Dr. Ishant

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Get your esr, crp, vitamin d and serum uric acid levels and also a fresh elbow (ap & lateral) x ray so that I can see and advise you accordingly. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.

1.Get her BP checked and ECG done 2.consult physician 3. Sometimes it could be due to stress and anxiety

1) You need to get an ECG, Echo, lipid profile and RFT done to find a cause of this high BP. 2) Your medications require better titration, so review with your cardiologist. 3) Start exercisining or yoga and gradually increase it to 30-40 mins a day. 4) quit smoking. 5) Avoid caffeine and too much of tea. 6) reduce excess salt from diet, whatever salt is required in cooking food is fine, but don't add salt, avoid eating pickles, namkeens, papad etc. 7) cut down on fried, fatty and packages food. 8) have atleast 8 hrs of sleep.

Resuming sexual relations after heart attack

Many heart attack patients are concerned about resuming sexual relations. Some patients worry they are not healthy enough and that sexual activity will put too much strain on the heart or cause another heart attack. Partners of heart attack patients often worry about these issues even more so than the patient. As a result of these concerns, many couples are reluctant to resume sexual activity.

Most patients are safely able to resume sexual relations at some point after a heart attack. The strain on the heart during sexual intercourse is about the same as from walking up two flights of stairs. However, specific recommendations for resuming sexual relations depend on a number of factors, including the severity of the heart attack and the degree of residual heart function. The decision to resume sexual relations should be discussed with a physician.

Some men and women become depressed after a heart attack, which can interfere with sexual drive and performance. In addition, men who are taking beta-blockers may experience erectile dysfunction. Abrupt discontinuation of these medications is dangerous and discontinuation should be discussed with a physician.

I will advice u to take 5 mg daily what is ur BL sugar? u need to cut down on fats and carbohydrates

Hello based on your blood sugar levels, you don't have diabetes. For kidney function you need to get done blood urea and creatinine levels and ultrasound of abdomen and pelvis. For heart function you need to get ecg and an echo and see a heart specialist.

1. Small vsd closes spontaneously by itself as the child grows. 2. In your case large vsd which requires surgery in future. 3. Surgery done perfectly, will not cause any problem in future.

High cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, take flax oil, omega-3 fatty meal or cap., take .green veg., whole grain.garlic,. Take anti cholesterol medicines .

lybrate-user, Thanks for the query. Presence of fluid in lungs (pleural effusion), could be due to some underlying problem with the lungs like Tuberculosis. That has to be investigated and if present should be promptly treated with appropriate drugs. Because in persons with diabetes incidence of TB is quite high. High creatinine (3.6 mg) signifies problems with kidney functioning. High BP and uncontrolled diabetes both can cause damage to the kidney leading to increased creatinine, So it is essential for achieving strict blood glucose control and near normal BP. Plus her protein intake has to be not more than 0.6 g/kg /day. Thanks.

U have constitutional hypotendion, so timely food+don't stand at a long time+vertin 8 2/day if necessary

Dna is decided once only at the time of conception, it cannot change later because of relations with other men. Go to labor room without any doubts or fears of more than one man being responsible for this pregnancy. Your progress so far is good according to ultrasound reprorts.

Cholesterol is a type of fat. It has both good and bad effects on the body. Your body uses cholesterol to make hormones and to build and maintain nerve cells. However, when your body has too much cholesterol, deposits of fat in the blood called plaque form inside blood vessel walls. The blood vessel walls thicken and the vessels become narrower (a condition called atherosclerosis). This change in the blood vessels reduces blood flow through the blood vessels, possibly leading to heart attacks or strokes. Most of the cholesterol in your blood is made by your liver from the fats, carbohydrates, and proteins you eat. You also get cholesterol by eating animal products such as meat, eggs, and dairy products. How is cholesterol measured? When you get your cholesterol checked, your health care provider will give you a number for your total cholesterol level. You can use the chart below to see if your total cholesterol is high.   Total Cholesterol Level (mg/dL) less than 200 good 200 to 239 borderline high 240 or above high When your cholesterol is measured and found to be high, your health care provider may also check the amount of LDL (low-density lipoproteins) and HDL (high-density lipoproteins) in your blood. LDL and HDL carry cholesterol through your blood. LDLs carry a lot of cholesterol, leave behind fatty deposits on your artery walls, and contribute to heart disease. HDLs do the opposite. They clean the artery walls and remove extra cholesterol from the body, thus lowering the risk of heart disease. LDL is called "bad" cholesterol. (You can think of "L" for "lousy" cholesterol.) HDL is called "good" cholesterol (think of "H" for "healthy" cholesterol). It is good to have low levels of LDL and high levels of HDL. The recommended levels of LDL are shown in the following chart:   Recommended LDL Cholesterol Level (mg/dL) Less than 160 For most people Less than 130 If you have an increased risk of heart disease Less than 100 If you have heart disease, diabetes, peripheral artery disease, abdominal aortic aneurysm, or symptomatic carotid artery disease For HDL, a level below 40 mg/dL is too low. The recommended HDL level is 45 mg/dL or higher. How can I control my cholesterol level? Cholesterol levels can usually be controlled by eating right, exercising, and not smoking. Follow these diet guidelines to help control your cholesterol: Reduce the amount of cholesterol in your diet. The American Heart Association recommends eating no more than 250 to 300 milligrams (mg) of cholesterol a day. Eat less fat. Fats should contribute no more than 30% of your daily calories. Only 10% of the fat you eat should be saturated fat. Some kinds of fats are better than others. Polyunsaturated and monounsaturated fats are better than saturated fats. Monounsaturated fats are found in olive oil, canola oil, and avocados. Polyunsaturated fats are found in fish and some vegetable oils. Saturated fat raises your blood cholesterol because it makes it hard for the body to clear the cholesterol away. Saturated fat is found in different amounts in almost all foods. Butter, some oils, meat, and poultry fat contain a lot of saturated fat. Adjust the amount of calories you eat and exercise regularly to maintain a lean body weight. To control the amount of fat and cholesterol you eat: Check food labels for fat and cholesterol content. Limit the amount of butter and margarine you eat.Use sunflower, safflower, soybean, canola, corn, or olive oil rather than tropical oils such as palm or coconut. Use salad dressings and margarine made with polyunsaturated and monounsaturated fats.Use egg whites or egg substitutes rather than whole eggs. Replace whole-milk dairy products with nonfat or low-fat milk, cheese, spreads, and yogurt. Eat skinless chicken, turkey, fish, and meatless entrees more often than red meat.Choose lean cuts of meat and trim off all visible fat. Keep portion sizes moderate. Avoid fatty desserts such as ice cream, cream-filled cakes, and cheesecakes. Choose fresh fruits, nonfat frozen yogurt, Popsicles, etc. Reduce the amount of fried foods, vending machine food, and fast food you eat. Limit the amount of nuts you eat, especially nuts high in saturated fat. Examples of nuts that are especially high in saturated fat are cashews, pistachios, and Brazil and macadamia nuts. Eat fruits and vegetables (especially fresh fruits and leafy vegetables), beans, and whole grains daily. The fiber in these foods helps lower cholesterol. Look for low-fat or nonfat varieties of the foods you like to eat, or look for substitutes. Exercise goes hand-in-hand with a healthy diet for controlling cholesterol. Exercise helps because it: Keeps your weight down. Decreases your total cholesterol level. Decreases your LDL (bad cholesterol).Increases your HDL (good cholesterol). A good exercise program includes aerobic exercise. Aerobic exercise is any activity that keeps your heart rate up (such as swimming, jogging, walking, and bicycling). You should get 20 to 30 minutes of aerobic exercise at least every other day. If you haven't been exercising, ask your health care provider for an exercise prescription and start your new exercise program slowly. If you smoke, quit. Smoking increases your risk of heart disease because it lowers HDL levels. High cholesterol may run in families. Know your family history and discuss it with your health care provider. In summary, to control your cholesterol level: Eat healthy. Get regular exercise. Don't smoke. Check your cholesterol yearly. For low Vit D, take Vit D Supplements, once a week, and spend atleast 20 min in sunlight.

- DIET I. Juice diet for 5 days. Use warm water enema daily during this period. II. All-fruit diet for further 5 days, with three meals a day at five-hourly intervals. III. Thereafter, adopt the following diet: - 1. Early Morning: A glass of lukewarm water mixed with the juice of half a lime. 2. Breakfast: Fruits and skimmed milk. 3. Mid-morning: Coconut water. 4. Lunch: Steamed vegetables, whole-wheat wheat tortilla or brown rice and a glass of buttermilk. 5. Mid-afternoon: A glass of carrot juice or orange juice. 6. Dinner: Salad of raw vegetables, green gram sprouts and vegetable soup. AVOID: Meats, sugar, white flour, tea, coffee, condiments, pickles fried foods, and products made from sugar and white flour. Important: Restrict the intake of salt and use liberally garlic and indian gooseberry. B - OTHER MEASURES 1. Exercise, especially brisk walking and yoga asanas like pavanmuktasana, uttanpadasana and shavasana. 2. Hot foot immersion in case of high blood pressure accompanied with headache.

Good to know that your kidneys are normal in size and shape & ecg report is also normal. Remember, there is a difference between picture of an organ and its functioning, kidneys'appear' to be normal but are not functioning properly as blood urea & creatinine are very high. Kidneys are like a filter of body that retains the useful products like proteins, carbohydrates, vitamins & minerals. Urea and creatinine are by products of metabolism and are excreted in some amounts, but if filter called kidneys, start to fail, the levels of urea and creatinine start rising in blood and this is an indication of kidney failure. You may need blood dialysis/ abdominal dialysis depending upon various factors, as decided by your treating doctor, so that chronic kidney disease does not become worse. Do consult a renal specialist without delay & remember ckd (chronic kidney disease) can have an effect on an otherwise healthy heart.

That varies from person to person. Some people can have SBP beyond 200 and remain asymptotic but some may become symptomatic with 180. But that's not the point. The point is you should maintain your BP as close to normal as possible.

Hello dear High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. garlic,. Take anti cholesterol medicines .

Hello, please monitor your blood pressure regularly for a week because your medicine is changed now and after taking it you are feeling the weakness. take Nux vom. 200 Ch , 5 drops once daily.

Hello Lybrate user according to ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause. Home Remedy- Mix 1 teaspoon of onion juice with an equal amount of honey. Take once a day for 1 week. Upon noticing improvement, continue for several more days. Treatment- 1-take sarpgandha vati twice a day. 2-yogendra ras. Akik bhasm works very good in case of hypertension. 3-Take pranacharya no tens capsule twice a day Diet-avoid salty diet. Oily food. Lower your stress. Do pranayama early morning.

Agoraphobia is an intense fear of being in public places where you feel escape might be difficult. So you tend to avoid public places, and may not even venture out from home. It can greatly affect your life. Treatment can work well in many cases. Treatment options include cognitive behavioural therapy and medication, usually with a selective serotonin reuptake inhibitor (SSRI)