MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
Nitrocontin is usually omitted after successful angioplasty. All other medicines prevent trouble. Discuss about duration of dual antiplatelet therapy with your cardiologist.
BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear lybrate user. Please don’t panic. You must understand ERECTILE DYSFUNCTION. There is nothing called erectile dysfunction while having masturbation. Loosing erection in the initial stages of sex or not having erection at all or having late erection or lack of sexual desire are called erectile dysfunction. Erectile dysfunction can be a sign of a physical or psychological condition. It can cause stress, relationship strain, and low self-confidence. I suggest sex therapy. The main symptom is a man's inability to get or keep an erection firm enough for sexual intercourse. Patients suffering from erectile dysfunction should first be evaluated for any underlying physical and psychological conditions. If treatment of the underlying conditions doesn't help, medications and assistive devices, such as pumps, can be prescribed. Yoga, meditation and diet could be prescribed once we know the basic reasons for it. Two natural treatments for ED that have shown promise are red ginseng and pomegranate juice. Ginseng is thought to increase nitric oxide production, leading to improved blood flow. Pomegranate juice is a potent antioxidant and can help too. Watermelon could also help. Psychological reasons usually get cleared with sex therapy. I suggest online sex therapy. Take care.
Hello,
Thanks for your query on Lybrate
"As" per your clinical history is concerned you have mentioned you have heart disease but not mentioned which type it is and what is the exact name and what are ECG findings. So, in my opinion, you are under treatment of your Doctor and already taking medication so continue with it and if blood pressure is not under control then discuss with your Doctor about combination medications like -[beta blocker like atenolol+calcium channel blocker like nifedipine]
Do follow lifestyle modifications like this-
1)Eat healthy foods. Eat a healthy diet. Try the Dietary Approaches to Stop Hypertension (DASH) diet, which emphasizes fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Get plenty of potassium, which can help prevent and control high blood pressure. Eat less saturated fat and trans fat. Consult with a dietician to make a chart.
2)Decrease the salt in your diet.
3)Try to maintain a healthy weight. 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. If you're overweight, losing even 3 kilograms can lower your blood pressure.
4)Try to Increase physical activity. Regular physical activity can help lower your blood pressure, manage stress, reduce your risk of several health problems and keep your weight under control.Aim to do muscle-strengthening exercises at least two days a week.
5)Limit alcohol. Even if you're healthy, alcohol can raise your blood pressure. If you choose to drink alcohol, do so in moderation.
6)Don't smoke. Tobacco injures blood vessel walls and speeds up the process of hardening of the arteries.
7)Manage stress. 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.
8)Monitor your blood pressure at home. Home blood pressure monitoring can help you keep closer tabs on your blood pressure, show if medication is working, and even alert you and your doctor to potential complications.If your blood pressure is under control, you may be able to make fewer visits to your doctor if you monitor your blood pressure at home.
Hope that helps and if you have any further doubt then you can ask me
Please Give her Special Chyawanprash by Patanjali regularly
1 tsf twice a day Tab Abana by Himalaya 11 regularly If she can walk, take her for morning and evening walk daily Give her salads, vegetable juices, soups, fruits more As her condition improves, reconsult me on Lybrate, we will reduce the doses of previous medicine.
You have symptoms only when you overstrain and difficulty in doing tmt test looks like some block has developed again
you can try conservative treatment like mild exercises, yoga, eating seasonal vegetables and fruits, less stress, less or no exposure to pollution, inhaling fresh oxygen through green plants in home, keeping a disciplined lifestyle all of these collectively manage to open up collateral blood vessels of heart which were lying low and unopened, collatetals start functioning and it's as good as nature doing a bypass surgery do observe and take care of nutrition, exercise and other factors.
Hi welcome,
Blockage in all three arteries with reduced heart function& hhistory of cardiac arrest is a serious thing. He will definitely need a by pass surgery (CABG). The risk of the surgery will be higher than a normal patient with blockage in all three arteries.
Diabetes control is definitely a very important thing. About medication, dose of cardace could be increased as per bp. Another very important medication (beta blocker) should be added to the treatment. Both the cardace & beta blocker are very very important for such patients.
I could be of more help if you could send me the echo & Angio report.
Thanks & take care.
You send the reports. Go for bypass surgery .donot wait. It is best time as age is 60 yrs. Only. Take statins, nitrocontin, control diabetes and b.p. Avoid fatty diet. Prevent your mother from cold waves. Keep isordil with you. In emergency use sublingual. Any more ask on line.