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Dr. David
Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 43437
Experience:  Board Certified Oncologist
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Hi doctor, ive been speaking to a doctor on here. Im really

Customer Question

Hi doctor, ive been speaking to a doctor on here. Im really struggling with how im feeling and would just like a chat if thats ok. I just feel so strange within myself like im not in my body. Im convinced im going to die. Please help

Submitted: 2 years ago.
Category: Oncology
Expert:  Dr. David replied 2 years ago.
Dr. David :

This is Dr. David

Dr. David :

I am here to help you.

Dr. David :

I am happy to chat with you.

JACUSTOMER-5o0s6wdf- :

Hi yes please id appreciate that

JACUSTOMER-5o0s6wdf- :

Can you try and help me feel better?

Dr. David :

we are here to help answer medical questions.

Dr. David :

I am not sure I can help you feel better

Dr. David :

we can't do psychotherapy for clients over the internet.

Dr. David :

if you have bad depression symptoms and you are feeling like you are going to die, you need to see a doctor or a psychiatrist face to face to get therapy and treatment like with an antidepression medication treatment.

Dr. David :

just talking online may not be enough.

JACUSTOMER-5o0s6wdf- :

I understand i just want to try and put my mind at ease

Dr. David :

what questions do you have for me?

JACUSTOMER-5o0s6wdf- :

I am waiting for my doctors to open as they have been closed over the festive period. I am currently on sertraline and have been for a year. The symptom i have is i feel like in not in my body like im just not there properly. Just feel so not myself. What do you think this is?

Dr. David :

why are you taking the sertraline?

Dr. David :

do you have a history of excessive anxiety?

Dr. David :

or depression?

Dr. David :

what dose are you on for sertraline?

JACUSTOMER-5o0s6wdf- :

I did have about a year ago and ive been fine for nearly a year now. It just feels different this time

JACUSTOMER-5o0s6wdf- :

I was on 100 but doctor reduced it to 50 about a month ago coz id been well for so long

Dr. David :

I see.

Dr. David :

your feelings that you are not in your body could be from your anxiety disorder causing them.

Dr. David :

or it could be from your doctor lowering your dose of sertraline from 100 to 50 a month ago.

Dr. David :

your anxiety symptoms could slowly get worse again and you might need to go back up to 100mg dose if that was better working for you to control anxiety.

JACUSTOMER-5o0s6wdf- :

Could this symptom be related to anything physical?

Dr. David :

no, most likely not.

Dr. David :

they sound like psychological symptoms.

JACUSTOMER-5o0s6wdf- :

I just cant understand how i can feel so ill and not be. How can it feel so certain that im dying?

Dr. David :

this sounds like your anxiety symptoms are not well treated at this point

Dr. David :

and very well could be from you and your doctor lowering your sertraline dose 1 month ago.

Dr. David :

if you didn't have these thoughts when you were on the 100mg dose of sertraline, you and your doctor might want to get your dose back up to 100mg to better control these thoughts and symptoms.

JACUSTOMER-5o0s6wdf- :

I didnt, it took a while when i first started taking them but ive been fine for ages and its just hit me out of nowhere

JACUSTOMER-5o0s6wdf- :

Can anxiety make you feel ill 24/7?

Dr. David :

yes,

JACUSTOMER-5o0s6wdf- :

And this extreme?

Dr. David :

bad anxiety disorder and symptoms can make you feel like you want to die.

Dr. David :

and can make you feel not yourself

Dr. David :

and can cause you to not think clearly and have brain fog.

JACUSTOMER-5o0s6wdf- :

Its so hard to explain the feeling thats what is so frustrating

JACUSTOMER-5o0s6wdf- :

Its like im sitting now on the sofa but i dont feel like im really here. Its like im slowly dying.

Dr. David :

I'm sorry you are feeling so poorly.

Dr. David :

I know your doctor's offices are closed.

Dr. David :

but I would get you back up to the 100mg dose of sertraline if that helped before and you were doing well on it.

JACUSTOMER-5o0s6wdf- :

I dont want to die im terrified its happening to me

JACUSTOMER-5o0s6wdf- :

How long do you think it will take once im back to 100

Dr. David :

it will take 1-4 weeks for you to feel better once you increase your dose up.

JACUSTOMER-5o0s6wdf- :

Do you think im going to die?

Dr. David :

no, you are not going to die.

Dr. David :

this is your anxiety symptoms out of control.

JACUSTOMER-5o0s6wdf- :

Can you promise me that? Why cant i just feel better. Why does it linger on?

Dr. David :

yes, I can promise you that you won't die.

Dr. David :

it lingers on because you have a bad anxiety disorder.

Dr. David :

that needs stronger treatment.

JACUSTOMER-5o0s6wdf- :

Would there be more symptoms if i was dying?

Dr. David :

yes, you would have other symptoms if you were really dying.

JACUSTOMER-5o0s6wdf- :

Im also pregnant which is worrying me. I feel like im not in control

JACUSTOMER-5o0s6wdf- :

Ive had blood tests done a couple of months back with me being pregnant. Would these have shown up anything if there was a serious problem?

Dr. David :

yes.

JACUSTOMER-5o0s6wdf- :

Do you understand my symptoms? Its so hard for me to describe thats what makes it so hard

Dr. David :

yes, I understand them.

Dr. David :

they are from your anxiety disorder out of control.

Dr. David :

because you lowered your dose of sertraline down to 50mg 1 month ago.

Dr. David :

you need to talk to your doctor about increasing your dose back up to 100mg.

JACUSTOMER-5o0s6wdf- :

Yeh im going to ring first thing tomorrow. Its just so hard to get an appointment

JACUSTOMER-5o0s6wdf- :

When i try to describe how im feeling ppl just look at me like im stupid

Dr. David :

don't worry about that.

Dr. David :

talk to your doctor and your doctor will understand.

JACUSTOMER-5o0s6wdf- :

I find it so hard to believe its not physical i feel unable to do anything and just feel like im not gona get through the day

Dr. David :

yes are bad anxiety psychological symptoms which can cause real physical type symptoms sometimes.

Dr. David :

the mind does control the body.

JACUSTOMER-5o0s6wdf- :

Does it, What can i do in the meantime to get through each day?

Dr. David :

you can talk to your doctor about medications like hydroxyzine or buspirone which can help decrease anixety

Dr. David :

and can be used during pregnancy along with your sertraline.

JACUSTOMER-5o0s6wdf- :

Do you think ill be ok?

Dr. David :

yes, you will be ok.

Dr. David :

once your sertraline dose is increased back up to 100mg.

JACUSTOMER-5o0s6wdf- :

Not to be rude but can i check are you a real doctor and can you 100% say this is my anxiety?

Dr. David :

yes, you can check

Dr. David :

I am a real doctor in the USA.

Dr. David :

I can say for 100% sure this is your anxiety disorder causing you to feel this way.

JACUSTOMER-5o0s6wdf- :

Ok i just want to be able to get through each day. Until i see the doctor how can i not worry

Dr. David :

it is hard to not worry when you have bad anxiety disorder which is not controlled.

JACUSTOMER-5o0s6wdf- :

I just cant concentrate on anything and i dont feel connected to anyone or anything

Dr. David :

that is from your anxiety disorder

Dr. David :

when you increase your dose of sertraline up to 100mg you will feel better

JACUSTOMER-5o0s6wdf- :

How can i convince myself im not dying. I feel like im nearly dead

Dr. David :

it will be hard to convince yourself when your anxiety symptoms are out of control

Dr. David :

and when you are not thinking clearly from your anxiety disorder.

Dr. David :

you need more treatment for your anxiety and until then, you most likely will continue to feel the way you are feeling now.

Dr. David :

we have chatted online for more than an hour now.

Dr. David :

and it doesn't seem like you feel any better.

JACUSTOMER-5o0s6wdf- :

Why does this happen? Its so hard and one minute i was fine the next i wasnt

Dr. David :

this is from neurotransmitters in your brain.

Dr. David :

we don't know why some people have bad anxiety disorder and other people don't

JACUSTOMER-5o0s6wdf- :

Can this not be fixed? There must be a way rather than someone going through this over and over again

Dr. David :

anxiety disorder can be treated.

Dr. David :

you are on treatment now.

Dr. David :

it is just not enough for you.

Dr. David :

you need more dose of your medication.

JACUSTOMER-5o0s6wdf- :

I wish the doctor had never reduced it

Dr. David :

me too.

Dr. David :

if done for now, please leave positive feedback below.

Dr. David :

we only get credit for helping clients after positive feedback.

Dr. David :

you should be able to see the ratings area below.

Dr. David :

thanks for using JustAnswer.com

JACUSTOMER-5o0s6wdf- :

Yes i will no problem. Just finally im definitely not going to die?

Dr. David :

no,

Dr. David :

I promise you definitely will not die.

Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 43437
Experience: Board Certified Oncologist
Dr. David and 2 other Oncology Specialists are ready to help you
Customer: replied 2 years ago.

Im sitting in the living room with people now but its just like im not really here. Its like i look at people but cant see properly or communicate. Will i survive the night?

Expert:  Dr. David replied 2 years ago.
yes, you will survive the night

you need to increase your dose of sertraline up to 100mg

and then you will be better
Customer: replied 2 years ago.

I just feel so disorientated like im not really here.

I just cant understand this

I feel so strange and out of it.

Is there no way this could be a physical illness?

Expert:  Dr. David replied 2 years ago.
no, this is not a physical illness

it is your anxiety disorder out of control because your dose of sertraline was lowered one month ago.
Customer: replied 2 years ago.

I know you are a doctor but how do you know?

Expert:  Dr. David replied 2 years ago.
I know because I have helped thousands and thousands of clients here online already

and you have a history of excessive anxiety

and your symptoms you say are from anxiety, not from physical problems

and because I went to medical school and am a doctor.

and because with bad anxiety disorder, you don't think clearly .

you are not thinking clearly at this point.
Customer: replied 2 years ago.

Im sorry to doubt you i really am.

Its just so hard to believe when i feel so terrible.

Expert:  Dr. David replied 2 years ago.
yes, I know that

you are doubting me because you have excessive anxiety disorder.
Customer: replied 2 years ago.

I just want to be able to believe it.

Have you got any tips to calm me down?

Expert:  Dr. David replied 2 years ago.
you need to take deep breaths

and work on meditation techniques to try to relax and visualize yourself in a calming place.
Customer: replied 2 years ago.

I dont want to die im so scared.

I feel sick is this normal with anxiety?

Expert:  Dr. David replied 2 years ago.
yes, anxiety can cause nausea and upset stomach

try to eat a bland diet and keep some food in your stomach

an empty stomach can have worse stomach acid and be more inflamed.

eat some toast or rice or bananas or crackers to help settle your stomach.
Customer: replied 2 years ago.

If i was going to die what symptoms would i have? Xx

Expert:  Dr. David replied 2 years ago.
you are not going to die.
Customer: replied 2 years ago.

Why cant i believe that.. i really feel like i am. I just cant settle. Everything around me looks weird

Expert:  Dr. David replied 2 years ago.
that is beacuse your anxiety is out of control right now.
Customer: replied 2 years ago.

Have you treated anyone else like me who feels the same way? With same symptoms?

I feel so alone

Expert:  Dr. David replied 2 years ago.
yes, I have treated patients who have bad anxiety disorder.

who have these same symptoms.
Customer: replied 2 years ago.

They are so so bad.

Just feel so not here and weird. Its the worst ive ever felt

I feel like i cant function or think straight

Expert:  Dr. David replied 2 years ago.
yes, this is the brain fog from anxiety disorder.
Customer: replied 2 years ago.

Ive always thought of anxiety as an attack and then you feel ok. But its 24/7 i feel like this

Expert:  Dr. David replied 2 years ago.
it sounds like you have high anxiety all the time now.
Customer: replied 2 years ago.

Is that usual with this is it?

Expert:  Dr. David replied 2 years ago.
no, that is not unusual with bad anxiety disorder.
Customer: replied 2 years ago.

It would be more manageable if it just came in stages. Not constantly feeling weird and not with it

Expert:  Dr. David replied 2 years ago.
you need to go back up on your dose of sertraline.
Customer: replied 2 years ago.

Yeh im going to speak to doctor about that tomorrow. Just worried i wont survive till then

Expert:  Dr. David replied 2 years ago.
you will survive until then.
Customer: replied 2 years ago.

U promise?

Expert:  Dr. David replied 2 years ago.
yes, I promise.
Customer: replied 2 years ago.

I really hope so

Expert:  Dr. David replied 2 years ago.
if done for now, please leave positive rating below the chat box so I can get credit for helping you today

Thanks for using JustAnswers.com
Customer: replied 2 years ago.

Spoke to doctors and cant get appointment till friday. Sertraline increased to 100mg. Do u think ill be ok till i can go to doctors?

Expert:  Dr. David replied 2 years ago.
yes, you will be fine

I promised that you would not die

and you haven't died yet.

So I am keeping my promise.
Customer: replied 2 years ago.

Do you Think the sertraline will start working. Im still feeling really scared.

Expert:  Dr. David replied 2 years ago.
it will take a few days to a few weeks to start working

don't be scared

you will be fine
Customer: replied 2 years ago.

Im at work now trying to get on with it. I just feel.so strange and not myself

Expert:  Dr. David replied 2 years ago.
this is part of excessive anxiety

it will get better with time.
Customer: replied 2 years ago.

I really hope so i cant stop thinking somethings going to happen to me because of how strange and not there i feel

Expert:  Dr. David replied 2 years ago.
you have to give your sertraline dose more time to work for you.
Customer: replied 2 years ago.

I just want to believe that its anxiety thats all. It would be so much easier if i could

Customer: replied 2 years ago.

Ive been to gp. Says it us anxiety and im not going to die but i cant believe it

Customer: replied 2 years ago.

Dr im scared. The out of it feeling is horrendous. Its like im half unconscious. What is going on?

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