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Intusive thought
Over the past 3 months I had panic attacks with dizziness, chest pain, fear of death. Consulted ENT, Ayurvedic, Cardiologist, then Gastroenterologist. Endoscopy showed GERD, LPR, H. pylori. Anxiety reduced after diagnosis but intrusive thoughts began (vivid dreams/images of harming self/others, “what if” scenarios). No intent, but distressing.  Physical symptoms: chest pain, right-side neck/ear pain, one-sided head pain, fatigue, numbness, detached feeling. Labs: Vitamin D very low (14.99 ng/mL), calcium 9.9, B12 injections ongoing.  Medications: Nexito 5 mg (vivid dreams), Paroxetine ER 12.5 mg + Peelar 20 mg (worsened stomach), Magnesium glycinate (helped briefly, reduced intrusive thoughts last 2 days). Quit smoking/drinking 3 months ago.  Anxiety fluctuates; stress/news/work trigger panic (latest after office fight). Still working but fear losing control. Financial strain from repeated visits.  Which Dr to visit what to do further?
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Answers (12)

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Regilar follow up
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Consult
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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Hllo , you cn visit to psychiatrist.. if any quary consult with me.
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U can take help of psychologist (CBT therpy)
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avoid tiggering factors
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Based on your symptoms and history,i recommend you to consult a Psychiatrist and a dietitian who understands the gut brain axis. It is a critical next step for your unique combination of GI issues, severe nutritional deficiencies, and psychological distress.
Next Steps
GERD and H. pylori can cause non-cardiac chest pain and dizziness, triggering panic, they are also associated with malabsorption, which can worsen mental health. You must address your critically low Vitamin D with a high dose loading regimen, as maintenance doses may not be enough. To manage financial strain, focus on stabilizing your physical health first.
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what you’re feeling is a physical glitch from the Vitamin D and H. pylori. We know the cause, and we’re fixing it. These symptoms will fade as you heal. I’m right here, and we’ll get through this together...
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Need superspecialist like psychiatrist.  Your  prescription is good
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Dnt visit any doctor. U need some counselling and someone to talk. Kindly consult with me on 94 two six eight six 78 nine six.
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Need a few more details please consult for further evaluation and treatment
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Psychiatrist
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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You need counseling therapy to resolve this kind of thoughts.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.