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I Am 73 Years, From XXXXXXX Have Anxiety & Depression

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Posted on Sun, 14 Jun 2020
Question: I am 73 years, from XXXXXXX have anxiety & depression due to lock down. My temperature varies from 96.8 degree F to 98.8 degree F in armpit. During night sometimes temperature is as high as 99 to 99.2 degree F in armpit. Sometimes I feel shivering effect. I get sometimes sweating, and I feel increase in heat beats. Sometimes I feel cold, but as such I do not have cold; it is only feeling. Sometimes there is feeling of throat infection & soreness, but it is only feeling. I get frequently tension in eyes. I have dryness in my eyes, and Doctor has given eye drops. Morning hours I feel hungry for breakfast, and also evening, and I need dinner by 7 PM to 7:30 PM, due to hungry. Night time I become tired, and I can not do any work.

My hobby is walking, but it is totally stopped, since I am locked in my flat, due to COVID19. I was habitual for walking and climbing heights on staircase. Hence I started climbing in my building from ground floor to terrace at 17th floor, I do not get fatigue. After 4th floor my breathing become fast, which I maintain up to 17th floor; and I do fast breathing in & out, like bhastrika pranayama, for 50 counts.

I do not have any disease, I take only 1 tablet Prolomet XL 25 daily morning for BP.

My anxiety & depression are increasing day by day. Please advise.
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (23 hours later)
Brief Answer:
Consultation

Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.

First of all I like to inform you that in this era of Covid-19 we are all affected in one or another way. But as we know that there is light at the end of every dark tunnel or sunrise after long nights, holds true for current situation. Feeling anxious or depressed is not something which we need to fear as there is treatment options for each individual.

In view of the provided details I feel anxiety is the most close explanation for most of your symptoms. Fluctuation in temperature is normal for most individuals which becomes more prominent when someone is anxious. Shivering, sweating, palpitations all can be attributed to anxiety due to over active sympathetic system of our body.

As our communication is question and answer format, with its own limitations, I am writing down few of the strategies which might be helpful for you in stress management and ultimately anxiety reduction.

1. Diet: Ensure intake of adequate quantity of fibre. 2 servings of vegetable salad and 2 servings of fruits( One preferable citrus fruit). Avoid junk food and fast food especially pizza, burgers and excessive sweets

2. Ensure adequate water intake: Recommended intake of water is 2 to 4 litres a day. Insufficient intake of water could be a contributing factor in causation of symptoms.

3. Early morning Exercise: Brisk walking for 30 minutes if possible. If this is not a option it is advised to do cycling in air while lying on bed

4. Avoid tea/coffee/ nicotine and alcoholic beverages: If at all you want to drink something, drink fresh lime water. It is very much refreshing.

5. Start your day with a glass of Lemon water with 2 spoons of honey added. have a good breakfast.


6. Spend time with your family and friends.

7. While working take frequent regular breaks. I will advice you to take a break of 5-10 minutes after every 50-55 minutes.
Close your eyes and rotate the eye balls for couple of minutes

8. Avoid late night socialisation. I understand that this may not be possible during lockdown but virtual socialisation over late nights can not be ignored.

9. Avoid starring for longer time at the computer screen or TV for longer time

10. Steam inhalation before going to sleep will be very refreshing: will also benefit.

11. Multivitamin and Calcium supplement.

12. Yoga and meditation

Wishing you a very happy and healthy life.
Thanks and regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Ashok Kumar Choudhary (26 hours later)
Now a days I feel feverish, I am concerned with temperature; and my temperature has become in the range of 98 degree F to 99 degree F in armpit; thus mouth temperature below tongue will be 99 degree to 100 degree F. During night the temperature is as high as 99 to 99.2 degree F, and hence below tongue it will be 100 degree F.

I feel body & legs warm, and I get sweating in body. Besides I get palpitations.

There is feeling of cold and infection & soreness in throat; but I do not have cold and infection/soreness in throat.

In addition I am having constipation problem, so I take sometimes Softovac in the night. I have started wheat grass powder.

99 degree armpit temperature means 100 degree in mouth below tongue. Is temperature normal?
doctor
Answered by Dr. Dr. Ashok Kumar Choudhary (14 minutes later)
Brief Answer:
Follow up

Detailed Answer:
Dear XXXXXXX
Thanks for follow up.

Temperature of 97 to 99 degree F is normal for most adults but anything above the normal range can be considered abnormal provided it is recent change.

In case you have the slightly higher temperature normally over the years in compare to other family members and friends than this can be ignored. If you had normal range temperature over the decades and suddenly there is 99 degree armpit temperature this can not be considered normal.

I mean say that if this is latest change it can not be considered normal. We also need to understand that the average body temperature among elderly is slightly low and this normalcy again indicates possibility of abnormality.

I hope this helps you.
Feel free to write back to me if you have more questions.
Thanks and regards.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Ashok Kumar Choudhary

Psychiatrist

Practicing since :2000

Answered : 3355 Questions

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I Am 73 Years, From XXXXXXX Have Anxiety & Depression

Brief Answer: Consultation Detailed Answer: Dear XXXXXXX Thanks for using Healthcaremagic. First of all I like to inform you that in this era of Covid-19 we are all affected in one or another way. But as we know that there is light at the end of every dark tunnel or sunrise after long nights, holds true for current situation. Feeling anxious or depressed is not something which we need to fear as there is treatment options for each individual. In view of the provided details I feel anxiety is the most close explanation for most of your symptoms. Fluctuation in temperature is normal for most individuals which becomes more prominent when someone is anxious. Shivering, sweating, palpitations all can be attributed to anxiety due to over active sympathetic system of our body. As our communication is question and answer format, with its own limitations, I am writing down few of the strategies which might be helpful for you in stress management and ultimately anxiety reduction. 1. Diet: Ensure intake of adequate quantity of fibre. 2 servings of vegetable salad and 2 servings of fruits( One preferable citrus fruit). Avoid junk food and fast food especially pizza, burgers and excessive sweets 2. Ensure adequate water intake: Recommended intake of water is 2 to 4 litres a day. Insufficient intake of water could be a contributing factor in causation of symptoms. 3. Early morning Exercise: Brisk walking for 30 minutes if possible. If this is not a option it is advised to do cycling in air while lying on bed 4. Avoid tea/coffee/ nicotine and alcoholic beverages: If at all you want to drink something, drink fresh lime water. It is very much refreshing. 5. Start your day with a glass of Lemon water with 2 spoons of honey added. have a good breakfast. 6. Spend time with your family and friends. 7. While working take frequent regular breaks. I will advice you to take a break of 5-10 minutes after every 50-55 minutes. Close your eyes and rotate the eye balls for couple of minutes 8. Avoid late night socialisation. I understand that this may not be possible during lockdown but virtual socialisation over late nights can not be ignored. 9. Avoid starring for longer time at the computer screen or TV for longer time 10. Steam inhalation before going to sleep will be very refreshing: will also benefit. 11. Multivitamin and Calcium supplement. 12. Yoga and meditation Wishing you a very happy and healthy life. Thanks and regards