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Suggest Treatment For GERD Along With Anxiety And Panic Attacks

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Posted on Mon, 22 Dec 2014
Question: Sorry this is going to be long and really annoying sorry.
Firstly I am a 24 year old female that weighs 123 lbs I went to the doctor about 3 months ago for stomach pressure that i have had for two years that caused me to go from 230lbs -123lbs. Which I didn't really tell my doctor I lost that much but Eventually he said I had gerd or something that had to do with acid.
I told him I have anxiety problems on the questionnaire and he probably notice when i couldn't stand him touching my neck because I freaked out he asked if anyone ever hurt me and I lied with a quick no I lied and I don't even know why, all my life I wanted someone to ask me that but I lied anyways. But he nodded and just put me on paxil which made me so much worse and made one eye dilate bigger than the other not by much but noticeable by me and him as well. I didn't tell him how much worse it made me like pills to my lips bad, I didn't tell him, I didn't know it was important but I had been hit on the head at work over my left eye that I never went to the hospital for because I didn't want to annoy my bosses and it was kind of my fault.
I told my doctor that I had been hit at work on a later appointment but he asked if i had headaches I said no but I didn't tell him that every time I looked right, there was a pressure behind the eye that was dilated the left eye. He didn't ask so I assumed it wasn't important. I also didn't tell him that i had also been hit on the head the back of the head a lot when I was a kid, I have a dent on the back of my head that I kind of think is from being hit so much. It may just be a coincidence I mean I am sure I would be dead if I were hit hard enough and I didn't notice the dent until I was 12 or 13 it could be a coincidence. But I don't really feel pain I know it sounds crazy but pressure annoys me no real pain that I ever feel anymore. Anyways he took me off the paxil and told me to come back in 2 weeks and I can't I can't he makes me to nervous I can't stand that I annoyed him he looked so annoyed at me and I had a panic attack on the phone with him and I never had a panic attack with someone hearing me the panic attack was just because of someone yelling at me at work not because of him but and I know I annoy him, I just can't go back.
But I need to know if it is important that my left eye had that pressure behind it. Because even if it is I can't go back because if he thinks I am lying to him then I will just hate myself more, and I am so afraid that I am going crazy but I can't maybe. I can't stand the ideal and I am so afraid he is going to lock me away but I also didn't tell him every 2 years from the time I was 10 to 22 my mom would go away mentally I mean when I was 14 after my dad died I would just ask her who I was and she didn't even know me when looking at me. I don't know if that's important.
. Sorry I am putting to much I don't know what's important or if it's not and I don't know if it is important that my mom had a brain tumor or that when I was a kid i would capture the mice that crawled on near my bed and everyone of them died from tumors covering their body, you don't have to believe me but I have no reason to lie to you. I also don't know if it's important that we had black mold and I know that my brother and sister were most likely poisoned by it because my sister had horrible nose bleeds and my brother had bronchitis and i always had a sore throat and was really sick alot.

I can't tell him all of this it would take to long he would be annoyed or he would lock me away. I know locking me away would never help it would hurt my brother and sister far more then it would ever hurt me. Honestly I don't care if something hurts me I mean the only reason I went to him in the first place was because I passed out throwing up alot from way to much pressure in my stomach and a friend found me and I told them I would go. I don't think he will believe me because I don't even believe it bothers me sometimes, I think i'm fine i am not sick it doesn't bother me i am good. But when I am in his office my blood pressure last was 140/100 you can't fake that right? I am leaving a lot out but would would you find as important if I did go back to him.
What would annoy you so I can try not to annoy him I mean I know the 20 some years of no doctors beside shots for school has to be annoying and i know how nervous I am annoys him I know just everything I am doing is annoying him. Should I be worried about the eye pressure? Sorry to be annoying and I have never told another human about this. And please don't think I am lying I get that enough from myself and right now I am just so tired no sleep for 2 nights and never really sleeping through a full night ever tired.
Sorry to be annoying, bothersome, and i am not sure I am going back to my doctor I am sorry and thanks
doctor
Answered by Dr. Seikhoo Bishnoi (39 minutes later)
Brief Answer:
ANXIETY

Detailed Answer:
Hello thanks for choosing HEALTH CARE MAGIC for your health related queries. I have read your whole history and I can understand your concern. There is no need to feel sorry for explaining so long.

You are a young female who has just lost weight because of chronic problems of stomach pressure. You explained anxiety to your doctor but you didn't tell him about trauma of head. There should be no hesitation in telling your treating doctor about complete history. If by mistake or hesitation you concealed some complaints and you want to tell them again in future appointments even then you should not feel guilty. This is a normal behaviour of patients. You didn't tell him about headache and you assumed that you annoyed him and this caused anxiety. You also had panic attacks. Again you felt guilty and you didn't want to go to your doctor. As you have pressure behind eye and you are not going to doctor because you have assumed that he will think you were lying. There should be no fear in correcting your history, as per my opinion he will be pleased to get your detailed history.

I can understand the traumatic events during your childhood. The brain tumour of your mother, issues of mold etc were there. As per my opinion there is no need to explain everything of these to him. Tell him any of these things if he ask a leading question. There is no need to tell him these things by your own. If he want to make some provisional diagnosis then to rule out other things he can ask, other wise if he didn't ask then there is no need to tell these things of childhood.

Most of things you have mentioned are understandable. Don't feel that you have annoyed your doctor. It is his duty to find each and every details relevant to making of a diagnosis. There should be no guilty in talking to a doctor.

As per my opinion you have severe anxiety and to some extent ambivalent thinkings. These thinkings are compelling to think differently and to have guilty. There is no need to worry about eye pressure. Most likely it is due to headache only and it should have nothing to do with trauma. So no need to fear.

Hope this helps you, as Paroxetine didn't work, I would advise you to talk to your doctor and explain your symptoms to him. Start taking medicines that decrease your anxiety. Medicines other than paroxetine like Sertraline, escitalopram etc can prove useful. Most of these medicines can worsen anxiety during first week of their use but with time the anxiety and restlessness improve. Discuss with your psychiatrist for these medicines.

Don't cancel more appointments and tell him your clinical situation in detail. With proper medicines you will surely improve.

Thanks, ask again for more clarifications and doubts.




Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Seikhoo Bishnoi (1 hour later)
thanks but if the head trauma are no big deal then I think I can deal with the anxiety I mean it only bothers me no one else I was just worried I would end up insane.
doctor
Answered by Dr. Seikhoo Bishnoi (58 minutes later)
Brief Answer:
Headache and anxiety

Detailed Answer:
Hello,

The injuries are too old to bother you. So don't be worried.

And yes, this (anxiety) is the only reason found. No need to think about again and again. With anxiety medicines you will see improvement. The pressure is the part of headache and anxiety. So continue to take anxiety medicines and you will get relieved from the pressure.

Thanks, hope this helps you.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5193 Questions

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Suggest Treatment For GERD Along With Anxiety And Panic Attacks

Brief Answer: ANXIETY Detailed Answer: Hello thanks for choosing HEALTH CARE MAGIC for your health related queries. I have read your whole history and I can understand your concern. There is no need to feel sorry for explaining so long. You are a young female who has just lost weight because of chronic problems of stomach pressure. You explained anxiety to your doctor but you didn't tell him about trauma of head. There should be no hesitation in telling your treating doctor about complete history. If by mistake or hesitation you concealed some complaints and you want to tell them again in future appointments even then you should not feel guilty. This is a normal behaviour of patients. You didn't tell him about headache and you assumed that you annoyed him and this caused anxiety. You also had panic attacks. Again you felt guilty and you didn't want to go to your doctor. As you have pressure behind eye and you are not going to doctor because you have assumed that he will think you were lying. There should be no fear in correcting your history, as per my opinion he will be pleased to get your detailed history. I can understand the traumatic events during your childhood. The brain tumour of your mother, issues of mold etc were there. As per my opinion there is no need to explain everything of these to him. Tell him any of these things if he ask a leading question. There is no need to tell him these things by your own. If he want to make some provisional diagnosis then to rule out other things he can ask, other wise if he didn't ask then there is no need to tell these things of childhood. Most of things you have mentioned are understandable. Don't feel that you have annoyed your doctor. It is his duty to find each and every details relevant to making of a diagnosis. There should be no guilty in talking to a doctor. As per my opinion you have severe anxiety and to some extent ambivalent thinkings. These thinkings are compelling to think differently and to have guilty. There is no need to worry about eye pressure. Most likely it is due to headache only and it should have nothing to do with trauma. So no need to fear. Hope this helps you, as Paroxetine didn't work, I would advise you to talk to your doctor and explain your symptoms to him. Start taking medicines that decrease your anxiety. Medicines other than paroxetine like Sertraline, escitalopram etc can prove useful. Most of these medicines can worsen anxiety during first week of their use but with time the anxiety and restlessness improve. Discuss with your psychiatrist for these medicines. Don't cancel more appointments and tell him your clinical situation in detail. With proper medicines you will surely improve. Thanks, ask again for more clarifications and doubts.