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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Anxiety Disorder

Hi, i think i might just be a hypochondriac. Because i have severe anxiety, especially where my health is concerened. i was given chlamydia (cured now) but for a long time and did not know it. i was sick two years ago, the drs didnt know what virus it was.. same symptoms as mono.. had a rapid hiv test in feb 2016.. came negative. and last recent exposure was in july of 2013. i am constantly worried and always finding myself to feel weird symptoms.. i quit smoking a month ago after smoking for 2 1/2 years. i have a lot of narrow loose stools.. is there something i really need to be worrying about? could the hiv test have been incorrect? my partner of 3 years got tested and came back negative.. i just want to put my mind at ease...
Mon, 2 Sep 2019
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General Surgeon 's  Response
Hi,

You have mentioned that you had been through a lot of stress recently which apparently precipitated the symptoms of anxiety and panic attacks. I am glad that you have been able to overcome most of the symptoms by yourself.

However, you still are having symptoms which are clear indicators of anxiety. Tremors, shakiness, etc. are all manifestations of anxiety. More so, you have mentioned about some blood tests that have come out to be normal (I would have liked to know what exact test did you undergo and specifically look into complete hemogram and thyroid profile). In addition, I would have wanted to know more regarding your current mood, sleep, appetite and whether you are still preoccupied with the stress.

I think its high time you initiate treatment for anxiety. This condition responds better with early treatment. Medications like selective serotonin re-uptake inhibitors (SSRIs like Escitalopram, Paroxetine) would be helpful. You can also opt for psychotherapy in form of cognitive behavior therapy.

In addition, you must start exercising daily. Something basic like jogging would be extremely beneficial. You must also dry to de-stress yourself by discussing your issues with some one close on a daily basis. If you are not comfortable with discussing, you can opt for writing diary daily.

I do hope that I was able to help with our query. Please feel free to ask any further question that you might have.

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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Suggest Treatment For Anxiety Disorder

Hi, You have mentioned that you had been through a lot of stress recently which apparently precipitated the symptoms of anxiety and panic attacks. I am glad that you have been able to overcome most of the symptoms by yourself. However, you still are having symptoms which are clear indicators of anxiety. Tremors, shakiness, etc. are all manifestations of anxiety. More so, you have mentioned about some blood tests that have come out to be normal (I would have liked to know what exact test did you undergo and specifically look into complete hemogram and thyroid profile). In addition, I would have wanted to know more regarding your current mood, sleep, appetite and whether you are still preoccupied with the stress. I think its high time you initiate treatment for anxiety. This condition responds better with early treatment. Medications like selective serotonin re-uptake inhibitors (SSRIs like Escitalopram, Paroxetine) would be helpful. You can also opt for psychotherapy in form of cognitive behavior therapy. In addition, you must start exercising daily. Something basic like jogging would be extremely beneficial. You must also dry to de-stress yourself by discussing your issues with some one close on a daily basis. If you are not comfortable with discussing, you can opt for writing diary daily. I do hope that I was able to help with our query. Please feel free to ask any further question that you might have. Regards, Dr. Ivan R. Rommstein, General Surgeon