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Dr. Chandrasekaran

Cardiologist, Chennai

300 at clinic
Dr. Chandrasekaran Cardiologist, Chennai
300 at clinic
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Personal Statement

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. Chandrasekaran
Dr. Chandrasekaran is a renowned Cardiologist in Valasaravakkam, Chennai. Doctor is currently associated with Rakshith Hospital in Valasaravakkam, Chennai. You can book an instant appointment online with Dr. Chandrasekaran on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 31 years of experience on Lybrate.com. You can find Cardiologists online in Chennai 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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No.153, Arcot Road, Sai square complex, Valasaravakkam. Landmark: Opposite Sivan Temple, ChennaiChennai Get Directions
300 at clinic
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Sir I have 23 years old I have blood pressure problem tell me sir what should I do.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Sir I have 23 years old I have blood pressure problem tell me sir what should I do.
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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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

13 people found this helpful

Monthly blood pressure is increasing will you give any suggestions to control blood pressure?

BHMS
Homeopath,
Monthly blood pressure is increasing will you give any suggestions to control blood pressure?
Dear lybrate user, take homoeopathic mother tincture rauwolfia q, 30 drops, thrice daily, after meals, in a cup of water for your problem of high blood pressure. Also avoid mutton, beef, chicken, ghee, butter etc. Kindly remember that medication to control high blood pressure will affect your sexual performance & it will diminish your sexual power.
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My Grandmother aged 90 fell down. She was taken to hospital with heavy nose bleeding. Blood was coming from her nose and mouth. The Doctor used gauze and splint to stop bleeding. It happened at around 9.30 am on 5th May ie yesterday. Today ie on 6th May at around 12 pm the Doctor came and removed the gauze and splint. After sometime nose bleeding started again. The Doctor told that inner artilleries or veins may be broken. He also used Vbeam laser to remove dilated vessels on outer part. She is a heart patient. She has a missing heartbeat in every minute. Please help me fast.

D.N.B, D.L.O
Ear-Nose-Throat (ENT) Specialist, Bangalore
Hello lybrate-user do not panic firstly she has injured her nose so tiny blood vessels inside of nose over the centre partition will have opened up leading to bleeding. First aid measures like pinching the nose than application of cold compression will stop the bleeding. But the doctor has packed and later removed so nothing to worry. Just get an xray nasal bones to rule out any fracture. Take care.
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Hello sir, I am 59 year old male have undergone angioplasty twice once in 2008 n the other one month back. Is there any medicine in Ayurveda which can clear the blocks, as the old 2008 one is now blocked by 50%

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hello sir, I am  59 year old male have undergone angioplasty twice once in 2008 n the other one month back. Is there ...
50% block may not be corrected but you can give a chance collateral blood vesselsto open up,so far these lying in heart but doing nothing and there are plenty of collateral blood vessels. it is equated to nature doing a bypass surgery giving its own vessels to circulate more blood to the heart by its own vessels instead of grafted vessels. some people do claim about opening up of the blocked vessels by alternate therapies but there are no proofs, no studies carried so far. if sugar levels are controlled you can have all of these or any of these lemon juice plus spoon of honey with warm water on empty stomach every morning & rest of the day. apple cider vinegar diluted with water/juice. pomegranade fruit or juice or dry seeds boiled in water ,a concoction made and a cup taken every day. exercise like walkkng does open up vessels of entire body. massage with machine or with oil does improve blood circulation including heart. better is blood circulation ,more vessels lying low get a chance to open up. good luck.
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Even an underweight person has anxiety and diabetes, can he get affected by any cardiac arrest?

MBBS
General Physician, Mumbai
Even an underweight person has anxiety and diabetes, can he get affected by any cardiac arrest?
yes even an underweight person can get affected by cardiac arrest causes can be hereditary ,stress related ,hypercoagulable states like surgery. other causes are hypertension, diabetes , arrhythmias,s septicemia,injury,shock..
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My mom is 56 years n she has knee joint problem from last 5 years. Consulted various orthopedic surgeon. The gap is reduced in the knee joint is what everyone says. She is having too much pain. Tried everything from oil massage to painkillers. Can anyone advise me what is the best solution to reduce her pain permanently. She has high blood pressure problem. It is control by medicines.

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedist, Trichy
My mom is 56 years n she has knee joint problem from last 5 years. Consulted various orthopedic surgeon. The gap is r...
If the arthritis is worse then knee replacement will be the last option. See an ortho surgeon in your town and he will be able to discuss the pros and cons of surgery.
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I am 46 year old my name is arvind garg. Elergic problem that my nose and throat make cough. I also take medicine for high bp.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
An attack may be brought on by contact with substances to which the person is sensitive and emotional or dietary factors should not be overlooked. A sudden change of temperature can bring on an attack. Some alleviation of the symptoms may be obtained with the use of the appropriate tissue salts. This could be a food allergy, do some research, usually its lactose (dairy), nuts, sugar, food coloring, preservatives. Try to avoid boxed and processed foods which have more preservatives, try cuprum ars (biochemic)requires detailed questioning so as to ascertain your personality and to treat you symptomatically. Treatment is available, safe and without side effects in biochemic system of medication. Consult me in private.
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When I cough I feel a lot of pain in my chest and it is about 4 days now.

MBBS
General Physician,
When I cough I feel a lot of pain in my chest and it is about 4 days now.
CHEST PAIN in your case may be due to 1.acidity. 2. severe anxiety 3. muscular problem A. You can take Tablet Pantocid 40 mg one tablet before food for 3 days B. Local application of Volini gel 1% twice a day for 2-3 day you should go for BP check along with Baseline ECG and review with report I am giving you some health tips to avoid acidity 1.Take small frequent meal kindly take 5-6 small meal in whole day 2.Take 6-8 glass of water in a day 4. Moderate physical activity regularly 5.avoid excessive tea, coffee 6. Do Not postpone Breakfast
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Facts Every Woman Should Know About Heart Disease

DM Cardiology
Cardiologist, Delhi
Facts Every Woman Should Know About Heart Disease

Heart disease doesn't affect all women in the same way and neither does it have the same warning signs as heart diseases in men. For women, heart disease is a bigger threat than breast cancer. Cardiovascular diseases also kill more women than men as the disease progresses differently in men and women. Here are a few things you should know about heart diseases.

Women have more atypical symptoms of heart attacks: The classic symptoms of heart attacks are pain in the left arm, chest pain and heart palpitations. Though women may exhibit these symptoms, they are more likely to have atypical symptoms. These include nausea, stomach aches, pain in the shoulders and upper back and extreme fatigue.

Preeclampsia and gestational diabetes can increase risks of heart disease: Even though your blood pressure may go back to normal and conditions like preeclampsia or gestational diabetes may go away post pregnancy, their effects linger on. The risk of heart disease for a woman who suffered from preeclampsia doubles while gestational diabetes can cause glucose intolerance leading to obesity or other such conditions which are risk factors for heart diseases.

Hot flashes could be a sign of heart problems: Hot flashes are usually associated with menopause but may also be a symptom of underlying heart problems. Hot flashes that occur after a exerting a strenuous effort on something can be a sign of angina in women.

Men and women do not face equal risks: Traditional risks to heart diseases such as cholesterol, obesity and high blood pressure affect both men and women but some factors such as diabetes, stress, depression and smoking affect women more than they affect men. Since women tend to lead a more sedentary lifestyle than men, a lack of exercise also affects them more than it affects men. In addition, a low level of estrogen can also increase the risk of cardiovascular conditions. This is usually seen after menopause.

Metabolic syndrome increase your risk of getting a stroke:

There are five metabolic risk factors for heart disease. If you have 3 or more of them, it is termed as metabolic syndrome. These risk factors are:

  1. A waist circumference of more than 35". This is also called abdominal obesity
  2. A triglyceride level higher than 150 mg/dL
  3. A low level of good cholesterol i.e. HDL cholesterol that is less than 50mg/dL
  4. High blood pressure
  5. High blood sugar. This could also be a sign of diabetes.

While some factors like genetics are out of our control, most of these factors can be controlled by conscious lifestyle changes. Your doctor may also prescribe medication for the same. Heart disease can occur at any time so do not take your heart for granted.

3844 people found this helpful

Recently my father undergone with bypass surgery and now he is frustrated as he has to wake up for urinating several times at night, he is diabetic and age is 63. Please suggest is it liked with post bypass surgery issues or and medicine ?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Excessive urination can be due to high sugar levels but as I am not having any latest reports of your father, I think may be before and during surgery, sometimes catheterisation leads to urine infection. Just get him examined for routine urine test.
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I am 54 year old. I am suffering in bp problem my blood presser is 134/95 in this position what can I do. Please give best advise.

DM Cardiology
Cardiologist, Delhi
Dear , bp of 134/95, is mildly raised. Your aim, should be to bring it below 120/80. You can do this by reducing your salt intake and regular exercises.
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My mother is suffering from sugar and blood pressure problems please advice me what to do to cure this problem?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My mother is suffering from sugar and blood pressure problems please advice me what to do to cure this problem?
Mr Vipul, Diabetes mellitus and hypertension both conditions can only be controlled by appropriate treatment with drugs, die,t exercise.and weight control. There is no cure for these conditions.Treatment has to be for life time. Drug selection and dosage will depend on individual patient, sugar and BP level. Similarly dietary advise also has to be very specific and induvidualised. So you may come in a private conversation with all the details like fasating and Pp sugar levels, HbA1c%, BP reading, dietary pattern, weight and height. There I will be able to give specific advice .
1 person found this helpful
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How to get rid of green mucus? When I cough it always emit mucus im worried about it and sometimes it cause pain in chest. Can anyone suggest tips to not to produce thick green mucus and how get rid that existed in my chest?

M. sc Psychology, BHMS
Homeopath, Hyderabad
How to get rid of green mucus? When I cough it always emit mucus im worried about it and sometimes it cause pain in c...
Mr. Lybrate user, green mucus is indication of infection.& you are complaining of chest pain also. So its better to consult any general physician for proper check up& t/t. Try to take more water, prefer luke warm water, avoid spicy/oily/fast food. Take bland diet.
2 people found this helpful
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please tell me sir there is be a slow pain in my heart side 4 to 5 time in a month for 2 sec. Please help me.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
please tell me sir there is be a slow pain in my heart side 4 to 5 time in a month for 2 sec.
Please help me.
There may be many non cardiac causes like musculo skeletal or neurological pains originating from soft tissue or rib cage. See your doctor for clinical examination, diagnosis and advice.
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Sometimes, heartbeat becomes very fast in my body. And I gets unable to do any work. What should I do?

DHB
Homeopath, Sagar
Sometimes, heartbeat becomes very fast in my body. And I gets unable to do any work. What should I do?
Dear lybrate user you can take following homoeopathic medicine cardicare drops take 15 drops three times in a day.
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I am 49 years old and taking the Rosuvastatin group of medicine for cholesterol/ triglycerides. Is there anything in Homeopathy?

BHMS, MD Medicine
Homeopath, Chennai
I am 49 years old and taking the Rosuvastatin group of medicine for cholesterol/ triglycerides. Is there anything in ...
Surely homoeopathic medicines will help you to reduce cholesterol levels song with some diet n exercise, you need to do. U can take appointment audio video or text consultation. your details history will give exact homoeopathic medicines that will reduce time of treatment. Thank you.
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Dear/madam please give me solution for my chest pain and acidity have a long time problem please give solution.

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
Dear/madam please give me solution for my chest pain and acidity have a long time problem please give solution.
it may gas-distention trouble due to indigestion. have simple bland food (Khichadi) for next few days avoiding junk, oily, spicy fried and deep-fried food items. drink lot of water. Add Jeera, Ajwain, Sonth in ur food items – these herbs prevent gas formation. Reduce intake of tea – coffee. Instead u can have green tea. dont lye-down or sit immediately after having meals. have a walk instead. maintain good bowel habits. Have more of Coconut Water, Gulkand etc to relieve acidity, Avoid too much of Cauliflower, Peas, Brinjals, Namkeens as snacks etc. Do regular walking and mild exercises. You may also do a weekly fast – just to relax and calm down ur system. Fasting also helps in cleansing of the system. for gas some herbal medicines might also help you but after proper history taking. For that u may consult me privately over Lyberate. Please update with ur valuable feedback.
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I am sixtyfive years old having blood pressure and suffering from knee pain due to osteoarthritis. I will like to take homeopathy treatment only. Please advise. R S Wadhwa.

MS - Orthopaedics, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Delhi
I am sixtyfive years old having blood pressure and suffering from knee pain due to osteoarthritis. I will like to tak...
I don't have any knowledge about homeopathy but you can go for it. Crux of the treatment lies in physiotherapy. Do it regularly.
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