doctor david, i have a few concerns around brain tumors

This is Dr. David

yes, I am here.

what questions do you have?

how old are you?

male or female?

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 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 see.

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.

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

yes, the hospital would have picked up a brain tumor.

you might need a higher dose of sertraline or additional medications like quetiapine or clonazepam.

what dose of sertraline are you on?

you can ask your doctors about going up to 150mg of sertraline which can help.

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.

yes,

severe anxiety disorder can make you feel this ill.

hello?

let me know if you have other questions.

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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.

remember?

and I kept my promise

it will get better once you have this baby

and are able to go on more medications.

yes you would have more symptoms by now if it was serious.

I know.

bad anxiety can do that to you.

we see this alot with clients who ask questions here at JustAnswer

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.

and you have to talk to your doctor about increasing your sertraline dose.

no, it would not be classified as personality changes.

yes,

I understand why you are concerned.

do you understand the recommendations I have given you?

I have given you suggestions for this.

yes, I definitely know it is nothing physical

because you have been to the ER several times and nothing physical was found.

that is how I know for certain.

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.

let me know if you have other questions.

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yes, they would know without the scan

you don't need a scan.

you don't have a brain tumor.

no, you will not die from this spaced out feeling.

no other condition besides anxiety disorder will cause this.

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

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.

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.

your doctors would not have missed anything.

you have excessive anxiety disorder.

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.

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you are not dying.

you have not died yet.

you will not die.

you have severe anxiety disorder and severe anxiety symptoms.

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

you keep asking these same questions.

we are really not get anywhere.

we have been now chatting for 2 days.

yes, I have told you this before.

you have bad anxiety disorder.

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 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.

you have asked this before

you don't have a brain tumor.

you have excessive anxiety disorder and bad anxiety symptoms.

no, you don't have anything else other than a tumor.

yes, blood test would show up major problems.

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.

ou have to use mental imagery to help you get over bad anxiety.

yes, you will be ok.

why did you start a new question.

you didn't accept the last question

http://www.justanswer.co.uk/medical/8xicn-doctor-david-few-concerns-around-brain-tumors.html

because your anxiety symptoms are severe

no, you don't need any more testing.

your symptoms most likely won't get better until you have your baby and are able to go on stronger anti-anxiety medication.

you can do mental imaging techniques

and cognitive behavioral techniques

and biofeedback techniques to help decrease your anxiety symptoms.

we have been talking 3 days like this.

and I don't think I am helping you.

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.

you have to keep living for you baby

when is your next appointment to see your psychotherapist?

you have to talk to your therapist about your fears and ask for more techniques to help you decrease your fears and anxieties

you will get better after you have this baby and can get started on stronger medications.

well, your anxiety could be worse now that you are pregnant.

it could be due to hormone changes later on in your pregnancy.

it is not anything bad.

you were just in maternity.

your doctors would not let you hurt yourself and your baby.

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.

because the only thing wrong is your anxiety disorder.

yes, it is just due to your severe anxiety disorder

so you have to keep seeing your therapist and keep getting well baby evaluations by your doctor.

and you will be fine.

you have to see a psychotherapist and talk about cognitive behavioral therapy techniques to help decrease your anxiety symptoms.

you can ask for more testing from your doctors.

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.

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.

no, you don't need any other testing

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 :)

you will not die.

you will not be able to get rid of the spaciness feeling until after you have your baby and get on stronger medications.

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 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?

your doctors have not missed anything.

your doctors are not going to let you die.

I know just like your doctors know that you are not going to die.

you are ill. you have a mental illness with severe anxiety disorder.

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.

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.

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.

that is from your anxiety disorder causing this.

this is not a sign that you will die.

this is from your bad anxiety disorder.

you will not die.

yes, severe anxiety disorder can make you feel this unwell.

yes, with severe anxiety disorder you can feel this way for 24 hours a day.

you are pregnant so there are many medications you can not take.

but you can take them after your pregnancy.

most likely not until you have your baby and get stronger anxiety medications.

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 certain that you are not going to die.

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.

probably from not getting enough sleep and not drinking enough water.

try to get more sleep and drink more water and fluids.

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 today

you can always reach me with "a question for Dr. David" if you have any other questions

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no, the testing you have had would not have been wrong.

you will get better.

and you will not die, I promise.

this is your anxiety disorder which is making you feel this way.

you will not be stuck like this forever.

you need to continue to work on mental visualization and biofeedback therapy to help decrease your anxiety symptoms.

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

http://psychcentral.com/blog/archives/2013/07/18/managing-anxiety-with-biofeedback/

yes, it can help.

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 today

you can always reach me with "a question for Dr. David" if you have any other questions

here is my website if you need to reach me again:

http://www.justanswer.com/medical/expert-dr-david/

Thanks for using JustAnswers.com

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.

you don't have a brain tumor.

you have excessive anxiety.

you can what?

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.

we have talked about ways to help you feel better.

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.

no, that is your anxiety disorder making you worried.

nothing in medicine is 100%

nothing in life is 100%

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

yes, if it was a tumor, you would have had other symptoms such as stroke like symptoms or seizures.

you don't have a brain tumor.

I have told you that you will not die suddenly.

your chances of dying suddenly are zero.

yes, I have told you that you will survive until the baby comes.

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.

you don't have a brain tumor.

it will get better once you have your baby.

and are able to take stronger medications for your anxiety disorder

I have been 100% sure nothing will happen to you.

I have told you this many times.

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.

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

yes, excessive anxiety disorder can last that long.

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.

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 today

you can always reach me with "a question for Dr. David" if you have any other questions

here is my website if you need to reach me again:

http://www.justanswer.com/medical/expert-dr-david/

Thanks for using JustAnswers.com

please leave positive feedback below so I can get credit for helping you.