Interspinous Process Decompression

Health Q&A
PPPD + anxiety disorder

I am diagnosed by my doctor with severe anxiety disorder, depression and pppd . Started with paroxetine 12.5 cr for 1 month. It definitely working for both anxiety and pppd by 50%. So now my doctor wants me take paroxetine 25 mg cr But i can not tolerate 25 mg cr even after 1 month. So can i take 12.5 mg cr twice a day ? Rather then 25 mg cr od ?

Not understanding what is problem

I have negative thoughts of throwing something or hitting someone from last two years i did not done anything wrong in this period but thought continuosly comes i  my vit d is 21.4 and vit 12 is 183 both are in insufficient zone i don't have any depression symptoms like susideal thought or no any physical symptoms also i am friendly also i am work life is so hectic what is this please guide

Is this Just a normal headache or?

I’ve been having recurring headaches, and they’ve been getting worse this year. The pain is not limited to one side it can feel more general/around my whole head. The headaches can become quite intense and interfere with my normal activities. I’ve noticed they can happen or become worse after I’ve been outside for even 5 min. I’m concerned because this has been happening repeatedly and the overall pattern seems to be getting worse compared with before. I also sometimes experience nausea/vomiting around the same time, and I want to know whether that could be related. I’d like to be properly evaluated to find out what type of headache this is and whether I need any examination or tests.

Speech slurry and face numbness

My mother developed sudden slurred speech and numbness on one side of the face, so we took her to a nearby multispecialty hospital immediately. She was evaluated by a neurologist, who ordered an MRI brain with MR angiography (report attached) and an ECG. The neurologist said there was no major acute abnormality on the MRI, advised her to continue her current medications (Tazloc 40 and Zapiz 0.25), and recommended a cardiology review with echocardiogram, lipid profile, fasting blood sugar, and HbA1c tomorrow. However, her slurred speech and facial numbness are still present. If the MRI does not show an acute stroke, what could explain these persistent symptoms? Could this still represent a TIA/small stroke not visible on imaging?she had  Bell's palsy (she had Bell's palsy 3 years ago but got cured), or another neurological condition? What additional evaluation or management would you recommend?

Seizures issue despite taking medicine

My grandfather's age is 84 and he has been taking oxcarbazepine 300 mg tablet(oxcarbazepine colour yellow fcp and titanium dioxide ip) but still today his condition worsened when he was taking tea and he experienced another seizure for 2-3 mintues. He is already a brain patient from 1992 (at that time he had a brain stroke and due to no medical advancement he doesn't get a treatment at that time) but in 2012 he started getting seizures and he had operated for hernia in 2022 and still getting medicine for urine and his epilepsy medicines brand recently changed by pharmacist due to unavailability in area...please suggest what should we do now to keep him healthy. And he was also having problems  while breathing yesterday

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Doctors
Dr. Colleen M Opremcak - Neurologist
Dr. Colleen M Opremcak Neurologist (Chief Residency in Psychiatry, Class of 1982, Medical School, Residency - ID) 44 years experience Ohiohealth Behavioral Health
Columbus 43214, COLUMBUS
Dr. Michael Karl Racke - Neurologist
Dr. Michael Karl Racke Neurologist (Medical School, Class of 1985, Internship, Residency - ID, Fellowship 2, Medical degree, DO, Residency in Neurology, Fellowship in Neuroimmunology/Multiple Sclerosis, Internship-Internal Medicine) 41 years experience Hudson Regional Hospital
Columbus 43210, COLUMBUS
Dr. Daniel Jones - Neurologist
Dr. Daniel Jones Neurologist (Internship, Residency - ID, Neurology, Medical degree, DO, Fellowship 2, Class of 1989) 36 years experience Nationwide Children's Hospital
Canal Winchester, COLUMBUS
Dr. Jason Lee Barfield - Neurologist
Dr. Jason Lee Barfield Neurologist (Medical degree, DO, Internship, Residency - ID, Fellowship 2, Residency in Neurology, Fellowship in Clinical Neurophysiology, Medical School) 24 years experience Ohiohealth Physician Group Neurology New Albany
Columbus 43230, COLUMBUS
Dr. Punit Agrawal - Neurologist
Dr. Punit Agrawal Neurologist (Doctor of Osteopathic Medicine (DO), Medical School, Residency in Neurology, Internship-Internal Medicine, Medical Education, Class of 2020) 24 years experience Ohio State Outpatient Care New Albany
Westerville, COLUMBUS