How Long On Life Support

Dr. Prof Jagadeesan M SMD - PsychiatryPsychiatrist

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The dose should be gradually reduced and not abruptly, you can discuss with your doctor and try the same, definetly. Good luck 

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

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Poor sitting posture is a common cause of sciatica. To assist the support of your lower back many simple and effective products have been developed over time. These include: lumbar d-roll bassett frame kinesiology lumbar tape please ask your physiotherapist for their advice in what will help you most. This simple stretch helps relieve sciatica pain by loosening your gluteal and piriformis muscles, which can become inflamed and press against the sciatic nerve. 1.Lie on your back with your legs extended and your feet flexed upward. 2.Bend your right leg and clasp your hands around the knee. 3.Gently pull your right leg ac 4.Ross your body toward your left shoulder. Hold it there for 30 seconds. Remember to pull your knee only as far as it will comfortably go. You should feel a relieving stretch in your muscle, not pain. 5.Push your knee so your leg returns to its starting position. 6.Repeat for a total of 3 reps, and then switch legs. 5.sitting spinal stretch sciatica pain is triggered when vertebrae in the spine compress. This stretch helps create space in the spine to relieve pressure on the sciatic nerve. 1.Sit on the ground with your legs extended straight out with your feet flexed upward. 2.Bend your right knee and place your foot flat on the floor on the outside of your opposite knee. 3.Place your left elbow on the outside of your right knee to help you gently turn your body toward the right. 4.Hold for 30 seconds and repeat three times, then switch sides. 6. Standing hamstring stretch this stretch can help ease pain and tightness in the hamstring caused by sciatica. 1.Place your right foot on an elevated surface at or below your hip level. This could be a chair, ottoman, or step on a staircase. Flex your foot so your toes and leg are straight. If your knee tends to hyperextend, keep a slight bend in it. 2.Bend your body forward slightly toward your foot. The further you go, the deeper the stretch. Do not push so far that you feel pain. 3.Release the hip of your raised leg downward as opposed to lifting it up. If you need help easing your hip down, loop a yoga strap or long exercise band over your right thigh and under your left foot. 4.Hold for at least 30 seconds, and then repeat on the other sideif you have low back pain and sciatica you can undergo intermittent pelvic traction where in your half of your body weight will be added in the electronic traction so that that would help you to reduce the pain, along with interferential therapy stimulations which would help you to get relieved from the radiating pain. Apply ice for the pain to get subsided immediately. If you cannot go immediately for the physiotherapy treatment. Ice can be kept in the low back where you have back pain. It is suggestible to wear lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear mcr chappals which would help you to have less weight falling in the painful back. U have to take vitamin d rich foods. Likemilk,cheese, yogurt,brocoli, spinach.u need calcium consumption for increase the bone density. Lackof bone and bones crush inside the body this might be due to low calcium or vitamin d which has more impact on the bone density and also it makes one to feel that there is lack of bone strength or in a way the bones are brittle and almost breaking and they feel it is crushed in a way there are many bones breaking at the same time. You have to take vitamin d rich foods. Likemilk,cheese, yogurt, brocoli, spinach.u need calcium consumption for increase the bone density. vitamin d intake via supplements or exposure to low levels of sunlight. Vitamin d is used to absorb calcium in the bone and regulate calcium in the blood. If you have leg pain then you have to rule out the causes for having leg pain. First of all check your weight and your haemoglobin levels, as anaemia always leads to the symptoms of being tired and also having leg pain though there are no issues with the knee joint or back pain. If not if the pain radiates down the back of thigh and legs then it might be due to sciatica. Kindly consult the nearby physiotherapist. Hope you recover soon from the leg pain. Lumbar radiculopathy: pain in lower back or glutei region with sharp shooting pain radiating from hip to leg/foot region, occurs in cases of lumbar radiculopathy or sciatica. This is due to compression of lumbar nerve root or sciatic nerve by disc prolapse, facet joint, trauma, hypertrophied ligamentumflavum, piriformis syndrome, etc. L5 vertrbrae and patient has pain the legs and sensation is disturbed? That is called as lumbar vertebrae. And there are 5 lumbar vertebrae and the 5th lumbar vertebrae is always is located in the lower end where the body weight is taken and it is generally fused with sacral vertebrae. That is where the sciatic nerve passes by and the nerve gets compressed that's the reason you have pain and sensation is disturbed. Loss of concavity of l4-l5 vertebrae. It is other wise called as the lumbo sacral curve which is very important for the spine to take the entire weight evenly if not it leads to disturbance of the disc and also the vertebrae which makes the spine to loose its concavity that's why it is called as loss of posterior concavity. For which we need to improve the spine posture and we need to adapt good posture during our day to day life activities. I have pain in my left side leg. This should be due to the sciatic nerve compression in the right side probably close to your l5 vertebrae. It can also be due to the strain on the left leg, try wearing mcr chappals which would help you to get relieved from pain. We suggest you to wear a lumbo sacral corset and also modified foot wear if you want we can send you by courier. 

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Mr. Syed Tahir RufaiDiploma - Guidance & Councelling, Masters in Psychology - Clinical and Abnormal, Bachelors in Psychology, OKR Certified, International Leader ship and Goal setting, Masters in PsychologyPsychologist

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The adjustment phase when starting a new medication can vary from person to person. Generally, side effects like drowsiness and changes in mood may occur in the initial weeks as your body adapts to the medication. For most people, these side effects tend to lessen over time. In the case of stalopam (escitalopram), which is an ssri (selective serotonin reuptake inhibitor) commonly prescribed for anxiety and panic disorders, side effects often improve within the first few weeks. However, everyone's response to medication is unique. If you're experiencing persistent drowsiness and feelings of sadness or depression, it's essential to communicate these concerns with your prescribing doctor as soon as possible. They may adjust your dosage, consider alternative medications, or offer additional support based on your individual needs. It's positive that you've noticed a reduction in panic attacks and anxiety, but it's equally important to address any unwanted side effects that may be impacting your overall well-being. Open communication with your doctor is key to finding the right balance between symptom relief and minimizing side effects. Keep in mind that sudden discontinuation of medication or changes in dosage without consulting your doctor can lead to withdrawal symptoms or a return of symptoms. Your healthcare provider will guide you through the adjustment process and make informed decisions based on your feedback and their assessment of your situation. 

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Dr. Pankaj MahalMBBS Bachelor of Medicine and Bachelor of Surgery, MD - PsychiatryPsychiatrist

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In view of your opioid dependence, you should get admitted at a psychiatric hospital or an approved de-addiction center for the management of your illness. If even after your leg amputation, you are unable to control the substance use, that itself shows that the severity of the illness is quite high. So, contact your nearest hospital at the earliest. 

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Dr. Sushil Kumar SompurMBBS, MD - Psychiatry, MBA - HealthcarePsychiatrist

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I'm truly sorry to hear about the struggles and anxiety you're experiencing. It sounds like you're going through a very challenging time. It's important to remember that feelings of anxiety and depression can be overwhelming, but there are ways to manage and improve your situation. Here are some suggestions: seek professional help: given the intensity of your feelings and the fluctuation in your response to medication, it's crucial to continue working closely with a healthcare professional, preferably a psychiatrist or a psychologist. They can help in reassessing your medication needs and provide therapy that can address your fears and feelings of depression. Medication review: since you've had varying experiences with cipralex (escitalopram) and amisulpride, discussing these with your doctor is essential. They can evaluate whether a change in medication or dosage is necessary. Therapy: psychological therapies, particularly cognitive-behavioral therapy (cbt), can be very effective for anxiety and depression. Therapy can provide you with strategies to manage your fears about changes in family dynamics and your concerns about being a burden. Support system: lean on your support system – friends, family, or support groups. Share your feelings with them. Sometimes, just talking about what you're going through can be incredibly relieving. Self-care practices: engaging in self-care activities is crucial. This can include regular exercise, a balanced diet, maintaining a regular sleep schedule, and engaging in activities that you find relaxing or enjoyable. Mindfulness and relaxation techniques: practices such as mindfulness meditation, deep breathing exercises, or yoga can help manage anxiety and improve your mood. Journaling: writing down your thoughts and feelings can be a helpful way to process them and gain clarity. Understanding change: it's natural to feel anxious about changes in life, like your sister starting a job. Recognize that change is a part of life and can bring positive growth for both you and your family members. Educate yourself: learning more about anxiety and depression can empower you to understand your condition better and find effective ways to cope. Consider lifestyle adjustments: sometimes, making small changes in your daily routine can have a big impact on your mood and anxiety levels. Remember, it's okay to ask for help, and it's important to take your feelings seriously. Mental health is just as important as physical health. If you ever feel overwhelmed or have thoughts of not wanting to live, please seek immediate help from a mental health professional or a crisis hotline. You're not alone in this, and with the right support and treatment, it's possible to feel better and manage these challenges more effectively. 

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Dr. M S HaqueBUMSSexologist

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Understand your triggers: identify situations or emotions that trigger the urge to masturbate. Knowing your triggers can help you avoid or manage them more effectively. Engage in physical activities: regular exercise can help channel your energy in a positive way, reduce stress, and improve your overall well-being. It can also be a great distraction from the temptation to masturbate. Establish a routine: having a structured daily routine can help you stay focused and reduce idle time, making it less likely for thoughts of masturbation to arise. Set realistic goals: instead of aiming for long periods of abstinence immediately, start with smaller, achievable goals. Gradually increase the duration as you build self-control. Seek support: talk to friends or a mental health professional about your concerns. Sometimes, having a support system can make it easier to overcome challenges. Avoid pornography: if you're using pornography, consider reducing or eliminating its use. It can be a significant factor in heightened sexual arousal. Practice mindfulness and relaxation techniques: techniques such as meditation and deep breathing can help manage stress and anxiety, which are often associated with urges to masturbate. Stay hydrated and maintain a healthy diet: proper hydration and nutrition contribute to overall well-being, which can positively impact your ability to resist urges. Regards, Dr. Ms. haque. 

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Dr. G.R. AgrawalDHMS (Hons.)Homeopathy Doctor

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Hi, lybrate user, •Prone masturbation is a postural disorder known as traumatic masturbatary syndrome might cause sexual dysfunction with curvature of shaft owing to great deal of pressure on penile shaft ,affecting testicles,  too. •You might loose orgasm in the long run resulting in ruined sexual activities of yours  being incapable of satisfying your partner expecting the same stimulation, generated during prone masturbation, venous leak can't  be overruled ,resulting in errectile disfunction, low libido and premature ejaculation. •Normal way of masturbation or sexual intimation should be opted to safeguard your  conjugal life  in future. •Tke, homoeopathic medicine, underlying : @ Agnus cast Q -10 drops, thrice. •Avoid, junk food, alcohol and nicotine. •Tke , care. 

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Dr. Tarveen KaurBachelor of Dental SurgeryDentist

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Helo mam no root canal is required if your adjacent teeth is fine and zirconia bridge can be done directly. You can also go for dental implant to save your adjacent tooth. 

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Ms. Rachna MishraM.A.(H)Psychology, PG Diploma in Child Guidance and Family TherapyPsychologist

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Practice relaxation techniques: deep breathing, progressive muscle relaxation, meditation, and mindfulness can help you calm your mind and reduce anxiety. Physical activity: regular exercise has been shown to improve mood and reduce anxiety. Engage in activities you enjoy, such as walking, jogging, yoga, or dancing. Healthy lifestyle: prioritize a balanced diet, adequate sleep, and avoiding excessive caffeine and alcohol. These factors can impact your overall mental well-being. Challenge negative thoughts: pay attention to negative thought patterns and try to reframe them in a more positive and realistic light. Cognitive-behavioral therapy (cbt) techniques can be helpful for this. Set realistic goals: break tasks into smaller, manageable steps. Setting achievable goals can reduce feelings of overwhelm and anxiety. Time management: organize your time and tasks to reduce stress and create a sense of control over your schedule. Social support: spend time with friends and loved ones who provide positive support. Sharing your feelings can help alleviate anxiety. Limit media consumption: reduce exposure to distressing news or social media that might trigger anxiety. Professional help: consider seeking therapy or counseling from a trained mental health professional. Different therapeutic approaches, such as cognitive-behavioral therapy (cbt), dialectical behavior therapy (dbt), or mindfulness-based therapy, can be effective. Medication: consult a psychiatrist to discuss the potential benefits of medication. Medication can be useful in managing anxiety, but it's important to have a professional guide this process. Self-care: engage in activities that bring you joy and relaxation, such as reading, hobbies, or spending time in nature. Journaling: writing down your thoughts and feelings can help you process and manage them. Breathing exercises: practice deep breathing exercises to help you stay calm during moments of anxiety. Seek professional help: if your anxiety is severe and interfering with your daily life, consider reaching out to a mental health professional for guidance and treatment options. 

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

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Back pain exercises; kindly do these exercises. Back pain is described as acute or chronic based on how long you’ve had it. Acute pain lasts days to weeks, subacute pain lasts six weeks to three months, and chronic pain lasts longer than three months. Things that make it better or worse back pain may get worse with movement or if you sit or stand for a long time. It may get better if you switch positions or walk around. Other symptoms you may experience with back pain include: •the painful spot looking swollen and feeling tender to the touch •a muscle spasm in the painful area •numbness or weakness in one or both of your legs (if the pain is due to a nerve issue) if you find you have back pain and can’t hold your urine or bowel movements, something is pressing on your spinal nerves, and you should be evaluated immediately. This condition, called cauda equina syndrome, can cause severe long-term damage to your spinal nerves if not treated right away. 6 imbalances that cause pain—and how to fix them "pain is a medical condition and a medical issue, says brett jones, owner of applied strength in pittsburgh who is certified for the functional movement screen, a system of tests and cor rective exercise strategies. "it's a warning sign. The pain is there to tell you something's wrong. And that warning sign could be more serious than "you're going too hard. Jones and the other coaches consulted for this piece all had a horror story to tell-when pain in a client meant a more serious condition such as a nerve issue, thyroid issue, or even cancer. The point: if you experience regular pain while exercising-or when you're not-go to the doctor. If you've been cleared by a doc and you're still feeling discomfort, try these simple tests to see what's truly causing the pain-it could be related to an imbalance in a completely different part of your body. The good news: with these drills, stretches, and corrective exercises, you may be able to fix them-no doctors necessary. 1. Standing extension how it helps – this standing extension helps reverse what you do on a daily basis (hunching)… since most bulging discs and herniated discs are caused by poor posture and repeated flexion of the spine (esp bending fwd in bad posture), this stretch helps push the disc back to neutral position. How to do it – begin this exercise by standing up with good posture. Now take both hands and place them on both sides of your lower back. Now with the help of your hands push your pelvis forward and extend your spine back. Follow the extension with your neck so that you end up facing the ceiling. – start with 10 repetitions and do 2-3 sets. – this one is particularly great to do when you need a break from sitting at your desk. ** this should not cause any pain. If you feel pain during it is not a good one for you. In that case, stop and try some of the other exercises below instead. 2. Half cobra pose (prone lumbar extension) how it helps – the half cobra stretch helps to push the disc material back towards the center of the inter-vertebral disc to allow for improved healing. The goal of repeated lower back extension is the “centralization of symptoms”, which basically means pain that travels down the affected leg to the foot should come back up closer to the low back – which will in turn alleviate the pain. How to do it – begin this exercise by lying on your stomach (prone position) and slowly prop yourself up on your elbows while keeping your hips in contact with the floor. – hold the prop-up position for 10-15 seconds before returning to the prone position (lying face down). – gradually increase to holding the end position for 30 seconds. Aim for 10 repetitions of this stretch. ** initially, you may not be able to tolerate this position very well, so make sure you start slowly and carefully. If there’s any pain, try a different exercise instead. 3. Full cobra pose (advanced extension) how it helps – this stretch is based on the same principle as the half cobra pose above. This advanced extension helps to push disc material back towards the center of the intervertebral disc, with the goal of alleviating pain symptoms. How to do it – once you’ve mastered the half cobra pose, you can increase the difficulty by moving to the advanced version of this stretch. Begin this exercise by lying on your stomach in the prone position (lying facing down) and slowly press up on your hands while keeping your pelvis in contact with the floor and lower back relaxed. – hold the prop-up position for 10 seconds. Aim for 10 repetitions of this stretch. – eventually try to hold this pose for longer if it feels good (20-30 seconds). ** if you feel pain during this exercise, it is not a good one for you. In that case, stop and try some of the other exercises instead. 4. Cat-cow how it helps – this is one of the most popular herniated disc exercises. By combining two yoga poses, the cat-cow stretch can help to relieve pressure on the herniated disc by opening the intervertebral disc space. It also improves mobility of the spine, which may help to relieve disc herniation pain and speed recovery. How to do it – begin this stretch on your hands and knees. Inhale and let your stomach “drop” towards the floor as you look up towards the ceiling. – follow this by exhaling and slowly rounding your spine while pressing into the floor with your hands and slightly curving your neck to look at your feet. – aim for 10 repetitions of this stretch and do 2-3 sets. How it helps – this exercise will help strengthen and stabilize your lower back and deep spine muscles. This will help you to maintain a good posture and avoid future episodes of herniated discs. How to do it: – begin on your hands and knees with your hands positioned under your shoulders and knees positioned under your hips. – raise your left arm and reach it forwards until it is aligned with your torso; at the same time, kick your right leg backwards until is it aligned with your torso. – hold this position for 2-3 seconds before slowly returning to the starting position. – repeat with your right arm and left leg. – alternate sides for 10 repetitions and do 2-3 sets. ** ensure that your head, neck, and back maintain a neutral alignment to minimize stress on your neck. 5.plank: how it helps – just like the bird dog, this “core” exercise will help bring your pelvis into right position by strengthening the deep spinal muscles and glutes (butt muscles). How to do it – begin lying on your stomach with your forearms against the mat. – engage your core and lift your body so that you are resting on your forearms and toes. – start with 10 second holds and work up to 30 second holds, do 2-3 sets. ** ensure to keep your back straight throughout the entire exercise – spine in neutral position. Thoracic expansion if you’re using a chair, sit facing forward and allow your upper body to fall over the back of the chair. Extend your arms above your head for a deeper stretch. Hold either position for 10 seconds. 1. Plank the world record for the longest plank is 8 hours. Luckily, you don’t need to hold it that long for the exercise to have an effect! in fact. You can hold it for 10-15 seconds. • the plank is similar to a push-up position, but instead of resting on your hands, you rest on your elbows and bring them directly underneath your chest. • after kneeling, lean forward and place your elbows on the ground directly below your shoulders. • lift your knees off of the floor and push your feet back. Ensure your back is straight and keep your neck aligned with the rest of your spine. • hold the position and tighten your core muscles for the desired time. 2. Side plank just like the original plank, but only balancing on one side. • lie on the floor on your side, facing sideways with your feet together. • lift up your body until you are supporting yourself with your elbow, directly below your shoulder. • raise your hips until your body is in a straight line and tighten your core muscles; your body should create a slant from your shoulders to your feet. • hold this position without dropping your hips. • repeat on the opposite side. 3. Pelvic tilt with exercise ball sit on a ball that allows your legs to be at a 90-degree angle with your feet flat on the floor. • keep your shoulders back and spine straight. • tilt your hips forward and flex your abdominals tight. • tilt your hips backward as you stick your tailbone out. • move back and forth slowly, keeping your shoulders back. • repeat 10 times for 3 sets. 4. Superman lie on your stomach, face down, with your arms out in front of you. • lift arms, legs, and chest off the floor simultaneously while keeping your hips grounded. • hold for a minimum of two seconds. • lower back down slowly. • repeat 10 times for 3 sets. 6. Crunches lie flat on your back, placing your feet flat on the floor with your legs bent. • fold your arms across your chest and lift your torso up until your head, neck, and torso are off the ground. • hold for a moment before lowering back down. • repeat. 6. Quadruped arm opposite leg raises • kneel on the floor, lean forward, and place your hands palm-down on the floor. • make sure your back is straight, your knees are below your hips, and that your palms are directly below your shoulders. • raise one arm as you raise the opposite leg until both are aligned straight out from your body, parallel to your spine. 

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