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Dr. Rajiva Gupta  - General Physician, Delhi

Dr. Rajiva Gupta

89 (4391 ratings)
MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology

General Physician, Delhi

38 Years Experience  ·  900 at clinic  ·  ₹300 online
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Dr. Rajiva Gupta 89% (4391 ratings) MBBS, MD - Internal Medicine, Post Graduate Program in Di... General Physician, Delhi
38 Years Experience  ·  900 at clinic  ·  ₹300 online
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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

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
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
Medical Officer at Central Govt. Health Scheme
Senior Consultant at Upchaar Wellness Ashok Vihar
1988 - 2012 Senior Courtesy Consultant at Internal Medicine Sunder Lal Jain Hospital Ashok Vihar
...more
Visiting Consultant at Delhi Heart & Lung Institute, Panchkuin Road
Senior Consultant at Max Hospital, Pitampura
Senior Consultant at Max Super Speciality Hospital Shalimar Bagh
Senior Consultant at Fortis Hospital, Shalimar Bagh, New Delhi
Languages spoken
English
Hindi
Awards and Recognitions
Conducted Certified Course in Clinical Diabetology under the auspices of Harvard Medical school
International Member Associate of the American College of Cardiology
Faculty in the Diabetes Certificate Course of Institute of Molecular and Experimental Medicine School of Medicine Cardiff University
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
American Association of Clinical Endocrinologists (AACE)
American Diabetes Association (ADA)
Endocrine Society, America
American Heart Asociation

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Upchaar Wellness

A-95, PH-2, Ashok Vihar. LandmarkDelhi Get Directions
  4.5  (4391 ratings)
900 at clinic
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Fortis Hospital

A Block, Shalimar BaghDelhi Get Directions
  4.5  (4391 ratings)
900 at clinic
...more
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"knowledgeable" 123 reviews "Very helpful" 266 reviews "Practical" 34 reviews "Prompt" 27 reviews "Sensible" 30 reviews "Caring" 42 reviews "Inspiring" 9 reviews "Thorough" 18 reviews "Well-reasoned" 42 reviews "Professional" 29 reviews "Helped me impr..." 23 reviews "Saved my life" 9 reviews "Nurturing" 3 reviews

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I am 69 years old. I felt mild chest pain during morning walk. I am taking clopitab a75, rosave 5, metocard xl .25, monit 20 from 2 years. I am also taking Ranolez 500 2 times daily. Right now I have no pain, I am non diabetic, my BP is always normal. Can I stop taking Ranolaz 500.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
I am 69 years old. I felt mild chest pain during morning walk. I am taking clopitab a75, rosave 5, metocard xl .25, m...
No because it is an anti anginal drug In fact if angina is not abolished you can consider going in for a stress echo or thallium scan
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Hi Sir, Suffering from constipation with very loose stools for almost a month. It is causing other problems like mouth ulcers (for a month. I eat chapati, sabzi,dal, rice and have milk everyday. I don't eat junk. What should I do and What medication do you suggest?

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Hi Sir, Suffering from constipation with very loose stools for almost a month. It is causing other problems like mout...
Sachin these are aphthous ulcers Use zytee drops for local applications and tab folvite one daily Add fresh salads and fruits around 250 grams daily
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Hi Sir/madam, Usually every twice a year between May and sep I suffer from typhoid, malaria or viral fever. After taking medicine I cures but why it happens twice. Please suggest me.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Hi Sir/madam, Usually every twice a year between May  and sep I suffer from typhoid, malaria or viral fever. After ta...
Sameer It could be connected with environmental hazards may be contaminated water or breeding of mosquitoes
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Hello sir, I am 18 year old .I have night fall problem. Sir Night fail without any dreams goes missing. I am very worried sir, If there is any medicine, Please tell me. Please sir help me for that.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Hello sir, I am 18 year old .I have night fall problem. Sir Night fail without any dreams goes missing. I am very wor...
Dont worry night fall is normal If you feel very excited may masturbate to release sexual tension But dont get obsessed Otherwise your day to day life will get disturbed
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Hey doctor, so I'm suffering from severe fatigue and no motivation to do anything. I've been skipping almost all the daily activities that I have to do. Excessive sleepiness and very stiff body after sleep. My back hurts. I'm 17 and I'm taking Ciplar La 40 and Tazloc Am for hypertension. What could be the cause of this?

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Hey doctor, so I'm suffering from severe fatigue and no motivation to do anything. I've been skipping almost all the ...
Sai it is a concern that you are taking these medicines You have to addrtess underlying stresses and adopt a healthy life style
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Hi Sir, I'm suffering from high cholesterol and last 3 months to I have a pain in middle of the stomach.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Hi Sir, I'm suffering from high cholesterol and last 3 months to I have a pain in middle of the stomach.
Get BP blood sugar Assess 10 year Cardiovascular risk If >7.5% start Statin under Consultation with doctor
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Teeth thrice daily and goggle with mouth Colgate place, but still I have a bad breath, what could be the reason and can you suggest some remedies to get rid of bad breath. I am using dantkanti toothpaste.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Teeth thrice daily and goggle with mouth Colgate place, but still I have a bad breath, what could be the reason and c...
lybrate-user Use listerine mouthwash and massage with gum paint if gums if no improvement after 2 weeks consult dentist.
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From my childhood time I sweat in excess amount specially from head and face. If I I be in room for even 2 min I start sweating but in a cooler place I don't sweat at all. I don't know what's wrong and why do I sweat so much even my father is having the same condition.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Danish it is called hyperhidrodis and you have a hereditary problem Increase liquid intake do exercise yoga The problem is of a recurrent nature
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