Dr. Anupam Shrivastava

Dear grade 1 diastolic dysfunction in echo is a very common finding in otherwise healthy individuals. If you do not have breathlessness, this can be ignored. More important is to control all other risk factors like high blood pressure, diabetes, diet, exercise etc. Tightness in chest, if on exertion, can be a symptom of heart blockage and these test, that you have done do not rule it out. You need to do stress test for that.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You have multiple problems and I would actually want you to get a thorough full body check up done with all investigations so that deficiencies can be identified and treated accordingly. Do not hesitate to contact me if you need any further assistance.

Get yourself checked by doing the right tests .do not do testing at any hospital or diagnostic centre because their packages are what they want to sell and the tests are incomplete and it is not what you need to get a whole picture. Chest pain can arise from the Heart, Gut, Muscle, Joint, Bone, Lungs ,Mineral, Vitamin deficiency's ,Stress and many more 1) Detailed history including dietary & lifestyle habits needed in addition to medical, occupational history 2) Comprehensive lab testing needed .Do tests for inflammation, mineral and Vitamin deficiency and doing tests related to the heart alone is completely wrong and will not solve your health issue. The Drs do not address the whole patient .That is why your results are normal but you are not normal-still having symptoms. 3) Get detailed dietary and lifestyle habits advice based on the basis of detailed history and lab testing only. If Your cardiac test results are all normal but still you have pain it indicates your Dr. Has not addressed the root cause. He has done incomplete lab testing and has not given you the right lifestyle and dietary advice because your Dr. Is interested only in medication which will not cure any lifestyle disease. Send feedback with your name and contact number& take a consult for detailed history taking, doing the right tests & getting the right dietary and lifestyle advice. Do not blindly believe your doctors .They may have vested interests and get kickbacks from all possible sources and never educate patients which will cure the disease. All diseases begin in the gut and no health issue can be fixed without fixing your diet and lifestyle. If you fix these 2 things you mostly may not need medicines at all.

For dry cough I will suggest you to take syp Ascoril-Dplus 2.5 ml eight hourly as and when required and Take tablet paracetamol 500 mg eight hourly till symptomatic and get an xray chest done and follow up with reports.

1. Do regular exercise 2. Reduce weight 3. Control diet, restricted salt intake 4. Patient should take a) high protein, low carbohydrate diet, b) should take 6-7 small meals rather than 3 big meals, c) avoid sweets, sugar, fried food, fast food like pizza/burger/cookies, d) maida biscuits. Oily, fatty, excess calorie, saturated fat and cholesterol rich diet, e) take high fiber diet like whole grain rice, multigrain chapati/bread, green leafy vegetables/fruits 5. Adhere to a strict diabetic diet by consulting dietitian 6. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly 7. Consult diabetologist/physician for advice and treatment

Triglyceride is a form of cholesterol and hypertriglyceridemia has to be treated with medicine. It is a risk factor for heart disease. Consult physician for treatment

At 14, you are a growing up teenager with huge demands of nourishment. Get deworming done by taking 3 tabs of nemocid together + 200 mg metrogyl twice a day after food for 3 days. Eat a high protein diet like milk, curds, eggs and other simple proteins. You can take carbs and good fats of your choice. You can take fruits and vegetables of your choice for natural vitamins and minerals. Take a calcium tonic like shelcal suryp a spoon per day do not over exert. Work according to your capacity without comparing with others. If symptoms are not better after 15 days, do write back, may be you need few blood tests.

Take these medicines as advised by your doctor. Control your diet. It should be low calory, low fat, low purine. Avoid saturated fats, trans fats, nonveg,eggs. Exercise regularly specialy aerobics.

Hello, Lybrate user, Depression carries- litharzicity, slippy attitude, loss of appetite, aversion to meet people-tingling in extremities with lack of concentration& suicidal effect. It so happens in d life. You will b victorious after a defeat, of course, continue your effort with full enthusiasm & zeal. * go for meditation to nourish your brain with oxygenated blood to calm your nerve to restart your study being a strong and confident person to conquer your goal. * Tk, 5/6 glass of water to hydrate your body and to regulate metabolism ,absorbing nutrients to nourish your entire body & brain to achieve success in life. * your diet be easily digestible, simple on time to avoid gastric disorder to discard negative feelings. * Tk, apples,carrots ,cheese, spinach,almonds, walnuts ,milk. * meet your friends to share your problem in order to get solution to over come your stress, to inculcate a winner from within. Tk homoeo medicine: @ Ignatia 200-6 pills, thrice. @ Five phos 6x-4 tbs, thrice. * avoid, nicotine, alcohol,junkfood, pizza,burger, * ensure a sound sleep for 6/7 hrs in d night. > Report wkly, > Your feedback is solicited for further follow up Tk care.

Too much cholesterol in the blood can lead to cardiovascular disease. What you eat has a direct impact on your cholesterol level. In fact, a diet rich in fiber and other cholesterol-lowering foods may help lower cholesterol as much as statin medication for some people. Working with a registered dietitian and doctor is the key to develop and maintain a successful health program to manage it. I will inform you on how to make diet, lifestyle changes, make you understand instructions for taking medication because it won't work if you don't take it as directed. Consult privately for a holistic dietary therapy to solve your problems.