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Is Unexplained Blood In Urine While On Venlafaxine-ER And Zolpidem A Sign Of Cancer?

Posted on Thu, 6 Sep 2018

Question: Does venlafaxine ER 75mg or Zolpidem 10mg make you really hungry? I was put on the venlafaxine when they found blood in my urine in February 2017. They said they could find no reason for the blood. I kept thinking they missed something and that I had cancer. the Zolpidem I was put on because of having trouble sleeping. But seems my appetite has increased.

Answered by Dr. Dr. Soujanya (1 hour later)

Brief Answer:
It could be due to anxiety.

Detailed Answer:
Hi,

I have gone through your query and understand your concern towards your symptoms as you are worried that you have cancer.

But, l can definitely reassure you if all the investigations were normal, and if the blood in urine is not persistent, there are no possibility of cancer at all.

I can say that you are hypochondriacal towards your health.

This could be due to your anxiety related problem.

If you had a cancer, there would be some relevant pathology since February 2017. But it has not happened.

So, I would advise you to start on Mirtazapine for your sleep and reduce your anxiety regarding your health.

Zolpidem doesn't really make you hungry. So, don't worry about that.

Your appetite has been increasing because of your stress.

Hope this information would clears your query. Let me know if i can assist you further.
Regards.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Soujanya (1 hour later)

what do you mean by hypochondriacal and relevant payhology?

Answered by Dr. Dr. Soujanya (6 hours later)

Brief Answer:
Hypochondriacal means worrying too much about health.

Detailed Answer:
Hi,

It means that worrying too much about the health and relating their symptoms to serious disease like cancer with out any proper evident findings.

Relevant pathology means for example, in any cancer, specific symptoms will be seen and specific investigations reveal its presence.

I can explain you one example, that in liver cancer, its morphology is deranged and its enzymes would be raised and can be evident in LFT, ( liver function tests).

You have mentioned that all your investigations were normal, so there is no point in suspecting about cancer.

I can understand your situation, that those thoughts are not under your control, but you are not able to avoid them.

So, l would advise you to take Etizolam in the morning and Escitalopram in the night.

If you have sleep disturbances, you can take combination of Escitalopram and Clonazepam in the night.

Consult your doctor regarding these medications.
Hope this information would help you.

Regards.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Soujanya (7 minutes later)

one more question. when is the best time to take my venlafaxine ER 75mg morning or night?

Answered by Dr. Dr. Soujanya (27 minutes later)

Brief Answer:
You can take Venlafexine in the morning.

Detailed Answer:
Hi,
Welcome back,
I have understood your query regarding the timing of Venlafaxine medication.

You can take it in the morning and no need of Escitalopram, as Venlafexine acts as antidepressant.

So, you can Venlafaxine 75 mg and Etizolam 0.5mg in the morning. If you have any sleep disturbances, you can take only Clonazepam in the night.

Hope this helps you.
Thank you.

Regards,
Dr. Soujanya, psychiatrist

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Soujanya (13 minutes later)

no thank you with all this help on the health anxiety and cancer thing. I have let it take over my life.

Answered by Dr. Dr. Soujanya (7 minutes later)

Brief Answer:
Let it take over my life, what does it mean?

Detailed Answer:
Hi,

Can you please explain what does it mean?
Let it take over my life?

Please don't worry, with these medications definitely you will get better soon.

This is not so serious problem, compared to many other diseases.

Hope you can understand the situation.
Take care.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Soujanya (6 minutes later)

I just let the cancer think rule my every thought.

Answered by Dr. Dr. Soujanya (21 minutes later)

Brief Answer:
It is not advisable sir.

Detailed Answer:
Hi,
Please try to follow my advise.
Everything will be alright.

Don't get depressed and don't let cancer thing rule your thoughts.

Please take medications regularly and maintain regular follow ups.

Take care,
Dr. Soujanya, Psychiatrist

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Kampana