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I am Mohd Mukhtar my weight is 52 kg and I want to increase my weight what I have to do for increasing my weight either I use some medicine or any supplement.
Hello doctor, Today my heart beat missing three to four time in 20 seconds. I feel some breathing problems that time and I feel like my heart jese aatak RHA ho. My echo , tmt are normal. And this problem is since last year And week me ek do bar hota hai aisa. Kya ye serious problem hai?
I am 18 year old and I am a very lean boy. I have tried many body building powder. But it is not working well. What to do to become a fit man.
Hi. I am an 18 years old male who suddenly started going to the gym. Recently, I have had a lot of body pain. Could you suggest a natural and at-home method to relieve myself of the pain? Thank you.
I am 80 yeras old and having pain in both the knee. I can walk with slight pain but get stiffness feeling after getting up after prolonged sitting or lying down. I had stent about 2 years back. Any treatment without knee replacement/surgery. Please advise regards.
I had very slight knee pain and my knee used to lock when fully bent. I consulted and orthopedic and he suggested MRI scan of right knee. In the MRI, it was detected that there is minimal effusion in right knee and there is degenerative signal (grade 2) in posterior limb of medial meniscus. The doctor suggested to go for surgery if it aches more or worsen which I do not want to. Is there any alternative to surgery and if surgery is at all required in my case.
My aunt is a housewife whenever she walks like for a distance of around 100 metres or so she reports of heavy knee pain she tried many pain reliefs, ointment but they dint fetch any good results. So can you suggest any good pain relief for her. Her age is around 35 & she is a mother of 2 children.
I am 60 kg in weight, want to increase 5 more kgs. I am planning to run a half marathon in 3 months, need diet chart for endurance and strength.
I frequently feel headaches, I work at a bps night shift and often I miss lunch and dinner, that's why Sometimes I feel weak, but I can't understand the reason of headaches.
Holy month ramadan is auspicious for worldwide muslims and most of them starts fasting early in the morning up to the sunset in the evening during this entire month.
Heart disease patients tend to fast during ramadan but they have many questions:
1. Cardiac patients can fast?
The holy Quran exempts sick people from fasting. Fasting is allowed only for stable heart disease patient and it's strictly the discretion of the treating cardiologist.
Common types of cardiac conditions as follows:
A. Patients who had heart attack or recent stenting or open heart surgery
Many studies comparing ramadan with other months in cardiac patients shows there is no significant differences in the incidence of heart attack or typical cardiac chest pain during ramadan. Patients with recent acute heart attack, heart attack equivalent chest pain with high cardiac enzymes, recent stenting, recent open heart surgery should strictly avoid fasting.
B. Patients with low pumping of heart i. E, reduced ejection fraction
Low pumping of the heart is one of the common cause of frequent hospitalisations among cardiac patients. Many studies done in the middle east shows there was no significant difference in the number of hospitalizations for patients with low heart pumping during ramadan. Its almost similar to other months without fasting. But in this category certain groups of patients cannot fast especially patients with difficulty in breathing, associated swelling of legs, associated cough and sudden increase in weight.
C. Patients with high blood pressure.
Most of the high blood pressure patients on controlled medications can fast during ramadan as it will not affect the blood pressure readings and it was proved in many studies. Certain group of patients with resistant blood pressure who requires multiple drugs for controlling should consult treating doctors before ramadan for appropriate dose adjustments. If dose adjustment is not possible then for such patients it is advisable to abstain from fasting to avoid cardiac and other complications.
2. How to take their cardiac drugs during this month?
Stomach ulcer and related complications are common during ramadan. Hence drugs which can cause gastric irritation (like aspirin) should be taken as per the advice of treating doctor. Before ramadan you should consult your doctor and make sure regarding the dose and timing. Medications like water pill (lasix)to be avoided during fasting.
3. Lifestyle during ramadan
Avoid over eating while breaking the fast
Avoid exercise after a large meal
4. Can cardiac patients do hajj pilgrimage?
Cardiac patients who is certified as stable and fit by the treating cardiologist can go for hajj
Full medical workup is mandatory before hajj.
Patients with recent acute heart attack, heart attack equivalent chest pain with high cardiac enzymes, recent stenting, recent open heart surgery are unfit for hajj.
Take home messages-:
A. Consult your doctor before ramadan regarding your health condition and dose adjustments if required.
B. Comply to medication
C. High risk patients should avoid fasting
D. Unfit cardiac patients should not try hajj pilgrimage.