### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi. I will start with the fact that i had the mirena iud incerted feb 2011. A few momths later developed anxiety. Was prescribed prozac and anxiety attacks begab immediately. Suffered through that for a little over a year before finally requesting to be taken off. Ive been off for a few momths and had mirena removed last feb. I have had 2 periods since which were not normal. Pretty much three weeks of random spotting with each period. For the last week i have been experiencing nausea, a burning sensation in my stomach, lightheadedness and a low grade annxiety. I started spotting yesterday a brown discharge and then this morning a little of red but mostly just comes when using the bathroom. Took a pregnancy test a few days ago and came out negative. My question is whether this all sounds like side effects from mirena and post removal? Could it be a stimach ulcer? A combo of several thing?

### output:

Hello, thanks for the query. IUD removed, and that chapter closed now. Now we are talking about your problems that nausea, burning sensation in stomach, anxiety. Blood spotting is normal so don't think about that. This is the nature of an individual that how he or she reacts to things around him. Over reaction to surrounding is a form of anxiety and that is in your case. When IUD was inserted from day first you were not feeling comfortable with it and that was an anxiety. IUD removed and still you didn't come out from that dilemma and that is anxiety. Due to anxiety you are feeling hyper acidity (gastritis) like symptoms. So control yourself, if not, than consult a psychiatrist and take TT. You will be right within a short period. Regard 