Dr. Anil Kumar

Hello, Healthy diet, regular physical activity, and not using tobacco products are the keys to prevention. Eat a healthy diet: A balanced diet is crucial to a healthy heart and circulation system. This should include plenty of fruit and vegetables, whole grains, lean meat, fish and pulses, and restricted salt, sugar and fat intake. Take regular physical activity: At least 30 minutes of regular physical activity every day helps to maintain cardiovascular fitness; at least 60 minutes on most days helps to maintain healthy weight. Avoid tobacco use: Tobacco in every form is very harmful to health - cigarettes, cigars, pipes, or chewable tobacco. Exposure to second-hand tobacco smoke is also dangerous. The risk of heart attack and stroke starts to drop immediately after a person stops using tobacco products, and can drop by as much as half after one year. Check and control your cardiovascular risk:

B. P still high. Review needed. Plenty of vegetable and fruits. Exercise. Meditation good. Salt less than 2g day.

Mr. Lybrate user, green mucus is indication of infection.& you are complaining of chest pain also. So its better to consult any general physician for proper check up& t/t. Try to take more water, prefer luke warm water, avoid spicy/oily/fast food. Take bland diet.

Make him rest / lye down, Give him Asprin, Clopidogrel and a Statin if available. Call for an ambulance / or get other vehicle to take him to hospital. Call the hospital emergency where you are taking him to be ready for the emergency. Inform close relatives of the patient.

The simplest tips from experts:

This is one of the most dangerous and, unfortunately, one of the most common diseases, which is caused by bleeding in the brain. It can be so devastating that the restoration of the person would take years. And at the same time to recover before the end he could not. Meanwhile, a few premature steps will help you prevent a stroke or at least alleviate the consequences of the incident.

Blood pressure control:

High blood pressure is a guarantee of hypertension. And that, in turn, increases the risk of stroke, as well as contributes to the development of cardiovascular disease. Often hypertension generally does not manifest itself externally (for the time), so constantly monitor blood pressure. Reduce the intake of salt, drink and coffee. Prevention may also include monitoring of weight, regular exercise, and even control over stressful situations - but then you do not need any pills to lower blood pressure.

" revision" heart:

Heart disease can occur in humans at birth and occur throughout life. For example, as a result of hypertension, obesity, diabetes or high cholesterol. There are many effective ways to diagnose and treat heart disease, but it always depends on the underlying cause, that is the same, for example, diabetes. The best way to prevent heart problems, it's not skip regular check-ups by a doctor. Then the disease can be detected at an early stage, before it starts to improve.


Lowering cholesterol:

High cholesterol promotes occurrence of cardiac and cardiovascular disease, usually the result of a diet high in harmful fats. To reduce cholesterol diet requires a moderate fat intake" nenapryazhnye" exercise and sometimes medication assistance.

That no obesity:

Obesity is also a risk factor for stroke. The fact that people with overweight elevated levels of fats in the blood, they are deposited on the vascular wall and narrows them. Over time, they get clogged and completely, and are sealed to form clots - which eventually reach the blood to the brain. And in the end - stroke.

Diabetes under control:

Diabetes - a direct path to cardiovascular disease and problems with blood vessels in the brain. The cause of diabetes is a disturbance of blood sugar, and it can also be congenital or acquired. But in any case, it requires control of food intake, weight management, and sometimes medication to maintain proper blood sugar levels.

Smoke cessation:

When smoke in humans get tar and other harmful substances, they damage the intima. In such" gaps" immediately rush substances - inflammatory factors, as well as compounds of cholesterol. Due to the unwanted build-up of plaque and blockages in the already narrowed blood vessels develop dangerous disruption of the heart and blood vessels. And after a time there is a stroke or heart attack.

Stress management:

It contributes to the development of stroke due to the fact that mental over-voltage occurs acute ischemic stroke. The result is a brain hemorrhage. Other less common causes of stroke may be, for example, autoimmune diseases and disorders of blood clotting

1. For your age pain chest could be due to anxiety, stress, depression, physical and mental strain, hyper acidity, muscular problem 2. Avoid stress and strain 3. Do regular exercise, reduce your weight if over weight. 4. Control your diet. Avoid oily/spicy/fried and junk food, high calorie and cholesterol rich diet. Take small frequent meals (5-6 meals/day instead of three heavy meals. If you have hyper acidity take one tablet of pan 40 in the morning before breakfast daily for few days 5. Do yoga, meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress. 6. Have sound sleep for 7-8 hours daily. 7. Avoid smoking, alcohol, excess tea/coffee, if you are having 8. Drink plenty of water and take rest 9. Takecrocin advance one tablet sos after food up to a maximum of three tablets per day at the time of chest pain 10. If you have recurrent attack of chest pain check your bp, take ecg, x ray chest and consult physician for advice and treatment.

Please take crat. Oxy. - q / 10 drops in little water thrice a day for one week. Revert back after one week with feedback.

Hi it is not sign of hernia start exercise for tummy and chest under supervision. Gynecomastia is not symptom of excees estrogen.

It signifies you have dyslipidemia and insulin resistance. Kindly do a fasting lipid profile from a laboratory and inform me so that I can guide you.

You have all my sympathies and I am very concerned that your husband has not reached what we call, ‘Hitting Rock Bottom’ as yet. To me his Rock Bottom seems to be death i.e. only death can stop his addiction! Anyway do not despair as yet and you may attempt the following and see how it works: I know you have tried a de-addiction center but he should not have been released if he was not ready. So in this attempt, he may be taken to another de-addiction center that are stricter and will also have follow up treatment and AA meetings for him to compulsorily attend. There is a medicine called disulfiram, which only the doctor can prescribe and it is very powerful that even if he attempts to drink a small quantity, he can have serious reactions that may sometimes entail hospitalization. You have to monitor his intake of the medicine and keep a close watch on him. He also has to go for regular counseling for at least three years! Apart from his health he will also affect the family and all his children will carry genetic factors for alcoholism. If he is into business or working, he will soon not be able to continue and he will go into financial ruin. He will lose all his friends and become ostracized by his society. He will lose his dignity, self-esteem, self-confidence, and become a misfit. He will also lose his sexual capacity, liver function, heart function, kidney etc. Now it is difficult to give up because he has become addicted to alcohol and has a lot to do. Under such circumstances it is best that when you admit him into a de-addiction center that you let him stay there for at least 6 months and after that attend counseling with a professional. The consumption of antabuse has to be carefully monitored to see that he not only consumes the medication but is also avoiding alcohol. Ultimately, it is his will power and the support that he receives from the medical fraternity and his close and dear ones. He must also learn to substitute and deal with the oral need, a rigid value system, the script issue, and of course take a look at all the genetic factors to plan a strategy not to get into what is called ‘cross addictions’ i.e. another form of addiction that may appear alright but is in fact as bad as the primary addiction. The center or hospital and the counselor will advise and guide him on several measures and precautions he will need to take to stay with his resolve. Even after the rehabilitation he must attend AA meetings and continue this support for a long time. The family will also need to attend some sessions and go for Al-anon meetings for their co-dependency issues. He cannot be treated in isolation because the family has gotten used to his drinking and have made some unhealthy adaptations to somehow cope. The children will also have to attend meetings to work out their issues because of the father’s habit. In fact, they are all suffering from the Adult Children Of Alcoholics Syndrome (ACOAs), which in effect means that they are genetically predisposed to alcoholism or can have cross addiction problems and that they will have similar traits of the abusing alcoholic but in a milder form. There are special support groups for them all over the world. Should they touch or indulge in alcohol or any addictive substances or behaviors, they could also become full-fledged addicts themselves. Now you should not give up on him but neither should you harass him. Be continuously after him and in the end you will succeed. His medical condition warrants a very strict course of action. In case he is not cooperative, then there are some centers that will come and pick him up when he is totally drunk and take him by force. They will however need to get written permission from you and the family.

Dear lybrateuser, - The cause of the calcification has to be found out by CT scan or biopsy, can be due to past infection, tb or any other factor in lung - a chest phycians consultation would be required so that the exact cause can be found out & treated accordingly.

Dear lybrateuser, -You can take the tablet in the morning, important is to try to keep the time of intake of medicine fixed.

Dear Lybrateuser, -The precautions are in respect of diet, exercise & stress -take a well balanced heart healthy diet, avoid fried & processed foods, salt, sugar, have more of fibre in diet ,more of fruits & vegetables including green leafy & seasonal ones, whole grains, whole wheat bread/chapatti, brown rice, corn, oats, beans, pulses, peas, sprouts, low fat dairy products, lean meats, sea food, skinless cicken, a handful of dry fruits, almonds, walnuts, pistachios, cashews, peanuts, seeds, flax, sesame, chia, pumpkin -do regular exercise, aerobic like walking, jogging for 30-40 min on maximum days, also include yoga, deep breathing & meditation for 10-15 min in the morning to reduce stress & keep fit -sleep well for at least 7-8 hrs in the night -have medication on time & regularly monitor BP, blood sugar & cholesterol levels, keep weight in check.

Take crat. Oxy. - q / 10 drops in little water thrice a day for one week. Revert back after one week with feedback.

It's almost two months if problems have reoccurred you need to consult the doctor again and get thoroughly investigated again.

Given that all your tests for heart are normal, you can stop panicking. If still worried go to hospital follow up.

Dear Lybrateuser, -Penidure is given to protect & prevent from infection if your heart was earlier affected by it -it is not mentioned by you as to what problem you had earlier if you had any -if it was associated with the heart valves then pain may occur on straining or exertion -get your self regularly reviewed & checked up by your cardiologist.

Give him a spoon of domstal syrup, do not give water or ors for half an hour till medicine gets absorbed, give him semisolid fat free food like custurd or curds or diluted toned milk or parle g biscuits. Start simple antibiotic like septran syrup 1 spoon twice daily along with metrogyl syrup 1 spoon twice daily for 3 days, lots of ors and juices but no solids or fats or maida like noodles. Pasta, white bread etc. Total rest. Repeat domstal after 12 hours if nausea persists.

You may be having chest pain due to 1.acidity. 2. severe anxiety 3. muscular problem Local application of Volini gel 1% twice a day for 2-3 day Consult Physician/me for Further Management