Question 1

I'm a 23-year-old guy and I've been having sexual thoughts every day. I end up masturbating daily and can't seem to stop, no matter how hard I try. It feels like there's always a trigger, and even though I've tried to quit porn multiple times, I haven't been able to. What can I do to get a handle on this?

Accepted Answer

kk use

Question 2

I'm feeling extremely worried and tense since April, and it's affecting my breathing. I checked with my GP, did all the tests like thyroid, sugar, hemoglobin, and CBCthey're all normal. My ECG showed sinus arrhythmia. I'm on a tapering dose of Metxl 12.5 once a week after consulting with my GP. However, I'm still experiencing these anxious episodes where my pulse suddenly shoots up, and I feel hot, sweaty, and shaky. Sometimes, there's a headache, and I can even feel my pulse in my head. My heart races, and I get left arm and shoulder pain, along with nausea and loss of appetite. I rarely feel any chest pain, possibly due to anxiety, but it's mild. I've tried to calm myself, but this seems to have become a constant part of my health. Should I get another heart check-up because I did an ECG in June, or is this just anxiety? I'm really confused about what to do next.

Accepted Answer

It sounds like you are experiencing symptoms of anxiety along with physical manifestations such as increased heart rate, body heat, sweating, tremors, nervousness, headache, and left arm shoulder pain. Since your recent ECG showed sinus arrhythmia and other tests were normal, it is likely that these symptoms are primarily due to anxiety. To help manage your symptoms, you can consider taking an anti-anxiety medication such as **Xanax (alprazolam)** at a low dose of 0.25mg as needed for acute episodes of anxiety. Additionally, you can try **Propranolol (Inderal)** at a dose of 10mg as needed to help with physical symptoms like rapid heart rate and tremors. It is important to continue with your tapering dose of **Metoprolol (Metxl)** 12.5 once a week as prescribed by your GP. If your symptoms persist or worsen despite these measures, it would be advisable to follow up with your GP for further evaluation and to discuss the possibility of a referral to a cardiologist for a more detailed heart check-up.

Question 3

Hey, I'm curious about how drinking alcohol might affect my Fludac prescription. I'm taking two doses of 20 mg each day, so that's 40 mg in total. Does having alcohol make the Fludac less effective, like is it pointless to take them if I'm still drinking? Also, I've been noticing some bloatingcould that be a side effect of Fludac? I'm a 52-year-old woman, 88 kg, so I'm wondering if it's also affecting my body fat.

Accepted Answer

Warm Sensation and Shooting Pain in the Head

_Possible Causes_

1. _Migraines_: Warm sensations and shooting pains can be symptoms of migraines, especially if accompanied by sensitivity to light and sound.
2. _Trigeminal neuralgia_: A condition that affects the nerve responsible for facial sensations, causing sharp pains and warm sensations.
3. _Temporal arteritis_: Inflammation of the blood vessels in the temples, leading to headaches, warm sensations, and pain.
4. _Other possibilities_: Dental issues, sinus infections, or even a pinched nerve can cause similar symptoms.

_Immediate Actions_

1. _Consult a doctor_: Schedule an appointment with your primary care physician or a neurologist to discuss your symptoms.
2. _Keep a symptom journal_: Record the frequency, duration, and severity of your symptoms to help your doctor diagnose the issue.
3. _Manage stress_: Engage in stress-reducing activities, such as meditation, deep breathing, or yoga, to help alleviate symptoms.

_Prioritize Your Health and Your Baby's Care_

1. _Ask for support_: Reach out to family and friends for help with childcare and household responsibilities.
2. _Take breaks_: Make time for self-care and rest when needed.

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