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What Causes Abdominal Bloating With Nausea And Palpitations While On Xanax?

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Posted on Fri, 19 Sep 2014
Question: For many months i have been having a problem. I always feel nauseated and my stomach is bloated and my heart also palpitates at times. I went to gastro and cardio and no issues were found so finally they prrscribed me anti anxiety meds like xanax and paroxetine. I have been taking these meds for 4 months now. But this does not solve my prob. When i wake up i feel some tiredness and my left foot has some pain for sonetime. I am not able to workout like before. When i jog for like 2 minites my stomach gets bloated and i get nauseated and then the entire day i feel like this and i am always tired. All tests have been done but still no one is able to find the actual cause for this. I have been really depressed due to these symptoms since it has been a long time and i was a very active person before and now i dont have that kind of energy due to all this health problems
doctor
Answered by Dr. Vishal Garala (3 hours later)
Brief Answer:
Hi it suggest psychosomatic disorder.

Detailed Answer:
Hi dear

I admire you for positive outlook.

I can understand your concern.

I guess it is medically unexplained symptoms means there is no medical reason behind this.

It is called psychosomatic symptoms. Stress is the main reason which can lead to all.

Depression is secondary to this.

The medicine is helpful to control this is SSRI and anxiolytic.

Parpxetine is one of the SSRI which can be used in this condotion.

In what dose you are taking ??

If you feel less improvements then need to increase the dose.

Revert back with the dose of xanax and paroxetine.


Weakness and lethargy are main symptoms of depression and anxiety.

There are other medicines too for treat this conditions.



1st you have to accept there is no reason behind this exept stress and anxiety.

Start exercise regularaly.
Meditations and yoga.

Proper sleep and work schedule.

Stress free work and enjoy your hobbies.

proper diet plan and control.

Thank you.

Take care.


Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Vishal Garala (8 minutes later)
Even when i am not anxious i get these symptoms. Even if im happy or travellinf or exercising or after i eat a meal i get these symptoms. Is there no cure to this ? I am on paroxetine 20mg which slowly i reduce to 10mg and xanax 0.25mg daily
doctor
Answered by Dr. Vishal Garala (11 minutes later)
Brief Answer:
It's repressed memory

Detailed Answer:
Hi

This anxiety is not due to your conscious mind. It's repressed memory from unconscious mind which can be explained through psychological theories of stress.

As you said, you have gone through each test from gastro and cardio and it came normal. This suggests medically unexplained symptoms and should be treated as such.

If still you have some problem, then need to increase the dose of paroxetine to 37.5 mg or medicine like desvenlafaxine can be added.

This kind of condition can be treated with etizolam 0.25 mg three times in a day, which gives round the clock control in anxiety.


There are behavior therapies like cognitive behavior therapy and supportive psychotherapy to identify emotional reason behind physical symptoms.
You need to consult psychotherapy specialist or psychiatrist for that.

You have to stick on therapy and trust in your treating doctor.

Get well soon.

Thank you.





Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Vishal Garala (9 minutes later)
But i want to eventually get out of medication. Compared to my previous conditipm i am little better now but the stomach indigetion, bloAtimg and nauseated feeling is there . And XXXXXXX there is lot of saliva formation. So do i have to take this medication lifelong ?
doctor
Answered by Dr. Vishal Garala (7 minutes later)
Brief Answer:
you do not require to take life long.

Detailed Answer:
Hi.

Thank you for the revert.

If you feel better and do not have side effect of medicines, then it would better to take it for longer period of times.

Usually not life long but required to take up to 1 to 2 years continuously for better control.

Only medicines cannot help.

As i said, you have to understand and accept psychological reason. Psychotherapy and behavior modification is also necessary.

Please read about somatization and psychosomatic pain on net.
Thank you.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Vishal Garala (10 hours later)
But i would jus
doctor
Answered by Dr. Vishal Garala (20 minutes later)
Brief Answer:
Hi thanx.

Detailed Answer:
Hey

I do not get you.

Please clarify what you want to ask.

Thank you.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Vishal Garala (9 minutes later)
Sorry about that. I just want to let you know that when these symptoms started i did not have any traumatic events. Yes there were few yesrs back and it was solved. So i am not sure why this would arise suddenly . I get dehydrated too after i eat. I read about somatization and it refers to people who had emotional problems. Is this a very serious issue that i am suffering from? I am planning to get into marriage and i am not sure if i should go into this with all these problems . I am very much worried as it is an issue relayed to th
doctor
Answered by Dr. Vishal Garala (7 minutes later)
Brief Answer:
Hi it is not serious problems.

Detailed Answer:
Hi

Thanks for revert back.

No it is not serious issue. You will go for marriage.

Need to be more confident and involve in pleasurable activity.

Just go with flow and do not think more about it.

Take medicines regularly and keep your self busy.

If require then contact dietitian for balance diet which make you less nauseating.

Worry and stress make you more anxious and it is like vicious cycle.

As per my opinion please go for psychotherapy it will help you a lot.

Thank you.
Take care.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vishal Garala (12 minutes later)
I am already doing art of living for meditation and yoga and i am also seeing a life coach to help me get put of this. But at times due to these symptpms i just get very depressed and simce it is due to mind I dont know what exactly in my mind is causinf this issue. Ive tried so hard for this entire year to do thing n recover from this. Some days it gets better and when it comes back again i get so frustrated and upset. This is one thing in my life i have no control over no matter how hard i try . However it has gotten little better than before . Is this a mental issue i am suffering from ? It worries me more that i am now a men
doctor
Answered by Dr. Vishal Garala (6 minutes later)
Brief Answer:
Hi it is psychological issue.

Detailed Answer:
Hi

Yes it is psychological issues.

As I have told you only way to come out from this is medicines and psychotherapy.

Stick to psychiatrist and trust on him.

I understand your stress and problem that have you faced till date but it is not a treatment .
I m just guide you what are the options.

Give full trust to your psychiatrist and take proper treatment.

Thank you.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Vishal Garala (7 minutes later)
Does that mean i am a mental patient ? I never had an idea that i had mental issues
doctor
Answered by Dr. Vishal Garala (6 minutes later)
Brief Answer:
Hi I do not mean that.

Detailed Answer:
Hi

It is not like that you are mental patient. I do not means that.


I just said that psychological reason may cause physical symptoms.

Everyone has that type of issues in thier life.

You have to accept that for better results.

Thank you.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Vishal Garala (16 minutes later)
Ok thanks a lot for giving me this detailed explanation and do let me know if i need to do anything more to get better
doctor
Answered by Dr. Vishal Garala (41 minutes later)
Brief Answer:
Hi. Nothing else to do.

Detailed Answer:
Hi.
Thanx.
please do and follow what I said.

My best wishes is with you.

Hope for the best.

Take care.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
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Dr. Vishal Garala

Psychiatrist

Practicing since :2009

Answered : 1714 Questions

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What Causes Abdominal Bloating With Nausea And Palpitations While On Xanax?

Brief Answer: Hi it suggest psychosomatic disorder. Detailed Answer: Hi dear I admire you for positive outlook. I can understand your concern. I guess it is medically unexplained symptoms means there is no medical reason behind this. It is called psychosomatic symptoms. Stress is the main reason which can lead to all. Depression is secondary to this. The medicine is helpful to control this is SSRI and anxiolytic. Parpxetine is one of the SSRI which can be used in this condotion. In what dose you are taking ?? If you feel less improvements then need to increase the dose. Revert back with the dose of xanax and paroxetine. Weakness and lethargy are main symptoms of depression and anxiety. There are other medicines too for treat this conditions. 1st you have to accept there is no reason behind this exept stress and anxiety. Start exercise regularaly. Meditations and yoga. Proper sleep and work schedule. Stress free work and enjoy your hobbies. proper diet plan and control. Thank you. Take care.