Dr. Suresh Bhagra

The following 25(OH)D blood serum levels are now generally accepted – Blood levels below 20 ng/ml or 50 nmol/L constitute a serious deficiency Blood levels above 32 ng/ml or 80 nmol/L is the lowest optimal level. Below this is now considered deficient. Blood levels of 40 ng/ml – 50 ng/ml or 100 nmol/L – 125 nmol/L is considered a safe optimum level You can take VIt D supplements and reduce fat , do exercises

(homeo) nervocalm, requires detailed questioning so as to ascertain your personality and to treat you symptomatically. Treatment is available, safe and without side effects in biochemic system of medication. Consult me in private.

BP diet should be as follows: Reduce white salt, shift to rock salt, that too, in the most minimum dosages. Increase your intake of fresh green leafy vegetables and totally stop consuming anything in packaged foods like chips, lays, biscuits, tinned foods foods in tetra-packs etc. Eat on time, slowly and drink water in proper volume (roughly 2 to 3 liters per day is considered good). Alcohol, tobacco in any form, high stress lack of adequate rest, stress can trigger high BP. The first warning signs of increase in B is head ache feeling depressed, swelling and fatigue. 3 to 5 BP tests will confirm if it is transient high BP or set high BP. Depending on age and other conditions, medication will be recommended.

Dear lybrateuser, -you should try to control your anger by doing mind & body relaxation exercises, take regular walk for 20-30 min daily, do meditation in the morning when you get up, can do yoga, listen to music as these will distress & relax the mind, meet your friends, follow a hobby -these activities will aiso help reduce your bp & keep your heart fit -aiso take a heart healthy diet with more of fruits & vegetables, wholegrains, low fat dairy, nuts, seeds lean meats -get your bp & other investigations done regularly.

Your heart beat is faster, do let us know whether it is resting or after exercise. If heart beat is high without workout, do get thyroid profile checked. Bp has a range and your upper limit is higher at 180/90. This too can be due to high function of thyroid hormone. Do get back after monitor of pulse and bp for a week plus reports of thyroid profile.

Thank you for the query. As per the history you have provided, you are hypertensive (BP 130/90 mm of Hg, on Tenormin 25 and Stamlo 5 mg), have hyperlipidemia (raised cholesterol) and non-diabetic. It would be helpful, if you would have posted the reprots of the lipid profile. Itis advisable to maintain your Total cholesterol <200 mg%, LDL <120 mg% and HDL >45 mg%. The Triglyceride level should be <150 mg%. Since you have limited walking capacity, you need to modify on the diet. Reduce the intake of saturated fat (ghee, butter etc) and refined carbohydrate. The Statin (Atorvastatin, Rosuvastatin) group of medications is effective in reducing cholesterol, but should be taken only after consulting your physician. Regards.

Hello, Do share more details of your problem. Hypertension (HTN), also known as high blood pressure, is a long term medical condition in which the blood pressure in the arteries is persistently elevated. High blood pressure usually does not cause symptoms. Some with high blood pressure report headaches (particularly at the back of the head and in the morning), as well as lightheadedness, vertigo, tinnitus (buzzing or hissing in the ears), altered vision or fainting episodes. Normal blood pressure at rest is within the range of 100–140 millimeters mercury (mmHg) systolic and 60–90 mmHg diastolic. High blood pressure is present if the resting blood pressure is persistently at or above 140/90 mmHg for most adults. Lifestyle changes and medications can lower blood pressure and decrease the risk of health complications. Lifestyle changes include weight loss, decreased salt intake, physical exercise, and a healthy diet. If lifestyle changes are not sufficient blood pressure medications are used. Management: 'Prevention is always better than Cure! Few lifestyle changes can help you in controlling and preventing the high blood pressure, even if you're taking blood pressure medication. Eat healthy foods. Consume more fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Eat less saturated fat and trans fat. Decrease the salt in your diet. So, avoid eating processed foods, such as canned soups or frozen dinners which contains extra salt in it. Keeping a healthy weight, or losing weight if you're overweight or obese, can help you control your high blood pressure and lower your risk of related health problems. Increase physical activity which can help lowering your blood pressure, manage stress, reduce your risk of several health problems. Get indulged in regular exercising (if your doctor allows you). Limit alcohol. Even if you're healthy, alcohol can raise your blood pressure. If you choose to drink alcohol, do so in moderation. Don't smoke. Tobacco injures blood vessel walls and speeds up the process of hardening of the arteries. Reduce stress as much as possible. Practice healthy coping techniques, such as muscle relaxation, deep breathing or meditation. Getting regular physical activity and plenty of sleep can help, too. Monitor your blood pressure at home. Medication: Take homoeopathic medicine - Schwabe’s Essentia Aurea/ thrice daily which is a cardio-tonic which helps in maintaining blood pressure, improves muscle tone of the heart and narrowing of blood vessels.

Milk, dal, in telugu what we call as" pappu dinusulu, soya etc. For protiens, for iron take plenty of green leafy vegetables, jaggery that is bellam in telugu, plenty of vetables and fruits with every meal. Your weight is normal for your height.

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. Take paracetamol 500mg 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 and consult cardiologist 11. Consult me for further advice.

Please Go for morning and evening walk daily for good digestion, easy defication, good circulation Avoid oily spicy and fast food, outside food totally Take salads and fruits more Take vegetables juices and soups more regularly Avoid mental stress, excessive physical stress Avoid gutkha etc Take medicines regularly.

Hello, you can take homoeopathic medicine phosphorus 30 (4 drops in little water) thrice a day for 3 days and update. Avoid fried and spicy food.

What si your bmi? check blood cholesterol, lipids and blood glucose. Ecg echo to rule out heart problem. Exercise is good. Eat plenty of vegetables and fruits. Less salt and sugar. If bmi is still around 30 you may need bariatric surgery, so see a bariatric surgeon.

To control or maintain BP normal there are some instructions are given below: •Do not take salt in high amount or try to avoid it because high sodium level increase BP. • Eat less amount of pickle and fast food, fast food contain high sodium. • Avoid drinking alcohol and smoking. • Take less amount of coffee and tea both increase BP. • Drink 8 to 10 glass of water daily • Do exercise daily, running and long walk. • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams daily for 10 - 15 minutes. It will reduce your stress level in your body. • Avoid taking too much fat foods such as butter, cheese, ghee. • Eat healthy diet such as green leafy vegetables, fruits. Eat an apple daily. You can take Mukta Vati Of Divya Pharmacy of Baba Ramdev one tablet daily but only under the guidance of Ayurveda Doctor.

Chest pain due to lung cause may be due to chest infection. Get blood test & xray chest problem will be detected & necessary treatment will be easier.

First try liquid antacid & chilled water, if the pain goes away then its secondary reflux gastritis. Then stop junk food, start balanced diet.

Blood pressure can be checked at any time except imidiately after food after any exertion or bathing. It should be taken on same time when you checked yesterday. It can be checked while lying on bed or sitting.

Dear lybrate-user, More important than only your diet, is to put into practice physical exercise to reduce the burden of many hours of sedentary working posture. This itself will help. Make sure you eat fruit, vegetables (boiled) to work and drink plenty of water to avoid head aches that are a marker of acidity fatigue and postural discomfort. Contact personally for more info to remain healthy. Regards.

First try diet and exercise measure for 4 weeks. Then repeat lipid profile and based on that it will be decided that u need medications in addition. For diet - Add vegetables and Fruits (as per your renal needs) in your diet, decrease sugar, fried food and carbs and improve your eating patterns. For details consult a dietician. For exercise - Start with brisk walking and target to increase it upto 40 mins daily. Also get your sugar and thyroid evaluated.

Your sex related problem are part of your diabetic complications. Diabetes has a profound impact on the nerves - if it remains uncontrolled. Hence, try to keep your diabetes under control at all times for better nerve rejuvenation.