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Hi, Thanks for your question. I'm Dr. Hasan and I'll try to help you.
Do you feel sort of dizzy?
Are you on any medicines?
Its Like a dizziness but not spinning. The doctor has put me on sertraline
Like feeling unsteady?
Not really. I feel like im not there its really strange and just really spaced out. Its hard to describe
Im 27 female
Any brain MRI done?
No doctor wont do one as says no need
Any other symp***** *****ke nausea, vomiting etc?
For how long you have been on sertraline?
About 10 weeks, thats how long ive felt like this. I felt like this before i went on it
This means that the drug hasn't worked.
Yeh i keep asking doctor to change it but they wont.
Thank you for your input. I am sorry to hear about your problem. I am going to address your primary concern but later you can ask anything you want.
The feeling which you have described can occur due to heart problem or brain lesion.
A normal EKG rules out heart problem.
Your doctor has prescribed sertraline because he is thinking that you have anxiety.
In my opinion, you should ask him to get MRI brain first and if that comes out to be clear, only then he can think of anxiety and in that case he can change your anti anxiety drug.
Yeh Ive had a normal heart test
I really don't suspect brain lesion in your case but since you have persistent symptoms , it is mandatory to get brain MRI.
What is a brain lesion?
If that is normal, the next step should be change of medicine
Like any brain atrophy or mass.
So like a tumour?
It is least likely at your age and with the symptoms that you have but to be on safe side, get it done.
Tumor definitely not likely with your symptoms.
With tumors, the symptoms are severe and associated with nausea, vomiting, severe headache etc
What Other brain things could it be?
I dont have any of thosr symptoms
Yes that is why I don't suspect any tumor in your case.
There are many things but as per pattern of your symptoms, nothing is likely
You got my point?
So to conclude, get brain MRI to be on safe side. If that is clear, ask for a change of medicines.
So if brain scan is clear what do you think it is?
In that case, it is nothing but anxiety and stress
Can that cause me to feel this ill?
But i reassure you that as per symptoms, nothing is serious.
Yes it can.
I have seen many patients like this.
and they respond well to anti anxiety drugs.
My everyday life has been ruined i cant dO anything im so scared Of hOw I feeL
Yes anyone would have felt like you in that case.
But I reassure you that with proper treatment you can be fine.
I feel like im dying
This is not something you have to live with
Yes i understand.
If you feel like this then it is nothing but anxiety.
I feel it 24 hours a day with how spaced out i am
Yes one can feel like this in anxiety
You need a change in medicine and should see a psychiatrist.
Ive never ascociated being spaced out wIth anxiety
Anxiety is very complex thing. It can present in multiple ways.
Feeling just spaced out itself is a symptom of anxiety.
Please just relax and follow my suggestions.
Thats the only symptom i have but i just cant get it to go away
Till you get the right anxiety medicine, you will feel like this.
But you will be fine after a right medicine start working.
The doctor wont change it. Ive asked so many times so i just dont no what to do
You mean your GP?
Yeh my gp. Im alsO seeing a phychiatrist who wont change it either
Then you must seek second opinion from a psychiatrist.
I mean from some other psychiatrist.
The waiting lists are so long even private i just dont know where to turn
I am sorry but you have to wait.
There is no other solution
I am really sorry about that but you must wait and rest assured that there is nothing serious and nothing will happen to you.
Do you think im going to die?
No not at all.
Any question please?
Im so certaIn im going to die. Do you think the tests would have picked it up if i was?
Yes the tests should have picked it.
You have got the necessary tests.
Do you have any further question about your illness?
Im just wOrried I want some reassurance really thats this is nothing serious
I reassure you with 100 % confidence and give you my words that you don't have nothing serious.
Your exams and tests and above all your symptoms all are reassuring.
Are you feeling better now?
A little i just find it hard to believe people even my doctors. Thats bad isnt it.
Yes that's bad but you have to trust the doctors.
On my part, I assure you that you don't need to worry
I wish you good luck and that you get well soon. My goal is to provide you with excellent service – if you feel you have received anything less, please reply back as I am happy to address follow-up questions. Kindly rate me when you are done. You can come back here to ask anything even after you have rated the answer. I will be glad to help you always.
thankyou thats all i want to feel better
My best wishes and prayers are for you :)
Your feedback is requested and will be appreciated.
Are you with me?
How would you suggest i get thru each day without worrying constantly? I dont think of anything else.
Is there anything i can do for this spaciness or for my fear of dying till i can see phychiatrist. If i could just feel a little less ill id be able to manage
Ive been to emergency room twice and doctors 12 times. Are you sure this isnt physical?
I dont mean to doubt you but how can you be so sure?
If i was dying would there be other symptoms?
Can you die of spaciness and feeling generally unwell and not there?
Whats my chances of dying suddenly from this?
I feel like im not gona get thru night
How would i feel if i was dying?
Its not new though its the same issue
I cant get an appointment for weeks with another phychiatrist. Is there any further tests i need to have which i havnt had so far?
I asked again today they are refusing saying i dont need one
Do you really think im not dying? Im so sure i cant describe how bad i feel
? Please answer ill rerate again on this question
But i feel so spaced and weird. I cant even describe. If it is physical what could it be?
Can you tell me exactly how you know and also what symtoms id hace with the spaciness if i was going to die?
Once you have answered my last question i will rate
There must be something i can do to make it better until i see someone. Please help