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Dr. Rajiva Gupta - General Physician, New Delhi

Dr. Rajiva Gupta

89 (2416 ratings)
MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology

General Physician, New Delhi

37 Years Experience  ·  800 at clinic
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Dr. Rajiva Gupta 89% (2416 ratings) MBBS, MD - Internal Medicine, Post Graduate Program in Di... General Physician, New Delhi
37 Years Experience  ·  800 at clinic
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How Air Pollution affects our health<br/><br/>I am Dr. Rajiva Gupta, senior consultant in Interna...

How Air Pollution affects our health

I am Dr. Rajiva Gupta, senior consultant in Internal Medicine and Diabetology. I have my own clinic at Upjaar Wellness, at Ashok Vihar Phase II, New Delhi. Today, we will discuss pollution. We all know, we keep on reading it on the news, in the media that pollution is creating a havoc in many parts of the country, Delhi is the worst affected by this.

Now, what is pollution? Pollution is the introduction of contaminants in our environment, be it air, water or soil. As far as human beings are concerned, they are most affected by the contamination in the air because this is the problem which all of us are encountering so frequently and it is at its peak. So, air pollution consists of solid particles in gases and many pollutants are carcinogens. Apart from these dire consequences, air pollution is also having a great effect on the lungs, the bronchial and heart which affects the quality of life, the productivity of life in the individual as well as its health consequences. People who are most affected by pollution are the elderly as I said in the beginning, elderly and the children.

Elderly people those who are already having diseases like cardiac diseases and lung disease, their pre-existing conditions get aggravated. Patients develop shortness of breath; many times they land up into hospitals. Patients who are having bronchitis or asthma, their conditions get aggravated, their usage of medicine gets increased and the quality of life suffers. In certain cases, they become critically ill and get admitted in Intensive Care Units. Till now, it was understood that the pollution only affects the lungs but recently we have come to know that it also affects the heart and the mechanism is not clearly known but then patients who suffer pollution or are exposed to pollution they have problems related to their heart such as heart failure, heart attack, etc., and they land up in hospital. So, we see that pollution has got a far reaching influence both on the quality of life; the seriousness of illnesses, and sometimes it may even cause mortality, not directly but indirectly.

How can pollution be prevented? Pollution prevention is a pretty tough task because it involves changes in the policy level, at the administrative level. On an individual basis, one can use masks so the best masks are called the N95 masks which are expensive but they claim to reduce the inhalation of pollutants. The use of air purifiers, again they have got a, they have a lot of controversy about how they are effective or not but certainly the weight of evidence suggests that to some extent they do help in getting down the prevalence and incidence of pollution related respiratory problems. So, therefore, people are advised not to go out for walks in the early mornings because that puts them at a greater risk of exposure to pollution and try to exercise at home. Usages of masks, installation of purifiers at home and at work places are the steps which could minimize the level of pollution.

If you have any other further queries, you can consult me at lybrate.com.

 

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Here are Reasons, Effects, Precautions of Hypertension.<br/><br/>I am Dr. Rajiva Gupta, senior co...

Here are Reasons, Effects, Precautions of Hypertension.

I am Dr. Rajiva Gupta, senior consultant in internal medicine and diabetes. I have my practice at Upchar Valley in Ashok Vihar. Today we will talk about hypertension or high blood pressure.

Hypertension is a growing problem in the entire world and especially in the developing countries like India. Last surveys have found that hypertension is prevalent in almost 30% of adult population of India. Why is hypertension or high blood pressure increasing? The reasons are multi-factorial essentially because of bad lifestyle which includes obesity, diets like processed foods or restaurant food which is very high in salt, increase in mental stress and lack of physical activity. In addition to that, as the population ages, so does the prevalence of hypertension increases.

Why is hypertension so important to control? The reason is that researches found that hypertension is one of the most important modifiable factors for heart disease and strokes. Therefore, if a patient has got hypertension and if the blood pressure is controlled adequately, then the chances of developing a stroke or heart attack or heart failure or kidney failure or blindness get reduced markedly. However once the patient does not control the blood pressure and these complications occur, then it becomes a lifelong medical problem and adds to the quality of life- survival as well as the financial burden on the patient and his family. So blood pressure needs to be controlled meticulously.

Now, how to go about it? We, as physicians, always measure blood pressure of every patient who comes to our clinic irrespective of his symptoms and we are able to identify which are the patients who are likely to develop hypertension. If a patient comes to the clinic and his blood pressure is somewhere around 130 to 135, then we ask the patient to get a recheck done to see if the pressure is persistently elevated. At this point, I would like to mention that overall the agreed definition of hypertension is persistent blood pressure more than 140 upper blood pressure which is called the systolic blood pressure and more than 90 which is the diastolic blood pressure.

Secondly, if we find that the patient is having blood pressure more than this level then we give him counseling about lifestyle modification like control of diet, exercise, to get his other parameters checked like cholesterol levels, blood sugar levels and we discuss with the patient about the importance of blood pressure and treatment for blood pressure medication. Once we control blood pressure, we find that the patient’s quality of life improves and the prevalence of complications is also reduced markedly. Blood pressure control has been found to be one of the most cost effective modalities of treatment. Cost effectiveness means the cost of treatment of blood pressure is than when the complications occur.

As I had mentioned earlier, that once the complications because of hypertension occur then it leads markedly to financial burden on the patient’s family. Therefore, blood pressure is important to recognize. Ideally what is to be done is to prevent the occurrence of blood pressure by adopting a healthy lifestyle. If blood pressure has already occurred, then we should consult the doctor to treat it adequately in addition to modification of lifestyle which has already been addressed to. In this way, it will go a long way in reducing the burden of hypertension on the entire society.

In case, any of our viewers or listeners are interested in seeking any query on hypertension or seeking treatment of blood pressure, you can log on to the lybrate.com homepage and look for Dr. Rajiva Gupta.

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Hello. I m Dr Rajiva Gupta. I m a senior consultant in internal medicine at Ashok Vihar and Forti...

Hello. I’m Dr Rajiva Gupta. I’m a senior consultant in internal medicine at Ashok Vihar and Fortis Hospital, Shalimar Park. My special areas of interest are diabetes and care of the elderly.

Now talking about care for the elderly, the branch of medicine that deals with the care of the elders is called Geriatrics anthology. The elderly patients present peculiar problems. They present not just discreet conditions, but with discreet syndromes. A syndrome is a constellation of symptoms and signs. In common, they are called the geriatric syndromes. The common geriatric syndromes are false, impaired cognition, deficiencies in a hearing, difficulty in vision, delirium. These syndromes are important because we have to investigate several different causes. For example, if the patient falls, it is not necessary that he may be having weakness in his legs. It is highly possible that the patient will be suffering from an acute infection or from some electrolyte imbalance or from CVA or cardiovascular problem. The patient is having disorientation, he is not oriented, he may have necessarily, he may be having, that he is having infection of the brain, he could as well be having electrolyte imbalance or any infection or a cardio-vascular problem. It means that the syndromes present, similar syndromes present with different types of illness in the elderly. The reason is that the physiological reserves of the elderly are just on the borderline and any acute insult that results in these syndromes. The approach to geriatric patients is slightly different from the way we approach people of other age.

So there are two components, one is the Curative component and another is comfort, or the palliative. That depends much on the functional ability of the patient. So if you have got an elderly person, above 80 years, he does regular exercise, enjoys his life, goes out for walks, the treatment of any condition in such a patient would be on the lines the management is done for a younger or a middle aged patient. Whereas, on the other end, if the patient is 70 years or 75 years, and he suffers from a problem, he is immobile, confined to bed, he is not able to take care of his own daily needs. For such patient, the aim would be to have a comfort care. So, the treatment of the elderly has to be individualized and surprisingly, there are not many guidelines which are available for treatment of elderly in different, for different medical conditions. SO the treatment for each individual has to be individualized, considering his individual circumstances. For example, if we take a very common problem like sugar, and we call that, there is a parameter called the Glycosylated hemoglobin, so we say that glycosylated hemoglobin for a normal should be less than 7% or less than 6.5 %. Bit for the elderly, because they may be having other illnesses, they may be having kidney disease or may be living alone in the house, they may not be able to take care, so in such patients, we will not go in for a very strict control, we’ll go in for a modest control, where the range may be say, around 8 or 8.5.

As physicians, we need to be aware that the number of elderly people is increasing, we need to be aware about their special needs, we have to give time once they come to our clinic and we have to define their problems and treat them accordingly.

I will be most willing and happy to answer to any questions, which can be approached through the lybrate website or they can seek consultation by telephone or physical consultation.

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Personal Statement

Dr. Rajiva Gupta is a specialist in Internal Medicine at Ashok Vihar, Delhi. He has helped several patients in his long experience of 36 years as a consultant physician. He has complet......more
Dr. Rajiva Gupta is a specialist in Internal Medicine at Ashok Vihar, Delhi. He has helped several patients in his long experience of 36 years as a consultant physician. He has completed MD in internal medicine from PGIMR, New Delhi, MBBS from Maulana Azad Medical College, New Delhi and Post Graduation Program in Diabetology from Johns Hopkins University School of Medicine, USA.
More about Dr. Rajiva Gupta
Dr. Rajiva Gupta has more than 36 years of experience in the field of Internal Medicine and is responsible in bringing back happiness to his patient?s life. Having worked in esteemed medical organisations including Delhi Heart & Lung Institute (2003-2007) as a visiting consultant and Senior consultant at Internal Medicine at Max Hospital, Pitampura (2005-2012) and Internal Medicine at Max Super Speciality Hospital, Shalimarbagh (2011-2012) Dr. Rajiva Gupta has loads of experience and extremely efficient in treating disorders like thyroid disorders, Nerve and muscle disorders, geriatric treatments, hypertension and anemia. Currently, you can avail his services at Upchaar Wellness in Ashok Vihar, Delhi. An MBBS graduate of the esteemed Maulana Azad Medical College, New Delhi (1990), Dr. Gupta finished his post graduate program in diabetology from the prestigious John Hopkins University School of Medicine, USA in 2014. Besides Internal Medicine, Dr. Gupta also specializes in Infectious Disease-related problems, Thyroid and Diabetes related disorders. A reputed name in medical field, Dr. Gupta is the professional member of Indian Medical Association, American college of Cardiology and Geriatric Society of India to name a few. Dr. Gupta also served as an honorary International Member associate of the American College of Cardiology. So, in order to regain your lost confidence and lost vigor due to thyroid, nerve and muscle disorders and diabetic problems, you may consult him to get wholesome remedy.

Info

Education
MBBS - Maulana Azad Medical College, New Delhi, - 1980
MD - Internal Medicine - PGIMR (Dr RML Hospital, New Delhi - 1985
Post Graduate Program in Diabetology - Johns Hopkins University School of Medicine, USA, - 2014
Past Experience
1985 - 1987 Medical Officer at Central Govt. Health Scheme
1986 - Present Senior Consultant at Upchaar Wellness , Ashok Vihar
1988 - 2012 Senior Courtesy Consultant at Internal Medicine Sunder Lal Jain Hospital,Ashok Vihar
...more
2003 - 2007 Visiting Consultant at Delhi Heart & Lung Institute, Panchkuin Road
2005 - 2012 2012 Sr. Consultant in Internal Medicine at Max Hospital, Pitampura
2011 - 2012 Sr Consultant in Internal Medicine at Max Super Speciality Hospital Shalimar Bagh
2012 - Present Senior Consultant in Internal Medicine at Fortis Hospital, Shalimar Bagh, New Delhi
Languages spoken
English
Hindi
Awards and Recognitions
Faculty in the Diabetes Certificate Course of Institute of Molecular and Experimental Medicine School of Medicine Cardiff University
International Member Associate of the American College of Cardiology
Conducted Certified Course in Clinical Diabetology under the auspices of Harvard Medical school
Professional Memberships
American College of Cardiology
Association of Physicians of India (API)
Indian Medical Association (IMA)
...more
Research Society for the Study of Diabetes in India (RSSDI)
Geriatric Society of India
Member Organizing Committee RSSDI 2013

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Upchaar Wellness

A-95, PH-2, Ashok Vihar. LandmarkNew Delhi Get Directions
  4.5  (2416 ratings)
800 at clinic
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Fortis Hospital

A Block, Shalimar BaghNew Delhi Get Directions
  4.5  (2416 ratings)
800 at clinic
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"knowledgeable" 54 reviews "Very helpful" 111 reviews "Practical" 22 reviews "Prompt" 10 reviews "Sensible" 16 reviews "Caring" 16 reviews "Inspiring" 3 reviews "Thorough" 8 reviews "Well-reasoned" 17 reviews "Professional" 16 reviews "Helped me impr..." 11 reviews "Saved my life" 3 reviews

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Hi, Hello sir meri problem yeh hai ke mere brain par mera control nhi hai aur har time vichar ate rehte hai. Kahi vi dhian nhi. Aur je 6 month se hai ye problem hai mai kya kar sakta hu concentration increase krne ke liye.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Vicky you seem to be having extreme stress Please. Analyse eat healthy food do yoga regular exercise and meditation Prioritize tasks
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Hello. I am tired of premature ejaculaculation, what should I do please suggest me some good and helpful advices. It would be your most kindness.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Hello. I am tired of premature ejaculaculation, what should I do please suggest me some good and helpful advices. It ...
Sahil first you have to relax tske your mind of intercourses concentrate on emotional aspects do regular exercise and kiegels exercise
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I am suffering from constipation and little pain in heart left side I don't know why.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
I am suffering from constipation and little pain in heart left side I don't know why.
EssentiLly you are under stress please do regular exercise eat lots of salads lots if water Yoga and meditation
1 person found this helpful
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How To Get Quick Heartburn Relief?

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
How To Get Quick Heartburn Relief?

Heartburn is the name given to that burning sensation in your chest or throat that happens when acid rises up from your stomach into your mouth. Heartburn is a common symptom of gastroesophageal reflux disease or GERD, also called acid reflux.

The commonest heartburn trigger is your diet. Spicy, heavy food causes acid reflux. Coffee, soda, tomatoes, alcohol and chocolate are culprits too. Obesity, smoking and medications for hypertension and cancer are the causes of heartburn too.

Certain people are more susceptible to heartburn. Sportspeople experience heartburn more, usually because exercise is a big trigger. It does so by putting increased pressure on the abdomen, which can increase the risk of acid reflux.

What can you do when heartburn strikes?

  1. Wear Loose Clothes- Heartburn happens when stomach contents go back into the food pipe where the stomach acid burns tissue. If tight clothes constrict your abdomen, you can experience more heartburn. To get immediate relief, you can just loosen the belt of your trousers.

  2. Proper Posture- Sitting up or standing straight can control heartburn. A slumped body posture can compress the internal organs including the stomach. An immediate quick fix is to lengthen your spine by gently moving your head towards the ceiling.

  3. Eat Less- Overeating can cause the door between the stomach and food pipe to open, allowing contents to flow back and cause heartburn.

  4. Quick Home Remedies-

    • Drink teaspoonful of baking soda mixed into a glass of water whenever you suffer from heartburn. This is a home remedy that works.

    • Raise your body, if you’re lying down and experience heartburn. Use a pillow to elevate your body waist-up. This will get rid of heartburn fast.

    • Chewing gum can neutralise stomach acid. This is because gum increases saliva which clears off acid in the gut.

  5. Avoid Cigarette Smoke- Smoking, both active and passive are harmful, if you suffer from heartburn.

  6. Over-the-counter Medications- Antacids, H2 blockers, and proton pump inhibitors (PPIs) are all effective in treating heartburn. PPIs work by blocking acid production, H2 blockers reduce the amount of acid in your stomach and antacids neutralise stomach acid.

  7. Melatonin- A common sleep–inducing supplement is being investigated as a heartburn remedy.

Always remember to check with your doctor before taking any herbal remedy or supplement for heartburn. This is because supplements can have side effects or can interact with medications you may already be taking.

Common tips to prevent heartburn are to eat at least three hours before bedtime, avoid lying down immediately after eating and staying away from fatty and spicy foods. Maintaining a healthy weight is also key to preventing heartburn. It also helps if you do mild exercise regularly.  

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Hello sir/ madam, I am 19 years old, in these days ,I am not able to concentrate my mind. And I am remaining to think anything at each and every time. And sometimes, I feel have headache. So please guide me what I should do.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Lokesh you have to introspect if you have any stress these are symptoms of intense anxiety You should prioritize your tasks do one by one eat healthy diet exercise regularly do yoga meditation and define the focus of life in short term
1 person found this helpful
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My father had a history of Asthma/ Bronchitis (chronic) due to smoking cigarette. However he has been treated well and living normal life with medication and inhaler's. My concern is whether my son who is 1 year old can get infected by any means from his grandfather? My son used to spend most of the time with his grandfather. I am very worried as my son is suffering from cough cold and throat infection from last few days. Kindly advice whether it is communicable to grandson.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
My father had a history of Asthma/ Bronchitis (chronic) due to smoking cigarette. However he has been treated well an...
Communicability arises only if the patient has sputum which is infective The best solution is that the patient should be vaccinated against flu and pneumonia and your child against flu
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I have a bloated stomach, which type exercise should I do to make it flat, most effective a fast solving solution please.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
I have a bloated stomach, which type exercise should I do to make it flat,
most effective a fast solving solution ple...
Ranjith thete is No specific exercise Do jogging or walking and yoga for about 1 hour Avoid too much carbohydrates in diet
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I am having left side chest pain with palpitations. Some times pain goes into left arm. I have done all tests eg TMT. Ecg, usg, lipid profile which all came normal. I feel burning stomach with acidity some times.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
I am having left side chest pain with palpitations. Some times pain goes into left arm. I have done all tests eg TMT....
Your discomfort appears to be related with Gastro esophageal reflux Take following steps 1. Regular walks or exercise 2. Maintain weight under control avoid spicy oily food Take at least 8 hours sleep Dinner should be light Stress if there should be addressed Take pantodac dsr before breakfast
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How does one warm up their body to help themselves in this cold winter .What effective methods can be used?

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
How does one warm up their body to help themselves in this cold winter .What effective methods can be used?
Ironically the best method is to take a cold shower before using warm water This may help you in getting acclimatised with cold weather zone hour exercise will help
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