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My Heart Hurts All The Time

This is my first time this is happening to me I feel so dizzy and tired and about to faint, my heart is racing so fast and it hurts a bit.

Dr. Sreepada Kameswara Rao 96% (20322 ratings)
DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopathy Doctor, Hyderabad
This is my first time this is happening to me I feel so dizzy and tired and about to faint, my heart is racing so fas...
Your feeling dizzy and tired and about to faint, heart is racing so fast and it hurts a bit. You need personal examination. Please consult your local physician for checkup and advice.
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I have a best frend and in last 1 year we spent most of our time connected and I started to have some feelings for him. One day I confessed how I feel knowing there's nothing from his side. And within a month I came to know he is in a relationship. And now i'm unable to face him. I cannot talk to him like before. He's upset too on losing me bt I feel helpless. We have a very important exam coming in november and all this has affected me very badly. I cannot sleep and concentrate on anything. I was depressed already because I failed in exam and then all this added to it. I feel helpless because I cannot control my feelings. Seeing him with someone else is heart breaking and losing friend too.

Dr. Sushil Kumar Sompur 93% (2748 ratings)
MB BS, MD - Psychiatry, MBA - Healthcare
Psychiatrist, Davanagere
I have a best frend and in last 1 year we spent most of our time connected and I started to have some feelings for hi...
It is understandable that you are going through all these emotions. However, you should also come to the realization that your interest in him went unexpressed and you had expectations that this guy would come to like you. Having expectations is a whole different thing from having those expectations met. If you can focus on something that you could move on, it would not be difficult for you. You need counseling and if you are feeling depressed for more than 2 weeks now with other co-occurring symptoms, I suggest that you consult a psychiatrist. Look forward to hearing from you. If you need help with booking an appointment online with me on this website either text, an appointment for a confidential and private consultation you may do so by contacting the help desk of Lybrate.
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We approached this person x for my son's career counselling. We were guided. Thereafter this person x extended her hand for friendship and it happened too fast. She started coming on weekends at our place and we became good friends. I was a quite person by nature and I was asked to speak out and gradually I started sharing my left foot trauma with her. Which I suffered for 4 year's.when I lost my confidence ,lost my job, was going through major financial issues .no physio was ready to take up my case as the surgery went wrong and it was a complicated case so I was on bed with limited movements for 2 year's.after my second surgery I finally found a physio who was reasonable and was ready to take up my case and my treatment began. But my physio was going through depression and started sharing things with me which I was not comfortable. She was quite irregular in her taking sessions because of her personal issues. Because of which I used to take 5 steps forward and 10 steps backward. But I had started managing my day to day life, with her on and off sessions. Though I did not recover completely as the treatment was not regular according to the ortho. I tried looking for other physios in the meantime to get regular sessions but either they refused to take up my complicated case or they were way to expensive and due to our finances I couldn't take it up. My foot reached a state where I was told if not treated properly it might have to be amputee. I cried and cried requested this physio to take the session but she asked me to look for someone else as ahe was going through a tough time. In-between I used to keep guiding her and brought her to a state where she gave up the thought of committing suicide because of her personal issues. Thereafter a physio who had come from indore to do his research work for a year came to delhi, spinal injury. And treated me .my sister funded for the treatment and with our efforts I bounced back and lead more or less a normal life. Now when this friend x started helping and guiding me with my issues and told me to pursue counselling as a career, it was my passion too. But her following nature used to trigger my emotions as there was lot of similarity in my physio who was into depression and this person x.eg 1. Giving time and then not taking the session. As sometimes she did not feel like. 2. Both my x physio and this x therapist had toxic relation and I tried to be there by their side through and through guiding them. Giving them emotional support etc 3. Asking for area's where they need to work on and when candid opinion was given they used to get upset but not show. So I realized that people ask to be candid but then not necessarily I have to do so. And the list is on. Our issues used to be trival but they used to take an ugly turn. Blaming each other. We used to have immature arguments. Worse was whenever this person used to have counter transference, then she used to exit common groups etc. So our common friend told her to handle her counter transference. As if she is guiding me and she knows my issue is transference and if she also behaves in this manner then how will she handle my case. But after this person x separated with her friend who was a narcissistic she developed the habit of lying on occasions and gaslighting which is not a part of her personality at all. I tried conveying it to her through examples but she got furious. One day she tested me that she is going out of my life which was really heart ful. I requested her to give me some guidance on how to work on my transference so that I work on myself but I was told to help myself though I apologized too. After 15 days she tested me and my husband and invited us home for dinner for some celebration.in those 15 days I joined sudarshan kheer etc but still did not know how to work on my issues. I had stopped seeking help from her and wanted to work on my transference so I requested her to send across my tests etc which she took .this messaging again led to our triggers and she said she has torn my reports etc which made me very upset. Worst was when she said that she had predicted to a common friend that I will associate with her x narcissistic friend and do counselling. It made me mad. And in return I said all mean things to her. And tested her that now I will get in touch with her only when she wants and will wait for that day. Till now she has not reverted and had sent me narc msgs and told our common friend the same and I actually felt I had developed narc traits but got it ruled out. She is a wonderful person sir otherwise ,she herself has gone through a lot in life. After a narc relationship something is gone wrong and of course she has her triggers too. My issue is I had found a good friend. But whenever I used to see similarities of my physio behaviour in her I used to get my triggers and said things to her which was wrong on my part. I want to come out of this transference now sir.

Dr. Sushil Kumar Sompur 93% (2748 ratings)
MB BS, MD - Psychiatry, MBA - Healthcare
Psychiatrist, Davanagere
We approached this person x for my son's career counselling. We were guided.
Thereafter this person x extended her ha...
We are glad that you are able to share your story at length. It does sound like your physical problems needed to be treated and the only person you found who could handle your case had some psychiatric issues herself. I believe that it does affect your recovery as you mention that you would take one step forwards and 2 steps backwards in your recovery. This would have been seen as a red flag by anyone and this should have made you seek attention from a different physiotherapist. It usually does not help for you as a patient to have advised and helped your therapist who was going through depression. It is not good for a therapeutic relationship. It does however seem like you are in a place where finding a therapist should not be difficult at all. The ncr region has many good physiotherapists and you might have to go to their clinics to find help. Our Lybrate team may be able to help you find a good therapist since recovery is important to you. Also it seems like if the doctors think that the progress made is minimal, you may need revision surgery or even amputation. We believe it will also help for you to be on medications. If you are already on medications or have been on any in the past to deal with depression and anxiety as a result of physical injury or due to transference issues with your physiatrist, I recommend that you share it with us so as for us to help you better. We would like for you to recover fully, both physically and emotionally and not be disrupted by transference from working with your physiotherapists. I suggest you consult us online. Look forward to hearing from you. If you need help with booking an appointment online with me on this website either text, an appointment for a confidential and private consultation you may do so by contacting the help desk of Lybrate.
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Hello I am a 24 years old female a couple months ago I was having chest pains and I felt so weird inside I felt like I was going to die but a couple days and it went away I brushed it off at as bad heart burn then just a couple of days ago it came back but I do not feel like i'm going to die. The chest pains come and go, they feel sharp like someone is poking me with a needle sometimes they start on the right side then move over to the left and the middle. On top of that I get tingly feelings in my left arm as if it fell asleep and also there is pain in my upper back it feels sharp as well. Along with headaches that come and go in different parts of my head. Sometimes I think it's my anxiety, then sometimes I slouch and when I sit up straight I don't feel chest pain and sometimes when I yell my chest starts to hurt. This pain comes and goes, its bearable but unusual for me does it seem serious?

Dr. Karuna Chawla 97% (74234 ratings)
BHMS
Homeopath, Noida
Hello I am a 24 years old female a couple months ago I was having chest pains and I felt so weird inside I felt like ...
As you have stated your symptoms in detail. It can be gas/acidity or cervical spondylosis or anaemia or muscle spasm or as mentioned anxiety /stress etc. Now to differentiate I further need details. Also get your thyroid profile, CBC blood sugar fasting, an x-ray of cervical spines done from some lab. 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.For more details, you can consult me.
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2 years back I faced betrayal from one of my colleague in office due to which I suffered generalized anxiety disorder. I was prescribed nexito plus for 5 months and I got completely cured. 2 years no issues. This year in feb again I started getting anxiety due to call from same friend. I was managing it without any medicine. I used to go through some of the confession pages of company where ppl write all kind of dark confession like their extra marital affair or the affair before marriage and all. I started putting myself in that place due to anxiety and thought what if same thing happen with me. What if my partner hide things from me. I started getting anxious. I started imagining that what if she had anyone before me and all. We are together for 9 years and I never had these thoughts till date but yes I was very possessive for her. I was never comfortable around her male friend. They were never close but nowadays I am started thinking what if someone has touch her which is not true as I am aware of everything. She is one of the best person anyone can have in life. She is most simple and down to earth person and that is why I am feeling terrible and disgusted why even I am getting this thought. I am feeling ashamed and guilty of myself. I am getting afraid that this should not make be sick so much that I loose her and my family. I cannot live a single moment without her. She is my whole world.

Dr. Saul Pereira 92% (48853 ratings)
Reparenting Technique, BA, BEd, Transactional Analysis
Psychologist, Bangalore
2 years back I faced betrayal from one of my colleague in office due to which I suffered generalized anxiety disorder...
Where there is perfect love, there is no fear. Because you are so afraid, you will be very suggestible. You will also tend to believe in your fantasies and may be prompted to act from that belief. Your insecurity stems from some experience in your life that has made you vulnerable to fear/anxiety and will become quite suggestible. You must meet with a counsellor and talk about your emotions and deal with fear completely both with past and future related issues. Mere use of medication will not suffice and must be combined with counselling to get the best results. If your wife is all of what you say she is, then trust her and live in genuine love. By suspicion, you may destroy an otherwise good relationship. Before that happens to go for therapy and work out all your fears, real and unreal thoroughly.
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2 years back I diagnosed with mixed anxiety & depression. Since then I am struggling to recover. Taken allopathy for more than a year, then condition somewhat improved, after resuming duty as I work in rotating shifts in a company, then my brain started weakening, after each night shifts my mental ability declined gradually. Now no medicine is working out for me so suicidal thoughts coming to mind as I think in a very short time I would be a mentally disabled person. How should I cope up? allopathy has worked for me temporarily. My Dr. tried changing medicine but no result. Pls help me out.

Dr. Sajeev Kumar 91% (38624 ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
2 years back I diagnosed with mixed anxiety & depression. Since then I am struggling to recover. Taken allopathy for ...
Anger management: 10 tips to tame your temper anger: there is a saying "frustration begets anger and anger begets aggression. Direct anger, is expressed toward the object perceived as the cause of the frustration. If a machine does not work, you might hit it or kick it. If someone gets in your way, you could verbally threaten them or push them aside. If the source of the frustration is too powerful or threatening for direct aggression, displaced aggression is often used. The aggression is redirected toward a less threatening and more available object. An angry person often acts without thinking. The person has given in to the frustration and they have given up restraint. Anger can be a healthy response if it motivates us to positive action but all too often the actions we engage in when angry are destructive. Indeed, if we could see a videotape of ourselves getting angry, the humiliation might well help cure us of anger. When you feel frustration building, you have to practice learned responses that lead to healthy actions instead of destructive ones. Giving up: giving up on a goal can be productive if the goal is truly out of reach. However, more often giving up (quitting or being apathetic) is another form of giving in to frustration. When repeatedly frustrated, people can drop out of school, quit jobs, or move away. Apathy is giving up all of your goals, so you cannot be frustrated by trying to reach them. We live in a difficult time and we have to be persistent in order to accomplish. Consider how many projects you began, and then gave up, because you became frustrated and lost patience. Make a list of things you started and quit because they seemed too difficult. Now calculate the disappointment and loss you suffered by not dealing with the frustration in a more healthy way. Try to remember that quitters never win, and winners never quit. Losing your temper means you're a quitter. Loss of confidence: is a terrible frequent side effect of giving up and not fulfilling your goal. A loss of self-confidence and self-esteem, means that if we quit once, then the next time we plan a goal, we may not be able to accurately assess our ability to carry it out and we stop trusting ourselves and our own abilities. This became a self-fulfilling and self-destructive attitude. You need to be able to learn that when the going gets tough, you say to yourself "it is worth it! and by following through, it not only gets the job done, but it builds self-confidence. Stress: is the "wear and tear" our body and mind experiences as we adjust to the frustrations our continually changing environment. Too frequently, extreme or prolonged frustration and stress strains us and generates distress signals. Our body experiences distress signals in a variety of ways, often in the form of irritability, anger, fatigue anxiety, headache, depression, stomach aches, hypertension, migraines, ulcers, heart attacks, or colitis. Depression: depression can affect almost every aspect of your life. It affects people of all ages, income, race, and cultures. Depression can affect the way you eat and sleep the way you feel about yourself, the way one thinks about things, and the way you interact with others. While we all feel depression at various appropriate times in our lives, excess or inappropriate depression cannot be easily dismissed or wished away. Other reactions: abuse of drugs & alcohol is a self-destructive and usually futile attempt at dealing with frustration, as are many eating and weight problems and addictions whenever the immediate effects of the addictive behaviour wear off, users find themselves back in the same, or even worse, frustrating situation. Anger is among the gamut of emotions we exhibit as a reaction to a situation, and it is a 'normal' emotion too as long as it is kept under control. Some people have the propensity to explode when pushed to the extreme. They keep swallowing their emotions until they can finally do it no more, and erupt like a volcano. Others dealing with extreme anger are like a ticking time bomb. You'll never know what you unwittingly say or do can trigger an explosion. In either case, anger that cannot be controlled comes with a physical reaction. Your heart beats faster preparing you for both action and reaction. Your breathing quickens. You may clench your fist, tighten your shoulders and go into a defensive position. The problem arises out of the fact that it is almost impossible to feel anger and empathy at the same time. An angry person is seldom sensitive to the wellbeing of his victim, and hence may lash out verbally and sometimes physically. Such things are done in the heat of the moment mostly leaves us with regrets. So here are a few ways to deal with extreme anger. 1.Approve it / acknowledge it: the first step in solving a problem is recognizing that you have one. The fundamental problem here is that people believe they are on the right track and refuse to budge from their views. It is essential to realize that this step is not about deciding whether you are right or wrong but acknowledging the fact that your reaction to the situation can be channelled in a better way. When getting someone to acknowledge their anger problem, be careful as to not use negative words like wrong, false and shouldn't. Instead, influence with positive words like can and should. Instead of saying 'you are wrong to react like this' you can say, 'i understand what you are feeling. Is there a way we can resolve this situation? 2.Understand/recognize the signs: once you know that your problems exist, you can try devising ways that will work for you in dealing with the situation. You can count to 100 to calm yourself or simply decide to not speak until you can calm yourself. Knowing that you may enter into an argument in a situation, you can list down the points that you feel strongly about and discuss each of them one by one. Working your way through a finite list gives a better opportunity to reach closure at the end. 3.Free the mind/find ways to let it go: not all arguments end inclosure. A lot of unsaid justifications cloud our mind repeatedly leaving us seething from the inside. Research has shown that the normal or neurological anger response lasts less than two seconds. Beyond that it takes a strong will to stay angry. Once you realize how much your anger is consuming your mind, decide to free your mind with meditation and other calming exercises. Tell yourself that some people and issues simply don't deserve your anger, emotion, reaction or time. If you or someone you know is suffering from anger management issues, consult a doctor today. Problemanger is good. It protects you. But intense, uncontrolled anger may destroy valuable relationships. Anger is a result of anxiety and fear. When we assume that our expectations will not be met, we become anxious. When we feel unsure about our own capabilities we become anxious. This anxiety creates fear. Anxiety comes from our beliefs. All beliefs can be modified. Anger has lots of energy. Avoid arguments/confrontations when you are very angry. When you are very angry you are likely to use rough language which may damage your relations and you are likely to behave impulsively. All this you might regret later on. Following are a few techniques which will help you to manage your anger in difficult situations: 1.Sit down and have a glass of water, slowly. This will help you to calm down a little. 2.Avoid or go away from that room or situation. Tell the people concerned, that you are angry and would like to discuss it some other time. 3.Deep breathing exercises help a lot. Close your eyes, take 10 deep breaths, turn your attention towards your body. See what is happening to your body. Tell your body muscles to relax. If your heart is beating fast, if you are breathing fast, continue deep breathing, till it normalises. 4.Now understand what is making you angry. Understand your own anxiety and fear related to the issue. 5.Let the other person know how you are “feeling”. Start your statements, “i feel hurt/insulted/let down/neglected etc. When you do this”, instead of saying “you hurt/neglect me”. When you express your feeling in this manner, the other person does not feel blamed, which makes the other person more receptive. 6.Focus on the current issue, don’t bring in past situations. 7.Tell the other person, what you want or expect, instead of telling what you do not want. E.g. Instead of saying “i don’t want you to go out now”, say “i would like you to stay at home today”. 8.Listen carefully what the other person wants to tell you. Give others a chance to voice their opinions. 9.Make an eye contact and be firm but polite while communicating your point of view. 10.Understand everyone’s responsibility in the situation. Try to see, what is your share in the problematic situation? Work on that. 11.Understand what change you want. 12.Have realistic expectations from others and also from yourself. If you wish to discuss about any specific, problem you can consult me by clicking consult option frustrationlife is full of frustrations. From the minor irritations of losing something to the major problem of continued failure towards a desired goal. Since many of the things we truly want require a degree of frustration, being able to manage frustration is required in order to allow us to remain happy and positive even in trying circumstances. Understanding frustration frustration is an emotion that occurs in situations where a person is blocked from reaching a desired outcome. In general, whenever we reach one of our goals, we feel pleased and whenever we are prevented from reaching our goals, we may succumb to frustration and feel irritable, annoyed and angry. Typically, the more important the goal, the greater the frustration and resultant anger or loss of confidence. Frustration is not necessarily bad since it can be a useful indicator of the problems in a person's life and, as a result, it can act as a motivator to change. However, when it results in anger, irritability, stress resentment, depression or a spiral downward where we have a feeling of resignation or giving up, frustration can be destructive. What causes frustration? Frustration is experienced whenever the results (goals) you are expecting do not seem to fit the effort and action you are applying. Frustration will occur whenever your actions are producing less and fewer results than you think they should. The frustration we experience can be seen as the result of two types of goal blockage, i.e. Internal and external sources of frustration. Internal sources of frustration usually involve the disappointment that get when we cannot have what we want as a result of personal real or imagined deficiencies such as a lack of confidence or fear of social situations. Another type of internal frustration results when a person has competing goals that interfere with one another. The second type of frustration results from external causes that involve conditions outside the person such as physical roadblocks we encounter in life including other people and things that get in the way of our goals. One of the biggest sources of frustration in today's world is the frustration caused by the perception of wasting time. When you're standing in line at a bank, or in traffic, or on the phone, watching your day go by when you have got so much to do, that's one big frustration. External frustration may be unavoidable. We can try to do something about it, like finding a different route if we are stuck in traffic, or choosing a different restaurant if our first choice is closed, but sometimes there is just nothing we can do about it. It is just the way life is. Our goal in dealing with external sources of frustration is to recognize the wisdom of the serenity prayer. God grant me the serenity to accept the things I cannot change; courage to change the things I can; and wisdom to know the difference. One can learn that while the situation itself may be upsetting and frustrating, you do not have to be frustrated. Accepting life is one of the secrets of avoiding frustration. Responses to frustration some of the "typical" responses to frustration include anger, quitting (burn out or giving up), loss of self-esteem and self-confidence, stress and depression. Learning to deal with frustration it is unrealistic to believe you can rid yourself of frustration forever, but you can learn to do things to minimize your frustrations and to make sure you do not engage in unhealthy responses to frustration. You will need to learn to distinguish between what you hope will happen, what will probably happen, and what actually happened. Life inevitably has its ups and downs -- its moments of relaxation and times of tension. When you learn to truly accept this reality, you come one step closer to being able to deal with frustration in a healthy way. There are several types of problems that we encounter in everyday living: those which you know can be solved, those which you are not sure if they can be solved or not, those you know are totally out of your control, and those you are so confused about that you do not even know what the problem is. You need to be able to accurately assess your abilities to alter situations that prevent you from solving your problems and reaching your goal. Then you will be able to assess which of the types of problems you have encountered, and you will then be able to develop a realistic plan. Learning to take things in stride will also help you to be more content and happy which, in turn, will help you to more easily overcome anger and frustration. If you are upset, sad, anxious, or depressed you will have less patience and tolerance for everything and everybody. Treatment of frustration frustration and anger are fundamental emotions that everyone experiences from time to time. From a very early age, people learn to express frustration by copying the behaviour they see modelled around them, and by expressing frustration and angry behaviour and seeing what they can get away with. We all suffer from frustration, and being able to effectively deal with frustration is a very important skill to develop. Each person needs to learn how to control frustration, so that it does not control them. The following is a brief overview of types of frustration management programs and resources that have proved helpful in understanding and controlling frustration and anger. I have found several approaches to treatment that have been effective for my clients including: individual and group therapy for anger management. A therapist who can observe and analyse your behaviour from an impartial perspective, can help you with your reality testing. A therapist knows many effective frustration and anger management strategies and will be able to help you develop a personalized set of strategies for changing both your thinking and behaviour. Depending on your needs, your therapist may work with you on breathing or meditation exercises to reduce frustration, safe and appropriate emotional and physical techniques to release frustration, communication, or cognitive restructuring (a method for disputing and changing the way you think). Relaxation and exercise simple relaxation tools such as deep breathing and relaxing imagery can help calm down feelings of frustration and anger. Breathing deeply, from your diaphragm, will help while breathing from your chest won't relax you. While breathing, you can slowly repeat a calm word or phrase such as "relax, "calm down" or "take it easy. Non-strenuous exercise, like yoga, can relax your muscles and make you feel much calmer. Strenuous and vigorous exercise can also help you to work off frustration and angry feelings. Frustration can have a highly damaging impact on our frame of mind. It can turn a positive person into a person who sees nearly everything as a problem. It can slow you down, inhibit your progress, and at times completely immobilize you. We can become so wound up with our frustration that we do not, and cannot, think or act rationally. Our frustration can often exacerbate a situation and create a vicious circle. If we are convinced that our actions are not working, no matter how hard we try, we are much more likely to reduce, rather than increase, our chances of success. Remember, you cannot eliminate frustration. In spite of all your efforts, things will happen that will cause you frustration and anger. Life is filled with frustration, pain, loss, and the unpredictable actions of others. You can't change that; but you can change the way you let such events affect you. If you feel that your degree of frustration is really out of control, if it is having an impact on your relationships and on important parts of your life, you might consider counselling to learn how to handle it better. Please contact me privately on this site or another therapist.
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I am a patient of ankylosing spondylitis. Hlab positive. Now my crp-70. Dr. Suggest me to take biologic injection. I feel so much pain in my feet and also in shoulder. But I scared that if I take once the injection I can't stop. Oral medicine will not fruitful in future. Biologic are costly also. So I confused. How can I control my crp. If I take oral medicine long time it has sidekick also. So what to do. Please help me.

Dr. Julie Mercy J David 91% (31661 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am a patient of ankylosing spondylitis. Hlab positive. Now my crp-70. Dr. Suggest me to take biologic injection. I ...
Ankylosing spondylitis (pronounced ank-kih-low-sing spon-dill-eye-tiss), or as, is a form of arthritis that primarily affects the spine, although other joints can become involved. It causes inflammation of the spinal joints (vertebrae) that can lead to severe, chronic pain and discomfort. Symptoms of ankylosing spondylitis •pain and stiffness. You may have constant pain and stiffness in the low back, buttocks, and hips that continues for more than 3 months. Ankylosing spondylitis often starts around the sacroiliac joints, where the sacrum (the lowest major part of the spine) joins the ilium bone of the pelvis in the lower back region. It might hurt more at night and get better when you wake up. You might also feel pain in other joints such as your knees, shoulders, and jaw. •bony fusion. Ankylosing spondylitis can cause an overgrowth of the bones, which may lead to abnormal joining of bones, called "bony fusion. Fusion affecting bones of the neck, back, or hips may affect your ability to perform everyday things. Fusion of the ribs to the spine or breastbone may limit your ability to expand your chest when taking a deep breath. •pain in ligaments and tendons. Spondylitis also may affect some of the ligaments and tendons that attach to bones. Tendinitis (inflammation of the tendon) may cause pain and stiffness in the area behind or beneath the heel, such as the achilles tendon. •bent posture. If as has gone undiagnosed and untreated, you might have a stooped posture from changes to your vertebrae. •breathing problems. Changes in posture can lead to changes in your lungsthat make it hard to breathe. •heart trouble. The inflammation can also affect your heart. •eye problems. As is linked to uveitis, a condition that causes inflammation in your eyes. Symptoms include pain, light sensitivity, and blurry vision. •inflammatory bowel disease. The inflammation can also affect your digestive system. You might notice diarrhea, belly pain and cramps, bloody poop, less appetite, and weight loss without trying. •psoriasis. About 10% of people with as have this immune system disease that causes scaly, itchy red patches on their skin. •fatigue. You could feel run down because of lack of sleep due to pain or as a part of the disease process itself. •dactylitis. You may get swollen toes or fingers. •fever. You might have a mild fever. Over many years, as can cause new bone to grow on your spine, fusing the vertebrae and making it harder to move. This can cause severe stiffness. About half the people who have as get osteoporosis, or brittle bones. Exercises for the back, neck and.
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My problem is anger and depression. I do not know why I am getting angry. All time. And after that. Depression comes. It mostly affects my life. I tried my best to control this but not success. This problem I faced since 6 month. Please doctor kindly suggest me what to do.

Dr. Sajeev Kumar 91% (38624 ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Anger: there is a saying "frustration begets anger and anger begets aggression. Direct anger, is expressed toward the object perceived as the cause of the frustration. If a machine does not work, you might hit it or kick it. If someone gets in your way, you could verbally threaten them or push them aside. If the source of the frustration is too powerful or threatening for direct aggression, displaced aggression is often used. The aggression is redirected toward a less threatening and more available object. An angry person often acts without thinking. The person has given in to the frustration and they have given up restraint. Anger can be a healthy response if it motivates us to positive action but all too often the actions we engage in when angry are destructive. Indeed, if we could see a videotape of ourselves getting angry, the humiliation might well help cure us of anger. When you feel frustration building, you have to practice learned responses that lead to healthy actions instead of destructive ones. Giving up: giving up on a goal can be productive if the goal is truly out of reach. However, more often giving up (quitting or being apathetic) is another form of giving in to frustration. When repeatedly frustrated, people can drop out of school, quit jobs, or move away. Apathy is giving up all of your goals, so you cannot be frustrated by trying to reach them. We live in a difficult time and we have to be persistent in order to accomplish. Consider how many projects you began, and then gave up, because you became frustrated and lost patience. Make a list of things you started and quit because they seemed too difficult. Now calculate the disappointment and loss you suffered by not dealing with the frustration in a more healthy way. Try to remember that quitters never win, and winners never quit. Losing your temper means you're a quitter. Loss of confidence: is a terrible frequent side effect of giving up and not fulfilling your goal. A loss of self-confidence and self-esteem, means that if we quit once, then the next time we plan a goal, we may not be able to accurately assess our ability to carry it out and we stop trusting ourselves and our own abilities. This became a self-fulfilling and self-destructive attitude. You need to be able to learn that when the going gets tough, you say to yourself "it is worth it! and by following through, it not only gets the job done, but it builds self-confidence. Stress: is the "wear and tear" our body and mind experiences as we adjust to the frustrations our continually changing environment. Too frequently, extreme or prolonged frustration and stress strains us and generates distress signals. Our body experiences distress signals in a variety of ways, often in the form of irritability, anger, fatigue anxiety, headache, depression, stomach aches, hypertension, migraines, ulcers, heart attacks, or colitis. Depression: depression can affect almost every aspect of your life. It affects people of all ages, income, race, and cultures. Depression can affect the way you eat and sleep the way you feel about yourself, the way one thinks about things, and the way you interact with others. While we all feel depression at various appropriate times in our lives, excess or inappropriate depression cannot be easily dismissed or wished away. Other reactions: abuse of drugs & alcohol is a self-destructive and usually futile attempt at dealing with frustration, as are many eating and weight problems and addictions whenever the immediate effects of the addictive behaviour wear off, users find themselves back in the same, or even worse, frustrating situation. Anger is among the gamut of emotions we exhibit as a reaction to a situation, and it is a 'normal' emotion too as long as it is kept under control. Some people have the propensity to explode when pushed to the extreme. They keep swallowing their emotions until they can finally do it no more, and erupt like a volcano. Others dealing with extreme anger are like a ticking time bomb. You'll never know what you unwittingly say or do can trigger an explosion. In either case, anger that cannot be controlled comes with a physical reaction. Your heart beats faster preparing you for both action and reaction. Your breathing quickens. You may clench your fist, tighten your shoulders and go into a defensive position. The problem arises out of the fact that it is almost impossible to feel anger and empathy at the same time. An angry person is seldom sensitive to the wellbeing of his victim, and hence may lash out verbally and sometimes physically. Such things are done in the heat of the moment mostly leaves us with regrets. So here are a few ways to deal with extreme anger. 1.Approve it / acknowledge it: the first step in solving a problem is recognizing that you have one. The fundamental problem here is that people believe they are on the right track and refuse to budge from their views. It is essential to realize that this step is not about deciding whether you are right or wrong but acknowledging the fact that your reaction to the situation can be channelled in a better way. When getting someone to acknowledge their anger problem, be careful as to not use negative words like wrong, false and shouldn't. Instead, influence with positive words like can and should. Instead of saying 'you are wrong to react like this' you can say, 'i understand what you are feeling. Is there a way we can resolve this situation? 2.Understand/recognize the signs: once you know that your problems exist, you can try devising ways that will work for you in dealing with the situation. You can count to 100 to calm yourself or simply decide to not speak until you can calm yourself. Knowing that you may enter into an argument in a situation, you can list down the points that you feel strongly about and discuss each of them one by one. Working your way through a finite list gives a better opportunity to reach closure at the end. 3.Free the mind/find ways to let it go: not all arguments end inclosure. A lot of unsaid justifications cloud our mind repeatedly leaving us seething from the inside. Research has shown that the normal or neurological anger response lasts less than two seconds. Beyond that it takes a strong will to stay angry. Once you realize how much your anger is consuming your mind, decide to free your mind with meditation and other calming exercises. Tell yourself that some people and issues simply don't deserve your anger, emotion, reaction or time. If you or someone you know is suffering from anger management issues, consult a doctor today. Problemanger is good. It protects you. But intense, uncontrolled anger may destroy valuable relationships. Anger is a result of anxiety and fear. When we assume that our expectations will not be met, we become anxious. When we feel unsure about our own capabilities we become anxious. This anxiety creates fear. Anxiety comes from our beliefs. All beliefs can be modified. Anger has lots of energy. Avoid arguments/confrontations when you are very angry. When you are very angry you are likely to use rough language which may damage your relations and you are likely to behave impulsively. All this you might regret later on. Following are a few techniques which will help you to manage your anger in difficult situations: 1.Sit down and have a glass of water, slowly. This will help you to calm down a little. 2.Avoid or go away from that room or situation. Tell the people concerned, that you are angry and would like to discuss it some other time. 3.Deep breathing exercises help a lot. Close your eyes, take 10 deep breaths, turn your attention towards your body. See what is happening to your body. Tell your body muscles to relax. If your heart is beating fast, if you are breathing fast, continue deep breathing, till it normalises. 4.Now understand what is making you angry. Understand your own anxiety and fear related to the issue. 5.Let the other person know how you are “feeling”. Start your statements, “i feel hurt/insulted/let down/neglected etc. When you do this”, instead of saying “you hurt/neglect me”. When you express your feeling in this manner, the other person does not feel blamed, which makes the other person more receptive. 6.Focus on the current issue, don’t bring in past situations. 7.Tell the other person, what you want or expect, instead of telling what you do not want. E.g. Instead of saying “i don’t want you to go out now”, say “i would like you to stay at home today”. 8.Listen carefully what the other person wants to tell you. Give others a chance to voice their opinions. 9.Make an eye contact and be firm but polite while communicating your point of view. 10.Understand everyone’s responsibility in the situation. Try to see, what is your share in the problematic situation? Work on that. 11.Understand what change you want. 12.Have realistic expectations from others and also from yourself. If you wish to discuss about any specific, problem you can consult me by clicking consult option frustrationlife is full of frustrations. From the minor irritations of losing something to the major problem of continued failure towards a desired goal. Since many of the things we truly want require a degree of frustration, being able to manage frustration is required in order to allow us to remain happy and positive even in trying circumstances. Understanding frustration frustration is an emotion that occurs in situations where a person is blocked from reaching a desired outcome. In general, whenever we reach one of our goals, we feel pleased and whenever we are prevented from reaching our goals, we may succumb to frustration and feel irritable, annoyed and angry. Typically, the more important the goal, the greater the frustration and resultant anger or loss of confidence. Frustration is not necessarily bad since it can be a useful indicator of the problems in a person's life and, as a result, it can act as a motivator to change. However, when it results in anger, irritability, stress resentment, depression or a spiral downward where we have a feeling of resignation or giving up, frustration can be destructive. What causes frustration? Frustration is experienced whenever the results (goals) you are expecting do not seem to fit the effort and action you are applying. Frustration will occur whenever your actions are producing less and fewer results than you think they should. The frustration we experience can be seen as the result of two types of goal blockage, i.e. Internal and external sources of frustration. Internal sources of frustration usually involve the disappointment that get when we cannot have what we want as a result of personal real or imagined deficiencies such as a lack of confidence or fear of social situations. Another type of internal frustration results when a person has competing goals that interfere with one another. The second type of frustration results from external causes that involve conditions outside the person such as physical roadblocks we encounter in life including other people and things that get in the way of our goals. One of the biggest sources of frustration in today's world is the frustration caused by the perception of wasting time. When you're standing in line at a bank, or in traffic, or on the phone, watching your day go by when you have got so much to do, that's one big frustration. External frustration may be unavoidable. We can try to do something about it, like finding a different route if we are stuck in traffic, or choosing a different restaurant if our first choice is closed, but sometimes there is just nothing we can do about it. It is just the way life is. Our goal in dealing with external sources of frustration is to recognize the wisdom of the serenity prayer. God grant me the serenity to accept the things I cannot change; courage to change the things I can; and wisdom to know the difference. One can learn that while the situation itself may be upsetting and frustrating, you do not have to be frustrated. Accepting life is one of the secrets of avoiding frustration. Responses to frustration some of the "typical" responses to frustration include anger, quitting (burn out or giving up), loss of self-esteem and self-confidence, stress and depression. Frustration and anger are fundamental emotions that everyone experiences from time to time. From a very early age, people learn to express frustration by copying the behaviour they see modelled around them, and by expressing frustration and angry behaviour and seeing what they can get away with. We all suffer from frustration, and being able to effectively deal with frustration is a very important skill to develop. Each person needs to learn how to control frustration, so that it does not control them. The following is a brief overview of types of frustration management programs and resources that have proved helpful in understanding and controlling frustration and anger. I have found several approaches to treatment that have been effective for my clients including: individual and group therapy for anger management. A therapist who can observe and analyse your behaviour from an impartial perspective, can help you with your reality testing. A therapist knows many effective frustration and anger management strategies and will be able to help you develop a personalized set of strategies for changing both your thinking and behaviour. Depending on your needs, your therapist may work with you on breathing or meditation exercises to reduce frustration, safe and appropriate emotional and physical techniques to release frustration, communication, or cognitive restructuring (a method for disputing and changing the way you think). Relaxation and exercise simple relaxation tools such as deep breathing and relaxing imagery can help calm down feelings of frustration and anger. Breathing deeply, from your diaphragm, will help while breathing from your chest won't relax you. While breathing, you can slowly repeat a calm word or phrase such as "relax, "calm down" or "take it easy. Non-strenuous exercise, like yoga, can relax your muscles and make you feel much calmer. Strenuous and vigorous exercise can also help you to work off frustration and angry feelings. Frustration can have a highly damaging impact on our frame of mind. It can turn a positive person into a person who sees nearly everything as a problem. It can slow you down, inhibit your progress, and at times completely immobilize you. We can become so wound up with our frustration that we do not, and cannot, think or act rationally. Our frustration can often exacerbate a situation and create a vicious circle. If we are convinced that our actions are not working, no matter how hard we try, we are much more likely to reduce, rather than increase, our chances of success. Remember, you cannot eliminate frustration. In spite of all your efforts, things will happen that will cause you frustration and anger. Life is filled with frustration, pain, loss, and the unpredictable actions of others. You can't change that; but you can change the way you let such events affect you. If you feel that your degree of frustration is really out of control, if it is having an impact on your relationships and on important parts of your life, you might consider counselling to learn how to handle it better. Please contact me privately on this site or another therapist.
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My name is naina may I have been feeling body weakness for a lot of months. I do not sleep at night. The head is also full sometimes due to sleep, it feels hurt in the heart too.

Dr. Karuna Chawla 97% (74234 ratings)
BHMS
Homeopath, Noida
My name is naina may I have been feeling body weakness for a lot of months. I do not sleep at night. The head is also...
Do you nap in the daytime. If yes then stop it. You need to change your habits. Try to go to bed early. Stop watching tv or mobile phone etc at least an hour before going to sleep. Drink warm milk before going to bed. Even if you not able to sleep do not start chatting on what's app or face book etc. Don't sleep till late in the morning. Eat healthy well-balanced food. Finish your dinner at least 2 hours before bed time. Also, dinner should be light do some kind of exercise daily. Slowly your sleeping timings will change. It will take time. Have patience. For more details, you can consult me.
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I'm thinking about my future and I have two problems headache and my heart is giving me pain I don't know the reason but it hurts and burns it self .so, please tell me what I have to do.

Dr. Karuna Chawla 97% (74234 ratings)
BHMS
Homeopath, Noida
I'm thinking about my future and I have two problems headache and my heart is giving me pain I don't know the reason ...
This pain n burning can be due to gas/acidity. 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, walking etc.For more details, you can consult me.
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