Answered by Dr. Ruhi Satija

Answered by Dr. Ruhi Satija

What causes chest tightness and sleeping difficulty?

Hello doctor,

I am a female, and weigh about 50 kg. I am currently having chest tightness and anxiety. I have been prescriped Zapiz 0.25. However, it is not helping much. Can I take another?

About a year ago, I was asked to start Serlift and I started weaning off them about three months ago.

Sometimes I feel chest tightness, difficutly in sleeping and butterflies in my chest for which I was prescribed to take Zapiz 0.25 as an SOS. I took a tablet about half an hour ago however do not see any relief. I wanted to know if it would be fine if I took another tablet of Zapiz 0.25. All my respiratory, heart, and chest tests, etc. are clear.

26 Apr 2024 - 1 min read

Is it normal to take years to get over broken relationships?

Hello doctor,

I am curious about why we go back to ex relation again and again even after two to three years of breakup and more than a year of total detachment? I know that relation did not work for me, and maybe I had nothing more to give to or get from that relation. I do not want to get back in that again and all the way I blocked myself.

But still kind of thoughts follow me again and again, and I feel I cannot grow because of that, or maybe that is not the reason, but still, I think about and feel sad and old why I am feeling like still moving around old-time and searching though I do not want to get back that time. I know everything, and everyone has changed with time. Please advice.

25 Apr 2024 - 1 min read

How to treat sleep issues, mood swings, and behavior issues?

Hi doctor,

I have major sleeping problems where I do not get sleep at night sometimes until late or sometimes at all. I also have a lot of mood swings where I am really happy at times and the next second my mood switches. I feel very confused about my behavior and in general, I do not like interacting or making conversations with people. So I get really conscious and think about scenarios about how to say what. I keep worrying a lot about different things and have difficulty focusing on things and especially because of irregular sleep I am having problems. I get scared of sleeping at times and have nightmares at times when I do.

18 Apr 2024 - 1 min read

Why do I feel a deep disdain for humanity and people ?

Hi doctor,

Every day I feel intense disgust for humanity and people. I struggle with sadism, and my last girlfriend broke up with me because that went too far. It has always been a problem in relationships for me. I hate society so much. Every time I see a person I want to torture them brutally. Every house I walk by I want to just kick the door down. I just hate them all. I do not even value my own life. I am nothing. I feel like I was just born for this. Born wrong. Born to be a problem. I tried to fight it too, and I failed. No matter how much I tried to control it, even when professionals were involved, it overpowered me and ruined what little good was in my life. I am no immediate danger of hurting people, but I think one day I am going to really snap.

I have built up an intensive library of bad experiences with people, and I do not think I can take much more. People repulse me now. Is there any hope for people whose brains are as warped as mine? I am 31 and I struggle to even hold down a job, because I find I get emotionally exhausted doing things I do not actually want to do. I also have a destructive temper, so that causes trouble at work too.

What do I do? I have been through the emotions. You are only another psychiatrist, so I do not know what I am expecting in reaching out again. How can I break the cycle if therapy or medicines, and psych wards have not helped me? I have already tried taking my own life three times.

16 Apr 2024 - 1 min read

Will Fluoxetine treat BPD and obsession?

Hello doctor,

I am a 30 years old female. I suffer from borderline personality disorder, bipolar disorder, psychosis, anxiety, and obsessive thoughts for ten years. I am taking Olanzapine 10 mg for 68 days, Lamotrigine 200 mg for 101 days, and Fluoxetine 20 mg for 53 days. Now I am not depressed but also not happy. I have a little moment of happiness, elevated mood, and ambitions, but it is so mild and lasts for seconds. Is this normal, or should I stop taking Fluoxetine? Also, I have no control over eating and sleeping, especially at night, why? When will this go away? When does Fluoxetine gets kicked in and make me happy? For how long should I take fluoxetine, or should I increase my dose? Then when should I lower the dose and how? When should I stop Fluoxetine? After I increased my dose of Lamotrigine from 150 mg to 200 mg, I suffer from less speaking with others, why? When will this go away? Should I lower my dose to 150 mg or continue this dose? Should I take Paroxetine for depression instead of Fluoxetine? For how doses and for how long? I was treated by a psychiatric doctor and want to know a detailed information about what I have asked before visiting him next time? Please help.

16 Apr 2024 - 1 min read

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