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Bad appetite, shivering in the hands and sweats profusely, breathlessness, eats chalk, irregular food habits, restless and nervous, takes alcohol - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1721 Questions
User :   hey
User :   I am 23 , F
User :   and I weigh 42
Doctor :   Hi
User :   i am tired all the time for obvious reasons... i have bad appetite..
Doctor :   Ok
Doctor :   Ok
User :   i have this sudden shivering in my hands and I'm sweating profusely
User :   should I worry?
Doctor :   Ok
User :   i am currently menstruating.
User :   yes
User :   occurs sometimes
User :   would say sporadically
User :   feel breathless at times
Doctor :   I would like to know few more things before suggesting you: Doctor :   Ok
Doctor :   may I know the duration of these symptoms?
User :   a lot of it
User :   i am also on anti depressants
Doctor :   Have you observed any precipitating factor like emotional stress?
Doctor :   Ok
Doctor :   Ok
User :   mostly work and emotional stress
Doctor :   May I know what kind of stress you are facing?
User :   i also study late into night
User :   about 2 months
Doctor :   Ok
User :   i am staying away from my home city
User :   yes
Doctor :   From when are you on anti depressants?
Doctor :   Ok
Doctor :   Ok
User :   but havent followed up in a while
Doctor :   Did you see a psychiatrists for these medications?
Doctor :   OK
Doctor :   Ok
Doctor :   Did you get any blood tests recently?
User :   no blood tests recently and no known throid issues
Doctor :   like Thyroid profile or any routing blood tests?
User :   6 months back was the last blood test
User :   haemoglobin is of normal level
Doctor :   OK
User :   i dont really remember the exact result
User :   i dont have it with me now
Doctor :   May I know what all test were done and what was the results?
Doctor :   Ok
User :   no
Doctor :   NO problem.
User :   i also feel like inedible food like chalk
Doctor :   Ok
User :   i dont feel like eating
User :   i just dont have appetite
Doctor :   Was thyroid profile done during these tests?
Doctor :   Ok
Doctor :   May I know the reason for the bad appetite?
User :   i eat quite a bit of chalk.. have irregular food habits
Doctor :   ok
Doctor :   Ok
User :   constant 42 for the last 5 years
User :   i just feel like
User :   too embarassed to talk to anyone about it
Doctor :   Are you gaining or losing weight compared to the weight checked last time?
Doctor :   Ok
Doctor :   But why do you eat chalk?
Doctor :   Ok
User :   it's more of an obessions.. i eat it when i am stressed out.. which is most of the time
Doctor :   Ok
User :   *obsession
Doctor :   Please don't feel embarassed about that and many people do have chalk like me.
Doctor :   OK
User :   i just need to stop this shivering and sweating and hopefully find a treatment for bad appetite
User :   yes i am anxious most of the time
Doctor :   After going through the description provided by you, I feel that the shivering and sweating could be due to anxiety.
User :   okay
Doctor :   Please see your psychiatrist as he would help you with anti anxiety medications and if required to alter your anti depression.
User :   okay
Doctor :   Mean while you can follow these measures as this would help you in controlling anxiety: User :   okay
Doctor :   1. Follow breathing exercises and meditation.
Doctor :   This will reduce the levels of anxiety and would have a very good relaxed mind to face problems.
User :   okay
User :   my timings are little hectic
Doctor :   2. Also along with this follow regular physical exercises which would help you in physical and mental fitness.
User :   i dont generally find time to do anythign apart from work and study
User :   ok will do
User :   something for bad appetite?
Doctor :   3. Please get a thyroid profile as hyper or hypothyroidism is one of the cause for anxiety.
Doctor :   Ok
User :   okay
User :   oaky
User :   will do
User :   and regarding chalk eating
Doctor :   You need to atleast take out 30 min every day for exercises.
Doctor :   as this is very important.
User :   i eat scary amounts of chalk and i am worried it's going to hamr me in the long run
User :   i have been eating chalk since grade 7
Doctor :   And exercises too will help in increasing the appetite.
User :   i try very hard
User :   but it makes me restless
User :   i go and buy have had few friends help me get over it.. doesnt happen
Doctor :   You need to avoid the obsession of chalk.
Doctor :   For this, do not stock any chalks with you.
User :   wall, mud, cement.. i always find a substitute
User :   !
Doctor :   Any time when you feel of having it, try to divert your mind to other works and can have something else what you like instead of chalk.
User :   am i going through something serious?
User :   because i dont feel fine. i go through heavy mood swings.. have chalk addiction
User :   and i am nervous
Doctor :   I understand your concern but please as this will harm your health in future.
User :   there's a lot of peer pressure to succeed and do well
Doctor :   No, its not serious but needs to be controlled.
Doctor :   As this could harm your future.
User :   i have always been rated high and there's an immense pressure on me to do well
Doctor :   Chalk addiction is due to anxiety and nervousness.
User :   to keep up the expectations
Doctor :   You find to have relief after having chalk which is not true.
Doctor :   Ok
Doctor :   Ok
User :   something i have faced since school and it's very pronounced now because of work
User :   i drinka alone
Doctor :   I understand.
User :   yes socially
Doctor :   To control the anxiety and stress the best way I suggest is to follow meditation regularly.
User :   but couple of months back starte drinking alone
Doctor :   Ok
User :   very rarely
Doctor :   Do you consume alcohol?
Doctor :   Ok.
User :   i drink moderately.. it's chalk addiction that i cant controll
User :   *control
Doctor :   Ok
Doctor :   Do you smoke?
Doctor :   Ok
Doctor :   Ok
User :   thanks for your time! i have had problem admitting this to anyone
User :   i shall try meditation
User :   will do
User :   soon
Doctor :   I understand your problems and this all are related to your expectations.
User :   thanks for the consultation. have a nice evening
Doctor :   Yes please and do see your psychiatrist.
User :   okay
User :   okay
Doctor :   And the best thing is to control the obession by substituting with anything edible when you are tensed.
User :   okay
User :   i wont
Doctor :   I am sure this will help you in reducing your anxiety.
Doctor :   and also the obsession.
User :   i am quite aware of the pressure on me.. i am trying to help myself out of it
User :   but its a little hard
User :   haha :)
Doctor :   And please don't feel embarassed about this.
Doctor :   It is commonly found in many people.
Doctor :   I am the biggest example of this.
Doctor :   I understand.
User :   anywa, thanks for the time. I'll sign off now.. thanks for all the advice
User :   good day!
Doctor :   And I don't mind regarding this.
Doctor :   So please don't worry and I am sure everything will be fine.
Doctor :   Pleasure is mine.
Doctor :   Thanks for consulting me
Doctor :   Take care
Doctor :   Bye for now.
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