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[ { "from": "system", "value": "Does masturbating affect sexual life?" }, { "from": "human", "value": "hello doctor ; it is not for me but for my firend he is been having sex i meant that by shaking penis by himself when it comes out he says he hed feeling befire but nowdays it is not there it seem is this a problem because he things it will affect his future i mean after marriage child birth .so please say what to do and any way to get back to old ways .and" }, { "from": "gpt", "value": "Hello, Masturbation is normal, natural and does not have any side effects unless you overdo it. Masturbation cannot affect childbirth of future sexual life. You can contact me for treatment options. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist" } ]

[ { "from": "system", "value": "Hallucinations, low temperature, no meningitis symptoms" }, { "from": "human", "value": "My child has hallucinations when his temperature fall down during last 3 days. He has not srept- tonsillitis and the last day his temperature was not more than 37 3. Is it possible hallucination on fall of temperature? There are not anysymptom of meningitis" }, { "from": "gpt", "value": "hi..high fever with delirium can lead to hallucination..but hypothermia should not..please consult your paediatrician once again and report this problem..moreover, you need to confirm what is the nature of hallucination or whether he has previous experience of the same..also, a history of convulsion should be sought..wish him good health.." } ]

[ { "from": "system", "value": "Foreskin tear. Using betamethasone vale rate cream. Is this steroid cream safe to use?" }, { "from": "human", "value": "Hi, my son s 4 years old, he s intact however to months ago a doctor forcibly retracted his penis which caused the foreskin to tear, now my new pediatrician is recommending betamethasone vale rate cream for 2-3 months? can this steroid cream cause issues long term use on a young child?" }, { "from": "gpt", "value": "hi..I think he had paraphimosis or like that for which retraction was necessary..anyway, long-term steroid is not recommended in a child although its topical..consult a paediatric surgeon instead and let him examine the area once again and then prescribe..wish him speedy recovery.." } ]

[ { "from": "system", "value": "Head hit on slipping. Delayed periods, PMS symptoms, major behavioral and psychological problems. Are they related?" }, { "from": "human", "value": "Hello, I am a 29yr old white female. 5 5 125 lbs. On Jan 6th of this year I slipped in my driveway and fell straight back on the back of my head, middle right side. I had a gaping wound , had a concussion , and was diagnosed with PCS. Ever since then my periods have been anywhere from 6-12 days late, but I m getting PMS symtoms 2 weeks after my period starts. I also suffer from MAJOR behavioral and psychological problems 2 weeks after my period to the point my psychiatrist wants to put me on an anti-psychotic medicine. Once I get my period I feel like a 9 compared to a 3. I feel so much better now. But this week I seriously thought I was having a meltdown. uncontrollable crying, major depression, 5 panic attacks when on 2mg on klonopin , serious mood swings. I just need to know that somehow this is all related and that it will go away..... anyone?" }, { "from": "gpt", "value": "hi..traumatic brain injury ( TBI ) can lead to any of those problems..its pretty hard to predict to what direction its leading..may be you had a brief psychotic episode following injury and that was controlled on anti-psychotics..now you are having a depressive episode, should be treated accordingly..you may require a mood-stabilizer in the long run..follow-up is needed..TBI can also lead to menstrual problems..few anti-psychotic medication can be also responsible..possibly you need joint care by a gynaecologist and a psychiatrist..have a good health..don't worry.." } ]

[ { "from": "system", "value": "Taking funil. Forgetfulness, repetitive actions. Am I okay?" }, { "from": "human", "value": "I USE TO WASH MY HANDS TWICE AND TOUCH WALLS ,CORRECTION IN WRITING AND READING TWICE SOME TIMES ,KICKING MY BIKE TWICE OR THRICE ,GEAR CHANGE IN MY BIKE SO MANY TIMES I ADVISED TO TAKE FUNIL 40.WILL I COME INTO NORMAL.I HAVE TWO KIDS ,I WANT TO MAKE MYSELF AS SELF MOTIVATION,I USE TO FORGET ALL THE TIMES I AM INTO SALES FIELD,PLEASE ADVISE" }, { "from": "gpt", "value": "hi..this is called obsessive compulsive disorder..Flunil works for this, but still you need to visit a clinical psychologist for some behaviour therapy and counseling as combined psychotherapy and pharmacotherapy work well rather than pharmacotherapy alone..so don't get disheartened and hold on..have a good health.." } ]

[ { "from": "system", "value": "HLA-B27, depressed, feels stiffness, back weakness. Precaution?" }, { "from": "human", "value": "Dear Sir, I have learnt a lot about your goodself and want to share some personal concern with you.My brother aged 27 yrs suffer with HLA B 27 from last 6- 7 yrs and he is very much depressed with the ailment ,He always having stiffness and he feel his back very weak.there is no much movement in his neck . I just want from ur goodness what precaution he try to smooth his life? Is this ailment is curable ?" }, { "from": "gpt", "value": "hi..this is a painful disorder called ankylosing spondylitis..now-a-days immunological treatment is available for this..so just consult a rheumatologist and live a healthy life..thanks.." } ]

[ { "from": "system", "value": "Exhausted. Sleep insufficient. Why am I having mood swings?" }, { "from": "human", "value": "I m a 21 year old girl and normally a very happy person and ready to go to my classes (and not waste my money) and wake up feeling good. Lately though i have been feeling like no matter how much i sleep it s never enough i feel so exhausted it s causing me to get to where i just want to lay down and try to sleep and miss class. I m also having mood swings. I never get like that normally. I ll be fine and then bam I m rude or upset. it s stressing me out to where i spilled something on my shirt and cried. that is DEFINITELY overreacting and odd for me, for anyone. I have no appetite and when i do eat it s hardly anything before it starts to make me feel really sick and i have to stop. idk what it could be and it s starting to really bother me." }, { "from": "gpt", "value": "hi..well, I think you have undergone through some stress of late..due to that you are facing a depressive episode..for that, there is insufficient sleep and loss of appetite..so please consult a psychiatrist..its curable..you will be fine..thanks.." } ]

[ { "from": "system", "value": "Mentally disturbed, doing hand practice, feels weak. Suggestion?" }, { "from": "human", "value": "hello,sir my name is mukesh from india , sir i am mentally distrub as a result i am arrested under the problem of hand practice now i am not married is studying in alone as a result i am doing regularly hand practice i have been feeling weekness in my body . i want to release this problem would u suggest me how i can comeover this problem . my mail id YYYY@YYYY ." }, { "from": "gpt", "value": "hi..please consult a psychiatrist regarding your mental health..also he can help you to guide regarding proper sexual practice..have a good health.." } ]

[ { "from": "system", "value": "Had heart attack, hallucinations. Should the psychaitrist be consulted?" }, { "from": "human", "value": "My father is 80 years old .. He had heart attack in Jan 2007 and has been taking cardiac medicines since then..He has hallociantion problem and at times talks irrelevant. He sees some people which are imaginary. But now a days he he even scared to go to Toilet and feels that some people will attack him. From last couple of weeks time, he even does not dring water given by any one in house and tells that there is poison in it...He at times gets up from sleep and tells my mom that XYZ is dead (XYZ is a living person)...I dont know how to treat him further. I would be grateful, if you could advice me on his case. We consulted psychaitrist but he did not take his medicines as those medicines would make him more sleepy..Pl let me know waht we need to do and also any good doctor in Awaiting for your reply." }, { "from": "gpt", "value": "hi..well, if he has delusions and talks irrelevant, he should consult a psychiatrist..moreover, a brain-imaging should be done fresh..there may be dementia..a possibility of Lewy Body dementia where visual hallucination is common..for the other psychological symptoms, there are atypical anti-psychotic available although excess sedation is a complaint ans you have to monitor closely..so consult and help him to feel better..thanks.." } ]

[ { "from": "system", "value": "Pain in one eye, localized headache with hyperventilation, chest pain, body spasms, long lasting blackouts. Diagnosed as hyperventilation syndrome. Can it be something else?" }, { "from": "human", "value": "I have been getting savere attacks the last few months. I have been in hospital for it 4 times over the last 3 weeks. Symtoms are, hyperventelation, chest pain , spasms (my whole body like a secure), black outs for up to 24 hours. I have resantly started getting saver pain in my right eye end very localised headacks. A doctor told me that it s hiperventelatiion syndrome but can it be something else?" }, { "from": "gpt", "value": "hi well..this may be hyperventilation syndrome, but still some other things should be kept in mind like ischaemic heart disease followed by a transient ischaemic attack although I don't know your age, but its a common complaint in elderly..also it may be other syncopal attack due to any cause..may be attack of glaucoma...even migraine..so please visit a neurologist and an ophthalmologist before a psychiatrist..have a good health..thanks.." } ]

[ { "from": "system", "value": "Scared of husband cheating on me, scared of eldest sister leaving and grandma dying. Mother had car accident" }, { "from": "human", "value": "I think something s wrong with me first off my mom got into a car accident when I was ten and she lost all her memory and doctors said she would be like a 13 year old the rest of her life and my dad well isn t very involved with me he would come in and out od my life till this day so I m 18 years old now and I have 2 kids and I m really scared for my husband to cheat on me or leave me and Im really scared of my oldest sister to leave again or my grandma that I m so close to to die and it seems to me I get really stressed and when someone in my family has a problem I let that problem become my problem so much I can get stressed about that too and I don t know what could be wrong with me?" }, { "from": "gpt", "value": "hi..well, because of the pain through which you have gone through you are suffering from anxiety-symptoms..nothing has happened to you after your marriage so far and hopefully nothing would..so don't get stressed.. visit a psychotherapist and then narrate your story..you may require some form of psychodynamic psychotherapy..also some medication may be useful if you consult a psychiatrist..so first of all don't worry..you will be fine..thanks.." } ]

[ { "from": "system", "value": "Suggest treatment for nightfall" }, { "from": "human", "value": "is frequent nightfall hazadious for health...m 22 year old,62 kg weight..i hv been sufering from nightfall since five years...my penis n sperms hv become so thin...nightfall occurs 2-3 times in week...sometimes 1 time in 10 days...please tl me docter what shud i do to overcome this problem" }, { "from": "gpt", "value": "Hello, Please understand nightfall is not unhealthy. Night fall is a natural phenomenon and there is nothing to worry about it. You can contact me for treatment options. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist" } ]

[ { "from": "system", "value": "Bad diet. Mentally unprepared for food. Why do I lose balance, faint or feel weak? Related?" }, { "from": "human", "value": "hello, i dont have any issues with losing weight, i like being a size 12 (10 stone ) and am this weight now. But i dont like eating, i dont feel hungry and i forget to eat, last year i ended up losing so much weight (down to around 7 and a half stone i think) i lost balance, fainted, had nose bleeds , i was weak and tired all the time and i think very depressed. i got like that without even realising it had anything to do with food and when i went to the doctors i was basically told its normal and im being silly! i really dont want to get like that again but forcing myself to eat is horrible! whats wrong with me? what can i do to help myself enjoy food like other people?" }, { "from": "gpt", "value": "hi..may be you have excessive pre-occupation regarding weight-loss at the back of your mind which prevents you from taking food..it may lead to anorexia nervosa..so consult a psychiatrist now..also I don't whether you were dewormed or you were on any appetizer or any investigations done due to this..so please consult a gastro-enterologist to solve these issues..have a good health..thanks.." } ]

[ { "from": "system", "value": "Feeling sad suddenly, wanting to cry, loss of appetite and weight, nausea. Reason?" }, { "from": "human", "value": "I ve been very sensitive lately and I wonder if I might be pregnant, or if this is a sign of depression or bipolarity.... Out of nowhere I start feeling sad and I want to cry when I shouldn t be feeling like this....I have a boyfriend, family, friends, a job and I also go to school...i know I have been stressed out and worried, but i would like to know what s really going on.....and because of feeling like that i have lost some appetite and lost weight, and I feel nauseous sometimes too" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. You symptoms may be indicative of a stress-related disorder or a depression. If you are finding it difficult to cope or function normally due to these symptoms, then I would suggest that you seek professional help. These psychological changes may be very unreliable indicators of whether you are pregnant or not. So, if you have had unprotected sexual intercourse and have missed your period, then it's better to have a pregnancy test done to check. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Suddenly behave like psycho, sudden behavior changes. Reasons ?" }, { "from": "human", "value": "Hello Sir, I m AAAAA .My friend is suffering from a disease actually we were sleeping in a train suddenly he woke up ,cut me and laughing, after that i reached our destination and now again he was talking like sycho person and pick up bread from ground and eating it and lauging again and again. Please suggest me. Thanks & Regards AAAA mail id:- YYYY@YYYY" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query.This kind of abnormal behaviour could be indicative of a psychotic disorder. However, your friend needs a detailed psychiatric assessment to make a correct diagnosis. Please take him to a psychiatrist for further evaluation and treatment. The earlier psychiatric disorders are detected and treated, the better is the prognosis. If he is refusing treatment and if you feel that his abnormal behaviour may be dangerous - putting himself or others at risk, then you need to inform his family and appropriate authorities about this.Wish you all the best.- Dr. Jonas SundarakumarConsultant Psychiatrist" } ]

[ { "from": "system", "value": "Poor mental health. Using olepra medication, weight gain, irregular periods. Side effects of medication?" }, { "from": "human", "value": "Hi Doctor ; My wife is a 38 years old lady.She is using tablet Olepra 2.5 mg ( Olanzapine ) for the last about three years being psycho patient ( Illusion ). There are certain negative side effects of this medicine like gaining weight and stoppage / irregularity in menses (periods).Can you please advice regarding solution of said side effects. Is there any other latest medicine for this disease having no such negative side effects." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Weight gain and irregular periods could be side effects of Olanzapine. If these side effects are causing significant problems, then other anti-psychotic medication can be considered. There are other medication which do not have these particular side effects, but this treatment decision has to be taken after carefully weighing the benefits and risks due to the medication. So, please discuss further options with her psychiatrist. Regular exercise and diet control are also important to be followed, especially when on anti-psychotic medication. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Obsessive compulsive disorder and lack of sleep" }, { "from": "human", "value": "Hi doctor i need one help.My sister is facing problem with OCD . he is taking medicine but she is unable to sleep in the night continuously for 2 months .Please help me regarding this" }, { "from": "gpt", "value": "hi..it is important to know why she is facing insomnia..or whether she is on sedatives or not..if OCD is associated with depression, there may be insomnia..or OCD per se can cause imsomnia out of anxiety due to obsessional thoughts and compulsive acts..so report her psychiatrist regarding all these and optimize her medication..also look to start behaviour therapy with the help of a clinical psychologist..have a good health.." } ]

[ { "from": "system", "value": "Senile dementia, subdural hygroma, becomes talkative if not slept properly" }, { "from": "human", "value": "HI sir my name is from Kolkata,india.My grandmother is 68 years old and has senile dementia e` subdural hygroma.she didnt sleep at all last day.and became very talkative.When ever she dont sleep properly this kind of behavior is noticeable.She is facing this kind of problem from 2010 may.i have given a medicine Eptoin . phenytoin tables.What should i do please help me.Doctors use to give this and alzil 5.What will make her sleep please help me doctor.Its a request from a grandson." }, { "from": "gpt", "value": "hi..visit a psychiatrist once again..may be she have had convulsion for which eptoin was prescribed..but the continuation of this drug at this age should be reviewed..alzil is anti-dementia drug, but the dose may be increased,,she should be prescribed sedatives for sleep and also some low-dose anti-psychotics to tackle behavioural and psychological symptoms of dementia..consult soon..wish her good health.." } ]

[ { "from": "system", "value": "Untreated bipolar disorder. Why is she snorting while talk and has patches of cuts on leg?" }, { "from": "human", "value": "Someone that I m really close to and care about has bipolar that is currently untreated. She was diagnosed with bipolar for a while, she was on medication before, and recieved help before. She no longer have insurance and she cant afford the medications for her bipolar. She used to smoke weed to get a short high to help her with her bipolar but she no longer smokes that. Ever since she quit, she has gotten worse. Right now, shes snorting/taking 9 to 12 pills daily if not more and has a patch of cuts on her leg. Is there any way of helping her? Is there any other way this could be treated?" }, { "from": "gpt", "value": "hi..bipolar illness requires prolonged maintenance therapy..its unfortunate for the insurance issues, but such the story goes..snorting may aggravate her problems, so she should quit..you should get help from a psychiatrist and start treatment lest it goes worse..wish her good health.." } ]

[ { "from": "system", "value": "Vomiting, stomachache, mental problem, taking rabonic-20. Is there natural therapy or permanent cure?" }, { "from": "human", "value": "my doctor has told me that i have mentaly problem (like stress, over thinking) that s why i have occured problem of stomach (like full of stomach, vomiting , stomach pain , burn in stomach) and he give RABONIC-20 MEDICINE (That contain rebaprazole) so, that medicine is good or bad or what are the natural therapy and is there any perminant solution of this disease." }, { "from": "gpt", "value": "hi..well, if you have gastric problems out of stress, its psychosomatic disorder..you should get help from a psychiatrist..also counseling may be needful to counter your stress-factor..and also continue to vistit your gastro-enterologist as before because only rabeprazole may not be sufficient for your problems..an USG or endoscopy may be required..have a good health.." } ]

[ { "from": "system", "value": "Forgetting recent things, remember past events. What should I do?" }, { "from": "human", "value": "dear sir my grand mom has started forgetting things she has done about 15 minutes back but she embers everythings she has done about 10 yrs back. pls tell me what should i do every kind of check up is done but doc says everything is fine this is happening since 1yr what should i do that helps her to retain things in her mind what she has done 15 minutes back" }, { "from": "gpt", "value": "hi..well, this is nothing but early sign of dementia..so please visit a psychiatrist and a brain-imaging done and along with medication to halt further progress..also take care of any medical morbidity if she already has..wish her good health.." } ]

[ { "from": "system", "value": "Supervisor does not appreciate work despite my working hard. Very angry" }, { "from": "human", "value": "Hi doctor i have got a problem woth my supervisor at work he is always in my case, i have tried to work hard as much as i can but he does not apreciate my effort the only thing he do he always looks for small unnecessary mistakes and make it a big issue, right now as i speak to you i m very fuming because of what he did to me just now and he doesn t treat us the same way. The management in our department likes him a lot which makes it difficult even to report him further. I m working as a security officer at the university in south africa" }, { "from": "gpt", "value": "hi..well, these supervisors are aplenty and possibly they require help from the mental health professionals..but there's seeming to be no option but to change your job or trying to tolerate him in course of time..I don't think you require any psychiatric help although I did not have other side of the story..have a good health.." } ]

[ { "from": "system", "value": "What does RBC in semen analysis indicate?" }, { "from": "human", "value": "Hi I underwent a semen anaysis and I am 26 years old.I contracted mumps last year. Volume:4.0, viscosity- decreased,pus cells-2-4,rbc-2-4, actively motile-37%,sluggishly motile_ 18%, morphology normal -97%.sperm count-18.6M. Is rbc in semen indicates something?Is my RBC result normal?thank you.Can i still father a child?" }, { "from": "gpt", "value": "Hi, More than 2 to 4 RBC in semen or urine indicate infection, pus calls more than 1 to 2 and RBC in semen indicate infection. Since you can both increase. We need to rule out infection. Doing urine complete and urine culture sensitivity will help you diagnose. Yes, you can father a child, its a minor issue. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Under severe stress, started self harming with hitting xiphoid, have dull pain on breathing, discomfort with tenderness. Have I damaged or detached the xiphoid process?" }, { "from": "human", "value": "hi. I am under an extreme amount of stress , quit my high paying job due to a breakdown , now I can t find a job, working in the mall (with an MBA) and am running out of money. I am so stressed that I have started self harming and really have never done it before. I am 38 years and one night I hit my xiphoid process with a blunt object. I have a dull pain when I even take a medium deep breath. There is tenderness there and discomfort. I had open heart surgery years ago for a heart defect and so I had a sternotomy. I am going to see my doctor regarding my antianxiety meds and I am in therapy to help me but should I seek help for the possible xiphoid process damage or detachment." }, { "from": "gpt", "value": "hi..well, if you have already visited a psychiatrist, he will take care of your mental health right now..you may also be required some form of brief psychotherapy by a clinical psychologist..regarding xiphoid, just visit your cardio-thoracic surgeon once again..have a good health.." } ]

[ { "from": "system", "value": "Weight gain. On Luvoc CR. History of depression, OCD, cholesterol, high sugar. Treatment?" }, { "from": "human", "value": "Hello, I have been taking Luvoc CR for the past 10 years for Depression and OCD . I would like to find out how much longer should I continue on this medicine? it times feel like to I am still depend on medicine, and I am tired to feel like that. But the biggest problem, is my weight. I have gain over 60 pound, and know I am having high colesterol, problem with high sugar. Please help? Thank you" }, { "from": "gpt", "value": "hi..look, OCD is nagging disorder which may not be cured fully by the medication only..you need help from a clinical psychologist and get advice regarding behaviour therapy..that would lessen the need of medication some day..regarding weight-gain you need to modify life-style..exercise regularly and consult a dietician..also you can adjust the dosage of the medication if you are doing well..have a good health.." } ]

[ { "from": "system", "value": "Pain, difficulty in swallowing, panick attacks, stressed. Low thyroid function. Will child suffer too?" }, { "from": "human", "value": "Hi, I want you to ask about MS condition. Through all my life I had weird things happen to me. I was quite sick child, all the time on antibiotics. At age 6 my limbs went numb suddenly, so I couldnt walk for over month ( with no explanations why), I had my half face numb (infected nerve) in couple years later, they treated it and said it could be infected by tick. I was all the time neurotic child, all the time had a problem to deal with the people and stress, problem with balance since childhood, experienced of fatigue , bluer vision , feeling to tired ( they said lower blood pressure), when it came to stress i have started shake, problem to talk and i thought i am experiencing a heartatack.As teenager it went worse, In my 15 my nodes in the neck were removed because of several infections which wasnt possible to treat any somehow. Later on I started have stomach problem (later on i was treated 4 times on helicobacter , but it seems it still come back, urine problems ( they said it could be because of sugar inbalance), lover back, limb and shoulder problem (pain, numbness, loosing feeling, sometimes difficulty to take something to the hand, or step in to the door without hurting myself ), sensitive to the pain, experiencing itching, pains, problem with multitasking, emotionaly cold, sometimes feeling having problem to really give a love, concentrating, geting quickly bored with things and people, bad memory , i dont remember half of my life, and when it comes to multitasking, i dont remember what i have done or what i should do etc.... In my 21 I experienced of panic attack, difficulty swallow which continues till now, doctor said it was because of overtired. They said i have low thyroid function, so taking 50 levothyroxine for over 8 years. I am now 29, most of the symptons are still pesist, some of them i learned how to deal with ( pains, difficulty swallow, panick attacks, dealing with the stress ), some of them were treated by doctor ( like helicobacter, bowl problem, varicose veins ) . Hope i did explain myself clearly, as I am not native english speaking. I need a help, recently i heard about ms, i read about it and consider myself, that might is my case. i have a 2 years old kid, thats the main reason to find out for me more about this condition, because he is experiencing the same balance problem as I do when he become tired. So I am worried for him, more then for me. What can you advise me? Thank you very much Mirka" }, { "from": "gpt", "value": "hi..mitral stenosis, varicose veins and peptic ulcer disease will be taken care of by your physicians..as for your mental health I would advise you to visit a psychiatrist and get some counseling done by a psychologist if you have apathy towards further pills..you may be prescribed some low-dose medication which will be convenient..and get on with some relaxation techniques you have to learn..please don't lose hope..you will be better if you want to..thanks.." } ]

[ { "from": "system", "value": "Whooshing sound in head and dizziness. Why does it happen so often?" }, { "from": "human", "value": "I m having a whooshing sound in my head and experiencing a short dizzy spell with a feeling of nausea that passes quickly. This has happened several times yesterday and today, once when I was driving and it scared me. I m still experiencing it. I feel like i m going to fall, but them it seems to go away for a little bit. I m under a great deal of stress right now." }, { "from": "gpt", "value": "hi..this sound in the head along with dizziness and vertigo may well be due to any problem in your internal ear by which these are controlled..so you require consultation from an ENT specialist urgently..and please refrain from driving till then as it may be risky..have a good heath.." } ]

[ { "from": "system", "value": "Taking Amazeo OD and Sizodone for having paranoid delusions. Concerned about the dosage change" }, { "from": "human", "value": "Hi...I have been prescribed Amazeo OD 200mg by a doctor and i was having that medication since 2-3 years....Currently another doctor changed the medication from Amazeo OD 200 to Amazeo OD 100 and added a medicine Sizodone 1mg...Is that reduction of dosage or increase of dosage?I was having medication since 13 years from the age of 16....So I wanted to cure the problem and stop the medication..I was having paranoid delusions at the the age of 16-17..." }, { "from": "gpt", "value": "hi..well, the second doctor seems to cross-taper between amazeo and sizodon as sizodon works better in positive symptoms like delusions and hallucinations if you are still experiencing them..amazeo is a good choice if you have progressive lethargy and cognitive decline, so called negative-symptoms..so the decision rests on your symptoms..and possibly you have paranoid symptoms for which you changed the doctor..stopping the medication in this case is difficult as its a chronic form of disorder..get blood tests for metabolic profile done periodically..have a good health..continue consultation" } ]

[ { "from": "system", "value": "Finding hard to remember words on talking. Is it due to age or reaction of diclofenac?" }, { "from": "human", "value": "I have in the last two weeks found it hard to remember simple words when I am talking. This is starting to bother me. I am 56, so can it be aging or drug related? I have recently started to take diclofenac for severe arthritis in my lower spine . I am also on cymbalta and lithium, as well as a stomach pill because of the diclofenac. thanks" }, { "from": "gpt", "value": "hi..it may be early onset dementia or depressive symptoms although it will be counted upon how you feel these days..sad or normal..I don't know why you are taking lithium..may you have bipolar disorder or it may an add-on for duloxetine to treat resistant depression..so please consult your psychiatrist and a detailed mental status examination should be conducted..also a brain-imaging should be done..diclofenac is nothing to do with forgetting..have a good health after a proper consultation.." } ]

[ { "from": "system", "value": "12 years old, showing violent behavior, anger, restlessness. Causes and treatment?" }, { "from": "human", "value": "i have a 12 year old son he has behaviour problems and at times like a switch can turn quite violent and angry without provacation have had ongoing problems with my son for 8 years now he attended a behaviour school in chch for a year this helped the family by not being in the firing line but doesnt seem to have had a lot of effect on my son i have been to a lot of medical people to no availhe is disruptive in class pen tapping whistling and generally being a nuisance he is quite intelligent at school he is heading to college next year and wonder how this is going to work" }, { "from": "gpt", "value": "hi..its difficult to judge what form of disorder your son have..its some form of externalizing disorder, however..like conduct disorder or ADHD..it may also be some emotional problem like deprivation that he may face..so consult a psychiatrist and then get a psychometry done by a clinical psychologist for proper assessment..he wil be fine..wish him good health" } ]

[ { "from": "system", "value": "Pregnant. Suffering from anxiety, bipolar disorder and depression. Is it safe to take anxiety medicine?" }, { "from": "human", "value": "i am 9 weeks pregnant and i have not seen a doctor scince i got my proof of prgnancy because i have to wait till the 20th of this month. i have ptsd, anxiety , bipolar disorder , and depression . i have not been taking my medications and my anxiety has been really bothering me for the last 3 days, and its really upsetting me and making me worry. i have tried alot of other things to help me calm down but its just getting worse. can i take my anxiety medication?" }, { "from": "gpt", "value": "hi..first trimester is vital for the organ-development of foetus..but apart from this, judicious use of medication is recommended as continuing with your bipolar depression may hamper the birth weight of the baby..for anxiety, a minimum dosage of anxiolytic may well be chosen..and as you progress further with pregnancy, dose adjustment is required in a proper manner..so visit your psychiatrist regarding all these..have a healthy life" } ]

[ { "from": "system", "value": "How do I get rid of shyness and depression? How do I think positive and regain my appetite?" }, { "from": "human", "value": "Hello, my name is Katie. I have a couple of things I want cleared, and hoping for some tips.. 1. Shyness . How do I get rid of it? I have never been able to go and talk with people, because I m way too shy. If somebody walk over to me and start talking, I automaticly back off. 2. Depression . Is there a way to get rid of this without asking your parents, talking with psychologists, taking anti-depressants? 3. Thoughts. Do you have any tips on how to refresh your thoughts from bad to good? I can t think positive, no matter how hard I try. In my head, there isn t even a future. 4. Eating disorders. I m starting to get worried that I might have one, but I m not sure, and I don t want to ask my mom. 2 years ago, I could eat several plates of food, but I lost the appetite completely. I hate food, and I can t eat more than 1 apple each day without feeling fat or guilty. 5. Maturity. Is there some steps to make the maturity process go faster? I mean in the head. I can t think mature at all, I feel like a little kid in a grown ups meeting room when I m at school. I don t hope I asked too weird or advanced questions.. But I would appreciate atleast a little answer. Thanks! :)" }, { "from": "gpt", "value": "hello welcome to health care magic I will try to answer your queries 1) Shyness could be a part of your personality or social phobia. 2) Yes there are many effective treatment strategies for depression like antidepressants, psychotherapy etc 3) Psychotherapy - CBT (Cognitive Behaviour Therapy)... Consult a psychiatrist/psychologist 4) Loss of appetite could be a part of your primary illness 5) Maturity comes with experience. Don't repeat mistakes in life. In that way you can attain it. However, these all problems are linked to one primary diagnosis for which psychiatric consultation is required. Good Luck Thanks" } ]

[ { "from": "system", "value": "What causes an elevated amylase?" }, { "from": "human", "value": "hi i was told by my gp that my amylase was high and so was asked to stop drinking alcohol for 3 months. After three months and all sorts of blood,urine,scans and stool tests my amylase was still high.I am not in pain of any sort and told by the consultant that its all okay and not to worry. I am not full happy with this situation and would be grateful for your expert advise" }, { "from": "gpt", "value": "Hi, The pancreatitis will increase amylase. The common cause of pancreatitis is alcohol. Also, increased by infection of pancreas, benign and malignancy of pancreas, obstruction in the pancreas. Doing a CT abdomen, liver function test can help you diagnose the cause. If you check the same test in the different lab may help you find lab errors. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Why do I have forgetfulness? Why are my relationships straining?" }, { "from": "human", "value": "33 yrs, male, software development (sit long hours and do job), get stressed easily, unable to ignore anything bothering, mostly late by 10 mins in almost everything. Recently I am starting to forget a lot. I even sometime forget the online bank ids temporary one day & remember the other day. I feel others can justify their delay, failure better & I work hard but still could not justify. Could not find the way which makes things look normal. I get the beatings even if I work better. I tend to create acute angle with some & good relation with some. finding difficult to manage people, get ths done from them. Need help in fixing memory loss problem and dealing people." }, { "from": "gpt", "value": "hello welcome to health care magic You have depressive symptoms along with obsessions (as per your description). Forgetfulness is a part of your depressive phenomenology. I advise you to consult a psychiatrist for treatment ( Medication as well as psychotherapy). With proper treatment, you will be able to handle your life in a better way. Wish you Good health Thanks" } ]

[ { "from": "system", "value": "Random rude comments, loud uncontrolled laughter, extremely intelligent, beats himself. Mental disorder?" }, { "from": "human", "value": "Hi! So there is a boy in my class and I am very curious about what his disorder is so I can be more understanding of his outbursts. Sometimes, he will make random comments, have loud, uncontrollable laughter, or be quiet and rock back and forth. He doesn t have friends but is extremely intellegent and can hold an intellectual conversation. Although, today he was punching himself in the face. Do these symptoms lead up to any disorders? Please let me know. Thank you." }, { "from": "gpt", "value": "hi..well this may be an impulse control disorder, a form of seizure disorder or a rare disorder called Tourette syndrome..whatever it is, he requires a detailed evaluation by a psychiatrist or neurologist..because these are curable although jeopardizing..you can talk to him about the issues if he is ready to listen..thus you can help..thanks" } ]

[ { "from": "system", "value": "Change in behavior after marriage, partner speaks ill about family. Is it due to hormonal change or depression?" }, { "from": "human", "value": "hi my brother got married on june 17.after 10 days his wife started behaving strangely. she speaks too much about her family disputes in her parents home. she belongs to a joint family.now she wants that her parents should leave their joint family. doctors says that this is because of harmonal change is it so ? or is it depression ? please guide" }, { "from": "gpt", "value": "hi look..this is nothing called adjustment disorder if we at all want to call it a disorder..and pills won't cure it..you just require a consultation from a clinical psychologist to sort out the issues..this is called marital therapy or family therapy..so go ahead without delay and start to enjoy life once again..thamks" } ]

[ { "from": "system", "value": "On Restyl for sleep due to depression of being jobless. How can I improve my mental strength?" }, { "from": "human", "value": "I am N Suresh here , aged 49 and started to take RESTYL 1 MG for sleep.I have given up drinks not in full but atleast 90%.I have been jobless for nearly 15 months which have made me to take the above referred medicine.Kindly advise how to overcome from this otherwise I am very strong and active also.Please save me and to get mental strenth for which i will be very much grateful to u for ever." }, { "from": "gpt", "value": "Mr. Naresh, Please don\"t take any med. on your own.Pl. take advise from psychiatrist YOU have depression no doubt but needs proper evaluation (interview)You will get relief to some extent with antidepressant" } ]

[ { "from": "system", "value": "Suffering with bloated stomach, breathing difficulty, dizziness, loss of appetite, not pregnant. Diagnosed as anxiety. Suggestion?" }, { "from": "human", "value": "yes i have been suffering from a bloated stomach, trouble breathing , dizziness , and loss of appetite . I know im not pregnant for sure and I went to the hospital cuz i thought i was gonna die because i couldnt breath right but they told me it was anxiety but I dont think thats the case at all. I dont know whats wrong with me" }, { "from": "gpt", "value": "hi..this may be a gastrointestinal problem..so before diagnosing anxiety, just visit a gastroenterologist..then a psychiatrist if required..thanks.." } ]

[ { "from": "system", "value": "Early eighties, have anxiety, get unconscious with sleeping pills, crave for tea. How can I overcome this?" }, { "from": "human", "value": "My wife s grandpa aged 80+ thin health was active until 75...now complaining for anxiety / sometime its aggravate. He can t take slipping pills even 1/4 of tablet...if its given 1/4, he gots unconscious for long hours 12-18hrs. What to do? Sometimes he continues hue & cry all the day asking for food especially tea. (don t take much food)" }, { "from": "gpt", "value": "This condition is known as Senile Dementia but needs proper evaluation,can be controled with mild dose of suitable antipsychotic along with Donepezile,rivastigmine,etc." } ]

[ { "from": "system", "value": "Shy person, have extreme anxiety before presentation speeches, feeling of heart in the mouth, get blank that reflects on the face and makes the situation worse. How can I tackle this?" }, { "from": "human", "value": "Hi, I am 28 years old and working as a software professional in Bangalore. My work profile requires me to give frequent presentations before my team. I have very bad speech anxiety , which has only been getting worse year after year. I am also a very shy person. My anxiety level is so bad that I can literally feel my heart in my mouth, not to mention that I go completely blank, and everything reflects on my face which makes things even worse.Please help me to tackle this problem." }, { "from": "gpt", "value": "hi..performance anxiety or social anxiety disorder is what we may call it is to be tackled by counseling..some bahavioural modification needs to be done..also some medication may be required prior to your presentation for the initial days of therapy to tackle anxiety..so pls consult a psychiatrist and then a clinical psychologist..have a good health" } ]

[ { "from": "system", "value": "Intermittent urine flow and frequent urination. Caused by stress?" }, { "from": "human", "value": "HI I AM BRIJENDRA,22 YEARS OLD i have urinary problems i have worse in stress & xray , blood test , urine test,,callibration test shows normal results but RGU shows nominal effect of Stricture but Dr. says according to Callibration test Stricture can t exist.Well i had stress and sleeplessness when this problem occurred but doctor suggests that this may be due to masturbation.It is started from last 2 years and i have stopped my study and now i am totally diappointed in my life due to this desease.I have met 3 different Urologists and now i stopped treatment due to side effect of medicines." }, { "from": "gpt", "value": "you are suffering from stress related problems. currently having anxiety disorder. take sertaline 50 mg for 2 months. consult nearby psychiatrist.. masturbation does not cause this kind of symptoms often.." } ]

[ { "from": "system", "value": "Scared of authority figures, scarcity of words when talking. What can I do?" }, { "from": "human", "value": "dear sir,i am Shameer from dubai,i am working here as receptionist.my problem is i am not able to act fearlessly.for everything i am getting scared for no reason.especially i got scared of people like my manager,my superiors and even my father also am getting scared.if they ask something to me i cannot reply them properly.i am not even getting words also to speak something.now a days i am suffering from a problem like scarcity of words and ideas while speaking to someone.i am not able to explain a particular matter in a understanding way.i cannot communicate with people.hope u can understand my problem.i await for your swift reply." }, { "from": "gpt", "value": "you are suffering from social phobia. and having anxious avoidant traits. you consult nearby psychiatrist for regular counselling and psychotherapy. start taking tablet escitalopram 10 mg for 2 months.." } ]

[ { "from": "system", "value": "Have deja-vu episodes, anxiety, no nausea. Have OCD, hypochondria. Any insight?" }, { "from": "human", "value": "Hello, My name is David I experienced the loss of my father 8 years ago at aged 12. Since then i have had health anxiety issues. Which at certain times have taken over my life. I m a 21 year old male who is seemingly healthy. However, in the past few years my anxiety has gotten worse after a health scare which thankfully turned out to be nothing. Since then my anxiety issues have become worse. And in the past year and a half i have experienced a few Deja-Vu episodes and every time they come after a period of intense worry/anxiety or bad news which seem to trigger these events. I feel like a scenario or conversation has happened before and after this i get unrecognizable memories/thoughts in my head for a few minutes and then return to normal. It doesn t make me feel nauseated or anything else. After that i feel much myself. However, i have read about Epilepsy and Deja-vu and have begun to worry again. As a person who has slight OCD , hypochondria and constant health anxiety issues im just wondering if there is any insight in to what is going on. Thank you for your help, David." }, { "from": "gpt", "value": "start taking paroxetine 25 mg in night for 2 months and consult nearby psychiatrist for regular counselling...." } ]

[ { "from": "system", "value": "Suggest treatment for low sperm count" }, { "from": "human", "value": "Hi, I am sufferring from low sperm count and we had 6 IUI and 1 IVF using my sperm which got unsuccessful. Now we are trying from donor sperm and my wife had gone 3 IUI but all are ended with negative results. As per doctors, she is perfectly fine and all test results are normal imcluding HSG. What may be the problem and what could be helpful in this case?" }, { "from": "gpt", "value": "Hello, You have a history of low sperm count. Some food affect sperm quality like high fat dairy products (whole milk, cream, Cheese), Soy products, pesticides & BPA (present in soft drinks & packed food), trans fat & processed meat, Msg. Avoid them as they cause low sperm motility, decreased sperm count or abnormal sperm shape. Avoid alcohol, smoking, caffeine or any other addiction. Snack on walnuts, eat fish, fruits & veggies. Take fenugreek supplements, vitamin C, D, zinc, ashwagandha is effective. Your treating doctor may give you multivitamin supplements & clomiphene citrate for better sperm count. Ge examined by a GP & get physically examined. If any pathology is detected, get it treated. Exercise regularly, stay away from stress, stress decreases sperm count, avoid negative people, take adequate sleep. Stay away from anxiety. After doing all this religiously you should get Sperm test done, your count should improve. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician" } ]

[ { "from": "system", "value": "Weak heart after argument, headache, lack of motivation, want to hurt myself" }, { "from": "human", "value": "I m almost 17, living in the UK. I am in the middle of my AS exams. I am under a huge amount of stress at the moment, with both my parents heightening up the need to do well in these exams, my girlfriend is self-harming and has just been diagnosed with depression . I am undergoing treatment for a small medical issue. My mum is constantly screaming at me over the smallest things. She says that the only reason they haven t divorced is because they cant afford to and that it is my fault. Recently especially after arguments, my heart feels weak, wierd. I get headaches complete lack of motivation and I want to hurt myself. I have no patience with anything, and have lost all control to the extent that i immediately jump to anger when my younger brothers ignore me. I go through periods of feeling really low to feeling optimistic. Most of the time I just don t care. Half the time I want to leave home now, and the only thing I am looking forward to is starting over at university, but that won t be for another year." }, { "from": "gpt", "value": "you are going through depression and identity crisis. consult nearby psychiatrist for help and start taking oxcarbamazepine 300 mg and escitalopram 10 mg every day.." } ]

[ { "from": "system", "value": "Intermittent episodes of tremors, increased heart rate, breathing trouble, stabbing heart pain. Panic attacks?" }, { "from": "human", "value": "Every once in a while I will get uncontrollably shaky and my heart rate is already naturally over 100 but it beats faster at certain moments. Sometimes there will be moments where it hurts to breath and there is a stabbing pain on the side where my heart is. I have gone to a doctor but they say it is just a panic attack. My problem with them summing it up to being that is that these symptoms will only occur randomly. I could be feeling great with no worries, I could be completely stressed out. It never has a connection. I am currently at work and I can t seem to calm down, I keep shaking and my heart is beating a little bit faster. What is wrong? Doctors keep summing it up to anxiety or panic attacks. Is that true?" }, { "from": "gpt", "value": "Hi Anxiety is likely but not the only cause. There could be several reasons - it sometimes happens normally also! Anxiety may not be the case with you - random and no relation, as you say. It may be Mitral Valve Prolapse , anomalous pathways and so on. Proper treatment needs proper diagnosis. First thing to do will be to see a cardiologist and get examined - especially during one such episode. In this situation, we start with routine ECG, ECHOcardiogram, blood tests (cell count, sugar, thyroid). If there is no clue, we go further - 24 to 48 hour ambulatory ECG monitoring (Holter). Your doctor will decide on the need for medications - beta blockers for example can help in both anxiety and palpitation Wishing you a speedy recovery Good luck" } ]

[ { "from": "system", "value": "Depression, signs of schizophrenia, has severe mood swings, suspicious thoughts, does not continue the medicine course. Help?" }, { "from": "human", "value": "Hello Dr Bodhale, My elder brother is ur patient. U treated him around 4 yrs back. But he didnt continue his medicines. he is depressed and have according to my knowledge have some signs of pysiphrenia. like, 1. He doesnt sleep in night and keep calling everyone whole night. 2. he feels that some or other is planning a conspiracy against him. 3. he is very very suspicious. 4. he abuses people for things that not really happen or to the people who have nothing to do with him. 5. he feel so damn depressed i cant explain. 6. he is not at all confident. 7. his mood swings within minutes. 8. he smiles sitting alone. these are only some signs. we have his reports and want him to meet you. Now even he feels that something is wrong with him and my mom has told him that he needs medication . bbut he takes medicines for somedays and again stop taking medicines." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. If you would like to consult a specific doctor or a specialist, please use the premium service. You brother seems to be suffering from a psychiatric disorder called Schizophrenia. This is a chronic disorder, which needs regular and long term treatment. Stopping medication or irregularly taking medication will lead to relapse of symptoms. Please take him to his psychiatrist for further treatment at the earliest. If he is refusing to take medication or co-operate, then other treatment options such as in-patient treatment or long acting (depot) injections have to be considered. Please discuss these options with his psychiatrist. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Suicidal thoughts, starting with anger, wanting to shoot followed by numb feeling settles with cuts on the body. What treatment is advisable?" }, { "from": "human", "value": "My boyfriend is having problems that wont go away. He said it starts with anger , like pure rage, and then i feel like i want to just put a gun to my head and pull the trigger. then i feel so numb, so i cut myself can you help? i dont know what to do and hes scared to tell his mom about it. An he s also had suicidal thoughts." }, { "from": "gpt", "value": "hi..it may be impulse-control disorder or something like personality trait..so please visit a psychiatrist..also an EEG is to be done..this disorder will remain in control by pills as-well-as some positive counseling..so have a healthy life" } ]

[ { "from": "system", "value": "Ear twitching, occasional eye twitching followed by headache on trying to concentrate, no depression, under severe stress. How can I cure it?" }, { "from": "human", "value": "Hello. I am a male, 33 years old. I am 6 3 tall and weight 200 pounds. Whenever I try to concentrate on something I have an ear twitching that can be easily seen. It feels as the muscle of my ear at the top and front of it are pulling up and towards my eye. Sometimes I get eye twitching too, I feel like I need to pull my ear against the twitch to feel better. This has been happening more during the last month, it happens every day, sometimes almost the whole day, it causes me bad headaches , I can not concentrate (read, work) and I have not been able to sleep well, it take me hours to fall asleep. I went to my doctor and he said that it was emotional, and did not recommended CT scan or anything like that. However, other than having a lot of stress I am not depressed. I did take some Klonopin that a friend gave me and slept better that night and the next day felt better, but I do not have any more pills and the symptoms were back by the next night. This is very real to me, and I am not able to get rid of it, can you help?" }, { "from": "gpt", "value": "hi..probably its tics which comes under anxiety-spectrum disorder..consult a psychiatrist and then a clinical psychologist for tackling this..its not so serious what you think..don't worry..wish you good health" } ]

[ { "from": "system", "value": "How is depression and anxiety treated ?" }, { "from": "human", "value": "Hi I m 16 year old and I m always feeling tired and sleepy. I sleep like 8-9 hours daily so i don t think this problem caused my a lack of sleep. Sometimes i feel really dizzy, i can t see and i don t know where i am or if anything is real. When I m nervous my heart begins to beat really fast and i get very dizzy, I feel like I m going to fall down. I usually have headaches . I feel hopeless most of the time, like I m not good enough and like I never do things right. I like being alone and I never talk about my feeling with anyone. I have been cutting myself for over 2 years. I feel empty, I feel NOTHING." }, { "from": "gpt", "value": "hi..please check your thyroid level in blood and visit a psychiatrist without any delay..this may be a major depressive disorder to the extent of suicadility..this is curable if you take medication regularly..let's not make life more gloomy and arise..hope you good health" } ]

[ { "from": "system", "value": "Traumatic, breakdown, jaw locked. Chances of stroke?" }, { "from": "human", "value": "My wife had a traumatic experience during a family argument. She went into a bit of a breakdown. She calmed down in about 15 mins, but her jaw was locked (could not open it past a certain point) and she had some numbness in her face . An hour has passed and it has loosened a bit. I am concerned about the possibility of a stroke , but I have not seen any other symptoms. I don t want to stress her more by taking her to the ER but also don t want to take chances. Your suggestion? Thanks - Mark" }, { "from": "gpt", "value": "hi this is called conversion disorder where psychic anxiety gets converted to physical symptoms that mimic epilepsy..consult a psychiatrist and get an EEG done..if its normal, then her internal conflicts need to be addressed by a counsellor and also medication may be needed to calm her anxiety..so please consult a psychiatrist..have a good health" } ]

[ { "from": "system", "value": "On apro amilizide for BP issues. How do I know if I have very high BP?" }, { "from": "human", "value": "hi doc i am realy worried. Due to me been stressful and a little depress my doctor take my presure it was 120/95t two week ago. I visited him last thursday and it was 120/90 and he gave me apro amilizide to take half jus to bring it down for two month. He said not to worry but to eat right and lose about 10 lb, i weight 174lb. I worry about it almost every day, do i have high blood pressure?" }, { "from": "gpt", "value": "hi..120/90 is certainly not hypertension if you go by the criteria cardiologists use, but you are pre-hypertensive..but the choice of medication, i.e., combination of diuretics is probably because of your weight as these are not commonly prescribed as first line..so reduce your weight as advised..modify your life style and diet..BP will remain in control, depression as well!..have a good health..continue cardiological check-up on a regular basis" } ]

[ { "from": "system", "value": "Tremors in hands. Difficulty in picking up things. Betacap advised by psychiatrist. Is it due to any mental problem or Parkinson's disease?" }, { "from": "human", "value": "Hi doctor, i feel some times tremors in my hands (not regularly my hand are shaken..some times i feel very normal)..i.e while signing or filling bank cheque, while handling dinner plates in any family function, while taking cup of tea or coffee and most important is sometimes i am unable to pick up any food item from plate when some body is near or when i feel nervous..to all the symptoms i have reported to psychiatrist in Vimhans institute in New Delhi..he advise me to take betacap-20 mg (Beta propranolol ) after morning meals but while taking from last 20 days i am still not feeling any improvement (sometimes shaking proceed as usual) whether it is Parkinson or any kind of depression or still should i increase dose of betacap 20 mg and make it to 40 mg..please advise what to do...Satya" }, { "from": "gpt", "value": "hi..intention tremor may also be of neurological origin..so please consult a neurologist..propranolol is a good choice for tremor of any origin, but there are certain problems of increasing dose in case of hypotension or asthma..so before increment, please consult your psychiatrist..Parkinsonism usually presents with rest tremor, rigidity, slowness..so these are in need of assessment..have a good health" } ]

[ { "from": "system", "value": "Chronic OCD, anxiety problems that are worsening day by day. On contraceptive, Microgynon since a long time. Is it due to pill?" }, { "from": "human", "value": "Hi there. Please can you help me?. I have been on the contraceptive pill Microgynon 30 for the past 12 years and have had no trouble at all with it. It does its job contraceptive wise and I have never had any pregnancy scares or other menstrual problems. However, I have had OCD for a long time, and have been wondering if the contraceptive pill has anything to do with it? My OCD has worstened and I also have very bad anxiety problems that are most definately getting worse as I get older. It is now to the point where I am concerned for my health and well being as I am becoming increasingly unhappy and stressed because of my OCD/anxiety. It is taking over my day to day life and controlling me. A friend recently mentioned to me that her doctor took her off of Microgynon 30 because she had depression issues. Apparantly she was told that out of all of the different contraceptive pills, Microgynon is the one pill that can effect minds/mental issues??? Is this true? Could Microgynon 30 be making my OCD worse or atleast not helping me overcome it? Should I try a new pill?" }, { "from": "gpt", "value": "hi..contraceptives have drug-drug interaction property..so say straight, they tend to induce certain metabolic pathways through which other drugs work, causing them rapid excretion, lessening therapeutic efficacy..so optimisation of the OCD medication should be done..also its also needful if any other method of contraception may be tried..there is also other method apart from medication called psychotherapy..please consult with your gynaecologist and psychiatrist for all these..have a good health" } ]

[ { "from": "system", "value": "What causes a longstanding purplish spot on left testicle?" }, { "from": "human", "value": "I am 58 years of age, 5 feet 10 inches tall, 170 lbs. I had a vesectamy in my mid twenties. I have a purplish spot on my left testicle that is persistant over the last several months. Some days it is less prevelent than others. Could it be skin cancer ?" }, { "from": "gpt", "value": "Hello, It may be due to angiokeratomas. As they are asymptomatic, so no need for active management. Use support. Avoid strenuous activity. In case of bleeding, you may require surgical intervention like laser treatment after surgeon consultation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician" } ]

[ { "from": "system", "value": "Upset stomach, heart burn, pain in the middle of the chest, worse on being stressed. Treatment?" }, { "from": "human", "value": "My friend told me a very upsetting story this weekend. After she told me, i had a sick feeling in the pit of my stomach. I find it feels like heart burn . It mainly hurts in the middle of my chest . I find its worst when im stressed. I want to learn why and how to cure it. Ive never had this problem since I had a bad break up with my former fiancee." }, { "from": "gpt", "value": "hi..psychosomatic illness is what we call it..but still you should first visit a gastroenterologist to exclude any acid peptic disorder..after that, visit a psychiatrist for some medication although stress-management skill is what needed for you, for example life-style modification and yoga..psychosomatic disorders respond splendidly to that..so don't worry..stress is just another order of life..you have to just cope with it it..have a good health" } ]

[ { "from": "system", "value": "Guilty, sad feeling due to inability to get a better job, had taken cipralex. How can I overcome this?" }, { "from": "human", "value": "I lost job a some times ago, after that I couldn t get a job same or better one. Now I feel so guilty concious and sad. And this thoughts always disturbing me as I can t make a jump for a new job. Feeling unhealthy like this. Is this dippression and anxiouty? Pls give me a valuable advice and save me from this troubel? I had cipralex 10 mg for 2 months before 4 months" }, { "from": "gpt", "value": "hi..you are just suffering from pessimism..what we call negative automatic thoughts..they are creeping in and making your life tremulous..losing a job is not the end of the world as you will certainly get better options if you have some things within which I presume you have..so just consult a psychiatrist for some medication for anxiety, if needed and a psychologist to address your thought what we call cognitive therapy..so just get rid of blues..best of luck.." } ]

[ { "from": "system", "value": "Why do I have throat pain? Why irregular period? Have mild MR and moderate MS. Relate them?" }, { "from": "human", "value": "hi Doctor, I am 38 years old. I have throat pain for past 15 days. For 5 months i have been suffering from irregular periods. Previously also, regular but for every 45days. My TSH previously was 7. yesterday when i checked, it is 0.15. For past 2 months I got regular periods, when i used homeo medicine. Now I didn t get periods. I have mild MR and moderate MS also. Please guide me. Esther" }, { "from": "gpt", "value": "hi throat pain, that means, sore throat in childhood can predispose to rheumatic valvular heart disease..but a fresh throat pain may be of different origin..consult an ENT specialist..irregular periods may be due to hypothyroidism which now got corrected..still consult a gynaecologist as you did not regain periods..its a matter whether its early menopause..regarding thyroid replacement, I have no idea about homeo medicine..if its working, its ok..have a good health" } ]

[ { "from": "system", "value": "Night splints, CTs syndrome. Can't sleep. What can help neck?" }, { "from": "human", "value": "Hai! My name is Raul from Puerto Rico I was operated 3 years ago because my hand nerves were pinch. The main problem was with neck and shoulders so I got operated. Everything went well until now2012. I never had Cts syndrome , now I have to use night cock-up splints and it is a misery to go to sleep. I feel depress because I FEEL WORSE! I go to Quiropractic, psisiatra, and nothing works. I still have the same pain in the neck. Now I am using small amounts of percocet , Cataflam etc. Results negative. I don t like the way I am living! If you can help me in some advise I will apreciate your kindness. Thank you your friend Raul Rivera Ruiz PO BOX CIDRA PUERTO RICO 0000 Tel. 0000 8350 E-mail YYYY@YYYY ............" }, { "from": "gpt", "value": "hi Raul..its understandable that CTS is painful condition..still you can consult with your orthopaedician for the next plan of management..these days pain clinics are available at hands where they try different things like nerve blocks and also certain medication..so don't give up..wishing you a speedy recovery" } ]

[ { "from": "system", "value": "Suffering with short term memory loss, excessive nervousness, difficulty in doing anything properly. What could this be?" }, { "from": "human", "value": "hello I am from bhagalpur, my sister is suffering from a strange brain problem, only for few minutes she losses her memory and forget every thing, and get nervous and behaves like a stranger, she forget everything except her name, work. she donot able to do anything. so please veirfy this problem what is these disease ?" }, { "from": "gpt", "value": "hi there are multiple differential diagnoses of this case..may be a depersonalization phenomena, may be dissociative state, may be certain form of seizure..all said and done, please consult a neurologist and get an EEG done..if needed, then consult a psychiatrist..don't worry..its a remediable disorder if cared earlier..wish her good health" } ]

[ { "from": "system", "value": "Have taken treatment for suicidal attempt with consumption of Slow k, Duloxetine, frusemide. What can be done for relieving stress?" }, { "from": "human", "value": "Just checking on the drugs a young lady swallowed in suicide attempt - Slow K, frusemide, Duloxetine , Prednisone , Mirtazepine, Propanolol. It would appear she got a hold of family members prescription meds and swallowed a bundle. She is now home from hospital in the care of her family. Strong Family history of suicide andPrevious impulsive overdoses. Just looking at what we can do at work to support this young woman if she allows us to do that. Cheers Patricia Simpson, Boeing Aerostructures Australia at Bankstown NSW" }, { "from": "gpt", "value": "hi..this is challenging..probably she is suffering from personality disorder..also may be recurrent depressive disorder..get help from a psychiatrist for medication which should be kept out of her reach..close observation is needed..also proper counseling is required by a clinical psychologist to remediate her impulsivity..she is in particular risk because of her family history..so the sooner, the better..wish her good health" } ]

[ { "from": "system", "value": "Stress, anxiety attacks, dark colored urine, blood in urine. On birth control pills. Treatment?" }, { "from": "human", "value": "I have been really stressed for awhile now; feeling like I m having anxiety attacks constantly; unable to eat right and now yesterday I noticed my urine was really dark orange and last night before I went to bed when I wiped it looked like there was light colored blood on the tissue . So far today it is the same. My period is not due for 3 weeks. My last period was normal. I am on birth control pills. I also have a little pain in my lower right back feels just like it does when it is that time of the month and when I walk somewhere I get a cramp in my stomach in the lower right side. If it helps the day before yesterday I ate 3 Ritz crackers; 4 jelly beans and a twix bar, yesterday I ate half a bag of popcorn, a small bag of chips, fruit snacks and a handful of dry chocolate cereal, so far nothing yet today." }, { "from": "gpt", "value": "hi stress and anxiety are to be taken care of later on..first blood in urine is a serious issue..get an urine routine and culture sensitivity done and also ultrasound if needed..first visit a primary care physician for the complaints..birth control pills won't probably give rise to your problems except it should be declared to your physician for adjustment of dosage of other drugs..have a good health" } ]

[ { "from": "system", "value": "Suffering with DM-2, hypertension, have depression inspite of taking medicines. What is the remedy?" }, { "from": "human", "value": "sir, i am suffering from major depressive disorder since 1999 and taken antidepressants given by psychiatrists during last twelve years. at present i am taking medicines for D M TYPE-2, HYPERTENSION AND ANTIDEPRESSANTS such as 1-MIRTAZ-45 MG AT NIGHT. 2-LONAZEP IMG TAB - 1 TAB AT MORNING AND 1TAB AT NIGHT. 3-NEXITO 10MG 1TAB AT NIGHT. 4-VENLA-XR-150MG 1 CAP AT NIGHT. 5-PAXIDEP CR-25MG 1 TAB AT NIGHT. 6-PRAMIPEX 0.5MG TAB 1 TAB TWICE DAILY. but i am not well despite of taking all medicines and feeling depressed. sir, you are requested to resheduled and optimised the medicines and advised me for better medicines that i can lead a cheerful life. thanks, yours ever, k g agarwal, 45yrs, male, wt -95kg, businessman." }, { "from": "gpt", "value": "hi, its not known whether you are following prescriptions of multiple psychiatrists at one go because 4 anti-depressants ( mirtazapine, escitalopram, venlafaxine, paroxetine ) are not really a good cocktail..one or two anti-depressants at optimum doses should be tried first, followed by some augmenting agents..please re-schedule by visiting your psychiatrist and follow only one advice..your thyroid status needs to be checked..thanks" } ]

[ { "from": "system", "value": "Taking Etizola and Nexito. Having weakness, fatigue. Should I continue medication? Chances of HIV infection?" }, { "from": "human", "value": "I AM A STUDENT,I HAVE BEEN TAKING ETIZOLA.5,NEXITO10,HOIST FOR ONE MONTH.WILL I CONTINUE OR NOT?I HAVE GREAT HABIT OF LEAKING SIEMEN.WILL I LEAVE THE MEDICINE OR NOT.I AM WELL NOW.CAN I FEEL WEAKNESS, FATIGUE AFTER LEAVING THESE MEDICINE.I HAVE BEEN ALSOTAKING MONTECK AND DUONASE, NEXPRO RD 20.IS THERE ANY CHANCE OF HIV INFECTION" }, { "from": "gpt", "value": "hi please evaluate yourself to your prescriber for your problem..anxiety/depression..accordingly, you have to continue..also your symptoms right now are important..semen loss has nothing to do with HIV..its normal physiology..thanks" } ]

[ { "from": "system", "value": "Increased incidence of enlarged palmar veins. Why are feet swelling?" }, { "from": "human", "value": "I am having increased incidence of enlarged palmar veins in both hands. It at first only originated in my left hand (starting probably 1 month ago) but now my palmar veins in both hands are for the most part always enlarged. They are very agitating and at times, tender to touch. They occasionally cause numbness/ tingling in my fingertips. My capillary refill is greater than 2 seconds. Also, the veins on the plantar surface of my feet have started to swell as well lately which causes some pain/mild discomfort when I walk. I have done loads of research on these symptoms but have not been able to find a probable etiology for such occurrences." }, { "from": "gpt", "value": "hi if there is visible enlargement of veins, may be there is varicosity or telangiectasis..whatever it is, you should consult a surgeon, if not a vascular surgeon..operation may not well be necessary, but conservative management should also be addressed as early as possible..have a good health" } ]

[ { "from": "system", "value": "Could sitting for long periods of time be the cause for high PSA?" }, { "from": "human", "value": "My husband was told he has a high PSA for the second time. The first test several months ago was 5, but this time it is 4.72 He's in very good health, excellent body weight, exercises regularly and eat good. My question is. He's a self employed graphic designer and sits A LOT at his desk. To the point he complains about his tail bone hurting. He doesn't have much meat back there he says....My question is.Can sitting for long periods of time irritate the prostate and cause his levels to be high. He has NO systems and his office exam was fine. He is 54 years old." }, { "from": "gpt", "value": "Hello, There have been several studies showing any manipulation like a digital rectal examination could elevate a serum PSA because it would squeeze on the prostate however the increase is very minimal around 0.5 that could last for 3 days after the rectal examination. With your husband case theoretically, it would or it may increase the PSA because of his prolong sitting. Whether it would cost the increase in the abnormal levels it's really hard to say. I suggest your husband gets a free PSA and a total PSA ratio and that will determine if you need a biopsy or not. multiparametric MRI of the prostate can also be an option prior to deciding whether you need a biopsy or not. In the end, only a properly done prostate biopsy would say if your husband is currently harboring prostate cancer or not. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Manuel C See IV, Urologist" } ]

[ { "from": "system", "value": "Disturbed married life due to petty arguments. How can I change myself?" }, { "from": "human", "value": "I have screwed my married life, i do not remember the standard ritual procedures, i do not complete task requested by my husband despite reminders, i do feel interested in household chores, in an argument i even replied to my husband that i am doing things as i am living on his mercy. Pl tell me whats wrong with me, these attitudes have troubled my peaceful married life. Pl advice" }, { "from": "gpt", "value": "You have an ADJUSTMENT DISORDER, To overcome it You need some PSYCHOTHERAPHY mainly. A counselling will help you to get out of it. Along with Some Anxiolytic antidepressant medicine may be required to cop up with the situation. Dont worry thousands of this sort of problems are regularly solved by counselling. But it needs support from your husband also. Nothing to worry just go to a psychiatrist with your husband. He will show you the right way." } ]

[ { "from": "system", "value": "Short-tempered, violent behavior, using foul language. How can I control my emotions?" }, { "from": "human", "value": "I get angry very quickly but recently Im in a relationship and my guy has the equal bad temper like I do so I have tried to supress my anger but because of that I think Im having other side effects when I cant control it any more I start talking insane and start doing things or saying things which I normally dont" }, { "from": "gpt", "value": "Hi..you can get help from a clinical psychologist for some relaxation therapies..also meditation and yoga would help..you need not worry too much about the relationship..it could have been addressed by a couple-counseling..but, wait! Sorting out your problems through discussion among yourselves should be of your first priority because we, the psychiatrists, are a little biased towards these therapies and all that..have a good health" } ]

[ { "from": "system", "value": "Weird behavior on staying away from loved one, doesn't mix with anyone else, cries foolishly. What type of treatment is advisable?" }, { "from": "human", "value": "Hi, My younger brother is feeling stressed and lonely after the marriage of my elder brother. He(the younger brother) calls my elder brother madly 50-60 times a day. He didn t find comfort under his parental guidance and anybody else. He cries like a child and acts foolishly. As a person he is very helpful in nature and has completed his masters in computer. Please suggest if any counseling session or any medicine required in his case." }, { "from": "gpt", "value": "Hi..please get help from a psychiatrist as these may be signs of depression..if it is treated early, it carries a good prognosis..good day" } ]

[ { "from": "system", "value": "Clinical depression, suicidal, abusive childhood, living in hatred, sadness. Treatment?" }, { "from": "human", "value": "XXX is 54 years old. Two years ago, XXXX called his 84 year old mom to say he was going away. XXXX wanted to throw himself in front of a train. Mom managed to talk him out of it. XXXX entered therapy for a time. XXXXX felt if Mom lived, he could continue living. XXXX was assessed with clinical depression and meds were recommended. XXXX dropped out of therapy and never took meds. Today, XXXX called his now 86 years old mom and said, you are the reason I have nothing today, you tried to kill yourself to keep me with you, you hate me. Mom assured XXXXX she always loved him and said she was sorry for any pain she may have (or may not have) caused in the past. XXXX is the second child of an abusive, alcoholic father who left the family when XXXX was 21 years old. XXXXX always wanted a relationship with dad but dad hated and belittled XXX. Dad died sober and estranged from his family. XXXX never married but lived with a woman for a long time. My questions are these: 1. Is XXX suicidal? 2. Is XXXXX going through the stages of grief? He was depressed when wanting to kill himself and now he is angry. 3. I am XXXXX older sibling . XXXXX hates and will not talk to me because of past issues. I am concerned about the emotional stress this has on my 86 mom. She was exhausted after XXXX phone call. What can I do to make certain that XXXX doesn t kill himself? What can I do to make certain this doesn t harm my mom?" }, { "from": "gpt", "value": "1. May be he is..asking him would be of help..also impulsivity is a factor..as he was once, so consultation with a psychiatrist is what needed 2.Depression may be associated with delusional belief..he may have personality problems..so medication and psychotherapy both are required 3. Its tricky one..if he is considered harmful to others, it is advised to admit him in a mental health care facility.. Wish him good health" } ]

[ { "from": "system", "value": "Loss of appetite, unable to concentrate, depression. History of mitral valve prolapse, stroke. Treatment?" }, { "from": "human", "value": "my mom seems to be behaving differently these days.she is a mitral valve and paralytic stroke patient.She has been complaining of loss of appetite, fatigue , tiredness and inability to concentrate on things.also has been very negative about everything that is happening around.I think she is suffering from depression.Today she doesnt seem to be in her senses fully as she is continuosly repeating one word ba ba ba....Im worried please help me so that i can help her to treat her problem." }, { "from": "gpt", "value": "Hi..I think she needs psychiatric as-well-as neurological consultation. As post-stroke depression is a common presentation and she has other co-morbidity like mitral valve prolapse, so cardiological issues also need to be addressed as the choice of medication should also be judicious in case of such illness. So please consult a cardiologist, then a neurologist for her post-stroke neurodeficit & then a psychiatrist for her mood problems. Have a good health." } ]

[ { "from": "system", "value": "Episodes of crying hysterically and harming self. Addicted to drugs, drinks and smoking. Need help" }, { "from": "human", "value": "I m 14, and I hit myself, and harm myself. I have been doing this for about 4, nearly 5 years, and it all started after the death of my mother. When ever I do something wrong, just little things, I feel the need to get back at myself and I do this by punching my forehead , and biting my wrists. I cry hysterically, so much that I can hardly breath. I haven t spoke to my family about it (because they won t believe me, they don t believe anything I say). I don t care for myself at all, I drink, I smoke , I do some drugs, just to get it off my mind, and get as far away for reality as possible.I honestly don t know what to do." }, { "from": "gpt", "value": "hi smith, you might be developing a personality disorder especially cluster B personality. it might be possible that you may be having very few friends and you may not express your feeling to any body else who is close to you. its advisable that you have to develop social relations and better to spend time with people of your age with good nature.. concentrate on your studies.. contacting a psychiatrist would help you , you might need some behavioral modification therapy also along with medications" } ]

[ { "from": "system", "value": "Loose confidence when exams approach, mentally feel unable to give exams. Remedy?" }, { "from": "human", "value": "hello,doc my name is rahul from india. right now i m pursuing final year bachelor in engineering in electronics and telecommunication my problem is that when semester comes my mind is totally changed and i loose my confidence to give exam and get mentally not able able to give the exam. till the higher secondary education i score good marks in the exam." }, { "from": "gpt", "value": "hi rahul, as our experience about the engineering, they start to study by the end of the semester might be just before the exams. i am not sure whether you also practice the same thing or not, if you have this habit i would suggest you that it would be difficult to remember every thing which you study like that, because when you study under so much pressure it might be difficult to remember every thing as your mind would be constantly worried about the exams rather than trying to study for the knowledge. it would be advisable to start studying from the beginning of the semester so that you get lot of time to revise the subject few time before going to the exams." } ]

[ { "from": "system", "value": "Dizziness. Frustrating. What is the cause?" }, { "from": "human", "value": "Hi, I started feeling really dizzy today whilst walking my dog - and it hasn t stopped, when i tilt my head back, when i lie down, when i stand up, when i walk. It s really frustrating! When i was walking it felt like i d spun in circles and tried to run ... the gravity of earth pulling me sideways. But when i lay down it s a whole room spinning feeling that you get after you ve drunk copious amounts of alcohol ... please help." }, { "from": "gpt", "value": "hi jessie, there are 3 semicircular chambers in side our ears which are filled up by fluid which would balance our head position and our body posture.. if there is some problem with those semicircular chambers it would lead to imbalance of the body posture, it seems you are having this problem and you need a consult a ENT surgeon and needs to undergo some head tilt tests and might need medications as soon as possible" } ]

[ { "from": "system", "value": "Suffering with mental illness, not satisfied on taking Valance. Guidance?" }, { "from": "human", "value": "Sir I have been suffering from depression or bipolar(Confused) disease for 11-12yrs.This time I am taking Valance OD 500 mg.My Psychiatrist doctor is Dr.Smita N Despanday,Ram Manohar Lohia Hospital, New Delh but I am not satisfied with her.Plz guide me which medicine should be taken or not.Without DR advise I have left medicine for 3 months.In future any problem may be. Plz guide me..." }, { "from": "gpt", "value": "hello welcome to healthcare magic public forum Valance OD contains divalproaex sodium which is a mood stabiliser used in bipolar disorder... however, there are various other drugs like lithium carbonate, carbamazepine, lamotrigine which can be used in your case....... But start your medication in close work up with psychiatrist Secondly you are not taking any medication now.......... so in future there is a possibility of further episodes as your illness is chronic If you can tell your problem in detail then i can guide you in a better way Good luck thanks" } ]

[ { "from": "system", "value": "What causes swelling in scrotum, legs and feet?" }, { "from": "human", "value": "hi my scrotum and legs and feet are swollen and my legs have dry skn below the kneese and have being like this for many years along with very unsightly thck toe nails and brown / ginger coulored nails was tested for fungal problems but came back clear the most worrying is my testicles have swollen to abnormal size and are very heavy my penis has practicly disapeared thus making it very awkward to urinate as it runs over my scrotum and down my legs can you help" }, { "from": "gpt", "value": "Hi, This type of pain and location is suggestive of epididymitis which is inflammation of part of the testicle and this not uncommon in males especially in young age. This is usually treated with 10 days of antibiotics, usually ciprofloxacin and there are no permanent consequences. Masturbation and intercourse should be avoided till pain persist, if possible since I may prolong inflammation course. Some more serious conditions such as tumors or torsion are rare but in doubtful cases, you should do Doppler ultrasound or scintigraphy. In this particular case, I don’t think this is required and this should improve on antibiotic therapy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon" } ]

[ { "from": "system", "value": "Mild fever. Taken szetalo and thyroid medication. Suffered postmortem psychosis. Advise?" }, { "from": "human", "value": "I am 35 yrs indian lady, I have mild fever 98.5 since last 3 weeks. I advised by my doctor to take szetalo plus tablet daily for two weeks. I am also taking thyroid 50 tablet daily. Recently my TSH is 3.6 Can u suggest me the szetalo plus tablet is the best option or not. Earlier in year 2007 i was suffered with postmortem psychosis in my last pregnancy. Pls do advise me on my Email: YYYY@YYYY" }, { "from": "gpt", "value": "hi, i have few questions to ask, after you developed fever did you had any depressive features ? or any unusual features like calling out for you or as if some one is following you to hurt you ? Szetalo plus is an antidepressant drug which is given for depression, if you had any depressive features its advised to continue the drug other wise here is no use of that drug.." } ]

[ { "from": "system", "value": "Mentally ill due to family issues, feelings of suicide. Suggestions to overcome this?" }, { "from": "human", "value": "sir,i am in mentally ill condition for the past 7to8 years,coz many things have happened in my life whose results i can t bear anymore....my family does not care about my problem and all this in my life happening is because of my parents....sorry 2 say......sir i can t live anymore ndi serioudly wanna suicide ....plz help me......sir plz" }, { "from": "gpt", "value": "Hi and welcome to Healthcare Magic. Thanks for your question... I understand what you are going through. It must be very difficult to face these stressors one after the other. But please remember that this is just a passing phase in life and if you seek professional help and stay positive, you will soon be able to overcome these difficulties. I'm not sure what mental illness you've been suffering from, but there are a lot of good treatment options available. You need to seek immediate help for your depressive feelings and suicidal thoughts. So, please consult a psychiatrist at the earliest. With medication and counselling you will be able to come out of this phase. Also, please keep talking to someone close (a relative or a friend) about your difficulties and feelings. It will help you offload some of your burden at least. Most importantly, please remember that though your future seems very dark and meaningless now, all these feelings will pass away with time and remember, you have a great life ahead. So, once again, please consult a psychiatrist urgently for help. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Occasional breathing difficulty, aggravates in moments of stress accompanied by rise in temperature. What is the cause and remedy?" }, { "from": "human", "value": "hello dr., actually i am a 22 yr old boy and i have some problems regarding breathing , like sometimes, i cant be able to take normal breathe , as i usually take, and sometimes i even suffer from a tension , worryful time.,den also i felt it. sometimes, my breathing also becomes slow and i felt very warm. So, wat was d perfect test or to whom i should consult for it." }, { "from": "gpt", "value": "hi, welcome to health care magic Breathlessness is a common symptom in anxiety states. If you have other symptoms of anxiety like chest or abdominal pain, choking sensation, palpitation, dry mouth, feeling of apprhension about everything; or if you have depression symptoms like sadness of mood, fatigability, lack of pleasure in activities, lack of confidence, changes in sleep or appetite, then you should consult a psychiatrist. If you have only breathlessness in tension situations, then it is normal. some meditation can help you. best of luck" } ]

[ { "from": "system", "value": "Suffering from unreal thoughts, depression. Prescribed fludac and nurotroy injection. Reaction from reglan and mexiron. Advise?" }, { "from": "human", "value": "hi! my bp is 120/88.i am 37 yrs.i am also suffering from unreal thoughts which makes me depressed doctors prescibed me fludac 20mg.sometimes i do feel heviness in my arms and legs.for this she prescribed me nurotroy injection .how ever i hav not taken the medicineas i am very sceptical of taking medicine as once i had reactin from reglan and mexiron.please advice me/" }, { "from": "gpt", "value": "hi, welcome to health care magic Although you didn't specify your thoughts but fludac is a good antidepressant and very effective for obsessive compulsive disorder in which persons are in stress because of excessive, unwanted thoughts. chances are very high that you will get good benefit from this medicine, even if you don't have clear obsessive compulsive disorder. Fludac is an easily tolerable medicine and most patients take it without troublesome side effects. Probably you had dystonic reactions(rigidity of limbs, and slowing of movements) with reglan. This reaction is common with reglan, not with fludac. so rest assured and start fludac. Keep in mind that a good effect from fludac may take 6-8 weeks to start, so donot stop it earlier or without consultation with your doctor. best of luck" } ]

[ { "from": "system", "value": "Suffering from OCD. Not taking medicines consciously. How to cure?" }, { "from": "human", "value": "My unmarried daughter aged 24 yrs has been suffering from OCD such as playing brainvita game, surfing facebook repeatedly, listening to ipod frequently/listening to songs on player aloud, when in the bedroom, she sits with her arms resting on hip, gets up and then stands and then with a jerk sits on the bed. she also has been browsing through one particular photo album relating to us including herself, refuses to part with the album. she does not venture outside our balcony leave alone outside. she has been abusing us (parents) whenever v ask a general query getting aggressive. She used to blame her state of affairs such as short hair/ skin infection , menstrual problem and other aliments on some of our close relatives. she does not do daily tasks such as cooking, cleaning the house, washing clothes, leaves all of them too her mummy (aged 59 yrs). She started getting depressed somewhere in 2004 when she failed to perform to her expectations on XII Std scoring only 52% thereby denied getting admitted to some college. BCom Correspondence Course of Delhi University she took up; result was the same, got compartments in the I and III Yr course. She did complete the course after much pursuasion with a gap of one year. Simultaneously, she tried to pursue Company Secretary Course, completed only Foundation Course and in the first yr after that, the assignments which sent was returned to her advising her to focus on the questions in it and reply accordingly. From then on, she felt quite dejected. She did apply for NIIT Computer Course without our concurrence, forced mummy to shell out cheque for tuition fee, but after delivering it to the institution, stopped attending classes. v told her there was no need to apply because vr already having computer; she did not listen to us. She has been applying for job at times but without confiding with us. She used to venture out voluntarily for interview but failed to get anything. Thereafter, she did join a 2 yr course in South Delhi Women Polytechnic but after completing a successful one year, she remitted tuition fee for Rs 8,000/- by forcing us to part with for the 2nd yr but after a day she decided to stop attending once for all. Ultimately, v did take her to a psychiatrist in Safdarjung Hospital and after counselling, began to take risperidone and pari tablet for a month but failed to turn up to see the concerned doctor. v had to indirectly administer the tablets by mixing with dough. v have settled down here after retirement in Oct 2011 and as of now giving her sezodon liquid 2 ml with Pacitane on advise by a private psychiatrist here. No visible impovement has been noticed. In this scenario, is it advisable to search for matrimonial alliance? Please advise as to how to make her take tablets/liquid consciously because even now, v had to mix the liquid with lime water/salad/buttermilk without her knowledge. she rarely talks to us on any subject, excepting that she makes tea for self, eats whatever was served to her, but not a trace of sympathy, affection towards us. Awaiting ur advice." }, { "from": "gpt", "value": "Hello, Sir..from the detailed history you have provided it is clear that she had been diagnosed correctly and she has been given right medication. But as you have mentioned she is not showing much improvement , it is clear that she need trial of other drugs as well. There are many options available and you can give those medication. But for that you need to visits a near by psychiatrist and get the required prescription. As far as your desire to give her medication with her knowledge , than you need to admit her in a institutional setup as in her illness patient consider them self absolutely fine and think that there is no need of treatment. Another question you asked is about her marriage. Mostly people advice that get such people married and change in place will make a difference. But I would suggest you to think many times before taking such step, as marriage does not cure such illness and it may even act as a stressor and aggravate it. Also you should let the other party aware of her condition pre marriage because after marriage they will eventually get to know her condition and you may have to go through a lot of legal hassle . So overall consult a good psychiatrist, do regular follow up and she can be better with that." } ]

[ { "from": "system", "value": "Stressed and have lost virginity. Why is period delayed?" }, { "from": "human", "value": "I recently have lost my virginity , we ve always used protection ( condoms ) and have been active for the past 1 month. I am under a lot of stress right now. (School, work etc) and have noticed that when I was stressed out a lot for the years before (I m 18 started period in 8th grade so around 12) my periods were extremly out of order. So to be careful I started a birth control 1 month ago (I am finishing month one now and I am on the second pill that is suppost to be my period week) And it hasn t come. Could losing my virginity and stress set my period to go back? Should I consider a test if I haven t gotten my period by the end of green pills (period week pills)? This is the first period I should be getting after losing virgintiy" }, { "from": "gpt", "value": "hi allison, i would like to inform you that there is connection between the virginity and the periods. however its advisable that you should be careful about the possibility of pregnancy (because the OC Pills might not work for the 1st month of the use). and its important for you to remember that Stress would lead to changes in the basic hormones of the body which might lead to changes in the periods both in the time gap as well as duration.." } ]

[ { "from": "system", "value": "Under several mental stress due to loss of loved ones. How can I get over this?" }, { "from": "human", "value": "I was a girl friend with whom relation broke up in the inception of 2011 which gave me intolerable pain and later in May 2012 suddenly my father died so i can not bear this mental stress so i need a suggestion to forget those painful events. on the other hand i am so emotional although i am 26 years old despite i have full of emotion so i would like to reduce emotion that could be helpful for any other pains. Again i am going to make a relation with a girl but thinking if she betrays then i will face mental stress because of my emotion so plz help me by giving valuable information. thanks" }, { "from": "gpt", "value": "Hallo Thanks for your query.You have broke your relation with your girl friend and lost your father.These things have hurt you much and have landed you in depression.please do not neglect your illness just thinking it to be a emotional factor.Pl consult some psychiatrist and start the medicines.If neglected it may turn up in to schizophrenia.Pl remember these things are natural in human life and you have to accept the realities and face them boldly." } ]

[ { "from": "system", "value": "Pain in intestines, bloating, nausea and feeling light headed. Appetite loss and weight loss. Due to stress?" }, { "from": "human", "value": "I have been experiencing pains in intestines, bloating , nausea , light-headed, and gas. I am a male age 54. The symptoms are not always present, but when they are it is quite debilitating. I am left feeling very sick and have to lay down. This has been since April 2012. I have switched to lactose free milk, and eat mostly soups. When the symptoms are present I loose appetite and have lost over 40 pounds since it started. I wouldn t mind the weight lose, but the pain and sick feeling is driving me crazy. Could stress be a factor, or depression? My mother died in April and that is when I started noticing this problem. I have been to my doctor and he just gave me pills for nausea." }, { "from": "gpt", "value": "hello welcome to the forum Yes, the symptoms could be due to underlying stress as you are experiencing them since april when your mother passed away, which is a big stressor in anybody's life (i am really sorry for that). These could be the symptoms of underlying depression for which i advise you to consult a psychiatrist. However, keep in touch with a general physician for symptomatic treatment of your gastric trouble which is also important as you are loosing weight. Hope it helps Good Luck Thanks" } ]

[ { "from": "system", "value": "Using Pentazocine injection. How can I avoid this addiction that leads to weakness, fatigue?" }, { "from": "human", "value": "Asalam-u-Alaikum I am a Pharmacist, and working at a Hospital, I am using Pentazocine injection since last 6 months, i am taking 100mg pentazocine daily, I want to avoid from this addiction , pentazocine addiction effect on my health, i am feeling weakness and fatigue , addiction of pentazocine distrube my life, depression , sad mood, angry, what can i do?" }, { "from": "gpt", "value": "hello welcome to health care magic Pentazocine is an opioid which has various withdrawl features if stopped abruptly...... Stopping without proper treatment can cause serious withdrawl consequences i advise you to take help of a psychiatrist for de-addiction so that you can easily wean off without experiencing withdrawl features and also get treatment for depressive features...... Good Luck Thanks" } ]

[ { "from": "system", "value": "Why do I hear voices? Am I going crazy? What is the cause?" }, { "from": "human", "value": "I ve been hearing voices in my head lately for at least a month now. They seem to increase just before bed, and during school. At night it keeps me up, and during school they keep my distracted. Sometimes it is even multiple voices, other times it is just one. They tell me to do things, mainly bad things but I do not listen to them. Am I going crazy? What does this mean? What is the cause?" }, { "from": "gpt", "value": "Hi and welcome to Healthcare Magic. Thanks for your question... I understand that you are going through a difficult tme. Hearing voices is indicative of a psychiatric problem called 'psychosis', which in turn is caused due to certain neurochemical imbalances in the brain. It doesn't mean that you are going crazy. This just indicates that you need help. I would advise you to talk to your parents about this, so that they can take you to a doctor for a detailed evaluation. Treatment is available to help you overcome this problem and you don't have to be suffering silently. So, please seek professional help at the earliest. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "What causes chronic blood streaks in semen?" }, { "from": "human", "value": "I had small streeks of blood in semen for three years. I am 61, Digital prostate exam was OK, PSA was 5.1. I learned to live with the little blood in semen hoping it will go away. However, about two weeks ago, I noticed almost suddenly an increase in the blood in semen. Yesterday it was like pure blood. I tried again today and it was still bloody but brownish more than red. What could be the problem?? By the way, I never had prostate biopsey." }, { "from": "gpt", "value": "Hi, These symptoms indicate in most cases prostate issues such as prostatitis or hypertrophy and rarely it may be sign of STD infection. You should avoid intercourse for till symptoms persist and drink plenty of fluids. If symptoms persist it would be good to do a prostate ultrasound and check your PSA levels to rule out a prostate tumor or hypertrophy and further treatment depends on these findings. In most cases, it can be controlled with medications but sometimes, in case of a tumor, open surgery is required. And severe benign hypertrophy may be managed endoscopically so you should consult urologist about appropriate options. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon" } ]

[ { "from": "system", "value": "Why did suddenly have an attack of memory loss? Why did I feel like throwing up?" }, { "from": "human", "value": "Yesterday day at work, I was just sitting at my desk and all of a sudden i could not remember anything, i couldn t even remember 1 of the employees names or face and i work with him everyday. I was very sweaty and confused and my workers said i said i was feeling like i had to throw up. after about 30 minutes i felt better but i had never felt like that before" }, { "from": "gpt", "value": "Hi and welcome to Healthcare Magic. Thanks for your question... Your symptoms need to be taken serioussly and you need to have a thorough evaluation to find out the cause. There are numerous possibile causes e.g. neurological problems, cardiac problems, etc. and we need more details like your age, sex, presence of any medical conditions like diabetes, hypertension, etc. So, please consult a doctor at the earliest and have a proper evaluation done. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Why am I sometimes fatigued with high BP and consistent sounds that I hear?" }, { "from": "human", "value": "Sometimes especially when driving I am overwhelmed with fatigue and I need to pull off the road and close my eyes. It could be the middle of the day. I am a fairly fit 44 year old woman and very active. This just started in the past year or so. I have controlled high BP and after hearing consistent sounds in my carotid a Doppler revealed 25-49% blockage in both carotids. Could that be responsible for the sudden onset of fatigue?" }, { "from": "gpt", "value": "hello welcome to the forum As per your description, your symptom of fatigue is probably related to haemodynamic etiology........(High BP and blocked carotids)..... I advise you to consult a cardiologist/general physician for detailed evaluation as soon as possible Wish you good health Thanks" } ]

[ { "from": "system", "value": "Extremely run down and exhausted. What is the reason for this?" }, { "from": "human", "value": "Hi, I ve been feeling extremely run down and exhausted all the time. I used to be a morning person and full of energy throughout the day, now all I seem to want to do is find extra time for a nap. What could be the cause of this? Also, I have been feeling rather down and depressed, not wanting to go out or do anything. Please help" }, { "from": "gpt", "value": "hello and welcome to health care magic I need more details about you to guide you properly like age, sex, any medical illness or any previous illness, previous medication, any stressor etc However visit to a psychiatrist is reasonable if your daily routine is hampered....... Good Luck Thanks" } ]

[ { "from": "system", "value": "Depression, anxiety, bipolar disorder. Taking lithium, switched to epilim, seraquel. Treatment?" }, { "from": "human", "value": "hello, i m XXXX here, i m 31 years old, before this i had depress and anxiety but now i do no why their change my disease is bipolar mood disorder their firstly change lithium ...setraline, apodiazepam and now to epilim 200, arip mt 10 and xanapam...and change again thirdly for seraquel, lsetraline and apodiazepam and now lastly i m using arip mt 10,xanapam and epilim........please help me?????" }, { "from": "gpt", "value": "hello welcome to the forum In Bipolar disorder, there are alternating manic and depressive symptoms..... In your case it might be the reason that you were diagnosed initially as having depression and were prescribed antidepressants (when actually you were experiencing depressive part of bipolar disorder) ........ so you were not initially diagnosed as bipolar disorder.... and it sometimes happen in initial stages Now when your diagnosis is changed.........your treatment has been changed.... Consult your psychiatrist for all the doubts you have regarding treatment change Good Luck Thanks" } ]

[ { "from": "system", "value": "Depression due to unemployment, do not have positive outlook, disinterested in all activities, undecided about future. Treatment advise?" }, { "from": "human", "value": "Dr Jyotirmoy Samajdar, I am experiencing some problems with regard to my only son. He is an Hons. graduate and has completed MBA from a New Delhi based Management School. He was offered placement at Noida, but could not retain his job. He is now in Kolkata and looking for an opening. As of now, he is unemployed. It may be one of the reasons for his depression . From his childhood, he is very casual in his studies and commitments. He takes the things very lightly. His confidence is at the bottom level and is totally confused about his future mission and objective. He is totally undecided what to do in his life. He deals most of the issues with negative mindset. He lacks positivity. He is gradually loosing interest in all activities. He loves to watch TV, play with his mobile (Facebook, Twitter, chat etc.) whenever he finds his time. He goes to sleep late at night. Other drawbacks may kindly be evaluated when he is permitted to you. I think he is having serious psychological problems which need to be addressed at the earliest before things go out of control. We, as parents, his well being at all cost. I like you to guide me to overcome this problem without much delay. If needed, I can meet you along with my son on a day and time suitable to you. An urgent appointment is solicited. Tapan Kr. Roy 0000 E-mail: YYYY@YYYY" }, { "from": "gpt", "value": "Dr Samajdar, This is a condition called either Psychotic Depression or Schizophreniform psychosis. His symptoms can be corrected with medicine like anti psychotics after proper assessment after interview with patient and close related person." } ]

[ { "from": "system", "value": "What can help child's hyperactive behavior?" }, { "from": "human", "value": "Hello sir!! I would like to let you know that am a school counselor who has to deal with hyperactive, anxious and others. With hyperactive kid have currently working on social skills. Apart from this, could you please suggest any other technique for reducing the child s hyperactive behavior." }, { "from": "gpt", "value": "Hi and welcome to Healthcare Magic. Thanks for your question...I appreciate your interest in helping children with hyperactivity problems. The first step in dealing with a hyperactive child is a comprehensive assessment. This is because the causes of hyperactivity are really varied and further management depends on the probable cause. The causes could range from a normal variant of child behaviour to disorders like ADHD or underlying intellectual / learning disorders or behavioural disorders or even a manifestaion of stress. Evaluation is best done taking into account the child's behaviour in multiple settings, like classroom, among peers, at home , etc. Assessment should also include the parents to look into the parenting methods or look for any stressors at home. Similarly counselling and therapy should not only involve the child but the parents and sometimes, class teachers also. Behavioural techniques using positive and negative reinforcement, social skills training and providing a structured environment for the child to practice his / her skills can help reduce hyperactive behaviour. In certain cases, prompt referral to a psychiatrist for a clinical evaluation would also be important.Wish you all the best.- Dr. Jonas SundarakumarConsultant Psychiatrist" } ]

[ { "from": "system", "value": "Can some one conduct research on my body or brain with out my consent? Or Am I listening to voices?" }, { "from": "human", "value": "since sep 2011 signal was connected to my brain WHEN I AM IN INDONESIA,everyday that is roming mostly inside my brain and body.unknown reserchers are reserching on my body with that signal.i don t know from where they are connected me,i don t know from where signal is connected to me.they got whole of my brain private data and they are showing on my retena(PICS,GRAPHICS,VIDEO),THEY ARE PLAYING MUSIC,SPEECH BY HEAR,I AM LISTENING WITH MY HEAR.THEY GOT 100% OF MY BRAIN PRIVATE DATA WITH THAT SIGNAL.AT FIRST DAY SIGNAL IS ROTATED INSIDE MY BRAIN GOT FULL OF PRIVATE DATA.THEY REMOVING,EDITING,COPYING MY BRAIN INFORMATION.SOMETIMES THEY ARE SCOLDING,COMMUNICATING WITH ME BY MY HEAR USING SIGNAL.I GOT SOME OF DATA FROM THEM,SIGNAL NAME IS SESMA GRAPHIC SIGNAL .THEY ARE DOING MUCH RESERCH ON MY BODY WITH THAT SIGNAL .I AM GETTING PAINS WHERE SIGNAL IS ROMING INSIDE MY BRAIN.I AM GETTING TOO MUCH TROUBLE WITH THIS BRAIN HACKING TACHNOLOGY WIRELESSLY BY USING SIGNAL.I AM NOT USING ANY BCI DEVICES.I NEED ASSISTANCE FROM YOU.TOO DANGEROUS TECHNOLY IN THIS WORLD.PLEASE HELP TO ME. I AM A POOR MAN AND GRADUATE FROM INDIA.HELP TO ME.NOBODY DIDN T MET ME BAOUT THIS ONE SINCE SEP 2011 TO TILL NOW .I CAN T ABLE TO RUN MY LIFE WITH THIS PROBLEM.I NEED ASSISTANCE FROM U,i need help from neurologists,neuroengineering,all about neurology .when first time signal is touched my brain i am heared the sound by hears brain sensing ." }, { "from": "gpt", "value": "This is a Psychosis(Schizophreniform ) can be corrected if you takke correct dose of antipsychotic like Olanzapine,Resperidon,Quitiapin,trifluperazine.Haloperidol,Clozapine etc. Each medicine has different dose to be started with low dose and slowly increase till full effect. If required 2nd medicine to be added.It requires regular contact for maximum benefit and monitoring." } ]

[ { "from": "system", "value": "Severe anxiety, fear of everything, always inactive, like to be aloof. How can I overcome this?" }, { "from": "human", "value": "Hello I m 19 years old and I have been having serious anxiety fear of life being me and everything this is a fear I have never happen I can t get my mind off things this anixety and fear has me not feeling like myself is this a serious problem or is this part of being 19 I haven t been active in any type of things since I gave moved 3 years ago from my friends I have fought anybody tht I feel fun around for 3 whole years I been inside but this fear of everything and have anxiety over everything I dnt like it" }, { "from": "gpt", "value": "hi Dylan, your symptoms looks like you might be experiencing depersonalization syndrome, which could have been due to so many conditions. 1st of all you have to get your self engaged in some kind of work, like study/play/talking with some one/ any thing which you like to do. learning meditation might help." } ]

[ { "from": "system", "value": "Bruising on arms. What is the throbbing sensation. Why fatigue?" }, { "from": "human", "value": "i have been getting these sudden bruising on my hands and arms.. its right on the vein and one bruise normally shows up on the base of my hand by my thumb and then another on the inside of my arm near my wrist . Whenever i push on the bruise near my thumb i get this throbbing sensation I have been very fatigued but also under immense stress." }, { "from": "gpt", "value": "hi, when there is lot of stress in life there would be reduction of immunity of the body, which would further lead to reduction of important hormones required for normal functioning, which leads to fatigue. you need to learn coping skills in life, meditation might also help you" } ]

[ { "from": "system", "value": "Depression, stomach pain, loss of appetite. Taking Effexor XR. Withdrawal symptoms?" }, { "from": "human", "value": "Yes! I was on Effexor XR 75 mg for approx. 3 1/2 years. I have spent the last 6 months weaning myself off of it. I have been off for about a month and have started experiencing moderate depression , my stomach is in knots all the time and I have no appetite , and I start sweating and getting scared. I really don twant to be on this medicine but I need help. I amhaving a difficult time finding a good dr. or getting a quick appt." }, { "from": "gpt", "value": "hi, even though it was a very short history, it looks like you might be having generalized anxiety disorder... you need to consult a doctor for the prescription.. and you need to learn about relaxation exercises" } ]

[ { "from": "system", "value": "Will symptoms of erectile dysfunction improve after aortic valve replacement?" }, { "from": "human", "value": "I have been advised to have an aortic valve replacement. My symptoms I can not walk for more than 2 hours and I suffer from erectile dysfunction other than that I feel fine. Do you think these symptoms will improve after the operation.I live in Thailand is there any American hospitals that offer medical tour services that can do this operation?" }, { "from": "gpt", "value": "Hi, Erection problems can have many causes. These include Physical problems, such as injury to nerves or loss ofblood supply to the penis. Other health problems, such as diabetes, high blood pressure, anxiety, anddepression. Side effects of certain medicines. Stress. Drinking too much alcohol or smoking. The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem. Treatment is based on cause and includes avoiding tobacco and drugs and limiting alcohol. Also, talking about the issue with your partner, doing sensual exercises, and getting counseling may be beneficial. Finding and then stopping medicines that may be causing the problem. In some cases, you can take a different medicine that doesn't cause erection problems. Taking prescription medicine that can help you get erections. These include pills such as sildenafil (for example, Viagra), tadalafil (for example, Cialis). In most cases, this is sufficient for treatment but you should just be patient and do necessary tests. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon" } ]

[ { "from": "system", "value": "Suffering with OCD, worried about stammering being exposed to people, get rapid beats, frozen chest during spell. Remedy?" }, { "from": "human", "value": "hi i am bhanubhakta baral a OCD patient i worry to much of stammering that it has actually made me of without speech.I think i am gonna rape my one little sister when i see her.Fear of height ,sharp objects, dirt s etc. think lest i spit at people s face when i talk face to face.i can t concentrate on any subject as my all concentration is diverting to the thought that i am stammer and gonna expose myself being stammer.When telephone rings my heart beats too much and feel to cool in around chest .my left part of the body is much more affected with the negativity and can t handle properly." }, { "from": "gpt", "value": "hello welcome to health care magic You have obsessive compulsive disorder which is a type of anxiety disorder..... and there are many treatment options available for this like medication, psychotherapy, behaviour therapy etc I advise you to consult a psychiatrist for proper treatment.... Good Luck Thanks" } ]

[ { "from": "system", "value": "Have bad self esteem, depressed. Partner ignorant and cynical. What should help me?" }, { "from": "human", "value": "What do i do? my parents think i am in an abusive relationship and want me to seek help, but i don t know what to do. i recently started getting worried about myself as i now have zero self esteem, am always upset, and i may even admit to being a little depressed. i love my boyfriend dearly, and don t want to be without him. i don t know why because i don t receive any attention from him, any compliments, care or concerns...nothing for that matter. he gets angry over everything and shows his temper to me. nothing i say is ever right, and he always has to win, making everything a debate. he constantly criticizes what i wear saying i look slutty, when i actually look nice. i go out of my way to try to win attention from him, and end up getting really upset and hurt. this always results in an argument because i m being a crazy bitch and he doesn t want to deal with it. i always get conned into spending money on him, and when he finally treats me to something its a huge ordeal, and I m made to feel bad about him spending money on me. if i try to hug him or kiss him he says im smothering him and being clinging. he has gone thru my phone before and started arguments about ppl i was texting, even tho i pour my heart out to him and tell him i only have eyes for him. the list could go on and on, and the more i think about this, the more sick it makes me feel..." }, { "from": "gpt", "value": "hello welcome to the forum The first thing you have to do is sit with your boyfriend and discuss all the stuff with him which is bothering you..... tell your feelings so that he can understand you in a better way..... secondly consult a psychiatrist for detailed evaluation and management Good Luck thanks" } ]