Question 1

I've been dealing with anxiety and these really troublesome gastric issues. Sometimes after lunch, if I'm out in the sun and either walk about a kilometer or climb some stairs, my heart rate just shoots up and my blood pressure feels high. But it usually calms down after about 15 minutes. I'm wondering if there's a link between the lunch and these heart rate spikes when I'm active like this. Could it really be connected to my gastric problems?

Accepted Answer

It is possible that your gastric issues and anxiety are contributing to your high heart rate and high blood pressure during physical activity. To help with your symptoms, you can try taking Pantoprazole (40mg) for your gastric issues and Escitalopram (10mg) for anxiety. Additionally, you can take Propranolol (20mg) before physical activity to help lower your heart rate and blood pressure. Remember to consult with your healthcare provider before starting any new medications.

Question 2

I'm concerned because I seem to be passing motion about 4-5 times a day, especially after 12 hours of eating anything, and it happens more when I'm at the office. But when I'm at home, it's only about twice, like in the morning and evening. Why could this be happening, and is there something specific I should do?

Accepted Answer

The urge to poop after eating is usually caused by the gastrocolic reflex, a naturalHere are some lifestyle changes that may help with gastrocolic reflex:
Eat smaller meals: Eat several smaller meals throughout the day instead of three large meals. 
Avoid certain foods: Limit or avoid foods that make symptoms worse, such as deep-fried or spicy foods, or meals high in fat. 
Drink fluids: Drink plenty of fluids, such as water, to keep things moving. 
Take probiotics: Take a probiotic supplement or eat foods rich in probiotics, like kimchi, sauerkraut, or low-fat yogurt. 
Manage stress: Try yoga, breathing exercises, guided imagery, or meditation to reduce stress. 
Exercise: Increasing physical activity can help. 
Take stool softeners: If stools are hard, take stool softeners with meals. 
Try peppermint: Take peppermint oil before meals or sip peppermint tea after meals.

Question 3

I'm really concerned about this habit I've developed of inserting my finger into my anus. I did it yesterday, and a couple of hours later, when I did it again, I noticed this slimy, jelly-like stuff on my finger. There's no blood, pain, or any other symptoms, but this always seems to happen when I do it again soon after the first time. Is this slime supposed to be there? Does the fingering cause it? I've read online that other people who've done anal fingering have noticed it too, so is it always present? I really want to stop this habit, and I'm feeling worried. Please guide me on what to do.

Accepted Answer

Rabies Vaccination and Post-Exposure Prophylaxis (PEP)

_Timing of Vaccination_

1. _Immediate vaccination recommended_: The World Health Organization (WHO) recommends immediate vaccination after exposure to rabies, ideally within 24-48 hours.
2. _Vaccination during incubation period_: If vaccination is administered during the incubation period (before symptoms appear), it can still be effective in preventing rabies.

_Your Situation_

1. _Delayed vaccination_: You received vaccinations 6-7 years after the initial exposure.
2. _Multiple vaccinations_: You have taken a total of 17 vaccinations from 2008-2016.

_Reassurance and Recommendations_

1. _Low risk of rabies_: Given the long incubation period and the fact that you have not shown any symptoms, the risk of rabies is low.
2. _No need for further vaccinations_: You have already received multiple vaccinations, and further vaccinations are unlikely to provide additional benefits.
3. _Consult a doctor for reassurance_: Schedule a consultation with a doctor or a rabies expert to discuss your concerns and receive reassurance.
4. _Address anxiety and depression_: Consider seeking professional help to manage your anxiety and depression related to the fear of rabies.

How long is too long to be constipated?

Any length of time is a concern when a person has hard stools or constipation. But after three days, stools become harder and difficult to pass needing a medical intervention or procedure to clear out the impacted stools.

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