Q. I have PCOD with depression and fatty liver. How to manage it?

Answered by
Dr. Muhammad Zohaib Siddiq
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on Mar 08, 2021 and last reviewed on: Apr 10, 2021

Hi doctor,

I am 32 years old with a weight of 113 kilograms and a height of five feet eight inches. I have insulin resistance problem for 15 years. I have acanthosis nigricans with PCOD and my periods are irregular. I suffered from jaundice at the age of 10 and it has damaged my liver causing fatty liver. I had a premature birth. I always try to lose weight and I cannot stick to anything for a longer period of time. I get bored quickly and I have migraines with a sleeping disorder. My back of the neck hurts me a lot. I cannot sleep with the low pillow. Before a year, I had a heavy nose bleeding from the right side of the nose.

I lost my blood and my hemoglobin got reduced from 11.2 g/dL to 9.6 g/dL. I had some blood clots and when I try to move my face up, blood gets into the throat and I will try to pull it out. It took 40 minutes to stop my bleeding and my blood pressure was 140/105 mm Hg. For the past couple of months, I have palpitation problems. My pulse got raised upto 135 beats per minute. Normally, I have a pulse rate of 88 to 97 beats per minute. Sometimes, I have pressure on my jaw, neck, and left hand.

Sometimes, I have stretching of veins below the breast on both sides. Sometimes, my left ear becomes numb and the surrounding area of the ear becomes numb and I feel the pressure below the left side of the neck. I feel some sensation on my upper left back near the shoulder blade. It seems to be a crawling sensation under the skin. Sometimes I feel this below the back and it is present mostly at the time of the shower. I have pain on the upper left side of the tummy. It lasts for a minute to hours. But it starts intensely and it becomes mild later after taking rest. I feel to have stretching in my left-hand vein and it causes a lot of distress.

Sometimes, I feel it in my heart. I was diagnosed with IBS and took treatment for two months. But still, I burp a lot. Sometimes even after eating food for six hours, I can still taste the food in the burp. Sometimes I have pain in my heel and I cannot able to walk. I am unable to place my foot on the ground due to pain and walking causes more pain in my heel.

I was diagnosed with prediabetes. Now I am under depression due to my overall health. I am dealing with obesity throughout my life. Now my body is fat and saggy. I am unable to control my body and I do not have beautiful skin with too much facial hair present on my chin. I have consulted many doctors but I am not getting well. I want to live my life happily with a stronger mind. My depression is killing me a lot and I do not want to take anti-depressants as they cause weight gain. Please suggest.



Welcome to icliniq.com.

Most of your problems are due to PCOS (polycystic ovarian syndrome) and its complications are obesity, diabetes, facial hair, hypertension, and depression. You need to manage depression first and do a thyroid profile soon. You need to consult a gynecologist soon to manage PCOS. Though there is no cure, it can be managed by taking medicines and doing lifestyle changes. Pray five times a day. Do moderate exercise, eat a Mediterranean diet, and have intermittent fasting. Once when you start doing exercise, you will start to lose weight. It will correct your diabetes and menstruation problems. You may require to take antidepressants and it depends on you that how you manage your depression.

Was this answer helpful?


Related Questions:
I have PCOD from the last 10 years. Please suggest a permanent cure.

.. that PCOD is not diagnosed by ultrasound.Kindly get thyroid profile, serum androsterone test, serum prolactin, serum testosterone, free androgen index, serum insulin, and fasting blood sugar test done.Start doing six sets of Surya Namaskar every d...   Read full

Will losing weight help in treating stage 4 liver fibrosis?

.. investigated by fibroscan report (attachment removed to protect patient identity). The 19 kpa is suggestive of grade 4 fibrosis in liver. The fibrosis can from due to chronic inflammation. The NASH is form of hepatitis due to overweight. So, fibro...   Read full

I have severe neuropathy in feet and intense burning throughout the body. Why?

.. advise you on the following, for the next one month, for relief. (a) Alpha Lipoic Acid R+, 300 mg twice daily. (b) Vitamin B12 (Methylcobalamine), 500 mg daily. (c) Omega-3 fatty acid 1000 mg twice daily. Additionally, I would also advise you ...   Read full


This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read

What Is Epilepsy Or Seizure Disorder?
We all are familiar with the term epilepsy, and always associate it with fits or seizures. But, there is more to it. So,...  Read more»
Can viral fever lead to Parkinson's disease?
Hello doctor,I had a viral fever six years back. I had a very high temperature of 105, bad cough, also hallucinations. I...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask a Cardiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.