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Answer the following question | mymox (amoxicillin) is an antibiotic and has nothing to do with lactation or milk production. sudden weaning of baby may lead to both physical and emotional effects on both the mother and her baby. gradual weaning is good. medical suppression of lactation is not advised due to accompanying untoward effects. try doing the following. try using supportive padded bras. manual expression of the milk just enough to relieve pain or engorgement. do not empty the breasts at a time. frequency and time for emptying vary. for more information consult an internal medicine physician online --> <link> | is mymox used to stop lactation? |
Answer the following question | from what you are describing it appears that he left you and it is irreversible. many things in life are irreversible such as death separation and so on. one must learn to let go and accept the loss. the more we try to hold on the more it hurts. it may seem difficult to let go but trust me as that is the most logical thing to do right now. discuss your pain with a trusted friend or a relative. go out and meet friends. strengthen your existing friendships and make new friends. spend more time on your hobbies. these alternative relationships will swell and fill the void left by him. after some time you will feel much better. remember that you lived happily before you met him also. you never know what life has in store for you. may be there is something more beautiful that is going to happen. try these techniques and if you are still having problems medicines can be started that will definitely improve how you are feeling. take care. for further information consult a psychiatrist online --> <link> | i could not bear the separation of my boyfriend. please help. |
Answer the following question | you need to take oral as well as topical antibiotics. start with tablet augmentin (combination of amoxicillin and clavulanate) 625 mg twice daily for a week and apply mupirocin ointment on the pimples twice daily till they resolve. this normally takes 7-10 days. if they are recurrent then go for blood sugar fasting to rule out diabetes and pus culture to find the exact bacteria responsible for your folliculitis. the probable causes:staphylococcus aureus bacteria. investigations to be done:blood sugar fasting and pus culture. probable diagnosis:folliculitis. preventive measures:frequent hand washing prevents spread of infection. regarding follow up:revert back after a week to a dermatologist online. ---> <link> | how to get rid of folliculitis? |
Answer the following question | accutane (isotretinoin) alone can control your acne well. birth control pills are given to avoid pregnancy while on accutane treatment. if there is no sexual activity contraceptive pills can be safely withheld. however it is very important to understand that accutane can cause serious side effects on the fetus if at all pregnancy occurs while on treatment. for further information consult a dermatologist online --> <link> | will accutane help in acne breakout? |
Answer the following question | during menses body have spurts of androgen. these androgen causes stimulation of pilosebaceous duct and leads to acne during this period. these types of acne usually appear in chin area may be because of more concentrated pilosebaceous unit localized to this place. do maintain hormonal imbalance with the help of antiandrogen to reduce acne during these days. for further information consult a dermatologist online --> <link> | what causes acne when we were on our period? |
Answer the following question | i have read through your query in detail. please find my observations below. amoxicillin is still a better antibiotic for dental abscess as compared to other medicines. it is the first choice of medicine even for dental abscess. it is better to continue with amoxycillin as a treatment option for her. metronidazole or clindamycin is given only in case of severe infection. the order of preference of drugs for dental abscess in a patient is: amoxicillin erythromycin or clarithromycin or clindamycin metronidazole. ciprofloxacin is usually not given at first. she can be given amoxicillin on her next appointment as well. the above information is as per latest updates on pharmacological treatment of dental abscess. please keep in mind any allergy the patient might have to any of the medications and prescribe an alternative choice. hope this answers your question. please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements. revert back to a pharmacologist online for further follow up --> <link> | a patient with a fresh knee replacement has taken pre-medication amoxicillin 2g. what antibiotic can be given for her tooth abscess? |
Answer the following question | i read your query and understand your concerns. although we assume in one or the other way but it is not like that. the fact is first someone becomes topper successful and then his style are appreciated leading to wider recognition. we as a society focus more on successful people and try to imitate them in the way of writing or dressing but it is not the style which makes somebody a topper. it is the hard work and intelligence that make you topper. i mean to say that things are in different order. like successful person leads to the identification of his style. so you definitely need to get into how you can achieve something rather than trying to imitate others. do not have much spare time to engage in these thoughts and have some work which helps you in achieving something. whenever you are alone try to connect with friends and family. use stop technique. just say stop loudly when you feel there are excessive thoughts. for further information consult a psychologist counsellor online --> <link> | how can i overcome the problem of assuming things? |
Answer the following question | i have gone through your query and understood your concerns. firstly if you feel attracted towards men and women both it is just your sexual orientation. it is not a disorder. the more you will try to get rid of these feelings the more they will disturb you. secondly entering the vagina is a very different feeling as compared to just rubbing it over the clitoris. your wife can best tell whether you penetrated her or not. if you wife is very sensitive you can give sufficient time in foreplay. rubbing followed by fingering and penetration should be the plan. this will solve the problem of tight muscles also. the head of the penis is always sensitive. if your penile foreskin is tight your surgeon can help. otherwise its normal to have a sensitive penile head. 40% sperm motility is not too low in my opinion you do not need any medication for it. slowly as you would be able to do intercourse properly your wife can conceive. gradually she can guide your penis into her vagina. hope this helps. for more information consult a psychiatrist online --> <link> | why do i get attracted to both men and women? |
Answer the following question | we are here to help you. i have some questions that you need to answer. since how long are you feeling breathing difficulty? does your problem aggravate on waking or it comes any time even at rest? do you feel that you need to take deep breaths? how is your sleep? ever did you wake up due to difficulty in breathing? if yes then how did it settle? revert back with the answers to the above questions to a pulmonologist online --> <link> | what is your opinion on my breathing issues? |
Answer the following question | relationship issues need to be settled down before it starts disturbing you. you have to fully understand what will it lead to and how will it affect your life in long run. when you get into any relationship for more than a year you start associating and sharing your feelings with that person which is quite obvious. in any breakup the reason for breakup is very important to deal with. you have not mentioned it here. if you had mentioned it would have been even more helpful in suggestions. suggestions: it seems that you have not yet accepted that you had a breakup. the reason for it must be challenged and accepted on your part. once you deal with that it will be easier for you to move on. try journaling or writing to an unknown friend (or to yourself) and share your emotions and feelings honestly. do not avoid recalling your memories because the more you avoid the more you get into it. go through it with the help of a counsellor and it will make you feel much better. follow up with the details of your relationship issue for the better management. consult a psychiatrist online --> <link> | i had a serious breakup with my girlfriend. i feel lonely. what do i do? |
Answer the following question | from what you have described you could be suffering from depression. depression of such intensity requires medication and cure is possible in such cases. breath relaxation exercises or meditation is also helpful but not a substitute for medications. investigations to be done:1. thyroid profile. 2. zung's self-rating depression scale. differential diagnosis:mdd (major depressive disorder). regarding follow up:for further doubts consult a psychiatrist online. ---> <link> | for depression would it be sorted out if i go for counseling? |
Answer the following question | i can understand your situation. after knowing that your boyfriend was cheating on you in the past you have repetitive intrusive thoughts that he can cheat again. this feeling of suspiciousness is normal to some extent but if it is troubling you making you restless and disturbing your daily routine then treatment is required. i will suggest you forget the past you have already planned to marry him. it will be better if you have positive thoughts in your mind. you can also visit a psychiatrist for counseling and behavioral therapies to learn how to control negative thoughts. keep yourself busy in work do some light exercises yoga etc. talk to your boyfriend about how you feel. it will help overcome negative thoughts. for more information consult a psychiatrist online --> <link> | how to overcome the fear of my boyfriend cheating on me again? |
Answer the following question | i would suggest you to apply melalite xl cream (tretinoin) on the black spots at night in minute amounts. please consult your doctor discuss with him or her and take the treatment with consent. continue this for three weeks and revert back. revert back after three weeks to a dermatologist online --><link> | how to remove acne black spots? |
Answer the following question | was it just acne or may be some insect bit? because in acne there will not be any itching. so i think it is some insect bite and the same thing happened to another part of the body. due to scratching you further triggered the inflammation. i suggest the following treatment. consult a specialist doctor discuss with him or her and take the medicine with consent. mild steroid and antibiotic cream such as flutivate cream (fluticasone) is a good one. also can use fucibet cream (betamethasone and fusidic acid) once in a day. i suggest one antibiotic too. tablet augmentin 625 mg (combination of amoxicillin and clavulanic acid) twice in a day for 7 days would be a good option. i would like to add some oral steroid tablet wysolone 20 mg (prednisolone) for 3 days in the morning after food. revert back after a week to a dermatologist online --> <link> | does acne itch? |
Answer the following question | i have read your query and i understand your concern. acne has several grades depending on the type of lesions. in grade 1 i prefer to advise topical clindamycin in the morning and benzoyl peroxide alternatively with topical retinoids in the night-time. oral antibiotics are also given like doxycycline or minocycline or azithromycin in grade 2-4 acne. avoid hair oil application and oily food in the diet. in responding cases consideration is given to start oral retinoids. kindly upload the images so that i can actually visualize the lesions and advice you to my best. also mention the details of treatment you have already taken. revert back with the images to a dermatologist online --> <link> | i have acne since the age of 13. kindly get me a solution. |
Answer the following question | i have gone through your query and can understand your health concern. the allergic reaction can be due to amoxicillin only because acetaminophen and codeine will not cause any allergic reaction. i suggest you to stop amoxicillin. you can use any of the cephalosporin instead of amoxicillin. for allergic reaction i suggest some antihistamine drug twice daily for three days. amoxicillin and other drugs of this group are very common to cause allergic reactions. as you have mentioned that you never developed such reaction in the past and this is the first time i tell you that it can happen. i suggest you not to take amoxicillin in the future. for further information consult an allergy specialist online --> <link> | can allergic reaction occur due to tylenol 3 or amoxicillin? |
Answer the following question | every person has numerous traits or habits. a person is sum total of his thoughts words and actions. when you think of judging a person it is making a global judgment. if you really need to be objective you need to judge a person's actions habits and thoughts individually. but i get what you mean to ask. here are my thoughts on it: judge a person by how much he contributes to the welfare of others. judge a person on the basis of his thoughts. it is only thought which defines an individual. judge a person by his actions in the past and present. judge on the basis of how he treats his subordinates because there is only way of treating the boss. judge on the basis of his behavior during crisis not when things are going great. judge on the basis of what he does for the welfare of others not on the basis of how much he earns. judge on the basis of his common sense not his qualifications. judge not on his looks but on how he makes others feel. another thing to note is that it is neither wise nor necessary to judge people all the time. no one has perfect judgment. because judgment is subjective and based only on available facts not on the whole truth. besides it can make us prejudiced unnecessarily. also people change with time. for further information consult a psychologist counsellor online --> <link> | how to judge a person wisely? |
Answer the following question | pain of near ones make you feel helpless. this weakens your strength somehow. symptoms like lack of sleep disturbance and tension occur when you feel stressed for any reason. but you have to be strong for your brother. if you feel low he will become worse and lose his will power to fight the illness. follow these to be mentally strong: have a healthy and good diet for yourself. take good care of yourself. take a walk on daily basis for easing out. keep sharing thoughts with someone about how you feel. unless you make yourself equipped with strength it will not be beneficial for your loved ones. for a psychological counselling consult a psychiatrist online --> <link> | my brother's illness bothers me a lot. i am deprived of sleep. please help. |
Answer the following question | yes for now you need to take i-pill to avoid getting pregnant within 72 hours preferably within 12 hours. but emergency contraception is not to be taken on a regular basis as it has progesterone and as you have been diagnosed with pcos (polycystic ovarian syndrome) there is already a long follicular phase (first phase of the cycle). you should consult a gynecologist for regular contraception like low dose oral contraceptive pills as they even help in pcos and regularising the cycle. for further information consult an obstetrician and gynaecologist online --> <link> | i have pcos and had unprotected sex. are there chances of me being pregnant? |
Answer the following question | anxiety and panic are the first possibilities. sudden onset of palpitations is a very unusual sign of heart attack. none of the investigation and symptoms are compatible with the heart attack. although there are some ecg changes like q waves which can be present are indicative of heart damage in case of heart attack. but your echo is normal and so no need to worry at all. there is also t-wave insertion in lead 3 and non-significant elevation in avr. so given these changes i would advise for some stress test like treadmill test or stress thallium which you did not mention anything about. if you have not undergone it then you can have it to rule out the possibility of inducible ischemia. the qrs prolonging of such mild degree is not significant and this much variation may normally occur with different ecg. it is not very common with omeprazole. for further information consult a cardiologist online --><link> | could omeprazole cause changes in ecg and increase the heart rate? |
Answer the following question | i can understand your concern regarding your symptoms and side effects of the medications. the symptoms you mentioned above are showing that you are suffering from dysthymia and moderate depression. depression itself is a cause of poor sexual drive. lexapro that is escitalopram may cause loss of libido and sexual dysfunction as you have already stopped this medicine long ago depression is the primary cause of your symptoms. i will suggest you try taking newer invented molecules like vilazodone. this drug has no daytime somnolence and sexual dysfunction. it will help you in early recovery. take it for at least three months and then stop slowly by tapering. consult your specialist doctor discuss with him or her and start taking medicine after their consent. within a couple of weeks you will feel better and these drugs have fewer chances of withdrawal depression when they are stopped and tapered slowly. behavioral therapies like cbt (cognitive behavioral therapy) or dbt (dialectical behavioral therapy) and counseling will help you to cope up your stress and will help you to maintain a happy state of mind. visit a nearby psychiatrist for a proper prescription and counseling. your symptoms are curable 20 % of the population spend some part of their life in depression and half of them overcome with this illness. hope my answer helped you. for further queries consult a psychiatrist online --> <link> | i am suffering from post-ssri sexual dysfunction. please help. |
Answer the following question | i read your query and understood your concern. as per your diagnosis of anxiety and panic attacks there should be no doubt whether you need neurologist or psychiatrist. both these conditions come under the domain of psychiatrist and they are more able to treat these conditions. other than anxiety and panic attacks you have got addiction problem because of the wrong use of medicines. in my view there is no role of soltus in case of anxiety and panic attacks. if you feel fine with an online psychiatry consultation session (via phone or video chat) then i will be happy to help you. you con contact me by either putting a detailed query or booking an online consultation. | suffering from anxiety and panic attacks for the last 3 years. need second opinion on the prescription. |
Answer the following question | the treatment includes some medicines and psychotherapy. 1) medication includes antidepressants (ssri's tci) antianxiety drugs. it is better to see some doctor before taking any medicine as the best medication for your panic attacks will depend on a variety of factors like presenting symptoms co morbid disorders and treatment goals. 2) psychotherapy (cbt i. e cognitive behaviour therapy) treatment of panic attacks. cbt works to help the patient to change his thoughts and perceptions that are contributing to fear and anxiety. once you begin to accept panic attacks you can start to change the way you respond to them. for example instead of reacting to physical symptoms with nerve-racking thoughts such as “i am losing control ” you can respond to them with increased calm and clarity. relaxation techniques such as deep breathing mindfulness meditation or yoga can be practised to help you get in touch with your relaxation response. repeating positive affirmations such as “despite my anxiety i accept myself ” can also help in getting past fear. by working on changing how you react you can start to remain in control during panic attacks. the next time you have a panic attack try to remember the three a’s of overcoming your fears: acknowledge accept and alternative response. these three steps can assist you in changing the way you react to symptoms and get through panic attacks with less fear. listed here is a simple step-by-step exercise that can help you overcome your fear of panic attacks: acknowledge - the next time you notice increased anxiety or panic symptoms simply pause and take a breath. take this moment to recognize that you are experiencing heightened panic and anxiety. this simple act of acknowledging your symptoms at the start of a panic attack can give you a sense of power over your fears. accept - rather than trying to run away from or resist your symptoms come to terms with the fact that you are having a panic attack. acceptance does not mean that you are giving in to panic but can provide you with the clarity needed to get through panic attacks. alternative response - instead of becoming wrapped up in your fear remind yourself that these are simply symptoms of a panic attack and that you have nothing to be afraid of. during a panic attack your flight-or-fight reaction may be trigger feelings of stress and fear. reframing these feelings can allow you to more effectively cope with them. so for example if during an attack you start to react with fear or a need to flee remind yourself that your symptoms will soon subside. instead of thinking “i am afraid of my panic attack ” try to reframe this to “i am feeling overly excited. ” when frightening thoughts such as “i am going to lose my mind” arise try to shift this perception be repeating to yourself “i am okay ” or “these feelings will pass. ” you can book for an online therapy or telephone counseling for further counseling and treatment from us. | i had a horrible panic attack two weeks ago. my arms and legs went numb. what can i do to stop this? |
Answer the following question | yes there are very good chances of you getting infected with your wife during sexual intercourse. so you should take proper precaution before sexual intercourse. yes. chances of a baby getting infected with hiv from a hiv positive mother are very high. you should consult a doctor for your wife's treatment during pregnancy with a drug called zidovudine to prevent your baby getting infected with hiv and she should not breastfeed her baby. hope i have answered your query. if you have further questions revert back to a hiv aids specialist online --> <link> | i am a hiv negative man married to a hiv positive woman. we would like to have a child. please advice. |
Answer the following question | clubfoot (twisted foot) is not an uncommon anomaly and its prognosis is good. it means it is correctable in most cases. amniocentesis is an invasive procedure. if you have already undergone biochemical markers like a dual marker or triple test and they are negative then the risk of other anomalies is very low. i will suggest you to take a scan from a fetal medicine expert near you. if no other anomalies are seen by him or her on that scan then just for a club foot amniocentesis is not required. for further information consult an obstetrician and gynaecologist online --> <link> | in my 18th week of pregnancy clubfoot was diagnosed. should i undergo amniocentesis? |
Answer the following question | there is an opaque small mass that could be just a normal blood vessel or an abscess or a cystic mass. but in order to confirm you need an mri scan of your chest. the cold and throat pain are not the cause of these opacities. for further information consult an internal medicine physician online --> <link> | are the opacities in my chest x-ray due to cold? |
Answer the following question | you have to reduce weight as you have family history of heart disease and obesity itself a risk for heart disease and diabetes. there is no problem with your cholesterol test. it is fine. to find out whether you have any heart problem at present or not i would advise you to get ecg (electrocardiogram). 2d echo (two-dimensional echocardiogram). tmt (treadmill test). in tmt it will be clear that whether at present your heart is fine or not. reduce weight by jogging 30 minutes a day. do not smoke. eat more of vegetables fruits and nuts. avoid cheese ghee butter and non-vegetarian foods. revert back after the investigations to a cardiologist online --> <link> | how to confirm if my heart is in good condition? |
Answer the following question | it will take 3-6 months for you to get pregnant. start taking folic acid tablet. hope it helps. consult an obstetrician and gynaecologist online for further help --> <link> | i have taken harmoni-f for three months. now planning for a baby. when will i get pregnant? |
Answer the following question | i understand your concern. see as you said your mother is suffering from active tb (tuberculosis) tb in the child should also be ruled out first. it may be just pneumonia but tb should be ruled out with some more investigations mentioned below. is the child gaining weight adequately? what is her present weight? was bcg (bacillus calmette-guerin) given at birth? when was your mother diagnosed and when tb treatment started? investigations to be done:1. mantoux test. 2. complete blood count. 3. gastric aspirate for afb (acid fast bacilli). treatment plan:an antibiotic should be given for seven days. regarding follow up:revert back with the answers to the above questions to a paediatrician online. ---> <link> | other than chest x-ray what test should be done for cough? |
Answer the following question | i am sorry to know about your problem. frequent urination is a common problem called overactive bladder. other than this mild pain in the urogenital region can be due to neural pain. masturbation usually does not cause these problems. i hope you had already taken a course of empiric antibiotics. i would suggest you try taking capsule tolterodine 4 mg and tablet nortimer (nortriptyline) 25 mg once at night for a month. consult your specialist doctor discuss with him or her and start taking the medicines after their consent. for further queries consult an andrologist online --> <link> | can frequent masturbation cause problems while urinating? |
Answer the following question | i have read through your query. please find my observations below. breathing treatments like nebulizers will not hide any suspected lung cancer when given before taking a chest x-ray. chest x-ray is a basic investigation used to screen the lungs field and heart and usually done as a routine investigation. a routine chest x-ray usually picks up any nodules or mass in the lung fields that might represent lung cancer and is not affected by the patient taking nebulization therapy. if there are strong reasons to suspect a lung cancer then a ct scan chest is the best investigation and gives complete detailed overview of the lungs. in conclusion breathing treatment will not hide a lung cancer when given before taking a chest x- ray. consult a radiologist online for further follow up --> <link> | can a breathing treatment given before a chest x-ray hide lung cancer? |
Answer the following question | frequent masturbation does not have much effect on your health. you can maintain a strict exercise regimen along with the proper diet you are having. start muscle strengthening exercises such as wall press pushups abs strengthening etc. drink milk every day with two bananas. apple is a must for once a day. maintain your weight does not decrease in any way. can have dry fruits in the evening such as almonds apricots etc. have salmon or tuna fish. have 8 hours of sleep which is mandatory. engage yourself in your work so that you do not get free time for unnecessary things. for further information consult a nutritionist online --> <link> | will excess masturbation affect weight? |
Answer the following question | masturbation is normal and not harmful. it does not cause physical problems or sexual problems. masturbation does not cause hair fall. both are due to the effect of testosterone. in boys of young age the effect of testosterone is high which is normal and cause desire to masturbate. hair fall may be due to low vitamin or scalp infection or high testosterone. frequent sex is not harmful. you can do it daily. no you do not have premature ejaculation. ejaculation in less than one minute is pe. she can be satisfied before sex by finger or oral sex. it is better to pull the foreskin before insertion. if you have done oral sex for 8 months without any problem then no further issue. anal sex can be done but regular may cause tear in the anus and a condom should be used. for further doubts consult a sexologist online --><link> | is masturbation a harmful act? |
Answer the following question | firstly let me tell you that sonography is not always suggestive of adenomyosis. it cannot diagnose it. for diagnosis you have to send biopsy of the uterus. in adenomyosis there is pain before during and after menses. there is also focal and diffuse type of adenomyosis. whatever you read on the internet is about diffuse or generalized adenomyosis. a few things on focal adenomyosis are available because most of the time it goes undiagnosed or has very mild symptoms that do not hamper routine. so just focus on the present and start trying for pregnancy. in fact if you get pregnant and pregnancy goes up to term or near term then there is a chance of cure from adenomyosis theoretically. if you do not have the symptoms of clear adenomyosis then there is a chance that it is not adenomyosis. so do not worry and take chance for a year. if you do not get pregnant then consult a gynecologist as normal people. for further information consult an obstetrician and gynaecologist online --><link> | can i conceive with adenomyosis? |
Answer the following question | masturbation will never cause these problems as you are having. semen is produced daily. so even if you do daily there is no harm. but too much of anything is bad as you can utilize your time for something useful to you. you have not mentioned your age. i suggest you to do masturbation on alternate days. do not stop doing it which will help you realize that it is not harming you. secondly negative thinking has nothing to do with masturbation. you should start doing some exercise daily. spend some time in meditation and prayer. learning yoga and meditation will help you a lot. for your depression i suggest you to consult a psychiatrist who will help you to boost your confidence with few medicines for a short time. be happy and find different ways to be happy. remove the fear of masturbation. for further information consult a sexologist online --> <link> | can masturbation cause negative thoughts? |
Answer the following question | masturbation is a normal thing. it is a myth that masturbation is wrong unhealthy and leads to weak body and mind. it is a normal way of a sexually healthy person to get self-satisfaction. the myth that masturbation is unhealthy is perpetuated by some quacks to earn money and fool people. the symptoms that you described such as reduced physical and mental energy known as anergia difficulty in thinking depression weak immune system and other physical symptoms are suggestive of depressive disorder. depression is a mental disease which can have lot of physical symptoms along with sad feeling weak and guilt. mind affects the whole body. a lot of times the cause of physical health problems is mental problem. the treatment for depression is antidepressant and counseling. also you need to get over your guilt over masturbation. for further information consult a sexologist online --> <link> | can excessive masturbation cause loss of energy and depression? |
Answer the following question | yes you are right. hypothyroidism can affect the fetal brain development especially in early pregnancy. thyroid hormone is normally very important for many functions of the body. it helps in the early development of the fetus. the brain is one of the parts of early organ development. in early pregnancy fetus mainly depends on mother's thyroid level because fetus itself cannot produce up to around 11 to 12 weeks (three months). there is no data available whether you have taken treatment early and adequately. but yes there is data that hypothyroidism can affect brain development and function in baby permanently and whatever damage occurs is irreversible. if you are taking thyroxine (levothyroxine) 50 mg and the level is this high then you need to increase the dose. and if you have started treatment just now then continue and repeat according to the doctor. as far as termination is concerned that is totally the couple's call. if you are prepared to take care of a mentally handicapped baby and related problems for the rest of life then you can definitely continue. if you are not prepared for that then you can go for termination. first control thyroid level and then try for pregnancy after you have a normal thyroid level. you will have to take tablets for hypothyroidism for the rest of your life. only dose adjustment will be required time to time according to the thyroid level. so the last choice is yours. you know what can happen. if you are ready for it then go for it and do whatever you have to minimize that. get treated for hypothyroidism more aggressively and control as early as possible. for further information consult an obstetrician and gynaecologist online --> <link> | can i continue my pregnancy with a high tsh level? |
Answer the following question | i can understand your concern. first of all i would like to tell you that masturbation is not the reason for the problem of premature ejaculation you are having. masturbation is a safe habit and most of the men masturbate. diabetes increases the risk of premature ejaculation. so i would advise you to maintain the blood sugar levels. if that is not controlled then consult your doctor for dose adjustment of the drug. for premature ejaculation you can think of taking dapoxetine. the drug is a ssri drug (selective serotonin reuptake inhibitor) and you can take it on as necessary basis. the drug will help to delay the time. the drug is safe to use and free of serious side effects. please talk to your doctor about the prescription of this drug. for further information consult a sexologist online --> <link> | is masturbation the reason for my premature ejaculation? |
Answer the following question | you can go for tooth extraction in a week or two after child birth as the amount of local anesthesia that can reach the breast milk is very less and does not cause any serious complication. however you should once consult a neonatologist or your obstetrician and gynecologist to confirm depending on the medical health of your newborn. and then you can proceed for extraction without any worries. all the best for your delivery. for further doubts consult a dentist online --> <link> | after delivery how long should i wait to get my tooth pulled? |
Answer the following question | your problem is sciatica but it has not yet progressed to a severe stage. at this stage you need rest and the following treatment. consult your specialist doctor discuss with him or her and take treatment with consent. tablet aceclo sr (aceclofenac) as needed do not use continuously. tablet mecalfa pg (multivitamin) daily in the night. when the acute pain is subsided please consult a physiotherapist for back strengthening exercises. for further information consult an internal medicine physician online --> <link> | from the mri kindly explain the severity of my low back pain. |
Answer the following question | your mri of the brain is normal except some sinusitis. i would like to ask a few questions. since when are you experiencing these symptoms? do you have a headache or vomiting? is there any history of seizures or loss of consciousness? how is your sleep? are you taking any medication? i would suggest you get the following investigations done. eeg (electroencephalogram). contrast study of mri brain. if required lumbar puncture and csf (cerebrospinal fluid) examination. thyroid profile. anti-tpo (thyroperoxidase) antibodies. kidney and liver function test. vitamin b12 level. the differential diagnosis of your condition are as follows: depression. limbic encephalitis. encephalopathy. revert with more information to a neurologist online --> <link> | does my mri explain as to why am i feeling lost and confused? |
Answer the following question | masturbating 2-3 times a week is healthy unless you get addicted to the habit. this kind of pain or sprain happens due to increased blood flow to your penile region and vasoconstriction along with it. it resolves spontaneously once the excitation is over. this can be relieved by little stretching after masturbation or by doing exercises for 30 minutes every day. there is nothing serious to worry about. if the pain persists consult a sexologist online --> <link> | during masturbation i felt some pain on the back side of my neck and head. please help. |
Answer the following question | a pregnant woman needs a good balanced diet. before going to that i will suggest you one thing. as your wife is hypothyroid the need for thyroid hormones increases by 50% in pregnancy. you need to increase the dose to 75 mcg. go for a thyroid profile and adjust dose accordingly with the help of your doctor. regarding diet plan have a glass of milk 300 ml twice a day. it gives the calcium needed for pregnancy. in the first trimester they face the problem of nausea and vomiting. so ask to take plenty fluids and more of vegetables and fruits. avoid oily foods in breakfast. in the afternoon should take at least four cups of rice with dal and vegetables. in the night three cups of rice or three rotis. take non-vegetarian that is chicken or fish twice a week. you can also have mutton once in 15 days. eggs to be taken daily or at least once in two days. for further information consult an internal medicine physician online --> <link> | would you kindly suggest diet for a pregnant woman? |
Answer the following question | it is really nice to hear that you want to have a change in your life. this will be an example for other ladies also. cleansing the body is essential but before that cleanse your mind with lots of positive attitude towards life. never forget to pamper yourself. always try to find some time to go through some motivational videos every day that will increase your motivation. fix a proper routine time everyday for waking up cooking prepare your children lunch snacks and dinner. go for an evening walk every day along with your children if possible so that you can look after them. follow a strict diet cut down carbohydrates from your diet chart and add more protein with cereals and pulses. add green vegetables and fruits. do meditation and yoga every day for a minimum of 30 minutes. spend more quality time with your children; play with them with lots of playful activities which will in turn become a workout for you. do stretching exercises for your upper lower body and trunk to improve your flexibility. follow these simple steps for a month and then you can post me back with your feedback. have a nice fresh beginning again in your life. best of luck. revert back after a month to a fitness expert online --> <link> | should i cleanse my body before starting workout to reduce weight? |
Answer the following question | i just read your query. in ayurveda or any other branch of medicine there is no medication that will help you to conceive a baby boy. no medication can do that. moreover the chromosome responsible for baby boy (y chromosome) is inherited by the male partner that means the gender of a baby whether it is a boy or a girl is determined by father and not by mother. some people claim that they give medicine for baby boy and promote them in the name of ayurveda medicine but no medicine can do that. for further doubts consult an ayurveda specialist online --> <link> | is there any medicine in ayurveda for conceiving a baby boy? |
Answer the following question | these medications are very safe. i suggest you folic acid supplements as it has to be taken three months before planning to for pregnancy. you can discontinue ovasafe and duphaston till you want to plan for pregnancy. but you can continue folic acid supplements. even if you take the medications there is no harm. the only thing could be that your chance of pregnancy will be high. as you do not want to get pregnant for the next months you can avoid those two medications. for further information consult an obstetrician and gynaecologist online --> <link> | is there any harm in using ovasafe and duphaston if i plan to delay pregnancy? |
Answer the following question | i read your query and understand your concerns. from the available values it appears that her thyroid function test is within normal limits but slightly at lower side. no medication is required in regard to thyroid as she does not have any symptoms related to thyroid function like fatigue irritability amenorrhea depression weight gain despite low intake of food dry skin and loss of hair to name a few. in case she has any symptoms then a trial of 25 mcg thyroxine (levothyroxine) should be attempted on a daily basis. for further doubts consult a general practitioner online --> <link> | my wife has thyroid and not able to reduce weight. please help. |
Answer the following question | you can practice some brisk home body poses and exercises other than walking or running. also reduce your calorie with low carbohydrate diet. have mainly two roti mix vegetables citrus fruits and cucumber. take vegan based diet less organic foods sleep more for a minimum of eight hours. hope you do not have problem of constipation. no stress no smoking and hard drinks (if any). no cola or sweetened drinks. avoid spicy foods outside street foods fried foods junk foods cream based foods. eat less salt and no sugar. have high quality protein rich foods whole wheat foods and also reduce or stop having rice and rice meals. both for your weight loss and tummy fat or extra visceral fats (unwanted body fat) i suggest to keep on mild exercises like yoga or body poses 15 minutes morning as well as before going to bed. mild walking possible but not heavy strenuous exercises. avoid rice but brown rice can be taken. do work out at gym and at least do free hand exercises for maximum time. you better have a calculated diet plan. cooking oil white oil or olive is better within 20 ml. so saturated fats like butter ghee fat containing rich dairy foods should also be avoided. no lentil local greens too much peas spinach cabbage or tomatoes. strictly avoid all trans fats rich foods. take soft bland timely quality foods with almost nil oils low or very low animal products and all related high animal proteins foods are strictly restricted with spare bad fats at home is best diet for you. the probable causes:high protein high fat containing foods and rich junk foods. treatment plan:1. diet. 2. exercises mild to moderate. regarding follow up:follow up after 15 days to a dietician online. ---><link> | kindly suggest a diet plan to reduce weight and belly fat. |
Answer the following question | i suggest you tablet folvite 5 mg of folic acid one tablet per day. the recommended dose of folic acid is a controversial topic. various doctors favor 1 mg to 5 mg per day. the best part is that the folic acid has no side effects. it is a water-soluble vitamin and an excess of it gets excreted in urine. so we recommend 5 mg per day to all our patients. when sufficient dose is harmless there is no need to take a chance by giving low doses. one more concern of mine is that you have to check with your neurologist if it is safe to go ahead with pregnancy while on lamictal (lamotrigine). the safety of lamictal is not established by studies. but if your physician has good experience with personal case series then i think you can continue. for further information consult a neurologist online --> <link> | what is the recommended dose of folic acid while planning for pregnancy? |
Answer the following question | there is likelihood of serum progesterone deficiency. et (endometrial thickness) 7. 7 indicates a luteal phase defect and spotting indicates irregular shedding. get a serum progesterone level test done. if low then cyclical progesterone would have to be started. for further information consult an obstetrician and gynaecologist online --> <link> | is mri with contrast useful for endometrial issues? |
Answer the following question | the amount of folic acid or vitamin b available in capsule of spirulina is not sufficient to meet the daily requirements of these vitamins. so it is important to substitute it by other vitamin supplements. for further clarifications consult a general medicine physician online --> <link> | can i take spirulina 500 mg tablet twice to replace the intake of 2. 5 mg folic acid and vitamin b? |
Answer the following question | as this drug is composed of iron supplement and folic acid you can take any available iron and folic acid supplement even as two separate medications. you can take it in the morning with orange juice to increase iron absorption. for further information consult an internal medicine physician online --> <link> | kindly recommend an alternative for zincofer-xt. |
Answer the following question | it is good to see your detailed history for which i have asked for. firstly your ecg is perfectly normal. for anything to be wrong in case of ecg the changes should be present in at least two consecutive leads at a time. in your case whether it is a t-wave or q it is always there in one lead which does not signify anything. as your stress echo and all cardiac enzymes are normal (far superior to ecg in diagnosing a problem) you are cleared from cardiac side. secondly you say that you were prescribed statins (atorvastatin). one of the most common side effects of statins is myalgia (pain in a muscle or group of muscles). the generalized body ache and dull aching in nature is a characteristic feature of myalgia. i request you to consult your doctor and immediately stop atorvastatin. also get your liver function test done. kindly ask your doctor to shift you either on niacin or fenofibrate if you are intolerant to statin. ecg is always interpreted by a doctor. the machine most of the times provide us with artifacts. do not worry; your ecg is perfectly alright. from your history you have severe anxiety levels and attacks called panic attacks. every attack of panic disorder presents with same symptoms as you have mentioned. i can feel that you are obsessed by the thought that you are having any sort of a cardiac ailment. try to overcome your obsession. if you smoke or drink then stop it. try meditation for at least 30 minutes a day and do regular exercise. i suggest tablet paroxetine 12. 5 mg once daily for 21 days and tablet clonazepam 0. 5 mg once daily for 21 days for anxiety. consult your doctor discuss with him or her and take the medicine with consent. panic disorder and your anxiety are induced by obsession and it needs to be treated. the probable causes:1. myalgia induced by statins. 2. panic disorders. 3. obsession induced anxiety. investigations to be done:liver function test. regarding follow up:for further information consult a cardiologist online. ---> <link> | does my ecg look like i have ever had a heart attack? |
Answer the following question | truly speaking mthfr - methylene tetrahydrofolate reductase mutations are widely spread and all most one half of the population is having or carrying these mutations by different extent. by different extent i mean to say various levels of affection or involvement that is from very insignificant disease to severe disease. i do want to know that in which category you are now. this is fairly judged by the serum levels of homocysteine which is the protein that is increased in the blood. if you have a severe mthfr defect then you need to avoid folic acid and also need to screen some fetal congenital defects like spina bifida or anencephaly at an earliest. but if you do not have any specific symptoms with this mutation then there is no harm to take these vitamins. pai mutations (plasminogen activator inhibitor) could result in abnormalities in blood clotting disorders. this actually poses no bar for taking folic acid in pregnancy state. for further information consult an obstetrician and gynaecologist online --> <link> | should i avoid folic acid during mthfr pregnancy? |
Answer the following question | the best way to reduce weight is by regular physical exercise and balanced diet. you can lose weight by reducing your intake of oily food and sweets. it is also important to space your meals in such a way that you have more frequent small meals (and not heavy meals). regular physical exercise in the form of some cardio and strength training will make you fit and strong. sleep and hydration are equally important when you try to lose weight. ensure that you take lots of fluids and that you get at least 6-8 hours of sleep per day. medicine to lose weight: as a doctor i never really recommend my patients to take medicines to lose weight. only one drug is approved for use in india- orlistat. if you really want to take it you can take tablet orlistat 60mg thrice a day (after your 3 major meals). as i have seen in practice and also research results say that orlistat does not produce too much change in weight. it shows just a small percentage of weight loss when coupled with low-calorie diet and exercise. and orlistat has its own share of side effects: fatty/oily stool oily spotting intestinal gas with discharge a feeling of needing to have a bowel movement right away increased number of bowel movements or poor bowel control. rare but serious side effects can occur: symptoms of liver disease (such as persistent nausea/vomiting severe stomach/abdominal pain dark urine yellowing eyes/skin) symptoms of kidney stones (such as back pain pain while urinating pink/bloody urine). bottom line: i do not recommend medicines for weight loss. i can make a good diet chart and exercise regimen for you if you would like to follow up in which case you will have to get back to me with your details- your daily food routine your work timings your daily sleep cycle the kind of exercises you prefer etc. i hope that answers your question. revert back to a fitness expert online --> <link> | suggest me any medicine and guide me reduce weight. |
Answer the following question | as per the data your weight is too high for an individual. you need to rebuild your lifestyle by giving time to exercise and yogic techniques. especially fast rounds of suryanamaskara will help you with your problems. start slowly and day by day increase the speed of practice. also you can practice some dynamic yogic techniques along with it for faster effects. along with yogic asanas dieting also helps you to get rid of your problems. cut down the carbohydrates like rice and use finger millet and include plenty of fruits and vegetables in your diet. try to consume lemon honey and water daily morning in an empty stomach. please do not consume any fast food or junk food to lose weight. the main thing is that you need to be active in your day-to-day life. give enough time to workout and running meditation is nothing but controlling your mind which ultimately relaxes your mind and body. a relaxed mind will always have a healthy body. you can try practicing nadi shuddhi pranayama for nine rounds as a basic step. later on will proceed further. while practicing pranayama you have to completely concentrate on your breathing pattern and the changes that happening in the body. the probable causes:lifestyle changes. investigations to be done:bmi (body mass index). treatment plan:suryanamskara diet plan - lemon and honey juice consume more fruits and vegetable instead of rice and fast food meditation and pranayama. preventive measures:yogasanas workout running exercises and diet. regarding follow up:for further doubts consult a yoga specialist online. ---> <link> | how to reduce weight through yoga? |
Answer the following question | most of the doctors sterilize the equipment in a solution which is kept on their examination desk. you have not mentioned the time duration between exposure and the onset of symptoms though hiv does not cause throat inflammation as a presenting symptom usually. still you can have to get a hiv dna or rna pcr (polymerase chain reaction) test done to rule out any chance of acquiring an infection. for further doubts consult a hiv aids specialist online --><link> | can hiv cause throat inflammation as a presenting symptom? |
Answer the following question | to be straight from the situation you described there is no need to worry at all. i do understand your obsession. at the outset you cannot be sure that the poop that has spiked onto your penis belongs to hiv infected person. assuming the worst case scenario hiv will not spread through contact with the following body fluids. sweat tears saliva feces or poop and urine. for further information consult an internal medicine physician online --> <link> | does hiv spread through toilet sharing? |
Answer the following question | we do not know the hiv (human immunodeficiency virus) status of the person with whom you had sex and also your baseline hiv status the other thing you mentioned that you do not have medical access for next three months. considering the availability of only lamivudine and zidovudine on your ship and assuming that your baseline status is negative i suggest you the following. to start with zidovudine 300 mg and lamivudine 150 mg twice a day at 12 hours interval postmeal for 28 days. it is recommended to start it as soon as possible within 72 hours of exposure. do not miss a pill. the first side effect with these could be in the form of nausea vomitings and anemia. get your baseline hiv status hepatitis b serology hepatitis c antibody syphilis serology gonorrhea and chlamydia pcr and hemoglobin levels checked whenever feasible. take light meals. i advise you to use a barrier contraceptive (condoms) each time you have sex to avoid the risk of hiv and other stds (sexually transmitted diseases). reduce the number of sexual partners and avoid sexual contact with a person of unknown status. assuming the baseline hiv status is negative repeat your hiv-antibody test at three months and six months interval of exposure. consult your specialist doctor discuss with him or her and start taking the medicines after their consent. for more information consult an hiv aids specialist online --> <link> | i had unprotected sex yesterday and i am worried about hiv and other stds. what do i do? |
Answer the following question | after the i-pill intake periods generally start in the next 7 to 10 days. so please be patient. for further information consult an obstetrician and gynaecologist online --> <link> | had i-pill after unprotected sex but did not get periods on time. why? |
Answer the following question | out of nearly hundred person having sex with hiv (human immunodeficiency virus) positive person hardly less than one may get infected. the chances of acquiring hiv after sexual exposure is less than one percent. i would suggest you to get hiv rt-pcr (real-time polymerase chain reaction) and elisa (enzyme-linked immunosorbent assay) for hiv- 1 and hiv- 2 antibody from two different laboratory. as far as progression of the disease is concerned hiv-rna would be positive. false positive or negative do not occur every time. be positive. revert back with the test results to a hiv aids specialist online --> <link> | my hiv tests fall under false negative. do i have hiv? |
Answer the following question | please do not be worried. you have done a right thing by taking i-pill within 72 hours of last sexual intercourse. you were not likely to menstruate on your actual due date simply because it takes about 5-7 days for bleeding to occur after taking i-pill. it is also a known side effect of i-pill that the following menses may be delayed or may be heavy. in case periods do not resume in the next 10 days then you must do a urine pregnancy test to rule out pregnancy. if the test comes as negative then please do not take any medication. just wait for your periods to return till then practise barrier contraception. if the test is positive which is unlikely though keeping in mind that i-pill does not cause any congenital abnormalities in fetus you would need to make an informed decision as to continue or terminate the pregnancy (which can be done by medical methods in early first trimester after ultrasound scan confirmation). things can be tackled at each step. so please do not panic stress per se can delay your menses further. try to keep yourself relaxed. consult a gynaecologist online for further follow up --> <link> | i had unprotected sex. what are my chances of getting pregnant? |
Answer the following question | the chance of transmission of human immunodeficiency virus (hiv) by single unprotected intercourse with a hiv positive person is 1/200 to 1/1000. it is very low. she may be negative so she might have asked it. probably the test done was antibodies tests. it is considered as conclusive after three months. you can go for hiv-1 and 2 rna pcr (polymerase chain reaction) at this stage to allay your anxiety. the symptoms are not specific and do not suggest hiv. it may be due to any simple respiratory infection. you can get it examined by an ent specialist to relieve your anxiety about throat infection. for further information consult a hiv aids specialist online --> <link> | can unprotected sex for a minute cause hiv? |
Answer the following question | let me answer your queries one by one. no you are talking about the case of extreme rarity and you have tested enough to prove yourself negative. your girlfriend has no chance to get acquire hiv. these are the most accurate test available and detect both antigen and antibody. no human immunodeficiency virus (hiv) testing will not cause a risk to you. i have seen two such cases in my residency. but you are not having hiv. for further clarifications consult a hiv aids specialist online --> <link> | i had unprotected sex. can hiv testing be a risk for me? |
Answer the following question | please wait for a week for your period to start. if it does not start by then you will have to do urine pregnancy test to rule out pregnancy. period could have been delayed due to stress. another rare possibility is that of pregnancy. though you mentioned the days you had sex as your infertile days sometimes occasionally ovulation could be delayed making the days fertile. still you had taken emergency pill (though it is highly effective in preventing pregnancy protection offered is not absolute). so there can be little chance of pregnancy which you need to rule out first. if you want to rule out pregnancy earlier you can do blood beta-hcg test negative result of which will rule out pregnancy. other option as i told is to wait for a week. if pregnancy test comes negative and still period does not start you can induce period by taking tablet medroxyprogesterone acetate 10 mg twice daily for five days. period generally starts within a week of last dose of tablet. it will not induce period if you are pregnant. for further information consult an obstetrician and gynaecologist online --> <link> | i had unprotected sex during my infertile days. can i be pregnant? |
Answer the following question | it is good that your foot drop is improving in a five weeks period. the twitches that you are feeling may be due to anxiety also. if it was als (amyotrophic lateral sclerosis) the foot drop would be unlikely to improve. as it is improving it is unlikely to be als. did you undergo any medical investigation for this foot drop? are you taking any medications for it? i suggest you undergo the following investigations. mri of the spine with a screening of the entire spine. ncv (nerve conduction velocity) of all four limbs. there can be many causes for foot drop. you should meet a neurologist for investigations to find reasons for foot drop and its proper management. for more information consult a neurologist online --> <link> | can anxiety cause foot drop and twitches in the body? |
Answer the following question | frequency of sex has nothing to do with e. coli bacteria (escherichia coli). prostatitis is very resistant to treat so it is not necessary that if you have taken treatment it will not recur. sometimes you have to take 4 to 6 months of treatment for prostatitis. this is the main reason why you are still having the pain. semen and culture usually do not cover all std's (sexually transmitted diseases) and lower abdominal pain is a non specific symptom and can be attributed to prostatitis. yes hiv (human immunodeficiency virus) could be transmitted through oral sex. so if you know the person it is better to get her tested because if she is not hiv positive then you need no testing. nevertheless you can go for hiv 1 and 2 antibody test by elisa (enzyme-linked immunosorbent assay) method and hiv rt-pcr (reverse transcription polymerase chain reaction). i hope the above information is useful to you. for further queries consult a hiv aids specialist online --> <link> | can hiv be transmitted through oral sex? |
Answer the following question | with your brief description it appears that you are suffering with some anxiety disorder most probably generalized anxiety disorder. the drug you are taking is neither sufficient nor appropriate when we are having a lots of safer and more effective drugs currently. i assure you that you can get rid of most of the anxiety symptoms with proper treatment. as you have the chronic problem you need to consult a psychiatrist online --> <link> | anxiety is every day of my life. rarely i do get a small break without anxiety. it has been 10 years. |
Answer the following question | i assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. i have thoroughly gone through your case and can well understand your genuine health concerns. the probable causes:the scrotal issues are due to the dryness of the skin and skin hair follicle infection. there is hyperkeratosis on the scrotal skin. all of these issues develop due to unhygienic urogenital habit and unhygienic skin condition of the areas of the external genitalia. no need to worry as i am suggesting very effective remedies for you to get better in a short period. the mouth sores are due to throat infection and it looks like a mixture of bacterial and viral infection. so you need to start the treatment immediately. treatment plan:for genital skin issues:- 1. the most important medical remedy for you is to shave the area completely including scrotum pubic area and the groins with a blade. make it a habit to do undershave (armpits and the genital area) before the hair grow very tiny. 2. keep the area clean and dry and apply hydrozole (combination of hydrocortisone and clotrimazole) cream on the whole of the genital area including scrotum. 3. you should take a prescription for amoxicillin. keep taking paracetamol every 8 hourly until you no more have fever. 4. apply some gel like orajel (benzocaine) on the mouth ulcers and stay for 5 minutes. then rinse with tap water. 5. do gargles with scope mouthwash. take plenty of water and proper rest. regarding follow up:for further information consult an internal medicine physician online. ---> <link> | i had unprotected sex and got ulcer in scrotum and mouth. will it be herpes? |
Answer the following question | com. at this moment you can take another 0. 5mg but do not repeat it after that. tomorrow you can discuss your poor response to the 0. 5mg lorazepam either with your physician or you can discuss with me online if online therapy for a psychiatry consultation is fine with you. in my view 0. 5mg is a correct dose initially to manage anxiety disorder. hope another 0. 5 mg will help you at this moment. | i have anxiety disorder and was prescribed with 5mg lorazapam. but this dosage gives poor response. is it safe to take one more tablet? |
Answer the following question | if she is in her ovulation period then better to take an emergency contraceptive pill. ovulation occurs 14 days prior to the expected menses. imagine her periods is of 28 days then unsafe days are from 11th day of menses to 20th day. ovulation is unpredictable as the cycles of menses. so such a long unsafe period for extra safety. if you had sex before 11 days and after 20 days of first menstrual day then chances of pregnancy are very less. you need not take i-pill. if not then take i-pill at the earliest. for further doubts consult an obstetrician and gynaecologist online --> <link> | had unprotected sex today. should my partner take contraceptive? |
Answer the following question | i assume that you are having good life with current medicines baring anxiety attacks. the possible reason for your anxiety attacks are: current medication- can you outline the onset of anxiety attacks after starting one or another medication that you are taking currently. part of schizophrenic illness- if you have these attacks irrespective of medication status that it is likely that these are the part of your schizophrenic illness. withdrawal effect of one or another drug- if you are inconsistent in taking your medicine then this reason is a strong possibility. the duration of anxiety attacks is one of the strong factor that determines the diagnosis. before we proceed for medication or treatment of these attacks you are requested to post more information about it. you can also book for an online phone or video chat consultation so the problem can be evaluated in detail. please provide the following details: duration of anxiety problem. frequency of problem. course over years or months. any association (decrease or increase) with current medication. duration of each episode. preceding factor to anxiety episodes. used coping skills by you. magnitude to which your life affected by anxiety attacks. any sleep problem palpitations dryness of mouth tremor restlessness. at this moment my advice is to shift the aripiprazole to morning time and continue the rest of the medicines. consult a psychiatrist online with the above mentioned details. ---><link> | suffering from anxiety attacks which are of a sudden onset. i am a schizophrenia and heart attack patient. |
Answer the following question | mirap is a mirtazapine which is indicated for depression. in my professional experience it is not as efficacious as the ssris such as fluoxetine or paroxetine or citalopram. mirap at the dosage of 15mg does help the patient to sleep better but it is also known for significant weight gain upto 10lbs in 2 weeks. clonazepam is indeed an useful adjunct and helps with the anxiety component. but i only prefer to use it as an "as needed adjunct" and no standing doses. i can help you better if you are fine with booking a session for an online therapy for a detailed evaluation. | suffering from anxiety and depression. doctor prescribed mirap and clonazepam. need a second opinion. |