Most tongue lacerations heal on their own and don't require medical care unless there is bleeding that doesn't stop or the laceration is deep. Antibiotics usually aren't necessary unless there is redness and pus (ie an infection) or fever. Simple wound care will probably suffice -- avoid hard or hot or sticky foods for a few days, rinse your mouth (swish and spit) with warm salt water or dilute peroxide a few times a day, don't irritate the tissue, and if pain or swelling or bleeding or signs of infection occur then see your doctor.
Dr GView Thread
Dear liz54321, Many things can cause muscle pain...it's not a particularly common side effect of Seroquel or other antipsychotics, although you and your doctor would want to be sure you aren't noticing muscle stiffness or rigidity, which could be something called dystonia (muscle tightening) caused by antipsychotic medicines and is easily detected on physical exam by your psychiatrist and treatable with a medication like Cogentin. Pain per se is less commonly a drug side effect. Your psychiatrist might want to check some labs to make sure there isn't muscle breakdown (a lab test called a CPK) as well as labs to make sure you aren't dehydrated (called a BUN) or have low magnesium levels (lab levels), all of which could be culprits, not necessarily related to the Seroquel. If the pain persists and those lab tests are normal and your doctor doesn't think you're having muscle dystonia then your internist probably would want to evaluate the pain for other possible physical explanations. Hope you aren't popping narcotics to relieve pain without close medical supervision. Dr. G.View Thread
Lithium is sometimes prescribed as a tool that can possibly help modulate intense periods of anger or the kind of moment-to-moment changes in mood that involve sudden changes from feeling ok to feeling depressed or angry, rather than euphoric. In bipolar disorder, mood changes don't occur moment-to-moment so much as part of discrete episodes that are a change from someone's usual self or personality. High energy is also a part of the definition of a mood episode in bipolar disorder, as compared to moment to moment mood swings found in other types of disorders.
Dr GView Thread
Hypomania is defined by a distinct period that's different from someone's usual self in which energy levels become uncharacteristically high, they become overproductive and start to take on many projects, they can get by with little or no sleep and still feel rested, their thinking goes too fast and can get easily distracted, they may have a hard time exercising usual judgment and planning and therefore make uncharacteristically spur of the moment decisions, and logical planning and organization can fall by the wayside. Unlike full mania, these symptoms during hypomania don't interfere with functioning (in fact they may enhance functioning), psychosis is absent (ie, delusions or hallucinations), and it doesn't lead to hospitalization. Bipolar II disorder also tends to involve more extensive periods of depression than bipolar I disorder.
Hope that helps.
Dr GView Thread
Prazosin, a blood pressure medicine, has been shown in very preliminary studies among combat veterans to help reduce nightmares related to combat trauma. Based on that some psychiatrists are using it more broadly to treat nightmares in general, although it hasn't been so formally studied in broader conditions than combat PTSD so it would be considered experimental. It would be risky in someone with low blood pressure. ( which the prescriber should be monitoring) and if it gets abruptly stopped it can cause what's known as rebound hypertension. There are no particular drug interactions between prazosin and Xanax or lithium.
Dr GView Thread
Any antipsychotic medicine (eg, Abilify, Seroquel, Zyprexa, Latuda, risperidone, etc) can cause physical inner restless or outward signs of restlessness called akathisia (literally meaning, the inability to sit still). It's usually dose-related and not permanent. Klonopin and beta blockers such as inderal can counteract akathisia but your doctor should be able to clarify for you if that's the right diagnosis and if so whether the best strategy is to lower an antipsychotic dose or raise klonopin or add inderal.
Dr GView Thread
Dear resiliancy500, Home environments that involve chaos or emotional turmoil can make bipolar disorder symptoms worse, whether or not the family members (or housemates) have a bona fide psychiatric illness. Being in the presence of family members who have bipolar disorder, in and of itself, treated or not, doesn't cause or directly affect the likelihood of bipolar disorder declaring its presence. Dr. G.View Thread
Dear Sarah, Very high levels of thyroid hormone can present with symptoms of mania, and very low levels can present with symptoms of depression -- mimicking bipolar disorder. In someone with longstanding known bipolar disorder, the only reason to check thyroid hormone levels periodically (e.g., every 6-12 months) is if someone is taking lithum, which can cause low thyroid hormone levels. Otherwise, thyroid function is basically no different than for anyone else. Dr. G.View Thread
Dear resiliancy500, What kind of advice is she asking you for? It's rare to have a true first manic or hypomanic episode after age 50, but not unheard of. Her doctor would probably be in the best position to address questions about diagnosis. Some people can have mood fluctuations week-to-week but mood changes are on a small part of what constitutes a diagnosis of bipolar disorder. The other symptoms relating to energy, sleep, cognition, behavior, etc., are usually more informative than mood in terms of diagnosing bipolar disorder from other conditions in which frequent mood changes are common. Dr. G.View Thread
Dear resiliancy500, You haven't mentioned any symptoms, so it would be hard to speculate about any diagnosis without knowing that information. In terms of recommendations, do you mean, with respect to things like requests for academic accomodations due to an illness like bipolar disorder? Dr. G.View Thread