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Suggest Treatment For Severe Anxiety

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Posted on Wed, 13 Jul 2016
Question: I was gonna be quiet for a day, and I will limit todays texts so that I do not burn up my number of questions at the start of the month.

I did wake up with upper anxiety as usual, I let it get to me as usual, I though of how I have upset you and I with my disbelief. So I thought I would try to get through the day with a new thinking program to avoid the bad thoughts. Yesterday, I looked over my chart comparing all my PFTs and notice that they are stable or increased to expected but none are in a lung disease stage, the only one is FEF 25-75 and that is small airways and you are convinced that it is inflammation from stress and anxiety. I also think you have a good point on the reflux so i started taking the meds again.

Anyway, I am going to use the next 4 evenings with a light exercise program that is also a clean up program. I will spend a short time cleaning storage and reorganization program to get things put away. I did this over the last weekend at my other house, its was a bit rough on breathing but that was the first workout i have done in a while and i was stressed and inflammed. If I do it continually over next few days I will see if I can get thoughts changed and health improved.

Thoughts?????
doctor
Answered by Dr. Drkaushal85 (1 hour later)
Brief Answer:
Yes, you should definitely continue pantoprazole and lightlight work out.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Yes, you should definitely start pantoprazole on empty stomach.
Also avoid hot and spicy food. Avoid large meals, instead take frequent small meals.
All these will reduce reflux and so your breathing difficulty too.
You should also start light work out with other activities to reduce belly fat.
These will also help you in soothing your breathing.
Do send me your pic when ever it is feasible.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Drkaushal85 (22 hours later)
So I worked hard at no thinking of the issue.. The day slowly improved, I left work and went home and at dinner, Then i went an did what I said i would do. I went to the storage unit and found the items i needed to find, then straightened a bit. I refused to overwork at the start, i will increase over time. A little tonight, a little tomorrow, a little sunday. etc. I will get my storage clean, organized for the move when it comes and get exercise a little at a time.
I felt a small improvement from this.
I fell asleep at 9 and woke at 2:30 but went back to sleep till 4, then I just laid and rested, I noticed that the xanax and lexapro was wearing off and I was getting the sensations of panic, I did not fight it but i told my self it would go away, it did some but i did take something for it when i got up to silence the sensations.
I have a new local psychiatrist that i get to see in first week of july. I will discuss new medications that i can tolerate but have longer lasting effect between doses.
Last statement, with the relaxation, i notice that i have tight muscles in back, I cannot take the muscle relaxer as you pointed out it does not mix well with Xanax. I will see about a new script for a muscle relaxor. I believe that now that my sensations are being ignored, i am noticing the tight back muscles and I am assuming it is from the form of breathing in chest that i have been doing as the inflammation has worked against me, Keep the inflammation down, airways open and then less back ache.

NO MORE BAD THOUGHTS lets keep going forward. Yippy!!!!
doctor
Answered by Dr. Drkaushal85 (1 hour later)
Brief Answer:
Yes, you are doing exactly right things.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I am very glad that you are start thinking positive and also applying it in your daily life.
I am sure you will improve with this.
Do consult local psychiatrist and discuss more with him about relaxation techniques.
Do promise me that you will give daily updates to me at least once. This is needed to prevent me from being anxious. Ha ha.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (10 minutes later)
Oh, you will be kept informed until it gets to the best it can. That may be a while.

In your knowledge, what type of muscle relaxer will be good to take alongside xanax. One that will not cause an interaction that is bad. I would like to not be drugged but something to relax the back muscles that are being used more.
doctor
Answered by Dr. Drkaushal85 (31 minutes later)
Brief Answer:
First tell me which muscle relaxants you have taken till date?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
First tell me which muscle relaxants you have taken till now.
Almost all muscle relaxants are having interactions with Xanax.
So I have to take a deep look in this. So please let me know names of muscle relaxants your have taken so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (4 minutes later)
just have cyclobenzaprine
doctor
Answered by Dr. Drkaushal85 (35 minutes later)
Brief Answer:
Have you tried non pharmacological measures?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Have you tried non pharmacological measures like ice pack application or warm water pad application or ultrasound etc?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks .
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (1 hour later)
Yes and no, I have used hot packs, cold packs when I am home but nothing to use when at work for 12 hours so on bad days I would take the pill to ease the ache.
doctor
Answered by Dr. Drkaushal85 (3 hours later)
Brief Answer:
You can use cyclobenzapine on some day.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
So you are not taking muscle relaxant regularly.
So you can use cyclobenzapine once in a while for your symptom at work.
I have searched extensively and found that all muscle relaxants have interactions with Xanax.
And since you are not taking muscle relaxant daily, it won't make much difference to Xanax levels.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (1 minute later)
Big thank you but what in the world are you doing up at this time of the night
doctor
Answered by Dr. Drkaushal85 (5 minutes later)
Brief Answer:
Went for movie and now trying to sleep.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Oho. You are very sharp. You noticed about this. I am a bit surprised.
Actually I went for the movie which finished late and so I am not in my daily sleeping schedule, so searching for sleep.
How could you identify this so much rapidly?
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (2 minutes later)
One meter from my monitor and directly above it is a Clock. I looked at the time the minute the text came across and I know you are roughly 10 hours ahead of me. I hope you took the wife to the movie.
doctor
Answered by Dr. Drkaushal85 (3 minutes later)
Brief Answer:
No, only boys went for the movie.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Oho. Very smart my friend.
No actually we boys went for the movie.
Our wives don't like psychopath killer kind of movies.
And one was a typical psychopath movie. So we went alone.
It was fun.
Do you like movies?
Do you go to see in theater?
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (3 minutes later)
Love movies, love to see in theater, price is rotten.

Was it a gash and slash movie, rip out the throat, lungs, and heart? peel the skin off the victim and make a dress out of it.

Little gore to my thread. I like most movies except the girly love movies. More in to action and adventure type
doctor
Answered by Dr. Drkaushal85 (4 minutes later)
Brief Answer:
Yes, it was similar to what you have described.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I am surprised by this.
I thought you are not movie lover. We both are actually samr in this. I also don't like girly love story kind of movie. And yes, the movie was similar to what you have explained.
I am still not convinced.
Do you seriously like movies? Especially psychopath killer kind of movies?
Which movie you saw last?
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (6 minutes later)
Promise not to think I am a psychopath.

I love the gore in horror. Good Gore, not stuff like the movie Centepede where the psycho dr attaches three people together first person can talk and eat and it passes through him and the second and third people are mouth attached to the rectum of the person infront. Thats wierd, not gory. I like watching heads cut off, fingers chopped off, neck slashed ear to ear.

Then my adventure, and action, some science fiction, some historical stuff on middle east and XXXXXXX I enjoy the new type of kids movies with adult humor added in.
doctor
Answered by Dr. Drkaushal85 (6 minutes later)
Brief Answer:
Are you serious about adult humour?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
My friend, you don't know how much our choices are same.
You are writing my choices. Isn't it a great coincidence?
I am surprised by your confession about adult humour?
You sounds naughty person . Are you?
Be open to me. Let's share each and every thing.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (11 minutes later)
Oh my friend I have a naughty humor, I have a very warped sense of humor, Strange outlook on things and life. I look at things in a way that others miss.

example, television commercial for Hemorrhoid ointment and the actor holds his hands apart the distance of his shoulder to shoulder and pushes his hands together and says, "Helps shrink the Swelling of Hem Tissues" What I see is that this man described a Roid the size of a basketball and only plastic surgery will help.

Why do XXXXXXX commercials advertise feminine hygeine commecials during dinner. Do I want to think about the problem they have. Or more Do I really want to know about that woman having a serious itch problem downstairs. She needs to take a bath more regularly.

I seriously love to watch the stupidity of commercials. They can be torn apart and critiqued.
doctor
Answered by Dr. Drkaushal85 (3 hours later)
Brief Answer:
You are very very interesting person.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I am sure you will be surprised again with the timing of this reply also.
Just woke up in between and saw your reply so answering.
I must say, you are very very interesting person.
Honestly speaking, we are very very similar in our thinking.
This is the reason for our great bonding.
What is your take on this?
And the commercial observation was really very funny.
Do you find condom ads most entertaining?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15005 Questions

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Suggest Treatment For Severe Anxiety

Brief Answer: Yes, you should definitely continue pantoprazole and lightlight work out. Detailed Answer: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, you should definitely start pantoprazole on empty stomach. Also avoid hot and spicy food. Avoid large meals, instead take frequent small meals. All these will reduce reflux and so your breathing difficulty too. You should also start light work out with other activities to reduce belly fat. These will also help you in soothing your breathing. Do send me your pic when ever it is feasible. I will be happy to help you further. Wish you good health. Thanks.