
All The Time Sweating. Was Taking Alcohol Detox. Stress And Depressed. Taking Mirtazapine Olanzapine And Beta Blocker. Bleeding From Anus. Could I Ask A Doctor?

Thank you for your queries and welcome to our site.
I understand that you have been through a lot of stress and grief. It is common but unfortunate that people turn to vices like alcohol and smoking as a means of escape only to find out later that these cause even more.
First, let me summarize into a few points your very complex problem:
1) after six years of abstinence from alcohol, you recently had episodes of binge drinking which caused you to be hospitalized (with clear blood tests) and underwent detoxification
2) a couple of weeks ago, you went back because you weren't feeling well and they hydrated you and gave you chlordiazexopide and pabrinex
3) you have a host of symptoms that include derealization, depression, insomnia, nausea and vomiting, palpitations, intense fears, sweating, and diarrhea with some blood in the stool a few times.
It is very possible that you are suffering from one of the three conditions: 1) a protracted form of alcohol withdrawal, 2) a drug interaction of your medications and alcohol, 3) or early hepatic failure. I would suggest that you see a gastroenterologist or an XXXXXXX medicine specialist as soon as possible to help you manage this complex problem. He/she will order some more blood tests just to make sure that the results are still normal and some imaging studies including an ultrasound of your abdomen, particularly your liver to look for signs of damage. All three are very manageable if caught early on so I would really advise that you seek medical care as soon as you can.
Also, XXXXXXX this may seem difficult but I know that you can do it: stay away from the alcohol. Alcoholism really is a problem and I am glad that you are self-aware and have been able to abstain from alcohol for six years. This is good because you have done it before and you can do it again. Temptations and occasional slips will be there but with good support groups like your friends and family, I know you can manage to live clean once and for all.
I hope I was able to address your concerns. If you have any further queries, please do not hesitate to ask me.
Take care and I wish you all the best! Persevere, Elliot! :)
Dr. Galera


For the moment, you may need medications to manage your symptoms. I would suggest that, you set up an appointment with your GP as early as you can. He/she will know what tests need to be done and how to manage you and which specialties you need to be referred to if necessary. It may be possible that you must be hospitalized for a few days especially if your GP sees your case as moderate to severe depending on his/her examinations and your test results.
Withdrawal symptoms typically last a few days to a few weeks but some can last for months. It all depends on the drinking episodes and the number of years you were dependent on alcohol. Also, the risk for more severe and life-threatening symptoms increases as you undergo more detoxifications from binge drinking that's why I have to stress that you have to stop drinking at all costs.
The medications interacting with alcohol may have damaged either your kidneys or your liver but tests have to be done to be sure as you are taking quite a number and their interactions can be complex. Early hepatic failure (which can also result from the drug interactions as I mentioned) is the dysfunctioning of the liver which can be due to chemicals (alcohol and drug toxicities), infections(hepatitis), and others. Since your liver is the primary organ for detoxifying chemicals and also stores an energy source for the body, an accumulation of harmful substances can occur in your blood which can spread to the rest of your organs. It can be quite serious if not managed early that's why you have to see your doctor soon.
I am not familiar how long it would take you to set an appointment and actually see your GP. However, if you, at any point, feel that the symptoms are progressing - you develop fever, severe shaking, or even a seizure - do not hesitate to go to the emergency room for urgent care.
I hope I was able to answer your queries! Please get back to me if you have any additional ones.
Take care!
Dr Galera


I am glad that you were able to see a GP so soon and that he is arranging a meeting with a gastroenterologist. Thank you for updating me, I appreciate it.
Were you able to tell him everything that you have told me so far during your consult? Based on your discussion with him and his examination, he may have found something that warrants the colonoscopy.
As much as I want to help you, XXXXXXX I am at an unfortunate disadvantage because I cannot physically examine you as in a true consult. It may be, as your GP sees it, more of a problem in your stomach or bowels but that is why they requested blood work and other tests to make sure. So I would urge you that you take the chance to talk to your GP and your specialist. Share with them the things you told me even the unusual feelings and your past problems. Do not be afraid to ask them questions too so that you can understand what they are thinking and planning as well. You may ask them if the abdominal scan would be a necessary test.
I also apologize but I am not quite familiar with the "order of draw at bottom of sheet.. XXXXXXX This may be a specific system used in your country.
Yes, if at any time, you find that symptoms are progressing (the ones I mentioned before are the common ones, sometimes they may differ between individuals so just be extra observant of what you are experiencing) or that you are feeling worse, do not hesitate to seek medical care.
I hope I was able to address your concerns adequately. If you have further queries, please feel free.
Take care!
Dr. Galera

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