
Hello Doc, My Name Is Zain. I Am Male, 30

My name is Zain. I am male, 30 years age.
Currently i am extremely obese. My height is 5,8 and i weigh
135kgs.
I have been suffering from anxiety disorder past 12-13 years.
It all started with a panic attack while i was driving to the
college.
Have been taking many SSRI, s and benzos past these years.
Literally i have tried almost every anti-depressant.
Currently i am taking zoloft 150mg at night, inderal 40mg
three times a day. And xanax 1mg (as per my anxiety. Its like
almost 3mg per day)
Now coming to the main point.
The problem i am facing these days is shortness of breath
after just walking 10-12 steps. I can not even stand for 20
secs and my lower back starts to hurt alot. I literally sweat
up for just after a few steps and end up being sitting on the
floor somewhere due to extreme shortness of breath.
Thad all my blood tests done including CBC, LFT, S. RFT,S.
Uric acid. Thyroid, vitamin B,s and a few more. All the tests
were fine.
Kindly guide me for my problem. I know i am too obese but i
do see people much fat than me running miles everyday.
Regards.

My name is Zain. I am male, 30 years age.
Currently i am extremely obese. My height is 5,8 and i weigh
135kgs.
I have been suffering from anxiety disorder past 12-13 years.
It all started with a panic attack while i was driving to the
college.
Have been taking many SSRI, s and benzos past these years.
Literally i have tried almost every anti-depressant.
Currently i am taking zoloft 150mg at night, inderal 40mg
three times a day. And xanax 1mg (as per my anxiety. Its like
almost 3mg per day)
Now coming to the main point.
The problem i am facing these days is shortness of breath
after just walking 10-12 steps. I can not even stand for 20
secs and my lower back starts to hurt alot. I literally sweat
up for just after a few steps and end up being sitting on the
floor somewhere due to extreme shortness of breath.
Thad all my blood tests done including CBC, LFT, S. RFT,S.
Uric acid. Thyroid, vitamin B,s and a few more. All the tests
were fine.
Kindly guide me for my problem. I know i am too obese but i
do see people much fat than me running miles everyday.
Regards.
Do an ECG first.
Detailed Answer:
Hello dear, welcome Ask a doctor's service.
I read your query and here is my advice.
I think you should even check tour heart function and cholesterol, triglycerides and LDL, HDL.
I think you may need to do an ECG to check for possible pathologies of heart causing the shortness of breath and chest pain. Also you may need to do a spirometry to check lungs function.
If every examination comes out to be normal then the shortness of breath may be caused only by obesity and anxiety.
A heart function evaluation is needed before you start intense physical activity needed to loose weight.
Also you should start a new diet plan with less fats and carbohydrates and more proteins and vegetables.
Loosing weight with improve your overall health and anxiety too.
*So as a conclusion you should first do a heart check up doing an ECG and cholesterol, triglycerides, LDL, HDL.
*Do a spirometry to check lungs function.
* start exercising and a healthy diet.
Hope I have answered the question.
Let me know if I can assist you further.

Do an ECG first.
Detailed Answer:
Hello dear, welcome Ask a doctor's service.
I read your query and here is my advice.
I think you should even check tour heart function and cholesterol, triglycerides and LDL, HDL.
I think you may need to do an ECG to check for possible pathologies of heart causing the shortness of breath and chest pain. Also you may need to do a spirometry to check lungs function.
If every examination comes out to be normal then the shortness of breath may be caused only by obesity and anxiety.
A heart function evaluation is needed before you start intense physical activity needed to loose weight.
Also you should start a new diet plan with less fats and carbohydrates and more proteins and vegetables.
Loosing weight with improve your overall health and anxiety too.
*So as a conclusion you should first do a heart check up doing an ECG and cholesterol, triglycerides, LDL, HDL.
*Do a spirometry to check lungs function.
* start exercising and a healthy diet.
Hope I have answered the question.
Let me know if I can assist you further.


I did have a lung test which is done prior to sleep apnea test. ( i forgot the name ). It was like a device in which you have to blow in with full power. The result was 90 percent right.
I have gained this weight all past 2 years. When i was 90kg i still had the problem of extreme sweating and shortness of breath while walking.

I did have a lung test which is done prior to sleep apnea test. ( i forgot the name ). It was like a device in which you have to blow in with full power. The result was 90 percent right.
I have gained this weight all past 2 years. When i was 90kg i still had the problem of extreme sweating and shortness of breath while walking.

can you please tell me to go to which category of doctor for my problem.

can you please tell me to go to which category of doctor for my problem.

i am also suffering from erectile dusfunction and premature ejaculation. any tests you would like me to diagnose this problem as well?

i am also suffering from erectile dusfunction and premature ejaculation. any tests you would like me to diagnose this problem as well?
See tests needed below.
Detailed Answer:
Hello dear and thank you for asking again.
The test you are describing is spirometry which shows the lungs function.
You may need to redo some tests:
* total blood count with formula
*cholesterol, triglycerides, LDL, HDL
* ECG (interpretation by cardiologist)
* spirometry
* fasting glucose levels and post prandial glucose levels.
*thyroid function T3, T4 and TSH
Erectile dysfunction may be related to diabetes, increased fats in blood, and antidepressants and SSRI usage.
Loosing weight and increasing physical activity may improve erectile dysfunction and premature ejaculation.
You can send the results of tests to me in order to evaluate situation and spot what is causing the symptoms.
Let me know if I can assist you further.
Best regards.

See tests needed below.
Detailed Answer:
Hello dear and thank you for asking again.
The test you are describing is spirometry which shows the lungs function.
You may need to redo some tests:
* total blood count with formula
*cholesterol, triglycerides, LDL, HDL
* ECG (interpretation by cardiologist)
* spirometry
* fasting glucose levels and post prandial glucose levels.
*thyroid function T3, T4 and TSH
Erectile dysfunction may be related to diabetes, increased fats in blood, and antidepressants and SSRI usage.
Loosing weight and increasing physical activity may improve erectile dysfunction and premature ejaculation.
You can send the results of tests to me in order to evaluate situation and spot what is causing the symptoms.
Let me know if I can assist you further.
Best regards.


i just saw the video of spirometry test on youtube and yes it is the test i took before the sleep apnea test. as far as i remember the doctor said that the graph was 90-95 percent ok and was fine. do i need to take it again?

i just saw the video of spirometry test on youtube and yes it is the test i took before the sleep apnea test. as far as i remember the doctor said that the graph was 90-95 percent ok and was fine. do i need to take it again?
You are welcome to send the test results to me.
Detailed Answer:
You are welcome.
It is better to get firstly evaluated by a cardiologist then start the physical activity.
Physical activity and diet will help you loose weight which will help your overall health.
You are welcome to send the results of examinations to me as soon as you get them.
Let me know if I can assist you further.
Best regards.

You are welcome to send the test results to me.
Detailed Answer:
You are welcome.
It is better to get firstly evaluated by a cardiologist then start the physical activity.
Physical activity and diet will help you loose weight which will help your overall health.
You are welcome to send the results of examinations to me as soon as you get them.
Let me know if I can assist you further.
Best regards.


Dear Doctor i will get these blood tests done and cone back with the results within 24-30 hours.
Is it ok to do physical activities with this weight and condition? Or should i get advice from a cardiologist first?

Dear Doctor i will get these blood tests done and cone back with the results within 24-30 hours.
Is it ok to do physical activities with this weight and condition? Or should i get advice from a cardiologist first?
Test cortisol levels.
Detailed Answer:
Hello dear and thank you for asking again.
You need to do the tests mentioned above and can do also cortisol levels.
Let me know if I can assist you further.

Test cortisol levels.
Detailed Answer:
Hello dear and thank you for asking again.
You need to do the tests mentioned above and can do also cortisol levels.
Let me know if I can assist you further.


kindly advice me which blood tests to get done.
thank you.

kindly advice me which blood tests to get done.
thank you.
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