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Dr. S V Mythili

General Physician, Chennai

Dr. S V Mythili General Physician, Chennai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. S V Mythili
Dr. S V Mythili is a popular General Physician in Tambaram East, Chennai. You can consult Dr. S V Mythili at Dr. S V Mythili in Tambaram East, Chennai. You can book an instant appointment online with Dr. S V Mythili on Lybrate.com.

Lybrate.com has an excellent community of General Physicians in India. You will find General Physicians with more than 32 years of experience on Lybrate.com. You can find General Physicians 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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4 Thirumazhisai Street ,Tambaram East, Chennai, Tamilnadu ( South ) - 600059, ChennaiChennai Get Directions
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Sleep Deprivation Can Cause High Blood Pressure Is Your Sleep Deprivation Causing High Blood Pressure?

C.S.C, D.C.H, M.B.B.S
General Physician,
Is Sleep Linked to Hypertension?

The link between sleep and hypertension is well-known. Studies have examined the effects of sleep deprivation on healthy volunteers and have examined the sleep patterns of people with hypertension, producing data that suggest adequate sleep may reduce risk. good cardiovascular health. Data from several studies show that people who sleep less than six hours each night are 20% more likely to develop high blood pressure.One night of inadequate sleep in patients with hypertension has been shown to result in elevated blood pressure throughout the next day.

Average sleep times have declined

Our modern society runs 24 hours a day, and many of us curtail sleep time to keep up. From an average sleep duration of 8 to 9 hours in 1960, our national sleep duration has dropped to 6.9 to 7 hours. Many people try to get by on five to six hours of sleep nightly, a habit that may be contributing to serious long-term health conditions.

What happens when you sleep?

Sleep is restorative, most people agree. We usually don’t question why, but the fact is that the circadian rhythms of sleep regulate our nervous system and the hypothalamic-pituitary-adrenal axis, two critical body systems that keep our bodies in healthy balance. During sleep, normal people should experience a drop in blood pressure of about 15 points, on average. This reduces the work of your heart.

The Autonomic Nervous System and “Fight or Flight” Response

Sleep regulates the autonomic nervous system, that part of the nervous system that modulates the “fight or flight response.” This evolutionary response causes changes in many bodily functions that at one time were useful to provide an edge against predators.A constant state of preparedness from inappropriate activation of this response results in harmful stress on the body.

When the sympathetic nervous system is stimulated, blood vessels are constricted to deliver blood to vital organs like the brain and heart, increasing blood pressure. The “fight or flight” response is also associated with changes in glucose metabolism and an increased risk of insulin-resistant diabetes.

Cortisol, Adrenaline, and the Hypothalamic-Pituitary Axis

The primary hormones regulated by the pituitary and hypothalamus during sleep are adrenaline and cortisol, released by the adrenal gland. Adrenaline is a potent hormone that has a direct effect on blood pressure, mediated by constriction of the arteries. When your adrenaline levels remain high during the night, it can result in sustained hypertension.

Cortisol is a “stress hormone” that is highest in the morning and reaches a nadir between midnight and four AM. Lack of sleep can result in significant disruption of the cycle, subjecting your body to unnecessary stress responses and fatigue that are as damaging to your health as poor diet or lack of exercise.

When you awaken in the morning, your body typically experiences a 50% rise in cortisol level as your body prepares for the stress of a new day. Studies show that waking up early in the morning increases the cortisol response, an effect that is pronounced in people who are facing chronic stress and worry. Cortisol levels usually decline throughout the day, but in people who suffer from sleep loss, cortisol levels increase in the early evening, preventing natural recovery from the day and preparation for a restful night. In addition to lowered immunity, impaired glucose tolerance, and increased craving for carbohydrates, sleep deprivation is associated with elevated estrogen levels, decreased alertness, and poor concentration.

Sleep and Thyroid Hormone

Sleep loss also increases the amount of thyroid hormone in people who are not getting enough rest. People with elevated thyroid hormone have both increased blood pressure and cardiac output, putting unneeded stress on the heart.

Sleep, Obesity, and Hypertension

Sleep deprivation increases appetite by disturbing the regulation of leptin and ghrelin, two hormones that modulate appetite. Sleep deprivation alters your body’s ability to regulate the need for calories, resulting in over-eating and obesity, also linked to increased risk of hypertension.

Caffeine and Hypertension

Many of us use caffeine to remain alert when we haven’t slept well, a habit that causes dramatic increases in blood pressure. The mechanism for elevation of blood pressure after drinking a caffeinated beverage is not completely understood. Some researchers think caffeine may stimulate the adrenal gland to release adrenaline, a hormone with direct effects on blood pressure. It may block hormones that keep the arteries relaxed.

Obstructive Sleep Apnea

People who have obstructive sleep apnea (OSA) have multiple episodes during the night in which they stop and restart breathing. This disorder usually affects middle-age to older adults, but it can occur in patients of any age, particularly people who are overweight. People with OSA typically have high blood pressure, particularly on awakening, when their blood pressure should be at its lowest point. Symptoms of OSA include daytime sleepiness, loud snoring, morning headache, and difficulty concentrating during the day. They may be observed gasping suddenly during the night before returning to sleep.

Are You Getting Enough Sleep?

Sleep is critical for maintenance of your health. If you work shifts or curtail your sleep to accomplish multiple tasks, you are at risk for hypertension that can be difficult to treat. Measure your blood pressure in the morning. It should be at its lowest level and if it’s elevated, you should see your doctor in addition to consideration of lifestyle changes to prevent progression of medical problems associated with hypertension and sleeplessness. If you have symptoms of obstructive sleep apnea, there are effective treatments available.
53 people found this helpful

My head starts paining any time, what should I do?

MD - Internal Medicine, MBBS
Endocrinologist,
My head starts paining any time, what should I do?
take tab. paracetamol for headache. take plenty of water .avoid stress,oily food, there are many causes for headache.to find out causes do few tests cbc,lipid profile, blood sugar.
2 people found this helpful
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I am suffering from typhoid fever, what type of diet should I take. And I am suffering from motion problem. Please help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
For prevention the dehydration in typhoid fever take plenty of water. if you have severely dehydrated, you may need to receive fluids through a vein (intravenously). Avoid contaminated water.,avoid open foods and foods at outside of home. Wash proper hand before meal and after toilet . Drink warm water. Take liquid diet,juice,papaya, dalia, green veg., avoid oily meal. Do tests cbc,typhi-dot, lft,kft,urine r/m,blood c/s,for find out infections in body. Take OTC medicines as :- tab. Dolo 650 mg thrice a day. Cap. Aristozyme once a day. After test blood c/s you can take antibiotic by doctor.
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My mother is 78 years old, she is diabetic, weight reduced to only 45 kgs, height is 4 feet 8 inches. The problem is that she is getting frequent loose stools for past about six months, doctors had got test done for wheat allergy, the biaopsy is negative but still they say it is wheat allergy, and thus has all the ban for wheat products. Please suggest how to go about the right diagonistic and treatment for her.

MBBS, MD - Internal Medicine
General Physician, Delhi
Dear sir, you are rightly concerned, any diarrhoea beyond 4 weeks is considered as chronic diarrhoea, the first step would be do get a good stool analysis done. And look for fat particles, ova, cyst or any blood. Has she done this? have you done any blood tests? can you please upload all the reports including the biopsy reports. Chronic diarrhoea can be watery or fatty or inflammatory each of these have many causes and further information will be needed for evaluation.
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I received a blowjob without condom from a sex worker. I couldn't notice any blood in her mouth. After a month I got 101 fever and my TLC was 12200 in blood. After another 15 days I had 99 fever. Is it hiv?

MD - Psychiatry
Psychiatrist, Chennai
I received a blowjob without condom from a sex worker. I couldn't notice any blood in her mouth. After a month I got ...
Hiv does come as initial viral fever which subsides on its own, slowly others start. Why did you allow a sex worker to do blowjob, without condoms, even a small raw mucosa can get hiv transmitted. Now consult a vctc (voulntary counselling and testing centre) and get blood tests done to confirm hiv is there or not. Western blot is preferable.
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My neck is pain continuously pain. What I do now? pls tell me.

BHMS
Homeopath,
Homeopathy - mag phos 6x 4pills 3 times caust 30-4 pills 3 times for 8 days and revert back after 8 days.
2 people found this helpful
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I am now nearly seventeen and about two years ago I started to masturbate regularly because it makes me feel good. Will this have a bad effect on other parts of my body? Will it weaken my eyes or heart? Will it make my penis grow bigger or smaller?

BHMS
Homeopath, Raebareli
I am now nearly seventeen and about two years ago I started to masturbate regularly because it makes me feel good. Wi...
Yes if you continue it daily you will have all the problems as you have stated. Once/twice a week is normal - more than that is not advisable.
4 people found this helpful
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I am 20 years old boy I have an headache often

General Physician,
I am 20 years old boy I have an headache often
Take crocin pain relief sos, get your BP checked . get your eye sight checked. take rest good sleep. consult again if not ok.
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I am suffering to dry cough last two week I have pain in my cough so suggest me what can I do.

M.D - Respiratory medicine
Pulmonologist, Hyderabad
It's most likely tracheal windpipe inflammation. Take a bronchodilator and an antibiotic if felt essential by a physician.
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Hi, I am 29 years old male my work timings are est, I usually sleep at 5 am everyday, my sleep is too disturb by nightmares and night terrors almost whole night, something always going on in my dreams, I feel so uncomfortable when wake up. Kindly suggest.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Hi, I am 29 years old male my work timings are est, I usually sleep at 5 am everyday, my sleep is too disturb by nigh...
Dear, sleep is a blessing. If a person is able to sleep about 6 hours per day without any disturbance, he is considered blessed. I see you are stressed because of your job. The body rhytm must have changed because of the sleep schedule. You must be able to distinguish between mental disease and mental disorder. Your problem is a mental disorder. Not a mental disease. These mental disorders are usually treated with a combination of medicines and other means like awareness, meditation, psychotherapy techniques, life style changes etc. I think two or three counseling sessions and psycho therapy techniques should solve your problem. Let me know if you are willing to undergo counseling sessions and tailor made psycho therapy through mobile. Take care.
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I had headache over 2 weeks, what should I do, I am very helpless, please answer?

MBBS
General Physician, Cuttack
I had headache over 2 weeks, what should I do, I am very helpless, please answer?
1.Take paracetamol 500mg,1 tablet sos after food up to a maximum of 3 tablets daily, 2.Drink plenty of water 3.Take rest If you have recurrent attack of headache 1.It could be a tension headache due to stress, strain,depression,agitation, Hypertension or migraine. 2.Avoid stress, physical and mental exertion, take adequate sleep for 7-8 hours daily 3.Go for regular exercise 4.Practice yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 5.Check for refractive error, sinusitis Hemoglobin, BP 6. Consult Neurologist to rule out other causes of headache 7.consult for further advice
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I am a boy with age 17 Since last 1 year I was not go for play anything and suddenly From Last two day I went to play cricket of 20-20 overs at 7 am and I wake up at 5.30 am and now I suffer from full body ache.

MBBS
General Physician, Cuttack
I am a boy with age 17 Since last 1 year I was not go for play anything and suddenly From Last two day I went to play...
1. Take one tablet of crocin advance as and when required after food up to a maximum of 3 tablets daily, 2. Drink plenty of water 3. Take adequate rest.
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My duaghter is 1.5 years old and suffering from cold, she is having fever from last 2 days and doctor has advised tuspel plus for cough mefanorm for fever, fever goes when given medicine for 3-4 hours after which she again feels fever. After 2 days of treatment still no improvement, can we start antibiotic now ?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Please give her Dr. Reckeweg's BC - 6 / 2 tabs thrice a day for one week and Dr. Reckeweg's R - 88 / 2-3 drops in one or two teaspoon of water thrice a day for one week. Revert back after one week with feedback.
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Suffering from soar throat from last few days suggest some medicine.

BHMS
Homeopath,
Suffering from soar throat from last few days suggest some medicine.
Hello, you can take homoeopathic medicine belladonna 200 (4 drops in little water) 4 times in a day for 2 days and revert. Gargling twice a day with lukewarm water will also give you relief.
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How to control low bp problem? Suggest alternatives!

MBBS
General Physician,
no medicine for low bp consume 3-4 lt of water daily, take coffee, increase intake of salt, it will help. welcome.
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Sir I am 41 years old from last 10 days I am facing the problem of constipation and now there is pain during toilet there is no fall of blood but I am feel every time of toilets pl suggest.

BAMS
Ayurveda, Bangalore
Sir I am 41 years old from last 10 days I am facing the problem of constipation and now there is pain during toilet t...
HI, Please follow these tips to get rid of constipation: 1. Drink 2-3 lts of water per day. 2. Consume lot of fibre in your diet like raw vegetables, fruits, whole grains, oats. Etc. 3. Eat one fully ripe big banana at bed time. 4. Drink one glass of hot milk with one spoon of ghee in it at bedtime. 5. Take your food at regular intervals. Avoid spicy and oil fried food. 6. Never curb the urge to pass stools. 7. Never put in lot of pressure to pass stools. 8. Take 1tsf of Isabgol powder with a glass of hot water at bedtime to get an easy evacuation. 9. Do sitz bath twice daily.
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I can't wakeup in morning early how I change my habit. I sleep early but I can't wakeup in morning.

MBBS
General Physician, Mumbai
I can't wakeup in morning early how I change my habit.
I sleep early but I can't wakeup in morning.
Keep alarm clock on mobile. Wake about 15 minutes earlier than previous day. Do not try to suddenly change wake up timetable to 30 or 60 minutes earlier than previous day.
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Polycystic Ovarian Disease and its Homoeopathic Treatment

BHMS, MD-Homeopathy, PGPC - Preventive Cardiology
Homeopath, Delhi
Polycystic Ovarian Disease and its Homoeopathic Treatment

Polycystic Ovarian Disease or PCOD is a hormonal system disorder occurring in women of reproductive age. It is also known as Stein-Leventhal syndrome. PCOD refers a unique set of symptoms, which occur when there is a hormonal imbalance in a woman’s body. The symptoms include late or no periods, pain in the pelvic region, heavy bleeding during periods, weight gain, growth of facial hair, acne and difficulty in conception or getting pregnant.

Cysts develop in the ovaries, which cause hormonal imbalances like the levels of androgen get raised more than the normal limits. Although androgens are the hormones for male, they are present in minor quantities in normal females. With the increase of androgen levels, it creates a disturbance in normal ovulation cycle leading to disturbance in menses.

All PCOD patients are advised to lose weight and do regular exercise. The common symptoms includes irregular menses, growth of facial hair and other parts of the body like arms, abdomen, chest, legs and fingers. An ultrasound examination can confirm the ovarian cysts. PCOD can lead to complications like type 2 diabetes, raised cholesterol levels, infertility, depression, cancer of uterus.

Losing weight helps to reduce high insulin level in the blood. In case of obesity, weight loss will reduce insulin resistance, stimulate ovulation and will improve fertility rate.

The conventional system of medicine has no cure for PCOD. Homeopathy however, offers the best alternative as it concentrates on treating and curing the root cause of the problem. Homeopathy believes that the human body is designed by nature to keep itself disease free and when its own internal vitality is unbalanced, the body becomes prone to disease. Once the vitality regains its original balance, the human body is able to nurse itself back to health without any external aid.

1. Apis Mellifica is best homeopathic medicine for the treatment of PCOD with stinging pains in the ovarian region coupled with tenderness over abdomen and uterine region.

2. Pulsatilla works great for patients of PCOD who suffer from scanty and late menses. It is suited for young girls in whom the PCOD starts at puberty.

3. If a person suffering from PCOD with bearing down pains from the back and abdomen, then Sepia works like magic. The menses are irregular with too late and scanty or early and profuse. The patient is irritable and indifferent.

4. Lachesis is for patients with aversion to tight clothes. The menses are short and flow is feeble accompanied with pains in the abdomen which get relieved after the flow starts.

5. Graphite work great for patients of PCOD suffering from constipation. The patient has intolerance to cold and often feels tearing pain in the stomach coupled with hardness in the ovarian region. If you wish to discuss about any specific problem, you can consult a homeopathy and ask a free question.

4872 people found this helpful

I'm 21 year male, my palms n legs sweat a lot in all seasons, tried home remedies, but no use. Pls help.

MBBS
General Physician, Cuttack
Excessive sweating could be due to 1.Anxiety, nervousness 2 Obesity, Diabetes, Thyroid problem, Tuberculosis, Gout, head injury 3.Alcoholism or due to effect of some anti hypertensive and psychiatric drugs 4. Investigate yourself to rule out these diseases 5.Avoid anxiety ,nervousness,tea/coffee, alcohol, spicy food, chocolate etc 6.Try some anti antiperspirant lotion or roll on. 7.Consult skin specialist for advice
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I am suffering from anal infection fistula and fissure . I am on treatment currently from my family physician but I want to ask one thing I smoke 4-5 cigarettes per day is smoking will affect my healing of this ?

MBBS, AFIH, PGDMLS, MD-HRM, MD-HM
General Physician, Gurgaon
Yes smoking has negative effect on anal fissure and fistulas and delays and aggravates the condition.
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