Dr. AP Arora

Please follow anti tubercular treatment as scheduled. But all of anti tb medicines are toxic to liver specially r cinex, therefore need to do liver function tests every month or earlier if some changes like loss of appetite / jaundice symptoms felt. We advise liver toxic food like fats & other heavy medicines known to be toxic to liver and kidneys. Atovas is used to lower cholesterol but fats are not given to patients on treatment for tb, emphasis is on high carbs & more simple proteins. There is no need to give this medicine which is toxic to liver. He is being given ace inhibitor to bring down bp-this medicine can lead to cough confusing symptoms of tb. Change to safer beta blockers after consulting with your doctors. Regarding medicines to dissolve blockages, our system has not much to offer for old blockages, be careful about interactions with ayurvedic medicines also. I can suggest simple things which may help dissolve blockages & help the liver also. Juice of pomegranate, spoon of honey + juice of a lemon in warm water on empty stomach, apple cider vinegar plus honey. Avoid all fats except good fats like a spoon of pure ghee only plus a katori of assorted nuts to get much needed protein plus good fats. He must be on bed rest, get some physiotherapic advice to improve the blood circulation otherwise get massage done on entire body. If person is not eating bad fats, the levels of lipids remain within limits and there is no need for medicines to lower cholesterol. Give him high protein diet like simple things like toned milk, curd, chhachh, boiled eggs, clear fat free soups of vegetables and pulses. Get back here for more guidance with latest reports of liver function tests, cbc & total lipid profile. Good luck. Continue giving multivitamin in the list of medicines above.

You r taking good medicines and your reports r just above normal you should go for hba1c test for your 3 months sugar control, after that we can advice you to increase or decrease your medicines.

LDL cholesterol is termed as bad cholesterol and our target is it to be below 100 and I will suggest you to follow- 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 and to start on medication depends on the symptoms

It is a case where you need to rule out conditions like diabetes, thyroid disease, high alcohol intake, faulty dietary habits especially carbohydrate and fat rich diet (rice, potatoes, fried stuff, high sugar intake etc.). It is possible that you may be having fatty liver. Please get an ultrasound done of your abdomen. Good lifestyle measures, including regular exercise and dietary habits will certainly help. Otherwise reliance on medicines would remain.

Hello, you might be suffering with palpitation. Take Belladonna 30 ch , 3 drops thrice daily. revert after 3 days. Take care.

If everything is normal then the pain may be muscular or due to hyperacidity. For hyperacidity take some anta acids and for muscular pain you go for massage with mahanarayan tail followed by hot fomentation.

Agnesji, I am not aware if hypothyroidism increases blood pressure. Your blood pressure particularly systolic seems to be varying quite a bit, it is not good. Appropriate medication should settle it. Ideally on treatment bp should 130 / 80 mm hg, altering present drugs or adding some new compound should be able to help in reducing the systolic pressure. You also control hypothyroidism effectively (maintaining tsh between 3 to 4 milli units/ml). That will help in over all well being.

Dear Hypertension can be treated and controlled. Cholesterol is made in liver as per body needs. So relaaax. Vm.

How to prevent lifestyle diseases?

In the olden days, we had food scarcity and too much physical work. So obesity and lifestyle diseases were less among people. In those times people used to eat heavily when more food was available and eat less when no food was available. 

Then came the agricultural revolution era and a smart public distribution system. Food become abundant. It became impossible to change our centuries' old habit and we started eating more.

Then came industrial, it developments and opening up of markets. It created the following things:

Less physical work. Too much mental strain. Odd working hours. Availability of cheap tasty junk foods.

All these started leading to lifestyle diseases like obesity, hypertension and diabetes. 

Then came the medical era (the current period), when the incidences of the above said diseases started growing out of proportions. Nowadays we have started realizing that 

We are over eating. We are eating junk calories, food with high fat and salt content. We are leading a sedentary lifestyle.

We have started seeing our parents, relatives, friends getting these diseases, and we have come to know that there is no escape, since they too lead a similar lifestyle. This is the awareness era. Now availability of resources like internet and health magazines are changing people's mind to lead a healthy and fit life.

How to lead a healthy lifestyle and avoid lifestyle diseases?

Stop smoking, reduce alcohol consumption to once a week (two drinks only, it is better if avoid alcohol. Control your existing illnesses like diabetes and hypertension by dedicated dieting and regular consultation with your physician.
Physical activity: 40 minutes a day, minimum 5 days a week. Stop junk foods completely, reduce sugar, salt and oil consumption.
Sleep well (5-8 hours). Everybody has a different biological clock. A refreshing night's sleep varies from person to person. For some 5 hours is enough, for some they need 8 hours. Find out which person you are and start sleeping for the correct time.

just be calm first as anxiety increases and creates problems.Take warm water early morning and night.keep active with less salt and sugar in diet. All problems increase due to constipation and heat

Follow the tips 1. Cleanse your face twice a day using lukewarm water to dissolve oil. 2. Avoid touching your face with your hands as this germs to your facial skin, making it to breakouts. 3. Ensure that you drink10-12 glasses of water daily 4. Avoid fried and spicy food. Take homoeopathic medicine Nat Mur 30 (4 drops in little water) twice a day for a week and revert. This is your medicine. Please send me the reports of your mom after sending that I can prescribe the medicine for your mom.

Good to see that at this age you understand the true definition of health. Just continue with what you r doing pressently. Just go for following blood tests vitamin d esr vitamin b 12.

Dear lybrateuser, - Your problem could be due to muscular or other soft tissue problem - avoid exertion, bending, lifting weight, upper body exercises till pain is reduced - do hot fomentation three times a day of the affected area - apply pain relief gel three times a day - take pain relief tablet after meals if pain is more - do an x- ray chest to rule out any bony problem.

Hi. You do not have to take any precausions just because you have undergone open heart surgery for asd. Just once ask your surgeon doctor or your heart doctor about any particular precautions for you. Some of the heart parameters like pah etc, if they are normal, then you are allowed to do all things that you want to. Take care.

All your complaints are due to stress, anxiety and worry. Anxiety is a feeling of worry, nervousness, or unease about something with an uncertain outcome. It is the subjectively unpleasant feelings of dread over anticipated events. Anxiety gives all types of bizzary complaints like you are experiencing. These are all psychological symptoms, so the investigations are normal. Psychiatrist will be of help to u.

Reduce wt to ideal salt 5 g per day only allowed. Coconut water fruits and vegetables red and purple.

You can have eggs without the yellow yolk & the lean meat also in moderation if you want but in roasted or grilled form. Stay blessed & Live Life More!

Salt restricted diet is adviced in hypertension 3 gram salt can be taken daily, so you need not to stop the salt completely however a salt substitute like LONA salt can be used, it tastes similar to normal salt.

u can also close check about sinus and nasal polyp which causes post nasal dripping and ultimately cough and nasal blockage if not taken seriously turns in bronchial asthma