Carotid artery disease occurs when an oily, waxy substance called plaque builds up inside the carotid arteries. These are arteries that supply oxygenated blood to your brain, face, scalp, and neck.
Carotid artery disease is very serious as it can cause a brain stroke. It, in fact, starts with damage to the inner layer of the carotid artery. To stem this damage your body starts a healing process and this leads to a build up of plaque at the point where the artery is damaged.

When this plaque ruptures, platelets are rushed in and these create an obstruction to the flow of blood to the brain. When the blood supply to the brain is cut off, which happens in carotid disease, the brain cells begin to die causing a stroke. This neural death impairs the parts of the body that these brain cells control. So, you can get paralyzed, become speech or vision impaired, have long  term effects like paralysis or even die due to a stroke.

Causes of carotid disease

Smoking
High cholesterol levels
High blood pressure
High levels of sugar in the blood due to diabetes
What s even more worrisome is that carotid artery disease may not cause any signs or symptoms until the carotid arteries are severely narrowed or blocked. And what usually happens is that a stroke becomes the first sign of the disease.

How scary is that?
So, the next question that comes to the mind is - Can this condition be cured? Let s learn more about management and prevention of the same-

Prevention
Lifestyle changes are key. Since hypertension, uncontrolled diabetes, sedentary lifestyles and imbibing too much fat are all risk factors, taking care of them minimizes the risk of carotid disease and strokes. Heart healthy lifestyle changes that include moderate exercise are a great way to prevent carotid disease.

Treatments
Treatments for carotid artery disease include:

Medicines: Sometimes lifestyle changes do not stem the rot. You need medicinal help. Doctors usually prescribe statin medications to control your cholesterol levels. These lower the bad cholesterol that can narrow your carotid arteries and cause brain strokes and damage. Statins are usually prescribed for people who have:

Heart disease
Those who ve had a stroke
Diabetes
High LDL or bad cholesterol levels
Medicines like Aspirin and Clopidogrel to prevent blood clots are the mainstay treatment if you suffer from carotid disease. They prevent platelets from clumping together inside your carotid arteries and forming blood clots. Apart from these, your doctor may also medicate you for conditions that can damage your carotid arteries and cause strokes. These medicines are for lowering your BP, blood sugar levels, preventing the formation of blood clots anywhere in your body including inside your heart, and preventing and reducing inflammation.

Medical Procedures
These are used to open narrowed or blocked carotid arteries.
The two common procedures are:
Carotid endarterectomy: It s mainly for people whose carotid arteries are blocked 50 percent or more. In this, the inner lining of the carotid artery that is blocking blood flow is removed.
Carotid artery angioplasty and stenting: Here, doctors use a procedure called angioplasty to widen the blocked carotid arteries and restore blood flow to the brain. A stent is inserted into your carotid artery to broaden the lumen. 

High Cholesterol Level - Can It Cause Carotid Disease?

Coronary artery blockage is the most common heart disease and also causes of premature death in the present era. Comparatively, male sex is more prone to the Arterial Blockages than females. Heart muscles need a regular blood supply, oxygen molecules and nutrients to function properly. Heart muscles need a regular blood supply, oxygen molecules and nutrients to function properly. Coronary arteries are those which supply blood to the heart muscles, any blockage in the coronary arteries causes decreases the supply of blood to the heart muscles. Coronary artery blockage is caused due to the build-up of the cells, fat and cholesterol which is called as plaque, which leads to lack of blood supply to the heart muscles.

When the person is active and takes too much stress, the heart needs, even more, blood supply, but when the coronary artery is blocked then there will be a lack of blood supply to heart muscles, such a condition is known as ischemic heart disease. Common symptoms of ischemic heart disease are

Irregular heart rhythm

Shortness of the breath

Angina pain

Tightness in chest

These symptoms take time to appear, but with the gradual decrease in oxygen supplied by the blood the muscles of the heart can get damaged, sometimes even permanently and that is what happens in a heart attack. If someone is suffering from ischemia since long, then it can lead to irregular heartbeat and heart failure.

Tests conducted for detecting coronary artery disease:

Electrocardiogram

Exercise Stress

Nuclear Scan Test

Stress Thallium Test

Cardiac Catheterization

You doctor based on your medical history and symptoms will refer a particular test.

Treatments

If the coronary artery disease is diagnosed, then there are a number of ways it can be treated including lifestyle changes, medication, procedure or surgery

Lifestyle changes: It includes daily exercise, changes in the diet and strictly no smoking

Medication: In the allopathic system of medicine, medication can only help treat the symptoms of blocked coronary arteries, it cannot fix them.

Ayurvedic Approach: The way of understanding of medoroga prakarana according to yogaratnakara and other acharyas are unique. Even stoulya and medoroga is caused due to medo vruddi. Our acharya explains stoulya prakarana and medo roga prakarana in separately. It indicates that Stoulya includes fatty deposition in the adipose tissue. Likewise Medo roga including fat molecules and plasma cholesterol in the blood. Due to the more quantity of the fat molecules and plasma cholesterol in the blood, it can cause several disorders including coronary artery blockage, gallbladder stones, PCOD, Hypothyroidism, X-syndrome etc.

Clinically sometimes a person may be lean but can suffer from coronary artery disease or gallbladder stones, hypercholesterolemia, higher plasma cholesterol levels. Sometimes, we can t find these conditions in obese persons, but they are more at risk of suffering from these problems.

Ayurvedic Medication:

Line of treatment:

Hrudya vati 1000mg 2 times a day before food can be helpful

Anarsha Kshara 3 pinch before food.

Sukha virechana Churna 1tsb after food will surely help

Note:

At the plaque formation stage in arteries and before the thrombus (blood clot) formation, plasma cholesterol management is required and for this Hrudya vati is highly recommended
With the help of above mentioned ayurvedic medicines, we can easily treat coronary artery blockage of 10 to 100%, without any stent or bypass surgery
Anupana: Water, Honey or Ghrutha
Other indications

Prevention of heart attack

Increased blood cholesterol (Lipid Profile Abnormalities)

Gall Bladder Stones

PCOD

Hypothyroidism

Metabolic X-Syndrome.

Conclusion

Coronary artery Blockage is caused due to Medo Vruddi in the blood that may accumulate in the coronary artery vessels. And, will eventually cause ischemia in the heart muscles i.e. craving of the oxygen supply to the heart muscles. That may produce the symptom like irregular heart rhythm, shortness of the breath, angina. After that, it may lead to thrombus formation and can cause myocardial infarction.

Serological Study: Sometimes 100% blockage with cholesterol, fat molecules and cells i.e. Plaque may not show any symptoms, but sometimes even 20-30% of blockage can show all the symptoms. So in the higher cholesterol level or in the hypercholesterolemia conditions and in the early stages of the Plaque formation, one should take medication.

Scientific study:- By observing different scholar s scientific study of all the ingredients of Hrudya vati with respect to regularization of cholesterol level and break down of Plaque formation, we concluded that Hrudya Vati is the drug of choice for the coronary artery blockages.

Animal experiment: Also for further study we conducted an animal experiment on mice in Govt M-Pharma College Bangalore. Experiment result shows serum cholesterol level becomes normal. So that it can prevent the coronary blockage, and reverse the coronary artery blockages.

Clinical study: Through the Clinical study we observed that at the stage of plaque formation in the coronary artery and other arteries can be removed permanently that is 100% by advising Hrudya Vati. 

No need to go for any stunt or bypass operation. With this medication can clear the pathway of the blood vessels, also prevents the blockages & heart attack. In case, there is a family history of heart attack and your blood cholesterol is high, it is advisable that you take at least one course of Hrudya vati, once a year. So, everyone must try to understand the condition of the coronary artery blockage and prevent further complications based on the evidence.

Ayurvedic Treatment For Coronary Artery Blockage Without Surgery!

My child complains of Chest Pain. Should you be worried?

Chest pain is a common complaint among children. For a parent, it can be worrisome because there is a natural tendency to associate chest pain with the heart. The good news is, in more than 95% of cases, chest pain is non-cardiac in origin.

What signs will tell me that the pain may be related to the heart?

Chest pain that occurs in association with certain pointers needs a thorough evaluation. Some of the features that may suggest a heart-related condition include:

Associated breathing difficulty or dizziness
Chest pain that is brought on by exercise
When cardiac disorders run in the family or there have been sudden deaths at a young age in the family
A past medical condition like Kawasaki disease or connective tissue disorder
The following features suggest that a non-cardiac cause is likely:

If the pain follows direct trauma to the chest or is worsened on local pressure: the muscles or bones that form the chest wall are the likely origin of pain
Wheezing or fever and cough: a lung problem is likely
A burning pain beneath the breastbone, especially in relation to certain types of food: may be related to the digestive system
A stressful situation at school or home: a psychological cause of chest pain may be considered.
What can I expect at the doctor s visit?

If your child complains of chest pain, it is important to take him or her to the doctor. Your doctor will first take a detailed history and examine the child. ECG, a record of the electrical activity of the heart, gives an initial idea whether or not the pain may be related to the heart. Other tests that may be ordered include a chest XRay, a  heart-scan  (echocardiogram), a stress test, or further tests based on the findings on evaluation.

Chest Pain In Children - Should You Be Worried?

Heart Care Tips For a Heart Patient

A heart patient has to always live with caution. This World Heart Day, let us understand what it takes to keep our heart in good health. In fact, by following certain rules, one can lead a smooth life despite being a heart patient.
The major risk factors of heart diseases are smoking, high blood pressure, diabetes, physical inactivity, obesity, and high cholesterol. In addition to these, there are factors which add to the heart condition. They are stress, alcohol, sleep apnea and C - reactive protein.

Food and exercise play a major role in the well-being of a heart patient. It is important to engage in exercises as prescribed by your heart specialist. Follow these dos and don’ts with respect to food.

Say YES To:

1. Poultry and fish for the requirement Omega 3 and Protein
2. Raw nuts, flax seeds, avocados, olive oil, fish oils etc which make up the body's need of healthy fats.
3. Fruits and vegetables for the body's nutrient needs.
4. Whole grains and legumes which provide energy and fiber to the body.
5. Protein and calcium which come from unsweetened yoghurt, egg whites, low-fat/non-fat cheese and skimmed or double toned milk.

Say NO To:

1. Fried foods, cakes and pastries, since they have trans-fats or other harmful fats.
2. Foods high in sodium and sugar, especially packaged goods.
3. Rice, pasta, white breads, sugary foods.
4. Sausage, bacon and red meat.
5. Full cream milk, whole milk cheese and sweetened yoghurt.

If you would like to consult with me privately, please click on 'Consult'.

 Heart Care In Your Hands: World Heart Day Special Tips

Psychogenic breathlessness or pseudo-dyspnea is a condition where the patient suffers from shortness of breath time to time. This disease is often confused with a similar breathing disorder called Chronic Dyspnea. While there are a lot of factors involved in chronic dyspnea, like allergens and pulmonary diseases, psychogenic breathlessness has more to do with the current state of mind.

One of the most challenging factors is the diagnosis and differentiation between both conditions. Sometimes, the psychogenic breathlessness is so concentrated that there is no way to differentiate between the two.

Procedure of Diagnosis of Psychogenic Breathlessness:

Here are the steps that doctors typically follow to diagnose Psychogenic Breathlessness

To differentiate between the two diseases (Chronic Dyspnea and Psychogenic Breathlessness), the doctor will ask the patient to try breathing harder. A patient with chronic dyspnea will find it even harder to take a breath when he or she tries to. However, a person with psychogenic dyspnea will show improved conditions when they try to breathe harder

A thorough examination of the chest will be done

Blood tests and lung function test (spirometry) will also be conducted to rule out pulmonary diseases

Causes of Chronic dyspnea:

Allergens causing allergic bronchitis (also known as asthma) is the main reason behind Chronic Dyspnea. Other common causes of the true or chronic dyspnea are heart diseases, COPD which occurs because of smoking. Then there are rare disorders like ILD (sarcoidosis), neuromuscular diseases, infections, anemia, obesity/deconditioning.



Causes of Psychogenic dyspnea or psychogenic breathlessness:

Acid reflux: Acid reflux can cause certain sensation on the inner lining of the esophagus (esophagitis). The esophagus has several nerve endings on the inner linings, when the acidic reflux touches these nerve endings, a temporary breathlessness occurs.

Anxiety: People with anxiety can also develop breathlessness. Though exercises help for a short period of time, a patient needs to see a psychiatrist for this condition.

Panic Attacks: These are also a cause for breathlessness. The temporary feeling of choking is common in people who experience panic attacks.

Treatment:

Medication: Medicine for acidity is prescribed to patients having Pseudo-Dyspnea, due to acid reflux.

Anxiety pills and Talking therapy: People suffering from anxiety are recommended to see a psychiatrist for better evaluation of their problem. Medications (anxiety pills) prescribed by the psychaitrist may help in controlling the breathing pattern in a person. Psychological therapies (Talking therapy) have been effective for people suffering from breathlessness due to anxiety.

Placebo: If the problem remains unsolved and unknown, sometimes doctor prescribes placebo medication, for example sweetened aerosol. Doctors believe that if the patient thinks he/she is taking a real medication, his/her condition can be controlled by eluding the mind.

It is important to remember that Psychogenic Breathlessness is as real as chronic breathlessness and patient doesn t pretend to have this condition. When the first symptoms of it start appearing, a specialist doctor (pulmonologist) should be consulted who after confirming the diagnosis of psychogenic breathlessness, may refer you to a psychiatrist or psychologist for further treatment.

Psychogenic Breathlessness - Causes, Symptoms and Treatment of It!

Shortness of breath, medically known as dyspnea, is the sensation of tightening of chest accompanied by a feeling of suffocation. Most of us would have experienced this while doing intensive exercise, while in extreme temperature or high altitude to a certain extent. But when the breathlessness is severe, it is due to a lung or heart ailment. The lungs and the heart play the most important role in transporting oxygen to our tissues and removes carbon dioxide. And so, any kind of problem in either of the organs can affect our breathing.

Causes:
Numerous underlying conditions can lead to a shortness of breath. An insight into the most common causes are enumerated below.

Asthma: One of the common reason for shortness of breath is asthma. It is a serious condition in which the passage of air becomes narrow and swells up and produces extra mucus. This can result in shortness of breath, triggers wheezing, coughing and also makes breathing difficult. It cannot be cured but the symptoms can be controlled, and it is also necessary to consult with the doctor to track the symptoms and adjust the treatment.
Carbon monoxide poisoning: Another leading cause of shortness of breath is carbon monoxide poisoning. It is caused when carbon monoxide builds up in our blood stream. When there is excessive carbon monoxide in the surrounding air, our body replaces the oxygen in our red blood cells or RBCs with the carbon monoxide in the air. Appliances that are improperly ventilated and engines, especially in a sealed or tightly enclosed space might allow carbon monoxide to accumulate in our blood stream to a dangerous level.
A hiatal hernia: This is caused when part of our stomach pushes upward through your diaphragm. Our diaphragm usually has a small opening through which our esophagus or food pipe passes and connects the stomach. The stomach pushes up through this opening in case of a hiatal hernia and results in shortness of breath. In most of the cases it can be cured by medications, but in some situations, surgery is required.
Pulmonary embolism: It is a blockage in one of the pulmonary arteries in the lungs. In 95% of the cases of pulmonary embolism, it is caused due to blood clots that travel to the lungs from the legs or some other parts of the body. As the clot blocks the flow of blood to the lungs, it can also be life threatening besides causing a shortage of breath.
Apart from these conditions, others such as bronchitis, pneumonia, lung cancer, COPD, arrhythmia, hypertension, and many other lung and heart ailments can result in shortness of breath and can lead to dire consequences in certain cases. Thus, it becomes paramount to consult a pulmonologist when you frequently experience such breathing difficulty.

Shortness Of Breath - 4 Most Common Reasons Of It!

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