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NITEL 6.4MG TABLET Tips

Dr. Saddam Malik 90% (436 ratings)
CMS & ED, MBBS in Altetnative Medicine
Alternative Medicine Specialist, Delhi
Heart attack first aid

A heart attack is a medical emergency. Call ambulance or your local emergency number if you think you or someone else is having a heart attack.

The average person waits 3 hours before seeking help for symptoms of a heart attack. Many heart attack patients die before they reach a hospital. The sooner the person gets to the emergency room, the better the chance of survival. Prompt medical treatment reduces the amount of heart damage.

This article discusses what to do if you think someone may be having a heart attack.

Causes
A heart attack occurs when the blood flow that carries oxygen to the heart is blocked. The heart muscle becomes starved for oxygen and begins to die.

Symptoms
Symptoms of a heart attack can vary from person to person. They may be mild or severe. Women, older adults, and people with diabetes are more likely to have subtle or unusual symptoms.

Symptoms in adults may include:

Changes in mental status, especially in older adults
Chest pain that feels like pressure, squeezing, or fullness. The pain is usually in the center of the chest. It may also be felt in the jaw, shoulder, arms, back, and stomach. It can last for more than a few minutes, or come and go.
Cold sweat
Light-headedness
Nausea (more common in women)
Numbness, aching, or tingling in the arm (usually the left arm, but the right arm may be affected alone, or along with the left)
Shortness of breath
Weakness or fatigue, especially in older adults and in women
First aid
If you think someone is having a heart attack:

Have the person sit down, rest, and try to keep calm.
Loosen any tight clothing.
Ask if the person takes any chest pain medication, such as nitroglycerin, for a known heart condition, and help them take it.
If the pain does not go away promptly with rest or within 3 minutes of taking nitroglycerin, call for emergency medical help.
If the person is unconscious and unresponsive, (or your local emergency number), then begin cpr.
If an infant or child is unconscious and unresponsive, perform 1 minute of cpr, then call ambulance
Do not
Do not leave the person alone except to call for help, if necessary.
Do not allow the person to deny the symptoms and convince you not to call for emergency help.
Do not wait to see if the symptoms go away.
Do not give the person anything by mouth unless a heart medication (such as nitroglycerin) has been prescribed.
When to contact a medical professional or your local emergency number immediately if the person:

Does not respond to you
Is not breathing
Has sudden chest pain or other symptoms of a heart attack
Prevention
Adults should take steps to control heart disease risk factors whenever possible.

If you smoke, quit. Smoking more than doubles the chance of developing heart disease.
Keep blood pressure, cholesterol, and diabetes in good control and follow your doctor's orders.
Lose weight if obese or overweight.
Get regular exercise to improve heart health. (talk to your doctor before starting any new fitness program.)
Eat a heart-healthy diet. Limit saturated fats, red meat, and sugars. Increase your intake of chicken, fish, fresh fruits and vegetables, and whole grains. Your health care provider can help you tailor a diet specific to your needs.
Limit the amount of alcohol you drink. One drink a day is associated with reducing the rate of heart attacks, but two or more drinks a day can damage the heart and cause other medical problems.
5 people found this helpful

Diagnosing the Cause of Chest Pain!

Dr. Anil Dhall 86% (17 ratings)
MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Delhi
Diagnosing the Cause of Chest Pain!

In addition to pumping blood to various organs, the heart also has its own blood supply, through which it receives its oxygen and nutrient supply. In patients with coronary artery disease and atherosclerosis, there is a narrowing of the blood vessels which reduces the amount of blood flow to the target organs, including the heart.

When this happens in the heart, there is chest pain due to overexertion of the heart muscles. There could be two patterns to this chest pain. With regular exertion like exercise, there would be chest pain, and most patients are familiar with this pattern.

This is known as angina pectoris or stable angina. In some people or in some instances, chest pain occurs which is sudden and not of a predictable pattern. It could be related to extreme exertion or stress. This is known as unstable angina and can lead to heart attack and be life-threatening.

Stable angina or angina pectoris has a stable, predictable pattern which most patients get familiar with over a period of time and learn to manage. Read on to know more about the signs and symptoms and management techniques.

Signs and symptoms: Stable angina usually occurs after a round of physical exertion. The patient feels a feeling of tightness in the chest which feels like the chest being squeezed. The pain can gradually spread to the shoulder, arms and even the neck. The pain can also be induced by eating, exposure to cold, emotional stress. It lasts for about 15 minutes and is relieved by rest and sublingual nitroglycerin. The pain intensity does not change with position or coughing. In addition, the patient may also experience shortness of breath, fatigue, profuse sweating, nausea, and dizziness.

The patient may be able to detect signs on further testing including ECG, echocardiography and stress testing. Features like cardiomegaly, altered ejection fraction would be detected based on the severity of the disease.

Treatment: Immediate treatment to relieve the pain includes resting and sublingual nitroglycerin. On an ongoing basis, the treatment would include 3 approaches – lifestyle changes, medications, and surgery.

  1. Lifestyle changes: Regular exercise, smoking cessation, reduced fat intake, reduced alcohol consumption, weight loss, and stress management are some lifestyle changes to be made to improve symptoms.
  2. Medications: A number of medications would be used depending on patient’s symptoms. Aspirin to prevent clotting, medications to control blood pressure and cholesterol and diabetes.
  3. Surgery: In patients with advanced coronary artery disease, revascularization methods may be required, which includes angioplasty and coronary bypass.

In a person with known risk factors, it is advisable to have regular checkups so that the disease progression can be controlled and symptoms managed with minimal intervention.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3448 people found this helpful

What Does Predictable Chest Pain Pattern Indicate?

Dr. Nishith Chandra 91% (737 ratings)
DM Cardiology
Cardiologist, Delhi
What Does Predictable Chest Pain Pattern Indicate?

In addition to pumping blood to various organs, the heart also has its own blood supply, through which it receives its oxygen and nutrient supply. In patients with coronary artery disease and atherosclerosis, there is a narrowing of the blood vessels which reduces the amount of blood flow to the target organs, including the heart.

When this happens in the heart, there is chest pain due to overexertion of the heart muscles. There could be two patterns to this chest pain. With regular exertion like exercise, there would be chest pain, and most patients are familiar with this pattern.

This is known as angina pectoris or stable angina. In some people or in some instances, chest pain occurs which is sudden and not of a predictable pattern. It could be related to extreme exertion or stress. This is known as unstable angina and can lead to heart attack and be life-threatening.

Stable angina or angina pectoris has a stable, predictable pattern which most patients get familiar with over a period of time and learn to manage. Read on to know more about the signs and symptoms and management techniques.

Signs and symptoms: Stable angina usually occurs after a round of physical exertion. The patient feels a feeling of tightness in the chest which feels like the chest being squeezed. The pain can gradually spread to the shoulder, arms and even the neck. The pain can also be induced by eating, exposure to cold, emotional stress. It lasts for about 15 minutes and is relieved by rest and sublingual nitroglycerin. The pain intensity does not change with position or coughing. In addition, the patient may also experience shortness of breath, fatigue, profuse sweating, nausea, and dizziness.
The patient may be able to detect signs on further testing including ECG, echocardiography and stress testing. Features like cardiomegaly, altered ejection fraction would be detected based on the severity of the disease.

Treatment: Immediate treatment to relieve the pain includes resting and sublingual nitroglycerin. On an ongoing basis, the treatment would include 3 approaches – lifestyle changes, medications, and surgery.

  1. Lifestyle changes: Regular exercise, smoking cessation, reduced fat intake, reduced alcohol consumption, weight loss, and stress management are some lifestyle changes to be made to improve symptoms.
  2. Medications: A number of medications would be used depending on patient’s symptoms. Aspirin to prevent clotting, medications to control blood pressure and cholesterol and diabetes.
  3. Surgery: In patients with advanced coronary artery disease, revascularization methods may be required, which includes angioplasty and coronary bypass.

In a person with known risk factors, it is advisable to have regular checkups so that the disease progression can be controlled and symptoms managed with minimal intervention.

1913 people found this helpful

Chest Pain - What Causes It?

Dr. Avinash Vilas Wankhede 91% (1550 ratings)
Clinical Cardiology, MD - Consultant Physician
Cardiologist, Surat
Chest Pain - What Causes It?

In addition to pumping blood to various organs, the heart also has its own blood supply, through which it receives its oxygen and nutrient supply. In patients with coronary artery disease and atherosclerosis, there is a narrowing of the blood vessels which reduces the amount of blood flow to the target organs, including the heart.

When this happens in the heart, there is chest pain due to overexertion of the heart muscles. There could be two patterns to this chest pain. With regular exertion like exercise, there would be chest pain, and most patients are familiar with this pattern.

This is known as angina pectoris or stable angina. In some people or in some instances, chest pain occurs which is sudden and not of a predictable pattern. It could be related to extreme exertion or stress. This is known as unstable angina and can lead to heart attack and be life-threatening.

Stable angina or angina pectoris has a stable, predictable pattern which most patients get familiar with over a period of time and learn to manage. Read on to know more about the signs and symptoms and management techniques.

Signs and symptoms: Stable angina usually occurs after a round of physical exertion. The patient feels a feeling of tightness in the chest which feels like the chest being squeezed. The pain can gradually spread to the shoulder, arms and even the neck. The pain can also be induced by eating, exposure to cold, emotional stress. It lasts for about 15 minutes and is relieved by rest and sublingual nitroglycerin. The pain intensity does not change with position or coughing. In addition, the patient may also experience shortness of breath, fatigue, profuse sweating, nausea, and dizziness.

The patient may be able to detect signs on further testing including ECG, echocardiography and stress testing. Features like cardiomegaly, altered ejection fraction would be detected based on the severity of the disease.

Treatment: Immediate treatment to relieve the pain includes resting and sublingual nitroglycerin. On an ongoing basis, the treatment would include 3 approaches – lifestyle changes, medications, and surgery.

  1. Lifestyle changes: Regular exercise, smoking cessation, reduced fat intake, reduced alcohol consumption, weight loss, and stress management are some lifestyle changes to be made to improve symptoms.
  2. Medications: A number of medications would be used depending on patient’s symptoms. Aspirin to prevent clotting, medications to control blood pressure and cholesterol and diabetes.
  3. Surgery: In patients with advanced coronary artery disease, revascularization methods may be required, which includes angioplasty and coronary bypass.

In a person with known risk factors, it is advisable to have regular checkups so that the disease progression can be controlled and symptoms managed with minimal intervention.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4799 people found this helpful

Predictable Chest Pain Pattern - What Does It Indicate?

Dr. Balaji Ramagiri 89% (216 ratings)
MBBS, DM - Cardiology, MD
Cardiologist, Hyderabad
Predictable Chest Pain Pattern - What Does It Indicate?

In addition to pumping blood to various organs, the heart also has its own blood supply, through which it receives its oxygen and nutrient supply. In patients with coronary artery disease and atherosclerosis, there is a narrowing of the blood vessels which reduces the amount of blood flow to the target organs, including the heart.

When this happens in the heart, there is chest pain due to overexertion of the heart muscles. There could be two patterns to this chest pain. With regular exertion like exercise, there would be chest pain, and most patients are familiar with this pattern.

This is known as angina pectoris or stable angina. In some people or in some instances, chest pain occurs which is sudden and not of a predictable pattern. It could be related to extreme exertion or stress. This is known as unstable angina and can lead to heart attack and be life-threatening.

Stable angina or angina pectoris has a stable, predictable pattern which most patients get familiar with over a period of time and learn to manage. Read on to know more about the signs and symptoms and management techniques.

Signs and symptoms: Stable angina usually occurs after a round of physical exertion. The patient feels a feeling of tightness in the chest which feels like the chest being squeezed. The pain can gradually spread to the shoulder, arms and even the neck. The pain can also be induced by eating, exposure to cold, emotional stress. It lasts for about 15 minutes and is relieved by rest and sublingual nitroglycerin. The pain intensity does not change with position or coughing. In addition, the patient may also experience shortness of breath, fatigue, profuse sweating, nausea, and dizziness.

The patient may be able to detect signs on further testing including ECG, echocardiography and stress testing. Features like cardiomegaly, altered ejection fraction would be detected based on the severity of the disease.

Treatment: Immediate treatment to relieve the pain includes resting and sublingual nitroglycerin. On an ongoing basis, the treatment would include 3 approaches – lifestyle changes, medications, and surgery.

  1. Lifestyle changes: Regular exercise, smoking cessation, reduced fat intake, reduced alcohol consumption, weight loss, and stress management are some lifestyle changes to be made to improve symptoms.
  2. Medications: A number of medications would be used depending on patient’s symptoms. Aspirin to prevent clotting, medications to control blood pressure and cholesterol and diabetes.
  3. Surgery: In patients with advanced coronary artery disease, revascularization methods may be required, which includes angioplasty and coronary bypass.

In a person with known risk factors, it is advisable to have regular checkups so that the disease progression can be controlled and symptoms managed with minimal intervention. If you wish to discuss about any specific problem, you can consult a Cardiologist.

3720 people found this helpful

Does Viagra add to the risks of melanoma?

Dr. Ganesh Avhad 93% (1666 ratings)
MD, DNB, FIDP, FIL
Dermatologist, Mumbai
Does Viagra add to the risks of melanoma?

Melanoma is one of the most dangerous forms of skin cancer which develops in the skin cells that produce melanin ( the pigment that gives your skin its color). This form of skin cancer is mostly caused by exposure to ultraviolet radiations or it may be congenital in nature.

The cancer is easily detected by the naked eye and in 99% cases, the disease can be efficiently treated if detected during its early stages. Women below the 40 year age benchmark have a higher risk of cancer.

Viagra is a health supplement which is consumed in the oral form to minimize all the signs and symptoms of an erectile dysfunction. Viagra is the generic name for Sildenafil, which is used by men.

What does research say?

A medical study has shown that men who frequently use erection-enhancing drugs are 84% more likely to develop melanoma within a period of 10 years. This does not mean that you are bound to get this cancer if you are frequently using an erection enhancing drugs, but it might increase your probability of getting Melanoma.

Risk Factors

Viagra when combined with some other medicine often leads to adverse effects which might lead to cancer as well. It is always desirable that you consult your doctor before taking a Viagra in general. Some of the dangerous factors are:

Precautions

While taking Viagra, you should always consult a doctor near you. Additionally, you should also follow certain precautionary measures like:

  • You should avoid buying Viagra online, as there is a high probability that it is fake
  • You should try going for natural alternatives to Viagra. Studies have shown that the medicines with nitric oxide can help you in having a proper and enhanced erection. Additionally, medicines containing L-arginine are also very popular as they help in generating nitric oxide.


'Consult'.

Tip: 5 Unexpected Reasons Why You Might Be Losing Your Hair!

3059 people found this helpful

4 Ways To Treat Anal Fissure!

Dr. Radhakrishna Patta 89% (10 ratings)
MBBS, MS - General Surgery, MCh - Surgical Gastroenterology/G.I. Surgery
Gastroenterologist, Chennai
4 Ways To Treat Anal Fissure!

Anal fissures are the small tears formed in the anal lining. They are also known as anal ulcers. An anal fissure causes a lot of pain and bleeding during your bowel movements. Usually a fissure heals automatically in a few days time. It can be treated with simple home remedies as well.

Causes:

  1. You can suffer from an anal fissure if you pass hard and large stools. 
  2. Also strained childbirth or suffering from violent spells of diarrhea might get you an anal fissure. 
  3. Chronic constipation may also be cause of a fissure. 
  4. Other rare causes may be anal cancer, HIV, tuberculosis or herpes. 

Individuals of all age groups can suffer from anal fissures. It is not a very serious problem and heals on its own in a few weeks. Although it can heal itself, there are certain treatments which can help relieve the pain you get from an anal fissure.

Symptoms:
An anal fissure has quite a lot of symptoms for you to understand what you are suffering from:

  1. There will be a very visible tear around the anal region. You will be able to spot the tear on the skin very easily.
  2. A small lump of skin may form next to the tear.
  3. When you will be undergoing your bowel movements, you will feel a very sharp pain in the anal region.
  4. You will find spots of blood on the stool passed.
  5. You will also feel a burning or an itching sensation in the anal region.

Treatment:
Although most fissures do not require treatment, there are a few remedies that will help cure them faster:

  1. Stool softeners: You get certain medicines at the chemist, which are known for their stool softening functions. These stool softeners help to soften the hard stools and initiates smooth bowel movements.
  2. Eat fibrous foods: Eat foods rich in fiber like fruits, whole grain cereals, raw vegetables, etc.
  3. Take warm baths: Take a bath in warm water as it relaxes your anal muscles, helps to relieve irritation in the region, and increases blood flow in the anorectal region.
  4. Use ointment: Apply nitroglycerin ointments and topical pain relievers to promote blood flow to the anal region and to relieve discomfort from the region respectively.
3438 people found this helpful

Common Anorectal Diseases - Know Their Symptoms And Treatment Options!

Dr. Prafull Arya 87% (489 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Ludhiana
Common Anorectal Diseases - Know Their Symptoms And Treatment Options!

Anorectal diseases, affect the rectum or the muscles surrounding the analregion. Some of these conditions can be difficult to live with, as the symptoms interfere with everyday life. Here is a look at two of the most common anorectal diseases, their symptoms, and their treatment.

Anal fistula
Anal fistula is an unnatural tunnel formation between the anus and a portion of the surrounding skin. It is usually caused due to an infection or blockage in the anal cavity. Here are some common symptoms associated with anal fistulas-

If you have anal fistula, you need to seek immediate treatment. Here are some forms of treatment used to manage the condition-

  1. No medication is able to treat the condition and surgery is the only available option.
  2. If the fistula is not too close to the anus, doctors will simply cut open the tunnel formed inside and let the body heal on its own.
  3. A plug may be inserted to close off the tunnel
  4. In some cases, a tube like instrument is inserted into the fistula tunnel to drain out the waste material prior to the surgical procedure.

Anal fissure
A small tear or cut in the lining of the anus is known as an anal fissure. Often, such a tear causes discomfort and bleeding during bowel movement. Its symptoms include-

  1. A tear near the anus, which is visible to the naked eye
  2. Sharp pain during bowel movement
  3. Burning or itching sensation in the anal region
  4. Bright red stools.

Here is a look at the treatment options open to you, if you suffer from anal fissure-

  1. Laxatives and stool softeners
  2. Changing the diet to include more fibrous foods
  3. Submerge your anus and affected region in warm water. This is known as a sitz bath.
  4. Nitroglycerin ointment is applied to the tear to increase blood flow to the area.

Consult a surgeon immediately if you notice signs of either of these disorders near your anal region. The doctor will advise you regarding the treatment.

1904 people found this helpful

Anal Fissures - Causes, Symptoms And Treatment

Dr. Manoj Kumar 87% (75 ratings)
MBBS, MD - General Medicine, DM - Gastroenterology
Gastroenterologist, Delhi
Anal Fissures - Causes, Symptoms And Treatment

Anal fissures are the small tears formed in the anal lining. They are also known as anal ulcers. An anal fissure causes a lot of pain and bleeding during your bowel movements. Usually a fissure heals automatically in a few days time. It can be treated with simple home remedies as well.

Causes:

  1. You can suffer from an anal fissure if you pass hard and large stools. 
  2. Also strained childbirth or suffering from violent spells of diarrhea might get you an anal fissure. 
  3. Chronic constipation may also be cause of a fissure. 
  4. Other rare causes may be anal cancer, HIV, tuberculosis or herpes. 

Individuals of all age groups can suffer from anal fissures. It is not a very serious problem and heals on its own in a few weeks. Although it can heal itself, there are certain treatments which can help relieve the pain you get from an anal fissure.

Symptoms:
An anal fissure has quite a lot of symptoms for you to understand what you are suffering from:

  1. There will be a very visible tear around the anal region. You will be able to spot the tear on the skin very easily.
  2. A small lump of skin may form next to the tear.
  3. When you will be undergoing your bowel movements, you will feel a very sharp pain in the anal region.
  4. You will find spots of blood on the stool passed.
  5. You will also feel a burning or an itching sensation in the anal region.

Treatment:
Although most fissures do not require treatment, there are a few remedies that will help cure them faster:

  1. Stool softeners: You get certain medicines at the chemist, which are known for their stool softening functions. These stool softeners help to soften the hard stools and initiates smooth bowel movements.
  2. Eat fibrous foods: Eat foods rich in fiber like fruits, whole grain cereals, raw vegetables, etc.
  3. Take warm baths: Take a bath in warm water as it relaxes your anal muscles, helps to relieve irritation in the region, and increases blood flow in the anorectal region.
  4. Use ointment: Apply nitroglycerin ointments and topical pain relievers to promote blood flow to the anal region and to relieve discomfort from the region respectively. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
1868 people found this helpful

Could Viagra Increase The Risk of Melanoma?

Dr. Himanshu Singhal 89% (73 ratings)
MD - Skin,VD & leprosy, MBBS
Dermatologist, Rewari
Could Viagra Increase The Risk of Melanoma?

Melanoma is one of the most dangerous forms of skin cancer which develops in the skin cells that produce melanin ( the pigment that gives your skin its color). This form of skin cancer is mostly caused by exposure to ultraviolet radiations or it may be congenital in nature.

The cancer is easily detected by the naked eye and in 99% cases, the disease can be efficiently treated if detected during its early stages. Women below the 40 year age benchmark have a higher risk of cancer.

Viagra is a health supplement which is consumed in the oral form to minimize all the signs and symptoms of an erectile dysfunction. Viagra is the generic name for Sildenafil, which is used by men.

What does research say?

A medical study has shown that men who frequently use erection-enhancing drugs are 84% more likely to develop melanoma within a period of 10 years. This does not mean that you are bound to get this cancer if you are frequently using an erection enhancing drugs, but it might increase your probability of getting Melanoma.

Risk Factors

Viagra when combined with some other medicine often leads to adverse effects which might lead to cancer as well. It is always desirable that you consult your doctor before taking a Viagra in general. Some of the dangerous factors are:

Precautions

While taking Viagra, you should always consult a doctor near you. Additionally, you should also follow certain precautionary measures like:

  • You should avoid buying Viagra online, as there is a high probability that it is fake
  • You should try going for natural alternatives to Viagra. Studies have shown that the medicines with nitric oxide can help you in having a proper and enhanced erection. Additionally, medicines containing L-arginine are also very popular as they help in generating nitric oxide.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5062 people found this helpful