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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Panic Attacks

My name is Cris, I have a concern thats been really borthering me to the point of panic attacks. I have this small/medium bump on my lip for maybe five years now. the bump feels almost like a little knot under the skin. I'm worried that I could have herpes simplx 1 if not both forms. Up until this year the bump has never itched this much. Nor has it bleed or pus'ed, In the last year it has scab twice brought on by irrating it or most recently kissing. I've never just woke up to scabing, its always brought on by missing with it. the bump really isnt noticable. My parents say they cant see it. I dont think I've gotton any cold sore's. I recently got a little red bump that went away two days later and one a couple months ago. Also noticed that I have these little red bumps on the floor of my mouth. there painless and I really only noticed them after I start using a whiting treatment. After using the tooth whiting I also noticed I have what looked like white canker sores on both sides of my cheeks. they have been there for months and now they feel like folds of skin. I guess I'm wondering if the bumps and "canker sores' are from an irration from the whiting and my toothpaste or if its something else. In addition I have this little bump under the skin on the right side of my labia. its been there for almost a year. it dosnt hurt it only itches. it dosn't disapper then return. nor does it bleed, burn,pus. I wondering what it could be. A month ago I shaved and I'm pretty sure the little bumps are ingrown hairs. I've been using hydroclens along with betadine and it seems to help alittle. I know these are alot of questions. But I'm freaking out. not to mention my 16mon niece has a small red bump under her right nostril. I cant differ if its a cut, or if her ezecema has flammed again. help.
Fri, 14 Nov 2014
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Psychiatrist 's  Response
Hello

Thanks for asking from HCM

Since years you have anxiety about small bump under lips. You have fear about getting Herpes simplex. Your parents are not able to notice any bump but still you have strong belief that there is something wrong. You have to check lips and oral cavity again and again. Some times you have fear of cranker sores. As most of the times you have fear of herpes while no one noticed anything serious, so most likely the symptoms are due to health anxiety or hypochondriasis. In patients of hypochondriasis serious anxiety occurs because of fear of illness. Some times delusional ideas occur for some illness.

Consult a psychiatrist for evaluation and management. In most cases antidepressants prove useful. Commonly SSRIs like fluoxetine or Paroxetine are used. If the problem persists then low dose antipsychotic drugs are used.

Thanks, visit a psychiatrist for diagnosis.
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Suggest Treatment For Panic Attacks

Hello Thanks for asking from HCM Since years you have anxiety about small bump under lips. You have fear about getting Herpes simplex. Your parents are not able to notice any bump but still you have strong belief that there is something wrong. You have to check lips and oral cavity again and again. Some times you have fear of cranker sores. As most of the times you have fear of herpes while no one noticed anything serious, so most likely the symptoms are due to health anxiety or hypochondriasis. In patients of hypochondriasis serious anxiety occurs because of fear of illness. Some times delusional ideas occur for some illness. Consult a psychiatrist for evaluation and management. In most cases antidepressants prove useful. Commonly SSRIs like fluoxetine or Paroxetine are used. If the problem persists then low dose antipsychotic drugs are used. Thanks, visit a psychiatrist for diagnosis.