Brief Answer: You may have underline depression Detailed Answer: Hi Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query. I have seen your reports of CBC and B12. Both reports are normal and there is no problem in your gastric system. I think, you have underline depression or anxiety disorder. Sleep disturbance, letharginess, decrease concentration, fatigue are symptoms of depression or anxiety disorder. In that case, you need proper dosage of antidepressant. Answer few questions, so i could make a diagnosis in your case: 1. How is your mood these days? 2. Do you have any stress in work or family life? If you are on any antidepressant, tell me, so i could give you further advise. Regards Dr. Abhishek Kapoor Psychiatrist

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Brief Answer: Your physical symptoms are due to stress Detailed Answer: HI Your physical symptoms are due to stress and stress can never be healthy. Let me explain it. Stress can affect every part of the digestive system. Digestion is controlled by the enteric nervous system, a system composed of hundreds of millions of nerves that communicate with the central nervous system. When stress activates the "flight or fight" response in your central nervous system, digestion can shut down because your central nervous system shuts down blood flow, affects the contractions of your digestive muscles and decreases secretions needed for digestion. Stress can cause inflammation of the gastrointestinal system, and make you more susceptible to infection. Stress can cause your esophagus to go into spasms. It can increase the acid in your stomach causing indigestion. Under stress, the meal in your stomach can shut down and make you feel nauseous. Stress can cause your colon to react in a way that gives you diarrhea or constipation. Although stress may not cause stomach ulcers, celiac disease, or inflammatory bowel disease, it can make these and other diseases of digestion worse. Same problem is in your case. You are thinking that your anxiety and physical symptoms are different, but there are interconnected with each other, basically in your case, physical symptoms are due to stress. You may have stress due to your professional or personal life and this stress is now effecting your body. Let take a example: Psychological anxiety can cause increase heart rate, tremor, sweating, headache etc, but in that case, symptoms are not due to any physical disorder, but due to psychological issues. Body is control by our mind. If our mind is disturb,so body is. I think, you should take medicine prescribed by Dr XXXXXXX and do relaxation exercise that would keep you in good shape. Gradually these physical symptoms would improve. In case, you have more query, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist

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Brief Answer: Anxiety does not lead to physical damage Detailed Answer: Hi Psychological symptoms like anxiety or stress do not lead to physical damage, but due to stress, some hormonal changes happen in body like corticosteroids level increase. That could lead to some damage like increase sugar level, weight gain, hypertension etc. Your have got your investigations done and most of them are in normal range, so there is nothing to worry for now. In case, your depressive symptoms have been increasing, better to start medications as soon as possible. You can also try relaxation exercise like JPMR that would keep you calm. In case, you have more query, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist

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Brief Answer: Side effects will decrease with time Detailed Answer: Hi Initial few days, antidepressants cause little bit side effects in form of nausea, blur vision, anxiety etc, that would decrease in few days. Nothing to worry about them. Just take them regularly. In case, you feel more problem, you can ask your psychiatrist. In case, you have more query, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist

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