Dr. Vivek Mahajan

Diet: it is always important to watch your diet. You are what you eat. Eat what your body needs, reduce refined foods, processed foods and increase the amount of whole grains and fruits and vegetables. Eating small frequent meals goes a long way. Reduce intake of saturated fats; include more lean meats. Choose grilling and steaming over frying and roasting. Recommended foods - Healthy carbohydrates, Fiber-rich foods, Heart-healthy fish and Good fats. Foods to avoid - Saturated fats, Trans fats, Cholesterol and Sodium Exercise: Every week, make sure about 2 hours is dedicated to physical activity. This could include any exercise of your choice, brisk walking, swimming, cycling, aerobics, hiking, jogging, skipping, gymnastics, or playing games like football or basketball. While in most cases, the person can do these on their own, in some people, supervision may be required. Watch your weight: controlling weight to a desirable level of BMI of 18 and 23 is very important. Obesity is one of the predisposing factors for diabetes heart diseases, and reducing weight controls the onset of diabetes and helps the progression of symptoms in diabetics. Smoking: Another risk factor for diabetes onset, palpitation, sleeplessness.Quitting is the best option. If not feasible, reducing smoking and gradually quitting should be aimed at. Not just diabetes, the effects on overall health will be evident almost immediately after quitting. Stress management: there is no getting away from stress. Everybody has their stresses but the trick is to manage it well. Whether it is music or meditation or medication or counselling, make sure stress levels are managed. This also helps prevent complications like heart disease and stroke and promotes well-being.

If you have never taken any BP medicines and your BP has started remaining high, then 1) We should search for any causes that may be leading to high BP for which you should get Kidney function test, LIpid profile, TSH, HbA1c and Liver function test along with a ecg, echo & TMT. Consult a cardiologist with these reports. 2) You should immediately start with lifestyle modifications like - daily 40 mins of exercise like brisk walking, exercise etc, quit smoking and drinking (in case you do), restrict salt intake in your diet by avoiding salty foods like pickles, chutneys, papads, namkeens, chips, sauces & junk food, normal salt that is added in food while cooking is fine, take a detailed diet consult for a healthy heart diet with a dietitian, if you are obese then target to bring your weight in the BMI limit by exercising and cdiet modifications. 3) Please understand that BP is a fluctuating problem it is impacted by day to day stress, anger, lack of sleep etc so ensure that you work on these factors. 4) If despite these measures your BP remains above 140/90 mm Hg then please consult a cardiologist for medications and remain in routine follow up with them.

High BP can lead to fatigue. It is better for you to also do a complete blood count to check anemic state. Once a better information is there on your health state, your medications can be planned which will be more effective and helpful. Do remember, the first trigger of BP increase is bad diet, no exercise and stress. So it is essential that along with some medication, you begin to improve your lifestyle for any lasting relief and to ensure the matter does not develop into any further problem. At your age, it is possible t keep it under check and not depend on medications all life. But it is in your hands to do this dedicatly.

If LBBB is of new onset then it cannot be neglected and further investigation like echocardiogram and / or Coronary angiography or CT coronary angiography depending on echocardiogram reports should be done immediately to rule out acute heart related problems.

Hi, ok if tests suggests everything is normal, it can be either be anxiety or somatized pain. Pain which is a result of stress of which we may or may not be consciously aware. You can try some relaxation exercises and consult a psychologist for cbt to get know about the cause of pain.

Dear lybrateuser, -Symtoms of heart attack are pain, tightness or pressure in the chest, nausea, indigestion, heartburn or stomach pain, pain that spreads to the left arm ,jaw or back, feeling dizzy or lightheadedness, profuse sweating. -make the patient lye down, reassure the person, give a tablet of aspirin if available to chew, rush to the nearest medical setup in the golden hour where icu/ccu facilities are available -heart failure is a condition in which the heart can't pump enough blood to meet the body's need, in some cases heart can't fill with enough blood & in some it can't pump enough blood.

Dear lybrateuser, - To reduce cholesterol follow some precautions : - avoid fried, processed & junk foods, foods containing sugars & fats such as bakery items - have more of fibre containing foods such as fruits, vegetables, whole grains like whole wheat, brown rice, oats, quinoa instead of refined ones, beans, lentils, pulses, sprouts, nuts such as almonds, walnuts, pista, cashews, peanuts, have low fat dairy & dairy products - have foods containing heart healthy fats such fish like tuna, mackeral, salmon, sardines, olive or canola oil for cooking, avocados, nuts, flax seeds - do regular exercise like walking, jogging, swimming, cycling, playing a game, yoga & meditation - avoid alcohol & smoking if you do - reduce weight by diet & exercise if overweight.

Your husband maybe most probably suffering from gastritis or gastro esophageal reflux disease. He has to avoid spicy and fried foods. Also avoid junk food and fast food. If your problems are worse, you need to take an ecg and take medications.. It could also be an infection in the lung.

Karibasappa You have to keep your mental status normal . there should not be in too much stressed . Stress can give rise to no of the psycosomatic disorder s including heart disease . You should good healthy life style diet , free from alcohole , smoking , ghutka , tobacco chewing etc .

Dear Lybrateuser, - Low energy may not be due to cholesterol, it could be due to other factors such as improper diet, sleep, lack of exercise, low hemoglobin, hormonal disbalance - to keep cholesterol in check follow some dietary precautions: - avoid, fried, processed & junk foods, also foods containing trans & saturated fats, sugars & salty snacks, avoid alcohol & smoking if you do - have more of fruits, vegetables, whole grains instead of refined ones, legumes, a handful of unsalted mixed nuts such as almonds, walnuts, pista, cashews, peanuts, soya products, consume low fat milk, heart healthy fats such as olive & canola oil for cooking, fish such as salmon, mackeral, tuna, avocados, nuts, flax & chia seeds - do regular exercise like jogging, swimming, cycling, moderate weight lifting for 10-15 min twice a week, also regularly do yoga, meditation & deep breathing for 15-20 min daily morning - reduce weight if overweight - if reading doesn't come down in 2-3 months then medication may be required to reduce cholesterol level.