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Polycystic ovarian syndrome, ear cramps while swimming - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Women Sexual Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2123 Questions
User :   I suffer from PCOS and in the past few years, I've noticed some strange symptoms. In the morning I have weakness, tremors, anxiety and low blood pressure. I usually eat fruit at noon but that it just makes me feel good a few minutes and I do not tolerate well the fruit. I need to drink coca cola to feel better. I have increased my weight, I have fat in the stomach and waist and menses are more durable. I also suffer panic attacks in the days of menstruation, resulting in agoraphobia sometime. For several months, the symptoms have worsened. Earlier this year, had a sort of chronic fatigue. My family doctor sent me to the psychiatrist who prescribed me antidepressants(escitalopram) that had no effect. The psychiatrist had to increase the dose, but treatment was not satisfactory. The psychiatrist changed the treatment and prescribed me paroxetine, with which I managed to improve my mood, but I still get weak in the morning, I'm sleepie and suffer panic attacks, especially during the days of menstruation. My life quality is deteriorated a lot and I'm tired of prescription drugs and anxiety, because I feel as if something doesn't work. I though not rule out certain psychological components that may affect my situation but I think that may exist any physical problem that hasn't been detected. I do not usually visit doctors, I mean I'm not one of those people who obsessively seek medical treatment and I have never been fully tested, only blood and hormones analytics. Everything works fine except for high levels of estradiol and androstenedione (the analysis was performed on the fourth day of the cycle), as well as low blood glucose.
I wonder if PCOS may be causing these problems and what medical tests should be requested.
User :   Hello anyone there?
Doctor :   Hi Dr.XXXXX here.
User :   Nice to meet you
Doctor :   give me a min please
Doctor :   let me read your query
Doctor :   nice to meet you rtoo
User :   ok
Doctor :   too**
Doctor :   may i know your age please ?
User :   37
Doctor :   ok well the root cause for your problem is PCOS
Doctor :   how long its been since you taking the antidepressants ?
User :   the psychiatrist often tells me that PCOS is not the cause but its his opinion
User :   6 years
Doctor :   thats ok
User :   but they don't do nothing
Doctor :   see the problem does lies in the hormonal imbalance
Doctor :   you are already taking lots of medications for it
Doctor :   and its not correct on my side to tell yu to do the same
User :   it's like something goes wrong and I don't know what to do cause psychiatrist told me anxisety is like a life sickness
Doctor :   anyway so what i will suggest you is to follow first is your diet control
Doctor :   In PCOS treatment plan, try to select low glycemic index foods, as they will cause a slower rise in blood sugar. Glycemic index is an indicator of how rapidly the food turns to sugar in the blood. The low glycemic carbohydrates also tend to have more fiber than the high glycemic foods. For example, select breads, grains and cereals that are as unprocessed as possible.
Doctor :   Space out the carbohydrates during the day. This will cause less of a rise in blood sugar and insulin as compared to eating all carbohydrates at one meal.
Doctor :   Avoid those carbohydrates that trigger more hunger or cravings (e.g. refined flour , sugary foods)
User :   And what medical tests should I ask? I have diabetes story in my family
Doctor :   Drink at least 8 glasses of non- caffeine fluid per day
Doctor :   you need to get your sugar tested for sure
Doctor :   Exercise on a regular basis to lose weight and improve insulin response
User :   Is there any treatment that could replace prescription drugs?
Doctor :   have you got your thyroid testes ?
User :   yes
Doctor :   tested ?**
User :   all was ok
Doctor :   prolactin ?
User :   no
Doctor :   get that
Doctor :   also i want you to get a MRI done
User :   Ok I'not very used to visit doctor and I'm afraid of future complications
Doctor :   ok here is the list of the tests you should get done
Doctor :   Fasting glucose, Fasting insulin, Hemoglobin A1C (HbA1c), and Glucose tolerance test (GTT)
User :   and MRI too?
Doctor :   also you need the following profiles ,,,LH (luteinizing hormone),
FSH (follicle stimulating hormone),,
LH/FSH ratio,,
Doctor :   and a MRI
Doctor :   to see the cystic changes in the ovaries
User :   Ok I hope that with all these tests and a good diet I could feel better
Doctor :   yes sure
User :   Specially to avoid drugs
Doctor :   you need to have a positive look on life.. i know its easier said than done ..
Doctor :   but with motivation and dedication you can
Doctor :   no to drugs at all cost
User :   yes but I don't went to depend on drugs
User :   And is Spain PCOS is not well studied and often the doctors prescribe drugs
User :   in
Doctor :   i see
Doctor :   do make note of the diet changes i have told you
User :   It's easier but you become dependant
User :   Yes, actually I'm going on a diet now, eating 5 times per day and I feel better
Doctor :   exercise is must too
User :   but with the family story of diabetes I'm pretty afraid
Doctor :   it will help you in your mood too
Doctor :   you will surely start to feel better
User :   Shoul I tell de doctor the diabetes family precedents?
Doctor :   Exposure to light - Go outside in bright daylight for longer than usual each day to help balance hormones. This may be particularly important if you are overweight, often binge on carbohydrates, or suffer from winter depression.
Doctor :   yes thats a must
Doctor :   you have to tell to the doctor about your family history
Doctor :   of diabetes
User :   Ok I'll ask for the tests. Maybe I have cystics or maybe an anticonceptive could improve the imbalance??
Doctor :   yes
User :   Could I ask you another thing?
Doctor :   oral pills are usually the first line of treatment
Doctor :   if you dont want to get pregnant
Doctor :   sure please ask me
User :   In my childhood otitis with ruptured eardrum
User :   When I swim I feel a cramp from the ear to the neck
Doctor :   you need to cover your ears while swimming
Doctor :   as you are prone to infection
User :   And I feel vertiginous for some minutes
User :   In the dark I can't keep balance
Doctor :   do you have any fever ?
User :   And very often I go to the left (that was my worst ear)
User :   no
Doctor :   you need to cover your ears
Doctor :   when swimming
User :   It's only pressure?
Doctor :   yeah but with a history of ottitis we tell not be wet the ears
User :   ok and dizzy coul be cause by the ear?
Doctor :   yes
Doctor :   as ear has the balance center
User :   Ok hat's all Thank You so much!!!
Doctor :   your most welcome
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