Fear of death, fear of cancer, fear of suffering?
I'm sorry, but I have health anxiety.
During my health check-up, I found out that I have gallstones and kidney stones, and I'm only 26 years old.
After that, I had four X-rays and one CT scan, which increased my risk of cancer.
I've also had other imaging done throughout my life, and I'm very worried.
I'm afraid that the stones will get stuck and cause an attack, but I'm also scared to take medication because I worry it will harm my kidneys.
Should I see a doctor? I'm afraid of harming my kidneys because in February, I mistakenly took the wrong dosage of medication.
The doctor prescribed it twice a day, but I took it three times a day for several days before I realized it.
After that, my urine had a medication smell, and I experienced large urine output and dizziness.
I usually also have small urine output.
Lily, 20~29 year old female. Ask Date: 2021/04/19
Dr. Lin Mianzhang reply Psychiatry
Hello Lily: The management of gallstones and kidney stones varies depending on their severity.
Generally, if there are no significant symptoms, monitoring is sufficient, and medication may not be necessary.
However, if you are concerned, you can consult a gastroenterologist or a nephrologist to discuss management options with a physician.
Regarding your mention of taking medication three times a day instead of the prescribed twice a day for a few days, this typically does not have a significant impact on kidney function, so please rest assured.
If you continue to experience anxiety and worry that noticeably affects your daily life, I recommend seeking help from a psychiatrist to discuss ways to improve your current situation.
Wishing you peace and health!
Reply Date: 2021/04/19
More Info
Overcoming health anxiety, especially when it is rooted in fears of illness and pain, can be a challenging journey. It is important to recognize that health anxiety, often characterized by excessive worry about having a serious illness, can lead to a cycle of fear and avoidance that may exacerbate physical symptoms. In your case, the discovery of gallstones and kidney stones at a young age has understandably heightened your anxiety, especially given your concerns about the potential risks associated with medical imaging and medication.
Firstly, it’s essential to understand that health anxiety is a recognized psychological condition. It can manifest as a preoccupation with health issues, frequent checking of bodily sensations, and seeking reassurance from medical professionals. This anxiety can lead to physical symptoms, which may further fuel your fears, creating a vicious cycle. The fear of developing serious conditions, such as cancer, can be overwhelming, especially when you have undergone multiple medical tests and procedures.
Given your situation, it is advisable to seek help from a healthcare professional, particularly a mental health specialist. Cognitive Behavioral Therapy (CBT) has been shown to be effective in treating health anxiety. CBT focuses on identifying and challenging negative thought patterns and beliefs about health, helping you develop healthier coping strategies. A therapist can work with you to address your fears, helping you to differentiate between realistic health concerns and irrational fears.
Additionally, it is crucial to establish a good relationship with your primary care physician or a specialist who can help manage your physical health concerns. Open communication about your fears regarding medications and their effects on your kidneys is vital. If you are hesitant to take medications due to past experiences, discuss alternative treatments or lifestyle changes that may alleviate your symptoms without the need for medication. For instance, dietary adjustments, hydration, and regular exercise can play significant roles in managing kidney stones and gallstones.
Mindfulness and relaxation techniques can also be beneficial in managing anxiety. Practices such as meditation, yoga, and deep-breathing exercises can help reduce stress and promote a sense of calm. Engaging in regular physical activity can also improve your mood and overall well-being, making it easier to cope with anxiety.
It’s important to remember that while your concerns are valid, excessive worry can lead to unnecessary stress and may even impact your physical health. Finding a balance between being informed about your health and not letting anxiety take control is crucial. Educating yourself about your conditions from reputable sources can help you feel more empowered and less fearful.
Lastly, consider joining a support group for individuals dealing with health anxiety. Sharing your experiences with others who understand what you are going through can provide comfort and practical advice on managing your fears.
In summary, overcoming health anxiety involves a multifaceted approach that includes professional help, effective communication with your healthcare providers, lifestyle modifications, and self-care practices. By addressing both the psychological and physical aspects of your health, you can work towards a more balanced and less fearful relationship with your body and health.
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