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Feeling faint and tired. Diagnosed with anxiety and given Cipralex. Having soft stools like diarrhea. Suggest?

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hi there. I went to my doctor about feeling faint and dizzy and tired druing the day. he diagnosed me with anxiety and prescribed me with cipralex... I feel 110% better since I been taking them but I have been having really soft stools. like diarrea but I'm still regular only poop in the morning and evening like always.. but I have had a couple harder stools and my stool had blood in it. not a lot but some.. did I damage something with all the diarrea. I'm really scared. I just had a poop and there was nothing in it..
Posted Wed, 28 Aug 2013 in Mental Health
 
 
Answered by Dr. Srikanth Reddy 34 minutes later
Hello,
Thanks for choosing health care magic for posting your query.
I have gone through your question in detail.
First of all, dont worry so much and there is no need to panic. Cipralex has escitalopram in it and is a good serotonin re-uptake inhibitor. It is a very mild antidepressants, however, like any other medication, there are a couple of side-effects that can occur with this drug.
Of those side-effects the two most common ones are diarrhoea and some bleeding tendency and both have occurred to you. You have not damaged anything cause of diarrhea. Both these side-effects are completely reversible. However you would need to change your antidepressant / anti anxiety drug from cipralex to other drugs such as bupropion or mirtazapine or something else.
Also you can try non-medication treatment for anxiety disorder like cognitive behavioral therapy which has shown results as good as cipralex.
If there is a mild abrasion cause of your hard stools, then the healing is very fast and you need not bother. but do change your medications with the help of your treating psychiatrist.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy

Wish you good health,
Dr. Srikanth Reddy M.D.
Above answer was peer-reviewed by
 
Follow-up: Feeling faint and tired. Diagnosed with anxiety and given Cipralex. Having soft stools like diarrhea. Suggest? 20 minutes later
thank you so much it makes me feel a lot better and I will go talk to my doctor asap. you are great help and really good at what you do I can tell that.. the reason I have anxiety is because I have the worst needle phobia in the world and not the anxiety has taken over my life. I really want to go get a blood test done just as a routine check up but I just can't
.. I will get a VERY fast pounding heart and pass out before I get to the hospital... can I be sedated or have something done that would calm me. I really want to get it done I'm trying to start a family and I want to be in best health
 
 
Answered by Dr. Srikanth Reddy 1 hour later
Hello,
Thanks for choosing health care magic for posting your follow-up query.
I understand how bad the needle phobia can be. I also understand your concerns about being healthy to start a family.
I would personally suggest that you should ask your psychiatrist to put you on sessions for cognitive behavioural therapy. They are safe and equally efficacious. Regarding sedation before taking blood, clonazepam 0.5 mg and propranolol 40mg may help but you need to discuss this thing with your treating psychiatrist for prescription.
Mirtazapine and venlafaxine will be good drugs for you.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy

Wish you good health,
Dr. Srikanth Reddy M.D.
Above answer was peer-reviewed by
 
Follow-up: Feeling faint and tired. Diagnosed with anxiety and given Cipralex. Having soft stools like diarrhea. Suggest? 10 hours later
what causes the medication to make blood in stool?
 
 
Answered by Dr. Srikanth Reddy 8 hours later
Hello,
Medication doesnt make blood in stools. While the food is moving along the food pipe, there may be many strains. There may be many places where there could be an injury. Now normally, these injuries do not bleed as they are controlled by good platelet functions.
While taking cipralex, it is an serotonin reuptake inhibitor and it interferes with the serotonin system of the platelets as well making them reduced in their capacity to contain bleeding.
Hence even these minor wounds keep bleeding and you can see the blood in stools. There could be other causes of bleeding as well but this is probably the most understandable.
First switch your medication and if problem persists then you may get investigated for other causes as well. But as I said earlier, there is no need to panic.
Thanks and regards,
Dr. Srikanth Reddy MD
Above answer was peer-reviewed by
 
Follow-up: Feeling faint and tired. Diagnosed with anxiety and given Cipralex. Having soft stools like diarrhea. Suggest? 6 minutes later
I forgot to mention I took 2 muscle relaxants the same day before I noticed blood in my stool. I get bad muscles in my neck from operating heavy machinery. should I not take the muscle relaxants with my meds?
 
 
Answered by Dr. Srikanth Reddy 2 hours later
Hello,
It may not be an interaction of your muscle relaxants and cipralex. However even the muscle relaxant can cause bleeding tendency.
I would suggest you change the anti-depressant as well as avoid taking the same muscle relaxant.
There are plenty of other antidepressants and muscle relaxants.
Hope I am able to solve your concerns.
Thanks and regards,
Dr. Srikanth Reddy
Above answer was peer-reviewed by
 
Follow-up: Feeling faint and tired. Diagnosed with anxiety and given Cipralex. Having soft stools like diarrhea. Suggest? 2 days later
hi again. just wanted to say that I am starting to feel way better on my meds. my stomach is not gurgling anymore and not upset.. my stool is back to fully regular and firm as always. no blood since the last time we talked... do you think I should still talk to my doctor about changing my cipralex?
 
 
Answered by Dr. Srikanth Reddy 13 minutes later
Hello
If the symptoms have gone after stopping cipralex then you should discuss. If the symptoms have perished despite continuing using cipralex then the body may have adapted to it and youmay continue using it but look out for the similar sideeffects.
Regards
Dr. Srikanth Reddy
Above answer was peer-reviewed by
 
Follow-up: Feeling faint and tired. Diagnosed with anxiety and given Cipralex. Having soft stools like diarrhea. Suggest? 44 minutes later
seems that my stool is back to normal now and no more blood in my stool do you think that the bit of blood I seen earlier was just something minor?
 
 
Answered by Dr. Srikanth Reddy 7 hours later
Hello,
Yes, it was something minor and you need not bother about it at this stage. It happens sometimes with the medications.
Unless it happens again you need not bother.
Regards,
Dr. Srikanth Reddy
MD
Above answer was peer-reviewed by
 
Follow-up: Feeling faint and tired. Diagnosed with anxiety and given Cipralex. Having soft stools like diarrhea. Suggest? 3 days later
hi there again. I went to my doctor and he said he is not at all worried about my couple stools that had blood in them nor is he worried about the diarrhea. he has no reason to do a blood draw and he honistly thinks I'm really healthy. but I wantes to ask you about the diarrhea. when will it stop. its not uncontrollable I still have regular bowel movements but its so watery. I just can't stop thinking about it bwing like stomache cancer or colon cancer or something its my worst fear.. its ruining my life. I hope he's right on his diagnosis that its anxiety
 
 
Answered by Dr. Srikanth Reddy 2 hours later
Hello
I can understand your concerns.
Its your anxiety that is making you think about all those big illnesses.
One thing you have not mentioned is that whether you are still using cipralex or have you stopped using it.
Hope to hear from you.
Regards
Dr.Srikanth
Above answer was peer-reviewed by
 
Follow-up: Feeling faint and tired. Diagnosed with anxiety and given Cipralex. Having soft stools like diarrhea. Suggest? 2 hours later
still using cipralex. my doctor actually said for me to up the dose.. I just hope Its not something like cancer
 
 
Answered by Dr. Srikanth Reddy 3 hours later
Hello,

Please don't panic . At this stage it doesn't appear like a cancer at all.

I am still sure that cipralex does cause this side effect. Sometimes these side effects do get adjusted with time. Probably your doctor wants to give it a try.
If its possible do try taking a second opinion from a psychiatrist. I think you still need a change in the medications.
But believe me it won't be a cancer.

Also try to add up cognitive behavioural therapy to your medications. It will help in early recovery.

Hope this helps.

Regards
Above answer was peer-reviewed by
 
Follow-up: Feeling faint and tired. Diagnosed with anxiety and given Cipralex. Having soft stools like diarrhea. Suggest? 3 days later
hey there. well I'm feeling great now. my stool is back to normal just a shade darker brown then usual more like a chocolate bar lol. my upset stomach is gone and all the gas is gone. but the question I have is Im catching a cold I have the sniffles. my remedy for colds have always been 1 Echinacea tablet, 1 vitiman c tablet and 1cod liver oil tablet per day. I find it works great. am I fine to take these with my cipralex?
 
 
Answered by Dr. Srikanth Reddy 50 minutes later
Hello
Nice to know that you are doing well. Whatever it was its good that it has settled down.
Your mentioned 3 medications for cold doesnt have and any major interaction with cipralex.
Hope you get well soon.
Dr. Srikanth Reddy
Above answer was peer-reviewed by
 
Follow-up: Feeling faint and tired. Diagnosed with anxiety and given Cipralex. Having soft stools like diarrhea. Suggest? 22 hours later
ok this cold is hitting harder then expected. I'm usually never ever sick... I went and bought robitussin and neo Citroen from the pharmacy they told me its ok with my cipralex. but I read online that its not a good mixture. that they can be deadly being decongestants sonething about it can cause serotonin syndrome. is this true?
 
 
Answered by Dr. Srikanth Reddy 16 minutes later
Hello,
Yeah it is possible for certain medications can cause serotonin syndrome. However the chances of causing such a side-effect and its severity varies from drug to drug. There are certain drugs like MAO inhibitors and tri cyclic antidepressants when taken with cipralex which have a high chances of causing serotonin syndrome but chances of the same with the above mentioned medications is less.
You can always look for
Cognitive effects: Agitation, hypomania, mental confusion, hallucinations, coma.
Autonomic effects: shivering, sweating, hyperthermia, hypertension, nausea.
Somatic effects: myoclonus (muscle twitching), hyperreflexia (manifested by clonus), tremor.
If you find any of these, do consult your treating psychiatrist. But please remember that it is not very common.
Thanks and regards,
Dr. Srikanth Reddy MD
Psychiatrist
Above answer was peer-reviewed by
 
Follow-up: Feeling faint and tired. Diagnosed with anxiety and given Cipralex. Having soft stools like diarrhea. Suggest? 13 minutes later
should I be ok to take the cough and cold medication. my stuffy nose is not as bad buy tge dry cough it starting to hurt
 
 
Answered by Dr. Srikanth Reddy 1 hour later
Hello.
Thanks for the follow-up query.
You can take cough and cold medications.
Along with that you should do repeated warm saline gargles and steam inhalation. Drink plenty of water. Avoid drinking very cold water. Keep yourself warm and take plenty of rest.
you should be fine in 2-3 days.
Hope I am able to help you with your concerns.
Thanks and regards.
Dr. Srikanth Reddy
MD, Psychiatrist
Above answer was peer-reviewed by
 
Follow-up: Feeling faint and tired. Diagnosed with anxiety and given Cipralex. Having soft stools like diarrhea. Suggest? 35 hours later
hi there I wanted to thank you for being so helpful. I wish you were my family doctor. I wanted to ask you another question. I noticed today that I'm 18lbs lighter than a month ago. but about a month ago I stopped drinking pop and now only drink water. or vitiman water. I also cut out fast food. if I eat out it will be a healthy sub or something. and my appetite is down a little since taking the cipralex. would this explain the weight loss?
 
 
Answered by Dr. Srikanth Reddy 14 minutes later
Hello
Thanks for the follow-up query.
Cipralex will reduce the anxiety and anxiety causes excess eating. That could explain your fall in appetite and weight.
With cipralex generally there is a loss of appetite and weight initially but with time generally there is weight gain. So if you are exercising, do continue it and dont bother about these small weight changes.
Its good that you are eating healthy. Do continue that.
Hope that answers your concerns.
Thanks for the appreciation. I will be glad to answer you on XXXXXXX each time yoh have a query. You can ask me a query by directing the question to me directly.
Thanks and regards
Dr. Srikanth Reddy MD
Above answer was peer-reviewed by
 
Follow-up: Feeling faint and tired. Diagnosed with anxiety and given Cipralex. Having soft stools like diarrhea. Suggest? 1 hour later
may I take my muscle relaxant. its ibuprofen 200mg and methocarbamol 500mg I usually take 2 when my back bothers me can I take these with the cipralex and cold meds
 
 
Answered by Dr. Srikanth Reddy 10 hours later
Hello
You may take acetaminophen also popularly known as Paracetamol. It comes in the strength of 500 mg and is a good antipyretic (reducing fever) and pain killer. It is a very safe drug. Ibuprofen is also good but has some hepato toxicity problems. You may take paracetamol and if it doesnt help may take ibuprofen.
All said any drug can cause allergic reaction and adverse drug reactions, but these two medications are relatively safe. They dont seem to have any major interaction with the kind of drugs you are taking.
It would be wise to consult your treating doctor before you take any of these medications over paracetamol.
You should always try warm saline gargles and steam inhalation. they are safe and very helpful.
Thanks and regards,
Dr. Srikanth Reddy
Above answer was peer-reviewed by
 
Follow-up: Feeling faint and tired. Diagnosed with anxiety and given Cipralex. Having soft stools like diarrhea. Suggest? 7 days later
hi there I just mistakenly drank out of a dirty glass that wasn't cleaned properly by our dishwasher. when I was done my glass of water I noticed there was old choclait milk stuck to the bottom and magg ot looking things. am I going to be ok any recommendations?
 
 
Answered by Dr. Srikanth Reddy 38 minutes later
Hello,
Thanks for the new query.
From what you have stated, it appears that the incident has just occurred and not much time has passed out.
You need not worry about it. Drink plenty of water and mostly the contaminated stuff will either wash out from your kidneys or will come down in your poop. Look for any nausea or vomitings. Unless you have nausea and vomiting, you need not worry. Our stomach has lot of acid in it and it generally kills what ever live happens to enter your stomach. These are natural protection of our body and they will take care of you. Even if you develop vomiting, it could be just ones, and all you need to do is hydrate yourself by drinking more water. If it happens repeatedly, you will require some anti emetic medications like emset.
At present you need not worry, drink water and do your routine stuff.
Hope I am of help to you,
Thanks and regards,
Dr. Srikanth Reddy
Above answer was peer-reviewed by
 
Follow-up: Feeling faint and tired. Diagnosed with anxiety and given Cipralex. Having soft stools like diarrhea. Suggest? 6 days later
hi again. I want to ask about my frequent tension headaches. they always start in my neck in the brain stem area. and then go to my eyes and head. i get it really bad the morning after drinking alcohol that night. I been like this for maybe 4 years now. what scares me is my dad was the same. always having tension headaches for like 35+ years. then only a year ago he had a stroke. it was caused by a small vein in his spine. instead of it growing with the body it just stretched and finally burst. his doctor said it may be hereditary. could this be my case. should I have a XXXXXXX test done. and if so can I be put to sleep by a mask before the test begins?
 
 
Answered by Dr. Srikanth Reddy 2 hours later
Hello,
Thanks for the follow-up query,
The tension head ache and stroke are not very much related. If you have tension headache, it doesn't say that you are predisposed to develop stroke.
Secondly if your father had a hereditary vascular lesion in the brain which burst open and caused stroke, then you should get evaluated for such more hereditary lesions in the brain. MRI brain with contrast is the investigation of choice.
The investigation is safe and wont cause any problem to you. You really don't need any sedatives for the investigations to get it done.
For you tension headache Amitriptylline is a good drug for the tension head ache and come is the strengths of 25 mg and 75 mg. Generally the practice is to start the medications at 25mg. You can discuss this issue with your practicing doctor.
Also get a visual acuity done, many times visual disturbances are the main reason for tension headache.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy

Wish you good health,
Dr. Srikanth Reddy M.D.
Above answer was peer-reviewed by
 
Follow-up: Feeling faint and tired. Diagnosed with anxiety and given Cipralex. Having soft stools like diarrhea. Suggest? 9 days later
hi again. is there a medication that will dobthe same as my cipralex but is stronger for depression. I'm battling bad depression due to some insecurity in my relationship. I'm constantly worrying that my girlfriend will leave me or cheat again. were getting through it and trying to make life happy as I love her very very much. I just worry and get depressed every day.
 
 
Answered by Dr. Srikanth Reddy 6 hours later
Hello
Thanks for the add on question.
Venlafaxine is a drug which is recently suggested to be better than cipralex as it acts like cipralex on serotonine receptors and also on norepinephrine receptors which cipralex doesnt. It add on action helps in beating depression better. But the effect is not demonstrable in all the human beings.
But you should give it a try. The other way is to add an antipsychotic or lithium to the antidepressant.
Hope that helps
Regards
Dr. Srikanth Reddy
Above answer was peer-reviewed by
 
Follow-up: Feeling faint and tired. Diagnosed with anxiety and given Cipralex. Having soft stools like diarrhea. Suggest? 21 hours later
hi there this is a questiom from my girlfriend. she has cramps and she feels like she's holding her bladder and she pees very frequently. and sometimes lots of pee comes out and sometimes nothing. she has endometreosis. what do you think could be the cause of the abnormal bladder functions
 
 
Answered by Dr. Srikanth Reddy 35 minutes later
Hello,
Thanks for the query.
The symptom you are trying to explain is probably hesitancy in urination where in she has cramps and she feels she should pee. Sometimes she does and sometimes she doesn't. Its a very common symptom in UTI is common among sexually active females.
She should drink excess of water and try to flush out the bacteria. Further she should try out a course of antibiotics such as ofloxacin or cefexime for 4-5 days and the problem should subside. Taking Vit C tablets or Urine alkalizer syrup may also help. She can get it confirmed by taking a urinary culture but even if its a negative still a course of antibiotics should help her.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
bit.ly/dr-srikanth-reddy

Wish you good health,
Dr. Srikanth Reddy M.D.
Above answer was peer-reviewed by
 
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