MY ANXIETY burning urine with dark yellow colour,

discomfort while urinating and after

(DIAGNOSIS AND TREATMENT)
urinating, indigestion and worst of all I had
I was 20 years old in my university’s third
lost my appetite. This continued for years. I
year when I started experiencing some
was unable to eat. I continued to lose my
health issues. The initial signs were
weight and I was 54 kg. I was 10 to 15 kg
burning urine, discomfort while urinating
less than normal weight as per my BMI. I
and after urinating I used to feel that my
kept seeing doctors and they put me on
bladder is not emptied completely and
anti-acidity medicines and anti-depression
some drops used to pass when I would left
medicines. However, no significant change
the toilet. I also had indigestion and
came to my condition. I used omeprazole,
whatever I would eat, I was not able to
esomeprazole, pantoprazole, lexotanil, and
digest it and there was shear discomfort /
citanew etc. I used to take tonoflex-P for my
bloating beneath my belly button. I went to
headache as recommended by Doctor.
urologists and they put me on antibiotics
However I had lost my appetite and I could
considering that I had UT infections.
not eat no matter how hungry I was and no
However their medicines didn’t work.
matter how delicious food was in front of

I was depressed and I was unable to sleep me. My life was miserable and I had

in nights. This condition stayed for years difficulty interacting with people particularly

and I went to consult with with girls because I thought I didn’t look

gastroenterologists. One Professor said, good. I had lost my confidence.

“Khawar you don’t have any stomach

problems but you have depression.” He put

me on some medication but it didn’t work at

all.

When I graduated and started doing jobs

my condition became worse. I had bloating,

 gastroenterologists said that I had IBS

because I used to have severe bloating and

sometimes combination of diarrhea and

constipation. Because of constant

headache and stress, I was losing my hair

as well.

Finally, one day I met with Colonel

Figure 1: Before Diagnosis Muhammad Hafeez in CMH, Multan. He

was a classified gastroenterologist. I

It continued for another 11 to 12 years.
explained my situation to him. He said
These were very tough years for me. I kept
maybe you have wheat intolerance or
consulting with urologists and
lactose intolerance that can come at any
gastroenterologists to no avail. I used to
age. He recommended me endoscopy,
feel that semen drops leak from my bladder
wheat intolerance test, lactose intolerance
but doctors never believed it. I was under
test, urine analysis and CBC. All tests were
so much depression and I had almost given
normal. After reading my reports he said
up. My life was a misery.
you have nothing but anxiety. He gave me
I had burning urine with dark yellow colour,
risperidone 1 mg, effexor 37.5 mg and
discomfort and bloating in my lower
alprazolam 0.5 mg. Once I tried those
abdomen, tense muscles of my shoulders
medicines my condition suddenly got
and neck, constant pain in my head and the
better. My urine was okay and there were
back of my neck, no appetite in the morning
no tense muscles in my body. The pain on
in fact I was disgusted by the sight of food
the back of my neck and head disappeared
or warm milk in the morning. I did not have
and I started to eat well. I started having
peaceful sleeps.
good breakfast which previously I could not

After 12 years of having this disease my have at all. After taking these medicines for

condition was deplorable. Some one month I went to see a psychiatrist

because my condition was more the people who are experiencing such

psychological and not physiological. The symptoms of anxiety.

psychiatrist, Colonel Ahmed Shoaib in

Although Pakistan is the land of doctors
CMH, Multan said, Doctor Hafeez has
and engineers however it took years for
diagnosed you correctly but the medicines
doctors to diagnose and treat my condition.
can be improved. He put me on Olanzapine

5 mg, Fluvoxamine 50 mg and Alprazolam

0.5 mg. I can’t believe how quickly I gained

weight. I went to 74 kg maximum with those

medicines in three months or so. I ate well

and I became confident. My lifestyle

improved a great deal.

Figure 2: After Medication

Now I am 32 years old and I am on

Fluvoxamine 50 mg, Olanzapine 5 mg and

sometimes Alprazolam 0.5 mg when I have

difficulty sleeping. My condition is stable.

Either I have obsessional anxiety or GAD.

My purpose of writing this article is to help

the doctors treating my condition and for