Asthma is a respiratory disorder, which is characterized by the narrowing down and inflammation of the inner lining of the airways of the lung, resulting in excessive secretion of mucous. The airways are responsible for the passage of air from and to the lungs. Asthma can affect any person of any age group; however, the symptoms of the condition can vary. The symptoms of asthma include severe pain in the chest, coughing and problems in breathing, interruption in sleep due to breathing problems and a croaking sound during exhalation. Asthma, in most cases, tends to be chronic and can exist throughout your life with eventual changes in the nature of attack.

The most common causes of asthma are:

    Common cold and allergies from dust particles, smoke and minute insects might be catalysts for asthma.
    Suffering from severe anxiety might also cause asthma.
    Asthma might occur as a result of physical exercise and as a side effect of some medications such as ibuprofen and aspirin.

As of now, asthma is incurable. But medications can control the symptoms. Homeopathic preparations can also be useful for the treatment of asthma. Some common homeopathic remedies are as follows:
1. Arsenic album: If the symptoms include severe episodes of stress and nervousness, immense thirst but the inability to drink much water, severe attacks at night and intense pain in the upper right portion of the chest, Arsenic Album might be very useful to cure the problem.
2. Nux Vomica: If the attack is primarily caused because of gastric disorders or sudden outbursts of anger along with symptoms of dry cough, headaches and stomach aches, Nux Vomica might be used as a remedial medicine.
3. Carbo Veg: Carbo veg can be recommended if the symptoms include a pale face at the time of attack along with cold feet and hands and an itchy sensation in the larynx.
4. Kali bichromicum and Moschus: If the attacks become worse in the morning accompanied by yellow mucus discharge, the above mentioned homeopathic preparations are recommended.

Asthma: Breathing Made Easy with Homeopathy

Do you know that cholesterol is found in baby formula and has got some surprising facts about them? Cholesterol is a waxy, fat like substance which is present in all your cells, and your body s cholesterol level says a lot about the health of your heart in the future. Having high cholesterol increases your risk of acquiring heart diseases and hence, you should try to maintain a normal cholesterol level.


Here are some surprising facts about cholesterol, which you should know about:

You cannot live without cholesterol: We are born with cholesterol in our bodies and infants get more cholesterol from mother s milk. This is why cholesterol is added to baby formula. All the hormones and cells of your body need cholesterol for proper functioning. It also builds the cells and helps the liver to prepare fat processing acids.
One out of three adults have high cholesterol: It is important for all people above the age of 20 to get a cholesterol checkup every five years. According to studies, around 32% of adults in the USA have got high cholesterol levels. Your cholesterol levels may also be affected by factors such as your diet and stress.
High cholesterol can be genetic: Genetics is a major influencing factor in high cholesterol levels. Research has proven that almost 75% of high cholesterol cases are genetic in nature while 25% occur because of diet.
Children can have high cholesterol as well: There is a common misconception that high cholesterol is an issue involving adults only. However, children may also have high cholesterol and it is recommended for you to get your child tested at an early age. For children who are obese and have a family history of heart attacks and high cholesterol, a selective screening is important.
Sweating raises the levels of good cholesterol: Sweating is good for increasing the levels of good cholesterol in your body. You should follow a healthy diet including food items like avocado and salmon. Working out is also important for raising your HDL levels, which prevent heart disease.
Supplements may help in lowering cholesterol levels: The first option for controlling your cholesterol levels is to work out regularly. If you are at a risk of heart attack or have hypercholesterolemia, you have to bank on supplements such as plant stanols and sterols. You can also take cholesterol reducing medications such as statins.
Earlier, the medical community was reserved about prescribing cholesterol lowering medicines and they were given only to critical heart patients. In modern day, statin treatment is recommended to people who have even little chances of heart attacks or stroke.

Cholesterol - 6 Interesting Facts About It!

Cardiomyopathy is a serious heart disease. It is a disease associated with the heart muscle or myocardium. In this disease, the heart muscles get weak and fails to pump blood to the organs of the body. It has several categories. The categorization depends upon the range of factors. In this disease, irregular heartbeat is observed. These irregularities can lead to heart failure or attack or can trigger problems in the valves. It is important to take care of your heart to avoid such a condition. It is also advisable to see a doctor as soon as the symptoms are noticed to avoid greater damage.

Types of Cardiomyopathy
This disease can be divided into four categories. These are as follows:

Dilated Cardiomyopathy: It is the most common type. It occurs at a time when the heart muscle gets too weak to pump blood properly. The muscles of the heart get thinner and weak. In fact, this also leads to the expansion of the heart chambers. In common terms, it is also referred to as enlarged heart. In most cases, this is inherited or caused by some coronary artery disease.
Hypertrophic Cardiomyopathy: This is genetically transferred to the patient. In this condition, the heart walls get thicker and this hinders the smooth flow of blood. It is one of the most common types of Cardiomyopathy.
Arrhythmogenic Right Ventricular Dysplasia (ARVD): This is a very rare form. It can cause sudden death, especially in young athletes. In this disease, fat and fibrous tissues are responsible for replacing the muscles in the right ventricle. This leads to an abnormal rhythm.
Restrictive Cardiomyopathy: It occurs as the ventricles of the heart get stiff and are unable to relax. This prevents them from getting filled up with blood. Under this situation, you might have to go for a heart transplant.
Other Types: Some of the other types include Peripartum Cardiomyopathy (the one which occurs after pregnancy), Alcoholic Cardiomyopathy (happens due to excessive intake of alcohol) and Ischemic Cardiomyopathy.
Treatment of Cardiomyopathy

The treatment of Cardiomyopathy depends upon the extent of damage caused. It might not require treatment if symptoms are not very troublesome or prominent. It may be dealt with certain lifestyle changes, adjustments and medications, in cases those needs to be addressed.

Tips to deal with Cardiomyopathy
1. Maintain a healthy lifestyle by getting an adequate amount of night sleep. Go to bed early and wake up early too.
2. Don t spend long hours in watching television or work till late night
3. Eat a lot of fresh and green-leafy vegetables daily.
4. Avoid the intake of spicy, oily and fast foods.
5. Consume home-cooked food only. Avoid eating out at restaurants or street-side joints.
6. Don t drink excess coffee, tea or aerated drinks.
7. Don t consume alcohol or smoke up cigarettes.
8. Don t live a sedentary life and be a couch potato. Workout and exercise on regular basis.
9. Avoid emotional outburst and try to keep a control over your reactions.

Cardiomyopathy - Tips To Help You Deal With It!

Things to do in case of chest pain or angina pain

Unlike yesteryears chest pain or heart related problems aren’t just age related anymore. Many young people under 30 are experiencing chest pain. It seems to be directly proportional to the increasing stress levels.The medical term for mild chest pain is angina pectoris and it happens when your heart is not getting its usual requirement for blood. Such a situation occurs when one or more arteries are blocked. Angina Pectoris is experienced usually while doing physical activities or experiencing strong emotions. At such times, the heart doesn't get as much blood as it requires for normal functioning.

Broadly speaking, discomfort in the upper part of the body is the symptom of angina, the symptoms typically include:

1.  It may feel like you are suffering from indigestion or gas or fullness and pressure.

2.  It may also feel like chest pain spreading to the neck, back, arms, shoulder or jaw.

3. You feel better after a little rest or some medication.

4. It doesn't last for too long, at the most five minutes.

5. Shortness of breath, anxiety, dizziness, sweating, fatigue and nausea and also symptoms of angina.

Physical conditions and habits which put you at the high risk zone for angina are:
1. When you don't get enough exercise.
2. If you are a smoker
3. If you are overweight
4.  If you have a history of heart diseases
5. If you are diabetic
6. If you suffer from blood pressure of high cholesterol

Steps You Must Do To Manage the Pain and Resultant Effects

1. Calm Down - The first thing to do to counter angina pains is to rest and calm down. If you are doing physical activity, stop doing it. And if you are under emotional turbulence, you need to find ways to calm down immediately. Meditate, if needed.

2. Get Professional Help - Do not delay in consulting the doctor and ensure that you take the prescribed medication diligently. In situations where the damage is much more and medications cannot clear the problem, surgery is resorted to.

3. Change Of Lifestyle - In the long run, lifestyle change is a good idea. Staying fit, a clean medical report and keeping a healthy lifestyle will keep enough blood pumping into your heart.

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

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Why You Must Not Dismiss Chest Pain as a Minor Affair!

What is Palpitation?
Palpitation is a feeling of awareness of your own heart beat. It is usually described as heart rate being either too fast (racing), too slow or a sensation of missing a beat.

Types of palpitations?
Normal (Benign)
- These palpitations occur as a response to physical or mental stress like exercise, fever, pain, fear, anxiety etc. 
- They are harmless and settle on their own once the precipitating factors disappear. They do not require any medical treatment.

Abnormal
- These palpitations occur due to some underlying abnormality in either the structure of heart or the beating of heart. 
- These can be dangerous and at times life threatening. They may or may not settle on their own and require some medical treatment.

Warning signs that suggest palpitations are abnormal?
Palpitations are abnormal, if they are associated with chest heaviness, chest pain, uneasiness, sweating, weakness, giddiness, feeling of black out, fainting, nausea, vomiting, seizures. Palpitations are more likely to be abnormal in people who have some existing heart disease and these patients should report to their doctor at the earliest.

What to do during palpitations?
1. Stay calm. 
2. Call for help. If u are alone avoid driving, use a taxi or auto, go to your nearest hospital/doctor and try to get an ECG during the palpitations. If you are helping someone having palpitations, if they faint, call for help, start CPR if they remain unresponsive and take them to the nearest hospital. 

Which doctor can treat palpitations?
Doctors who specialise in the treatment of palpitations are called Electrophysiologists. They specialise in heart rhythm and are capable of performing a variety of complex tests to identify and treat different types of palpitations.

Which investigations are used to diagnose palpitations?
ECG: Taken during palpitations and when the patient is normal is a very helpful tool. 
Holter: Externally applied recorder, which continuously records heart rhythm for 24 hrs. 
ELR: Extended loop recorder, is like holter, but it records rhythm for longer durations. 
ILR:  Internal loop recorder is attached within the body for recording rhythm for long duration. 
EPS: Electrophysiology study, is the most sure shot test to diagnose, identify and treat 
Palpitations.

What is EPS?
EPS stands for Electrophysiology study. By this test a trained Electrophysiologist studies the conduction and formation system of heart beat, to understand the source, cause and type of palpitation. It is a simple and safe procedure of 2 to 3 hours and can be done as a day care procedure (by admitting the patient for a few hours in hospital, with discharge on same day).

It requires fasting for 4 hrs, some standard blood investigations and is done with local anaesthesia and if required it can be combined with treatment like ablation in the same sitting.In the procedure Electrophysiologist take catheters into your heart to study and stimulate the palpitations and understand them. Once found they can use various techniques to stop the palpitations, the techniques are called Ablation.

What are the treatment options available for palpitations?
There are many options depending upon the nature of palpitations and condition of the patient: 
- Drug therapy 
- Cardioversion where either a drug or electric shock is given to stop palpitations immediately. 

Ablations using many sophisticated computer softwares 
Device Therapy like ICD (Internal cardiac defibrillator) 
Combination of all the above therapies.

Your Electrophysiologist and you as a team can make a choice about the options that will be best for you.

Palpitations - Everything You Need to Know

The heart is a muscular organ that pumps blood to the entire body through a network of arteries and veins. This network contains big vessels which branch out further to supply blood to the distant organs. There is, therefore, some pressure that the heart and thereby the vessels need to exert to push the blood through these vessels. This is known as blood pressure, and normal pressure levels range from 90-140(systolic)/60-90(diastolic) mm of Hg. However, due to various reasons, this pressure could be more, which is one of the first signs of heart disease. 

Causes of increased blood pressure: 

Thickening of the blood vessels. With age, the elastic blood vessels naturally turn rigid and less elastic, so there is more pressure required to push blood. It is natural for people over 55 years of age to have higher readings of blood pressure. This is known as primary hypertension (HTN) 
Narrowed blood vessels. This happens due to cholesterol accumulation along the walls of the blood vessels. Faulty dietary habits along with sedentary lifestyle have increased the incidence of hypertension due to this condition, known as atherosclerosis. Critical atherosclerotic narrowing of renal arteries lead to renovascular HTN that is one of the commonest of secondary HTN. 
Other Causes of secondary hypertension are: 

Kidney problems 
Thyroid hormone disorders 
Congenital heart defects 
Chronic alcohol abuse 
Adrenal gland tumours 
Chronic use of medications like birth control pills, pain killers, etc. 
Unidentified and uncontrolled hypertension can be silent and can lead to more severe conditions like heart attack and stroke. India is fast becoming the new hypertension capital of the world. Some of the common risk factors are: 

Age 
Family history 
Being obese or overweight 
Sedentary lifestyle 
Smoking 
Alcohol consumption 
Excessive salt intake 
Stress levels 
Ethnic background 
Symptoms: 

Hypertension can go undetected for years together, but if there are risk factors like diabetes and high cholesterol, it is advisable to periodically monitor blood pressure. 
Headaches, nosebleeds, and shortness of breath should not be ignored. These can be the first warning signs of hypertension, and if detected early, preventive measures can be taken. 
If there are co-morbid risk factors, it is advisable to constantly keep a check on BP readings. 
Management: 

This includes a combination of diet and lifestyle modifications. 

Quit smoking and alcohol: Of the many wonders quitting smoking can do, reducing BP readings is just one. The improvement would be almost instantaneous. Quit or else reduce alcohol and see dramatic improvements. 
Weight management: Through a combination of diet and exercise, ensure that weight is brought under control. Set a target BMI (Below 26 kg/m2) and work towards it religiously. 
Diet: Reduce salt, increase potassium, increase vitamin D, eat a heart-healthy diet, and see the hypertension readings improve. Please find attached and reviewed copy for health tip for posting

High Blood Pressure - All You Need To Know About It!

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