Lybrate Mini logo
Lybrate for
Android icon App store icon
Ask FREE Question Ask FREE Question to Health Experts
Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Dr. W B Tol

Cardiologist, Pune

Dr. W B Tol Cardiologist, Pune
Submit Feedback
Report Issue
Get Help
Feed
Services

Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. W B Tol
Dr. W B Tol is a renowned Cardiologist in Karve Nagar, Pune. You can meet Dr. W B Tol personally at Tol Hospital in Karve Nagar, Pune. Don’t wait in a queue, book an instant appointment online with Dr. W B Tol on Lybrate.com.

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

Info

Specialty
Languages spoken
English
Hindi

Location

Book Clinic Appointment

32/59 Navsahyadri Society, Karve Nagar,Landmark: NR Alankar Police Chowky, PunePune Get Directions
...more
View All

Consult Online

Text Consult
Send multiple messages/attachments
7 days validity
Consult Now

Services

View All Services

Feed

Nothing posted by this doctor yet. Here are some posts by similar doctors.

How can we manage Blood Pressure? And when the problems of blood pressure started?

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
How can we manage Blood Pressure? And when the problems of blood pressure started?
give full details and BP levels.take less salt papad and pickles.consult for more information and advice privately
1 person found this helpful
Submit FeedbackFeedback

Symptoms and Diagnosis of Heart Attack

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Gurgaon
Symptoms and Diagnosis of Heart Attack

A person usually gets a heart attack when there is a blockage in the arteries of the heart. This is an emergency situation that can result in a fatality or death if it is not treated immediately. Not all heart attacks will have a crushing pain in the chest right in the beginning, there are a number of symptoms that can show the slow progression of this attack over a few hours. So how do you know if you are having a heart attack, and what kind of treatment will be required? This article seeks to answer all your questions.

Discomfort in the Chest: The patient will usually feel like there is some pressure and squeezing in the chest or pain or even fullness right in the centre. This pain can come and go every few minutes and it should not be ignored.

Pain and Discomfort in other Parts of the Body: There may be some amount of pain and discomfort in other parts of the body including the arms, the jawline, back, neck, stomach and even the teeth. This pain can also travel down to the abdomen above umbilicus. In case there is persistent pain along with the chest discomfort, then a doctor must be contacted immediately.

Other Symptoms: When you feel breathless without any reason or medical cause, and also when you experience symptoms like anxiety, indigestion, vomiting, nausea, light headedness, dizzy spells and fatigue, you may be suffering from a heart attack.

Immediate Treatment: Once you begin to experience these symptoms along with chest discomfort and chest pain, it is imperative to call the emergency unit of the nearest hospital or get in touch with a cardiologist. Until then, you will need to lie down and chew aspirin if you are not allergic to the same. This is usually more efficient that swallowing.

Diagnosis of heart attack: Heart attack is diagnosed if patient has 2 criteria out of following 3-

  1. Pain or discomfort thought to be due to heart disease

  2. ECG suggestive of heart attack

  3. Elevated levels of cardiac enzymes (CK-MB and Troponin) in blood test (these levels start rising after 6 to 12 hours of heart attack)

Once you reach doctor an ECG should be done immediately along with blood pressure and pulse. If ECG shows heart attack then immediate action needs to be taken. Remember a normal first ECG does not rule out a heart attack. So a series of ECGs may be ordered by the doctor and at proper time blood test of cardiac enzymes may be done. Ruling out a heart attack may need an observation and testing up to 6 – 12 hours as cardiac enzyme test shows results only after that period.

2904 people found this helpful

Heavy Heart Palpitation after having food. Even Small meals trigger the said effect. What is Happening.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Heavy Heart Palpitation after having food. Even Small meals trigger the said effect. What is Happening.
Heart palpitations are a feeling that your heart is beating too hard or too fast, skipping a beat, or fluttering. You may notice heart palpitations in your chest, throat, or neck. Heart palpitations can be bothersome or frightening. They usually aren't serious or harmful, though, and often go away on their own. Most of the time, they're related to stress and anxiety or to consumption of stimulants such as caffeine, nicotine, or alcohol. Palpitations also often occur during pregnancy. In rare cases, palpitations can be a sign of a more serious heart condition. Therefore, if you have heart palpitations, make arrangements to see your doctor. And seek immediate medical attention if along with palpitations, you experience shortness of breath, dizziness, chest pain, or fainting. A thorough physical examination and Medical History of your problem is required to rule out for any underlying cause. If an underlying cause is found, the right treatment can reduce or eliminate palpitations. If your palpitations are not related to an underlying cause, lifestyle changes, including stress management and the avoidance of common triggers, can help prevent them. Being a Homoeopath I will advise you to take following medicine alongwith which will surely help you . ACONITE NAP 30 ( Dr Reckeweg) Drink 5 drops every 5-10 minutes during increased heart beat .Take it till your heart beat is normal.
You found this helpful
Submit FeedbackFeedback

My fathers blood pressure is 100/170. After taking medicine it is not in control kindly suggest good treatment.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My fathers blood pressure is 100/170. After taking medicine it is not in control kindly suggest good treatment.
Hello Lybrate user according to ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause. Home Remedy- Mix 1 teaspoon of onion juice with an equal amount of honey. Take once a day for 1 week. Upon noticing improvement, continue for several more days. Treatment- 1-take sarpgandha vati twice a day. 2-yogendra ras. Akik bhasm works very good in case of hypertension. 3-Take pranacharya no tens capsule twice a day Diet-avoid salty diet. Oily food. Lower your stress. Do pranayama early morning.
You found this helpful
Submit FeedbackFeedback

I am 50 yrs old and suffering high blood pressure since three yrs. What I can do?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I am 50 yrs old and suffering high blood pressure since three yrs. What I can do?
Dietary and other lifestyle changes can help you control and prevent high blood pressure. Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol can lower your blood pressure by up to 14 mm hg. This eating plan is known as the dietary approaches to stop hypertension (dash) diet. Get plenty of potassium, which can help prevent and control high blood pressure. Eat less saturated fat and total fat. If you're overweight, losing even 3 kgs can lower your blood pressure. Strive for at least 30 minutes of physical activity a day. Plenty of fluids orally. I suggest brisk walking for 40 mins, 5 days a week. Remain stress free as much as possible. Take your medicines regularly.
1 person found this helpful
Submit FeedbackFeedback

Dear sir/mam, I have male breast at right side. Or its looks odd when I wear tshrt. Etc so please suggest me what can I do?

MBBS
General Physician, Mumbai
Dear sir/mam, I have male breast at right side. Or its looks odd when I wear tshrt. Etc so please suggest me what can...
Dear Lybrateuser, - To develop your chest muscles you have to exercise regularly & have a well balanced diet high in proteins - do regular exercise like walking, jogging, swimming for 20-30 min, do moderate weight lifting for at least 2-3 days in a week, also do yoga & deep breathing for 5-10 min daily morning - have a well balanced diet including fruits& vegetables, have protein foods like eggs, nonveg, milk & milk products, beans, soya products, tofu, pulses, nuts.
2 people found this helpful
Submit FeedbackFeedback

Hypertension: Causes, Risk Factors and Treatment

MBBS
General Physician, Mumbai
Hypertension: Causes, Risk Factors and Treatment

Hypertension or high blood pressure can be defined as a condition wherein the thrust of the blood against the walls of the arteries is excessively high, thereby, increasing chances of health hazards. The amount of blood that is pumped by the heart and the resistance put up by the arteries usually determine one’s blood pressure count. For instance, if the heart pumps excess amount of blood while the arteries shrink, the blood pressure can soar high. High blood pressure or hypertension may give rise to symptoms such as nosebleeds, short breaths or headaches.

Causes
There are two types of hypertension, one is primary and the other is secondary. For essential or primary hypertension, there is no significant reason and the condition slowly develops over years. The secondary one appears all of a sudden as a result of a repressed condition such as thyroid or kidney problems, defective blood vessels and certain medications such as pain-killers, cold relievers, pills for birth control and others.

Other factors responsible for hypertension are:

  1. As you age it increases
  2. Family history
  3. Being obese or overweight
  4. Being physically inactive
  5. Consuming too much of sodium or salt in your diet
  6. Little intake of potassium and Vitamin D in meals
  7. Being subject to high levels of stress
  8. Chronic medical disorders such as diabetes
  9. Alcohol or drug abuse

Treatment

Medications:

  1. Thiazide diuretics can be administered. These help to flush out excess water and sodium from the body in order to reduce excessive volume of blood thrusting against the arteries.
  2. Beta blockers ease the workload of the heart by opening up the blood vessels.
  3. Angiotensin-converting enzyme (ACE) inhibitors help inhibit the production of chemicals narrowing the blood vessels.
  4. Angiotensin II receptor blockers (ARBs) are used to obstruct and curb the action of the chemicals contracting the blood vessels.
  5. Calcium channel blockers help to loosen the blood vessel muscles
  6. Renin inhibitors can delay the production of an enzyme called ‘renin’ by the kidneys that increase one’s blood pressure

Lifestyle changes:

  1. One should follow a well-balanced diet that comprises of less salt.
  2. There is no substitute to regular exercises. Exercising regularly helps one maintain a balanced body weight that further reduces the chances of this condition.
  3. Abstaining from smoking and limiting alcohol intake helps provide that holistic cover to all the treatment modes mentioned above.
13 people found this helpful

When I angry. My heart is beating speedily. And I take long long breathing. So please sir/mam help me.

PGDMCH, MBA( CHA) , MBBS
General Physician, Gurgaon
When I angry. My heart is beating speedily. And I take long long breathing. So please sir/mam help me.
Dear lybrateuser, whenever a person is angry the heart rate goes up. Pl get your blood pressure checked and avoid anger. Whenever angry take a glass of water.
You found this helpful
Submit FeedbackFeedback

I am a student. Am 23 years old. At 28th december doctor found my pressure high 150/100. At that time when Dr. was checking my pressure I realized that my heart is pounding so quickly, I think its a panic. Doctor told me its a very dangerous, and I have got tensed. Now in my home when am checking my blood pressure its showing 122/76,122/80. After few days I went to the doctor and he found my pressure dat much high and I observed at that time my heart is running so quickly. I can not even made myself relax during the check and its showing high. Am totally fit before 28th december. Is it ok or there is any kind of problem. Now am to much tensed. please help me. Thank you.

MBBS, MD, MEDICINE
Cardiologist, Chandigarh
I am a student. Am 23 years old. At 28th december doctor found my pressure high 150/100. At that time when Dr. was ch...
Don't worry, it's called as white coat hypertension, tend to increase during reading by a doctor. Do you have family history of high bp, smoking, any giddiness or fainting, chest tightness etc. You monitor your blood pressure thrice a day for week and get back with the readings. Also till have low salt diet. After seeing the readings we can get some tests done. Also try to check the readings with another bp apparatus.
You found this helpful
Submit FeedbackFeedback

Saving Kit in Case Of Heart Attack

MD, MBBS, CCD
General Physician, Jabalpur
Saving Kit in Case Of Heart Attack

Life saving kit in case of mi / heart attack 

A very handy kit which may protect a person from dying of sudden heart attack.
It should have following items:-
 A. Tab disprin / aspirin 4

 B. Tab glyceryl trinitrate 4

 C. G. Tri nitrate skin patch-1

 If one feels sudden tightness and pain in centre of chest, radiating to left arm or both sides of neck, accompanied by sweating and uneasiness, one is likely to be in a state of heart attack.* 

Following measures must be taken immediately:-
 A. Keeping one glyceryl tri itrate tablet under the tongue.
 B. Chewing one disprin tablet.
 C. Pealing of and sticking the skin patch on left side of chest.

 Can definitely save a person from dying immediately of a heart attack.

Every person who is at risk and above 40 years should carry this.

Dr. Rahul kewalkumar.
Mbbs, md.

4 people found this helpful

I'm 20 years old and I want to become a singer. I get a chest pain when I sing loud and also I will get a gas evaporation from my stomach. I use mobile much. Please help me what to do?

MBBS
General Physician, Chandigarh
I'm 20 years old and I want to become a singer. I get a chest pain when I sing loud and also I will get a gas evapora...
Your present lung capacity might not be allowing you to sing loud you have to work to improve your lung capacity for your stomach add more fiber in your diet and take syp digeplex tsf twice a day to control gas.
You found this helpful
Submit FeedbackFeedback

Hello Doctor, From past few months (3 months) I am not feeling very great. I feel low in energy all the time and when I stand on my feet I feel like I have to hold onto something to be steady though I don't feel I am fainting or I will fall or lose my balance. But yes I feel like that I am disbalancing a bit. Secondly, I have this problem of heartburn and gas as well. No matter what I eat, sometimes I get severe heart burn and sometimes I am OK. Gas is constantly building whenever I eat anything. I would say that 65% after eating anything I get heartburn. Thirdly, I get palpitations and I think I have become very sensitive. Sensitive in the sense that whenever I am sleeping or resting on my bed, even a small sound or a bang or anything or even a slight banging makes me feel like my heart is pounding/dropping/ or something (dil ghabrana ek dum se). From past few days I got this pain in my chest (right side). Pain is not severe but it is disturbing and I don't feel comfortable at all. My stomach is upset all the time and some pain in bowel. I have got an ultrasound done, I can attach a copy of it if required. I feel low everything and I spend most of my time worrying about things or how to sort my life out. When I think too much these problems becomes intense and I feel really uncomfortable with all this happening. Headache is another issue, regular pain in temples of my head and itching inside my ear is also there. I have tried a lot of doctors but not happy with what they have suggested me. I would request you to consult or advice me in a best possible way please.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Hello Doctor, From past few months (3 months) I am not feeling very great. I feel low in energy all the time and when...
Firstly relax take it easy, with some discipline in life and medicine you can start feeling better get following tests and if already done write report blood cbc, blood sugar f/pp, lipid profile and thyroid hormones t3, t4, tsh get bp, ecg /tmt- treadmill test and echo. Start doing following you have to improve your food habits 1. Take 2/ 3 glass of warm water in the morning 2. Take more water in day 3. Take meals at fixed hrs 4. Take small amount of food at a time, take more frequent meals - may be five times a day. 5. No spicy/ fried/ fast/ junk/processed food. 6. No milk for few days, can take curd, no uncooked salad 7. Avoid constipation report feed back with what ever reports available earliest good luck.
6 people found this helpful
Submit FeedbackFeedback

What should be an ideal balanced diet for high blood pressure patient and low blood pressure?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
What should be an ideal balanced diet for high blood pressure patient and low blood pressure?
Hypertension Diet Drugs do not remove the cause, nor do they cure the condition. All drugs against hypertension without exception, are toxic and have distressing side-effects. The fast way to cure hypertension is to eliminate the poisons from the system, which cause it. Persons with high blood pressure should always follow a well-balanced routine of proper diet, exercise and rest. Meat and eggs cause blood pressure to rise more than any other food. The pressure is lowered and blood clotting diminished by taking a diet with a higher fruit content, lower protein and non-flesh diet. A natural diet consisting of fresh fruits and vegetables, instead of a traditional diet, is helpful in getting rid of the poisons from the body. A hypertension patient should start the process of healing by living on an all¬ fruit diet for at least a week, and take fruits at five-hourly intervals, thrice a day. He should take juicy fruits such as oranges, apples, pears, mangoes, guavas, pineapples and grapes. Milk may be taken after a week of a diet of fruits only. The milk should be fresh and boiled only once. The patient can be permitted cereals in the diet after two weeks. Vegetables are also good for a patient of hypertension. They should preferably be taken raw. If they are cooked, it could be ensured that their natural goodness is not destroyed in the process of cooking. Vegetables like cucumber, carrot, tomato, onion, radish, cabbage and spinach are best taken in their raw form. They may be cut into small pieces and sprinkled with a little salt and the juice of a lemon added to them so as to make them more palatable. The intake of salt should be restricted; in any case it should not be taken more than four grams or half a teaspoon per day. Baking powder containing sodium carbonate should also be avoided. Garlic is regarded as one of the most effective remedies to lower blood pressure. The pressure and tension are reduced because it has the power to ease the spasm of the small arteries. Garlic also slows the pulse and modifies the heart rhythm besides relieving the symptoms of dizziness Numbness shortness of breath and the formation of gas within the digestive tract. The average dosage •should be two to three capsules a day to make a dent in the blood pressure. There I an important relation between dietary calcium and potassium and hypertension. It is found that people who take potassium rich diets have a low incidence of hypertension even it they do not control their salt-intake. They have also found that people with hypertension do not seem to get much calcium in the form of dairy products. The two essentia1 nutrients seem to' help the body throw off excess sodium and are involved in important functions which control the working of the vascular system. Potassium is found in abundance in fruits and vegetables and calcium in dairy products. The patient of hypertension should follow a plan of a well-balanced diet in which the constituents of food should be approximately in the following proportion: carbohydrate twenty per cent protein ten to fifteen percent fat five per cent and fruits and vegetables sixty to sixty-five per cent. In this plan one main meal should be based on raw foods while the second main meal may consist of cooked foods. Meals should be taken slowly and in a relaxed atmosphere. Food should be well masticated as the process of digestion begins in the mouth. The dinner should not normally be taken late. TREATMENT CHART FOR HYPERTENSION A - DIET I. Juice diet for 5 days. Use warm water enema daily during this period. II. All-fruit diet for further 5 days, with three meals a day at five-hourly intervals. III. Thereafter, adopt the following diet: - 1. Early Morning: A glass of lukewarm water mixed with the juice of half a lime. 2. Breakfast: Fruits and skimmed milk. 3. Mid-morning: Coconut water. 4. Lunch: Steamed vegetables, whole-wheat wheat tortilla or brown rice and a glass of buttermilk. 5. Mid-afternoon: A glass of carrot juice or orange juice. 6. Dinner: Salad of raw vegetables, green gram sprouts and vegetable soup. AVOID: Meats, sugar, white flour, tea, coffee, condiments, pickles fried foods, and products made from sugar and white flour. Important: Restrict the intake of salt and use liberally garlic and indian gooseberry. B - OTHER MEASURES 1. Exercise, especially brisk walking and yoga asanas like pavanmuktasana, uttanpadasana and shavasana. 2. Hot foot immersion in case of high blood pressure accompanied with headache.
1 person found this helpful
Submit FeedbackFeedback

I am 23 year old boy. I suffer from mild chest pain that lasts for a maximum of one minute. What can be causes of my chest pain? I am afraid that can It be angina or what? Please help me.

MBBS
General Physician, Mumbai
I am 23 year old boy. I suffer from mild chest pain that lasts for a maximum of one minute. What can be causes of my ...
Dear Lybrateuser, - At your age chest pain could be due to acidity, anxiety or sedentary habits, unlikely of cardiac origin - take some dietary precautions, avoid spicy, fried & junk food, restrict tea, coffee intake to 1-2 cups per day - do not skip meals, have meals on time, chew food well, have dinner 2-3 hers before bedtime - drink 8-10 glasses of water for proper digestion - do regular exercise including walking, jogging, yoga deep breathing daily morning to keep your body fit. -
You found this helpful
Submit FeedbackFeedback

Dear sir, I'm not speak English properly I'm asking you hindi , 13 July subah 10 baje ko heart attack aya jiske bad hum unhe najdiki hospital research center m admit karya jaha ki doctor ne bola ki inhe heart attack aya h inhe icu m admit karna hoga doctor ne bola ki treatment se sahi ho jayega , jab 14 July subah 10 baje patient se mila milkul aram tha maine bat v ki to bole m achchha hu , phir 1 baje 2nd attack a gaya jiske bad unhe ventilator m rakha gaya jiske bad unhe 4 baje hos a gaya doctor se mile to bole ki inka angioplasty karna padega wo v operation k samya ye agar jinda rh jayenge to theek h to phir ye theek ho jayega , rat 10 baje inhe operation room m le gaye jiske bad rat 12 baje wapas icu m la rhe the , doctor ne patient se bole kaka ye log Kon h patient jabab diya ki ye mere 3 bete h aur 1 mere bhatije h itna sunne ke bat doctor khush ho gaye bole yar log operation ke bad 24 hours behosh rahate h lekin ye bol rahe h , doctor ne bole ki ye ab sahi ho jayege , 15 July ko 10 baje sabhi log unse bat ki to sabhi se bat kiye , lekin 5 baje 3 attack a gaya jiske bad unhe hos nhi aya aur Hume unhe khi achchhe hospital me le Jane k mauka nhi mila jisse unka heart transplant ya by pass surgery ho sake , rat 12 baje death ho gaya , Kya reason tha ki bar bar heart attack a rha tha. Please bataye

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
Dear sir, I'm not speak English properly I'm asking you hindi , 13 July subah 10 baje ko heart attack aya jiske bad h...
Heart attack ke pahle 72 hrs, complications bahut aate hai, bar bar attack aana, kabhi heart failure hona yo heart eka ek bandh hona. God give you strength to you & your family to bear this loss. God bless you.
You found this helpful
Submit FeedbackFeedback

Screening for Prehypertension

MD - General Medicine, MBBS
General Physician, Karimnagar
Screening for Prehypertension

Guidelines for vary from time to time, but generally accepted classification of hypertension ( JNC7)is

Average of two or more properly measured readings at each of two or more visits after an initial screen:

Normal                  < 120 mm Hg SBP             AND   DBP < 90 mm Hg

Prehypertension    120 -139 mm Hg SBP     OR      DBP 80 to 89 mm Hg

Stage 1 HTN            140 -159 mm Hg SBP     OR      DBP 90 to 99 mm Hg

Stage 2 HTN            >/= 160 mm of Hg SBP   OR     DBP >/= 100 mm Hg.

Prevalence of prehypertension among adults in United States is approximately 37 percent.

Study done by Yadhav S et al showed prevalence of prehypetension was 32.3 percent in India with highest  36% among 30-39 yrs age group, indicates that awareness is necessary for regular blood pressure check up.

People diagnosed with hypertension represents “tip  of an iceberg”.

Many patients get to know about their raised blood pressures at the time of diagnosis, heart attack, stroke or kidney disease( end organ failures) which would have been preventable  if treated at an early stage.

Why hypertension should be diagnosed and treated ?

Hypertension currently causes  2/3rd s of all strokes and half of all cases of ischemic heart disease.

Reduction in high blood pressure leads to large reduction in stroke, heart failure, renal failure, aortic dissection, coronary events and death.

Prehypertension: It is an entity where SBP >120 -139 mm Hg or DBP 80-89 mm Hg.

Multiple epidemiological studies demonstrated increased cardiovascular risk in patients with prehypertension.People with prehypertension have increased risk of progression to sustained hypertension, the prevalence of hypertension increases from approximately 10 percent at age of 30 yrs to as high as 90 percent after age of 65 yrs.

Framinham hypertension risk prediction score, may help identification of prehypertensive patients who are at gretest risk for pregression to hypertension. Risk calculator includes variables like age, sex, family history of hypertension, body mass index and smoking.  Most important predictors of these were higher baseline blood pressure and older age.

Screening for hypertension: optimal interval for screening is not known.

2007 USPSTF( United States Preventive Services Task Force) guidelines recommend

Screening every    two years for persons with SBP <120 mm Hg and DBP < 80 mm Hg     

                                 Yearly for persons with SBP 120-139 mm Hg or a DBP 80 -89 mm Hg

How to manage Prehypertension:

TROPHY stydy( TRial Of preventing Hypertension)  results showed that there is no role for pharmacotherapy in prehypertension except in special conditions like diabetes, chronic kidney disease etc.

Treatment:As per JNC 7 reccomendations patients with prehypertension who do not have diabetes, chronic kidney disease , end organ damage , or clinical evidence of cardiovascular disease are generally treated with non pharmacological therapies.

Major non pharmacological therapies that aid to decrease blood pressure are: 

Weight reduction:  Maintain normal body weight ( BMI 18.5 to 24.9 kg/m2)  this can reduce BP by 5 to 20 mm hg per 10kg weight loss.

Adopt DASH eating plan : (DASH- Dietary Approach To Stop Hypertension) consists of fruits, vegetables, legumes, low-fat dairy products with reduced saturated and total fat.This can reduce BP by 8 to 14 mm Hg.

Dietary sodium Restriction: Reduce dietary sodium intake to no more than 100meq/day(2.4 gm sodium or 6 gm of sodium chloride). This can reduce BP by 2 to 8 mm Hg.

Physical activity: Engage in a regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce BP by 4 to 9 mm Hg.

Moderation of alcohol: Limit consumption of alcohol to no more than 2 drinks per day in most men and no more than 1 drink in women and lighter weight persons. This can reduce BP by 2 to 4 mm Hg.

1 person found this helpful

How to take care from sun stroke ?

MPTh/MPT
Physiotherapist,
Drink lot of water regularly(4 litres) of water. Consume salads like tomato, onions, spinach etc. Wear hat to protect from sun and have fruit juice daily. This will be help full.
2 people found this helpful
Submit FeedbackFeedback

For e. G I am stuffing from dry cough for the last 2 week and I have chest pain whenever I cough hard can you suggest what should be done?

PGDHHM, MBBS
General Physician, Delhi
For e. G I am stuffing from dry cough for the last 2 week and I have chest pain whenever I cough hard can you suggest...
Antitussive cough syrp will be helpful in dry cough.Do lukewarm water gargles twice a day. Keep Lozenges in mouth. Drink plenty of liquids. Eat healthy diet. Hope this helps u.
You found this helpful
Submit FeedbackFeedback

I am a 79 year old man, with reasonable health. I practice yoga asanas on alternate days and walk in the morning on other days. From one year I feel I am loosing balance and I stoop forward unconciously while walking. My knees do not seem to be strong enough and wobble a little early in the morning. I dont have sugar or high b. P. From a few months I feel I get tired very quickly. Any remidy for this?

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
For a 79 year old, your health is not just" reasonable. It is remarkable! keep going. Sleep well, continue to exercise & you will be fine.
1 person found this helpful
Submit FeedbackFeedback

I want know information about heart attack. Is there any symptoms to find in earlier stage.

MBBS
General Physician, Cuttack
I want know information about heart attack. Is there any symptoms to find in earlier stage.
Symptoms Of Heart Attack Pain chest or feeling of Tightness or Squeezing in chest Pain radiating to Jaw ,Back or Left arm Shortness of Breath Nausea, Vomiting Sweating Heart Burn and indigestion Causes of Heart attack 1. Stress 2. obesity (over weight) 3. Lack of Exercise 4.sedentary Life Style 5. Smoking, Alcohol and Tobacco consumption 6, Taking excess oily, Fatty, high calorie and cholesterol rich Diet 7. Diseases like Hypertension,Diabetes, Hypercholesterlemia etc 8. Genetics& Family History Prevention 1.Avoid stress, anxiety, physical and mental strain 2. Reduce your weight if over weight 3. Go for regular exercise 4. Control your Diet, take plenty of green leafy vegetables, Fruits and drink plenty of water (8-10 glasses of water daily) 5. Avoid spicy, oily, fatty, cholesterol rich diet and Junk food 6. Take adequate rest. 7-8 hours of sleep is required to remain healthy 7. Practice yoga, meditation and deep breathing exercise like pranayama to calm your mind, control your emotion and relieve stress 8. Stop smoking, alcohol and tobacco intake 9. Avoid sedentary life style
You found this helpful
Submit FeedbackFeedback
View All Feed