Wednesday, August 27, 2008 shahid asks

Q: I 'm Suffering from reactive depression.because of untimely death of my brother and father.

This is Shahid Here.

Let me first tell u abt me. My Name is shahid haji. 32 single. I have done PG in Horticulture and I have also done software eng.

I too am suffering from stomach problem.

It all started when I was studying away from my home . Drinking water was not good there as it was contaminated with rust and other impurities. One day I got the message that some thing wrong has happened at my home . When I came back I was shocked to learn that my brother had met an accident where he could not survive. I came to know about that incident after 10 days..i stayed at home then had to fly back coz my exams were about to start. After one year. I received a call from home that my friend's mother had expired so they wanted me to come back. When I reached my place I found that my father had a heart attack and had left us all. I was so shocked that I wanted to cry aloud but I was tongue stuck. I could not utter a single word , I felt a lot of pressure at my heart coz I wanted to weep but it could not come out. From the next day I felt little pinch on the left side of my chest. I had an appointment with a doctor. He gave me antidepressant tablets. Alprozolam, 0.25. Then I had to go back to continue my studies. But the pain was there .I even consulted a cardiologist there. He gave me the same medicine. I did ECG twice but there was nothing wrong in that. It was ok.

It was 1997 when my father passed away. And today when I am writing to u ...I still feel the pain. I visited several doctors. They diagnosed it as reactive depression. Let me tell u I over react to things. I have never talked to my mom about my brother's accident or my father untimely death. I even have not in those past 11 years entered my brother's room. If any time my mother tries to tell me something about them I tell her to keep quiet. I even cant sleep properly. some doctors said this was GERD. that is why I feel palpitation. So they kept me on the dose of omparazole and domeperidone. Which I took for 3 0r 4 years but still I feel the pinching pain on the left side of chest. I feel isolated whenever I have this pain ..I don't like to mix with people. I feel everything bad. Please help me in this matter coz I have become fed up with all this. I just want a solution of my problem from a great people like you. Coz I know only u have the solution of my problem.please help me for Gods Sake. Hope for reply from ur side.thanks.

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Answers (1)

Martin Cane, M.D., Health Pro

8/28/08 12:29pm

Shahid,

Thanks for your question.

This certainly might have started as a reactive depression, but at this point, 11 years later, this has become a chronic situation. The cause is clear, and you need treatment. Taking the alprazolam is great for anxiety and some depression on a short term basis, but at this point you need medication to knock this out and get you back on your feet. There are several new drugs on the market that are very effective with minimal side effects.

I would start with your primary care physician. If he's not on the same wavelength as our present discussion, ask to be referred to a psychiatrist. So call for an appointment soon.

As for your chest discomfort, if you have not seen a physician in the past few years for this, I would have it checked out one more time, especially in view of your father's history. It is not unusual for depression to be manifested by real symptoms of pain, but the smart thing is to check it out...again.

I hope this has been helpful. Feel better.

Martin Cane, M.D.

Q: I 'm Suffering from reactive depression.because of untimely death of my brother and father.

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