Question 1

I'm really concerned about my dad. He's 60 and has Parkinson's tremor, which makes him feel really weak and tired all the time. His doctor suggested these weekly methycobal shots1cc IM for 3 monthsin the gluteal region. We're in Bangalore, and I'm not sure where we can get this done. Can you help me with some advice on where to go or who to contact?

Accepted Answer

Managing anger and high blood pressure requires a holistic approach. Here are some suggestions:

1. Practice relaxation techniques: Yoga, meditation, or deep breathing exercises can help calm your mind.
2. Regular exercise: Engage in physical activities like walking, jogging, or cycling to reduce stress.
3. Mindful communication: Take a pause before reacting to situations, and express yourself calmly.
4. Seek professional help: Consult a therapist or counselor to address underlying issues.
5. Monitor and adjust medication: Consult your doctor about adjusting your cilacar 5mg dosage or adding stress-reducing medications.

Question 2

I'm not sure what's going on, but I've been feeling really dizzy whenever I'm sitting, standing, or even talking to someone. It's making it tough to do simple things. Plus, I can't seem to look at anything that rotates without feeling worse. I got a brain CT scan done, but it came back normal, and the meds I've tried, like Vertistar, Sturgeon, and Gravol, aren't doing anything for me. Im still struggling. Can you help me figure out what's happening?

Accepted Answer

You seem to be suffering from a condition known as visual vertigo which is a condition causing vertigo and imbalance commonly associated with migraine. You may need to undergo detailed vestibular evaluation. Treatment may require anti migraine medications and vestibular rehabilitation therapy

Question 3

I've been experiencing some real issues after I masturbate. First, I get really dizzy and then it turns into vertigo. It's pretty intense. After a bit, it leads to vomiting and I also have to deal with highly pressurized stool. The vertigo just doesn't quit and can last up to 8 hours. I'm kind of at a loss here and Im wondering who I should talk to about this. Any ideas on whats going on or whom I should consult?

Accepted Answer

The symptoms you're experiencing after masturbation, such as dizziness, vertigo, vomiting, and stool, are not typical and may indicate an underlying condition.

*Possible Causes*

1. *Vasovagal Syncope*: A reflex that causes a sudden drop in blood pressure, leading to dizziness and fainting.
2. *Postural Orthostatic Tachycardia Syndrome (POTS)*: A condition characterized by a rapid heart rate and other symptoms that occur upon standing.
3. *Migraine or Vestibular Migraine*: A type of migraine that affects the vestibular system, causing vertigo and other symptoms.
4. *Gastrointestinal Issues*: Gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), or other gastrointestinal conditions may be contributing to your symptoms.

*What to Do*

1. *Consult a Primary Care Physician*: Schedule an appointment with your primary care physician to discuss your symptoms and determine the underlying cause.
2. *Keep a Symptom Journal*: Record your symptoms, including when they occur, how long they last, and any potential triggers.
3. *Avoid Triggers*: If you suspect that masturbation is triggering your symptoms, consider avoiding or reducing the frequency of this activity until you consult a doctor.

*Specialists to Consider*

1. *Cardiologist*: If your doctor suspects a heart-related condition, such as POTS or vasovagal syncope.
2. *Neurologist*: If your doctor suspects a neurological condition, such as a migraine or vestibular disorder.
3. *Gastroenterologist*: If your doctor suspects a gastrointestinal condition, such as GERD or IBS.

You seem to be suffering from vestibular migraine. You may need long term migraine prophylaxis. Simple anti vertigo medicines are not really useful

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