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Know How Sleep Deprivation Can Affect Your Heart!

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Dehradun
Know How Sleep Deprivation Can Affect Your Heart!
We're all guilty of making fun of snorers but sometimes this snoring can be a symptom of sleep apnea. Sleep apnea is a condition where breathing is not continuous and may start and stop many times while asleep. This affects the quality of your sleep and in turn can affect many aspects of your health including your cardiovascular health. Here's how:

High Blood Pressure
When a sleep apnea patient's breathing stops, the oxygen levels in the blood also suddenly fall. This can increase your blood pressure. High blood pressure means that the heart muscles need to work harder to pump blood through the body.

Cardiomyopathy
As a result of high blood pressure, the heart walls may become thicker and the heart muscles become stiffer. This is known as cardioyopathy. As this condition worsens, the heart becomes weaker and is unable to maintain a regular rhythm. This can eventually lead to heart failure.

Arrhythmia
An irregular heartbeat is also known as arrhythmia. This may also be related to the changes in the heart's structure that follow the drop in blood oxygen levels. In many cases, arrhythmia has no visible symptoms and can often go undiagnosed. This can result in the formation of blood clots in the atria which can lead to a stroke.

Sleep apnea is easy to diagnose. If the doctor feels that you show symptoms of sleep apnea, you may be asked to stay on the hospital overnight and undergo a sleep evaluation. This tests a variety of body functions including brain activity, eye movements, heart rate, breathing patterns and blood oxygen levels.

Treatment for sleep apnea depends on the causes for this condition. If you are overweight, regular exercise and a change in diet can help you lose the excess weight and cure sleep apnea. Similarly, if your sleep apnea is triggered by an allergy, treating the allergy can help cure the sleep apnea. Other forms of treatment for sleep apnea may include:

Continuous positive airway pressure (CPAP)
This is a machine which pumps air into the body through a nasal mask. By keeping the pressure in the machine higher than normal air pressure the upper airway passages are kept open and hence the quality of your sleep is improved. An auto CPAP machine can modulate the air pressure such that it is higher when you inhale and lower when you exhale.;

Oral devices
Your doctor may suggest oral devices that allow you to keep your mouth open while you sleep. This is easier to use than CPAP machine but less effective.

Surgery is the last resort when it comes to treatment for sleep apnea.
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Lymphoma - How To Cope With It?

MBBS, MD-Radio Therapy
Oncologist, Ghaziabad
Lymphoma - How To Cope With It?
Suffering from any degenerative or terminal disease like lymphoma can be really tough. It takes a huge toll on your mental health. Whether you are suffering from it or someone close to you, the impact is extremely painful and going through each day is a fight in itself. But, you must struggle. Just to minimize your anguish a little bit more, here are some ways to cope with the lymphoma:

Be open about your disease: Try to talk about your disease with other people as much as possible. Talk about what you are going through. How it is making you feel, how painful it is. Share all of your feelings. Don t be ashamed or feel bad about your disease.
Deal with fear and scare: There is no point in minimizing the fact that you will be afraid and scared. But try to calm yourself down. Think about your options for treatment and consult your doctor about them. Learning about the possible treatments will make you feel safe.
Try to engage in physical activities: As much as your body permits try to engage yourself in physical activities like walking, simple exercises, yoga, and other physical activities. It will help to keep your stress level in check.
Get out: Don t confine yourself to your home as it may lead to depression. Engage in daily activities like going to a grocery store, a shopping mall, a club or just for a stroll in the park. Calling your friends or your family and going out for a coffee can help a great deal.
Think about financial matters: Dealing with a long-term disease can be really stressful not only emotionally but also financially. This makes it extremely important to plan your finances well. If you have health care insurance, try to go over with your agent on how much you will be covered and save money accordingly.
Handle your work life: About work, talk with HRD at your office and tell him/her about your medical condition and how well you are prepared to deal with the work designated for you.
Don t push people away: In most cases, due to prolonged illness, the patients become hopeless and tries to push people close to them away. They find it extremely difficult to cope with the disease, so try to keep your loved ones as close to you as possible. If someone comes forward with a helping hand, accept it.
Managing side effects: The side effects of the treatment can affect you as well. Try to go over them with your doctor before starting your treatment.
Facing infertility: Conceiving children can be a problem during this period. If you are planning to have children, consult a fertility doctor and check your options.
Deal with relapse: If you have cancerous cells, you must be prepared for a relapse. However, it will be easier to deal with a relapse as you know what to expect and which way to go.

I am suffering from pulmonary tb and my sputum contains blood what should I eat or drink?

PGDHHM, MBBS
General Physician, Delhi
Tb pateints should have foods like eggs, paneer and soya chunks as they are quite rich in protein. Other protein-rich food, such as legumes, grains, nuts, seeds, and vegetables are also very useful. Meat, fish, eggs, milk, cheese, and yogurt contain all the essential amino acids are also good for you.
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My friend has 32 years old, he got tb disease in 4 months back, now he can participate in sex or not. if participate what are disadvantages please tell me.

BHMS
Homeopath, Kolkata
Hello. Normally tubercular patients, if he or she is under treatment will remain contagious till 2 wks, after that he needs treatment, but won't be contagious. So he can continue with normal sexual life.
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Pulmonary And Extrapulmonary TB - How Can They Be Treated?

Fellowship In Minimal Access Surgery, M.Ch - Cardio Thoracic & Vascular Surgery
Pulmonologist, Hyderabad
Pulmonary And Extrapulmonary TB - How Can They Be Treated?
Tuberculosis refers to an infectious disease associated with the lungs, which is mostly caused by bacteria. There are two forms of tuberculosis. These are pulmonary tuberculosis and extra-pulmonary tuberculosis. There are various forms of each as well. Here are the possible treatments for both pulmonary and extra-pulmonary tuberculosis.

What is pulmonary tuberculosis?
Pulmonary tuberculosis is a type of disease in which bacteria invades your lungs. It is possible that the bacteria in your lungs could just kill you. However, fortunately if you have been taking the right medicines for your bacterial infection you can get cured immediately. The name of the bacteria which causes tuberculosis is known as the Mycobacterium tuberculosis. However, mycobacterium tuberculosis can attack other parts of the body as well. When this happens, it is known as extra-pulmonary tuberculosis.

What is extra-pulmonary tuberculosis?
Extra-pulmonary tuberculosis is when tuberculosis occurs to parts of the body other than the lungs. There are many parts of the body which tuberculosis can occur to including the lymph nodes, the nervous system as well as the bone and joints. Luckily, it is easily curable.

Treatment for Pulmonary tuberculosis treatment
Firstly, it is worth noting that latent tuberculosis has no symptoms and there is no way you can pass it to another person either. However, it is still crucial that you take treatment for it as well. If you do not complete your treatment then your tuberculosis will progress to a very dangerous form of tuberculosis. This is known as multidrug-resistant tuberculosis. Multidrug-resistant tuberculosis is sometimes abbreviated to MD-R TB. There are plenty of medicines which people are recommended to cure tuberculosis. These include.

Isoniazid
Rifampin
Ethambutol
Pyrazinamide
Treatment for Extra-pulmonary tuberculosis
Extra-pulmonary tuberculosis has pretty much the same symptoms as pulmonary tuberculosis. This is because extra-pulmonary tuberculosis is the exact same disease which occurs to the patient, it is just that it affects a different body part. Therefore, the exact treatment recommended for pulmonary tuberculosis can be used to cure extra-pulmonary tuberculosis.
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I'm suffering from mycobacterium tuberculosis nd dctr suggested me akt-4 mdcn fr 2 months is it ok.

DNB, Pulmonary Medicine, M.B.B.S
Pulmonologist, Jalgaon
Hello Lybrate-User, I will suggest you to consult pulmonologist and take anti tubercle drugs according to your weight. Akt-4 is fixed drug combination, it may be underdose or overdose.
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Can you still develop tuberculosis eight years after getting exposed to infection? One of my related reportedly died of tb and I remember I accidentally came in between the sneeze and droplets from his mouth.

MD - Homeopathy, BHMS
Homeopath, Vadodara
No it is very unlikely to get infected this way. You can consult me at Lybrate for homoeopathic treatment and further guidance.
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Patient age 15 year and weight 40 kg suffering from pulmonary tb my Dr. Started rhze after 11 day check lft test sgot 207 & sgpt 290 after this test Dr. stopped rhze and then started streptomycin 0.5g,combutol 600 mg, levoflox 500 mg. please tell me best treatment.

M.D - Respiratory Medicine
Pulmonologist, Hyderabad
The guidelines tell us to monitor the blood enzyme levels and decide the streptomycin levoflox and mycobutol regimen are generally considered best in this situation.
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Patient age 15 year and weight 40 kg suffering from pulmonary tb my Dr. Started rhze after 11 day check lft test sgot 207 & sgpt 290 after this test Dr. stopped rhze and then started streptomycin 0.5g,combutol 600 mg, levoflox 500 mg. please tell me best treatment.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Your doctor made the changes as initial treatment is not suiting his liver as shown by the lft reports, the treating doctor has the right to decide the medicines.
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What to know blood report pregnancy hcg tb 1039.75. What it means? Please suggest me.

MD - Homeopathy, BHMS
Homeopath, Vadodara
What to know blood report pregnancy hcg tb 1039.75. What it means? Please suggest me.
It means pregnancy is there. Pregnancy is positive. You can consult me at Lybrate for complications free pregnancy and delivery.
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