Conversation: The conversation between human and AI assistant.
[|Human|] About 6 years ago I started taking roaccutane for Acne vulgaris. It treated the Acne vulgaris problem well but it gave me other issues to deal with. Such as a pain in the top of the stomach and a pain in the lower back of the head & it feels like in the center of the head too. These two pains come together with the feeling of something moving up through the area where the pain of the back of the head takes place and when this thing moves up it feels like it is dealing with the pain where it makes it go less intense for a moment. Roaccutane also made my depression and fear overcome me which lead me to some kind of Obsessive-Compulsive Disorder . I went to see a doctor about the stomach pain and he took tests..(a lot of them) and he told me that my test results have shown no problems but he pointed me to a psychiatrist. all psychiatrists I met have agreed on that I have a depression problem anyway and they decided to treat me for it. the medicine the gave me for it was Seroxat and it has made the case of depression much better. I had it for about about 8 months. Seroxat made both pain in the top of the stomach and the lower back of the head pain less appearing by about 77% because me fearing these two pains has got less power and once they appear this thing that move up in the back of my head which got even stronger after Seroxat makes them go away. (these two pains usually appear when I m stressed out, didn t eat for a while, didn t sleep for a while, change sleeping or eating time habits, After physical exercise). I stopped taking seroxat because it made me fat from about 75 Kgs after roaccutane to 100 Kgs and the tests have show my cholesterol level as 200 & I also lost more hair than I did while on Roaccutane.. when I stopped taking seroxat about a year and two months ago pain in the top of the stomach and a pain in the lower back of the head started to come back and also fear & depression took over again. My questions are that, what is happening to me ? if I leave my case to time..is everything going to be ok and everything will come back to my normal state before taking these medications and when could it be?, is my weight coming back to normal, are these pains, fear and depression going away? IF NOT what do you think I should do ? *I did (Thyroid Stimulating Hormone test ) and it showed no problem. I also did (helicobacter Pylori Antigen Stool test) and also showed no problem)!! -about 19 years ago I ve had Tonsillectomy!
[|AI|]  Hi, Thank you for posting your query. I appreciate the detailed description you have provided, it was helpful. It is clear that you have depression and the pain is part of depression. Medication has helped you, however has resulted in side effects, most notably weight gain. You have stopped the antidepressant and symptoms are coming back. I would urge you to meet your psychiatrist and discuss with him these issues, so that the antidepressant can be started. Also, if needed, a new Chat Doctor.  Regarding weight gain, if you take care of your diet, and do regular exercises, you should be able to control it. Best wishes,