Suggest Treatment For Difficulty In Walking Straight

Posted on Sat, 16 Aug 2014

Question: I have problem with anxiety.I problem in walking straight and sometimes I tend to walk on the left side or prefer to walk near a wall

Answered by Dr. Ashish Mittal (8 hours later)

Brief Answer:
Need some more info

Detailed Answer:
Hello,
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.

Important aspects of your query are:
•     46 year old male
•     Known case of Anxiety disorder
•     Currently on: Cipralex 10mg morning/evening, Maxgalin 150 night and SOS etizola
•     Complaints of: PROBLEM IN WALKING STRAIGHT and TENDENCY TO WALK LEFT SIDE OR NEAR WALL

Mr XXXXXXX in your case it is important to know answers of following questions to help you in better way:
-others view about your walk. Do your family members think that you walk left side.
-For how long you are on treatment with cipralex. How much improvement with treatment in anxiety in rough idea of percentage (like 10 or 40 or 60 or 80 %)
-Do you have tremor or any movement disorder.
-How is your sleep.
-Do you feel others are observing your walking style or you during walk.

You can also provide any other info or tests reports (if any), which you feel can help to understand your case.

Waiting for your responses,
Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ashish Mittal (16 hours later)

Others are not aware of this problem.
On cipralex for the last 2 years.Did help in the begining but of late started feeling uncomfortable.
No tremors or any movement disorder.
Sleep well for 8 to 9 hours.
No I dont feel that others are observing me.

I have only BP medicine and other wise very healthy.I go the GYM in the morning and play tennis in the evening.Financaially I am good and have a happy family life.

Regards
XXXXXX

Answered by Dr. Ashish Mittal (24 hours later)

Brief Answer:
Follow below advice

Detailed Answer:
Hello again,
Thanks for follow up.

From your further information, your current symptoms appear due to following reasons:
-Side effect of medicine: Try to reduce maxgalin dose to 75mg. Continue cipralex in current doses.
-BP fluctuation/Orthostatic hypotension: Monitor your BP in lying, sitting and 5 minute after standing posture.
-Residual anxiety: Continue cipralex. Add yoga or meditation for further improvement.

Please accept my answer and give feedback in case there is no further query and you found reply helpful. In case of doubt, I am here to help you.

Wish you good health.
Regards

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar