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Suggest Remedy Severe Anxiety And Tension

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Posted on Mon, 28 Dec 2015
Question: Hi Doctor ,

I have excessive perseciaption with hyper hydro sits , anxiety , and tension.
Pls suggest medicience

Thanks, XXXXXXX
doctor
Answered by Dr. Manisha Gopal (42 minutes later)
Brief Answer:
please give details of the neuromedicine and time of all symptoms

Detailed Answer:
Hello and welcome to health care magic!

I have read your query and can see that you have complaints of excessive prespiration, anxiety and some tension. I can understand your concerns and will try my best to help you out . Dont worry, as all this is manageable.

I want to know few things before giving any suggestion.
1. Please tell what neuro medicines you are taking as you havent given any details of the same.

2. Please tell if hyperhydrosis is accompanied with anxiety or you had excessive sweating prior to anxiety also.

3. Can you tell if your stress is significant enough to give rise to the present anxiety you are having?

4. Do you have episodes in which there is severe anxiety with palpitation, increased sweating ,dry mouth and these last for 10-30min and resolve?

5. Also tell the time since you are having these complaints in chronological order.

With the above details it would be easy to understand your condition and give relevant medication.

Wish you good luck!
Dr. Manisha Gopal
MD Neuropsychiatry
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Gopal (1 hour later)
Thanks Doctor.

I had used Neurokind and inderal 10 mg and Alldry for more than one year and results are temporary . And even I tried using Reckweg r32 homeopathy medicine. I have having this excessive perciticiapation from 20 years onwards and my father also having same issue . I have this sympostem during meeting any new person & even during winter seasons also and during going from home to office . It will take 10 min to go Settle down by , washing face and Taking water . This will embarrassing which going meetings or meeting new persons . My anxiety levels goes up some time and find to express myself with colleagues and friends . My stress level are okay as I practice yoga and meditations , but still this hyper hydrosis issues continues.this continues with dry month , excessive sweating .
This issue will be more during day time and will reduce in I stay indoors .

pls advice medication.

thanks, XXXXXXX
doctor
Answered by Dr. Manisha Gopal (6 hours later)
Brief Answer:
looks like social anxiety; paroxetine will help

Detailed Answer:
Hello,

Thanks for writing back!
I have read your reply closely and from that I feel that you have social anxiety along with hyperhydrosis. The sweating component is found in many anxiety patients but in you it is significant and more troublesome. It is not possible to reduce sweat level separately but I hope as the anxiety will go down ,there will be reduction in sweating too.

Your sweating is direclty related to your social contact ,like its more in day time, more while going to office and not while coming back!
Its again less when you stay indoors- means that when you are away from any person outside the immidiate family.

It dosent mean that you dont like being with people, but that it is difficult for you.

Your father had the same complaints as the anxiety may run in families. It is the most common psychological problem.

Please dont worry, I will try my best to help you.

You are taking neurokind but you have not mentioned the report of vit B 12 levels.

You are taking inderal but the reason has not been mentioned. If the inderal is for treating hypertension or to control palpitation?

If you have been under my treatment,I would have stopped inderal. And started you on paroxetine.

This is a very good molecule to treat anxiety.

You should also get tsh level and Vit D levels checked.

Doing yoga and meditation is a good thing and one must continue with them.

Please discuss the medicine paroxetine with your doctor and start it.

I wish you good health and speedy recovery.
Feel free to ask more questions for clarification.

Dr. Manisha Gopal
MD Neuropsychiatry
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Manisha Gopal

Psychiatrist

Practicing since :2005

Answered : 947 Questions

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Suggest Remedy Severe Anxiety And Tension

Brief Answer: please give details of the neuromedicine and time of all symptoms Detailed Answer: Hello and welcome to health care magic! I have read your query and can see that you have complaints of excessive prespiration, anxiety and some tension. I can understand your concerns and will try my best to help you out . Dont worry, as all this is manageable. I want to know few things before giving any suggestion. 1. Please tell what neuro medicines you are taking as you havent given any details of the same. 2. Please tell if hyperhydrosis is accompanied with anxiety or you had excessive sweating prior to anxiety also. 3. Can you tell if your stress is significant enough to give rise to the present anxiety you are having? 4. Do you have episodes in which there is severe anxiety with palpitation, increased sweating ,dry mouth and these last for 10-30min and resolve? 5. Also tell the time since you are having these complaints in chronological order. With the above details it would be easy to understand your condition and give relevant medication. Wish you good luck! Dr. Manisha Gopal MD Neuropsychiatry