Dr. Shivaram

Your LDL cholesterol is deranged. You should start exercising daily and target to 40 mins daily of brisk walking. Change diet to decrease carbohydrate and sugar in your diet, add vegetables and fruits in your diet. For detailed diet information, consult a dietician. Quit smoking and reduce alcohol. Repeat cholesterol levels after 4 weeks and consult for further plan.

Hello dear High cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. 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. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. garlic,. Take anti cholesterol medicines . avoid protein diets, take digestive food.

Hi you are in stage 2 (moderate systolic) hypertension despite of medications your bp is on higher side and needs agressive treatment to prevent any cardiac risk in future aten 25 mg is a non cardioselective beta blocker I would like to shift you on higher doses of cardioselective beta blockers like carvedilol ,metoprolol as stamlo caused you ankle edema I would like to start you on s - variant of amoldipine (does not cause ankle edema, I can not write the name of medicines on public forum our aim should be to keep sytolic bp less then 130 mm of hg feel free to contact tx.

Drinking 2-3 cups of coffee/day reduces cardiovascular mortality

Dear Lybrateuser, - Since the hole in the heart is since childhood & if she can carry out her normal activities without any problems then no interference is required except monitoring by a cardiologist - if she is monitored regularly then any problem arising in future can be taken care of by appropriate treatment.

Hi Nitish Definitely your digestive system is weak and you are an anxious person. Means your anxiety is having a direct effect on your digestive system causing all the problems. Take Lyco200/1 dose ( homoeopathic medicine) and give feedback after 7 days. You will definitely get better.

For control high T.G. and high/ bad cholesterol eat whole grain foods, green veg., juice, plenty of water at least 8 glass of water in a day. Avoid high cholesterol foods, oily, fatty, junk, fast foods, foods from out sided, Go for walk daily, do yoga, cycling, any good exercise i.e cycling , avoid stress, try to take good sleep at night. Checkup your body by blood tests and physical examination at regular time.

dear friend, some medicines are necessary to control b.p.. you should avoid oily and spicy food. take low salt diet. some blood test is also required.

1.For your age pain chest could be due to anxiety, stress, Physical and mental strain,hyper acidity, muscular problem 2. Avoid stress and strain 3.Do regular exercise, reduce your weight if over weight. 4.Control your diet. Avoid oily/spicy/fried and junk food,high calorie and cholesterol rich diet.Take small frequent meals(5-6 meals/day instead of three heavy meals).If you have hyper acidity take one tablet of pan 40 in the morning before breakfast daily for few days 5.Do Yoga, Meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress. 6.Have sound sleep for 7-8 hours daily. 7.Avoid smoking,alcohol, excess tea/coffee, if you are having 8. Drink plenty of water and take rest 9. Take paracetamol 500mg one tablet sos after food up to a maximum of three tablets per day at the time of chest pain 10.if you have recurrent attack of chest pain check your BP, take ECG and consult cardiologist 11.Consult me for further advice

It is a statistically proven fact that smokers and other tobacco users are more likely to develop disease, suffer miserably later in life and die earlier than are people who dont use tobacco. I have experience in successfully making people quit smoking through a customized smoking cessation program which includes counseling medications and support do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.

Dear lybrate user, increasing weight does not mean that you will go fatty. In fact, extra fat serves as a precursor of many diseases. In order to increase your weight as well as stay healthy you have to increase the muscle mass of your body. Normally a muscle undergoes an increase in size when it gets hypertrophied due to weight training. Weight-training leads to the pumping of blood to the muscle resulting in increased protein synthesis in the muscles. This applies to every muscles of human body. So, weight training is a must to increase weight. Whenever a muscle gets hypertrophied it demands protein to expand. Here comes the need of protein supplement. The most effective protein supplement is whey protein. But kindly remember only taking supplement is not enough. You need to take those supplements according to a fixed schedule. For quicker & better results take 40 grams of whey just after waking from sleep at morning. Take another 20 grams of whey just 30 minutes before workout. Again take 40 grams of whey just after you have finished your workout. Kindly remember gaining weight is a time -taking process. So do not expect any result within fortnight.

. A) Take 20 ml HIMCOCID liquid before meal. B) take 2-2 tablets of chitrakadi vati and leelavilas rasa after meals…. C) take 20 ml of AUDUMBARAVLEHA after meals… D) take 1 tablets of KAPILA-AARAGWADHA VATI and 30 ml of lukewarm water at night before sleep. Do all these things for 15 days. It gives you good result. Consult to me for further suggestions. THANKS…

Thwre are signs of acute gastritis. You can start with PANTOPRAZOLE once a day before breakfast AND MUCAINE GEL three times daily

Hope its fine n enjoying overall health after your plasty, great you choose to boost structurally! now in the same way consider to fit n fine for long with your healthy habits! you must be active after your plasty so your health of stent n heart muscles will boost, hope you might quitted from alcohol/tobacco in any form n added yoga/little of brisk walk/dance. Consider to detox emotionally n physically too. To drain toxic n non toxic garbage and rasayan therapy for boosting health of all arteries in your body.

One month after operation he can have a normal diet like you people eat at home-daal ,roti, subjee , chaawal . Avoid extra salt through sauces , pickles , paapads and other foods which require preservatives , do not sprinkle salt on salads , encourage him to eat more of seasonal vegetables and fruits compared to before surgery , few nuts for good fats , a spoon of desighee or pure butter but no oily transfats like biscuits , cakes ,namkeen , street food or fried food at home. Use musturd oil for cooking and soy oil for frying ( yes sometimes he can be treated to home made pakodas/ puris) He should have 5 meals instead of large 3 meals . Do keep him occupied with light activities for body and some brain teasers to be aware of world around him. Whatever was his schedule before surgery , try to make him get back after 3 months of surgery.

Hypertension is asymptomatic (without symptoms) but in some cases symptoms are seen which are given below: * Headache * Vertigo * Lack of sleep * red eyes * Anger comes easily * Bodyache * Swelling occurs on below knee and foot Dear, To control or maintain BP normal there are some instructions are given below: •Do not take salt in high amount or try to avoid it because high sodium level increase BP. • Eat less amount of pickle and fast food, fast food contain high sodium. • Avoid drinking alcohol and smoking. • Take less amount of coffee and tea both increase BP. • Drink 8 to 10 glass of water daily • Do exercise daily, running and long walk. • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams daily for 10 - 15 minutes. It will reduce your stress level in your body. • Avoid taking too much fat foods such as butter, cheese, ghee. • Eat healthy diet such as green leafy vegetables, fruits. Eat an apple daily.

Heart palpitations are a feeling that your heart is beating too hard or too fast, skipping a beat, or fluttering. You may notice heart palpitations in your chest, throat, or neck. Heart palpitations can be bothersome or frightening. They usually aren't serious or harmful, though, and often go away on their own. Most of the time, they're related to stress and anxiety or to consumption of stimulants such as caffeine, nicotine, or alcohol. Palpitations also often occur during pregnancy. In rare cases, palpitations can be a sign of a more serious heart condition. Therefore, if you have heart palpitations, make arrangements to see your doctor. And seek immediate medical attention if along with palpitations, you experience shortness of breath, dizziness, chest pain, or fainting. A thorough physical examination and Medical History of your problem is required to rule out for any underlying cause. If an underlying cause is found, the right treatment can reduce or eliminate palpitations. If your palpitations are not related to an underlying cause, lifestyle changes, including stress management and the avoidance of common triggers, can help prevent them. Causes of Heart Palpitations Many things can cause heart palpitations. In majority of cases, the cause is either related to your heart or is unknown. Non-heart-related causes of palpitations include: • Strong emotions such as anxiety, fear, or stress; palpitations often occur during panic attacks. • Vigorous physical activity • Caffeine, nicotine, alcohol, or illegal street drugs such as cocaine and amphetamines • Medical conditions, including thyroid disease, a low blood sugar level, anemia, low blood pressure, fever, and dehydration • Hormonal changes during menstruation, pregnancy, or the perimenopausal period; sometimes, palpitations during pregnancy are signs of anemia. • Medications, including diet pills, decongestants, asthma inhalers, and some drugs used to prevent arrhythmias (a serious heart rhythm problem) or treat an underactive thyroid • Certain herbal and nutritional supplements • Abnormal electrolyte levels Some people experience palpitations after eating heavy meals that are rich in carbohydrates, sugar, or fat. Sometimes, eating foods with high levels of monosodium glutamate (MSG), nitrates, or sodium can bring them on. If you have heart palpitations after eating certain foods, the problem could be food sensitivity. Keeping a food diary can help you identify which foods to avoid. Palpitations can also be related to underlying heart disease. When they are, palpitations are more likely to represent arrhythmia. Heart conditions associated with palpitations include: • Prior heart attack • Coronary artery disease • Other heart problems such as congestive heart failure, heart valve problems, or heart muscle problems In you case and at your age there is a strong possibility that yours is a stressv related problem and start doing stress management exercises especially BRAMARI PRANAYAM daily for 10 minutes and avoid habit of over eating and control on your weight but again I will suggest you to consult your doctor or with me in person as I can only come to a correct diagnosis after physical examination. Being a Homoeopath I will advise you to take following medicine alongwith which will surely help you . ACONITE NAP 30 ( Dr Reckeweg) Drink 5 drops every 5-10 minutes during increased heart beat .Take it till your heart beat is normal.

Plenty of vegetables and fruits. Exercise. Low fat food. Omega 3 fatty acids capsule one a day. Low salt. Low. Sugar diet. X ray ecg echo to review your heart problem. You may need a coronary angiography.

Mr Manoj, Hypertension and diabetes usually are seen together in many persons. Apart from taking appropriate medication, it essential to adapt a modified lifestyle, which means having a balanced and restricted diet, exercising regularly for more than 1 hour a day, avoiding sweets, deep fried foods, junk foods, alcohol and smoking. In case of hypertension salt intake also has to be low(2.3 g/day). From the data it is not clear what is level of blood pressure, which drugs are being taken for treating diabetes and current fasting and PP sugar leves and HbA1c%. Plus also inform you are exercising regularly, as your BMI is 26.19 kgs, which is high. Plus inform about dietary pattern. It will be good if you come in a private conversation with these details, where I will be able to give specific suggestions.

Hi, There are two types of insomnia: primary insomnia and secondary insomnia. Primary insomnia: Primary insomnia means that a person is having sleep problems that are not directly associated with any other health condition or problem. Secondary insomnia: Secondary insomnia means that a person is having sleep problems because of something else, such as a health condition (like asthma, depression, arthritis, cancer, or heartburn); pain; medication they are taking; or a substance they are using (like alcohol). Sleep plays a vital role in good health and well-being throughout your life. Getting enough quality sleep at the right times can help protect your mental health, physical health, quality of life, and safety. In children and teens, sleep also helps support growth and development. The damage from sleep deficiency can occur in an instant (such as a car crash), or it can harm you over time. For example, ongoing sleep deficiency can raise your risk for some chronic health problems. It also can affect how well you think, react, work, learn, and get along with others. Management: Here are five tips everyone can use to help improve the quality of their sleep: Keep your bedroom cool and dark Put away/turn off all electronic devices while preparing for bedtime Stick to a regular bedtime and wake time every day, even on weekends Stop drinking caffeine by the early afternoon and avoid large late-night meals Skip the late-afternoon nap, as it can make it harder to sleep at bedtime Avoid taking unnecessary stress/ tension. Do regular exercise. Go for a brisk walk in the morning. Medication: Take Schwabe's Bacopa Monierri 1x/ thrice daily and Kali Phos./ once daily at night for 1 month. For concentration: Take homoeopathic medicine - Anacardium 200/ once daily. Management: -Take 6-9 hrs. Of sound sleep at same time daily. -Make a clear plan that meets your needs beforehand. Take 5 or 10 minutes break in between, and use this time to check email, and then close your inbox and move on to your most important task. When making a plan be sure to allocate enough time for entertainment, studies and sleep. -Choose a place of your choice for concentration. School libraries, study lounges and private rooms are the best. Above all, the place that you choose should not be distracting. Try to stay away from other people if you want to concentrate on your work. -Develop a controlled and balanced diet. Overeating creates a huge load of digestion and can make you feel uncomfortable and sleepy. Eating light and healthy meals can help you maximize your ability to concentrate. -The ability to concentrate depends a lot upon our physical well-being. If we are tired, unhealthy and afflicted by numerous minor ailments, concentration will be more difficult. Of course, concentration is still possible, but it is just more difficult. -Continuous work in the same place can drive anyone crazy. Taking constant breaks can solve the problem. This will make you active and more interested in your topic. -Know that practice makes perfect. Concentration is an activity like any other. Clearly the more we practice, the better our concentration will become. -Do work at a desk, not your bed. -Blood is the main vehicle of oxygen in our bodies. But blood gets pooled in the lower half of our bodies as a result of gravity, and doesn't push as much oxygen to the brain, where it helps improve concentration. In order to help oxygenate the brain, get up and take a walk every so often to get the blood pumping. Hypercholesterolemia: High blood cholesterol is treated with lifestyle changes and medicines. There are few risk factors: Cigarette smoking High blood pressure (140/90 mmHg or higher), or you’re on medicine to treat high blood pressure Low high-density lipoprotein (HDL) cholesterol (less than 40 mg/dL) Family history of early heart disease (heart disease in father or brother before age 55; heart disease in mother or sister before age 65) Age (men 45 years or older; women 55 years or older) Food to be avoided: -Saturated fat which is found in some meats, dairy products, chocolate, baked goods, and deep-fried and processed foods. -You also should try to limit the amount of sodium (salt) that you eat. -Try to limit drinks with alcohol. Too much alcohol will raise your blood pressure and triglyceride level. Food to be taken: -Whole-grain cereals such as oatmeal and oat bran -Fruits such as apples, bananas, oranges, pears, and prunes -Legumes such as kidney beans, lentils, chick peas, black-eyed peas, and lima beans -A diet rich in fruits and vegetables can increase important cholesterol-lowering compounds in your diet. -A healthy diet also includes some types of fish, such as salmon, tuna (canned or fresh), and mackerel. These fish are a good source of omega-3 fatty acids. These acids may help protect the heart from blood clots and inflammation and reduce the risk of heart attack. Try to have about two fish meals every week. If you’re overweight or obese, losing weight can help lower LDL cholesterol. Routine physical activity can lower LDL cholesterol and triglycerides and raise your HDL cholesterol level. Medication: Homoeopathic medicine - Cholesterinum 30/ thrice daily for 4 weeks.