Recently Answered Questions
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I suffer from severe anxiety and depression after my husband's death. Please help.
Query: Hi doctor, My current issues are depression and anxiety. Honestly, it all started when my husband passed on our son's 1st birthday. I have just let it build up, and now I cannot control how I feel. I cry over crazy things, and I get mad over little things. I cannot sleep at night because I have n... Read Full »
Answer: Hello, Welcome to icliniq.com. I am sorry for your loss. It is common to develop severe anxiety and depression after any significant loss in life. Prolonged grief results in the development of depression. Please try to keep yourself busy. Spend time outdoors with your son, which will help reduce... Read Full »
My panic attacks are getting worse. Please help.
Query: Hi doctor,I am a 40-year-old male. I am having panic issues. I was shot and nearly killed two years ago. I have been taking Lyrica and Serepax 25 for a month for nerve damage from the surgery following that. I start having problems when I go to meetings, or when I am around many people. I try to hid... Read Full »
Answer: Hello, Welcome to icliniq.com. Your first query consult is on us! You went through a life life-threatening situation and came back. You must try to move on. You may have an anxiety disorder. There is non-pharmacological management for it, which you should try to follow. I suggest the following: 1.... Read Full »
I am anxious about my health. Please help.
Query: Hi doctor,I am a 22-year-old female. I am taking Citalopram 20 mg on the seventh day. I am diagnosed with general anxiety disorder and complex post-traumatic stress disorder. For the last few weeks, I have gathered this tense or strain-type feeling in the calf of my right leg. It will occasionally s... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your query, and I can understand your concern. I am very sorry about your medical condition. Do not worry. I am here to take care of you. Regarding your symptoms, I am very sure you have a condition called a psychosomatic disorder, a condition that manif... Read Full »
SSRI is not helping with my bipolar disorder and panic attacks. Why?
Query: Hello doctor, I have bipolar disorder, panic attacks, social and generalized anxiety disorder. I have one to three panic attacks per day, constant anxiety, and fear of leaving the house. No motivation to work, no energy, apathetic, without mood. Right now I am in a depressive episode. I previousl... Read Full »
Answer: Hello, Welcome to icliniq.com. If your anxiety is not responsive to SSRI's (selective serotonin reuptake inhibitors), then you should consider trying TCA (tricyclic antidepressants) class of antidepressants. They will help with your anxiety and panic attacks. Apart from Tranxene and Benzodiazepin... Read Full »
My heart is aching and racing, and I experience panic attacks. Please help.
Query: Hello doctor, I am 20 years old. My heart hurts and I always feel my heart beating so fast and start panicking for no reason. I also wake up in the middle of the night with a bad feeling, as if I was worried about something, and start crying. I have lost my appetite and it has made me lose weight.... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. Panic attacks and high levels of anxiety are most likely the cause of your symptoms. A panic attack is the abrupt onset of intense fear or discomfort that reaches a peak within minutes. According to journals published b... Read Full »
What could be the cause for sudden palpitation and dizziness?
Query: Hello doctor, I am 20 years old. At work, I had an episode of my heart started racing out of the blue. I could feel it pounding in my chest, and it made it feel like I was choking. I got very dizzy and thought I might faint, and started sweating. It only lasted about five minutes. I have issues wit... Read Full »
Answer: Hello, Welcome to icliniq.com. There are various reasons for having palpitations along with dizziness. The most important one is an abnormal heart rate or rhythm which starts suddenly and terminates abruptly. This could be detected by different monitors that you can carry with you, these devices c... Read Full »
Do I need to worry about panic attacks and irregular heartbeats?
Query: Hi doctor,I feel as if I am getting irregular heartbeats. I had suffered from panic attacks quite a few times in the last six months. Since then, I have been having these irregular heartbeats. Although, I have not had a panic attack now, the heart still beats irregularly and it occurs throughout the... Read Full »
Answer: Hi, Welcome to icliniq.com. If you haven't undergone any tests yet, it is crucial to take proactive steps in that direction. I recommend getting an ECG, a 2D echocardiogram, and a blood pressure check to assess your cardiovascular health. If you suspect it may be a panic attack, it is essential to ... Read Full »
Is tingling sensation in my hands because of a hot shower?
Query: Hello doctor,I am a 34-year-old male. I had a hot shower for a long time. When I came out of the shower, I had a hard argument with my wife. After all these incidents, I started to have a tingling sensation in my arms and fingers without numbness. Is this because of a hot shower for long hours or be... Read Full »
Answer: Hello Welcome to icliniq.com. I understand your concern, and I would explain that your symptoms are not suggestive of any neurological disorders. The blood pressure fluctuations and anxiety (panic attacks) may mimic this clinical situation. Anyway, there is nothing to worry about. I recommend ... Read Full »
How do lowering the dose of Xanax plays a role in psychologial effects?
Query: Hi doctor, I have been taking 4 mg of Xanax a day to treat severe panic attack syndrome and associated high levels of general anxiety for 15 years. My doctor arrived at the 4 mg per day amount gradually and it works very well along with CBT from a therapist. Before two months, when I received the... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. There are a few clarifications and advice that I need to make. Reducing the dosage of Alprazolam results in Alprazolam withdrawal. A reduction by 25% is unlikely to be physically dangerous but the withdrawal symptoms are going to be highly unpleasant. The anxiety ... Read Full »
I had an episode of profuse perspiration and nausea. Why?
Query: Hello doctor, An episode of profuse perspiration with nausea and mild trembling legs occurred in the morning today. ECG conducted within an hour is normal. Cholesterol level is also normal. Please advice further course of action required. The other tests performed were lipid profile, KFT, LFT, and I... Read Full »
Answer: Hello, Welcome to icliniq.com. Are you a diabetic? If yes, then these symptoms can be explained by low blood sugar. Otherwise, it seems to resemble a panic attack anxiety. Read Full »