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Dr. K. Anand

MBBS, MD - General Medicine, DNB (Cardiology)

Cardiologist, Chennai

17 Years Experience  ·  500 at clinic
Dr. K. Anand MBBS, MD - General Medicine, DNB (Cardiology) Cardiologist, Chennai
17 Years Experience  ·  500 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. K. Anand
Dr. K. Anand is a renowned Cardiologist in Mogappair, Chennai. Doctor has been a successful Cardiologist for the last 17 years. Doctor is a qualified MBBS, MD - General Medicine, DNB (Cardiology) . You can meet Dr. K. Anand personally at Frontier Lifeline Hospital in Mogappair, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. K. Anand on Lybrate.com.

Find numerous Cardiologists in India from the comfort of your home on Lybrate.com. You will find Cardiologists with more than 34 years of experience on Lybrate.com. Find the best Cardiologists online in Chennai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - Dr.MGR Medical University - 2000
MD - General Medicine - Dr.MGR Medical University - 2004
DNB (Cardiology) - Dr.MGR Medical University - 2008
Awards and Recognitions
Best Outgoing Student In MD , General Medicine
Professional Memberships
Cardiological Society of India (CSI)
American Heart Association

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Frontier Lifeline Hospital

R 30 C, Ambattur Industrial Estate Road Landmark : Oppoisite To Bharath Petrol Pump & Next To Chennai Public SchoolChennai Get Directions
500 at clinic
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Sir, I am too weak. I can't run long distance. When I run then my heart pain takes place. Pls help me I am too worry.

Diploma in Diet and Nutrition
Dietitian/Nutritionist, Hyderabad
Sir, I am too weak.
I can't run long distance.
When I run then my heart pain takes place.
Pls help me
I am too worry.
No need to worry. It is not heart pain. Your stamina is less hence your lungs and chest are feeling strained. Build up your stamina by walking more. Jog more. Climb steps more. Increase Time and distances gradually. Your body will adapt slowly and after a few months you will feel better and stronger.
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what are the reasons for heart attacks. please tel me what its symptoms and if a man having stunts in heart what is his life span and how he should be maintaining his life. Today is a bad day that my friend have heart attack and died. After first attacked then after how many years second attack will come or how can we reduce the risk. please tell me in clarity.

MBBS
General Physician, Faridabad
what are the reasons for heart attacks. please tel me what its symptoms and if a man having stunts in heart what is h...
A heart attack occurs when one or more of your coronary arteries become blocked. Over time, a coronary artery can narrow from the buildup of various substances, including cholesterol (atherosclerosis). This condition, known as coronary artery disease, causes most heart attacks. Pain or discomfort in one or both arms, the back, neck, jaw or stomach. Shortness of breath with or without chest discomfort. Other signs such as breaking out in a cold sweat, nausea or lightheadedness. As with men, women's most common heart attack symptom is chest pain or discomfort.
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Nowadays, I had a problem of irregularity heart beat at seldom. I suspected this a cause of my frequent blocking of both the nostrils because of sinusitis. So, I want you to clarify to diagnose the mentioned problem?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Nowadays, I had a problem of irregularity heart beat at seldom. I suspected this a cause of my frequent blocking of b...
Take pranacharya allergin capsule 1-1 twice a day. 1-1 drop of cow ghee in both nostrils at night time before sleep. Avoid milk. Cold drinks. Take hot water steam..
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I am suffering from high cholesterol problem since three four years. Trygercide was 250 four years back and then I started medicines like z lip f and abana. After 6 month it was 135. I gave up medicine. After checking a few months, it was again crossed 300. And the ratio of bad and good cholesterol is also very bad. Now it is 365. I would like to ask the reason behind. Because I make walk and exercises regularly since my childhood. My age is 50, height is 5.6. Weight 70 kg male. Slim build. I take very less oily food. Likes fruits and uses saffola, olive oils in my meals. Pl suggest how can reduce it and why it is increasing.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am suffering from high cholesterol problem since three four years. Trygercide was 250 four years back and then I st...
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. Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, take green veg., whole grain. Take anti cholesterol medicines .
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Hello Dr. I am Dhiraj From Patna Bihar I approx sagaring heart pain so kindly help and advice sir.

MBBS
General Physician, Cuttack
Hello Dr. I am Dhiraj From Patna Bihar I approx sagaring heart pain so kindly help and advice sir.
1.For your age pain chest could be due to anxiety, stress,Physical and mental strain 2. Avoid stress and strain 3.Do regular exercise, Yoga, Meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress 4 Avoid Alcohol, smoking and tobacco consumption. 5.Take paracetamol 500mg one tablet sos after food up to a maximum of three tablets daily, at the time of chest pain.6. Drink plenty of water and take rest.7.if you have recurrent attack of chest pain take ECG and consult cardiologist.
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Hi sir. I had seen my fathers report. There I have noticed abnormal ecg and unconfirmed diagnosis what is meant by that? is he suffering from heart attack please let me know sir.

DM - Cardiology, MD - Internal Medicine, MBBS
Cardiologist, Delhi
Hi sir. I had seen my fathers report. There I have noticed abnormal ecg and unconfirmed diagnosis what is meant by th...
It is a computer generated report which needs an authentic reply . Consult a cardiologist for best advise
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I sometimes get pain in my heart and I have been struggling with this from a long time I want to know why and how it happens and what I will do when it starts again.

MBBS
General Physician, Mumbai
I sometimes get pain in my heart and I have been struggling with this from a long time I want to know why and how it ...
Get your vital parameters of the body checked from a nearby doctor and revert back with findings and For pain take tablet paracetamol 650 mg
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I have continuous pain in head, doc asked it might be due to high uric acid or high blood pressure, which I have. Suggest what to di.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have continuous pain in head,
 doc asked it might be due to high uric acid or high blood pressure, which I have. Su...
first you do few test for find out causes for headache. i.e. cbc,ct scan of head, lipid profile,kft,lft,urin r/m.. till then you can take analgesic bd after meal.
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My left side of chest I growing large day by day. Am I suffering from Gynecomastia. Please suggest some medicines.

MCh - Plastic and Reconstructive Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Hyderabad
My left side of chest I growing large day by day. Am I suffering from Gynecomastia. Please suggest some medicines.
If your breast is growing in size you need to visit an endocrinologist first and get your hormone assessment done and get treated for that. Subsequently you need to sees a good plastic surgeon and get a surgery for gynecomastia.
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I want to know about the primary tips of high blood pressure because I have a problem.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
I want to know about the primary tips of high blood pressure because I have a problem.
If you confirmed have high BP, then you may have been prescribed medication to control same. Few tips to help you: Eat more vegetables and fruit. Stop packaged foods as they have hidden salts, preservatives that harm. Make sure you get adequate exercise and rest. Yogasana will help regulate metabolism and even bring BP back to normal. Rest in a way that you wake fresh and happy in mind. Make sure you hydrate properly. Not drink 2 liters in the morning, but one glass every 60 to 90 mins so your body is evenly hydrated. Stay away from situations that will disturb you. Learn acupressure as a 'self help' modality. Stay positive and happy. At your age, it is possible to ring BP under control and not be drug dependent. This of-course has to be followed life long. Regards.
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I am 44 year old man recentely I check my bp and cholstrol, bp, 172 to102, cholsrol total -more than 300, shugar normal, I feel just head ache only, please aduvise me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 44 year old man recentely I check my bp and cholstrol, bp, 172 to102, cholsrol total -more than 300, shugar norm...
High triglycerides and 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,. Cod liver oil. Take anti cholesterol medicines .
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My bp difference between diasotlic & systolic too much--usually 150/72--can this be cured? I have also Mitral valve prolapse gr 2? Suggest what to do?for bp i took sistomate & Clopotab for cholosestral.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Mitral valve is one of the valves of the heart, whose function is to keep the blood flowing in one direction through the left side of the heart and to prevent backflow of blood when the heart contracts. MVP basically is displacement of an abnormally thickened mitral valve leaflet into the left atrium during systole .Yes the difference can be cured easily.The good news is that there is a whole array of ?natural? therapies for people with mitral valve prolapse, which can help alleviate the multiple symptoms. They range from behavioral therapies to diet modifications and nutritional supplements and alternative medicines ,Try (Homeo) Tonicard and Allium Sat Q 5-7 drops tid coupled with KALI IOD 12X (BIOCHEMIC) 4 pills 4 times a day.God bless you
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Early Signs Of Heart Disease

MBBS, PGDCC
Cardiologist, Delhi
Early Signs Of Heart Disease

There is a common misconception that minor pain or pain in various parts of the body does not indicate a heart problem. Some people are surprised to discover that not all heart attacks involve massive pain or a collapse that results in the need for an ambulance. In fact, some indicators are so insignificant that people overlook or dismiss them. If you have any of the symptoms below, you should see your doctor and ask him if they could be early signs of heart disease.

* Angina

This painful condition is sometimes the precursor to cardiac arrest, although it can also recur for years without triggering any more serious signs. Angina is the most common early warning of cardiovascular disease and can manifest itself in a variety of ways, including a feeling of heaviness in the chest, pain, a squeezing sensation, weight on the chest or a deep pain that causes you to catch your breath. Many people mistake angina for heartburn or indigestion, particularly since the pain is sometimes felt in other areas of the body, including pain in the shoulder, the middle or upper region of the back or even the jaw line. 

* Atherosclerosis

This is the narrowing or blocking of the major arteries due to the build-up of plaque from too much cholesterol. It is also referred to as hardening of the arteries. As the arteries become clogged, blood flow to and from the heart is restricted, forcing the heart to work harder. Most people first notice poor circulation that leads to difficulty keeping their hands and feet warm.

* More early signs of heart disease:

There are other indications of heart disease that may come and go for months or even years without an individual connecting them with any sort of serious problem such as cardiovascular illness. Among these are dizziness, shortness of breath after exertion or exercise, sweating, a rapid pulse and heart palpitations. Many people dismiss these signs if they are under fifty years of age, particularly if the symptoms come and go. 

* A family history of early heart disease or heart attacks

If there are other close relatives in your family who are contending with heart disease in any form, it could be a sign of genetic familial hypercholesterolemia. If a parent, sibling or child has been coping with cardiovascular health problems, they and the rest of the family should be tested for fh. 

# The silent signs of heart disease:

For some people, the early signs of heart disease aren’t felt or heard, but are discovered as the result of testing of some kind. High cholesterol is one such symptom that can eventually lead to more serious, painful conditions after years of being a silent time bomb. Many health care organizations now recommend that if any man younger than 55 or any woman younger than 65 is diagnosed with heart disease, their immediate family members should be tested for high cholesterol and familial hypercholesterolemia because of the risk associated with a family history of heart disease.

Talk to your doctor if you or a member of your family shows any signs of early heart disease. Don’t disregard signs of early heart disease in women, no matter how unlikely they seem. Early detection and treatment can keep small health concerns from turning into major health issues.

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For the last one year my HBA1c levels were high from 8.0 to 9.4. Last 3 months I am on severe diet and would like to check the readings shortly. My glucose reading were between fasting 130 - 230 and PP 188 - 330 in this period. What is the best lifestyle method to decrease HBA1c levels. I work in night shifts, could it be because of this !

MBBS
General Physician, Mumbai
For the last one year my HBA1c levels were high from 8.0 to 9.4. Last 3 months I am on severe diet and would like to ...
In a known case of diabetic we need to control sugar levels with medication, aerobic exercise and following a diabetic diet and few tips on diet say no to maida items like toast, khaari, naan, white bread. Can drink tea but without sugar say no to buffalo milk and can drink cows milk can eat brown bread can eat sprout's can eat green vegetables, can eat chappati, bajra ka rotla can eat one katori of rice twice a day with dal to avoid farsan food items can eat fruits say no to coconut water.
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Hi, my mother have low bp problem, most of the time she will be tired and she wont be able to do anything. I want to take care of her please suggest me what are all the remedies to get cure from low bp?

M.B.B.S., M.D.
General Physician, Delhi
Drink plenty of fluid, salt intake should increase. Generally medicine is not require for that because salt is main medicine to increase bp.
3 people found this helpful
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My heart beat per minute is about 110 is it normal what should I do to overcome this problem.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Yog and Ayurveda
Ayurveda, Navi Mumbai
My heart beat per minute is about 110 is it normal what should I do to overcome this problem.
Dear Lybrate user, normal heart rate is 70 to 80 Beats per minute. When heart rate goes above 100 per minute, it's called a medical condition of Tachycardia. Some times Tachycardia is physiological which is considered normal, sometimes not. please visit your nearby doctor to understand this in detail. They might suggest you for few tests like complete blood count, ecg, 2d echo etc. Regular practice of yogasan and Pranayam helps in reducing heart rate. Especially Omkar, anulom vilom Pranayam is beneficial. Do learn this from authorised institute. Thank you,
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Sir I am feeling pain in my chest most of the time. Mainly in the morning when I weak up from bed. So suggest me what shall I have do.

MBBS
General Physician, Cuttack
Sir I am feeling pain in my chest most of the time.
Mainly in the morning when I weak up from bed.
So suggest me what...
1.For your age pain chest could be due to anxiety, stress, depression, 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. Takecrocin Advance 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, X ray chest and consult physician for advice and treatment.
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Gud even doctor I request I have very stomach fact I'm very suffering to that I don't like that how decrease that fact please tell me one reason and high tablets any one I want fallow your suggestions.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Gud even doctor I request I have very stomach fact I'm very suffering to that I don't like that how decrease that fac...
Hye, Thanks for the query. You cannot work on a specific body part. You have to work on overall fat loss and toning. Try to eat small but frequent meals. Avoid long gaps in between meals.   Drink a glass of lime water in the mornings to flush out your system & avoid bloating. Avoid junk as far as possible. Exercise at least 4 times a week. Include exercises that tone your back and abdominal muscles too. Exercises To Reduce Stomach Fat1)    Crunches: There is no better exercise that you can think of to reduce belly fat than crunches. It will help you to easily burn stomach fat and if this exercise is coupled with a proper diet intake, then you can see effective results in quick time. Lie flat on your back on a mat. Bent your knees with your feet touching the ground. Now place your hands just behind your head. Take a deep breath and lift your upper body off the floor. You need to exhale when you are lifting your body. When you bring your body back to its original position you need to inhale. Once you come up you need to exhale. Do this for 10 times and then repeat for two or three more sets. 2)    Reverse Crunches This is another exercise that will help you to easily get rid of stomach fat. Lie with your back on a mat. Raise your knees with the feet planted on the ground. Keep both the hands on either side of your body. Push your feet in such a way that your thighs are perpendicular to the ground and your feet are off the ground. Now lift your back such that your knees bend towards your chest. Inhale when you plant your feet on the ground and exhale when you lift your back and move your knees towards the chest. Repeat this for 10 times and for two more sets. 3)    Twist Crunches This exercise routine is very similar to crunch exercise and here you will have to rotate your shoulder in the direction of the other shoulder. Lie down on the mat with your hands behind your head. Bend your knees and make sure that the feet do not touch the ground. Now move your upper body towards your knees like the crunch exercise. But, here you will have to make sure that you twist your right shoulder towards your left and the left torso must be on the ground. Repeat the same way on the other side. Here, you lift your left shoulder towards the right with the right torso resting on the ground. Repeat the same procedure for 10 to 12 times. 4)    Vertical Leg CrunchLie with your back on the mat or the floor. Extend both your legs towards the ceiling and make sure that you cross one knee over the other. Now repeat the same what you have done in the crunch exercise. Breathe in when you lift and cross the knees and breathe out when you move your upper body towards your knees. Repeat this vertical crunch exercise for 10 to 15 times for three consecutive sets. 5)    Side Crunches The side crunches will also help you to shed excess belly fat and will also help in providing a proper workout for your love handles. It is very much similar to the twist crunch exercise. The only difference here is that you will have to lift your right leg up when you are tilting your left shoulder towards the right shoulder and vice versa. Repeat for 10 to 12 times each side for 2 consecutive sets. 6)    Bicycle Exercise This is yet another exercise that will help you to shed excess fat round your belly area easily. Lie flat on the floor or the mat and keep both the hands on either side of your head. Now lift both your legs from the ground and bend them at your knees. Now pull your right knee close to your chest with your left leg out. When you are bringing the right knee up you can try to meet your left elbow with your right knee to have a perfect stomach crunch. Now take your right leg out and bring your left knee close to your chest. Now, lift your upper body and make sure that your right elbow touches your left knee for a perfect crunch. Repeat this for 10 to 12 times for both the sides and for two consecutive sets. 7)    Rolling Plank Exercise The rolling plank exercise is another popular exercise that will work great on your lower back, hip and abdomen areas. Take your position on the floor or a mat in such a way that your knees and elbows are resting on the ground. You need to look forward so that your neck is aligned with your spine. Now lift the knees up so that you support your legs now on your toes. Now contract your knees and keep it in this plank pose for about 30 seconds. Make sure that you breathe normally during this routine. Now move to and fro for the next half a minute to constitute a rolling plank exercise. Rolling Plank SidewaysLie on the floor in a sideways position. Support your weight on the right elbow and your right leg. Make sure that the right elbow is perpendicular to your right shoulder. Place the left leg above your right leg. Keep your knees straight and lift yourself in such a way that your hips are off the ground. Hold this position for about 30 seconds. Once you practice this position, you can hold to this position for 1 to 2 minutes. Do the same on the other side as well. 8)    Lunge Twist If you are a beginner trying to work your belly to remove its excess fat, then you should first try out the lunge twist exercise. Move your left foot forward and bend your left knee. You will feel the hamstring stretch on your right leg. Now lift your hands parallel to the ground and make sure that they are in front of you. Take a big step forward with your left leg and sit down as if you are sitting on a chair. Your right leg should be positioned backwards and you must use your toes to support your right leg. Make sure that your upper body and the spine are in the upright position to perform perfect lunges. Now perform the same lunge exercise on the other leg. Repeat this for 15 times. 9)    Side To Side Bending Bending side to side not just helps in reducing excess fat deposits in your stomach area, but it also helps in giving your love handles a perfect shape. Stand in an erect position with your feet together. Lift both your hands and stretch it above your head and make sure that they are clasped together. Now bend your body to your left side as much as possible until you feel a strain on your right side. Hold in this position for 15 seconds. Now come back to the same standing position. Now repeat the same on the right side. Now hold this position for about 15 seconds. Once you get comfortable holding on for 15 seconds, you can increase it to 30 seconds or more on both sides. 10)    Stomach Vacuum If you are a beginner looking to do some exercises to reduce belly fat, then you should start with low impact exercises like stomach vacuum exercises. This is an exercise that concentrates mainly on breathing. Hit the ground on all fours by supporting your body on your knees and hands. Now take a deep breath and make sure that your abdomen is loose. Now exhale your breath and make sure that you hold your abdomen muscles tight during exhalation. You need to hold the abdomen contraction for about 15 to 30 seconds. Repeat this process for 15 times for two to three sets daily. 11)    Captain’s Chair You will need a chair to do this exercise. It is a simple exercise that will help in reducing excess belly fat. Sit on the chair with an upright spine and straight shoulders. Place both your hands on either side with the palms of the hands facing downwards. Take a deep breath. Now as you exhale, make sure that you bring both your legs upwards such that your knees are very close to the chest. Hold in this position for 5 to 10 seconds. Do not arch your back or bend forwards when your knees are close to your chest. Now bring your legs back to the ground and repeat the same process for 15 times. Lastly be committed.                        Remember it's a lifestyle change and not a one time thing.     It's a balanced intake that will last you longer. All the so called diets and singular ab exercises or ab machines will not give you targeted results. The fats will remain as it is. It's all about overall work out and balanced diet.
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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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Dear sir, My Blood pressure is low. And my blood is very thick. So what I do. Can I eat aspirin tablet (ecosprin 75).

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Dear lybrate user, ecosprin is used as a blood thinner- that's a common way to explain it effect. But this is only a way to explain. In reality blood is not thick or thin. Its only platelets which form clots in the blood which are made non-functional by ecosprin. If you start taking ecosprin then you may risk having bleeding episodes as platelets help us controlling bleeding when we accidentally cut ourselves. Without functional platelets bleeding would be more. Don's ever start cardiac medicines without the real need for such medicines.
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