Sleep Aid Options for Breastfeeding Moms: Safety and Recommendations
During the breastfeeding period, please advise on the use of sleeping medications? Hello Dr. Lee! I am a breastfeeding mother, and my child is currently 14 months old. Recently, my child has been waking up more frequently at night to nurse, which has made it increasingly difficul...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing distress. However, if you are concerned about the use of sleep medications during breastfeeding, it is advisable to have your condition evaluated by a physician. Regarding the combination of medications, a p...[Read More] Sleep Aid Options for Breastfeeding Moms: Safety and Recommendations
Struggling with Sleep: The Dangers of Relying on Alcohol
Relying on alcohol to sleep? Recently, I haven't been sleeping well, so I started relying on alcohol. However, I became too dependent on it, and for the past two days, I haven't been able to eat. Whenever I eat or even drink water, I end up vomiting shortly after. Over ...
Dr. Wu Enliang Reply:
Dr. Wu Enliang suggests that relying on alcohol for sleep is not a good approach and can be harmful to the body. It is recommended to seek professional help from a psychiatrist.[Read More] Struggling with Sleep: The Dangers of Relying on Alcohol
Timing Matters: Optimizing Antidepressants and Sleep Medications for Better Sleep
Antidepressants and sleeping pills: Timing of medication? Hello, doctor. Recently, I came across information online stating that if someone has difficulty falling asleep, and since antidepressants do not shorten the time to sleep as quickly as sleeping pills, one could take the a...
Dr. Wu Enliang Reply:
Recently, there has been information circulating online suggesting that for individuals experiencing difficulty falling asleep, since antidepressants do not shorten sleep onset time as quickly as sleeping pills, one could take antidepressants 30 minutes earlier than sleeping pill...[Read More] Timing Matters: Optimizing Antidepressants and Sleep Medications for Better Sleep
Managing Anxiety Medications: Side Effects and Concerns Explained
Anxiety disorder medications Hello, doctor! I was recently diagnosed with panic disorder and my doctor prescribed Lexapro 30 mg to be taken every morning. However, after taking it, I often feel disoriented and have difficulty functioning at work. Is this normal? Should I continue...
Dr. Wu Enliang Reply:
Changing to a regular dinner time in the evening will generally lead to improvements. - Dr. Wu En-Liang[Read More] Managing Anxiety Medications: Side Effects and Concerns Explained
Understanding the Connection Between Disability Assessment and Involuntary Hospitalization
Disability assessment Is there a connection between disability assessment and involuntary hospitalization? My certification will expire on November 1st of this year, and I have an appointment for a disability outpatient consultation at the social work office of Donggang Antai Hos...
Dr. Zhang Fangrong Reply:
Hello, the assessment for disability and involuntary hospitalization are not related. Thank you.[Read More] Understanding the Connection Between Disability Assessment and Involuntary Hospitalization
Understanding Sleep Talking: Causes and Implications for Mental Health
Sleep talking Hello doctor, my roommate or family members say that I talk in my sleep while I'm sleeping, but when I wake up the next day, I feel great and do not feel fatigued at all. I also have no recollection of what I said in my sleep.
Dr. Xue Gengming Reply:
We recommend that you consult with a psychiatrist at a mental health clinic. Wishing you good health. Thank you![Read More] Understanding Sleep Talking: Causes and Implications for Mental Health
Can Autonomic Nervous System Disorders Cause Painful Urination?
Autonomic nervous system dysfunction can affect urinary pain? Hello, doctor! I would like to inquire about my experiences with urethritis or cystitis. I have autonomic nervous system dysfunction, and a few months ago, I started experiencing slight pain while urinating. I have und...
Dr. Huang Zhijia Reply:
Hello: Autonomic nervous system disorders rarely manifest as painful urination; it is recommended to seek medical evaluation.[Read More] Can Autonomic Nervous System Disorders Cause Painful Urination?
Managing Anxiety and Panic Attacks with Heart Rhythm Disorders: A Guide
Medication consultation, drug side effects, panic, autonomic nervous system dysregulation? I would like to ask the doctor, I have a history of arrhythmia and have undergone echocardiography, a 24-hour Holter monitor, and an exercise stress test, which detected premature ventricul...
Dr. Qiu Junda Reply:
Hello. Your condition is likely related to anxiety (autonomic nervous system dysregulation). It is advisable to continue visiting a psychosomatic medicine specialist for improvement. You may use Yuli Shu as a backup medication. If you are concerned about potential side effects su...[Read More] Managing Anxiety and Panic Attacks with Heart Rhythm Disorders: A Guide
Understanding Adult Attention Deficit: Symptoms, Challenges, and Solutions
Adult Attention Deficit Disorder (ADD) As I grow older, I find myself forgetting more and more things. I can completely forget what I just heard a second ago, and I often forget to execute the goals I set for myself or become restless during the process. In class, I constantly lo...
Dr. Wu Enliang Reply:
Netizens suggest seeking consultation at the Department of Psychiatry (Psychosomatic Medicine). Dr. Wu Enliang.[Read More] Understanding Adult Attention Deficit: Symptoms, Challenges, and Solutions
Understanding Side Effects of Antidepressants and Alternative Treatments
Side effects of antidepressants? Hello Doctor, my family member has been experiencing anxiety, restlessness, and panic, occasionally showing symptoms of depression and suicidal thoughts. After consulting a psychiatrist, it was determined that there is an issue with autonomic nerv...
Dr. Wu Enliang Reply:
1. If someone has only taken Levodopa for two days (a total of one pill), should they expect withdrawal symptoms? A: No. 2. If a patient experiences severe side effects from multiple SSRIs, does that indicate they are unsuitable for SSRIs? A: Yes. 3. If a patient is very sensitiv...[Read More] Understanding Side Effects of Antidepressants and Alternative Treatments
Understanding Anxiety Medications: Effects, Side Effects, and Efficacy
Because I don't like taking a lot of medication, I want to understand the effects of the drugs themselves so that I will be more willing to take them? I have issues with anxiety and I usually take Yu-Kang capsules. Sometimes I feel very sleepy, and I would like to ask if thi...
Dr. Wu Enliang Reply:
Hello, I have a problem with anxiety disorder. I usually take Yekang capsules, and sometimes I feel very sleepy. I would like to ask if this symptom of sleepiness will go away over time? A: Generally, it will. What are the more common side effects? A: The more common side effects...[Read More] Understanding Anxiety Medications: Effects, Side Effects, and Efficacy
Overcoming Anxiety: Should I See a Specialist for Swim Class Stress?
Swimming classes make me feel very anxious? Hello, doctor. In the past few months, my school has been having swimming classes, but I have been feeling very anxious about it. Every time it's the day of swimming class, I experience vomiting and dizziness. Should I see a psychi...
Dr. Wu Enliang Reply:
Netizens should first self-reflect and analyze why they are so afraid of swimming classes and identify the causes of their anxiety. It may also be helpful to discuss these feelings with the instructor. If there is still no improvement, seeking consultation with a psychiatrist is ...[Read More] Overcoming Anxiety: Should I See a Specialist for Swim Class Stress?
Understanding Diarrhea and Anxiety: Insights from a Psychiatric Perspective
Bowel movement issues Hello Doctor: I have been dealing with anxiety issues, possibly stemming from taking care of my father who had esophageal cancer about 4 to 5 years ago. Since then, I have become very concerned about my own health. I have experienced diarrhea in the past, bu...
Dr. Wang Yixiang Reply:
Dear Mr. Hsiao-Kang, It seems that your main issues are diarrhea and anxiety. While the two may potentially influence each other, we prioritize treating them separately for simplicity. I recommend discussing the causes and treatment of your diarrhea with a gastroenterologist. Ad...[Read More] Understanding Diarrhea and Anxiety: Insights from a Psychiatric Perspective
Switching from Latuda to Rexulti: Managing Side Effects in Schizophrenia Treatment
Switching from Lurasidone 40 mg to Risperidone 1 mg, what are the related side effects? The patient started medication for schizophrenia on July 22, taking Lurasidone 40 mg for nearly a year. They sleep approximately 9 hours a day but often feel fatigued and lack interest in acti...
Dr. Huang Zhijia Reply:
Hello: If you are not the physician who issued this prescription, please consult the prescribing physician.[Read More] Switching from Latuda to Rexulti: Managing Side Effects in Schizophrenia Treatment
Managing Side Effects of Anxiolytics: A Guide for Patients and Families
Side effects of tranquilizers? Hello doctor, my family member has been experiencing anxiety, restlessness, and panic, along with frequent feelings of rapid breathing and shortness of breath. The psychiatrist initially prescribed Lorazepam 0.5 mg to be taken as needed. Since my fa...
Dr. Wu Enliang Reply:
Benzodiazepines (BZD) are sedatives that are generally recommended for short-term use or as needed. They are not considered first-line medications (other antidepressants should typically be used as first-line treatments). If medication is necessary, it is advisable to discuss it ...[Read More] Managing Side Effects of Anxiolytics: A Guide for Patients and Families
Signs You May Need Psychiatric Help: Sleep Issues, Appetite Loss, and Low Energy
Insomnia, loss of appetite, and decreased motivation for two days—how can I determine if I can manage this on my own, or should I schedule an appointment with a psychiatrist? I have tendencies towards depression, and for the past two days, I've been experiencing sleep distur...
Dr. Lin Mianzhang Reply:
Hello Ting Ting: It seems that you have occasionally experienced insomnia and loss of appetite in the past. I would like to know how frequently these issues occur. If they happen quite often, such as every few days or even once a week, I recommend seeking evaluation from a psychi...[Read More] Signs You May Need Psychiatric Help: Sleep Issues, Appetite Loss, and Low Energy
Understanding Bloating, Hiccups, and Throat Discomfort: A Guide to Autonomic Nervous System Disorders
Bloating, belching, and a sensation of something stuck in the throat? Hello doctor, for the past four months, I have been experiencing bloating almost every day, along with persistent burping. I feel a sensation of something being stuck below my Adam's apple, and swallowing ...
Dr. Lin Mianzhang Reply:
Hello: It seems that you may have a more anxious personality. If you find it difficult to relax and are easily nervous, you may be more prone to insomnia. Additionally, some people unconsciously swallow air while swallowing saliva when they are tense, which can lead to bloating a...[Read More] Understanding Bloating, Hiccups, and Throat Discomfort: A Guide to Autonomic Nervous System Disorders
Understanding Intermittent Explosive Disorder: Coping with a Volatile Parent
Father's emotional fluctuations? My dad often explodes over trivial matters. I try to ask him to calm down and talk things over, but it usually doesn't help; he ends up saying hurtful and extremely vulgar things. Once, in a fit of rage, he threw a box at home, which sca...
Dr. Qiu Junda Reply:
Hello. You can explain to your dad that seeking medical help is just for consultation and not necessarily for treatment. You can express that you are experiencing mental and emotional distress and would like to see a psychiatrist. It might help to suggest that you would like him ...[Read More] Understanding Intermittent Explosive Disorder: Coping with a Volatile Parent
Understanding Sound Sensitivity: When Noise Affects Your Mental Health
Sensitivity to surrounding sounds? Hello, doctor. Recently, my neighbor's footsteps have become louder, and there are vibrations that often startle me. Now, at night, my heart rate increases, and I feel a tightness in my chest. I have become very sensitive to surrounding sou...
Dr. Qiu Junda Reply:
Hello. You may want to consult a healthcare professional to determine if medication is necessary.[Read More] Understanding Sound Sensitivity: When Noise Affects Your Mental Health
Struggling with Asperger's: Seeking Help Amid Parental Dismissal
Suspected of having autism, but the parents do not take it seriously? Since I was young, I have noticed that I am different from others. Recently, I took the "Adult Asperger's Syndrome Scale" and scored 33 out of a possible 50. Perhaps I am making a big deal out of...
Dr. Li Guanying Reply:
Dear Sir/Madam, From your letter, it is clear that you are experiencing discomfort and distress. I recommend that you visit our outpatient clinic for an evaluation and testing to determine the underlying issues. Our clinic is open Monday to Friday, both in the morning and aftern...[Read More] Struggling with Asperger's: Seeking Help Amid Parental Dismissal