This is Dr. David
yes, I am here.
what questions do you have?
how old are you?
male or female?
I am 27 female. What would be the symptoms of a brain tumor?
U there doctor? Sorry to be impatient
yes I am here.
brain tumors are very different from patient to patient.
some patients can have seizures, others have personality changes, or headaches which are the worst in their life
others can have nausea, or stroke like symptoms
like weakness on one side of their body
I feel like im not on the planet so so spaced out like im not 100% conscious
I see from your prior question that you have bad anxiety symptoms.
excessive anxiety can cause you to feel spaced out and not 100% conscious.
it can also cause brain fog and difficulty thinking clearly.
you should talk to your doctors about medication treatment to help decrease anxiety symptoms.
this could help your symptoms and could help you to think more clearly.
I just feel the illest ive ever been i cant even describe how bad i feel
if you feel very bad, you should get to the ER
and talk to a doctor about how you feel
and be started on anti-anxiety and anti-depression medications right away.
I was on er 2 days ago with how im feeling
They did loads of tests but couldnt find anything
Do you think its a tumor or cancer?
What do you think?
because it is apsyc
because it is a psychological problem you are having.
and not a physical problem.
and you need psychological medications like sertraline or paroxitine to help decrease your symptoms.
and also long acting benzos like clonazepam most likely to help decrease anxiety
Do you think the hospital would if picked up anything physical?
yes, the hospital would have picked up a brain tumor.
Im already on sertraline have been for 8 weeks but feel worse than ever
Even though i didnt have a scan?
you might need a higher dose of sertraline or additional medications like quetiapine or clonazepam.
what dose of sertraline are you on?
Im on 100mg but im pregnant so they wont do alot with my meds
you can ask your doctors about going up to 150mg of sertraline which can help.
They didnt do a scan at hospital but did a ecg, blood tests, blood sugar test. A neurological exam, blood pressure. Would they have found summit?
yes, they would have found something physical if it was there.
your anxiety is out of control
that is why you are worried
you don't have a brain tumor or cancer causing your symptoms.
Could it really make me this ill?
severe anxiety disorder can make you feel this ill.
let me know if you have other questions.if done for now, please leave positive rating below the chat box so I can get credit for helping you todayyou can always reach me with "a question for Dr. David" if you have any other questionshere is my website if you need to reach me again:http://www.justanswer.com/medical/expert-dr-david/Thanks for using JustAnswers.com
It feels like im dying
yes, bad anxiety disorder can cause this.
you are not dying.
I have told you this before
that you are not dying.
and you have made me promise you are not going to die.
and I kept my promise
It just feels like its getting worse and worse and im scared its never going to go away.
it will get better once you have this baby
and are able to go on more medications.
What can i do in the meantime? Would i have more symptoms by now if it was serious?
yes you would have more symptoms by now if it was serious.
Its so extreme the feeling on my head. Its so hard to believe its anxiety
bad anxiety can do that to you.
we see this alot with clients who ask questions here at JustAnswer
What can i do to stop worrying at the moment? Im so sure im going to die its unbelievable
you need to talk to your doctors to be set up to see a psychotherapist weekly
to talk about these fears you have.
your psychotherapist has to teach you techniques such as deep breathing and mental visualization and cognitive behavioral therapy to help decrease your anxiety symptoms.
Would it not be classed as personality changes the way i feel? I feel like a completely different person to who i normally am
and you have to talk to your doctor about increasing your sertraline dose.
no, it would not be classified as personality changes.
Do you understand why imso concerned? I feel like im almost dead and no1 can find anything wrong
I understand why you are concerned.
do you understand the recommendations I have given you?
I do but all i want is relief from this spaciness
I have given you suggestions for this.
So you definitely think its nothing physical?
yes, I definitely know it is nothing physical
I know your the doctor but how do you know for certain?
because you have been to the ER several times and nothing physical was found.
that is how I know for certain.
They didnt do a scan though, would they know even if no scan done and what if they missed something?
you can go back and ask for a scan.
scans are more expensive for society to pay for.
I would bet you $100000 pounds that your scan will show no brain tumor.
your doctors would not have missed anything.
They wont give me one i asked. Would they know without the scan?
yes, they would know without the scan
you don't need a scan.
you don't have a brain tumor.
Can you die of this spaced out feeling? Is there any illness except anxiety which would present in this way?
no, you will not die from this spaced out feeling.
no other condition besides anxiety disorder will cause this.
Its just like nothing ive experienced with anxiety before. I feel so unwell doctor please tell me how to stop this spaced out feeling. Its so so bad
Something i forgot to mention ive got like a clicking noise in my right ear
you could be grinding your teeth and this can cause a clicking noise in your right ear.
your anxiety is bad now because you are pregnant and not able to take all of your anti-anxiety medications like you normally do
Im only taking what i uSually take though. I dont normally take anything different
your pregnancy hormones could be making you more anxious and spacy feeling.
it sounds like your anxiety was not well controlled before your pregnancy as well.
I was fine for the first 6 months of pregnancy. I really think its something physical it doesnt feel like anxiety
well, go back to the ER and get testing.
but your doctors don't want to do any more testing.
and your ER doctors will refuse you to have a brain CT scan.
you shouldn't be having brain CT scans while you are pregnant.
Im in the maternity unit now. All i want is to know whats wrong
you have excessive anxiety disorder.
Are you 100% sure
I am 100% sure.
your doctors are 100% sure.
try to let the doctors and nurses there in the maternity unit take care of you.
let me know if you have other questions.
please leave positive feedback below so I can get credit for helping you so far.
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Im out of the hospital now. Again cant really find anything wrong in maternity ward. Bloods fine. Blood pressure fine, urine fine abd temperature fine. I just cant feel better im sure im dying
you have not died yet.
you will not die.
you have severe anxiety disorder and severe anxiety symptoms.
I feel like im almost dead. Would they have known In the maternity unit if something was wrong? How can i feel this ill? Do you realise how bad i am?
yes, they would not known if something was wrong at the maternity unit
you have told me how bad you are with constant feeling of fear of death.
you are not going to die
Its the really ba
its the really bad spaced out feeling. I feel so ill i just dont no what to do?
you keep asking these same questions.
we are really not get anywhere.
we have been now chatting for 2 days.
I know im just so scared. Do you really think this could be nothing else?
yes, I have told you this before.
you have bad anxiety disorder.
I know you have sorry ive just never felt more ill. I dont know how to get through the weekend. How can i do this?
you have to use mental imagery to help you get over bad anxiety.
you should be seeing a psychotherapist and learning congitive behavioral therapy techniques
and also biofeedback techniques to help decrease anxiety symptoms.
I am seeing one i have been for weeks but its just getting worse. I dont just feel spaced out i feel so ill i cant describe and no1 knows what is wrong
I know what is wrong, you have excessive anxiety disorder which is not well controlled.
you should keep seeing a psychotherapist and work on congitive behavioral therapy.
Can i just ask what would i have if it was serious? I need to try and get my head around this
you have asked this before
you have excessive anxiety disorder and bad anxiety symptoms.
Do you think it could be anything else though other than a tumor?
no, you don't have anything else other than a tumor.
Do blood tests show up major problems? I know everything cant be tested for
yes, blood test would show up major problems.
Theres just nowhere else for me to turn. Ive been to doctors, hospitals, and phycologists, tried loads of meds and nothing is working
you have to hang in there until you are able to have your baby
after that, your doctors can add more medications like seroquel and other medications which can help your anxiety symptoms.
Its another 8 weeks to wait i cant cope that long. Even if it was a bit better
How can i cope? What can i do to help?
ou have to use mental imagery to help you get over bad anxiety.
Do you think ill be ok?
yes, you will be ok.
why did you start a new question.
you didn't accept the last question
I havnt started a new question. No one got back to me on the first one i asked
Why cant i accept im not dying
because your anxiety symptoms are severe
Its so hard to describe how i feel thats why i worry somethings been missed because i cant sa
Its so hard to describe how i feel thats why i keep thinking something has been missed because i cant describe how i feel properly. Is there any tests that havnt been done which you y
I find it so hard to describe how i feel thats why i think something has been missed. I feel like i cant say exactly how i feel. Are there any tests that havnt been done that you think should or need to be?
no, you don't need any more testing.
I just dont know where to turn next ive been everywhere and its not getting better
your symptoms most likely won't get better until you have your baby and are able to go on stronger anti-anxiety medication.
Is there nothing i can do for this spaciness and overwhelming feeling of death?
you can do mental imaging techniques
and cognitive behavioral techniques
and biofeedback techniques to help decrease your anxiety symptoms.
Ive tried all that tho and nothings working. Im so scared doctor i dont no where to turn
we have been talking 3 days like this.
and I don't think I am helping you.
So what should i do? Thats all i want some guidance. Ive got nowhere else to go
you should talk to your doctor to get you into psychotherapy more frequently
and to increase your dose of sertraline up to 150mg a day.
They wont allow me to increase it because im pregnant. If i cant get some relief soon and no one will help me im just gona give up and not bother living anymore
you have to keep living for you baby
I no but i cant even look after myself. All i want is some help
when is your next appointment to see your psychotherapist?
Friday, i just seen someone on friday
you have to talk to your therapist about your fears and ask for more techniques to help you decrease your fears and anxieties
I have over and over again but getting nowhere. I just want to know im going to get better
you will get better after you have this baby and can get started on stronger medications.
Im on the same meds as ive always been on and they helped me last time. I was no where near as bad
well, your anxiety could be worse now that you are pregnant.
Why would it be worse coz im pregnant? I was so happy for the first 6 months
it could be due to hormone changes later on in your pregnancy.
What if its something bad and its going to hurt me and baby
it is not anything bad.
you were just in maternity.
your doctors would not let you hurt yourself and your baby.
I no but what if they missed something
this is your anxiety disorder making you worried that they missed something.
they didn't miss anything.
you are not thinking clearly because of your anxiety disorder.
we have been over these issues several times already.
but your anxiety disorder will not let you move on from these worries.
All tests are coming back fine thats what i cant understand
because the only thing wrong is your anxiety disorder.
I just cant get my head around it. I know im anxious but how bad i am cant just be anxiety
yes, it is just due to your severe anxiety disorder
All i want is to be well for my baby coming
so you have to keep seeing your therapist and keep getting well baby evaluations by your doctor.
and you will be fine.
Ive spoken to doctor and mental health nurse. They wont adjust my medication or do anything else. What else can i do?
you have to see a psychotherapist and talk about cognitive behavioral therapy techniques to help decrease your anxiety symptoms.
SerioUslY is there any other tests i need to have? Its been 2 months and im just getting worse
you can ask for more testing from your doctors.
IVE tried cbt twice and hasnt worked
but they most likely will refuse.
and if you get more testing like a brain MRI scan or brain CT scan, it will be normal.
What tests shiuld i ask for? How do you know they will be normal?
I know they will be normal because I am a doctor and all of your testing so far are normal.
and you have bad anxiety disorder and you are young.
you have ask for scans of your brain in the past and your doctors have refused this.
you are having a hard time thinking clearly because of your anxiety disorder.
Is there any other tests i need other than scans?
no, you don't need any other testing
I feel so ill and not getting any better. Where can i turn?
you can see your therapist weekly.
you can also see your GP doctor.
in your original question you said you had a "few concerns around brain tumors"
but we have been now chatting for 4 days :)
Ive tried all those things but nothing is working
Please tell me how to get rid of this spaciness i dont want to die
you will not be able to get rid of the spaciness feeling until after you have your baby and get on stronger medications.
What am i meant to do till then? I really think im going to die
you are not going to die.
you have not died so far.
you have to bear with your excessive anxiety symptoms until you have your baby.
and then your doctors will be able to give you stronger medications.
I no i havnt died yet but what if its going to happen?
I promise you that you will not die.
your doctors will not let you die.
I have promised you that you will not die before, correct?
Yeh i no you have but what if they have missed something
I feel like they are letting me die
Please help me?
your doctors have not missed anything.
your doctors are not going to let you die.
How do you know? I really feel like im dying
I know just like your doctors know that you are not going to die.
How can i feel so terrible and not be ill
you are ill. you have a mental illness with severe anxiety disorder.
Please can you explain to me how you know for definite?
I need it spelt out to me so i can try and understand
I know just like your doctors know for sure that you will not die.
I have studied medicine and psychiatry
and know that your symptoms are not due to a physiological problem.
they are due to a psychological illness.
Have i explained well enough how i feel though? I dont think im getting across how bad i am
yes, you are getting this across.
but I'm not sure what you want me to do over the internet
I have tried to reassure you as best as I can.
I no and i appreciate it. If i was an illness what symptoms would i have? It just feels so much like im seriously ill
looking for more symptoms will only worsen your anxiety.
there are too many illness to list all symptoms.
from your symptoms you are describing, you have severe anxiety disorder which is a mental illness disease.
this is what is causing you to feel so ill and be so worried and panicked about dying.
The only symptom im concerned about is this spacey not there feeling which is so bad i cant do anything
that is from your anxiety disorder causing this.
this is not a sign that you will die.
Even though i feel so much like im dying i cant even get out of my seat im so spaced out and dont no where i am
this is from your bad anxiety disorder.
Can it make you feel that unwell tho
It just cant be right
yes, severe anxiety disorder can make you feel this unwell.
Can it feel like your dying 24 hours a day?
yes, with severe anxiety disorder you can feel this way for 24 hours a day.
Is there nothing i can do or take to make it a bit better myself since doctor wont do anything
you are pregnant so there are many medications you can not take.
but you can take them after your pregnancy.
So im not going to get any better at the minute?
most likely not until you have your baby and get stronger anxiety medications.
How can i cope till then?
you have to cope.
you seem to be talking to me to try to cope.
you should be seeing your therapist as well.
I am and ringing her i just want to be certain im not going to die
I am certain that you are not going to die.
I just want to know how you know for certain thats all
because I am a doctor.
and very experience in patients who have extreme anxiety disorder.
I am certain just like your doctors you see in the UK in the maternity ward are certain you will not die.
you are not certain because you have extreme anxiety symptoms
and are having a hard time thinking clearly.
I want to believe it so so much. Ive got a bit of a headache now aswell
probably from not getting enough sleep and not drinking enough water.
try to get more sleep and drink more water and fluids.
You promise i will get better?
Could the tests ive had possibly of been wrong?
no, the testing you have had would not have been wrong.
you will get better.
and you will not die, I promise.
I feel like im gona be stuck like this forever
this is your anxiety disorder which is making you feel this way.
you will not be stuck like this forever.
I just want to manage day to day. I just dont know how to feel A bit better to manage
you need to continue to work on mental visualization and biofeedback therapy to help decrease your anxiety symptoms.
Whats biofeedback therapy?
biofeedback therapy techniques can be taught to you by your counselor or therapist to help you decrease your anxiety
it is a way to train your brain to try to decrease anxiety symptoms.
you can read more here
Does it work for spaciness?
yes, it can help.
Would the doctors definitely know for certain if i had something serious? Is there any chance at all something could of been missed?
you have asked this question before.
yes, your doctors would definitely know for certain if you had something seriously wrong.
there is no chance that your doctors could have missed something.
this is your anxiety disorder out of control making you worried.
Im certain i have a brain tumour
you have excessive anxiety.
you can what?
I cant i mean even sit up for too long its so bad. I feel so so ill
I can hardly see, feel so spaced out and just cannot do anything
this is your anxiety disorder being out of control and not being well treated because you are pregnant.
you have to hang in there and tolerate these symptoms until you are able to have your baby and then get on stronger treatment.
Its so bad though surely theres got to be some way to make it a bit better?
we have talked about ways to help you feel better.
Yeh but none of these things are working. Ive been back to docs tonight. Sed as sure as can be im ok but not 100%
I am as sure as can be that you don't have anything else wrong.
you have a bad anxiety disorder making you worried.
you have to hang in there until you have your baby.
Cant get 100% though so that tells me something can be wrong
no, that is your anxiety disorder making you worried.
nothing in medicine is 100%
nothing in life is 100%
I no that but after all my tests etc shouldnt there be 100% that Im OK now?
I have told you that you are ok.
and that there is nothing seriously wrong already.
but your anxiety disorder will not allow you to believe me or trust me or your doctors.
you will continue to worry about doubt that there might be something more, because your anxiety symptoms are out of control
All i want is this spaciness to go away
The doctor also said if it was a tumour i would have weakness in some part of my body is that right?
yes, if it was a tumor, you would have had other symptoms such as stroke like symptoms or seizures.
What do you think the chances are of dying suddenly?
I have told you that you will not die suddenly.
your chances of dying suddenly are zero.
It feels so much like im dying. Do you think ill survive till baby comes?
yes, I have told you that you will survive until the baby comes.
It just makes me worry coz the doctor cant give me 100% that im definitely ok so what if there is something wrong?
there is nothing wrong.
your anxiety disorder is causing you to not think clearly and to continue to worry.
you will continue to worry until you have this baby and get on some stronger anti-anxiety medications.
I just want to becable to manage. Im scared this will never go away
it will get better once you have your baby.
and are able to take stronger medications for your anxiety disorder
So you are 100% sure nothing will happen to me. I just want to be able to get up and about
I have been 100% sure nothing will happen to you.
I have told you this many times.
I know your sure but i dont understand how you are? The spaciness is just terrible. Is there anything else i can take except anti depressant medication to make this better?
you can talk to your doctor about taking medications like valium or klonazepam to help decrease anxiety, but these can be bad for the baby.
you can talk to your doctor about medications like buspirone and hydroxyzine which are safe to take during pregnancy to help decrease your anxiety symptoms.
Are they like a fast acting drug or a proper anti depressant? The thing is i dont feel anxious just really spaced out thats what makes me think its not anxiety
they are fast acting and not antidepressants and can be used along with your antidepressant.
it is your anxiety disorder which is causing this brain fog and spaciness
Can it really last this long 24 hours a day. 9 weeks with no relief?
yes, excessive anxiety disorder can last that long.
Will i definitely get better? I will personally want to come and thank you if i do. Ive never wanted anything more
you will get better once you have your baby and are able to take stronger medication.
ask your doctors about buspirone and hydroxyzine which you can take now.
please leave positive feedback below so I can get credit for helping you.
Doctor im scared to go to sleep. I feel like im just about dead
Doctor please speak to me i think im about to die