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It has been 6 months since my bypass surgery. I still feel pain when sleeping on my side in lower ribs. What could be the possible reason? Any exercises that I should be doing?
Sir, My dad is overweight. (85 kg), For him, NUTRISLIM will be best or not for losing weight. He has Blood pressure and cholesterol level.
I am 23 years old. I have hypertension. One of my friend suggested me omega 3 fish oil supplement but that did not work. Could you suggest me something?
I have been taking my medicine Atenolol BP 50mg once every morning for four years. My blood pressure is quite constant 120/80. I watch out on my diet and exercise regularly. 1) Will the dosage increases as we grow older? 2) Is it true that due to the high blood pressure, our heart [the wall] grows thicker? 3) Once a while, I will have cold sweat and light headedness, is this the side effect of taking high blood pressure medicine?
What is Palpitation?
Palpitation is a feeling of awareness of your own heart beat. It is usually described as heart rate being either too fast (racing), too slow or a sensation of missing a beat.
Types of palpitations?
- These palpitations occur as a response to physical or mental stress like exercise, fever, pain, fear, anxiety etc.
- They are harmless and settle on their own once the precipitating factors disappear. They do not require any medical treatment.
- These palpitations occur due to some underlying abnormality in either the structure of heart or the beating of heart.
- These can be dangerous and at times life threatening. They may or may not settle on their own and require some medical treatment.
Warning signs that suggest palpitations are abnormal?
Palpitations are abnormal, if they are associated with chest heaviness, chest pain, uneasiness, sweating, weakness, giddiness, feeling of black out, fainting, nausea, vomiting, seizures. Palpitations are more likely to be abnormal in people who have some existing heart disease and these patients should report to their doctor at the earliest.
What to do during palpitations?
- Stay calm.
- Call for help. If u are alone avoid driving, use a taxi or auto, go to your nearest hospital/doctor and try to get an ECG during the palpitations. If you are helping someone having palpitations, if they faint, call for help, start CPR if they remain unresponsive and take them to the nearest hospital.
Which doctor can treat palpitations?
Doctors who specialise in the treatment of palpitations are called Electrophysiologists. They specialise in heart rhythm and are capable of performing a variety of complex tests to identify and treat different types of palpitations.
Which investigations are used to diagnose palpitations?
- ECG: Taken during palpitations and when the patient is normal is a very helpful tool.
- Holter: Externally applied recorder, which continuously records heart rhythm for 24 hrs.
- ELR: Extended loop recorder, is like holter, but it records rhythm for longer durations.
- ILR: Internal loop recorder is attached within the body for recording rhythm for long duration.
- EPS: Electrophysiology study, is the most sure shot test to diagnose, identify and treat Palpitations.
What is EPS?
EPS stands for Electrophysiology study. By this test a trained Electrophysiologist studies the conduction and formation system of heart beat, to understand the source, cause and type of palpitation. It is a simple and safe procedure of 2 to 3 hours and can be done as a day care procedure (by admitting the patient for a few hours in hospital, with discharge on same day).
It requires fasting for 4 hrs, some standard blood investigations and is done with local anaesthesia and if required it can be combined with treatment like ablation in the same sitting.In the procedure Electrophysiologist take catheters into your heart to study and stimulate the palpitations and understand them. Once found they can use various techniques to stop the palpitations, the techniques are called Ablation.
What are the treatment options available for palpitations?
There are many options depending upon the nature of palpitations and condition of the patient:
- Drug therapy
- Cardioversion where either a drug or electric shock is given to stop palpitations immediately.
Ablations using many sophisticated computer softwares
Device Therapy like ICD (Internal cardiac defibrillator)
Combination of all the above therapies.
Your Electrophysiologist and you as a team can make a choice about the options that will be best for you.
Related Tip: "Why Do You Get Palpitations? How to Get Immediate Relief?"
Dear sir, I have discomfort in my chest, tingling,pinning and pain, from 8 months, after test doctor told me it was anxiety, since 8 months am taking tablets, namely beta locker and depression tablets but I didn't cure, please suggest me how long it will take to cure, I am worrying for this it be for long time. Please advice me.
I am 57 year old and under went bypass surgery ten years back. I am fit and fine but I am suffering from gas trouble. After meal or before meal I feel heavy in my stomach and and feel suffocation. Though I can breath easily but feel uneasy. Please advice.
I am 34 years old male. I am not a chain smoker, however smoke around 5 cigarettes a day. What should I do to keep my heart tar free. What diet chart should I follow. I am trying to quit smoking, yet to quit it completely. Is there any specific guideline for quitting?
I am 62 years old. I am having CHEST BURNING for the last many months. What medication need to be taken? What precautions to be followed? I am having problem of high BP which remains under control by having S-AMLODIPINE 2.5 mg daily. Does this problem have any bad affect on heart?
Some people with hypertension may react with alarm when they check their blood pressure at home or at the drugstore and the reading is elevated. It's not unusual for people with an isolated finding of elevated blood pressure to show up at the local Emergency Department with sudden concern, but in many cases, the real concern is not a single high reading, but the cumulative effect of persistent uncontrolled hypertension.
Hypertension is a risk factor for many negative health outcomes, including heart failure, coronary artery disease, stroke, kidney disease, peripheral artery disease and hypertensive retinopathy, a disease of the eye. Hypertension is also associated with type 2 diabetes mellitus, which is why the United States Preventive Services Task Force has issued a recommendation for diabetic screening in people with high blood pressure. Good control of blood pressure results in a rapid reduction of risk for cardiovascular disease.
Hypertensive heart disease results from changes in both the structure of the heart and blood vessels and their function as the body adapts to abnormally high blood pressure. If you can imagine the heart as a pump operating against a fluid circuit, picture the increased work of that pump if pressure within the circuit is increased.Some of the changes caused by persistent high blood pressure can be partially reversed with treatment using ACE inhibitor medications.
Hypertension results in wear and tear of vital organs and vessels as a result of mechanical stress.
Blood vessels have mechanisms to regulate blood flow throughout the body, and when high blood pressure occurs, the blood vessels constrict in initial response. Eventually, the walls of the blood vessels thicken and tissue damage occurs, resulting in hardening of the vessel walls.
Hypertensive disease of the eye is known as hypertensive retinopathy. In the retina of the eye, changes in the blood vessels eventually result in disruption of the integrity of the vessel, and blood or fatty acids may leak onto the delicate retinal tissue. This results in permanent vision change, and it's very preventable.
Complications of stroke can be due to hemorrhage of the blood vessels that supply the brain, or, more frequently, can result from poor blood flow through arteries damaged by persistent high blood pressure. Approximately 85% of strokes are ischemic, or due to poor blood flow. Another manifestation of hypertensive disease that affects the brain is hypertensive encephalopathy. This condition refers to a change in mental status, frequently accompanied by headache and nausea, that results from swelling in the brain caused by alterations in blood flow at very high blood pressure. This condition is associated with malignant hypertension, or hypertensive emergency.
Persistent high blood pressure is one of the leading causes of chronic kidney disease, frequently requiring dialysis. Blood is filtered through the kidneys, and when the small blood vessels of the kidney are damaged by chronic uncontrolled hypertension, the body becomes unable to filter waste. People with kidney damage eventually spend hours hooked to dialysis machines that can remove waste products from their bloodstream, or they may require a kidney transplant. In either case, prevention of the complication is preferable and less complex.
Unfortunately, it is easy to underestimate the cumulative effects of high blood pressure, since the damage is asymptomatic initially. It's important to recognize the inevitable consequences of ignoring persistent high blood pressure. If you have high blood pressure, it's important to realize the silent damage occurring over time if your blood pressure is not adequately treated. If you have a high blood pressure reading, you should repeat measurement on two more occasions. If your blood pressure remains above the level your doctor has suggested, it is essential to follow up. There are many excellent and affordable medications available for treatment of hypertension. Some people require a combination of drugs to maintain control. Whatever the case, the inconvenience of treatment is far exceeded by the benefits to your health over a lifetime.