Why Does My Heart Hurt At Night

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. Helps prevent rolling provides stability to lumbar and sacral regions of the back can be used when performing actions like lifting and handling heavy items can also be used when playing sports restricts 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 1. Bridges •lie on the ground and bend the knees, placing the feet flat on the floor hip-width apart. •press the feet into the floor, keeping the arms by the sides. •raise the buttocks off the ground until the body forms a straight line from the shoulders to the knees. •squeeze the buttocks with the shoulders remaining on the floor. •lower the buttocks to the ground and rest for a few seconds. •repeat 15 times and then rest for 1 minute. •do 3 sets of 15 repetitions. 2.lying lateral leg lifts •lie on one side with the legs together. •keep the lower leg slightly bent. •draw the bellybutton into the spine to engage the core muscles. •raise the top leg about 18 inches, keeping it straight and extended. •hold the position for 2 seconds. •repeat 10 times. •turn onto the other side of the body and repeat, lifting the other leg. •perform 3 sets on each side. 3.supermans •lie face down on the ground and stretch both arms out in front of the body, keeping the legs stretched out and flat on the ground. •raise both the hands and feet, aiming to create a gap of about 6 inches between them and the floor. •try to pull in the bellybutton, lifting it off the floor to engage the core muscles. •keep the head straight and look at the floor to avoid neck injury. •stretch the hands and feet outward as far as possible. •hold the position for 2 seconds. •return to the starting position. •repeat 10 times. 4.partial curls •lie back on the floor and bend the knees, keeping the feet flat and hip-width apart. •cross the hands over the chest. •breathe in deeply. •on the breath out, engage the abdominal muscles by pulling in the stomach. •gently raise the head and shoulders 2 inches off the ground while keeping the neck in line with the spine. •hold for 5 seconds then return to the starting position. •repeat the exercise 10 times. •perform 3 sets. 5.knee-to-chest stretches •lie on the back on the floor. •bend the knees, keeping both feet flat on the floor. •use both hands to pull one knee in toward the chest. •hold the knee against the chest for 5 seconds, keeping the abdominals tight and pressing the spine into the floor. •return to the starting position. •repeat with the opposite leg. •repeat with each leg 2–3 times twice a day. 6.lower back rotational stretches •lie back on the floor with bent knees and feet flat on the ground. •keeping the shoulders firmly on the floor, gently roll both bent knees over to one side. •hold the position for 5–10 seconds. •return to the starting position. •gently roll the bent knees over to the opposite side, hold, and then return to the starting position. •repeat 2–3 times on each side twice a day. 7.seated lower back rotational stretches •sit on a stool or chair without arms, keeping the feet flat on the floor. •twist at the core to the right, keeping the hips square and the spine tall. •position the hands behind the head or place the left hand on the right knee to support the stretch. •hold the position for 10 seconds. •repeat the exercise on the left-hand side. •repeat on each side 3–5 times twice a day. Posture when standing: make sure you have a neutral pelvic position. Stand upright, head facing forward, back straight, and balance your weight evenly on both feet. Keep your legs straight and your head in line with your spine. Posture when sitting: a good seat for working should have good back support, arm rests and a swivel base. When sitting, try to keep your knees and hips level and keep your feet flat on the floor, or use a footstool. You should ideally be able to sit upright with support in the small of your back. If you are using a keyboard, make sure your elbows are at right-angles and that your forearms are horizontal. Shoes: flat shoes place less of a strain on the back. Driving: it is important to have proper support for your back. Make sure the wing mirrors are properly positioned so you do not need to twist. The pedals should be squarely in front of your feet. If you are on a long journey, have plenty of breaks. Get angle. Out of the car and walk around. Bed: you should have a mattress that keeps your spine straight, while at the same time supporting the weight of your shoulders and buttocks. Use a pillow, but not one that forces your neck into a steep. 

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

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1.Use Deep Breathing Deep breathing is another effective way to relieve stress and anxiety. It helps you with physical symptoms such as shallow breathing and rapid heart rate, and it also helps with controlling your thoughts. When you practice deep breathing, you're forced to take your thoughts off of whatever is causing you anxiety and to focus on the breathing technique that you are using. 2.Keep A Journal Journaling can be an effective way to deal with your anxiety and to find relief. It helps you to take all of the things that are rolling around in your head and get them out of your head and down on paper. Sometimes seeing the things that we're worried about on paper can help us to see that they're not as big of a deal as we thought they were. It can also help us to find solutions that we have been overlooking. 3.Hang Out With Friends If you're struggling with anxiety, sometimes the last thing that you want to do is go hang out with your friends. Even if it's an activity that you enjoy with people that you like, the thought of it can be stressful. Your brain already feels overwhelmed with things that you feel you need to figure out, and it can seem like a bad use of time to do something fun. 4. Exercise, Find What Works For You : You might be tired of hearing about how great exercise is for your health. But, the reason you hear about it so much is that there's no way around it. Exercise it's good for both your physical body and for your mind.Getting regular exercise has been proven to help you sleep better at night, clear your head, and boost your mood. It's a great way to use up all that pent-up energy that you have in a way that's going to benefit you in multiple areas of your life. 

1 person found this helpful

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). Standingdo: • if you must stand for a long period of time, keep one leg up on a foot stool. • adapt work heights. Don’t: • avoid half bent positions. Lifting avoid lifting if you can. Do: • use the correct lifting technique. Keep your back straight when lifting. Never stoop or bend forward. Stand close to the load, have a firm footing and wide stance. Kneel on one knee, keeping the back straight. Have a secure grip on the load and lift by straightening your knees. Do a steady lift. Shift your feet to turn and do not twist your back. Don’t: • do not jerk when you lift. • do not bend over the object you are lifting. Lying do: • sleep on a good firm surface. • if your bed sags, use slats or plywood supports between the mattress and base to firm it. You also can place the mattress on the floor, a simple but temporary solution. • you may be more comfortable at night when you use a pillow for support. Don’t: • do not sleep on your stomach unless advised to do so by your doctor or physical therapist. Bending forward do: • keep the natural curves of your back when doing these and other activities: making a bed, vacuuming, sweeping or mopping the floor, weeding the garden or raking leaves. Coughing and sneezing do: • bend backwards to increase the curve of your back while you cough or sneeze. Driving a car do: • drive the car as little as possible. It is better to be a passenger than to drive yourself. • move the seat forward to the steering wheel. Your seat must be close enough to the wheel to keep the natural curves of your back. If your hips are lower than your knees in this position, raise yourself by sitting on a pillow. Exercises for low back pain safety guidelines • an increase in your low back pain can be expected with these exercises. This is acceptable as long as your leg symptoms are not increasing. • if while doing these exercises, your pain worsens or you have new pain or symptoms, stop the exercises and discuss your symptoms with your doctor or physical therapist. • stop exercising and let your doctor or physical therapist know right away if you have any change in your bowel or bladder control or any increase in weakness in your leg or foot. Exercises ‰ •press-ups: keep your back and buttocks relaxed and use your arms to press up. Concentrate on keeping your hips down and push up your upper body as high as possible. •double knee to chest: grasp both your knees with your hands and pull toward your shoulders. Hold the stretch for 1 second. Let your knees return, but keep them bent at arms length. ‰ •lumbar spine stretches: lie on your back. Bring your knees towards your chest. Rotate your knees towards the pain. •side-lying position: lie on your side and face forward. Have both arms straight in front and bend your knees. Turn your head as you move your top arm across your body as far as you can. Keep your arm in place and turn your head back to the starting position. Look back again and turn your head farther if you can. Bring your head and arm back to the starting position. Relax and repeat 10 times on each side. •hamstring stretch: lie on your back with your legs out straight. Raise your leg up and put your hands around the upper leg for support. Slowly straighten the raised knee until you feel a stretch in the back of the upper leg. Hold, then relax and repeat 10 times on each leg. •standing arch: stand with your feet apart and hands on the small of your back with fingers pointing backwards. Bend backwards at the waist, supporting the trunk with your hands. Keep your knees straight. Hold for 5 seconds. Repeat 3 to 5 times. Side glides: stand at a right angle to the wall about 2 feet o eliminate your pain improve your muscular endurance and strength attain better posture, balance, body awareness and co-ordination improve your balance and flexibility learn to lift properly. posture when standing: make sure you have a neutral pelvic position. Stand upright, head facing forward, back straight, and balance your weight evenly on both feet. Keep your legs straight and your head in line with your spine. Posture when sitting: a good seat for working should have good back support, arm rests and a swivel base. When sitting, try to keep your knees and hips level and keep your feet flat on the floor, or use a footstool. You should ideally be able to sit upright with support in the small of your back. If you are using a keyboard, make sure your elbows are at right-angles and that your forearms are horizontal. Shoes: flat shoes place less of a strain on the back. Driving: it is important to have proper support for your back. Make sure the wing mirrors are properly positioned so you do not need to twist. The pedals should be squarely in front of your feet. If you are on a long journey, have plenty of breaks. Get out of the car and walk around. Bed: you should have a mattress that keeps your spine straight, while at the same time supporting the weight of your shoulders and buttocks. Use a pillow, but not one that forces your neck into a steep angle. 

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

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It might be due to lower back pain which is quite common for adults who are of your mother's age. For shoulder pain you need to do basic shoulder exerices. It looks like you are anaemic. If you have back pain after you sit for long hours then it is due to your haemoglobin levels as it is important to check that. Anaemia always leads to the symptoms of being tired and also having back / leg pain though there may not be any pathological reasons for back pain. Back pain / sciatica: 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. posture when standing: make sure you have a neutral pelvic position. Stand upright, head facing forward, back straight, and balance your weight evenly on both feet. Keep your legs straight and your head in line with your spine. Posture when sitting: a good seat for working should have good back support, arm rests and a swivel base. When sitting, try to keep your knees and hips level and keep your feet flat on the floor, or use a footstool. You should ideally be able to sit upright with support in the small of your back. If you are using a keyboard, make sure your elbows are at right-angles and that your forearms are horizontal. Shoes: flat shoes place less of a strain on the back. Driving: it is important to have proper support for your back. Make sure the wing mirrors are properly positioned so you do not need to twist. The pedals should be squarely in front of your feet. If you are on a long journey, have plenty of breaks. Get out of the car and walk around. Bed: you should have a mattress that keeps your spine straight, while at the same time supporting the weight of your shoulders and buttocks. Use a pillow, but not one that forces your neck into a steep angle. You become aware of a frozen shoulder when it begins to hurt. The pain then causes you to limit your movement. Moving the shoulder less and less increases its stiffness. Before long, you find that you can’t move your shoulder as you once did. Reaching for an item on a high shelf becomes difficult, if not impossible. When it’s severe, you might not be able to do everyday tasks that involve shoulder movement such as dressing. Shoulder exercises and stretchesregular exercises and stretches can keep your shoulder strong and flexible. A few things to remember before swinging in to exercises: •stop any exercise if you have more shoulder pain. It may be too soon for you to try. •watch your form. Exercising incorrectly can also cause or worsen shoulder problems. •warm up, even before deep stretching. Light shoulder rolls, gentle movements, or even a warm shower are all ways to warm up your muscles before exercise and stretching. Pendulum stretch for range of motion•stand and bend at the waist. •let your arm on the injured side hang straight down. •keep your neck relaxed. •move your arm in a circle up to 20 times. •do once or more times in a day. Overhead shoulder stretch•sit or stand to do this shoulder stretch. •intertwine your fingers in front of you. •bend your elbows and raise your arms above your head. You can also place your hands on your head or behind it. •gently squeeze your shoulder blades together to move your elbows back. •continue for up to 20 repetitions. Repeat 5 to 10 times a day. Physical therapyphysical therapy is the most common treatment for a frozen shoulder. The goal is to stretch your shoulder joint and regain the lost motion. It can take anywhere from a few weeks to nine months to see progress. A home exercise program of gentle range of motion exercises is important. If you don't see progress after six months of intense, daily exercises, speak to your doctor about other options. Medicationsto treat the pain and reduce your joint inflammation, your doctor may recommend an anti- inflammatory medication like aspirin, ibuprofen, or naproxen sodium. A steroid injection you’re your shoulder joint may also help. Home careplacing an ice pack on your shoulder for 15 minutes at a time several times per day can help to decrease pain. If you’re working with a physical therapist, the exercises can be done at home. Your physical therapist will provide instructions on the types of exercises you must do, how often to do them, and when to push yourself harder. Most people with a frozen shoulder can improve their condition without surgery. You might become weak due to your uterus removal for which you have consume rich mineral and vitamin diet and also you should take rich calcium for your bone strength. And also hormonal imbalance should be noted and please consult your gyneecologist for the hormonal imbalance of both estrogen and progesterone. 

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Dr. Subhajit DattaMBBSGeneral Physician

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Hello, lybrate-user. It's really sad to know that you have to go through this, just keep up the hope you will get through this. May I know how it started in more details please, and in what time of day the symptoms are more? Did you take any medication or drugs before the condition appeared? I would also like to see the reports of the tests you have gone through, before suggesting anything. You can consult a physician for further look up into your condition. Get well. God bless you. 

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Dr. Sreepada Kameswara RaoDHMS (Diploma in Homeopathic Medicine and Surgery)Homeopathy Doctor

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Your symptoms--"acid reflux problem very frequently. While I sleep in night acid comes till mouth heart burns a lot and I need to spit acidic saliva immediately. I may need to take some walk or eno to settle it and then sleep. It increases if I had tea i n morning so I am avoiding that too. I saw little blood in stool as well once in a week. Along with this I am having throat pain as well, while drinking water it hurts in neck right side, it was earlier in left side as well." These symptoms may have developed over a period of time. Very effective treatment is available in homoeopathy for this chronic problem. Many Lybrate users are taking homeopathic treatment for this. Homeopathic treatment is painless and safe. No side effects. You need comprehensive treatment and it takes some time. Please start taking homeopathic medicine, preliminary dose Arsenicum album 200-once daily in the morning for 5 days. Consult me through Lybrate by booking online consultation-( commencing from text consult Rs 149) for further more comprehensive prescription and treatment 

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Dr. Karuna ChawlaBHMSHomeopathy Doctor

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It can be because of many reason from simple reasons like not sleeping on time or sleeping too much, stress, have long hours of fasting, dehydration to causes like sinusitis, migraine, high blood pressure, tumor etc. Do this 1. Take adequate night sleep 2. Eat at regular intervals. As starvation/gas can trigger headache 3. Avoid things that can trigger headache. Common triggers include alcohol, caffeine or poor sleep. Inculcate good sleep practices like having a regular bedtime schedule and avoiding naps, caffeine and TV before bedtime. 4. Don't take stress- Pursue an enjoyable activity or verbalising frustration to reduce stress and improve mental health. 5. Avoid foods that you know triggers your headache. 6. Hot packs and heating pads can relax tense muscles. Warm showers or baths may have a similar effect 7. Drink water. “Dehydration can be a big cause of headaches,” For this homeopathic treatment is very effective For more details you can consult me. 

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Dr. Col V C GoyalCCEBDM, PG Diploma In Clinical Cardiology, MBBSGeneral Physician

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Get tmt test to rule out any cardiac issue, do 1.no alcohol 2. Reduce body wt if over wt 3. No smoking/ tobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water medicine can not be advised for open question ,for medicine and further advise contact on private chat. 

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Dr. Sajeev KumarC.S.C, D.C.H, M.B.B.SCardiologist

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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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Dr. Udaya Nath SahooMBBSInternal Medicine Specialist

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Hello, thanks for your query on Lybrate "as" per your clinical history is concerned you have already visited your doctor cardiologist and done tests ECG &echo and there is no abnormal findings detected so far and your all vital signs are normal so in my opinion I may say that you have no heart-related issues at all, so if still any doubt comes then you can send your angiogram report. You can discuss with your treating doctor about alarm forte tab once a day at bedtime. Hope that helps. 

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