Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health

I have been suffering from stomach problems for about two

Customer Question
hi I have been suffering...
hi I have been suffering from stomach problems for about two years now. My doctors say it is psychological. I was diagnosed with anxiety and depression when i was 14 years old. the medication normally controls all the anxiety symptoms but i cant get control of these stomach symptoms. It comes and goes. It first started when my daughter was ill and and I was really worried and then once I started feeling more relaxed my stomach started playing up. To start wit it was just a weird feeling in my stomach where I couldn't eat and felt like I was going to vomit for no reason even though I wasn't even nauseous, then it switched to real nausea right in the pit of my stomach every time I ate and a constant feeling of uneasiness in my stomach. The doctor gave me medication for acid and the symptoms eased after about 9 days. Then 3 weeks later I went through a spell of worry again. This time symptoms didn't ease with the medication and I stopped taking my antidepressant because I thought that may be the trigger. I went back on my medication after a couple of months because the stomach didn't feel better. My stomach issues still didn't ease until I went through a spell of severe ibs which turned my focus to that problem instead and then the upper gut issues disappeared. I had 4 months of feeling great after that. Then it came back for two days where I experienced nausea for a whole day and night. Then it was fine all the way through my pregnancy with my fourth child and I had a few flare ups which were very mild and short lived. I was fine apart from that and now its flared up again after my daughter was ill again and I was worrying a lot. it was fine while my daughter was ill but triggered off once I started feeling more relaxed again. if I feel a flare up coming on and then I find something else to worry about it goes away but once its in full swing nothing will stop it. At the moment it starts playing up a few hours after eating and lasts for quite some time after. My stomach feels uneasy like Im on a fairground ride. Is it possible that anxiety could be causing this or does it sound more physical?
Submitted: 2 years ago.Category: Mental Health
Show More
Show Less
Ask Your Own Mental Health Question
Answered in 21 minutes by:
6/2/2015
Mental Health Professional: Dr. Kaushik, Psychiatrist replied 2 years ago
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4,690
Experience: MD Psychiatry
Verified
Greetings.
Welcome to the site.
I am a psychiatrist and i believe i can help you with your query.
Well, after looking at your clinical scenario, one thing that stands out is that it is always the stress in form of worry about your own health or health of a near and dear one ( most cases it is your daughter's health) that triggers anxiety which then causes physical symptoms of nausea, vomiting, indigestion, sense of sickness / malaise, pain abdomen, etc. You see Anxiety disorder is very capabl;e of producing bodily/ physical symptoms like the ones known to you by now so in your case it is Situational Anxiety disorder ( where the situation being health scare acts as a trigger to a series of anxiety propelled events ) that is causing such symptoms. Had it been physical cause then your body by now must have deteriorated to a inferior level of health, but this is not the case and you tend to get affected by poor health only sporadically in episodes thanks to your health related anxiety.
However, you may discuss with your doctor about getting an endoscopic examination so as to rule out organic physical cause completely from this clinical picture of yours which thereby will remove all the doubt about this being physical.
As far as management of this condition is concerned, you can choose an anti depressant like amitriptyline at dose of 25-100 mg once a day at night time dose or duloxetine at dose of 60 mg at night time dose , since these two tend to work well in such psychosomatic and health related anxiety conditions.
Other than this you can seek prescription of either clonazepam or lorazepam at dose of 0.25-0.5 mg for PRN use that is as and when required based usage of this drug which means you take it only.when such a condition occurs.
Apart from the drug therapy mentioned above, it will really help you if you can seek CBT therapy from a clinical psychologist who will make you learn via this therapy how to control your mind at times of fear or threat and prevent it from loosing its battle against anxiety and stress, in other words this specialized therapy will make you learn special coping skills which you then can apply on a regular basis to prevent yourself from succumbing to similar or any other stress related situations.
I hope this helps.
Wish you all the best.
Please kindly leave a POSITIVE RATING if you are satisfied with the answer.
Regards
Ask Your Own Mental Health Question
Customer reply replied 2 years ago
even when my stomach is ok I always feel my stomach is on stand by ready to flare up at any given moment. Are you a medical doctor aswell. I have had an endoscopy which was normal but I keep worrying I have gastroparesis which is probably adding to the problem and making it worse.My stomach is really depressing me. I am currently on seroxat 30mg
Customer reply replied 2 years ago
also flare ups can last between two days to six months. the shorter the length of the flare up, the more severe and constant it is but the less anxiety it causes and the longer it lasts, the more mild it is and I go through spells of it easing but it causes more anxiety for me and makes me feel really depressed.
Customer reply replied 2 years ago
just one more question. What is actually happening to my stomach to make it feel like this and why do flare ups last so long sometimes? If I understand what is actually going on, I might feel more reassured.
Mental Health Professional: Dr. Kaushik, Psychiatrist replied 2 years ago
Thanks for the valuable inputs. I can understand that you want to get to the bottom of this and know exactly how anxiety can be related to your digestive problems and the answer to this in detail lies in the link below. Kindly go through it and know in detail what is happening to you.
http://www.health.harvard.edu/staying-healthy/anxiety_and_physical_illness
( Among the text in this link above the most important text to read is the text under the heading -- Anxiety and gastrointestinal disorders.
So the treatment plan above is a formidable one to counter this anxiety related gastrointestinal problem, in addition to the above mentioned regime, you may also take pre-biotic and pro-biotic supplements which come in the form of drinks also so as to correct the internal flora of your gut which thereby helps in resurrecting the problem that you are facing with gastric flare up.
I hope this helps.
Wish you all the best.
Please kindly leave a POSITIVE RATING if you are satisfied with the answer.
Regards
Ask Your Own Mental Health Question
Ask Dr. Kaushik Your Own Question
Dr. Kaushik
Dr. Kaushik
Dr. Kaushik, Psychiatrist
Category: Mental Health
Satisfied Customers: 4,690
4,690 Satisfied Customers
Experience: MD Psychiatry

Dr. Kaushik is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Dr. Keane

Dr. Keane

Therapist

1,379 satisfied customers

Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.

TherapistMarryAnn

TherapistMarryAnn

Therapist

3,984 satisfied customers

Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.

Dr. Olsen

Dr. Olsen

Psychologist

2,336 satisfied customers

PsyD Psychologist

Norman M.

Norman M.

Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA

2,246 satisfied customers

ADHP(NC), DEHP(NC), ECP, UKCP Registered.

Dr. Michael

Dr. Michael

Psychologist

2,177 satisfied customers

Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.

Steven Olsen

Steven Olsen

Therapist

1,728 satisfied customers

More than twenty years of expertise in counseling, psychological diagnosis and education

Anna

Anna

Mental Health Professional

1,656 satisfied customers

Licensed Clinical Social Worker with 29 years in addictions and mental health.

< Previous | Next >

Related Mental Health Questions
I have generalized anxiety disorder with panic attacks that
I have generalized anxiety disorder with panic attacks that I treat and keep managed with BCT, exercise, eating a well balanced diet, and breathing exercises. For the most part this works well. This p… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
3,984 satisfied customers
Can stress in the workplace cause indigestion, stomach upset
Can stress in the workplace cause indigestion, stomach upset and bloating? … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
719 satisfied customers
What would you recommend to someone with a bad anxiety
Hi, what would you recommend to someone with a bad anxiety disorder, 25 years old, 134 lbs, who keeps worrying about fainting if he doens't... eat yet another meal? Driving and walking has become hard… read more
Nancy
Nancy
Psychotherapist
MS, PhD can.
492 satisfied customers
I have a new job. It's highly stressful and I work hours
I have a new job. It's highly stressful and I work long hours sometimes 15 a day. I'm starting to have what I think are panic stacks. What do I do? … read more
Dr. Kaushik
Dr. Kaushik
Psychiatrist
4,690 satisfied customers
I have generalized anxiety disorder with panic attacks at
I have generalized anxiety disorder with panic attacks at times. For the most part I have improved a great deal through BCT and other lifestyle changes. I had it terrible after I quit smoking for abou… read more
Linda D.
Linda D.
Master\u0027s Degree
721 satisfied customers
OKMH1212211 I have an extreme medically diagnosed anxiety
OKMH1212211 Hello. I have an extreme medically diagnosed anxiety disorder. Recently, it's been getting worse. Everything makes me anxious and I have panic attacks regularly. I am allergic to all SSRIs… read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,880 satisfied customers
I would like to know if it is possible for anxiety to cause
Hello,I would like to know if it is possible for anxiety to cause bladderproblems like urinary retention and bladder overactivity. Like if you fear it and you are constantly conscious regarding it, it… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
3,984 satisfied customers
I have severe anxiety about my health and my child's I'm on
I have severe anxiety about my health and my child's I'm on Zoloft what else can I do to stop these catastrophic thoughts… read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
OKMH115211 My daughter struggles with anxiety depression
OKMH115211 My daughter struggles with anxiety depression OCD. She has tried numerous medications without any luck. She is at a new inpatient facility and her psychiatrist put her on zyprexa and Prozac… read more
Dr. Kaushik
Dr. Kaushik
Psychiatrist
4,690 satisfied customers
I struggle with severe anxiety and depression and self love
i struggle with severe anxiety and depression and self love and self esteem and self confidene issues. i need help … read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
I've had anxiety due to trauma... I've had anxiety due to
Hello, I've had anxiety due to trauma... Hello, I've had anxiety due to trauma in the city I lived in, I moved out to a different city, I accidentally spoke to somebody associated with the trauma , in… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,906 satisfied customers
I've been experiencing a lot of depression and anxiety after
second opinion] Hello!I've been experiencing a lot of depression and anxiety after a health diagnosis. I am constantly paranoid that something else more serious may be wrong with me. Constantly readin… read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
I experience a lot of Generalized chronic term anxiety and
I experience a lot of Generalized chronic long term anxiety and it pains my heart and chest and surrounding areas a lot and legs and arms numbness and tingling which drains me out daytime drowzyness all day and coffee and teas don't help anymore … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
719 satisfied customers
OKMH925100 Is it possible to treat panic disorder/anxiety
OKMH925100 Hi! Is it possible to treat panic disorder/anxiety disorder without medication?? I'm in my mid-thirties and just started having panic attacks after a very stressful past 4 years (I thought … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
719 satisfied customers
I I have extreme anxiety especially social anxiety I over
I I have extreme anxiety especially social anxiety I over worry about everything and I have PTSD from being stabbed and assaulted I've been prescribed Xanax for years and I got up to 2 mg which was wo… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,906 satisfied customers
I am recently divorced, working a stressful job, have over
I am recently divorced, working a stressful job, have over an hour drive each way to work in rush hour traffic, and worry a lot about things to the point of not having an appetite. I cycle to try to a… read more
TherapistJen
TherapistJen
Licensed Clinical Social Worker
Master\u0027s Degree
950 satisfied customers
I HAVE ANXIETY DRIVING MY TRACTOR TRAILER.HAVE TRIED ANXIETY
I HAVE ANXIETY DRIVING MY TRACTOR TRAILER.HAVE TRIED ANXIETY BUSPAR,LEXAPRO,CYMBALTAL.NONE HELP.BUT MADE SITUATION WORSE.BUT XANAX WORKS.NO SIDE EFFECTS AT ALL.HOW CAN I LEGALLY GET PRESCRIPTION FOR X… read more
Dr. Mark
Dr. Mark
Doctoral Degree
129 satisfied customers
Im struggling with anxiety, I started having anxiety about
I started having anxiety about 12 years ago after going through a divorce and then becoming self employed. However the frequency of my anxiety and strong attacks are happening more frequently. … read more
TherapistJen
TherapistJen
Licensed Clinical Social Worker
Master\u0027s Degree
950 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x