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Dr. Anand

Cardiologist, Mumbai

Dr. Anand Cardiologist, Mumbai
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Anand
Dr. Anand is an experienced Cardiologist in Malabar Hill, Mumbai. He is currently practising at Dr. Anand Paul M in Malabar Hill, Mumbai. You can book an instant appointment online with Dr. Anand on Lybrate.com.

Lybrate.com has a number of highly qualified Cardiologists in India. You will find Cardiologists with more than 26 years of experience on Lybrate.com. You can find Cardiologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Dr. Anand Paul M

10th Floor, Everest Chambers, Mount Pleasant Road, Malabar HillMumbai Get Directions
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Alcohol drinking after my BP is going on 180/110 so what is the homeopathic solution please tell me.

BHMS
Homeopath, Faridabad
Alcohol drinking after my BP is going on 180/110 so what is the homeopathic solution please tell me.
Hi, Take Rauvolfia 1x, 2 tabs daily morning empty stomach. Drink plenty of liquids and cut down your fat, salt and sugar intake. go for a morning walk daily at least for 30 minutes. Take a sound sleep and try to avoid anger. please cut short your alcohol intake. Revert after 15 days with feedback.
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I am 20 year old male. From few days I am suffering a kind of intense chest pain. My heart aches badly. What can be the cause. What is to be recommended. P.S I am a moderate smoker. I puff few times a day.

MBBS
General Physician, Mumbai
I am 20 year old male. From few days I am suffering a kind of intense chest pain. My heart aches badly.
What can be t...
Dear Lybrateuser, - You have to stop smoking - get your BP, blood CBC, cholesterol, sugar, ECG checked - avoid fried, spicy, junk food, do not have tea/ coffee more than 1-2 cups a day, avoid alcohol, aerated beverages - do regular exercise like walking, jogging for 20-30 min, also do yoga, deep breathing for 5-10 min daily, it will help reduce your chest pain.
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I have diabetes borderline and increasing cholesterol. so what to do? Please help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have diabetes borderline and increasing cholesterol. so what to do? Please help me.
take diet for both as. you can take diet for diabetes. low sugar breakfast cereal oats., low sugar bran flakes,peas or leafy green. brown rice .whole grain foods. whole grain pasta. Avoid stress. Alcohol, sweet foods, oily and spicy foods, fast foods, cold drinks, Go for walk. You can join zym. By meditation and medication You can control diabetes / sugar level. DO tests HBA1C every 6 months. and for cholesterol :- You can control cholesterol / hdl / ldl/t.g. and obesity by using following flax oil, omega-3 fatty meal or cap., take . green veg., whole grain foods, spicy foods, Use GARLIC in foods daily ,. Cod liver oil. Low sugar foods, low calories foods. Change own life style . do meditation,yoga, Go walk daily in morning and evening, do any one physically activity daily i.e. play any game., Avoid fast foods, oily foods, alcohol,smoking, fatty foods, non-veg., avoid stress, take plenty of water in day time. one important that is take 1 glass of water before bed at night. Because it protect from heart fail during sleep at night. welcome in lybrate
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I play badminton regularly because which my right shoulder pain and also some times right side ribs of my chest what should I do?

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
I play badminton regularly because which my right shoulder pain and also some times right side ribs of my chest what ...
You need proper rehabilitation. It is common in badminton players. You need to strengthen core muscles, shoulder muscles and scapular stabilisation.
1 person found this helpful
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Respected sir this is Govind my father M G Roddannavar he is heart patient 62 year old. He is suffering from gastric, weakness, and little bit breath problem. Please help me is this symptoms of heart attack. Give me suggestions urgent.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Respected sir this is Govind my father M G Roddannavar he is heart patient 62 year old. He is suffering from gastric,...
As he is already a pt of heart disease, need echo, ecg and xray chest to know cause of breathlessness.
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She has very low levels of Vitamin D3 at 8.4 ng. Ml and D12 at 92 pmol/L, please advise what level of dosages to take to reach optimal levels and for how many days?

MSc
Dietitian/Nutritionist, Chandigarh
She has very low levels of Vitamin D3 at 8.4 ng. Ml and D12 at 92 pmol/L, please advise what level of dosages to take...
Hi vitamin d is important for all mostly women, pregnancy, lactation, old age etc more required. For you take normally by foods like dairy products, organic protien based foods, egg, milk, fish, stem based vegetables, fibre rich all cereals, banana, curd etc.
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

13 people found this helpful

My x ray report says that I have calcification in mid rib. I also feel pain sometimes while breathing. Please suggest me which doctor should I consult, a cardiologist, a pulmonologist or an orthopedist.

MBBS
General Physician, Cuttack
My x ray report says that I have calcification in mid rib. I also feel pain sometimes while breathing. Please suggest...
For calcification of rib you should consult orthopedic specialist for advice and treatment. If your breathing problem is because of some other reasons consult pulmonologist.
1 person found this helpful
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I am 27years old man I have pain in my neck. When I turn my neck pain occur my neck and chest also. I have tested my xray, blood etc. The doctor said no pbm in there reports. What can I do next?

MBBS, MS, DNB, FNB (SPINE SURGERY)
Orthopedist, Chennai
I am 27years old man  I have pain in my neck. When I turn my neck pain occur my neck and chest also. I have tested my...
Hi Mr. Lybrate-user most commonly, neck pain is causes by bad posture and lack of exercise. Especially if you're a computer proffessional or use mobile phone a lot. You should meet a physiotherapist and learn about proper posture and some exercises. If pain persists you should see a spine specialist.

My father is suffering from Hypertension problem but at afternoon time 11 to 2 pm his heart beat increases and he start sweating and shivering also. Also in echo test his EF is 60% which might be low. So please advice me what should I do now.

MBBS, D.Card(PGDCC)
Cardiologist, Greater Noida
My father is suffering from Hypertension problem but at afternoon time 11 to 2 pm his heart beat increases and he sta...
Dear lybrate-user 60% EF is considered to be normal provided there is no segmental weakness. Furtehermore sudden symptoms may be a cause of sudden increase in BP or sudden abnormal heart rhythm & both of them should be investigated. 24 hr ECG Monitor (Holter) or 24 hr ambulatory BP may give you the answer if it happen frequently. As of now you should consult a cardiologist & evaluate the likly complication of high BP.
2 people found this helpful
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Is Your Heart Missing a Beat Regularly - Could it be Arrhythmia?

MBBS, Master of Surgery - General Surgery, Magistrar Chirurgiae (Cardio-Thoracic Surgery)
Cardiologist, Faridabad
Is Your Heart Missing a Beat Regularly - Could it be Arrhythmia?

Arrhythmia is a disorder which is characterized by improper and irregular heartbeats; be it too slow or too fast. This problem occurs when the electrical impulses that are used to regulate your heartbeat don’t work in the correct manner. Your heart may beat irregularly, too slow or too fast.

Symptoms
Although this disorder does not yield many symptoms, a few noticeable symptoms of arrhythmia are slow heartbeat, or a racing heartbeat, chest pain, breathing difficulties and dizziness. Arrhythmia can lead to inefficient pumping by the heart, leading to bouts of fainting. A severe symptom of this disorder is ventricular fibrillation, wherein the ventricles tend to quiver instead of transporting blood. This symptom can cut off blood supply to the vital organs, which may lead to death.

Causes

  1. Coronary artery disease: In this disease, arteries of the heart can get blocked, leading to irregular heart beat and impaired heart functioning.
  2. A heart attack: An ongoing heart attack usually leads to irregular heartbeats.
  3. High blood pressure: High blood pressure problems make you more vulnerable to this condition.
  4. Impaired functioning of the thyroid glands: An overactive or underactive thyroid gland can lead to heart arrhythmia.
  5. Excessive smoking and alcohol consumption: These habits can cause problems with the blood vessels in the body, thus increasing risks of this particular condition as well as other cardio-vascular diseases.
  6. Stress: Too much stress can lead to high blood pressure; that is again linked to heart arrhythmia.

Treatment
Mild symptoms of arrhythmia do not require treatment. However, complications resulting from it warrant treatment. The various treatment options for this condition are:

  1. Pacemaker: A pacemaker is a device that is used to regulate your heart rhythms. It is placed in the body by a surgical procedure and an insulated wire is put, connecting the heart to the pacemaker. In case of an irregular heartbeat, the pacemaker sends out impulses to correct the improper heartbeat.
  2. Implantable cardioverter-defibrillator: This device is used to prevent a dangerous symptom of heart arrhythmia, a symptom wherein the ventricle quivers. It is similar to a pacemaker as it is also placed near the collarbone. In case it detects an abnormal rhythm, it sends out shocks to reset the heart rhythm.
  3. Maze procedure: This is a surgical procedure wherein incisions are made on the upper heart tissue to create a scar tissue. Scar tissues act as insulators to prevent stray impulses.
  4. Alternative therapies: Alternative procedures such as yoga and meditation can help remedy the disorder.
2618 people found this helpful

Cystic Fibrosis: All You Need to Know

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Cystic Fibrosis: All You Need to Know

Cystic fibrosis is a genetic condition, which primarily affects the lungs and persistence of this condition might lead to severe breathing problems and loss of lung function. If you have inherited two copies of the defective gene from your parents, you are likely to suffer from this disease. Cystic Fibrosis causes a buildup of thick mucus in your lungs and affects other organs such as the kidneys, pancreas and the intestines in your body.

It isn't very uncommon as one out of fifty people in Asia is a carrier of this disease. The disease gets its name from the cysts formed in the pancreas of the sufferer. However, this disease can be detected by testing the quantity of salt present in your sweat. Prenatal testing for Fibrosis is another method to test if your newborn is likely to contract a lung infection.

Complications faced due to cystic fibrosis include:

  1. Serious sinus infections
  2. Serious damage in lungs due to inflammation and incessant infection
  3. Malnutrition
  4. Complication in breaking down protein
  5. Respiratory tract contamination

If you observe one or more of the following symptoms, you might be suffering from Cystic Fibrosis:

  1. Salty-tasting skin
  2. Bowel obstruction caused due to meconium ileus (obstruction of the bowels)
  3. Mucus amiss in your alveoli
  4. Persistent coughing with phlegm discharge
  5. Shortness of breath while engaging in a physical task
  6. Stunted or measly growth despite healthy lifestyle habits
  7. Infertility in males

If you're suffering from cystic fibrosis, there isn't any particular treatment which is recommended due to the varying degrees of it found in people. However, consultation with a medical practitioner and an individualised treatment plan can help you minimise the risks and lead a better life.

Some therapies you can opt for are:

  • Airway clearance: This therapy helps sift the thick layer of mucus around your organs. Some people have also chosen to use the inflatable vest which vibrates around your chest, thereby, thinning and loosening the layer of mucus.
  • Inhaled medicines: Another breakthrough in the field of respiratory medicine, this method requires the patient to sniff a liquid consisting of mist, which is inhaled with the aid of a nebuliser. This method is known to be beneficial for opening airways.
  • Pancreatic enzyme supplements: Along with multivitamins, these specially designed supplements are known to cater to your pancreas with the much-needed nutrients and they need to be consumed with every meal. If you wish to discuss about any specific problem, you can consult a pulmonologist.
5146 people found this helpful

I am suffering frm fever last 5 days. Tried multiple home remedies. Doctor told that it is viral infection. He told me for checkup but all reports are normal. So what should I do. please help me.

MD Microbiology
General Physician,
I am suffering frm fever last 5 days. Tried multiple home remedies. Doctor told that it is viral infection. He told m...
Hi. Viral infection takes time to settle. Does not respond to antibiotics either. And as you said your investigations are also normal. Please take healthy diet to boost up your immunity.
47 people found this helpful
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Doctor my right side of the chest pain frequently at that time my heart bet increase and I can feel the bet .at tat time I need to take rest I ll become strength less Wats the problem in me any heart problem since by fear I had 4 times ECG but it was normal (2 month back)

MBBS
General Physician, Mumbai
Doctor my right side of the chest pain frequently at that time my heart bet increase and I can feel the bet .at tat t...
Dear Lybrateuser, -Right side chest pain could be due to acidity, lung or problem in lining of lung tissue -do not get anxious as it is not related to heart -modify your food habits, have meals on time, do not skip meals, chew your food well, have 4-5 small meals rather than three large meals -avoid spicy, fried, junk food, also restrict tea, coffee intake to 1-2 cups per day, avoid alcohol, tobacco if you consume -do yoga & deep breathing exercises for 10-15 min in the morning -consult a doctor to find exact cause & do investigations. -
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What is the regular food as medicine for diabetics percent and also for blood pressure percent?

C.S.C, D.C.H, M.B.B.S
General Physician,
What is the regular food as medicine for diabetics percent and also for blood pressure percent?
Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally. Diet Plan For Diabetes FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil)2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286.
1 person found this helpful
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I am 68, diabetic and controlled BP. Why my head is heavy in the evening at 7 pm, when I cough horrible heaviness on both sides if my head. It will be reduced if I take nap or relax on bed. Advise please. Thanks.

BHMS, MD - Homeopathy
Homeopath, Gurgaon
I am 68, diabetic and controlled BP. Why my head is heavy in the evening at 7 pm, when I cough horrible heaviness on ...
Dear sir, at your age and with your medical condition, I suggest you should go to your family physician and discuss your problem with him. Over the internet we will not be able to examine you and so it will be unfair to treat u. Regards.
2 people found this helpful
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My fasting blood sugar is 115 and blood pressure is high 140 and low is 90. Kindly tell me blood sugar and blood pressure are Normal or abnormal for my health. If abnormal what to do so for get normal.

MBBS
General Physician, Cuttack
My fasting blood sugar is 115 and blood pressure is high 140 and low is 90. Kindly tell me blood sugar and blood pres...
Both Blood sugar and BP are slightly high.Follow the advice given below 1. Do regular aerobic exercise like brisk walk, Jogging, running, cycling for 30-45 minutes every day 2.Reduce your weight if overweight 3.Reduce salt intake, Take bland diet, avoid spicy, oily, fatty, cholesterol rich, high calorie diet and junk food. Avoid excess sweets, sugar and carbohydrate rich diet 4. Drink plenty of water 5. Take bland diet, plenty of green leafy vegetables, Fruits 6.Stop smoking and consumption of alcohol, Tobacco, 7.Avoid stress, anxiety, physical and mental exertion 8..Do Yoga, Meditation, and deep breathing exercise 9. Monitor your Bp regularly and consult Physician for treatment 10 consult me for further advice
3 people found this helpful
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My mother got' t wave inversion in ECG, ST changes in Treadmill Test. Dr. suggested angiogram. Is there any possibility that angiogram resulting in'no blocks Please guide.

BAMS
General Physician, Delhi
My mother got' t wave inversion in ECG, ST changes in Treadmill Test. Dr. suggested angiogram. Is there any possibili...
Yes it may happen, depend upon chronocity of hypertension & associated diseases. Take proper medicine & go for ecg after 2 weeks.
3 people found this helpful
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Hypertension - Causes and Complications of Hypertension

MBBS
General Physician, Jammu
Hypertension - Causes and Complications of Hypertension

High blood pressure or hypertension is a condition where the long term force induced by blood on the artery walls may lead to health complications. In some cases high blood pressure can be a chronic condition without any visible symptoms. The normal value of blood pressure is 120/80 mm Hg. Even if high blood pressure doesn't have any obvious symptoms, it can cause significant damage to cardiovascular health and blood vessels. Uncontrolled hypertension exposes you to the risks of stroke and cardiac arrest. Following are the causes and complications of hypertension:

Causes of hypertension

The causes of hypertension vary depending on the two types of the condition namely - primary hypertension and secondary hypertension. In case of primary hypertension there are hardly any identifiable causes. Secondary hypertension can occur due to the following causes:

  1. Certain medications like contraceptives, painkillers and some other drugs
  2. Sleep disorders
  3. Problems related to the kidney
  4. Tumors in the adrenal gland
  5. Thyroid issues
  6. Congenital heart defects from birth
  7. Drug abuse
  8. Excessive consumption of alcohol

Complications of hypertension

  1. Persistent high blood pressure can result in atherosclerosis - hardening of the arteries. This can severely wreck cardiovascular health and cause stroke, heart attack or other complications.
  2. Hypertension can also result in a disorder called aneurysm in which the blood vessels tend to swell and weaken. Rupture of an aneurysm can be fatal.
  3. Heart failure is one of the most serious complications associated with hypertension. It becomes increasingly difficult for the heart to pump blood along with the high pressure. Consequently the heart muscle thickens and leads to cardiac arrest.
  4. Hypertension can also lead to kidney problems. Narrowing and weakening of certain blood vessels present in the kidney can cause organ failure.
  5. It can also lead to eye problems and sometimes even loss of vision due to narrowing or thickening of blood vessels in the eye.
  6. Metabolic syndrome, which refers to a cluster of deficiencies in the metabolism of your body including high triglycerides, low levels of good cholesterol (High density lipoprotein) and high levels of insulin. These metabolic disorders increase the risk of developing diabetes and other complications.
  7. Uncontrolled high blood pressure and interference with your ability to remember and think. It can trigger memory loss and affect your understanding and deriving skills. If you wish to discuss about any specific problem, you can consult a general physician.
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