Dr. Sudeep Kumar Sahu

Hi thanks for your query and welcome to lybrate. I advise you to get esr, crp and serum uric acid levels preferably empty stomach and send reports to me. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena

They are not just thoughts alone; there is a lot of unexpressed anger lurking within you that needs to desperately express itself. This anger is turned inwards and the result is this tendency to hurt yourself or terminate yourself. Whenever it seems that there is no specific reason, then it is bound to be something from early childhood that needs to be dealt with. Meet with a counselor and identify the feeling and thoroughly expend it out of your system. Your parents will know a lot of factors that may have contributed to this situation. Life is extremely precious and no one has a right to willfully end it unless there are very justifiable reasons. If you visit a geriatric ward in any hospital you will know the premium that is placed on survival, and how every possible way you can stretch life is attempted on frail and weak bodies that are in the twilight of their lives. You must also show that regard for your life, especially when you are that young and life is just beginning. You are obviously a bankrupt person spiritually: no spiritually sound person will contemplate suicide. Life is a gift of God and to be held in high esteem and preserved at all costs. You are probably depressed and when people are in that state, life looks miserable, hopeless, and futile. Depression can be resolved and if you have not used all the options to resolve depression, you would be inadvertently throwing away your precious life, never to get it back again. This life is an opportunity and since you have probably not utilized it well for various unfounded reasons please look at it with other people for other options and it will seem better. People who contemplate suicide are lonely people: just addressing that problem alone you will find good reasons to live. Failed or the threat of failed relationships are at the bottom of most suicides. A newer theory about suicide, devised by an American psychologist called Thomas Joiner, states that three main factors can cause someone to turn to suicide. They are: •A perception (usually mistaken) that they are alone and no one cares about them. •A feeling (again, usually mistaken) that they are a burden on others and that people would be better off if they were dead. •Fearlessness towards pain and death. Fearlessness poses the biggest risk that someone will commit a successful suicide attempt – they may fear the pain more than the fear of death. Go out there and conquer the world and don't ever let it get the better of you, ever.

Take Physiotherapy sessions and learn exercise for Knee joint. Don't sit on floors. Wear knee brace . Take calcium and methylcobalamin supplement with Glucosamine and omega3 regular

Hello, start physiotherapy treatment and learn strengthening exercise for knee joint. Meanwhile take few precautions. Take hot water fomentation or if there is swelling in knee apply cold pack for 20 min. At every 3hrs. Interval. Do not ignore your knee pain and do reply for private consultation and detailed treatment plan. Best wishes.

Gentle Shoulder Stretching. Core Strengthening Exercises. Gentle Neck Exercises. Avoid sleeping on affected side. Warm up and cool down is a must. Hot fomentation.

It may be scitica pain. Take rest properly. Avoid prolong sitting and standing. Do neck strengthening exercise of back. Avoid forward bending and heavy lifting. If no response, take physiotherapy.

Physiotherapy treatment and strength exercises in gradually process avoid toward bending and lifting weights.

. Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana – Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.

Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily. Apply Hot Fomentation twice daily. Avoid bending in front.

ciplar is good for controlling heart rate.. but for blood pressure it's weak agent ...so many other options are there ... and need not to be treated with ciplar.. you are young and need to do few investigation.. why at such young age high blood pressure problem... take care