Dizziness, disorganised after swallowing SLEEPING PILLS, fishing hooks.

Resolved question:
I'm a teenager with rather severe depression and suicidal tendencies, and recently I broke down. I managed to swallow a lot of sharp objects- "basic shank" fishing hooks, to be exact- and today, a couple days later, I feel very dizzy and disorganized. Every time I try to stand, walk, or even just move my head, I end up feeling like I'm at the bottom of a deep pool, with a lot of pressure against my skull, and a sort of watery feeling in my head. I'm not sure if it's internal bleeding, or what, but I almost took a handful of sleeping pills that night, too. I'm slightly worried, so any help would be appreciated. Also, I apologize if I misspell anything, or read anything wrong. Words and letters are a bit confusing right now, but I have auto-correct on, so that helps.

Submitted: 4 Days
Category: Psychiatrist

Expert:  Dr. Srikanth Reddy replied 4 Days.

Hello
Thanks for posting your query at DoctorSpring.com
I have gone through your question in detail and I can understand what you are going through.
Most probably the dizzy and liquid in the head feeling that you are mentioning is due to the overdose of sleeping pills that you have had today. And most probably the effect will wear of. However in certain cases things can go wrong. Secondly the sharp objects that you have consumed can be damaging and deleterious for your health. And you should go for a USG abdomen to see where they are lodged at present and if required they may have to be removed surgically if they dont pass of in stool. A distant possibility of bleed in the badomen cannot be completely ruled out.
You certainly need to get immediate medical help and should consider going to ER. Please disclose all the information there and also get a USG abdomen done there. You need proper treatment for the depression as well. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or escitalopram and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep.
If you are averse to the drug therapies then there is also an option of cognitive behavioural therapy. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness.
Hope this helps
Kind regards
Dr. Srikanth Reddy MD

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