Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 37 years of experience on Lybrate.com. You can find Cardiologists online in Delhi 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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Sometime I hav problem in my chest. It starts paining itself for some few minutes. I want to live a better lyf. Please suggest me also some medicine. That I could liv my life better.
Hello doctor, I am having a burning or may be acidity from my stomach to my throat and sometimes in my chest, sometimes when I breath deep I feel someone is stretching my veins in my chest, and I feel some kind of lumps is there in my throat, I am having this for 4 days. I use to smoke a little, but was a heavy smoker for 3 years like 10 cigarettes on an average in past but now 1 or 2 on a daily basis, should I be worried of cancer or something, am nervous and can't sleep please help me out doctor. Thanks a lot in advance.
I am diabetes2 patient since last 26 year. At present my blood sugar fasting & P. P. Are 89 & 137 mg/dl & HbA1C is 4.8%, taking glimepiride1 mg od half hour before lunch & Metformin SR 1 gm od after lunch since last 34 months. I am suffering some side effects due to metformin such as excessive gas formation whole day, indication, heavy constipation, rashes & itchiness on back skin, weakness, dizziness & weightless. Hence to minimise above side effects I want to replace any other equivalent medicine in place of Metformin SR, which should be also suitable to me ie a heart's patient whose hearts bare metal standing was done on dt 29-8-13 for which I am taking Ecosprin 75 mg od daily, Atorvastatin10 mg od & Ramipril2.5 mg od on alternate days. Hence please suggest such medicine with potency which have less side effects in place of Metformin SR 1000 mg od. Thanks.
Hypertension or High Blood Pressure (HBP) is a long-term or chronic health condition where the pressure of the flow of blood is always high in the arteries. High blood pressure can develop over many years and affects everyone at some point in life but if not treated for a very long time, it can escalate the risks of a number of cardiovascular problems and chronic kidney disorders.
1. Primary Hypertension - High blood pressure caused by genetic, prenatal or other natural causes like aging (people over 60 develop HBP) is known as primary hypertension.
2. Secondary Hypertension - Secondary hypertension is that which is caused due to specific conditions, like kidney disorders, lung disorders etc.
Blood pressure depends on the amount of blood pumped by the heart and the radius of the blood vessels. The delicate balance can get disturbed due to a number of factors.
Primary hypertension may be caused by genetic factors. There are 35 identified genetic loci related to blood pressure. Mutations in these can cause chronic HBP. Other factors like maternal smoking, deficiency of vitamin D, deficiency of calcium, insufficient breast milk consumption also increase the risk of HBP.
Secondary hypertension is caused by a variety of conditions like hypothyroidism, hypothyroidism, nephritis, asthma, sleep apnea, depression, pregnancy etc. Overconsumption of caffeine, alcohol, sodium and illegal drugs may also be responsible for high blood pressure.
Hypertension may not show any warning symptoms for several years while it continues to develop. A few tell-tale signs are frequent throbbing headaches, shortness of breath, nosebleeds, excessive sweating but these only occur when there is an extremely serious medical complication.
Treatment and Prevention
Hypertension is a common condition, especially after the age of 40. Medication may help control severely high blood pressure to an extent but certain lifestyle changes go a long way in both preventing and treating the disorder. Some of them are:
1. Taking regular blood pressure readings after the age of 25. A normal blood pressure is not more than 120/80 mm Hg.
2. Obesity causes hypertension. A normal Body Mass Index of 30kg/sq. m. is to be maintained.
3. The daily diet should include at least 4 to 6 portions of fruits and vegetables.
4. Salt intake is to be limited.
5. Drinking and smoking are to be minimized.
6. Stress and burnout should be avoided.
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