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Dr. Rajiva Gupta - General Physician, New Delhi

Dr. Rajiva Gupta

94 (3313 ratings)
MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology

General Physician, New Delhi

38 Years Experience  ·  800 at clinic  ·  ₹300 online
Dr. Rajiva Gupta 94% (3313 ratings) MBBS, MD - Internal Medicine, Post Graduate Program in Di... General Physician, New Delhi
38 Years Experience  ·  800 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

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
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
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
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
  4.7  (3313 ratings)
800 at clinic
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Fortis Hospital

A Block, Shalimar BaghNew Delhi Get Directions
  4.7  (3313 ratings)
800 at clinic
...more
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"knowledgeable" 101 reviews "Very helpful" 194 reviews "Practical" 33 reviews "Prompt" 19 reviews "Sensible" 25 reviews "Caring" 27 reviews "Inspiring" 6 reviews "Thorough" 15 reviews "Well-reasoned" 33 reviews "Professional" 25 reviews "Helped me impr..." 19 reviews "Saved my life" 7 reviews "Nurturing" 3 reviews

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I want to know the best time for exercise. I want to start workout. My lower body has more fat than upper. I am 32-24-33 I do external studies n stay whole day at home. I want my shoulders to be more firm n strong. I feel I have bloating belly whenever I eat plenty. My food intake time is following: 8 am. Breakfast 11 am. Snacks 1.30 pm. Lunch 5.30 pm. Snacks. 8.30 pm. Dinner I can skip one time snacks to adjust workout time. Please do suggest me time accordingly.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
I want to know the best time for exercise. I want to start workout. My lower body has more fat than upper. I am 32-24...
lybrate-user you need to be complemented for the decision Any time is good for exercise provided there is no heart or lung diseases The ideal time is morning because of high levels of positive hormones ie endorphins in morning.
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I am having cold and sneezing from last 10 days ,on starting I have taken some antibiotics but I didn't help then taken cough syrup name venatrl D but not much relaxed please advice me.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
I am having cold and sneezing from last 10 days ,on starting I have taken some antibiotics but I didn't help then tak...
Abhi it could be allergic in nature You could add Montair LC and Flomist nasal spray Consult doctor if no relief
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Migraine + sometimes when I woke up from partial sleepy state I do not remember or recollect the place even if I am in my home for approx 1 minute. What could be the root cause and treatment.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Aishwarya it could be related to stress or lack of sleep You can also get Vit B12 checked Take sleep for 8 hours do exercise and Yoga It will improve
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I am not able to sleep. Earlier it happened only 4 5 days in a month, but this time it's been more than a week since I have slept peacefully for whole night. People say that it's because I'm thinking about something, but my mind ia latterly blank during this time. Mainly, I use listen music or use some social media until I feel little sleepy. Is this insomnia? Is there anything serious? Do I need to see a doctor?

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
I am not able to sleep. Earlier it happened only 4 5 days in a month, but this time it's been more than a week since ...
Aakanksha please analyse yourself what bothers you on personal family or professional front Addresss those issues Accept them if not curable Do meditation yoga listen to light music read light books before sleeping If comfortable Tske a bath before sleep Decide about your goals
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I have constipation problem. Sometimes I eat churn for relief. please tell me what I do.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
I have constipation problem. Sometimes I eat churn for relief. please tell me what I do.
Increase fluid intake do regular exercise eat lot of fruits salads regular sleep Isabgol powder occasionally at bed time
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Sir/ mam, Can Citralka be taken by males for burning micturition aged 28 healthy with no addictions?

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Sir/ mam, Can Citralka be taken by males for burning micturition aged 28 healthy with no addictions?
Dhanalakshmi please find out the cause of burning micturition by urine routine and culture and rule out renal stone Citralka is not addicting
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Hi, I got my lab tests done yesterday for lft, cbp etc. The good cholesterol, HDL is 35 and I want to improve. Please lemme know how can I do that.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
Hi, I got my lab tests done yesterday for lft, cbp etc. The good cholesterol, HDL is 35 and I want to improve. Please...
Lybrate-user this is low. If you smoke quit Engage in regular 1 hour exercise There no medicine to increase it.
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I want to join army and so for this I want to get my pre medical test done so what should I do can you suggest me some thing what kind of test I have to done and where I have to go for this and.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
I want to join army and so for this I want to get my pre medical test done so what should I do can you suggest me som...
Ajay you have to undergo a comprehensive medical evaluation including stress ecg better to check from the list of standards of requirements
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My father is 53 years old and he is suffering from sugar since 2 years and he still take his medicine of sugar on time but some time his sugar level become increase and some time the decrease is happened and today he feeling so lazy and weak and his lips become shake then suggest me what he can do and it is dangerous or not because its happening two times in a month.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
My father is 53 years old and he is suffering from sugar since 2 years and he still take his medicine of sugar on tim...
lybrate-user this is not a good situation Yu need to get his cbc hba1c and blood sugar done fasting before lunch before diner and at bed time after analysing this his treatment may need modification His low sugar that is hypoglycaemia could be dangerous.
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What I should do to overcome the side effects of tryptomer 25, because when I do not take it continuously for 3 days I am feeling severe headache. I am taking this from past 4 months continuously as advised by my doctor and now I am feeling its side effects.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
What I should do to overcome the side effects of tryptomer 25, because when I do not take it continuously for 3 days ...
Tripti first What is the reason you are taking it Second you may try to make it 10 mg after consultation with doctor and gradually withdraw If absolutely necessary then use another drug
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