i was diagnosed with prostatitis in China. During the treatment - which went on far too long because the doctors tried to cheat me out of my money - I developed small wart like bumps on my penis. I asked the doctor and he said it is nothing and not contagious.While the prostatitis is gone, the 'warts' have started to spread and another doctor diagnosed them to be Molluscum Contaigiosum. I have no idea where i got this and I'm fairly sexually active. My biggest concern now is that I might have AIDS. Because after reading up on prostatitis and molluscum contaigiosum, both diseases are said to often appear on AIDS patients. I haven't shown any other HIV symptons and the last girl I had unprotected sexual intercourse with 4 months ago got diagnosed negatively for HIV 1 month ago.Could it be that the molluscum contaigiosum appeared when my body was pumped full of antibiotics for the prostatitis treatment and now refuses to go away?"
},
{
"from": "gpt",
"value": "Hello, If you have unprotected sex, then yes need to rule out HIV too. If its just Molluscum Contaigiosum, it will heal in 2 to 3 months .very rarely the infection will stay. If you worry about HIV then doing investigation - TPHA , HSV 1+2, IgG, HSV 1+2, IgM ,HIV 1&2 , HbsAg, Urine Complete. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist"
}
] |
[
{
"from": "system",
"value": "Mental stress, anxiety, gained weight, blood pressure problem. Itchy face"
},
{
"from": "human",
"value": "hello..i am 29 years old.i recently lost my father. due to lots of mental stress and anxiety i am not able to sleep at night. i wud be awake till 3/4 am and my mind wud be over active, i don t know how to block unwanted things out of my mind. i have gained weight alot in the past year. now i am having blood pressure problem as well. And recently i have experienced something i don t understand, i fell like drinking my face toner so i wud keep staring at it. Then the other night my face was itching and i wanted to scratch it and write/colour it with a ball pen, Kindly help me please."
},
{
"from": "gpt",
"value": "hello first of all, relax and don't worry As per your description, you are experiencing depressive symptoms which may be the continuation of grief reaction and for that u need some antidepressants/antianxiety drugs as well as psychotherapy. So i advise you to consult a psychiatrist soon and your problem will be easily solved Your weight gain or blood pressure problem may be linked to depression or there could be some other medical etiology too. So you should also consult a general physician. Good Luck Thanks..."
}
] |