Managing GERD: The Impact of Antidepressants and Treatment Options
Medications for gastroesophageal reflux disease (GERD)? Hello, Doctor: Since February of this year, I have been experiencing gastroesophageal reflux disease (GERD) and acid reflux. My symptoms include a sensation of excessive stomach acid, resulting in a burning feeling in my sto...
Dr. Wang Yaoting Reply:
Hello: 1. Two medications can be taken together, and it is recommended to pair them with a gastric medication. 2. These medications belong to the benzodiazepine class (abbreviated as BZD), which can be used clinically to treat anxiety and insomnia. They can be taken with PPIs wit...[Read More] Managing GERD: The Impact of Antidepressants and Treatment Options
Understanding Withdrawal Symptoms and Their Impact on Mental Health
Various discomforts experienced by the body after drug withdrawal? Hello Doctor: I do not have a history of anxiety or depression, have never taken such medications, and do not experience insomnia, headaches, or stiffness in my shoulders and neck. About a year ago, I felt a sensa...
Dr. Wu Enliang Reply:
Hello, user: 1. Could my symptoms be caused by autonomic nervous system imbalance after stopping these medications? The symptoms of autonomic nervous system dysregulation are quite complex and variable, including dizziness, chest tightness, palpitations, difficulty inhaling, mus...[Read More] Understanding Withdrawal Symptoms and Their Impact on Mental Health
Understanding Chronic Insomnia and Its Impact on Mental Health
Sleep issues I have been suffering from insomnia for over ten years, averaging 3 to 5 hours of sleep. I often wake up after sleeping for just one or two hours, sometimes after 10 to 30 minutes, and I experience vivid dreams. I do not have a habit of substance or alcohol addiction...
Dr. Wu Enliang Reply:
Hello, internet user: If you suspect that your insomnia is caused by depression, I strongly recommend that you seek medical attention at a nearby mental health facility. Additionally, you can download the "Mood Temperature" app to assess your mental and physical well-be...[Read More] Understanding Chronic Insomnia and Its Impact on Mental Health
Managing Negative Symptoms of Schizophrenia: Fatigue and Weakness Solutions
Schizophrenia, negative symptoms, poor mental state, physical weakness? Thank you for your previous response, Doctor. I am Ah-Hua, and my last question was about schizophrenia. During the day, I feel very low in energy, mentally unwell, tired, and experience a lot of fatigue and ...
Dr. Lin Mianzhang Reply:
Hello Ah Hua: If the symptoms you mentioned persist even after stopping the medication, they are unlikely to be caused by drug side effects. However, in addition to the negative symptoms of schizophrenia, depression can also present similar symptoms. Therefore, it is important to...[Read More] Managing Negative Symptoms of Schizophrenia: Fatigue and Weakness Solutions
Managing Gas and Discomfort While Taking Antidepressants: Tips and Advice
Medication Consultation - Ubiquinone for Bloating Hello, Doctor: I have obsessive-compulsive disorder and currently take two capsules of Sertraline daily. However, I often experience bloating, flatulence, and a sense of urgency to have a bowel movement after taking the medication...
Dr. Wang Yaoting Reply:
Hello: Bloating in the stomach is mostly caused by the accumulation of undigested material or the effects of medication on digestion. One way to alleviate bloating is to take medication with "warm water + easily digestible foods." Depending on your situation, it is best...[Read More] Managing Gas and Discomfort While Taking Antidepressants: Tips and Advice
Understanding Shortness of Breath and Frequent Yawning: A Psychiatric Perspective
Shortness of breath and frequent yawning? Hello Doctor, I have been experiencing sudden episodes of shortness of breath since last year. Each time it occurs, I have to exert a lot of effort to inhale, and if I can't get enough air by forceful inhalation, I try to relieve it ...
Dr. Lin Mianzhang Reply:
Hello Steve: Thank you for your hard work! After looking through so many specialties without finding a cause, I would like to understand if there were any changes in your life before this situation started last year. Additionally, you mentioned that your condition worsens after w...[Read More] Understanding Shortness of Breath and Frequent Yawning: A Psychiatric Perspective
Does Long-Term Use of Sleeping Pills Increase Dementia Risk?
Will long-term use of sleeping pills lead to dementia? Hello Doctor, I previously sought medical attention for my insomnia. After taking Stilnox, my insomnia has improved, but I am very concerned about the long-term use and whether it could lead to dementia. I would like to consu...
Dr. Lin Mianzhang Reply:
Hello, Wen: Because you are relatively young, if you are experiencing insomnia at such a young age, it is important to consider whether there are any underlying conditions, such as depression, anxiety, or post-traumatic stress disorder. If any of these are present, they should be...[Read More] Does Long-Term Use of Sleeping Pills Increase Dementia Risk?
Supporting a Loved One in Denial of Mental Health Issues: A Family Guide
When facing a patient who is unaware of their illness and unwilling to seek medical attention, how can we, as family members, provide support? Hello, Doctor. I apologize for taking up your valuable time! My mother is an emotionally expressive person who often brings up past sorro...
Dr. Wu Enliang Reply:
Hello, online friend: Is it possible to persuade her to seek medical attention using reasons that are more acceptable to the elderly, such as "insomnia," "autonomic nervous system disorder," "neurasthenia," or "undergoing a physical examination&...[Read More] Supporting a Loved One in Denial of Mental Health Issues: A Family Guide
Concerns About Clonazepam for Insomnia and Breathing Issues
Issues with anticonvulsant medications? The doctor prescribed me 0.5 mg of Clonazepam for seven days due to my severe insomnia lately. I'm concerned about the side effects of Clonazepam, particularly in individuals who snore or have slight breathing difficulties while sleepi...
Dr. Wu Enliang Reply:
Hello, if you snore while sleeping and it is not caused by sleep apnea, it should not be a concern. I suggest trying it out first; if it makes your sleep worse, then it may not be suitable for you. Be sure to discuss this with your doctor during your next appointment. Dr. Wu En-L...[Read More] Concerns About Clonazepam for Insomnia and Breathing Issues
Navigating Mental Health Challenges: Coping with OCD, PTSD, and Medication Concerns
Anticipatory anxiety, insomnia, and years of seeking medical attention? OCD (first year, Fluoxetine - insomnia, constipation) PTSD (exempted from military service, previously hospitalized in an acute care unit) mild Asperger's (as noted by the military examination physician)...
Dr. Wang Yaoting Reply:
Excessive anxiety can often make your life difficult and complicate many situations. Try to simplify things and don’t let yourself be overwhelmed by your anxiety. OCD typically requires high doses of SSRI medication for treatment, and it is advisable to take them if you can toler...[Read More] Navigating Mental Health Challenges: Coping with OCD, PTSD, and Medication Concerns
Managing Side Effects of Lofepramine: When to Stop Medication?
If the side effects of Lofepramine are intolerable, can I stop taking the medication on my own? I have been undergoing treatment for depression for many years, and my previous primary medication was Venlafaxine. On the 17th, my doctor switched my medication to Lofepramine due to ...
Dr. Peng Liyun Reply:
Hello, the half-life of Lofepramine is approximately 11 hours, and the side effects of the medication typically resolve within two days. The situation you described should still consider the possibility of withdrawal symptoms or drug interactions. It is recommended that you consu...[Read More] Managing Side Effects of Lofepramine: When to Stop Medication?
Medications Commonly Prescribed for Dissociative Identity Disorder (DID)
Dissociative Identity Disorder (DID) If diagnosed with Dissociative Identity Disorder (DID), medications that may be prescribed typically include antidepressants, anti-anxiety medications, or mood stabilizers. Specific drug names may include selective serotonin reuptake inhibitor...
Dr. Lin Mianzhang Reply:
Hello Han Han: The pharmacological treatment for dissociative identity disorder typically depends on the presence of accompanying symptoms such as depression, anxiety, insomnia, and obsessive-compulsive behaviors, in order to prescribe appropriate medications. Commonly prescribed...[Read More] Medications Commonly Prescribed for Dissociative Identity Disorder (DID)
Understanding Medication Withdrawal and Dosage Adjustments in Psychiatry
Drug withdrawal and dosage issues? Hello Doctor, I experienced significant weight loss and insomnia due to gastrointestinal issues last December. I have been using "Alprazolam 0.5mg" before bedtime to help with sleep for over three months now. Currently, I am relying on...
Dr. Wu Enliang Reply:
Hello, online user: 1. Is "Zanax 0.25mg" equivalent to half the dose of "Alprazolam 0.5mg" (both are Alprazolam)? I need to be certain about this before proceeding with the tapering process. I'm concerned that the potency of the medication may vary betwee...[Read More] Understanding Medication Withdrawal and Dosage Adjustments in Psychiatry
Understanding Sudden Suicidal Thoughts: A Guide for Mental Health Support
Life can suddenly bring about inexplicable suicidal thoughts? Hello Doctor: Six months ago, I left home due to domestic violence and have been experiencing insomnia. I was previously afraid of being found by my family, living in constant fear. I am currently seeing a doctor, and ...
Dr. Lin Mianzhang Reply:
Hello, Xiaoguang: Facing such a difficult situation alone is truly challenging, and you are very brave! I wonder if the doctor you are seeing is a psychiatrist? If not, I recommend that you consult a psychiatrist; if it is a psychiatrist, you can ask them to refer you for psychot...[Read More] Understanding Sudden Suicidal Thoughts: A Guide for Mental Health Support
Is It OCD? Understanding Symptoms and Seeking Help for Your Child
Uncertain if it is obsessive-compulsive disorder (OCD)? Hello Dr. Lin: Recently, my child, who is in college, has expressed to me that he seems to be experiencing symptoms of obsessive-compulsive disorder (OCD). I would like to take him to see a doctor, but I'm not sure whic...
Dr. Lin Mianzhang Reply:
Hello: Your child's symptoms may indicate obsessive-compulsive disorder (OCD), but further differential diagnosis is needed before confirming this condition. Additionally, OCD often co-occurs with other disorders such as anxiety disorders and depression. The symptoms of OCD ...[Read More] Is It OCD? Understanding Symptoms and Seeking Help for Your Child
Understanding Autonomic Nervous System Disorders: Is Occasional Relapse Normal?
Autonomic nervous system dysfunction Hello, doctor. I previously had issues with autonomic nervous system dysregulation and have sought medical treatment, but I still experience occasional flare-ups. Is this considered normal? When I feel anxious, I also experience hiccups and bl...
Dr. Wang Yaoting Reply:
Hello: The autonomic nervous system includes the sympathetic and parasympathetic nervous systems, which can become overactive or lose their rhythm due to stress or physical factors, leading to various physical symptoms such as chest tightness, shortness of breath, palpitations, g...[Read More] Understanding Autonomic Nervous System Disorders: Is Occasional Relapse Normal?
Understanding Fatigue, Acid Reflux, and Neck Pain: A Mental Health Perspective
Fatigue, acid reflux, neck and shoulder pain? Hello, doctor. Recently, I have been experiencing intermittent acid reflux, and I feel pain in my shoulders and neck after looking at the computer or phone for a long time. Sometimes, I also have unexplained fatigue, and watching stim...
Dr. Wang Yaoting Reply:
Hello: Based on your description, you may be experiencing symptoms of "autonomic nervous system dysfunction." The autonomic nervous system includes the sympathetic and parasympathetic nervous systems, which can become overactive or lose their rhythm due to stress or phy...[Read More] Understanding Fatigue, Acid Reflux, and Neck Pain: A Mental Health Perspective
Understanding Insomnia: Managing Sleep Issues and Medication Effects
Insomnia issues Hello, doctor. I apologize for bothering you again. 😅 I would like to ask about my current situation. I have been taking Lendormin for 10 days, and I want to consult you regarding my experience. Between the two doses, I sometimes feel very foggy from morning until...
Dr. Lin Mianzhang Reply:
Dear Ms. Lin, Thank you for your inquiry. I can sense your concerns. The daytime sleepiness and mental fog you are experiencing are likely related to poor sleep quality at night. There are many reasons for poor nighttime sleep quality, such as previously mentioned conditions lik...[Read More] Understanding Insomnia: Managing Sleep Issues and Medication Effects
Guidelines for Safely Discontinuing Yongkang Medication
Details on the discontinuation of Yongkang medication? Hello, doctor. Previously, you mentioned that it is not difficult to discontinue Yongkangxu. Could you provide more specific details on the discontinuation process? I have attempted to stop the medication several times, but I...
Dr. Wu Enliang Reply:
Hello, netizen: You can try taking half a pill for a week. If you feel fine, you can stop the medication afterward. Dr. Wu En-Liang.[Read More] Guidelines for Safely Discontinuing Yongkang Medication
Managing Anxiety and Insomnia: Navigating Sleep Medications and Mental Health
Anxiety, insomnia? At first, I could only sleep about 2 hours every two days due to possible anxiety. Recently, I've been taking the sleeping pill Lendormin for about 5 days. I feel like I can't sleep at night without the medication, but when I wake up, my mind still fe...
Dr. Wang Pengnian Reply:
If you are experiencing anxiety, insomnia, depression, or lethargy, it is recommended to seek an outpatient evaluation. The use of sleep medications should be discussed with a physician.[Read More] Managing Anxiety and Insomnia: Navigating Sleep Medications and Mental Health