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Change doctors or get second opinion? What to do?


First of all: I have this extremely rare disease that causes my body to NOT produce estrogen on its own so I take meds for it. I've been on low dose meds for 4-5 years(I got a new doc recently). I also have a swallowing problem. I am 22 yrs old. Occasionally I'd have trouble swallowing pills.

Anyway the doc(new doc because the other one only deals with teens) refuses to change the period part meds even though it is hard to swallow so I give up and get frusterated. I am only on 2mg. estrodal. I don't feel like doing anything and I find no point in anything, I am sick of everything. I tried every single anti-depressants and every single anti-anxiety. I've seen counselors and MDs. I don't like psychiatrists because they are psycho.

Should I change doctors? What do you think?

My petuitary gland and testosterone(women have them too!) is normal. It's just the estrogen that's not there.

If you say "go seek counseling" please state why. I am seeking counseling but if you have any suggestions on what I should bring up tell me

There is no difference really between seeking a second opinion and changing doctors. If you get a second opinion and you like it, you will obviously want to stick with it. In effect, you have changed doctors.
By all means, change doctors. If you are not happy with your present doctor, why should you not get someone else ?

I would definitely get a second opinion. Estrogen is not something you can live without. If you are 22 and need supplemental Estrogen, you need to see an Endocrinologist ASAP.

I take big pills all the time. If you have trouble swallowing the pills, try cutting them down to size and taking with a lot of water. If you have to, crush the pills to powder instead, whatever it takes it takes to make them easier for you to deal with.

get another doctor NOW

U say your doctor won't change your meds and u are having trouble swallowing them. Well sounds like your doctor don't listen to u well. I have swallowing problems as well. I am 24. I always get liquid, disolvable, or at least crushable meds. Pills get stuck in my throat. My doctors go along with this. They don't tell me I am nuts or anything. They listen to me and find something else to prescribe. If u don't feel comfortable with this doctor find a new one. U need a doctor who listens to u and wants to help u. Have u seen a Ear, nose, and throat specialist for your swallowing troubles? That may be an idea for u too. Finding a new doc might help u with your stress.

Here's what you should do: That doctor you used to have - the one who has known you from the start of this diagnosed condition, you say you are no longer with him because you got too old and he only treats people through the teens. Call his office and say you need to talk to him because you are having a big problem finding an adult doctor now to give you satisfactory treatment. Tell him that you don't feel you are being listened to. Ask him to recommend a doctor to sign up with to continue to monitor and treat you.

This original doctor has all your old records - all your history - and he should pass this full dossier on to any new doctor you sign up with. I don't get whether this swallowing problem is supposed to be part of your medical condition, whether it is a side-effect of some of your medications, or if it is a totally different and coincidental condition. But whatever it is, somebody needs to address this problem too.

One thing you have to get firmly into your head is that a doctor is in many ways no different from anybody else you hire because you need their expertise. You (or your insurance) is paying the doctor to do his job, and part of his job is to LISTEN to you and fully respect what you are saying, and address any and all of your concerns. You must play your part also. If he puts you on a particular medication, ask him why, and exactly how it's supposed to work. You must get your questions answered. If that doctor blows you off, or clearly doesn't seem to be paying you full attention, he's not doing his job and you have to "fire him"

Another thing I would advise you to do is get on your computer and do some research into your condition and find out if there are any support groups for people who are afflicted with the same thing. Take control, do some homework, and don't be "blown off". I don't know what the diagnosic name of your condition is, but you do. Type it into a search engine and begin your research. Meanwhile, get in touch with that doctor you used to have and present him with your situation and ask him for advice.

Pharmacists can usually take tablets and make them into a powder or drinkable liquid (they can even flavor the liquid to make it taste better). gel caps and time-release capsules don't have this option, but most tablets are just fine to have changed to liquid form.
If you're on tablets that are hard to swallow, as your pharmacist about getting them in a liquid form. Then you'd just have to measure out your dose and take that.
If your doctor will not increase your dosage of a medication (even just as an experiment, as you can always lower it again if there are problems), you should get a second opinion. See another doctor, make sure to take a copy of your medical records with you, and tell them what's been going on. They can offer options to help you and possibly change your prescription.

They have estrogen patches that can be used. Recent studies have shown them to be 4 times safer than oral medications when it comes to getting DVT's (or deep leg clots). Also you need a physician who listens.

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