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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. need guidance on which dr to visit further need more help
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Bite from 6months old dog.

Hello, i was bitten(like she brushed her tooth onto my finger) by a pet dog who is 6months old and not vaccinate. No blood but a slightly visible scratch. What should i do? Do i need rabies vaccination? As there was no blood. And there is no pain as well.
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Propranolol 40mg sr overdose any problem

“I have anxiety and OCD. The doctor told me to take normal propranolol 40 mg twice a day, but I mistakenly took propranolol 40 mg sustained release twice in one day. What will happen now? What should I do? Will it cause heart failure?”
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Vitamin B12 doubt

Hello, I took a blood test and vitamin b12 is on border line.. I started taking tablet from Makkal Marunthagam(generic medicine).. The tablet picture I've attached here.. Kindly confirm me whether I can continue this.. I need to know the authenticity of this capsule, since I couldn't find in google, I'm asking here.. Also for how many days should I take it? Thanks in Advance
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Poor r wave progression in V2

Hi i have been having severe burning pain from jaw till upper abdomen with acid coming to mouth Had an ekg done at er- says r wave progression poor- can u recheck it? Er junior doc said seems grossly ok I have lot of chest hair so nurse had tough time sticking leads to my chest I havw a clean history- echo tmt all normal recent done
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Medicine Take

Can I take Azitromicin , Estilopram, Colonazporam and Allgera M in night after dinner, will that cause any issues or heart problem ?
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Extremely fatigue

Hello Doctor, I’ve been experiencing extreme fatigue and frequent dizziness over the past few days/weeks. It’s affecting my daily activities and overall energy levels. I recently got some tests done, and the results are within normal ranges: - Serum urea: Normal - Creatinine: Normal - Fasting blood sugar: Normal - Urine albumin to creatinine ratio: Normal My blood pressure is around 126/86. Despite these normal reports, I still feel unusually weak and lightheaded. Could you please guide me on what might be causing these symptoms and whether I should undergo any further tests or evaluations? Thank you.
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Abdominal pain

My sister 27yr old, having pain in abdomen in episodes, between two episodes, she is very fine, but in each episode there is soo much pain, pain is on left side more from ribs to inguinal region, she has taken treatment, tab dicyclomine, Cap Omeprazole, SYP sufracil, tap paracetamol, tab metronidazole, But not relieved on this medication, Slightly relief on changing position, Can you tell me treatment for this? As we will  do USG abdomen, but for now immediate relief,
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Irritable bowel syndrome

I have been diagnosed Irritable bowel syndrome now due to persistent digestive problem at the age of 32 . But the problem was since my very childhood. It is believed that ibs is due to taking stress but my question is a 5 year old boy had which type stress as I lived at village, here was no rat racing???
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ULTRA SOUND ABDOMEN

Hello! This are my reports!! I have fatty liver grade 1. Currently i am on medication. My meds are :- 1) actibile 300 tablet daily twice for 30 days, 2) Upline E mega softgel capsule daily once for 30 days 3) vitamin d3 60k IU once every week for 8 weeks.. I have just one query.. what is multiple GB polyps in report? Is it concerning? Pls elaborate in detail. And another thing is i have started gym a month ago.. my weight was 124 kgs.. i have reduced 6 kgs till now. Is it safe to take one scoop of protein powder in this condition? Or avoid? Please reply in detail if possible. Thanks.
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