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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is anxiety the reason behind my disturbed thoughts about me suffering from an undiagnosed illness?

Answered by
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Dr. Soujanya

Psychiatrist

Practicing since :2008

Answered : 607 Questions

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Posted on Thu, 23 Aug 2018 in Mental Health
Question: male 53 years old.  weight 240lbs. Height 5'11" type 2 diabetes. obesity.  GAD.  Depression.  2 inguinal  bilaterally.  February 3rd 2017 went to my GP because I was urinating more than normal. They found blood in my urine with rbc 3-10hpf.  With know sign of a UTI. They sent me to a urologist.  They did another UA,  rectal check, CT scan of my abdominal and pelvic area., and a cystocopy.  They said they could find nothing. They said there was moderate lateral hydrothropy of the prostateFatty liver and gallstones. But no cancer. Since then I've been afraid they missed something and that I have cancer somewhere in my body. They say that I'm fine. Over the last year I've ran to the doctor a lot. I've had a few episodes where I've passed out. They've done 3 chest xrays,  CT scan of my head twice, EKGs., and blood work. They said everything comes back normal. They say i have anxiety. 1. Do you agree with them that they have done enough testing? 2. Do you believe it's anxiety? 3. Could the hernias cause me lower back back.?
doctor
Answered by Dr. Soujanya 41 minutes later
Brief Answer:
Please let me know your present symptoms and current findings

Detailed Answer:
Hi,
I have gone through your query and understand your concern towards your symptoms.

I would like to know whether these reports are recent ones?

And please give me clear details about your current symptoms, as you mentioned that there is blood in urine with UTI, prostatic hypertrophy, fatty liver and gall stones.

Can I know about the current status of above findings as those are in feb 2017.

If all investigations were normal currently, l can come to conclusion that it could be anxiety related problem.

Please get back to me with these details.

Hope this information would help you.
Thank you.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Soujanya 6 hours later
There really aren't any current symptoms. I just everyday since they found the blood in my urine think they've missed something. They say they haven't. They put me on venlafaxine ER 75mg . Seems to give me more energy but the worrying is still there.
doctor
Answered by Dr. Soujanya 3 hours later
Brief Answer:
Then, it could be anxiety due to illness.

Detailed Answer:
Hi,
Welcome back,
I have gone through your query and understand your concern towards your disturbing thoughts.

I can say that it could be worry that you are suffering from some unknown illness.

But, l can reassure you that everything is normal, if all your investigations fine and if no symptoms.

Venlafexine is a good antidepressant that works better at your age.

If you feel that there is no response with it, you can start MIRTAZAPINE 7.5mg in the night.

Hope I have answered your query. Let me know if I can assist you further.

Regards.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Soujanya 11 minutes later
yeah I have a real hard time sleeping at night.
doctor
Answered by Dr. Soujanya 49 minutes later
Brief Answer:
Then, MIRTAZAPINE works better for your sleep and appetite.

Detailed Answer:
Hi,
Welcome back,
I have understood that you are having tough times with your sleep.

So, I think definitely MIRTAZAPINE would be best antidepressant for your symptoms.

So, please start taking these medications and get better soon.

I wish you all the best.

Take care,
Dr. Soujanya
Above answer was peer-reviewed by : Dr. Raju A.T
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