Sudden Shivering In The Night

Ms. Rajeshwari MurlidharanMSc Organisational Psychiatry & PsychologyPsychologist

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Hi lybrate-user. I'm sorry for your loss. Sounds like the stress and uneasiness is taking a physical toll on you as well. Chronic stress can lead to fatigue and weakness. It seems like the accident triggered some of thoughts about the unresolved stress unconsciously. You can explore how you've been thinking lately and how the accident has impacted your thoughts, feelings and behaviors. Engaging in relaxation techniques such as yoga, breathing and meditation or simply investing some time in whatever you enjoy can help calm your system. Also, remember it's okay to feel stressed after an accident. One important part of processing emotions is to stay rather than fight it. Do let me know if you wish to explore this further. 

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Dr. Prakhar SinghMBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)General Physician

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I am sorry to hear about your concern but will be happy to assist you. Angina, a common symptom of cad. One common symptom of cad is a type of chest pain called angina. Angina may feel like tightness, heaviness, or pressure in your chest. It may involve an aching, burning, or numb sensation. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you. 

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Dr. Sangita Rani MdehMDEHAlternative Medicine Specialist

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Dear lybrate-user, take this treatment for 5 days. On improvement continue the treatment for 5 days more .rx - feverex - 1 tablet ac tds, we - 20 drops with luke warm water pc tds, msb. V13 - 20 drops with luke warm water at bedtime, general tone-e - 1 tablespoon bd .after improvement pl send me your feedback. 

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Dr. Rakshith DasGeneral Physician

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1. Get a 2d echo and thread mill test 2. Fbs is higher, get an blood hba1c levels to r/o diabetes. 3. Get a cbc done with peripheral smear to check for anemia /vitamin b12 defeciency. 4. Need more prior history/bp recordings of both arms to narrow down number of tests required. 

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

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Back pain can affect people of any age, for 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. 

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Hello. First of all. There is no relationship between alfalfa and your hb level. In males hb level upto 17 is absolutely normal. So your is 15.5 which is in normal range. U don't have any need of amitryptiline without any Dr. Prescription which is antidepressant. For your gerd. Do take tab. Rabeparazole for 7 days alternate days plus tab. Gabaneurone one in night which also helps in your general weakeness plus gerd also because antacid decrease intrinsic activity of bit. B12 in intestine. So gabaneurone as it contains methylcobalamin which is vit. B12 will solve your every problem. Take it for 15 days. Do regular walk also with green veggies. Thanks. 

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Dr. Karuna ChawlaBHMSHomeopathy Doctor

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Did u do thyroid profile. Was it normal. If so then it can be because of stress/ anxiety. Try to relax yourself -- Exercise. Exercise is one of the most important things you can do to combat stress. Take a few minutes to breathe in and out in slow, deep breaths. Reduce Your Caffeine Intake. Write It Down. Even if 2 lines. Write every single day. Chew Gum. Spend Time With Friends and Family. Laugh. Massage. Eat a healthy diet. Pursue one hobby Walk in nature Meditation. Yoga. For more details you can consult me. 

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Dr. Jayvirsinh ChauhanMD - Homeopathy, BHMSHomeopathy Doctor

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The medicines are just temporary suppressants.. and will relieve till you take it. Also has numerous side effects.. The better solution is to take proper homoeopathic treatment. You can consult me online. 

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Dr. Saranya DevanathanMBBS, DPMPsychiatrist

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Dear Shaik, All your symptoms are symptoms of schizophrenia. In schizophrenia, there is dopamine deficiency. All the tablets that you have taken are to correct that deficiency. May be because of the tablets you don't have positive symptoms. Negative symptoms need to be treated with psychosocial methods. Unfortunately you may be having treatment resistant schizophrenia. How much clozapine for how long you have taken? Talk to your doctor on effective dose of clozapine and psychosocial rehabilitation help. If they were neuroleptic induced symptoms, they would have improved with SSRI, SNRI and Bupropion. 

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Dr. Rajesh ChodaBachelor of Ayurveda, Medicine and Surgery (BAMS)Ayurveda

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To start with pl switch to light meals esp at night, avoid much chilly, spices. go Sayvic on food. clean stomach by some good herbal powder twice a week. start deep breathing exercises (pranayam for few minutes a day). do it for few days. re connect in case of difficulty. once you get hold on routine in few days, again it is advised to reconnect to get advanced guidance. or get local guidance there. but pl do it 

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