Recently Answered Questions
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I have agoraphobia and lack confidence. Please help.
Query: Hello doctor, I am 30 years old and my height and weight are 5'8" and 88 kg respectively. I have symptoms of agoraphobia from my childhood. I cannot go to public places like mall, theater or grocery store. I cannot even travel alone and every time I depend on someone. I feel sad every time with ... Read Full »
Answer: Hi, Welcome to icliniq.com. From your history, it is definitely agoraphobia. Along with that you have developed some depressive symptoms also. Read Full »
I have fear going to public places. Please help.
Query: Hi doctor, I am 30 years old. I do not like being in public. I do not do anything fun. I have a thought that always people in my surroundings are looking at me. So I would rather be at home. I do not like using the phone. I am taking Klonopin 2 mg 3 times a day. But I am not taking it now as I am t... Read Full »
Answer: Hi, Welcome to icliniq.com. You are suffering from panic attacks with agoraphobia (fear to go to public place). You are taking Benzodiazepine (Klonopin-Clonazepam) of very high dose. Continue it but should take it occasionally only, as high chance of dependence is there. You should start an antid... Read Full »
Will stopping Effexor worsen panic disorder?
Query: Hi doctor, Seven years back, for two years, I had a complete breakdown with agoraphobia, panic attacks, weight loss, anxiety, depression. Little bouts throughout the prior ten years but they only last two weeks or few days. Nearly three years on Effexor for the panic disorder after a breakdown. I h... Read Full »
Answer: Hi, Welcome to icliniq.com. You have panic disorder. There is non-pharmacological management for it. However, it would help if you tried to follow the below guidelines to deal with it. It will help you: 1) You should do exercises daily for 30 to 45 minutes, like going for a walk. 2) You should d... Read Full »
Can home remedies be used to treat OCD and agoraphobia?
Query: Hi doctor,I have been suffering from agoraphobia and OCD, from all the symptoms that I have been exhibiting for the past four years. On most days, I am on the edge of my seat with a large amount of anxiety, and I am constantly worrying about my breathing and paying attention to different parts of my... Read Full »
Answer: Hi, Welcome to icliniq.com. There are some online consultation sites and online portals where those prescriptions can be uploaded and medicines are delivered home. If you have something like this at your place, could you look into local online consultations and get medicines? You will ideally need ... Read Full »
How can I alleviate my aggravated digestive issues?
Query: Hi doctor, I suffer from agoraphobia, and getting out is difficult for me, but my stomach problems have worsened this condition. It has now got to the point that I am scared to eat anything hours before I go out as I am so concerned about losing control of my bowels with diarrhea (which has happened... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. I have seen your reports (attachment removed to protect the patient's identity). So I think a few issues are related to your case. First, I agree with the diagnosis of IBS (irritable bowel syndrome) because you ... Read Full »
What are the signs of a neurological disorder?
Query: Hi doctor, I am a 30 year old male. I am suffering with the below symptoms which feels like a disorder. I have this disorder running in my family. A few of my paternal uncles also have them, but in a mild form. I had these symptoms since childhood, but it was very mild at that time. I had ignored th... Read Full »
Dr. J. Mariano Anto Bruno Mascarenhas
Answer: Hi, Welcome to icliniq.com. I have read your question with care and understand your concerns. All the symptoms you have mentioned are consistent with agoraphobia with anxiety. This is verylikely to be a structural problem in your brain. All you need is proper practice and you can be normal within ... Read Full »
I have depression, anxiety disorder, panic attacks, and agoraphobia. Should I be concerned?
Query: Hi doctor,I am a 39-year-old man with ADHD, depression, generalized anxiety disorder, and panic disorder with agoraphobia for the past 20 years. I also have irritable bowel syndrome, which worsens my agoraphobia. I get nightmares like my car breaking down and becoming incontinent with my bowels. I a... Read Full »
Answer: Hello,Welcome to icliniq.com.I understand your concern.The long-term solution to your problem is to try a different class of drugs. So I suggest you drug combinations like benzodiazepines, mood stabilizers, tricyclic antidepressants, and anti-psychotic medications along with tablet Venlafaxine (Sero... Read Full »
What could be the reason for a chest swelling that later moved to the abdomen, groin, and ankle?
Query: Hello doctor, I am a 48 year old male. Two months ago, I noticed what felt like a swelling in my chest. It impaired my breathing. It seemed like I could only inhale about half or less of my lung capacity. Over a week, the swelling moved into my abdomen. My stomach began to swell and look distended.... Read Full »
Answer: Hello, Welcome to icliniq.com. This sort of progression of swelling from the abdomen to the groin and then to the ankles is usually seen in liver diseases or due to a local abdomen pathology compressing the inferior vena cava. Sorry to tell you, but it is impossible to find out the exact cause witho... Read Full »
Can I use Paroxetine for bipolar II disorder, anxiety disorder, and agoraphobia?
Query: Hi doctor, I want to know some treatment options for my conditions. I have bipolar disorder II with social and generalized anxiety. I have panic attacks and agoraphobia due to it. Previously, I was taking Escitalopram, Venlafaxine, Fluoxetine, Sertraline, Lithium, Depakote, Quetiapine, Risperidone,... Read Full »
Answer: Hi, Welcome to icliniq.com. You can continue taking medications that keep your condition stable at present. Duloxetine is a good option for you and it will not increase your blood pressure. Escitalopram takes around four weeks to show its full effect after starting this medication. Prozac can decr... Read Full »