What disease is this, Nayeara?
Hello Doctor: My mother has been suffering from this illness for over a year, and she has been on medication for more than a year as well.
Since her surgery for kidney stones, she has not experienced other symptoms.
However, after undergoing another procedure to break up a different kidney stone, she began to experience severe chest discomfort and felt like crying.
When she has these episodes, she tends to talk a lot, but when I ask her how she feels, she cannot articulate it.
She seems to fear being alone, has rapid breathing, and her voice becomes elongated when she speaks.
She has been on medication for over a year and has had periods of improvement, but after another stone-breaking procedure, she had another episode.
Subsequently, a kidney stone fell into the ureter, leading to laser lithotripsy, which caused a second episode! After that, she fell and experienced a third episode! In recent months, her symptoms seemed to have lessened, but after experiencing foot pain, her doctor changed her prescription, and she had another episode! Doctor, how should we care for her with this condition? How long is the treatment course? Is it common for her to have recurrent episodes during this illness? Thank you!
Bu zhi zen me ban de ren, 50~59 year old female. Ask Date: 2004/11/14
Dr. Chen Guangpeng reply Psychiatry
Hello, dear netizen: Due to the brief description of your symptoms, I cannot inquire further, and honestly, I cannot determine what issue your mother is experiencing.
However, I can speculate a few possibilities: one is a hysterical reaction caused by physiological discomfort, and another could be what is commonly referred to as panic disorder.
Additionally, there may be somatization or even more severe depression involved.
You mentioned that she has been on medication for over a year; does this refer to urology/nephrology medications or psychiatric/psychosomatic medications? In any case, I recommend that you accompany your mother to a more comprehensive psychiatric facility for further evaluation and treatment.
Reply Date: 2004/11/14
More Info
Emotional distress following medical procedures is a significant concern for both patients and caregivers. It can manifest in various ways, including anxiety, panic attacks, and depressive symptoms, particularly after invasive treatments like surgeries. In your mother's case, her emotional responses following kidney stone surgeries may be attributed to several factors, including the physical stress of the procedures, the fear of complications, and the psychological impact of her ongoing health issues.
Understanding Emotional Distress
1. Physical and Emotional Connection: The body and mind are intricately connected. After a medical procedure, especially one that involves pain or significant recovery, patients may experience heightened anxiety or emotional distress. This is often exacerbated by the fear of recurrence of illness or complications from the procedure.
2. Symptoms of Distress: Your mother’s symptoms, such as difficulty breathing, prolonged speech, and an inability to articulate her feelings, suggest she may be experiencing anxiety or panic attacks. These symptoms can be distressing and may lead to further avoidance of situations that trigger these feelings.
3. Coping Mechanisms: It’s essential to develop coping strategies to manage emotional distress. These can include:
- Breathing Techniques: Encourage your mother to practice deep breathing exercises. This can help alleviate feelings of panic and improve her ability to manage anxiety.
- Mindfulness and Relaxation: Techniques such as meditation, yoga, or progressive muscle relaxation can help reduce anxiety levels.
- Journaling: Writing down her feelings may help her process her emotions and articulate her distress better.
Caregiver Support
As a caregiver, your role is crucial in providing emotional support. Here are some strategies you can employ:
1. Open Communication: Encourage your mother to express her feelings. Sometimes, just having someone listen can alleviate feelings of isolation and fear.
2. Professional Help: If her emotional distress continues or worsens, it may be beneficial to seek help from a mental health professional. Therapy can provide her with tools to cope with her feelings and address any underlying issues.
3. Education: Understanding her medical condition and the recovery process can empower both you and your mother. Knowledge can reduce fear and anxiety about what to expect.
4. Routine and Structure: Establishing a daily routine can provide a sense of normalcy and stability, which can be comforting during times of distress.
Duration and Recurrence of Symptoms
The duration of emotional distress can vary widely among individuals. Some may experience temporary anxiety that resolves as they recover, while others may have prolonged symptoms that require intervention. It’s not uncommon for patients to have recurring episodes of distress, particularly if they face multiple medical challenges or if their health status fluctuates.
Conclusion
In summary, emotional distress following medical procedures is a common experience that can significantly impact a patient's quality of life. For your mother, it’s essential to address both her physical and emotional needs. Encourage her to engage in coping strategies, maintain open lines of communication, and seek professional help if necessary. As a caregiver, your support and understanding will be invaluable in helping her navigate this challenging time. Remember, healing is not just about the physical aspect; emotional well-being is equally important in the recovery process.
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