Heart Rate After Climbing Stairs

Dr. Sushma ShahMBBSGeneral Physician

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this is a normal thing. even u walk brisk heart rate increases. u r 19 at this age no heart attack. but after COVID era it is seen in student during prayer. in your case it's totally normal. 

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Dr. Amar DeepBHMSHomeopathy Doctor

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No not possible -- with medicines knee-replacement needs to be done only managing pain with pain-killers is not good even. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Starting an exercise program have your physician clear you for exercise. Do not start exercising if you are currently in an inflammatory flare. Seek expert guidance from a physical therapist who understands myositis diseases. Have the therapist work with you to develop an individualized treatment plan. With the guidance of the therapist, learn how to do the exercises correctly. After that, you can probably do them on your own. Each person must find the proper exercise program that is right for them. Exercise should be designed to strengthen muscles and muscle groups that are not affected by your disease process, while protecting the muscles that are affected. The proper program means you will notice improved efficiency with essential daily activities and be able to perform those activities without overuse of involved muscles. If you find you are working much harder to perform normal, everyday functional activities, the exercise is probably causing undue stress to involved muscle groups, and you should consult with your physical therapist to see how best to change your program. If your physical or occupational therapist is unfamiliar with myositis and the exercise needs of myositis patients, show them the information on this page and other areas of the myositis association’s website. Myositis and the muscles one of the reasons myositis patients feel fatigued is because their muscles are weakened by the disease. Movement relies on many muscles working together, so when one muscle or muscle group becomes weak, other muscles must work harder to compensate. This causes fatigue. It is natural to want to avoid movement when muscles are painful and fatigued. Sometimes people are even afraid that exercise will cause damage or increase the progression of the disease process. But avoiding movement only makes the pain and weakness worse. Muscles that are not exercised regularly become weaker and can even atrophy (waste away). Muscles will begin to lose strength within 24-48 hours of inactivity. Maximum muscle strength is lost within the first six weeks. The only way to recover muscle strength is by using your muscles. If muscles atrophy, they cannot be built back up again. That’s why exercise is so important. Exercise keeps weak muscles from atrophying and helps the body compensate for weakness by strengthening the surrounding musculature. Tips for smart exercise find an activity or exercise that is both appropriate for your own level of function and enjoyable for you. For example, walking, gardening, resistance training, or swimming. Exercises can easily be adapted as needed. Exercise should be incorporated into your daily life, so it is part of your usual routine. Especially in the beginning, take it gentle, slow, and steady. Overdoing it can cause symptoms to flare. If you feel overly fatigued or in pain the next day, you’ve done too much. Stay in tune with your body, so you know where your limits are. Take time to warm up. This gradually increases blood flow and heart rate. It’s also important to cool down, allowing your body to gradually recover. Gradually build up the intensity and duration of exercise to a rate of exertion that you find somewhat challenging but not overly difficult. It may take 6-12 weeks to adapt to a new exercise. 

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Dr. Aakash PalMBBS, Fellowship in Emergency Medicine (FEM), Advanced Cardiac Life Support ( ACLS ), Basic Life Support (B.L.S), Advanced Trauma Life Support (ATLS)General Physician

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Hyperkalemia can cause junctional rhythm and brady. Other causes are symptomatic rbbb, lbbb and/or bifascicular block. In certain persons brady is normal and not a cause of concern. Beta antagonists also lower heart rate. Hypothyroidism and congenital heart disease are other causes. Cardiac evaluation, holter monitoring, serum electrolytes and drug history are required. 

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Dr. Darshan KananiMBBS, MD - Internal MedicineGeneral Physician

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Hello lybrate-user without looking at the ecg and echo report, it is hard to comment on condition of the heart. Shortness of breath has 2-3 reasons mainly at this age. Heart related, lung related and others. Since she is taking deflacort but no mdi pump was given, I think you should reconsider the treatment. Regards. 

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Dr. Dev Anand RamanathanBPT, MPT - Orthopedic Physiotherapy, Doctor Of Physical Therapy (DPT)Physiotherapist

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Regards Lybrate user. Pain in the shoulder & left arm may occur due to referred pains from neck, heart, at times stomach. If there is pain or limitation of movements in the neck and if the neck pain worsens proportionately with the shoulder/arm pain, they both could be related. Body structures around the shoulder itself may at times refer pain down the arm up to the wrist/hand. If shoulder movements are painful and/or limited, along with worsening of pain down the arm/forearm, then it could be related. Pain from the heart may also radiate to the same area. However, pain from heart will occur with activity when heart has to work more (for example climbing stairs, or jogging or lifting any weight). Rarely, heart related pains may occur even at rest or at sleep as well. It matters to find the symptoms and try to relate them logically to know which structures could be causing the disorder. It is recommended to consult an orthopaedician or orthopaedic physiotherapist for further evaluation. You may feel free to reach out to us for a virtual consult as well. You may use doctor code as drc221. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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People of any age, back pain can affect or different reasonsas people get older, the chance of developing lower back pain increases, due to factors such as previous occupation and degenerative disk disease. Lower back pain may be linked to the bony lumbar spine, discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, lower back muscles, abdominal and pelvic internal organs, and the skin around the lumbar area. •acute pain starts suddenly and lasts for up to 6 weeks. •chronic or long-term pain develops over a longer period, lasts for over 3 months, and causes ongoing problems. Home advise: •resting from strenuous activity can help, but moving around will ease stiffness, reduce pain, and prevent muscles from weakening. •applying heat, ice, ultrasound, and electrical stimulation — as well as some muscle-release techniques to the back muscles and soft tissues — may help alleviate pain. •as the pain improves, the physical therapist may introduce some flexibility and strength exercises for the back and abdominal muscles. Techniques for improving posture may also help. •the patient will be encouraged to practice the techniques regularly, even after the pain has gone, to prevent back pain recurrence. Regular exercise helps build strength and control body weight. Guided, low-impact aerobic activities can boost heart health without straining or jerking the back. Before starting any exercise program, talk to a health care professional. There are two main types of exercise that people can do to reduce the risk of back pain: •core-strengthening exercises work the abdominal and back muscles, helping to strengthen muscles that protect the back. •flexibility training aims at improving core flexibility, including the spine, hips, and upper legs. We suggest you to wear lumbosacral corset (belt) which is available at our clinic. If you want you can buy from us, if you are far away from chennai we can send you by courier. The reason why we are conveying you to buy from us is we can demonstrate over the videocall (using whatsapp) and also we can monitor you throughout when to wear it and how long to wear it. And also if you find any difficulty wearing the brace you can also revert back to us for few more suggestions and we can propose you good solution how to go about it. Uses of lumbosacral corset (belt) a lumbosacral corset adds pressure to the intra-abdominal area. This adds stability to the spine. It is prescribed to people suffering from moderate to severe pain. Other benefits of using a lumbar spine belt are: 1.helps in a certain degree of immobilization of facet joints. 2.reduces pain to allow continuation of normal activities. 3.speeds up the healing process. 4.the pressure exerted by a lumbar spine belt helps in stretching the erector spine muscles. 5.this belt can also be used to support the lower back while exercising. Ohelps prevent rolling oprovides stability to lumbar and sacral regions of the back ocan be used when performing actions like lifting and handling heavy items ocan also be used when playing sports orestricts back movement to aid treatment of back problems do’s and don’ts sitting do: • sit as little as possible and then only for short periods. • place a supportive towel roll at the belt line of the back especially when sitting in a car. • when getting up from sitting, keep the normal curves in your back. Move to the front of the seat and stand up by straightening your legs. Avoid bending forward at the waist. • try to keep the normal curves in your back at all times. Don’t: • do not sit on a low soft couch with a deep seat. It will force you to sit with your hips lower than your knees and will round your back. You will loose the normal curve in your back. • do not place your legs straight out in front of you while sitting (e.g. Sitting in the bath tub). Standing do: • if you must stand for a long period of time, keep one leg up on a foot stool. • adapt work heights. Don’t: • avoid half bent positions. Lifting avoid lifting if you can. Do: • use the correct lifting technique. Keep your back straight when lifting. Never stoop or bend forward. Stand close to the load, have a firm footing and wide stance. Kneel on one knee, keeping the back straight. Have a secure grip on the load and lift by straightening your knees. Do a steady lift. Shift your feet to turn and do not twist your back. Don’t: • do not jerk when you lift. • do not bend over the object you are lifting. Lying do: • sleep on a good firm surface. • if your bed sags, use slats or plywood supports between the mattress and base to firm it. You also can place the mattress on the floor, a simple but temporary solution. • you may be more comfortable at night when you use a pillow for support. Don’t: • do not sleep on your stomach unless advised to do so by your doctor or physical therapist. Bending forward do: • keep the natural curves of your back when doing these and other activities: making a bed, vacuuming, sweeping or mopping the floor, weeding the garden or raking leaves. Coughing and sneezing do: • bend backwards to increase the curve of your back while you cough or sneeze. Driving a car do: • drive the car as little as possible. It is better to be a passenger than to drive yourself. • move the seat forward to the steering wheel. Your seat must be close enough to the wheel to keep the natural curves of your back. If your hips are lower than your knees in this position, raise yourself by sitting on a pillow. Exercises for low back pain safety guidelines • an increase in your low back pain can be expected with these exercises. This is acceptable as long as your leg symptoms are not increasing. • if while doing these exercises, your pain worsens or you have new pain or symptoms, stop the exercises and discuss your symptoms with your doctor or physical therapist. • stop exercising and let your doctor or physical therapist know right away if you have any change in your bowel or bladder control or any increase in weakness in your leg or foot. Exercises ‰ •press-ups: keep your back and buttocks relaxed and use your arms to press up. Concentrate on keeping your hips down and push up your upper body as high as possible. •double knee to chest: grasp both your knees with your hands and pull toward your shoulders. Hold the stretch for 1 second. Let your knees return, but keep them bent at arms length. ‰ •lumbar spine stretches: lie on your back. Bring your knees towards your chest. Rotate your knees towards the pain. •side-lying position: lie on your side and face forward. Have both arms straight in front and bend your knees. Turn your head as you move your top arm across your body as far as you can. Keep your arm in place and turn your head back to the starting position. Look back again and turn your head farther if you can. Bring your head and arm back to the starting position. Relax and repeat 10 times on each side. •hamstring stretch: lie on your back with your legs out straight. Raise your leg up and put your hands around the upper leg for support. Slowly straighten the raised knee until you feel a stretch in the back of the upper leg. Hold, then relax and repeat 10 times on each leg. •standing arch: stand with your feet apart and hands on the small of your back with fingers pointing backwards. Bend backwards at the waist, supporting the trunk with your hands. Keep your knees straight. Hold for 5 seconds. Repeat 3 to 5 times. Side glides: stand at a right angle to the wall about 2 feet o eliminate your pain improve your muscular endurance and strength attain better posture, balance, body awareness and co-ordination improve your balance and flexibility learn to lift properly. posture when standing: make sure you have a neutral pelvic position. Stand upright, head facing forward, back straight, and balance your weight evenly on both feet. Keep your legs straight and your head in line with your spine. Posture when sitting: a good seat for working should have good back support, arm rests and a swivel base. When sitting, try to keep your knees and hips level and keep your feet flat on the floor, or use a footstool. You should ideally be able to sit upright with support in the small of your back. If you are using a keyboard, make sure your elbows are at right-angles and that your forearms are horizontal. Shoes: flat shoes place less of a strain on the back. Driving: it is important to have proper support for your back. Make sure the wing mirrors are properly positioned so you do not need to twist. The pedals should be squarely in front of your feet. If you are on a long journey, have plenty of breaks. Get out of the car and walk around. Bed: you should have a mattress that keeps your spine straight, while at the same time supporting the weight of your shoulders and buttocks. Use a pillow, but not one that forces your neck into a steep angle. 

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Dr. Nishant Kumar JaiswalDiploma in Public Health, MBBSGeneral Physician

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Ecg of heart is advisable to rule out cardiac origin slight shortness of breath while climbing upstairs is not uncommon consultation is advisable for worsening of symptoms. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. Stiffness have developed due to weakness of the ligaments &inflammed cartilage. Specific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee. •ultrasound- which heals the damaged tissues and heals •electric stimulation / ift- which reduces the pain •kinesiology taping •application of heat or ice •soft tissue massages or knee joint mobilization 5 do’s & don’ts to reduce your knee pain. 1.Don’t take too much rest- not only your body muscles may become weaker even your joint’s pain may become worse. Take consultation from your physiotherapist to guide you with knee pain exercises which are safe for your knees & keep doing it. 2.Do exercise– exercises help in strengthening the muscles, increase flexibility & also support your knee. You can also do swimming, walking, elliptical machines & bicycles, etc. 3.Don’t avoid your weight– excess weight may increase the stress on your knee and if you have inflammatory arthritis then it may become worse. You don’t need to have ideal weight, you just need to start working to reduce the weight. 4.Rice -this process is good for joint pain caused due to minor injury or an arthritis. ••r (rest) – give some rest to your knees. •I (ice) – massage your knees with ice to reduce swelling. •c (compression)- start wearing compression bandage. •e (elevation)- keep your knee elevated. 5.Don’t wear bad shoes- we actively wear shoes in our daily life for hours without noticing how it can affect your knees badly. So, if you are facing knee pain, then check your shoes first. Is it giving you good comfort? If not then change it urgently. The importance of buying braces and splints from us – orthopaedic support braces we suggest you to wear knee brace which is available at our clinic. If you want you can buy from us, if you are far away from chennai we can send you by courier. The reason why we are conveying you to buy from us is we can demonstrate over the videocall (using whatsapp) and also we can monitor you throughout when to wear it and how long to wear it. And also if you find any difficulty wearing the brace you can also revert back to us for few more suggestions and we can propose you good solution how to go about it. Resisted terminal knee extension: make a loop with a piece of elastic tubing by tying a knot in both ends. Close the knot in a door at knee height. Step into the loop with your injured leg so the tubing is around the back of your knee. Lift the other foot off the ground and hold onto a chair for balance, if needed. Bend the knee with tubing about 45 degrees. Slowly straighten your leg, keeping your thigh muscle tight as you do this. Repeat 15 times. Do 2 sets of 15. If you need an easier way to do this, stand on both legs for better support while you do the exercise. Standing calf stretch: stand facing a wall with your hands on the wall at about eye level. Keep as arthritis is very common that you get generally bilaterally. Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone 1. Heel and calf stretch to do this stretch: 1.Stand facing a wall. 2.Place your hands on the wall and move one foot back as far as you can comfortably. Toes on both feet should be facing forward, heels flat, with a slight bend in your knees. 3.Lean into the stretch and hold for 30 seconds. You should feel the stretch in your back leg. 4.Change legs and repeat. 5.Do this stretch twice for both legs. Short arc quad / isometeric quad exercise the short arc quad exercise is a great way to really focus in on properly contracting your quadriceps muscles. Here is how you do it: lie on your back and use a yoga block or basketball to prop your knee up. Slowly straighten your bent knee until it is all the way straight. Tighten your quad muscle with your toes pointed toward the ceiling and hold it tight for five seconds. Slowly lower your leg down. Repeat for 15 repetitions. Quadriceps, isometric (strength) this exercise is for an injured right knee. Switch sides if the injury is to your left knee. 1.Sit on the floor with your right leg straight in front of you. Bend your left knee up and put your left foot flat on the floor. 2.Flex your right foot and tighten the thigh muscles of your right leg. Press the back of your right knee toward the floor. Don’t arch your back or hunch your shoulders. 3.Hold for 5 to 10 seconds. Then relax. 4.Repeat 10 times, or as instructed. 5.Do this exercise 3 times a day, or as instructed. 2. Quadriceps stretch to do this stretch: 1.Stand next to a wall or use a chair for support. Your feet should be shoulder-width apart. 2.Bend one knee so your foot goes up toward your glutes. 3.Grab your ankle and gently pull it toward your glutes as far as you can comfortably. 4.Hold for 30 seconds. 5.Return to the starting position and change legs. 6.Repeat 2 times on each side. Hamstring stretch •take a break from strenuous activities to allow the injury to heal. •use a cane or crutches to avoiding putting your full weight on your injured leg. •apply ice packs several times a day to relieve pain and reduce swelling. •wrap the injured area with a compression bandage or wear compression shorts to minimize swelling. •rest with your leg elevated above the level of your heart, if possible, to improve drainage and minimize swelling. To do this stretch: to do this stretch: 1.For this stretch, you can use a mat to add cushioning under your back. 2.Lie down on the floor or mat and straighten both legs. Or, if it’s more comfortable, you can bend both knees with your feet flat on the floor. 3.Lift one leg off the floor. 4.Place your hands behind your thigh, but below the knee, and gently pull your knee toward your chest until you feel a slight stretch. This shouldn’t be painful. 5.Hold for 30 seconds. 6.Lower and change legs. 7.Repeat 2 times on each side. Strengthening exercises 5.Half squat to do this exercise: 1.Get into a standing squat position with your feet shoulder-width apart. Place your hands on your hips or out in front of you for balance. 2.Looking straight ahead, slowly squat down about 10 inches. This is the halfway point to a full squat. 3.Pause for a few seconds, then stand up by pushing through your heels. 4.Do 2 to 3 sets of 10 repetitions. 5. Calf raises to do this exercise: 1.Stand with your feet shoulder-width apart. Position yourself next to a wall or hold on to the back of a chair for support. 2.Lift both your heels off the ground so that you’re standing on the balls of your feet. 3.Slowly lower your heels to the starting position. Control is important with this exercise for strengthening your calf muscles. 4.Do 2 to 3 sets of 10 repetitions. 6. Hamstring curl 7. Leg extensions to do this exercise: 1.Sit up tall in a chair. 2.Put your feet flat on the floor, hip-width apart. 3.Look straight ahead, contract your thigh muscles, and extend one leg as high as possible without raising your buttocks off the chair. 4.Pause, then lower to the starting position. 5.Do 2 to 3 sets of 10 repetitions for each leg. 8. Straight leg raises to do this exercise: 1.For this exercise, you can use a mat to add cushioning under your back. 2.Lie down on the floor with one leg bent and one leg straight out in front of you. 3.Contract the quadricep of your straight leg and slowly raise it up off the floor until it’s the same height as your bent knee. 4.Pause at the top for 5 seconds, then lower to the starting position 5.Do 2 to 3 sets of 10 repetitions for each leg. 9. Side leg raises to do this exercise: 1.Lie on your side with your legs stacked on top of each other. Cradle your head in your hand, and place your other hand on the floor in front of you. 2.Raise your top leg as high as you comfortably can. You should feel this on the side of your hips. 3.Pause briefly at the top, then lower your leg. 4.Do 2 to 3 sets of 10 repetitions for each leg. 10. Prone leg raises to do this exercise: 1.For this exercise, you can use a mat to add cushioning beneath you. 2.Lie on your stomach with your legs straight out behind you. You can let your head rest on your arms. 3.Engage your glute and hamstring muscles in your left leg and lift your leg as high as you comfortably can without causing pain. Be sure to keep your pelvic bones on the floor throughout this exercise. 4.Hold your leg in the lifted position for 5 seconds. 5.Lower your leg, rest for 2 seconds, then repeat. 6.Do 2 to 3 sets of 10 repetitions for each leg. Lifestyle and home remedies rest. Take a break from your normal activities to reduce repetitive strain on your knee, give the injury time to heal and help prevent further damage. A day or two of rest may be all you need for a minor injury. More severe damage is likely to need a longer recovery time. Ice. Ice reduces both pain and inflammation. A bag of frozen peas works well because it covers your whole knee. You also can use an ice pack wrapped in a thin towel to protect your skin. Although ice therapy is generally safe and effective, don't use ice for longer than 20 minutes at a time because of the risk of damage to your nerves and skin. Heat. You may experience temporary pain relief by applying a heat pack or hot-water bottle to the painful area on your knee. Compression. This helps prevent fluid buildup in damaged tissues and maintains knee alignment and stability. Look for a compression bandage that's lightweight, breathable and self-adhesive. It should be tight enough to support your knee without interfering with circulation. Elevation. To help reduce swelling, try propping your injured leg on pillows or sitting in a recliner. 

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Dr. Karuna ChawlaBHMSHomeopathy Doctor

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What r other symptoms that you r experiencing? By doing what like walking, exertion, eating or empty stomach- it increases or decreases in intensity. For how much time the pain remains? Is there stiffness also? How is your appetite? R you constipated? Any problem in urine? I need to know more to be able to make diagnosis. In the meanwhile follow this 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of water first thing in the morning (within 10 mins of waking up). No only biscuits or rusk will not do. 2. Don't overeat 3. Take your breakfast every day. Don't skip it. U should eat whatever your mother or grandparent eat in bfast. I mean to say whatever is your traditional food. If punjabi eat paratha, if belongs to south then take idli/ dosa etc. 4. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, any fresh n seasonal fruit, a cup of curd/milk etc 5. Finish your dinner at least 2 hours before going to sleep. 6. Maintain active life style7. Avoid fast foods, spicy n fried foods, carbonated beverages 8. Take a lot of green vegetables n fruit. 9. Drink lot of water.10. Everyday preferably sleep on same time exercise in the form of yoga, cycling, swimming, gym etc. Till lockdown do suryanamaskar every day. for this homeopathy offers good results. Consult online with details. 

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