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DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 64416
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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there, just looking advice as unsure where to turn.

Customer Question

Hi there, just looking for some advice as unsure where to turn. Been feeling ill for 3 weeks now. Can you help?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr Basu replied 2 years ago.
Dr Basu :

Hi there, This is Dr Basu, Experienced Specialist. I am here to address your concerns and provide great service.

Dr Basu :

What symptoms o you have?

JACUSTOMER-swo3deoc- :

Hello i feel spaced out like im not here. Its sort of like half of me is passed out and the other half of me is vaguely here

Dr Basu :

ok

Dr Basu :

any other symptoms like palpitations, dizziness, black outs?

JACUSTOMER-swo3deoc- :

No none of those

Dr Basu :

ok

Dr Basu :

any depression, anxiety?

JACUSTOMER-swo3deoc- :

Thats what my doctor says it is anxiety but im struggling to believe that

Dr Basu :

ok

Dr Basu :

what work up you had so far??

JACUSTOMER-swo3deoc- :

Well im pregnant so had blood tests, blood pressure, diabetes, urine analysis, doctor looked behind my eyes and listened to pulse

Dr Basu :

ok

Dr Basu :

is it your first pregnancy?

Dr Basu :

how many weeks?

JACUSTOMER-swo3deoc- :

Yes first im 27 weeks

Dr Basu :

ok

Dr Basu :

so anxiety is very much possible and expected.

Dr Basu :

however, thyroid problem

Dr Basu :

thyroid gland can underact during pregnancy

Dr Basu :

So serum TSH leve should be checked

Dr Basu :

very important

Dr Basu :

otherwise, your doctor did all the right tests so far

Dr Basu :

if TSH is normal, do not worry

JACUSTOMER-swo3deoc- :

I think they have done this with me being pregnant

Dr Basu :

ok great

Dr Basu :

so they are at top of things.

Dr Basu :

At your age, any other problem is very unlikely.

Dr Basu :

heart related problem is not likely.

JACUSTOMER-swo3deoc- :

What do you think it is? Its s9 extreme i cant go to work, and i cant get through the day

Dr Basu :

ok

Dr Basu :

one strong possibility is benign positional vertigo.

Dr Basu :

or vestibular neuritis.

Dr Basu :

this means there is problem with balance organ inside the inner ear not een from outside exam

Dr Basu :

that is a benign condition even if present

Dr Basu :

usually subsides over 2-3 weks

JACUSTOMER-swo3deoc- :

Isnt vertigo when you spin? I dont feel like that

Dr Basu :

Yes correct spinning should be present.

Dr Basu :

if not then this is not ear or brain related at all.

Dr Basu :

stroke or any other neurological condition will cause dizziness as well.

JACUSTOMER-swo3deoc- :

No nothing spins i just dont feel real. Its like im sitting but im not really here

Dr Basu :

try to explore any work related stress or social stress

Dr Basu :

the spaciness suggests psychological condition since medical evaluation is normal.

JACUSTOMER-swo3deoc- :

I feel like im going to die. I just dont feel like im here

Dr Basu :

I do not think that will happen since your tests are normal.

JACUSTOMER-swo3deoc- :

Is the way im feeling a symptom of anything serious?

Dr Basu :

No it is not.

Dr Basu :

you do not have dizziness

Dr Basu :

no palpitation or racing heart rate for some time

Dr Basu :

no chest pain or worsening shortness of breath

Dr Basu :

no leg or arm weakness

Dr Basu :

no facial weakness or change in speech

Dr Basu :

no incontinence or change in vision.

Dr Basu :

So, no serious condition is possible without any symptoms .

Dr Basu :

Most importantly, normal tests --all of them not possible with anything serious.

Dr Basu :

remember, your doctors are experienced with several years.

Dr Basu :

they would have seen something wrong if it was there.

Dr Basu :

However, do monitor for the symptoms I mentioned above.

Dr Basu :

Please try to relax and also consider a psycho therapist someone to talk to and help you relax.

JACUSTOMER-swo3deoc- :

Well ive felt like this for 3 weeks and only had the one symptom. I just feel so bad like i cant focus, i feel like i dont know who i am and i cant do anything. Its really scaring me

Dr Basu :

It is time for you to see a psychiatrist since it seems you are losing control over yourself.

Dr Basu :

this can be addressed effectively with psychotherapy sessions and also medications safe to use during pregnancy.

JACUSTOMER-swo3deoc- :

My doctor has arranged this, i just cant believe theres nothing wrong

JACUSTOMER-swo3deoc- :

So what would you diagnose me with,

Dr Basu :

understandable --but then it is good to hear your doctor is taking good care of you.

Dr Basu :

based on your description, most likely generalized anxiety disorder with adjustment disorder

JACUSTOMER-swo3deoc- :

How can i feel like im back in the real world again? Im so scared of how i feel

Dr Basu :

I think you will benefit from talknig to a psychiatrist and a psychologist.

Dr Basu :

I will opt out

Expert:  DrRussMD replied 2 years ago.
Hello
I am a double board certified US doctor.
What exact questions do you have to help ?
Customer: replied 2 years ago.

Do you agree with the above doctors comments?

Expert:  DrRussMD replied 2 years ago.
Not entirely.
I believe you need to following to make sure you are OK.
Full exam, both medical and obgyn.
Thyroid studies.
Magnesium levels.
Vitamin D levels.
Vitmain B12 levels.
Full neurologic exam.
All routine labs of course.
If all is normal, then psychiatric assessment as much of what you describe can be disscoiative or post traumatic.
In addition, hormonal changes during pregnancy can aggravate these problems, or other medical problems.
OK, so that is an initial answer….
Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.
Customer: replied 2 years ago.

Whats an obgyn? And what would be done in a neurology exam?

Expert:  DrRussMD replied 2 years ago.
OB/gyn: obstectrics and gynecology: a baby doctor.
Neurology exam: done by a neurologist...to make sure there are no brain problems.
Please click a positive rating.
Find me as needed.
Customer: replied 2 years ago.

What sort of brain problems?

Could this be serious?

Expert:  DrRussMD replied 2 years ago.
In fact your medical doctor can do the neurologic exam.
And I don't think it is serious if that exam was negative.
However, that does not mean that the anxiety, dissociation, or mood disorder is not serious , it is, and so hence my recommendations above.
I would go step by step, in conjunction with whatever doctor is taking care of you.
Please click a positive rating....we are only paid by ja per post that is rated.
Let me know if you have further questions.
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 64416
Experience: Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
DrRussMD and 3 other Medical Specialists are ready to help you
Customer: replied 2 years ago.

The doctor has said it is anxiety. Ive seen my midwife aswell who says the baby and me are ok.

My doctor has got me in touch with a therapist.

Do you think i can get better from this? It all just feels so hopeless at the minute

Expert:  DrRussMD replied 2 years ago.
Yes I do.
But you need to take my list to your doctor.
Please click a positive rating now.
Find me after that for any new questions.
Customer: replied 2 years ago.

Ive clicked it above.

Shouldnt my doctor be doing tests automatically if they are trained and a genuine doctor?

Expert:  DrRussMD replied 2 years ago.
Not all doctors check the following
thyroid
vitamin D
magnesium
B vitamins
All OB doctors would check thyroid if you are pregnant, and routine labs, and especially blood sugars.
I can not second guess your doctor.
It is really your job to take this list and question your doctor, and see if your doctor thinks you need any other referrals.
Customer: replied 2 years ago.

Ok, do you not think im going to die? I feel sO far away from myself like half of me is passed out the other half is vaguely here

Expert:  DrRussMD replied 2 years ago.
No
If you were going to die, this would have showed up on exam.
However, many psychological disorders can make you think you might die when you won't.
Problems with the B vitamins and magnesium, and maybe D, and thyroid, can contribute to such problems.
So my answer is not going to change at this point.
I would also make sure you see the therapist you have arranged right away