Doctor insights on:
Have been suggested citalopram for anexity but reviews on internet over pssd issue is making me too afraid to take the medicine. Requesting help.
Too afraid of meds?: Not everyone taking an ssri has sexual problems; they may, if they occur, go away on their own or may be treated with other medication. Many with anxiety disorders are often especially afraid of taking medications when in fact the benefits of medication could greatly outweigh any negative effects. Discuss potential risks and benefits with a doctor you trust, not the internet. ...Read more
Does ssri discontinuation cause premature ejaculation. I have heard about pssd. I was on fluvoxamine for about 3 yrs & noticed pe since the day I quit?
Fluvoxamine: Thanks for the clarification on pe. Fluvoxamine can be used to treat pe. I doubt that discontinuation can cause it. Try to find another reason for that. ...Read more
Every day I take 450mg of a licorice root supplement bottled by solaray. I'm desperate to heal my pssd. How dangerous is my licorice root consumption?
Not dangerous but...: Licorice root has been used medicinally for thousands of years (it may be the most common herb used in chinese medicine). It contains glycyrrhizin, high doses of which can cause high blood pressure & fluid retention, but 450 mg/day is not a high dose. I know no evidence licorice helps pssd though I saw one online testimonial. See http://umm. Edu/health/medical/altmed/herb/licorice & my comment. ...Read more
I've had Post-SSRI sexual dysfunction (PSSD) from taking Citalopram for about two years now. Is there any medication available that would enhance dopamine signalling or did I fry my dopamine circuits beyond repair?
Citalopram: Doesn't cause either of these problems. You need to investigate further with your medical doctor and psychiatrist. ...Read more
I have had bad pssd (post ssri sexual dysfunction). I have literally no sex drive and sexual arousal. Is there anything that can help treat it?
Very rare condition: Although sexual dysfunction is common with ssri's, it usually resolves after stopping the medication. I would make sure you're not still depressed. You're also taking viagra, one proposed treatment. Off-label addition of wellbutrin (bupropion) is another possibility. There are also some reports using saffron during ssri treatment: http://tinyurl. Com/lew8h53 -- may be worth a try in your situation as well. ...Read more
Are there any viable treatments for post-ssri sexual dysfunction pssd (including genital anesthesia + ejaculatory anhedonia) persisting several years?
Beyond my scope: Sorry I can't answer your question since it's beyond my scope of practice. I have referred your question to specialists who should be able to help you. Good luck. ...Read more
My stool is alwys mushy & comes out wth gas. NOT TARRY. 2-3 bowel move/day. No constiption. Often c MUCUS. Often c chunk of food in. Twice I saw very little Red blood stain mxd with mucus. Hb 14. NO TENDERness. Is it CA? Aunt pssd wth Colon CA@age of 74
Unlikely: The most important consideration for you is whether your current bowel habits represent a change from your normal routine. This would potentially make your description of BMs more concerning. It is not altogether unusual to occasionally see undigested food & streaks of blood, & your Hb is reassuringly normal. If remain concerned about your family hx, reasonable to discuss with gastroenterologist ...Read more
PLMD=: Periodic limb movement disorder, a sleep disorder in which a patient moves his/her limbs involuntarily during sleep (unlike restless leg syndrome, which can occur while awake). Diagnosis is made by an overnight sleep study (polysomnogram). A variety of meds are used to treat the condition, but at present there is no cure. Avoiding caffeine (as well as chemically related chocolate) is recommended. ...Read more
Periodic movement of: Periodic limb movement disorder is unique because the random movements occur during sleep--all other movement disoders occur during wakefullness. It is first descibe in 1953 and termed nocturnal myoclonus, but this is not deemed accurate and so changed to plmd. The true cause is not known, but some associatons with anemia, thyroid disease, and pregnancy etc. If bothersomes, consult doc. Good luck. ...Read more
Direct skin contact: Should you meet these creatures, have you and the special person or persons in your life all wash down with an appropriate total-body shampoo and leave it on for the appropriate length of time. There's no long-term danger. ...Read more
Some growth expected: At sixteen your growth centers have some potential for growth and simple measures help the best. Follow a healthy diet, rest and exercise. If you want to know how much longer you have to grow, an x-ray of your wrist and hand can be analysed for bone maturity. If close to 16 you have a little left, if like 14 you have more. ...Read more
PLMD: Periodic Limb movement disorder usually effects lower limbs during sleep & causes disruption of sleep. To know if you have this diagnosis- there must not be another sleep disorder that accounts for the movement. Have you ever had a sleep study? ...Read more
Need evaluation: There are rare conditions that can cause people to have dangerous heart rhythms after they recover from vigorous exercise. In addition, structural heart disease can result in the same problem. Obtain evaluation, preferably with a heart rhythm specialist to assess this. ...Read more
Vagus nerve: It is one trigger that leads to vasovagal syncope. The vagus nerve can malfunction slowing the heart and dropping the blood pressure which results in a lack of blood to the brain causes fainting. Vasovagal syncope typically poses no danger. I wonder why you would be having such a violent cough, and you need protection from falling is coughing. ...Read more
Practice: Premature ejaculation is a common problem (so you are not alone). Luckily, it may improve with steady partner. Some medications, like Viagra, (sildenafil) could help, but most men can do without it at young age. Sometimes antidepressants cause inability to reach orgasm, but to be ohmest with you, I never used it in that capacity ...Read more
Low carb diet: I've found a low carb ketogenic diet containing about 60+ grams is protein & below 40 grams of carbs along with mild exercise the most effective for weight, fat and girth loss and to fight through a plateau. If you get in mild ketosis which is fat burning state your hunger level will be very little. If you've already done so, see your doctor & might qualify for short course of appetite suppressant. ...Read more
Symptom relief only: Tips: sore throat – gargle with warm salt water (1/2 tsp salt in 8 oz of water). Get strep test/culture if very sore. Congestion – saline nose drops or netti pot. For anti-inflammatory effect & mobilizing mucus- homemade chicken noodle soup. Hydrate- lots of water/clear broth/ add honey & asmall amt. Of lemon juice to chamomile tea. Fever/ pain – acetaminophen/ nsaid’s rest! ...Read more