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What Casues Fatigue With Constipation And Panic Attacks?
Question: I am 32 years old, i am free , already married having 2 children , my problem started when I was 18 years old.
In the meantime I studied lot, worked, also done some short term courses but with very much or less obstacles due to my brain problem.
Many medicines & medical advice I have taken in the meantime.
Started from heavy dosage now I am taking
1. Prodep 10mg
2. Lonazep .5 mg
Also facing certain problems
Like
Mental fatigue : as my brain gets tired after 2 hrs of my normal routine work as my major problem
Body fatigue : as I always feel lack of energy in my body to do my routine tasks
Constipation: I drink plenty of water whole day for morning to pass stool easily
Panic attacks: some times my mood swings & I stop my work and lay on bed and get helpless most of the time as my major problem.
Reacting with females: as I m married but I sometimes gets helpless with my desire to sex....
unwillingly I have to masterbate on watching some stuff if I don't I suffers with nightfall , sometimes in some situations I get helpless ...
I m also facing some other problems....
I also consulted many psychiatrists....
Everyone give his own medicine...
With many side effects as above
So I am hoping you will give me true advice.
In the meantime I studied lot, worked, also done some short term courses but with very much or less obstacles due to my brain problem.
Many medicines & medical advice I have taken in the meantime.
Started from heavy dosage now I am taking
1. Prodep 10mg
2. Lonazep .5 mg
Also facing certain problems
Like
Mental fatigue : as my brain gets tired after 2 hrs of my normal routine work as my major problem
Body fatigue : as I always feel lack of energy in my body to do my routine tasks
Constipation: I drink plenty of water whole day for morning to pass stool easily
Panic attacks: some times my mood swings & I stop my work and lay on bed and get helpless most of the time as my major problem.
Reacting with females: as I m married but I sometimes gets helpless with my desire to sex....
unwillingly I have to masterbate on watching some stuff if I don't I suffers with nightfall , sometimes in some situations I get helpless ...
I m also facing some other problems....
I also consulted many psychiatrists....
Everyone give his own medicine...
With many side effects as above
So I am hoping you will give me true advice.
Brief Answer:
Likely to be depression.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
From your description, it is clear that you have following symptoms:
• Depression.
• fatigue.
• Poor concentration and panic attacks.
• frequent mood swings.
• Constipation.
All these are symptoms of depression and need attention. Apart from that, you may have thyroid problem which can cause or exacerbate your depression. Depression is not always situational (because of stress). Many times it is biological due to biochemical changes in brain. Your depression appears to biological to me due to its severity.
Before prescription, physical examination and laboratory examination is needed to rule out physical causes of depression. Mental status examination is also necessary to assess severity of depression.
Following measures will help you:
• First remember your situation is transient and will solve in few weeks if you follow my advice.
• Ask help from friends and family members, do not shy for that.
• Make structured daily routine.
• Eat adequate food, fruits and drink juice. Avoid alcohol use if any.
• It is good if you work regularly but do not take much stress while working.
• Talk frequently with friends and family members. Make new freinds, Take time to develop few hobbies, join a club or start with playing some sport.
• Get investigated and treated for thyroid problem as some of your symptoms can occur because of thyroid problem too.
• Most important visit psychoterapist so that he can counsel you and prescribe medicine for depression after assessment. Now very good medicines available for depression. People's life changes within weeks of treatment.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Likely to be depression.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
From your description, it is clear that you have following symptoms:
• Depression.
• fatigue.
• Poor concentration and panic attacks.
• frequent mood swings.
• Constipation.
All these are symptoms of depression and need attention. Apart from that, you may have thyroid problem which can cause or exacerbate your depression. Depression is not always situational (because of stress). Many times it is biological due to biochemical changes in brain. Your depression appears to biological to me due to its severity.
Before prescription, physical examination and laboratory examination is needed to rule out physical causes of depression. Mental status examination is also necessary to assess severity of depression.
Following measures will help you:
• First remember your situation is transient and will solve in few weeks if you follow my advice.
• Ask help from friends and family members, do not shy for that.
• Make structured daily routine.
• Eat adequate food, fruits and drink juice. Avoid alcohol use if any.
• It is good if you work regularly but do not take much stress while working.
• Talk frequently with friends and family members. Make new freinds, Take time to develop few hobbies, join a club or start with playing some sport.
• Get investigated and treated for thyroid problem as some of your symptoms can occur because of thyroid problem too.
• Most important visit psychoterapist so that he can counsel you and prescribe medicine for depression after assessment. Now very good medicines available for depression. People's life changes within weeks of treatment.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dr. I have already done my thyroid test its ok.
I don't want to go any more for other doctors .
Plz give me medicine for my problem with less side effects. I will be thankful to u, that will be complete ans to my question. ..
I don't want to go any more for other doctors .
Plz give me medicine for my problem with less side effects. I will be thankful to u, that will be complete ans to my question. ..
Brief Answer:
Start sertraline.
Detailed Answer:
Hello.
Thanks for writing again.
There are some drugs like escitalopram, sertraline, etc which can help you in early recovery but these need careful dosage monitoring and the effect is seen after 4-6 weeks of the treatment. Since you had side effects with Nexito it is best to start with Sertraline in lower doses and then gradually increase the dose after every two weeks in case the medicine is tolerable.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Start sertraline.
Detailed Answer:
Hello.
Thanks for writing again.
There are some drugs like escitalopram, sertraline, etc which can help you in early recovery but these need careful dosage monitoring and the effect is seen after 4-6 weeks of the treatment. Since you had side effects with Nexito it is best to start with Sertraline in lower doses and then gradually increase the dose after every two weeks in case the medicine is tolerable.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thx,
Kindly tell what is start up dosage of sertraline, and with which name and dosage amount i go to chemist for? and timings for intake, Is it available in Sasnagar (Mohali)/Punjab.(adjoining Chandigarh),as u already know my recent medicine.
Kindly tell what is start up dosage of sertraline, and with which name and dosage amount i go to chemist for? and timings for intake, Is it available in Sasnagar (Mohali)/Punjab.(adjoining Chandigarh),as u already know my recent medicine.
Brief Answer:
Available at SAS XXXXXXX
Detailed Answer:
Hello.
You can take Zoloft or Lustral. Start with 50mg at night after the meals. After 2 weeks increase the dosage to 100mg at night. After 4 weeks if you feel the response is not adequate then the dose can be increased to 150mg and then maximum 200 mg at night. You should feel better in 4-6 weeks.
Regards.
Available at SAS XXXXXXX
Detailed Answer:
Hello.
You can take Zoloft or Lustral. Start with 50mg at night after the meals. After 2 weeks increase the dosage to 100mg at night. After 4 weeks if you feel the response is not adequate then the dose can be increased to 150mg and then maximum 200 mg at night. You should feel better in 4-6 weeks.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks!!
Brief Answer:
You are welcome.
Detailed Answer:
Hi,
Thank you.
I am glad I could help.
You can consult me again directly through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Please accept my answer in case there are no further queries and recommend our services to your friends too if you have found it helpful.
I wish you the very best in whatever you do.
Warm regards
You are welcome.
Detailed Answer:
Hi,
Thank you.
I am glad I could help.
You can consult me again directly through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Please accept my answer in case there are no further queries and recommend our services to your friends too if you have found it helpful.
I wish you the very best in whatever you do.
Warm regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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