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Lifestyle modifications for stress reduction - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2584 Questions
User :   hi
Doctor :   Good afternoon.
User :   I have acidity problem
Doctor :   How can I help you?
User :   discomfort in the chest
Doctor :   Ok
User :   I had all the tests related with heart and there are no probs
User :   also do not have breathing problems on long exercise
User :   but my left hand is getting weak
User :   what coulsd be tthe reason
Doctor :   May I know your age and gender?
User :   33 m
Doctor :   Since when are you having these problems?
User :   i am generally more cautious about health
Doctor :   Since when are you having these problems?
User :   from 5-6 years I have acidity problem
Doctor :   Can you describe your symptoms- Do you mean abdominal pain or chest discomfort?
User :   since 2-3 years I am feeling weakness in left hand
User :   not considerable weak ness but definitely able to feel it
Doctor :   Are you a right handed person?
User :   when i compare it wiith my right hand
User :   yes
Doctor :   Ok
User :   chest discomfort only
User :   because of that i am always afraid about heart and gets tensed many times
Doctor :   Do the symptoms occur during day time or night?
Doctor :   Do you have associated symptoms such as nausea, vomiting?
User :   most of the times in day / night, when I am awake i feel the discomfort
User :   but may not be continuous
Doctor :   Ok
User :   when ia m afraid or tensed
User :   then immedisately ifeel slight discomfort
User :   when i am too tensed then I feel my left hand is too weak
Doctor :   Have you undergone endoscopy?
User :   yes
User :   no ulcer
Doctor :   Ok
User :   will the acid in chest region cause damage to hand also
User :   or is it circulation problem
Doctor :   Do you have any history of diabetes/high BP problems/high cholesterol level?
User :   my father is having diabetes, he got it after 55 years
User :   iam generally avoiding sweets these days
Doctor :   May I know your current weight and height?
User :   he also has cholesterol, but no heart problems in the family
Doctor :   Do you smoke or consume alcohol?
User :   height 5'4'' weight 58
Doctor :   Do you smoke or consume alcohol?
User :   no
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   According to your description of symptoms, you are probably suffering from a non cardiac chest pain.
Doctor :   To put across in simple terms, your pain is not related to the heart/not due to heart blood vessel circulation problem.
Doctor :   It is probably secondary to reflux gastritis or due to stress /anxiety induced pain.
Doctor :   The weakness you report is again not consistent with any organic medical illness.
User :   can i ignore it or should have some treatment for reflux
Doctor :   It is again probably related to anxiety.
User :   iam not using any tablets since 2 years
Doctor :   Yes, you need treatment.
User :   yes i am more anxious about health
Doctor :   Let me suggest you the treatment options.
User :   i have anxiety since 4 years
Doctor :   1. The mainstay of treatment are lifestyle and dietary modification.
Doctor :   You will need to follow them as strictly as possible.
Doctor :   The following are necessary
Doctor :   a) Good and regular daily sleep with regular food habits
Doctor :   b) low fat, low calorie, reduced spicy food is essential
Doctor :   c) avoid coffee/tea and other beverages
Doctor :   d) Daily physical exercises
Doctor :   e) Destressing measures such as meditation, yoga and deep breathing exercises.
Doctor :   2. Apart from these modifications, you may use the following medications
Doctor :   a) Antacid syrups such as Syp Mucaine gel
Doctor :   2 tsp twice or thrice daily before your meals for 2 weeks
User :   what if we do not take the medicines
Doctor :   b) Multivitamin pills such as Tab UNICOBAL one tablet a day for a month.
User :   will it injure chest region
Doctor :   Medical drugs are for support alone.
Doctor :   The main treatment like I mentioned earlier are the lifestyle and diet changes.
Doctor :   Follow them as strictly as possible, medical drugs can help prevent these symptoms.
User :   i am generally following above instructions
User :   i am worried if the acid cause any serious damage in the long term
Doctor :   Your symptoms are not a serious problem and I do not expect you to have any complications.
Doctor :   If your symptoms are persisting for a long time, it is worth to get a repeat endoscopy.
User :   generally the symtoms are not increasing but they are not l;ost
Doctor :   Symptoms such as these are usually chronic lasting for a long time.
Doctor :   However they can be treated gradually with strict measures.
User :   thanks alot
Doctor :   Since your reports are normal,
Doctor :   you need not worry.
Doctor :   Continue with the measures suggested.
Doctor :   Get a repeat endoscopy if possible.
User :   but why is only left hand affected by this
Doctor :   Since you are a right handed person,
Doctor :   * I mean most individual who are right handed feel that their left hand is not as strong as their right one.
Doctor :   It's quite normal.
User :   ok thanks doctor
Doctor :   Again, factor such as anxiety can induce weakness restricted to one part of the body.
Doctor :   You need not worry.
User :   i have one more question
User :   about having kids
Doctor :   Please proceed.
User :   wht is the right time to have sex, for having kids
User :   wrto menstural period
Doctor :   If your partner menstrual cycle is regular, the most fertile period of the month can be calculated.
User :   yes it is reguilar
Doctor :   Sexual intercourse during these days are fruitful and results in pregnancy.
Doctor :   To put across in simple words, can you give me the details of your partners menstrual cycle?
Doctor :   When is her periods expected?
User :   yes i can tell you
User :   07th in every month
Doctor :   When was her last menstrual period - Do they occur on the same day of every month?
User :   generally 06th or 07th every month
Doctor :   Ok
User :   this month 06 th it happpened
Doctor :   According to your inputs, the ovulation period may fall between 17th to 24th of every month.
User :   fine, so that period is most fertile
Doctor :   Yes, these are the fertile period of the month and sexual intercourse during this period will be fruitful.
User :   thanks doctor
User :   thats end of my queries
User :   these ans are very helpful to me
Doctor :   Thanks once again for consulting me.
Doctor :   have a nice day!!
Doctor :   Bye for now.
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