Recently Answered Questions
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Query: Hello doctor, I am a 42 year old married male. I have two daughters and a son. I have a good job and works as a manager in the engineering sector. During the past two years, I noticed myself with down health. One night, I suffered dizziness in my head and felt cold in my limbs. I almost lose conscio... Read Full »
Answer: Hi, Welcome to icliniq.com. I have carefully reviewed your health issues and want to add that, this actually is a painful situation for a person like you. The fainting episode destabilized your whole rhythm of normal, healthy life and it is difficult for you to concentrate. It is none of your f... Read Full »
What should I do to control the involuntary passing of semen?
Query: Hello doctor, I have been suffering from a few symptoms, such as involuntary passing of seminal fluid with urine (urine is cloudy), the passing of semen with bowel movements, and premature ejaculation of semen for the last five years. I have my kidney, prostrate scans performed, and had tests for se... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. In my opinion, you might be suffering from premature ejaculation. It is early ejaculation with a latency time of fewer than 1.5 minutes. Medical treatment is mostly by selective serotonin reuptake inhibitors (SSRI). I suggest tablet Lejam (Dapoxetine) available in tw... Read Full »
Does PMS show dizziness with stomach cramps in women?
Query: Hi, I am a female, 36 y/o. I hope you can help me with my health inquiry. I’ve been suffering from severe dizziness and stomach cramps since last night. I feel like spinning especially when I try to look down. I have a cervical spondylosis. Undergone PT a few months back and not taking any me... Read Full »
Answer: Hi Welcome to icliniq I hope your doing well. I understand that you are having PMS symptoms. Premenstrual disorders affect up to 12% of women. There are no unique physical findings or lab tests to positively diagnose premenstrual syndrome. Recommendation from guidelines are 1. Selective serotoni... Read Full »
How can post-SSRI sexual dysfunction (PSSD) be cured?
Query: Hello doctor, I am a 23 year old male, and I took Lexapro for two months when I was 20 years old. And then quit abruptly, because every time I would sleep for a very long time without dreaming, and also wake up feeling bad. It has been three years now, and my sexual functioning and libido have gone... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern regarding your symptoms and side effects of the medications. The symptoms you mentioned above are showing that you are suffering from dysthymia and moderate depression. Depression itself is a cause of poor sexual drive. Lexap... Read Full »
How long does Lexapro take to start working?
Query: Hi doctor, I had recently had several hospital stays for spikes in blood pressure due to years of stress with a sick child. Nothing organically was found. Anxiety might be the key. I was put on 5 mg of Lexapro at night, which made me anxious and gave me insomnia. Then, another doctor gave me Buspa... Read Full »
Answer: Hello, Welcome to icliniq.com. If Lexapro (Escitalopram) caused insomnia, then it is better to take the drug in the morning after breakfast. This drug is an SSRI drug (selective serotonin reuptake inhibitor) and helps to reduce depressive symptoms when taken regularly. Buspirone is an anti-an... Read Full »
I suffer from severe anxiety and depression after my husband's death. Please help.
Query: Hi doctor, My current issues are depression and anxiety. Honestly, it all started when my husband passed on our son's 1st birthday. I have just let it build up, and now I cannot control how I feel. I cry over crazy things, and I get mad over little things. I cannot sleep at night because I have n... Read Full »
Answer: Hello, Welcome to icliniq.com. I am sorry for your loss. It is common to develop severe anxiety and depression after any significant loss in life. Prolonged grief results in the development of depression. Please try to keep yourself busy. Spend time outdoors with your son, which will help reduce... Read Full »
I am experiencing anxiety, panic attacks, and disturbed sleep. Why?
Query: Hi doctor, I have extreme anxiety. I have not been sleeping. I feel too anxious to sleep. I feel scared and worried all the time. I have panic attacks and cannot leave my house. I know I need help but I do not know how serious it is. Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. First of all, I would like to inform you that from the described symptoms it seems that there is Generalized Anxiety Disorder with panic attacks. Both of these disorders fall under a broad category of anxiety disorders. T... Read Full »
I have memory problems with worsening insomnia. How to rectify my issue?
Query: Hi doctor, For the past three months I have been suffering from worsening insomnia. I fall asleep with great difficulty. I used to get a light fragmented sleep, where I wake up several times and have many dreams. In fact do not even know if I have fallen asleep or not. I just know that time has pass... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your complaint. From what you have mentioned, it seems that you may be suffering from anxiety or stress related disorders. The symptoms that points towards anxiety or stress related disorders include tremors, twitching, sweating, insomnia, ... Read Full »
I smoke weed. Kindly help me to get rid of the habit.
Query: Hi doctor, I do not trust girls. I have had relationship issues, as I was betrayed by the girl I love. I also have a weed problem, and I am a dropout from college. Please help me get over these issues. Read Full »
Answer: Hi, Welcome to icliniq.com. This is more of a generalized thought that all the girls are not trustworthy just because a girl betrayed you. You are taking weed. Please specify the duration and daily dose. You need a help of a psychiatrist, as a thorough evaluation is necessary to plan a regime ... Read Full »
I am developing withdrawal symptoms of Paroxetine. Please help.
Query: Hi doctor, I am a 26 year old male, and I am a doctor. From the past year, I have been suffering from delayed onset sleep disorder, I sleep at 4 AM and wake up after noon. I saw a psychiatrist, and he put me on Melatonin, Modafinil, and Zolfresh. But I am still unable to sleep at the desired time, a... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for this query. I can understand your concern regarding your delayed onset insomnia. Sleep is very important for a good mental health. Sleep disturbances can cause depression and vice versa I have read your history carefully. You are suffering fr... Read Full »