Question 1

I'm dealing with high blood pressure and taking amlodipine. My doctor also gave me sertraline because I mentioned I was having anxiety attacks, but I'm not sure if that's what they really are or if they're related to my hypertension. When these episodes happen, it feels like I have a noise in my head, like static or the sound of the sea, and I get a weird sensation like I'm bouncing on springs, even when I'm just sitting. It also occurs when I'm walking. Is this connected to my medications, or should I be concerned about something else?

Accepted Answer

consult psychiatrist

Question 2

I've been diagnosed with an HPV infection and I've got these warts in my genital area because of it. Could you let me know what my treatment options are to get rid of them?

Accepted Answer

Excessive masturbation can lead to physical and mental health issues.

Symptoms you're experiencing:

Weakness and fatigue
Visible nerves and sensations in the penis
Frequent urination

Consider:

Consulting a urologist to rule out underlying medical conditions
Seeking help from a therapist or counselor to address addiction and mental health
Practicing self-control techniques, such as meditation and exercise, to manage urges

Question 3

I'm 28 and I've noticed my blood pressure is around 160100 lately. Can you help me understand why this might be happening and how I can bring it down naturally?

Accepted Answer

High blood pressure can be caused by various factors such as stress, unhealthy diet, lack of physical activity, smoking, excessive alcohol consumption, and genetics. To reduce high blood pressure naturally, you can try the following. Maintain a healthy diet rich in fruits, vegetables, whole grains, and lean proteins. Limit your salt intake. Engage in regular physical activity such as brisk walking, jogging, or swimming. Manage stress through techniques like meditation, yoga, or deep breathing exercises. Limit alcohol consumption and quit smoking. Ensure an adequate amount of quality sleep. Consider incorporating foods rich in potassium, magnesium, and calcium into your diet. If these lifestyle changes do not effectively lower your blood pressure, you may need medication.

Question 4

I've been having this intense pricking sensation right at the opening of my anus whenever I pass stools. It's not exactly painful the rest of the time, and there's no bleeding involved. I'm kind of worried about what might be causing this. Could it b...

Accepted Answer

It could be due to various reasons which requires physical examination to evaluate, suggesting for surgical consultation.

Question 5

I've been feeling really off latelysuper tired and kind of dragging through the day, which isn't like me at all. I'm a 20-year-old female, and someone suggested I try taking vitamin supplements. I heard about Supradyn tablets, but I'm not sure how of...

Accepted Answer

Causes_

1. _Delayed gastric emptying_: Food takes longer to digest and empty from the stomach.
2. _Low digestive enzymes_: Insufficient enzymes to break down food properly.

_Adjusting Unienzyme Dosage_

1. _Consult your doctor_: Before increasing the dosage, consult your doctor to rule out any underlying conditions.
2. _Try taking Unienzyme at 3 pm_: If your doctor agrees, take one Unienzyme tablet at 3 pm, in addition to your regular twice-daily dosage.

_Additional Tips_

1. _Eat smaller, frequent meals_: Divide your meals into 4-5 smaller portions to ease digestion.
2. _Avoid heavy meals_: Steer clear of rich, fatty, or spicy foods that can slow digestion.
3. _Stay hydrated_: Drink plenty of water throughout the day to help with digestion.

Question 6

I'm really struggling with IBS, and it's been about five years now. I had a colonoscopy three years ago, but it didn't show anything. I've tried Colospa and some other medications, but nothing seems to be helping. I have diarrhea and then normal stoo...

Accepted Answer

Given your symptoms:_

1. _Episodic vertigo_: Your vertigo episodes last 3-4 seconds, triggered by changes in movement.
2. _Morning exacerbation_: Vertigo worsens in the morning, making it difficult to stand properly.

_Consider the following:_

1. _Benign Paroxysmal Positional Vertigo (BPPV)_: Your symptoms suggest BPPV, a common inner ear disorder.
2. _Inner ear problems_: Despite a normal CT scan, inner ear issues like labyrinthitis or vestibular neuritis might be contributing to your vertigo.
3. _Vitamin deficiencies_: Deficiencies in vitamins like B12 or vitamin D might exacerbate vertigo symptoms.

_Current treatment:_

1. _Vitcofol, Neurobian Forte, Stmetile, Verin 16_: These medications are often used to treat vertigo, but their effectiveness varies.

_Recommended next steps:_

1. _Consult an ENT specialist or a neurologist_: Seek a specialist's opinion to determine the underlying cause of your vertigo.
2. _Vestibular rehabilitation therapy (VRT)_: VRT can help improve balance and reduce vertigo symptoms.
3. _Consider canalith repositioning procedure (CRP)_: If diagnosed with BPPV, CRP can help alleviate symptoms.

Related Questions

I've been diagnosed with an HPV infection and I've got these warts in my genital area because of it. Could you let me know what my treatment options are to get rid of them?

I'm 28 and I've noticed my blood pressure is around 160100 lately. Can you help me understand why this might be happening and how I can bring it down naturally?

I've been having this intense pricking sensation right at the opening of my anus whenever I pass stools. It's not exactly painful the rest of the time, and there's no bleeding involved. I'm kind of worried about what might be causing this. Could it b...

I've been feeling really off latelysuper tired and kind of dragging through the day, which isn't like me at all. I'm a 20-year-old female, and someone suggested I try taking vitamin supplements. I heard about Supradyn tablets, but I'm not sure how of...

I'm really struggling with IBS, and it's been about five years now. I had a colonoscopy three years ago, but it didn't show anything. I've tried Colospa and some other medications, but nothing seems to be helping. I have diarrhea and then normal stoo...

General Physician/ Internal Medicine

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