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Ketogenic Diet Treatment
Kora Method Slimming Treatment
Treatment of Rheumatic Complaints
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Dr.Puthumaivinayagam Jeyaprakash Narayanan
Dr.Vetriventhan is an experienced Siddha Physician and Yoga and other aspects of Alternative medicine
Mere face par bahot pimples he maine pehele bhi skin specialist ko dikhya but medicine lene par kam hota he or band karne par vapas pimples ate he me bahot pareshan hu. Vo lessor treatment karke ho sakta he kya kitna kharcha ayega. please muze accha solution bataye iss problem ka.
I want tell the about full body pain and this problem increasing day by day but not relief and this problem increasing day by day but not relief please tell me solution of this problem.
After Having a meal, how much gap should be there to have a sex? OR It is better to have sex with an empty stomach?
I am 21 years old. I have very frizzy and unmanageable hair. And I am suffering from dandruff problem also. So what to do to maintain a proper hair care routine?
Sir my face is covered with pimples. merely I get after the sperm is out in night dreams. Next day morning my face is get the more than previous. Please give remedy to my problem. Thank you sir.
I have a lot of acne and black heads on my face. Please consult me what to do, also to remove scars?
Sir I want to know that her hair gone regularly due to that her head have so much thin hair and long front head what I do for that.
My questions is How to remove the pimples on the face please give us a good idea treatment please ok.
I am suffering from pimples problem from 1year what should I do to get rid of it. Which medicines should I take or what precaution should I take.
After viral fevers though you got successful treatment with antibiotics, a residue virus remains in your body which creates
1. Joint pain , knee joint, ankle joint, wrist joint, finger joints etc, remains painful in the body.
2. Sometimes fever continuously coming and going, called continuous fever, daily weekly. Also you find one or many below shown.
Fatigue, tiresome, debility
Body as well as muscle aches
Low or high fever
Inflammation of the pharynx
Redness and burning sensation in eyes
If you are unable to get cured ask me for best homeopathy medicine which cures effectively.
Dir sir place provide in medicine I'm fiver in 10 day use medicine nemosalide but not problem solve so place provide in madicen think.
Hi I'm 23 years old and my girl is 19 years old and we are planning to have sex and she is still a virgin so what should I do to minimise her pain and is fingering okay?
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.