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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for stress an anxiety due to allergy

i have a lot of stress from school. i m studying nursing (RN). I easily get overwhelmed and overtaken by fear and my heart feels like jumping out of my chest from this fear. I feel like my brain cells (neurons) are excessively firing up, uncontrollably: i can hear them them humming. my head gets really warm. i start to sweat from my neck. my ears feel like freezing. i get body chills, as if i was in freezing temperatures. when i have clinical day at the hospital everything gets worse. i wear sweat pants and s sweater under my scrubs and still feel like my skin is freezing cold but my head sweats!. again, my neurons feel like firing up uncontrollably my head gets warm and i start to sweat from my neck. my main complaint is that i get overtaken by fear, or anxiety maybe, that i lose concentration. i lose focus. i cant even talk right. i feel i should be a patient in the psych department. I have a primary doctor who prescribed an SSRI, but it is making my symptoms worse. i feel like running out of the house and taking an endless walk/jog/run. i wonder if there is something else (another medication) that will calm my fears, or anxiety, or whatever that is, that would not make me more hyper, and rather, that it should calm my neurons down; not make them more hyperactive ? i have a long history of breathing problems allergies to dust mites, pollen, mold, trees, grass, cat and dog dander, etc etc etc i now realize that suffering from breathing problems and not being treated for it made me depressed (i grew up in a remote area of the world, no doctors). i am 32 yo male, 5 8 , 190 LBS. i dont smoke nor drink nor do illicit drugs currently taking Allergy medications: Zyrtec, Advair for asthma, Dymista for allergic rhinitis, Pataday for eye allergy. i have albuterol PRN. my theory is that my body got conditioned from an early age to always be on the defensive because of my allergies. growing up i never felt healthy, i was always clearing my throat, my nose, sneezing, teary eyes, noise in my ears (pooping), congested sinus and congested lungs, i usually felt fatigued, i get sinus pain often. my stresses include school work, clinical days at hospital, im short on money, i need to hurry up and finish school so i can start paying the bills. parents need to retire and i need to take over. mom is waiting on me. she is tired, her muscles ache from working long hours. she is 65. my primary doctor suggested i see a psychiatrist. but the thing is my insurance which is $150 per month doesnt cover much of my health expenses. and my copayment is $75 to see a specialist. plus 40% of the total cost. and i have plenty more worries that would fill up a book. once again, is there something out there that would calm my fears, clam my heart down, calm my neurons down, that is safe ? am i asking for a miracle ?
Wed, 30 Apr 2014
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Psychiatrist 's  Response
Hi
Thanks for using healthcare magic

I think, you are depression with anxiety disorder and in that case, you should take antidepressant like paroxetine. Start this drug at low dose and try to increase it after psychiatrist consultation. You can also try benzodiazepine on sos basis and relaxation exercise to keep yourself calm. In case, you need further help, you can ask.

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