What Causes Stomach Ailments When Suffering From Recurrent Depressive Disorder?
You can try paroxetine
Detailed Answer:
HI
Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query.
You have multiple somatic complaints since childhood and in between you have also had mood swings. In your case, you would keep possibility of recurrent depressive disorder. In depressive disorder, patient feels low mood, decrease energy, lose of concentration and forgetfulness. You have most of symptoms of depression and in that case, you need antidepressant like escitalopram (stalopam). If you are feeling discomfort with stalopam, you can try another antidepressant like paroxetine. That would help you to control depressive symptoms.
In depression or stress, body's immunity to fight against bacteria decreases and stomach complaints increase. That may be the reason in your case. You can carry on with antacid and antidepressant, that would help you to overcome gastric complaint. Some time, gastric upset also increases with sleep disturbance. If you have sleep complaint, then you can try benzodiazepine on sos basis to maintain your sleep. You can also try some relaxation exercise that would keep you calm and decrease the somatic concern. Better to consult a psychiatrist for somatic complaints. Sometime, due to prolong physical symptoms, patients become too much obsessive about physical complaints. I think, same could be in your case.
For shoulder pain, you should consult a ortho-paedician. Pain could be due to tendinitis or frozen shoulder. In that case, proper diagnosis could be possible after evaluation.
You can carry on with multivitamin and that would help you to overcome the nutrient deficiency.
In case, you need further help, you can ask.
Regards
Dr. Abhishek Kapoor
Psychiatrist
My point is in child hood I was subjected to so much antibiotics and that caused depression ( This is my understanding) that could not be cured by medicines prescribed by psychiatrist. Thankfully after reading books I realised it may have something to do with my stomach and after taking stelabid I never needed psychiatrist medicines. I also inform that from 21 to 37 years my life was full of challenges, moneywise family situation wise I used to have depressing moments but just by will I always tried to overcome this as by now I had developed big aversion to psychiatrist medicines. Though now I understand that prolonged use of antibiotics dwindled levels of vitamins and minerals and that compounded with my life situation caused all this . Now my question is Do prolonged use of antibiotics just cause depletion of vitamins and minerals or it does cause some short of damage to intestine that also may be requiring some redressal and help me improve my depressive disorder hence a need to visit gastro. Or do you suggest sticking with present regime of stalopam and multivitamins is sufficient. I honestly admit I have been avoiding stalopam(Not Taking Regularly) because of my aversion to psychetrist medicies as I have a feeling that a gastro can do better job as it helped me earlier. Kindly also advice a good multivitamin that also amply takes care of my b complex requirement (I think I require more of it then that contained in normal multivitamin prescriptions). Regards
It could harm intestinal flora
Detailed Answer:
Hi
Stelabid contains trifluoperazine 5 mg and isopropamide 1 mg and in this trifluoperazine is a antipsychotic. At low dose trifluoperazine acts like a anxiolytic drug. Isopropamide is a antispasmodic drug and it helps to decrease bowel movement. You were on this drugs for years to decrease stress induced bowel upset.
In your case, your were also on prolong antibiotic treatment. This could lead to bacterial resistance and decrease in level of useful bacterial flora in intestine. Antibiotics do not lead to shortening of intestine or vitamin/mineral depletion. There are many gastric side effects of these drugs also like nausea, diarrhea etc. In your case, you may have stress induced irritable bowel upset. Taking stalopam (escitalopram) would help you to decrease anxiety or stress. It has some gastric side effects. In that case, you could try another antidepressant like paroxetine or des-venlafaxine. You can take same multivitamin that you are taking or another multivitamin like vibrania-D, Eldervit-Zc etc.
In case, you have more query, you can ask.
Regards
Dr. Abhishek Kapoor
Psychiatrist