Dr. S P Gupta

1. For your age pain chest could be due to anxiety, stress, depression, physical and mental strain, hyper acidity, muscular problem 2. Avoid stress and strain 3. Do regular exercise, reduce your weight if over weight. 4. Control your diet. Avoid oily/spicy/fried and junk food, high calorie and cholesterol rich diet. Take small frequent meals (5-6 meals/day instead of three heavy meals. If you have hyper acidity take one tablet of pan 40 in the morning before breakfast daily for few days 5. Do yoga, meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress. 6. Have sound sleep for 7-8 hours daily. 7. Avoid smoking, alcohol, excess tea/coffee, if you are having 8. Drink plenty of water and take rest 9. Takecrocin advance one tablet sos after food up to a maximum of three tablets per day at the time of chest pain 10. If you have recurrent attack of chest pain check your bp, take ecg, x ray chest and consult physician for advice and treatment.

Levels of alkaline phosphatase, an enzyme in the blood, can be elevated by liver disease such as hepatic cancer, cirrhosis, fatty liver and hepatitis, or less serious conditions including pregnancy and over-the-counter drug use, poor bone health, or deficiency of vitamin D. The increased levels of this enzyme can be lowered by an appropriate treatment of the underlying disorder, along with certain dietary changes and lifestyle modifications. So do consult us for homeopathic medicines.

You have to take your father to a heart hospital to get basic tests done to know the status of ' heart attack' without test report , it is difficult to tell you on forum whether it was a heart attack or not. you write back with reports of ECG, ECHO,Lipid profile and blood sugar.

High BP in early age may be due heredity ,renal hypertension avoid fats and oily foods, limit high proteins take food which is easily digestible small meals 4-5 divided a day cut down too much sugar and salt regular exercise ,yoga and meditation panchkarma shirodhara will help you along with your medicine add tab prasham 2 twice a day you need to loose your weight check renal function and urine for albumin.

pain is complex, so there are many treatment options medications, therapies, and mind-body techniques. There is evidence that certain dietary supplements and vitamins can help with certain types of pain. Fish oil is often used to reduce pain associated with swelling. A therapeutic diet complemented with few medications for pain management can also work wonders. Do reply back for medications. Being also a general physician, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary tips taking into account patient preferences.

Smoking is the biggest risk factor for heart attack, so quit smoking, it will also help reduce your BP.

Acute ischaemic stroke iusually diagnosed clinically with confirmation by MRI brain with diffusion weighted image. One should always rule out all the possible causes of stroke to treat any potentially treatable cause for decresement in chances of restroke. The ischemic stroke has very good recovery rate of proper and regular treatment is taken. The time for recovery may very from few months to a whole year. The recover is also from 50 to 90 percent in various factors.

Hi Many factors can affect blood pressure, including: 1) The amount of water and salt you have in your body 2) The condition of your kidneys, nervous system, or blood vessels 3) Your hormone levels You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up. High blood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death. I read your query, by the information I have in hand my advice to you would be 1) Keep a BP daily record for at least one week 2) Basic tests should be one to rule out cardiac issues 3) unless any recent evaluation has been done I would advice these test ECG ECHO Lipid Profile TSH I would suggest you to add another medication like amlong 5 mg OD is your BP is always > 140/90 Get back to me with a detailed history and old / new records for a better individualized advice.

There is no treatment for missed abortion except getting it cleared by latest methods (will tell you later) This generation is lucky to get it diagnosed at 8 weeks or sometime later ,because of ultrasound facility available everywhere , years ago , women used to keep waiting / imagining fetal movements and doctors had to do per abdomen examination along with internal examination to match the dates along with development of fetus , it used to be a difficult task to declare a missed abortion or a still birth because even x-ray ( not done during pregnancy ) was not of much help. If your wife is 9 weeks with no heart beat , medical abortion can be done , D& C will be required only if some pieces are left, tiny membranes which do not show on ultrasound and woman keeps bleeding for more than 10 days or she develops fever due to uterine infection , A pack of 5 tablet is available on prescription of a doctor , it is written clearly on pack as to how to take tablets - 1 tab on day 1 , 1 tab twice daily on day 2 & 3 even if abortion looks to be complete on day 1 itself but the process of complete abortion takes 3 days , therefore course should be taken as advised.

The cough is less common with ace blockers than with ace inhibitors. Review your diagnosis of drug induced cough. Better give a trial by stoping Telmiride-h and switching to other group of anti hyertensive drug like anlodepine selective beta blockers.