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Hi sir my age is 25 I am a doing my masters in physiotherapy im going to home visits regularly. I had treated the potts spine patient after surgery he is a doctor. But myself getting pain in my spine, is there any possibilities for me to get potts spine. And also my blood pressure 135/90 every day some times 145/98 is it normal.

MBBS, MD TUBERCULOSIS AND CHEST DISEASES, Diploma in Tuberculosis & Chest Diseases, Diploma in Tropical Medicine and Hygiene
Pulmonologist, Kolkata
Hi sir my age is 25 I am a doing my masters in physiotherapy im going to home visits regularly.
I had treated the pot...
Your chances for development of potts spine is very remote. Your blood pressure is marginally elevated, if this is the trend antihypertensive amlodipine 2.5 milligram per day to be continued.
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How To Face A Sudden Cardiac Arrest?

MBBS, MD - General Medicine, DNB - General Medicine, DNB Cardiology, FNB Intervention Cardiology
Cardiologist, Nashik
How To Face A Sudden Cardiac Arrest?
A sudden cardiac arrest is not same as a normal heart attack. While a heart attack refers to the blocking of blood flow to the heart, a sudden cardiac arrest refers to when the heart stops beating unexpectedly. Sudden cardiac arrests occur without warning and often this condition is triggered by electrical malfunctioning in the heart that causes arrhythmia. When the heart stops beating, blood cannot be pumped to the brain and other organs and the person loses consciousness. If a patient does not receive immediate treatment, this could be fatal. Hence it is important to know what first aid a person experiencing a sudden cardiac arrest requires.


Do not wait for someone else to help a person experiencing a sudden cardiac arrest. The first few moments after such an experience are critical and hence your decision to help is what could save the person s life.

Call a Doctor

The first thing to do when you see someone experiencing a cardiac arrest is to call emergency and request an ambulance. If you do not have a phone available, ask someone else to do it.


After a cardiac arrest, it is essential to get the heart to start beating again as soon as possible. CPR or Cardiopulmonary resuscitation can save lives in this situation. If you are trained in this procedure, start with 30 chest compressions before checking the patient s airway and performing rescue breathing. If you are not trained in CPR, ask the people around if anyone else is.

If no one around can perform CPR, start hands-only CPR. Make the person lie flat on their back and kneel next to their shoulders. Place the heel of one palm in the centre of the person s chest with the other hand over it. Keep your elbows straight and position your elbows such that they are directly over your hands. Use your upper body weight to push down straight on the person s chest and release. Try and achieve a rate of 100 compressions a minute. Continue until the person starts breathing again or medical help arrives.

Use an Automated External Defibrillator (AED)

If an AED is available, place the electrode pads on the person s chest as shown in the diagrams that come along with the AED. Follow the visual and voice prompts. Do not worry if the AED shocks the patient as this electrical therapy can help restart the heart.
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MD - General Medicine
Sexologist, Delhi
When a person is already affected by AIDS, such persons can also develop other problems like tuberculosis, bad cough, pneumonia, continuous headache, body ache, weakness, diarrhea, seizures, loss of memory, abnormal weight loss, loss of concentration, lymph node, and throat swelling thus difficulty in swallowing.

Dear Doctor, what would you recommend to lower the bilirubin levels and correct the ammonia serum for a patient having liver cirrhosis?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Dear Doctor, what would you recommend to lower the bilirubin levels and correct the ammonia serum for a patient havin...
Lactulose is also used to reduce the amount of ammonia in the blood of patients with liver disease. It works by drawing ammonia from the blood into the colon where it is removed from the body.
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Weather it is safe to live with tb patient and also I am taking patient to group housing is it safe or not.

MD - Pulmonary, DTCD
Pulmonologist, Faridabad
Use cough hygine. Patient should be on effective TB treatment. If sputum have converted to negative then no problem
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I am suffering from TB from last 6 months and taking medicines regularly, recently I got cold & flu and later on irritation in throat and then cough. Today in morning immediately after brushing I found sputum with light mixing of blood. What are reasons? Is it a problem? I may please be given suggestions in this regard.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - ENT
ENT Specialist, Trivandrum
One or 2 episodes like this is not an issue. It can be most likely a gum bleed, as it was just after brushing. It also hints that you are lacking proper vitamins and minerals, hence you may start taking supplements. Hope you have your doubts cleared.
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How can we diagnose any heart blocks by counting the pulse. If the heart rate is from 60-100 is there any chance it can drop suddenly to 50 or below.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
How can we diagnose any heart blocks by counting the pulse. If the heart rate is from 60-100 is there any chance it c...
If the heart rate is from 60-100 is there is no chance it can drop suddenly to 50 or below. Unless you have a heart block.
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I am 82. Having cough for a long time, what is the remedy for it, I had TB about 7 years back, completely cured with in six months,

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
Stop Coughing Day and Night: Try an expectorant. Over-the-counter (OTC) cough medications with an expectorant such as guaifenesin work by clearing the mucus and other secretions of a productive cough so that you can breathe easier. Take a cough suppressant. ... Sip green tea. ... Stay hydrated. ... Suck on lozenges.
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How Diabetes Causes Cardiovascular Problems?

MBBS, Diploma In Diabetology
Diabetologist, Mumbai
How Diabetes Causes Cardiovascular Problems?
Since blood is part of the cardiovascular system, and diabetes is a condition in which the level of glucose in the blood is higher than normal, then is certainly some relationship between the two.

Diabetes and cardiovascular system diseases has been recognized to be closely related to each other due to the so-called insulin resistance syndrome or metabolic syndrome. Some examples of the commonly diagnosed cardiovascular disease are coronary heart disease, stroke, high blood pressure and other heart conditions.

Diabetes is considered a major risk factor in cardiovascular diseases. Other factors that contribute to the possibility of acquiring cardiovascular diseases in diabetic patients include hypertension, smoking, and dyslipidemia.

How Diabetes Causes Cardiovascular Problems?

1. Hypertension: Hypertension in diabetes is considered a major contributor to the increase in mortality from cardiovascular diseases. Diabetic patients, especially those with Type 2, need to always have their blood pressure checked every visit to the doctor. Self-monitoring at home is also a must to maintain and control the rise of blood pressure. The American Diabetes Association recommends a target blood pressure of not more than 130/85 mm Hg to maintain a good level of blood pressure.

2. Arteriosclerosis and Atherosclerosis: Arteriosclerosis is the stiffening or hardening of the artery walls while Atherosclerosis is the narrowing of the artery because of plaque build-up. Atherosclerosis is a form of hardening of the blood vessels/arteries, caused by fatty deposits and local tissue reaction in the walls of the arteries. Diabetes is a documented high risk factor for the development of both Atherosclerosis & Arteriosclerosis . Heart disease and stroke, arising mainly from the effects of atherosclerosis, account for 65 percent of deaths among diabetics.

3. Hyperglycemia: Hyperglycemia means high (hyper) glucose (gly) in the blood (emia). Your body needs glucose to properly function. Your cells rely on glucose for energy. Hyperglycemia is a defining characteristic of diabetes, when the blood glucose level is too high because the body isn't properly using or doesn't make the hormone insulin.

There is a growing recognition that diabetes belongs to a special category of risk factors because it markedly increases risk of CVD. This increase is partly the result of the pernicious effects of persistent hyperglycemia on the vasculature and partly due to the coexistence of other metabolic risk factors.

5. Smoking: Smoking has been determined dangerous to our health. Studies show that smoking indeed increase risk of premature death and cardiovascular disease in diabetic patients.

6. Atrial Fibrillation: Atrial Fibrillation means an irregular and rapid heart rate which can increase the risk of stroke, heart failure and other cardiac issues. Individuals with diabetes are at an increased risk of developing atrial fibrillation. This risk is higher among patients with a longer duration of treated diabetes and poorer glycemic control.

Individuals with insulin resistance or diabetes in combination with one or more of these risk factors are at even greater risk of heart disease or stroke. However, by managing their risk factors, patients with diabetes may avoid or delay the development of heart and blood vessel disease. Your health care provider will do periodic testing to assess whether you have developed any of these risk factors associated with cardiovascular disease.
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