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Dr. Ashwini Kumar Pasarad

Cardiologist, Bangalore

500 at clinic
Dr. Ashwini Kumar Pasarad Cardiologist, Bangalore
500 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Ashwini Kumar Pasarad
Dr. Ashwini Kumar Pasarad is an experienced Cardiologist in Malleshwaram, Bangalore. He is currently practising at Northside Manipal Hospital in Malleshwaram, Bangalore. Book an appointment online with Dr. Ashwini Kumar Pasarad and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Cardiologists in India. You will find Cardiologists with more than 26 years of experience on Lybrate.com. You can find Cardiologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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#71, 11th Main, Malleshwaram. Landmark: Opp. Malleshwaram Railway StationBangalore Get Directions
500 at clinic
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Hi. Recently, I got an extreme panic attack. Like sharp fear and pain in chest and light numbness in face and hands. This left me exhausted for 1 whole day. Actually from past 1 year I am suffering from severe anxiety, fear and depression. I am getting treatment from past 5 months. First 3 months I used to take betacap 40 and nexito 10 mg. And from past 1 and half month I am taking prothiaden 25 instead of nexito. I used to feel anxious and fearful sometimes but never got a panic attack this extreme that to in middle of my treatment. Is something wrong with my treatment? Is anxiety disorder curable? Please help I'm depressed.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Hi. Recently, I got an extreme panic attack. Like sharp fear and pain in chest and light numbness in face and hands. ...
Hi there ~ Panic Attacks and Panic Disorder Symptoms, Causes, and Treatment Panic Disorder: Symptoms, Causes, Prevention, and Treatment A panic attack is a sudden surge of overwhelming anxiety and fear. Your heart pounds and you can’t breathe. You may even feel like you’re dying or going crazy. Left untreated, panic attacks can lead to panic disorder and other problems. They may even cause you to withdraw from normal activities. But panic attacks can be cured and the sooner you seek help, the better. With treatment, you can reduce or eliminate the symptoms of panic and regain control of your life. Understanding panic attacks In many cases, panic attacks strike out of the blue, without any warning. Often, there is no clear reason for the attack. They may even occur when you’re relaxed or asleep. A panic attack may be a one-time occurrence, but many people experience repeat episodes. Recurrent panic attacks are often triggered by a specific situation, such as crossing a bridge or speaking in public—especially if that situation has caused a panic attack before. Usually, the panic-inducing situation is one in which you feel endangered and unable to escape. You may experience one or more panic attacks, yet be otherwise perfectly happy and healthy. Or your panic attacks may occur as part of another disorder, such as panic disorder, social phobia, or depression. Regardless of the cause, panic attacks are treatable. There are many effective treatments and coping strategies you can use to deal with the symptoms. Signs and symptoms of a panic attack Panic attacks often strike when you’re away from home, but they can happen anywhere and at any time. You may have one while you’re in a store shopping, walking down the street, driving in your car, or sitting on the couch at home. The signs and symptoms of a panic attack develop abruptly and usually reach their peak within 10 minutes. Most panic attacks end within 20 to 30 minutes, and they rarely last more than an hour. A full-blown panic attack includes a combination of the following signs and symptoms: Shortness of breath or hyperventilation Heart palpitations or a racing heart Chest pain or discomfort Trembling or shaking Choking feeling Feeling unreal or detached from your surroundings Sweating Nausea or upset stomach Feeling dizzy, light-headed, or faint Numbness or tingling sensations Hot or cold flashes Fear of dying, losing control, or going crazy Is it a heart attack or a panic attack? Most of the symptoms of a panic attack are physical, and many times these symptoms are so severe that people think they’re having a heart attack. In fact, many people suffering from panic attacks make repeated trips to the doctor or the emergency room in an attempt to get treatment for what they believe is a life-threatening medical problem. While it’s important to rule out possible medical causes of symptoms such as chest pain, heart palpitations, or difficulty breathing, it’s often panic that is overlooked as a potential cause—not the other way around. Signs and symptoms of panic disorder Many people experience panic attacks without further episodes or complications. There is little reason to worry if you’ve had just one or two panic attacks. However, some people who’ve experienced panic attacks go on to develop panic disorder. Panic disorder is characterized by repeated panic attacks, combined with major changes in behavior or persistent anxiety over having further attacks. Signs and symptoms of panic disorder You may be suffering from panic disorder if you: Experience frequent, unexpected panic attacks that aren’t tied to a specific situation Worry a lot about having another panic attack Are behaving differently because of the panic attacks, such as avoiding places where you’ve previously panicked While a single panic attack may only last a few minutes, the effects of the experience can leave a lasting imprint. If you have panic disorder, the recurrent panic attacks take an emotional toll. The memory of the intense fear and terror that you felt during the attacks can negatively impact your self-confidence and cause serious disruption to your everyday life. Eventually, this leads to the following panic disorder symptoms: Anticipatory anxiety – Instead of feeling relaxed and like yourself in between panic attacks, you feel anxious and tense. This anxiety stems from a fear of having future panic attacks. This “fear of fear” is present most of the time, and can be extremely disabling. Phobic avoidance – You begin to avoid certain situations or environments. This avoidance may be based on the belief that the situation you’re avoiding caused a previous panic attack. Or you may avoid places where escape would be difficult or help would be unavailable if you had a panic attack. Taken to its extreme, phobic avoidance becomes agoraphobia. Panic disorder with agoraphobia Agoraphobia was traditionally thought to involve a fear of public places and open spaces. However, it is now believed that agoraphobia develops as a complication of panic attacks. With agoraphobia, you’re afraid of having a panic attack in a situation where escape would be difficult or embarrassing. You may also be afraid of having a panic attack where you wouldn’t be able to get help. Because of these fears, you start avoiding more and more situations. For example, you might begin to avoid crowded places such as shopping malls or sports arenas. You might also avoid cars, airplanes, subways, and other forms of travel. In more severe cases, you might only feel safe at home. Situations or activities you may avoid if you have agoraphobia: Being far away from home Going anywhere without the company of a" safe" person Physical exertion (because of the belief that it could trigger a panic attack) Going to places where escape is not readily available (e. G. Restaurants, theaters, stores, public transportation) Driving Places where it would be embarrassing to have a panic attack, such as a social gathering Eating or drinking anything that could possibly provoke panic (such as alcohol, caffeine, or certain foods or medications) Adapted from: American Academy of Family Physicians Although agoraphobia can develop at any point, it usually appears within a year of your first recurrent panic attacks. Causes of panic attacks and panic disorder Although the exact causes of panic attacks and panic disorder are unclear, the tendency to have panic attacks runs in families. There also appears to be a connection with major life transitions such as graduating from college and entering the workplace, getting married, and having a baby. Severe stress, such as the death of a loved one, divorce, or job loss can also trigger a panic attack. Panic attacks can also be caused by medical conditions and other physical causes. If you’re suffering from symptoms of panic, it’s important to see a doctor to rule out the following possibilities: Mitral valve prolapse, a minor cardiac problem that occurs when one of the heart’s valves doesn't close correctly. Hyperthyroidism (overactive thyroid gland) Hypoglycemia (low blood sugar) Stimulant use (amphetamines, cocaine, caffeine) Medication withdrawal Treatment for panic attacks and panic disorder Panic attacks and panic disorder are treatable conditions. They can usually be treated successfully with self-help strategies or a series of therapy sessions. Cognitive Behavioral Therapy Cognitive behavioral therapy is generally viewed as the most effective form of treatment for panic attacks, panic disorder, and agoraphobia. Cognitive behavioral therapy focuses on the thinking patterns and behaviors that are sustaining or triggering the panic attacks. It helps you look at your fears in a more realistic light. For example, if you had a panic attack while driving, what is the worst thing that would really happen? While you might have to pull over to the side of the road, you are not likely to crash your car or have a heart attack. Once you learn that nothing truly disastrous is going to happen, the experience of panic becomes less terrifying. Exposure therapy for panic attacks and panic disorder In exposure therapy for panic disorder, you are exposed to the physical sensations of panic in a safe and controlled environment, giving you the opportunity to learn healthier ways of coping. You may be asked to hyperventilate, shake your head from side to side, or hold your breath. These different exercises cause sensations similar to the symptoms of panic. With each exposure, you become less afraid of these internal bodily sensations and feel a greater sense of control over your panic. If you have agoraphobia, exposure to the situations you fear and avoid is also included in treatment. As in exposure therapy for specific phobias, you face the feared situation until the panic begins to go away. Through this experience, you learn that the situation isn’t harmful and that you have control over your emotions. Medication treatment for panic attacks and panic disorder Medication can be used to temporarily control or reduce some of the symptoms of panic disorder. However, it doesn't treat or resolve the problem. Medication can be useful in severe cases, but it should not be the only treatment pursued. Medication is most effective when combined with other treatments, such as therapy and lifestyle changes, that address the underlying causes of panic disorder. The medications used for panic attacks and panic disorder include: Antidepressants. It takes several weeks before they begin to work, so you have to take them continuously, not just during a panic attack. Benzodiazepines. These are anti-anxiety drugs that act very quickly (usually within 30 minutes to an hour). Taking them during a panic attack provides rapid relief of symptoms. However, benzodiazepines are highly addictive and have serious withdrawal symptoms, so they should be used with caution. Self-help tips for panic attacks and panic disorder When it comes to panic attacks, professional treatment and therapy can make a big difference. But there are many things you can do to help yourself, too: Learn about panic. Simply knowing more about panic can go a long way towards relieving your distress. So read up on anxiety, panic disorder, and the fight-or-flight response experienced during a panic attack. You’ll learn that the sensations and feelings you have when you panic are normal and that you aren’t going crazy. Avoid smoking and caffeine. Smoking and caffeine can provoke panic attacks in people who are susceptible. As a result, it’s wise to avoid cigarettes, coffee, and other caffeinated beverages. Also be careful with medications that contain stimulants, such as diet pills and non-drowsy cold medications. Learn how to control your breathing. Hyperventilation brings on many sensations (such as lightheadedness and tightness of the chest) that occur during a panic attack. Deep breathing, on the other hand, can relieve the symptoms of panic. By learning to control your breathing, you develop a coping skill that you can use to calm yourself down when you begin to feel anxious. If you know how to control your breathing, you are also less likely to create the very sensations that you are afraid of. Practice relaxation techniques. When practiced regularly, activities such as yoga, meditation, and progressive muscle relaxation strengthen the body’s relaxation response—the opposite of the stress response involved in anxiety and panic. And not only do these relaxation practices promote relaxation, but they also increase feelings of joy and equanimity. So make time for them in your daily routine.
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How To Diagnose Aortic Valve Stenosis?

DM Cardiology
Cardiologist, Delhi
How To Diagnose Aortic Valve Stenosis?

Aortic valve stenosis is a heart condition in which the valve to the biggest artery- the one which provides oxygen-rich blood to our body, called aorta, is narrowed. This prevents the valve from opening fully, obstructing the blood flow from your heart into your body.

When the aortic valve doesn’t open, your heart needs to work harder to pump blood to your body making the heart muscle weak. If left undiagnosed aortic stenosis is fatal.

Symptoms

These symptoms should spur you on to seek medical care right away:

  1. Chest pain or tightness

  2. Feeling faint with exertion

  3. Shortness of breath

  4. Fatigue after increased activity

  5. Heart palpitations — rapid, fluttering heartbeat

  6. Heart murmur

The disorder doesn’t produce symptoms right away and is usually diagnosed during routine physical exams when your doctor listens to your heart with a stethoscope. He usually hears a heart murmur resulting from turbulent blood flow through the narrowed aortic valve.

Diagnostic Tests

There are other ways to diagnose aortic valve stenosis and gauge the severity of the problem, like:

  1. Echocardiogram – This produces an image of your heart using sound. It is the primary test to diagnose a heart valve problem. Sound waves are directed at your heart here and these bounce off your heart and are processed electronically to provide images of your heart. This test helps your doctor check diagnose aortic valve stenosis and its severity plus chalk out a treatment plan.

  2. Electrocardiogram (ECG) –  In this test, patches with electrodes are attached to your chest to measure electrical impulses given out by your heart. These are then recorded as waves on a monitor and printed on paper. Though this can’t diagnose aortic stenosis directly, it can tell you that the left ventricle in your heart is thickened which normally happens due to aortic stenosis.

  3. Chest X-ray – This allows the doctor to see the shape and size of your heart directly. If the left ventricle is thickened, it points to aortic stenosis. It also helps doctor check the lungs. Aortic stenosis leads to fluid and blood in the lungs, causing congestion.

  4. Exercise Tests – Exercise is used to increase your heart rate and make your heart work harder. This test is done to see how your heart reacts to exertion.

  5. Computerised Tomography (CT) Scan –  This means a series of X-rays to create images of your heart and observes the heart valves. It is also used to measure the size of aorta and the aortic valve.

  6. Magnetic Resonance Imaging (MRI) –  This uses powerful magnets and radio waves to create images of your heart and valves.

Once aortic valve stenosis is confirmed, you may have to go in for monitoring or heart valve surgery according to your doctor’s advice.

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What are the reason for heart attack? Is there any symptoms to find in earlier stage?

MBBS
General Physician, Cuttack
What are the reason for heart attack? Is there any symptoms to find in earlier stage?
The reasons of Heart attack are 1. Stress 2. obesity (over weight) 3. Lack of Exercise 4.sedentary Life Style 5. Smoking, Alcohol and Tobacco consumption 6, Taking excess oily, Fatty, high calorie and cholesterol rich Diet 7. Diseases like Hypertension,Diabetes, Hypercholesterlemia etc 8. Genetics& Family History The symptoms are Pain chest or feeling of Tightness or Squeezing in chest Pain radiating to Jaw ,Back or Left arm Shortness of Breath Nausea, Vomiting Sweating Heart Burn and indigestion
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Sir, mujhe left side chest me pain rhta h bht salo se, x-ray evg sb reports normal h, doctor ne kha tha ki muscles pain h, painkiller lelo or sath me balm lgalo, bt ab 3-4 dino se pain continues h inhale exhale krte hue nd hilte hue bhi pain hota h, what to do.

MBBS
General Physician, Mumbai
Sir, mujhe left side chest me pain rhta h bht salo se, x-ray evg sb reports normal h, doctor ne kha tha ki muscles pa...
Dear Lybrateuser, -Give rest to the part, do not strain, lift weight, do exercise -apply over the counter pain killer gel three times a day -do hot fomentation three times a day -take tab Brufen 400 mg three times a day after meals.
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I feel dry sputum sticking on throat and chest for last 30 years (i am 66 yrs. Every 10-15 mts I hake to take deep breath. Also for last 1 year, while doing brisk walk, burning sensation on the chest & it gradually reduces accompanied by belching. I had tb 42 years back. Drs examine my chest & find it clear. What should I do ?

DNB (Respiratory diseases), MBBS
Allergist/Immunologist, Nagpur
Yes obviously because you don't have anything abnormal in chest. All you seem to have is a post tb allergy state in your nose and eating pipe. It is common post tb. Dry sputum is due to nasal & sinus fluids running from the back of nose over your throat. Burning & belching is due to allergy in eating pipe. I can help.
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Sometimes I feel heart pain. But I'm only 23 years. What should I do as precautionary measure?

MD - Consultant Physician
General Physician, Jharsuguda
Sometimes I feel heart pain. But I'm only 23 years. What should I do as precautionary measure?
It's rare to have heart problem if it is not increasing on exercise. Precautions do regular exercise and maintain normal weight. Do yearly thorough body checkup.
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I am a 44 years old male and I have suffering from CKD -3, with BP, so have backache for last 6 month and if I seat for 3 hr. At office continuously then my both foots are swelling so, what should I do? Pls suggest me that what type of medicine to be take?

MBBS
General Physician,
I am a 44 years old male and I have suffering from CKD -3, with BP, so have backache for last 6 month and if I seat f...
Your high bp and kidney disease is interrelated. The swelling of the leg nsy be due to gravitational eadema of leg for prolonged position of legs or could be duebto medicine which by or are taking for your blood pressure. So best thing would be to consult your treating physician. Do not self medicate.
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My grandfather has undergone bypass surgery 15 years back. N has undergone stent operation recently. He is a diabetic n hypertensive. He became weak. What diet should he follow? N many ppl say that mutton bones soup should be given for bone strength. Is it good? Bcoz I heard mutton contains more fat.

MBBS, PGDCC
Cardiologist, Delhi
My grandfather has undergone bypass surgery 15 years back. N has undergone stent operation recently. He is a diabetic...
Hi, Fat should be taken to lowest possible limit by a heart patient. Their is no role of mutton bone soup & you should avoid it. To increase bone strength check Vit D level & if low take supplement along with calcium. Diet should include minimum fat, avoid alcohol & smoking, control of blood sugar (which is most important). Thanks.
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Sometimes I get some pain in my abdomen area in left portion. Can It be a symptom of heart attack?

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Sometimes I get some pain in my abdomen area in left portion. Can It be a symptom of heart attack?
Very unlikely that it is would suggest a heart attack. You need to understand that for heart attacks breathlessness is more common and more important symptom than Chest pain or pain anywhere else. No heart attack ever happened without breathlessness.
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Hello, I am 25 years old, I have cardiomyopathy. What should i do? Please advise.

DM - Cardiology, MD - Medicine
Cardiologist, Gurgaon
Hello, I am 25 years old, I have cardiomyopathy. What should i do? Please advise.
What type of cardiomyopathy do you have ? Has the cause of the defect been identified. Once these initial queries have been answered can one advise further
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Hi I am 30 year old female. I constantly have low BP varying form 90/60 to 18/128. What could be the probable reason. How to control this.

PDDM, MHA, MBBS
General Physician, Nashik
It could be because of dehydration. When dealing with low blood pressure, it is usually suggested to increase your salt and fluid intake. Before increasing yoursalt consumption, do check with your doctor. Also, cut down on alcoholic beverages and high-carbohydrate foods such asbread, rice, pasta, and potatoes.
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I am 18 year old .l have pain in my chest. Its like needles certain touch like feeling. What is this health problem?

MBBS, PG Diploma In Clinical Cosmetology (PGDCC)
Cardiologist, Purba
I am 18 year old .l have pain in my chest. Its like needles certain touch like feeling. What is this health problem?
Seems from nerve pain is there any small blister like marks? take ultravet twice daily for 5 day if not ok review with vitamin d snd vitamin b12 level.
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I am 21 years old suffering from high blood pressure. It generally increases when I got excited. How to control dis.

BAMS
Ayurveda, Ambala
I am 21 years old suffering from high blood pressure. It generally increases when I got excited. How to control dis.
To control & maintain Blood pressure to normal these are best methods to follow:.• Do physical exercise like jogging, running or brisk walk for atleast 20-30 minutes. • Maintain your cholesterol level to normal & eat least amount of butter, cream or fatty things. • Eat less amount of pickle, salt and fast food as they contain high sodium levels. • Avoid drinking alcohol and smoking. • Take less amount of caffine containing coffee, tea or cold drinks because caffine causes increase BP. • Drink 8 to 10 glass of water daily • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams (Anulom- Vilom, Bhramari) daily for 10 - 15 minutes. It will reduce your stress level in your body. • Eat healthy diet such as green leafy vegetables, fruits. • Take 5 ml of GULAB Jal added in a glass of water daily once a day.
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I have pan in chest sometime that can't be absorable. After some time that will normal. Please tell me what is the reason?

MBBS, MBA (Healthcare)
General Physician, Delhi
I have pan in chest sometime that can't be absorable. After some time that will normal. Please tell me what is the re...
take aciloc 150 mg 2 times a day for 2 weeks. do ecg, x ray chest pa . inform report. consult physician.
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I am getting chest pain regularly since last six months? What should I do to get free from the problem?

MBBS, cc USG
General Physician, Gurgaon
I am getting chest pain regularly since last six months? What should I do to get free from the problem?
You may be having chest pain due to 1.acidity. 2. severe anxiety 3. muscular problem Local application of Volini gel 1% twice a day for 2-3 day Consult Physician/me for Further Management
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I am 27 year man and I am having chest pain whenever I sneeze, is it because iam a smoker, but I do not smoke too much I only smoke 2 to 4 cigrates a day, please answer back.

BHMS
Homeopath, Faridabad
I am 27 year man and I am having chest pain whenever I sneeze, is it because iam a smoker, but I do not smoke too muc...
Hi. Pain in chest can be of muscular, bony, lungs or heart origin! Will have to get yourself examined for proper diagnosis and thus proper treatment. Share more details related to your problem and do tell me any other medical condition is there. For giving up habit of smoking, take homoeopathic medicine which will help you to get rid of your habit of smoking. Schwabe's Daphne Indica/ thrice daily for a month. After a month, report back to me.
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I am 28 years old Male I have a back problem for last 2 month, also a chest pain.

MBBS, cc USG
General Physician, Gurgaon
I am 28 years old Male I have a back problem for last 2 month, also a chest pain.
Local application of Relaxyl DA ointment twice a day for 2-3 day Avoid Prolonged sitting Further treatment can be done after physical examination
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My age is 37 and I am not a alcoholic. My HDL cholesterol is 36 and LDL cholesterol 202. please suggest me some tips.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My age is 37 and I am not a alcoholic. My HDL cholesterol is 36 and LDL cholesterol 202. please suggest me some tips.
LDL (low-density lipoprotein cholesterol also called "bad"CHOLESTEROL.Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain foods, Use GARLIC in foods daily ,. Cod liver oil. Take anti cholesterol medicines . one important that is take 1 glass of water before bed at night. Because it protect from heart fail during sleep at night.
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He have hight blood pressure problem there is only medicines? No permanent solution?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
He have hight blood pressure problem there is only medicines? No permanent solution?
In ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause...take sarpgandha vati twice a day...yogendra ras...akik bhasm works very good in case of hypertension....avoid salty diet...oily food...lower your stress...do pranayama early morning...
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