Recently Answered Questions
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After surgery, I experienced sudden tension in my head. Why?
Query: Hi doctor, Seven months ago, I had a serious head injury. That time, I was left with a small hole in the skull after extradural hematoma evacuation. Then, I had no discomfort in the head. Now, I have terrible tension around the back of the head and dull pressure and pain next to the hole. I feel hyp... Read Full »
Answer: Hi, Welcome to icliniq.com. A small piece of the skull bone could be cut and the hole in the bone was made. According to the reports (attachment removed to protect patient identity), there isno residual brain damage. Under these circumstances, I can explain your headache as follows. The pain around... Read Full »
What is the normal range of cortisol?
Query: Hello doctor, I am a 35-year-old male. What is the normal range of cortisol in a 24-hour collected urine probe? Is having too low cortisol levels in a 24-hour collected urine probe a clinical matter? In the last six months, I had three urine testings with the account of cortisol between 10-12 µg/24... Read Full »
Dr. M. A. Toyeb, Nazma Parveen
Answer: Hello, Welcome to icliniq.com. You have not mentioned why you got your urine cortisol levels checked. The normal cortisol levels vary between 10 to 100 micrograms and vary from one person to another, and are affected by many factors. What are the symptoms you are experiencing? Are you having any sle... Read Full »
Is it safe to reintroduce my son with PTSD to his abuser?
Query: Hello doctor, I have a child who was severely abused (physical, domestic, verbal, and emotional abuse) from birth to age 5 by their biological father. At age 5, their biological father was not allowed to see our child and it remained that way for about seven years. My child is 12 now and has been d... Read Full »
Answer: Hello, Welcome to icliniq.com. Yes, your therapist is doing it correctly. It can be part of the management, but I would like to suggest that it will be better first to introduce pictures of the biological father or his accessories and observe your child's reaction. Then, in the follow-up session, ... Read Full »
Faced domestic and sexual abuse. Now, PTSD is ruining my life. Please help.
Query: Hi doctor, PTSD is controlling my life. I was raped six to seven times and faced domestic abuse for four months until I escaped. Each time sex has been hard for me. After the domestic abuse, it is so bad that I have to stop in some strokes and if not then I will throw up on them.Sometimes it happen... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for sharing your concern with me. I can understand your situation and feelings. I can assure you that this is not going to be with you forever. You would benefit from counseling and therapeutic techniques such as cognitive behavior therapy (CBT) by a clinica... Read Full »
How do you overcome panic attacks due to a traumatic past?
Query: Hello doctor, I have experienced traumatic events in the past two years in school. My forehead hurts whenever I talk about that traumatic event, my body shakes out of nowhere, I get panic attacks, and I find it hard to breathe. I also have a hard time sleeping, and I often just get lost in space, em... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for taking help from a psychiatrist. I can understand your situation. you may have panic disorder or PTSD (post-traumatic stress disorder) due to trauma in your life. You need to follow the below lifestyle for it and you must do the following blood reports ... Read Full »
I am getting mental images of the past for the ten months. Why?
Query: Hello doctor, I have been suffering from what I think are mental problems since last year. To give you some context, I went abroad for studies, and I felt extremely lonely and miserable there. After a year, I was suffering from sleep problems. However, one day, I had confusing thoughts, just before ... Read Full »
Answer: Hi, Welcome to icliniq.com. This problem you are facing is a mental illness for sure. The description of your symptoms seems that it is a serious issue, as it has been persistent for the past 10 months. The problem you are facing is probably visual hallucinations or illusions, which are a part of ... Read Full »
What is the reason for having negative thoughts and vivid dreams?
Query: Hi doctor, My father is 56 years old. He is having negative thoughts and talks about deaths, has a vivid dream with severe sleepiness. He is not enjoying anything which he enjoyed before. He has short-term memory loss. He has fatigue with increased appetite. He has little issue in breathing during s... Read Full »
Answer: Hi, Welcome to icliniq.com. Your father may have PTSD (post-traumatic stress disorder). It is less likely to be due to glioma. The symptoms of a vision problem and memory loss are due to gliomas. You can give him a small dose of antidepressants and Benzodiazepine for the sleep disturbances. You can ... Read Full »
Query: Hello doctor, I am an 18 year old female. I have been feeling low. I feel sad, irritated and angry most of the times. It has been going on and off this way for the past five years. There are certain eating issues too. I do not feel like eating. I do not get hungry. I just eat one meal a day. And som... Read Full »
Answer: Hello, Welcome to icliniq.com. You seem to have gone through a lot. From what you have told me, you seem to have had features of PTSD (post-traumatic stress disorder) and could be having symptoms of depression and eating disorder. My advice to you would be to personally visit a psychiatrist for a ho... Read Full »
How can I stop PTSD from getting worse?
Query: Hi doctor, I am not diagnosed with depression or on medication, but I think I have PTSD (post-traumatic stress disorder) because I am unable to stop overthinking about it as if I have too much health anxiety or concern. I am unable to keep still in one place. I get tensed and easily triggered by co... Read Full »
Answer: Hi, Welcome to icliniq.com. I read the information you have given, and I understood what you have been going through, and I would like to help you out. According to the details you have provided, it looks like you are suffering from generalized anxiety disorder, which needs to be treated at the e... Read Full »
Is there any alternative for Benzodiazepines in treating anxiety and PTSD?
Query: Hello doctor, I am 26 years old and suffer from severe anxiety and PTSD. For about five years, I have been on a variety of Benzodiazepines. Right now, I am on 2 mg Xanax four times a day. It is better than nothing, but I have built up such tolerance benzodiazepines hardly work for me. I know the on... Read Full »
Answer: Hello, Welcome to icliniq.com. As you rightly commented, Xanax and other Benzodiazepines are not helpful in the long term management of anxiety as they cause dependence. You become tolerant, and they do not work. At best, Benzos can be used sparingly for the short term only. Barbiturates are no lo... Read Full »