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DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 64052
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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Please help??? Ive been told im.suffering with anxiety but

Customer Question

Please help??? Ive been told im.suffering with anxiety but really struggling to believe this. Please help..
Submitted: 2 years ago.
Category: Medical
Expert:  Ken replied 2 years ago.
Hello,
I am Dr Ken and I will be helping you today.
May I know the symptoms you have? Do you have any diagnosed medical condition? Were any investigations obtained?
Customer: replied 2 years ago.

I feel like i cant function, like theres a dark cloud around me and im just not really here. Im convinced in dying

Expert:  Ken replied 2 years ago.
Rosie,
Please calm down.
Anxiety does not kill you for sure. If there are symptoms like chest pain/ difficulty in breathing or loss of consciousness than you need to visit emergency room. Otherwise you just need anti-anxiety medicines and I am sure you will be fine.
Are you on any medicines?
Customer: replied 2 years ago.

I dont have any of those symptoms just feel like i cant function i just dont know where i am was at my gp yesterday. Im already on sertraline and have been for a year

Expert:  Ken replied 2 years ago.
Rosie,
Please calm down. Let me assure you again, you are not going to die.
Continue your medicine. Apart from it - Try Yoga, meditation. Have balanced diet, adequate fluid/ avoid alcohol, smoking or caffeine. Exercise regularly. Try to get engrossed in some hobby.
Visit emergency room if the symptoms get worse.
Best
Customer: replied 2 years ago.

How do you know im not going to die?

Why do i need to go to emergency room if its not life threatening?

Expert:  Ken replied 2 years ago.
Anxiety will not kill you for sure. Your symptoms do not indicate it.
Go to emergency room if you have symptoms like chest pain/ breathlessness or loss of consciousness.
Customer: replied 2 years ago.

How do you know its definitely anxiety? Could my symptoms be anything physical?

Expert:  Ken replied 2 years ago.
The symptoms are not life threatening for sure. They can be due to other causes like anemia/ vitamin deficiency or thyroid imbalance.
Customer: replied 2 years ago.

Im pregnant so have had blood tests done would problems have been picked up in this?

I feel like im sitting on the chair now but im not really here. Like i cant function to do anything

Expert:  Ken replied 2 years ago.
Blood tests would have picked most of them. However I would get specific tests for thyroid/ vitamin deficiency if not obtained.
Customer: replied 2 years ago.

Can you tell me 100% im not going to die? Im so scared doctor. I feel so strange

Expert:  Ken replied 2 years ago.
Yes, I am 100 percent sure that your symptoms are not life threatening and you are not going to die.
Customer: replied 2 years ago.

Can anxiety make me feel this ill? The thing thats scaring me the most is how i cant function. I feel like i cant even walk around or anything i feel that not in myself

Expert:  Ken replied 2 years ago.
Yes, anxiety can be the cause of the symptoms. I am sure you will be fine. Again, you are not dying from these symptoms.
Customer: replied 2 years ago.

Why do i feel so certain i am and i feel so ill..

Its like im not on the planet

Expert:  Ken replied 2 years ago.
If the symptoms are really causing so much anxiety than you may wish to visit emergency room. However I would like to again state - The symptoms do not seem to be life threatening.
Customer: replied 2 years ago.

Im 27 years old. I just dont know what to do. Should i trust my gps diagnosis?

Expert:  Ken replied 2 years ago.
Yes Rosie please trust your doctor.
You are not going to die.
Customer: replied 2 years ago.

Can you promise me 100%?

Expert:  Ken replied 2 years ago.
Yes, I am very sure.
Customer: replied 2 years ago.

Can you try and reassure me? Please tell me how you know

Expert:  Ken replied 2 years ago.
You are young and do not have symptoms like severe chest pain/ breathlessness or loss of consciousness which may indicate life threat.
Anxiety does not kill you. Hence I am sure that you are not going to die of the symptoms you described.
Customer: replied 2 years ago.

Is it normal to be so extreme 24 hours a day? I feel like im sitting but im not really here

Expert:  Ken replied 2 years ago.
Yes it is a symptom of anxiety. It will not kill you.
Customer: replied 2 years ago.

What can i do to make myself feel more with it? If that would reduce i wouldnt be scared

Expert:  Ken replied 2 years ago.
As of now calm down.
Yoga, meditation should help. Have balanced diet, adequate fluid. Have quality sleep.
Customer: replied 2 years ago.

How can i stop thinking im dying? It just feels so certain

Expert:  Ken replied 2 years ago.
If the symptoms are that worrying than you need to visit emergency room.
Customer: replied 2 years ago.

What will they do if im not dying? Do you think i am?

Expert:  Ken replied 2 years ago.
You are not dying.
They will physically evaluate you and try to find the cause of the symptoms.
Customer: replied 2 years ago.

But i thought u said it was anxiety?

Expert:  Ken replied 2 years ago.
It is anxiety but the visit to emergency room is needed just to calm you down.
Customer: replied 2 years ago.

It wont calm me down though coz if they tell me its anxiety i wont believe it

Expert:  Ken replied 2 years ago.
It is better you get a physical evaluation. It will calm you down. Blood tests or other investigations can be obtained too to rule out your fear if needed.
Customer: replied 2 years ago.

Have you got any doubts that it is anxiety

Expert:  Ken replied 2 years ago.
I have no doubts.
I am also sure that it is not life threatening.
Customer: replied 2 years ago.

Can i just check sorry. Are you a real doctor? Not to be rude but want to check

Customer: replied 2 years ago.

Could I have brain disease?

Expert:  Ken replied 2 years ago.
It can be psychological disease. I do not see it a cancer/ mas in brain.
Customer: replied 2 years ago.

Whats a psychological disease?

Expert:  Ken replied 2 years ago.
Rosie,
Can I request you to give me a positive rating for the answers given till now? We can further discuss other questions even after the rating is done.
Thank you
Ken, Postgraduate doctor
Category: Medical
Satisfied Customers: 6559
Experience: Working as a Doctor who Cares since 2001.
Ken and 5 other Medical Specialists are ready to help you
Customer: replied 2 years ago.

Ive done it

Customer: replied 2 years ago.

Can you answer the above questions now please if you dont mind

Expert:  Ken replied 2 years ago.
Thank you.
Psychological disease is a disease which generally does not show any focal or diffuse anatomical lesion in brain - like cancer, infection.
Anxiety, depression and examples of it.
Customer: replied 2 years ago.

Do you think ill get better?

Also just check you are a real doctor? Not trying to be rude

Expert:  Ken replied 2 years ago.
I am sure you will be fine soon.
I am a real doctor. I am faculty at a Medical School for many years now and do see many patients daily.
If you feel that I am not I will opt out and allow some other expert to help. Sorry for being frank!
Customer: replied 2 years ago.

No i just like to check with it being the internet you never know.

How long do you think it will take yo start feeling better?

Expert:  Ken replied 2 years ago.
Firstly you need to get a physical evaluation from your doctor and reach at a diagnosis. Once treatment is started you will see a difference in few days.
Customer: replied 2 years ago.

I have been and they have put my medication up. That was 4 days ago. They checked me over and said its anxiety.

Do you think they are right?

Expert:  Ken replied 2 years ago.
Give it some more days to see the difference. May be a week more. I am sure you will be fine.
Customer: replied 2 years ago.

Do you promise nothing will happen to me and i wont be stuck like this?

Expert:  Ken replied 2 years ago.
Yes I am very sure, nothing will happen to you and you are safe.
Customer: replied 2 years ago.

Have i explained my symptoms well enough. I find them so hard to describe. Its like theres something in front of my eyes stopping me seeing properly and functioning. Its like im not really here

Expert:  Ken replied 2 years ago.
I do understand all the symptoms you are having. They do not indicate that you are dying.
Customer: replied 2 years ago.

Do you think i would have other symptoms by now if i was dying? Ive felt like this for 2 weeks now

Expert:  Ken replied 2 years ago.
Yes other symptoms like chest pain/ breathlessness would have worried me. None of these indicate that there is no risk to your life.
Customer: replied 2 years ago.

What could it of been if i was having those symptoms?

Expert:  Ken replied 2 years ago.
Heart attack would have been my first concern.
Customer: replied 2 years ago.

Its all in my head. From my neck down i feel fine. Except being exhausted. Its just like im so not here i cant focus or do anything. Nothing feels real. Is there no serious brain condition it could be

Expert:  Ken replied 2 years ago.
I do not see any serious brain condition.
Customer: replied 2 years ago.

Its like theres a wall in front of me stopping me seeing properly i feel disconnected from people and objects like they arnt really there. Its scary

Expert:  Ken replied 2 years ago.
I do understand. Give few more days to the medicine. You will feel better
Customer: replied 2 years ago.

I feel like im the only one in the world with these symptoms.. i feel so alone because im so disconnected from everything. Its like im in a coma and im looking at myself like im in a dream

Expert:  Ken replied 2 years ago.
Do not worry, you will be fine soon.
Customer: replied 2 years ago.

Have you seen these symptoms before?

Expert:  Ken replied 2 years ago.
I have seem similar ones multiple times. All the patients recover and are doing well with medicines.
Customer: replied 2 years ago.

Did they have the spaced out disconnected feeling?

Expert:  Ken replied 2 years ago.
Yes they had. Now they are fine.
Customer: replied 2 years ago.

What did they do to stop feeling scared and worried

Expert:  Ken replied 2 years ago.
They would prescribe anti-anxiety medicine or may give some sedative.
Customer: replied 2 years ago.

I just feel so outbof my body like im just not here. Is thid definitely anxiety.

It just feels far to extreme to be anxiety

Expert:  Ken replied 2 years ago.
It seems to be anxiety. a physical evaluation would confirm.
Customer: replied 2 years ago.

Am i going go die? I feel like im almost dead

Expert:  Ken replied 2 years ago.
No, you are not going to die
Customer: replied 2 years ago.

Are you 100% sure?

Why do i feel so out of my body? Its like im not even here

Expert:  Ken replied 2 years ago.
I am very much sure. You need to go to your doctor and get evaluated.
Customer: replied 2 years ago.

Do you think i will be ok? What do you think it could be if not anxiety?

Expert:  Ken replied 2 years ago.
You need to be evaluated to find the cause if any other than anxiety.
You will be ok for sure.
Customer: replied 2 years ago.

How do you know?

Expert:  Ken replied 2 years ago.
I have already answered all the question and you seem to be asking the same again. I am sorry to be frank - I think I need to opt out so that some other expert can help you better.
Customer: replied 2 years ago.

I just want to understand what is wrong with me

Expert:  DrRussMD replied 2 years ago.
Hello
the other expert has opted out.
I am a double board certified US doctor.
Do you have an EXACT question, medically, that has not been answered?
Customer: replied 2 years ago.

Ive been to my gp today who has said i definitely have anxiety. Its this spaced put not there feeling that um.finding really difficult to deal with.

Do you think the gp is right?

Expert:  DrRussMD replied 2 years ago.
There is nothing to indicate that it is anything other than your GP has suggested.
However, it must be treated. The typical treatment would be with an SSRI medication such as zoloft or celexa, with short term treatment using a benzodiazapine until the other meds kick in, such as xanax.
You can talk with your GP, and make sure he checked the following tests
All routine blood tests: CBC, CMP and urinalysis.
Thyroid function blood tests to make sure you are not hypo or hyperthyroid.
I would also check:
a. magnesium levels [should be at least 2.5].
b. vitamin D levels.
c. B12 levels.
If all of these are normal and exam is unrevealing, anxiety becomes the primary diagnoses.
But it must be treated.
Now, before you come back and continue to ask any other questions, I would like to see a positive rating.
My answer is medical, concise and comprehensive, and we are only paid PER positive rating by JA.
I hope you click excellent.
I will be glad to answer follow up questions as well.
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 64052
Experience: Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
DrRussMD and 5 other Medical Specialists are ready to help you
Customer: replied 2 years ago.

So these other possibilities you mention are any of these life threatening?

Im really scared with how i feel.

Im already on medication

Expert:  DrRussMD replied 2 years ago.
No
All of them are treatable.
And, your doctor should be giving you a short term benzo to help control the current feelings.
You should also have therapy....the best being cognitive behavioral therapy.
Customer: replied 2 years ago.

Im pregnant so cant really have alot to help.

Is there anyway of reducing this spacey not there feeling in the short term?

Ive had cbt therapy twice before

Expert:  DrRussMD replied 2 years ago.
You should avoid medications on pregnancy, but the CBT can help.
So can making sure your thyroid is OK.Thyroid imbalance is often revealed during pregnancy.
Magnesium levels and B vitamin levels must be checked.
The spacey feeling can also be alleviated with the correct diet, and daily exercise, massage, group therapy.
Customer: replied 2 years ago.

Yeh my thyroid has bern checked and was fine. Along with blood sugar.

How long will it take for the spaciness to go away?

Expert:  DrRussMD replied 2 years ago.
Thyroid is not find unless between .3 and 2.5.
Check the exact values.
Can not answer your other question, that depends on the individual and whether or not they take action.
Customer: replied 2 years ago.

Its just such an extreme feeling.

Its like im not in my body and cant do or focus on anything.

Its so frustrating and scary

How can i stop being so scared. Am i going to die?

Expert:  DrRussMD replied 2 years ago.
OF course not.
but those questions have been answered.
I am not going to keep telling you the same answers, because all that does is reinforce your behavior.....anxiety producing behavior.
If you want to be productive, get on the phone and ask your exact TSH values.
Find another therapist that does CBT, get active.
Get into a group therapy situation.
Have the other lab values I recommended checked.

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