Suggest treatment for POCOS with anxiety and asthma
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I am looking for a doctor in the XXXXXXX area for my daughter-in-law. She is 30 yo and has pcos. She has seen a gyn but needs more extensive care. Her symptoms are high triglycerides, high normal fasting fsbs, extreme fatigue, night sweats, borderline Bp, snoring, rapid mood swings, had not had periods until 2012. Her mother never took to doctor. She has large waist circumference with small legs and arms she hardly ever eats and asthma. Could her rapid mood swings tie into this talking about bouts of mania then hours in bed irritability then anxiety. Should this be followed with psychiatrist and endocrinologist? Very concerned thank you.
Posted Fri, 14 Mar 2014 in Vaginal and Uterus Health
Answered by Dr. Shafi Ullah Khan 8 hours later
Brief Answer: Detail answer with list of doctors mentioned Detailed Answer: Thank you for asking! I am Dr S Khan and i would like to answer your query for your daughter who has PCOS, Asthma, Mood swings and night sweats. 1-Lets start with PCOS. Al the symptoms of fasting blood sugar irregular menses and borderline blood pressure, increased TAGs are because of this trouble. Now PCOS needs a proper care and once managed all the metabolic symptoms will get back to normal. Losing weight and a regular exercise is the first step here.Remember diet and lifestyle modification is the first step here.Get ADA diet for diabetics. Increase omega 3 .and 9 fatty acids.Vitamin D supplements. increased fiber; decreased refined carbohydrates, trans fats, and saturated fats is necessary.Remember diet low in cholesterol and saturated fats and increasing physical activity is the key here. Medications used in the management of PCOS include the following: Oral contraceptive agents (eg, ethinyl estradiol, medroxyprogesterone) Antiandrogens (eg, spironolactone, leuprolide, finasteride) Hypoglycemic agents (eg, metformin, insulin) Selective estrogen receptor modulators (eg, clomiphene citrate) Topical hair-removal agents (eg, eflornithine) Topical acne agents (eg, benzoyl peroxide, tretinoin topical cream (0.02–0.1%)/gel (0.01–0.1%)/solution (0.05%), adapalene topical cream (0.1%)/gel (0.1%, 0.3%)/solution (0.1%), erythromycin topical 2%, clindamycin topical 1%, sodium sulfacetamide topical 10%) If the above mentioned options did not help then their are surgical options too like Electrocautery Laser drilling Multiple biopsy etc. Seek an Endocrinologist for ACTH stimulation test to rule out hormonal issues or for other causes of menstrual irregularity such as thyroid disease or pituitary adenoma. A reproductive endocrinologist should be consulted if the patient is infertile and desires pregnancy. 2-Now Mood swings: A psychiatrist is needed here. Some psychotherapy sessions with vocational recreational therapies will help. 3-Snoring issues: Once the weight is lost, snoring will vanish,Seek an otorhinolaryngologist for snoring sleep apnea. Discuss option like CPAP, BIPAP therapies with them and let them help the patient.A consult to a sleep disorder specialist would be nice for PSG studies. 4-Asthma needs prevention of stimuli and triggers and compliance with medication.Immunologist and pulmonologist would help further. Following Endocrinologists are famous in chorlotte. Uzomba, Godwin Dbts Endocrnology Mtblsm Assc 10340 Park Rd XXXXXXX NC 28210 Nwoke, XXXXXXX Dbts Endocrnology Mtblsm Assc 10340 Park Rd XXXXXXX NC 28210 Kramer, XXXXXXX Mecklenburg Medical Group 4525 XXXXXXX Valley Pkwy Ste 3100 XXXXXXX NC 28211 Rolband, XXXXXXX Mecklenburg Medical Group 4525 XXXXXXX Valley Pkwy Ste 3100 XXXXXXX NC 28211 Kleinmann, XXXXXXX Presbyterian Endo/Osteo Consult 1918 Randolph Rd Ste 220 XXXXXXX NC 28207 Walden, XXXXXXX Northeast Endocrinology 1085 NE Gateway Ct NE Ste 330 Concord, NC 28025 XXXXXXX XXXXXXX XXXXXXX Medical Clinic 1001 Blythe Blvd Ste 500 XXXXXXX NC 28203 XXXXXXX Jr, XXXXXXX Randolph Internal Medicine 330 Billingsley Rd Ste 100 XXXXXXX NC 28211 Following are sleep disorders specialist for Apnea Abbasi-Feinberg, Fariha XXXXXXX Eye Ear Nose & Throat 6035 Fairview Rd XXXXXXX NC 28210 XXXXXXX XXXXXXX Novant Health Sleep Ballantyne 14215 Ballantyne Corporate Pl XXXXXXX NC 28277 XXXXXXX XXXXXXX Novant Health Sleep 1450 Matthews Township Pkwy # 3 Matthews, NC 28105 Badalyan, XXXXXXX Union Pulmonary/Sleep Specials 2700 Providence Rd S Ste 225 Waxhaw, NC 28173 Behrens, XXXXXXX Novant Health Sleep Ballantyne 14215 Ballantyne Corporate Pl XXXXXXX NC 28277 Braunstein, XXXXXXX Lake XXXXXXX Neurology 9735 Kincey Ave Ste 203 Huntersville, NC 28078 Following is the list of psychiatrist Mehta, XXXXXXX Piedmont Psychiatric Associates 459 N Wendover Rd XXXXXXX NC 28211 Boyer, XXXXXXX Southpark Behavioral Medicine 6845 Fairview Rd XXXXXXX NC 28210 Wright-Etter, XXXXXXX North XXXXXXX Psychiatric 3623 Latrobe Dr Ste 121 XXXXXXX NC 28211 Nofal, XXXXXXX Daymark Recovery Services 284 Executive Park Dr Ste 100 Concord, NC 28025 Lombardi, XXXXXXX University Psychiatric Assocs 8320 Univ Exec Pk Dr # 104 XXXXXXX NC 28262 Latz, XXXXXXX Lake XXXXXXX Integrativ Psychtry 116 S Main St Ste 301 Mooresville, NC 28115 Fitzgerald, XXXXXXX Southlake Psychiatry 903 Northeast Dr Ste 301 Davidson, NC 28036 Highley, XXXXXXX Providence Clinic 429 S XXXXXXX Amity Rd Ste A XXXXXXX NC 28211 I hope it helped.take care of your daughter and don't forget to close the discussion please. may the odds be ever in your daughter's favour.