Hello, Welcome to icliniq.com. The kind of thoughts that you describe and the fact that they keep coming repetitively are diagnostic of obsessive-compulsive disorder (OCD). Your complaints of weakness, mood swings, anger, and a loss of interest in doing things are typical of depression. So, your doctor's diagnosis is correct. I would suggest tablet Fluvoxamine as the first choice of medicine.
Hello, Welcome to icliniq.com. I have read your query and can understand your concern. You must understand that there is a difference between potential side effects, such as thrombosis, embolism, and QT prolongation that are reported with the drug, and commonly seen side effects with a drug. While the side effects that you mentioned have been reported in the literature, they are not common, and I have not seen any of my patients having them while on the medicine. Still, this does not mean that there is no risk of having them.
Hi, Welcome to icliniq.com. I have gone through your query in detail and would like to summarize your current symptoms: Feeling sad, excess worries, poor cognitive abilities (memory and thinking), social anxiety (fear of people), reduced energy levels (lazy and tired), low self-confidence, and feelings of guilt and worthlessness are all typical symptoms of depression (major depressive disorder). Your past history suggests that you have been suffering from this for almost three years, and it was more severe in between, with symptoms of lack of motivation, lack of pleasure, indulging in smoking and drinking. The simple and effective way out of depression is antidepressant medicines. They are safe, will act quickly, and help in the majority of cases.
Hello, Welcome to icliniq.com. I have gone through your query in detail, the reports (attachment removed to protect patient identity) and have the following observations: Chronic cough not responding to medicines, difficulty thinking (cognitive impairment), memory problems, periods of delirium or confusion that could also be seen in some seizure disorders, difficulty in visualization and excess lacrimation in eyes. These are all neurological symptoms which will require consultation with a neurologist and relevant investigations like brain imaging, EEG, etc., to diagnose the condition. Also, there are lack of energy and laziness.
Hello, Welcome to icliniq.com. I can understand what you are going through, and I will try to be as helpful as possible. There are two possibilities: 1. The depression is not because of SLE but comorbidity. This is likely if there is a family history of depression.
Hello, Welcome to icliniq.com. Your current symptoms of difficulty in waking up and loss of interest in work, with severe anxiety, is indicative of clinical depression. What you describe as death phobia involves obsessive thinking about death. So, it is more likely to be a symptom of OCD (obsessive-compulsive disorder) too. OCD and depression frequently coexist or obsessive symptoms are seen in depression too.
Hello, Welcome to icliniq.com. I understand your concern. Frequent gastrointestinal infections have triggered irritable bowel syndrome. Mirtazapine is used for IBS (irritable bowel syndrome) and shows promising results. It is quite safe.
Hello, Welcome to icliniq.com. If you suspect something like sporadic familial insomnia, it is wise to see a neurologist with your specific complaints. This is because it is very difficult to diagnose on the basis of symptoms only. It needs investigations like genetic analysis and sleep studies to confirm. My advice would be not to get overly anxious but to see a neurologist and get investigated properly.
Hello, Welcome to icliniq.com. I understand your concern. What you are describing is known as difficulty in maintaining sleep. Considering that you have tried common remedies, I would suggest tablet Zolpidem sustained release 12.5 mg or 10 mg or tablet Eszopiclone 1 to 2 mg can also be used as an alternative to Zolpidem.
Hello, Welcome to icliniq.com. I have gone through your detailed history. Your primary complaints are of multiple phobias, including agoraphobia. It is quite evident from other details that you are physically healthy and the problems are of psychological origin. Now, coming to your medicine history, I have a few observations and suggestions and they are as follows.
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