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Dr. Sudesh

Cardiologist, Thokkottu junction

Dr. Sudesh Cardiologist, Thokkottu junction
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
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6 Super Foods That Actively Help Lower Cholesterol

Diploma in Naturopathy & Yogic Science (DNYS), M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Vadodara
6 Super Foods That Actively Help Lower Cholesterol

Some foods punch well above their weight in helping to reduce cholesterol levels, we call them 'Cholesterol busters'. Choosing a healthy diet, low in saturated fat is important in helping to keep your cholesterol low but you can reduce your cholesterol levels further by including these super six foods in your everyday diet

  1. Soya Foods: Being naturally low in saturated fat, soya foods help lower cholesterol. The special proteins in soya also appear to influence how the body regulates cholesterol too. Studies show you can lower your cholesterol by around 6% by including as little as 15g soya protein per day. Choose from: soya alternatives to milk and yogurt, soya desserts, soya meat alternatives, soya nuts, edamame beans and tofu.
  2. Nuts: All nuts are rich in vegetable protein, fibre, heart healthy unsaturated fats, vitamin E, magnesium, potassium, natural plant sterols and a host of beneficial plant nutrients. 30-35g a day of nuts (a handful) has the potential to lower cholesterol by an average of 5%.
  3. Oats and Barley: Both oats and barley are rich in a form of soluble fibre called beta glucan. Once eaten beta glucan forms a gel which helps bind cholesterol in the intestines and prevent it from being absorbed. It is recommended that we eat about 3g of beta glucan per day. Foods which contain 1g or more of beta glucan can carry a cholesterol lowering claim.
  4. Foods fortified with plant sterols and stanols: Plant sterols are structurally similar to cholesterol and can be divided into sterols and stanols. Their cholesterol lowering effects have been known for some time. Plant sterols/stanols are naturally found in a wide range of foods such as vegetable oils, nuts, seeds, whole grains, fruits and vegetables. However, for most people, it is not possible to achieve the optimum intake from ordinary foods.
  5. Fruits and vegetables: All fruits and vegetables are low in saturated fat so eating more helps to keep saturated fat intake low. Fruit and vegetables are also a valuable source of cholesterol lowering soluble fibres. Try to include at least one pulse (beans, peas, lentils) everyday. Other rich sources of soluble fibre include sweet potato, aubergene, okra (ladies finger), broccoli, apples, strawberry and prunes.
  6. Foods rich in unsaturated fats: Keeping our daily saturated fat intake below 20g (women) and 30g (men) is vital for cholesterol lowering, but it is equally important to replace this saturated fat with modest amounts of unsaturated fats such as those found in olive, sunflower, corn, rapeseed and other vegetable, nut and seed oils. Other foods rich in unsaturated fats include vegetable spreads, avocado, oily fish and nuts. Avoid coconut and palm oil as, unlike other these vegetable oils, they are rich in saturated fats.
4128 people found this helpful

Hypertension In Pregnancy

MBBS, PGDCC
Cardiologist, Delhi
Hypertension In Pregnancy

High blood pressure, or hypertension, is defined as blood pressure higher than 140/90 mm hg. Hypertensive disorders in pregnancy are a major cause of maternal, fetal and neonatal morbidity and mortality, both in developing and developed countries. Hypertension is the most common medical problem in pregnancy.
If high blood pressure continues after 20 weeks of pregnancy, preeclampsia and other complications can develop.

What causes high blood pressure during pregnancy?
According to the national heart, lung, and blood institute (nhlbi), there are several possible causes of high blood pressure during pregnancy.
These include:
- being overweight or obese
- failing to stay active
- smoking
- drinking alcohol
- first-time pregnancy
- a family history of pregnancy-related hypertension
- carrying more than one child
- assistive technology (such as ivf)
- maternal age is also a factor, with pregnant women over the age of 40 being more at risk.

BP measurement:
# use a sitting or semi-reclining position so that the arm to be used is at the level of the heart.
# do not take the bp in the upper arm with the woman on her side, as this will give falsely lower readings.

What are the complications of high blood pressure during pregnancy?
- if high blood pressure continues after 20 weeks of pregnancy, there can be complications. Preeclampsia can develop.

What is preeclampsia?

This condition can cause serious damage to your organs, including your brain and kidneys. Preeclampsia is also known as toxemia or pregnancy-induced hypertension. Preeclampsia with seizures becomes eclampsia. This can be fatal.

Thorough prenatal care, including regular doctor’s visits, should be able to address preeclampsia symptoms. Symptoms include:

@protein in a urine sample
Abnormal swelling in hands and feet
@persistent headaches

Preventing high blood pressure during pregnancy:
Common risk factors for high blood pressure, such as obesity and a history of high blood pressure, can be minimized through diet and exercise. Of course, during pregnancy, it is inevitable that you will gain some weight. It’s recommended that pregnant women consult with their doctor to identify a weight gain target that is healthy for them.

Dietary guidelines for pregnant women vary from person to person. Speak with a nutritionist who will keep your specific height and weight in mind when creating a nutrition plan for you.

The nhlbi emphasizes that it’s important to take steps to lessen your risk of high blood pressure. You should steer clear of smoking and drinking alcohol, both of which have been known to raise blood pressure.

Pregnancy causes hormone shifts, as well as psychological and physical changes. This can bring on stress, which can make high blood pressure harder to manage. Try stress reduction techniques such as yoga and meditation.

 

Management:
Management depends on the woman's bp, gestational age and blood flow in the placenta. Non-pharmacological management is recommended for many women but is not recommended when there is the presence of associated maternal and fetal risk factors. Non-pharmacological management includes close supervision, limitation of activities, and some bed rest in the left lateral position.

All pregnant women should receive antenatal education so that they are aware of the symptoms associated with pre-eclampsia, its importance, and the need to obtain medical advice.


Such symptoms include:
Severe headache.
Visual problems: blurred vision or flashing before the eyes.
Severe epigastric pain.
Vomiting.
Sudden swelling of the face, hands or feet.
 

Women who are at high risk of pre-eclampsia are recommended to take 75 mg aspirin daily from 12 weeks of gestation to delivery. Such women are those with:

- hypertension or pre-eclampsia/eclampsia in a past pregnancy.
- chronic kidney disease.
- autoimmune disease (eg, systemic lupus erythematosus (sle) or antiphospholipid syndrome).
- diabetes mellitus (both type 1 or 2).
- chronic hypertension.


Women should also take 75 mg aspirin daily from the 12th week if they have any two of the following features:- in their first pregnancy.
- aged ≥40 years.
- previous pregnancy >10 years ago.
- body mass index (bmi) of ≥35 kg/m2 at booking.
- family history of pre-eclampsia.
- multiple pregnancy.

Medication for high blood pressure during pregnancy:
Some traditional blood pressure medications can cause problems in pregnant women should be avoided when you are pregnant:

-ace inhibitors
-renin inhibitors
-angiotensin receptor blockers
These drugs in particular will be passed through the bloodstream to the developing baby. They can negatively impact the baby’s health. These medications may also cause blood to thin, which can compromise the mother’s ability to carry the baby to term.

Methyldopa and labetalol are both drugs that have been deemed safe for use to manage blood pressure during pregnancy.

Talk to your doctor about how to control your blood pressure if you develop hypertension during pregnancy.

Summary:
High blood pressure during pregnancy doesn’t usually lead to serious problems. However, if it goes untreated, hypertension can become life-threatening for both mother and baby.

5 people found this helpful

I am a forty five year old man. I have cholesterol from last year. I tried exercising, dieting, stopped eating fatty foods and many more things. But my cholesterol is not becoming low. Please give me a solution for this.

BHMS
Homeopath,
I am a forty five year old man. I have cholesterol from last year. I tried exercising, dieting, stopped eating fatty ...
Dear lybrate-user, cholesterol is naturally produced inside the body of every living animal. Human beings are no exception to that. But when we take mutton, chicken, yellow part of a boiled egg, ghee, butter etc we intake cholesterol from external source. This extra cholesterol from external sources increase the total cholesterol content of human body. You should always keep your cholesterol level within normal limits as high cholesterol serves as a precursor to various cardiac diseases. Avoid the aforesaid food. Walk at least 1 hour in a day without any interval. Also you can take homoeopathic mother tincture fucus vesiculosus q, 30 drops, thrice daily, after meals, in a cup of water.
2 people found this helpful
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I have diabetics, BP and I had one heart attack. What type of food I want eat in which timings.

MBBS
General Physician, Mumbai
I have diabetics, BP and I had one heart attack. What type of food I want eat in which timings.
We need to control sugar levels with medication exercise and following a diabetic diet and eat food with low salt and food with low glycemic index levels
4 people found this helpful
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Healthy Heart - 5 Must-do Lifestyle Changes For It!

MBBS, Master of Surgery - General Surgery, Magistrar Chirurgiae (Cardio-Thoracic Surgery)
Cardiologist, Faridabad
Healthy Heart - 5 Must-do Lifestyle Changes For It!

Lifestyle is one of the best defences against heart disease. All you need to do to maintain good heart health is to just make simple but significant changes to your lifestyle. By doing so, you end up minimising the risk factors associated with heart disease such as coronary artery disease.

The lifestyle changes that you must make for a healthy heart are:

1. Be physically active - Research by Harvard University shows that watching television for 2 hours a day can increase your chances of developing heart disease by 15%. But if you exercise or indulge in some kind of physical activity for about 30 minutes every day, you can significantly improve the health of your heart as any kind of physical activity improves your blood circulation as well as blood pressure.

2. Maintain a healthy body weight - Having a low body weight or a high one can also put you at risk of getting heart disease. For a good heart health, you need to protect it from fatigue and damage. By keeping your weight at an optimum level, your blood circulation, as well as body fluids, end up working efficiently, protecting your heart from unnecessary strain.

3. Have a balanced diet - Foods that are low in calories but high in fibre and nutrients are what your heart needs to stay healthy. A very common cause of heart disease is the consumption of high cholesterol foods like processed meats, desserts, etc. Including seafood like tuna or salmon, whole grains, fruits and vegetables, and lean proteins such as chicken and fish to your diet can reduce your risk of developing heart disease.

4. Manage stress - Stress is another factor that causes you to have poor heart health. To prevent the damaging effect that stress can have on your heart, exercising is what you should do. This is because when you exercise, you release endorphins (brain chemicals that trigger a feel-good feeling in your body), which help in improving your physical and mental makeup. Additionally, exercising has also been found to reduce your chances of dying from a heart attack.

5. Quit smoking - Research reveals that smoking raises your chance of getting heart disease by about 2-4 times. It causes plaque (fatty deposits) to accumulate and harden in your arteries, making your heart to exert itself harder than normal. By kicking the habit, you reduce the strain that is caused to your lungs, thereby to your heart. If you wish to discuss about any specific problem, you can consult a cardiologist.

2712 people found this helpful

Hi doc, I have recently entered into 30 years and sometime I feel heaviness in my chest. This issue is since very long. I consulted one doctor as well but nothing came out in Ecg test. I feel muscle contraction. Can you suggest any health test which I should undergo.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
Hi doc,
I have recently entered into 30 years and sometime I feel heaviness in my chest.
This issue is since very lon...
Doing ECG alone does not rule out heart disease. A detailed history dietary ,medical, job, stress,family history as well as characterization of pain needed to be evaluated before giving proper advice .What lab tests were done .No mention about that There is no use of putting a band aid temporary fix. You have to go to the root cause and treat it. Take a consult for specific advice.
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What are the symptoms of a heart attack? How to deal with a heart attack situation?

MBBS
General Physician, Mumbai
What are the symptoms of a heart attack? How to deal with a heart attack situation?
Left chest pain with pain radiating to the left arm with irregular heartbeat with sweating are few symptoms of heart attack and can give sublingually sorbitrate
11 people found this helpful
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Hello some time my blood pressure goings very high 130 to 180 how can notrol blood pressure.

DM - Cardiology, MD - General Medicine, MBBS
Cardiologist, Jaipur
Hello some time my blood pressure goings very high 130 to 180 how can notrol blood pressure.
Most important thing for you is to decrease your body weight. If body weight is not decreasing by diet and exercise, then you have to consult endocrinologist for your body weight. Regarding your bp, you have to first document that you are having high bp. For that you have to measure your bp by a qualified doctor. Till then decrease your salt intake by half and decrease your body weight.
1 person found this helpful
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My grand mother 60 years old having h/o hypertension since 2 years presently using metoprolol and ramipril combination. BP is in normal limits. She's complaining of dry cough throughout day and night what is the remedy for it. May be it is due to ramipril. What is the best alternative drugs for hypertension for her. Can she use only metoprolol without ramipril. No h/o DM, asthma, strokes. Please help me Thank you.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My grand mother 60 years old having h/o hypertension since 2 years presently using metoprolol and ramipril combinatio...
In ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause...take sarpgandha vati twice a day...yogendra ras...akik bhasm works very good in case of hypertension....avoid salty diet...oily food...lower your stress...do pranayama early morning....
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Having breathing problem ever since angiography done in 2006 added to this having asthama, diabetes on border, pressure on border taking regular tests and medicines from platinum hospital and bethaney hospitals now I stay at Dubai visiting mumbai 15th march please advice me how get a remedy to get relief from breathing problem using all kinds of inhailers etc and medicines but no use.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Seroflo 100 rotacap is for children, that mean you are on suboptimal treatment.Get your self evaluated by respiratory physician and cardiologist. Have echo anf PFT done to know status of your heart and lungs and step dose for asthma. Try Seritide acuhaler 500 twice/day. Your inhaler method should be as per guidelines.
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My friend has an addiction of smoking and drinking. Since few months he had vomited blood and has chest pain too. What can be the cure?

MBBS
General Physician, Ahmednagar
My friend has an addiction of smoking and drinking. Since few months he had vomited blood and has chest pain too. Wha...
As you have accepted that it is due to addiction of both the dangerous poisons smoking and drinking. Logical way is to stop it. But how? By either help from a psychiatrist Another way is to learn RAJYOG MEDITATION
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I'm blood pressure patient having telsite 20 mg. Sometimes I observed that there is blood clotting in my nose when I forgot to take my medicine for 2-3 days. Please suggest what to do?

BHMS
Homeopath, Secunderabad
I'm blood pressure patient having telsite 20 mg. Sometimes I observed that there is blood clotting in my nose when I ...
It may not be related with your hypertension. But why should you miss the anti-hypertension tablets at the first place. Please ask your doctor to check you thoroughly to check that the blood clots in the nose is not a major problem. You should adapt an active lifestyle so that the BP remains well controlled with minimum medical support. Do Yoga and pranayam as it is very effective to control all types of diseases in a natural way through its healing process.
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I am diabetic and is taking Glimisave MV1 tablet (1 per day in the morning before food). 2 months back the sugar levels were 132/188. When I checked up on 02/02/15 the readings were 168/268. I got the HbA1c checked yesterday & the reading is 8.7% and the average blood sugar is 203 (remark is given as action suggested). Can you please suggest me what action need to be taken to control ?

BHMS
Homeopath, Mumbai
Pls. stop added sugar i.e. sweets completely,even small amount used in cooking.Have 1 fruit a day.Natural sugar in fruits is not harmful.Exercise regularly. Make sure that you have plenty of salads.Have flax seeds. Along with your regular allopathic medicines you can start homeopathic treatment.Read my blog historyhomeopathy.blogspot.com Visit www.prohomeopathy.com for more information
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I have chest pain from 10 days at left side of my chest. I have take pain killer from medical. I want to know what are the symptoms of acidity? What are the symptoms of heart attack?

C.S.C, D.C.H, M.B.B.S
General Physician,
I have chest pain from 10 days at left side of my chest. I have take pain killer from medical. I want to know what ar...
Heart attack will be with sweating and comes on exertion. Pain from heartburn are associated with belching or burning sensation and more when hungry.
6 people found this helpful
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Open Heart Surgery - What Should You Expect?

MBBS, MD , DM Cardiology
Cardiologist, Bhopal
Open Heart Surgery - What Should You Expect?

One of the crucial types of surgery is the heart surgery, which is commonly known as the bypass. It is a type of surgery in which the chest is cut, and surgery is done on valves, muscles, and heart arteries. As per the National Heart, Lung, and Blood Institute, it is one of the most common types of surgeries, which is performed on adults. During this surgery, the prime focus is to remove the blockage from the heart so that fresh blood can easily flow into the heart. No doubt that this process is critical, but it is easily true that after the surgery you have to take extra care of yourself.

Talking of which, here are certain things that you can expect after the surgery.

  1. Moved To ICU: The moment, the surgery is done, you will be moved to the Intensive Care Unit where the person’s health conditions will be monitored, vital signs will be checked, and medical professional will frequently visit to make sure that the patient is just doing fine. Once the surgery is over, you may not wake up quickly, but you will continue to breathe through the breathing tube. About food, of course, you will not be allowed to take solid food, but there is an intravenous (IV) needle will be put in a blood vessel in your chest and arm from which you will be given fluids. 
  2. Recovery At Home: Once you are given the discharge, your focus should be to get recovered quickly. Recovery at home entirely depends on the heart problem for which the surgery was done. Of course, the doctor will give you necessary instructions with regards to healing incision, dealing with after effect is and understanding the signs of complications. Follow up the medicines and attend the appointments as advised to keep track of your health condition. You may face some after effects such as appetite loss, constipation and sleeping problem. If there is any complication, make sure you speak with a doctor about the same immediately.
  3. Ongoing Care Is Important Too: Once the surgery is over, as said, you will have to go for frequent checkup with your doctor. During these visits, your doctor will tell you to get blood, stress test and electrocardiogram done, which will assess the working condition of the heart. You might also be given few blood-thinning medicine and bring certain changes in lifestyle and medicine.

There are certain phases of recovery which will take time eventually. The first phase is the lengthy one that can last for around 6-8 weeks. Once you get a discharge from the hospital, you will be given instructions that you must follow with good care. This will pace up the healing process and make the process better.

3209 people found this helpful

I am 43 years old male. I am suffering from chest pain when I am eating. Specially hot and soar foods. Doctor suggest me PAN 40 tablets. This tablets giving temporary relief, I have normal reports of sonography and gastroscopy reports. I am suffering last 2 years from this problem. What should I can do for further treatment. Thank you very much.

MBBS
General Physician, Mumbai
I am 43 years old male. I am suffering from chest pain when I am eating. Specially hot and soar foods. Doctor suggest...
Dear Lybrateuser, - Follow some precautions for your problem - avoid spicy, fried, sour & junk food, also not more than 1-2 cups of tea, coffee per day - chew your food well, do not skip meals, have meals on time, do not lye down for 1-2 hrs after meals, have dinner 2-3 hrs before bedtime have 8-10 glasses of water per day for proper digestion - if still not much relief then go for upper GI endoscopy & consult a doctor.
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I am a 62 year old person, at present my weight is 75 kg as per my opinion its more than required 2ndly my B P is always high as 90 to 98 low side 165 to 200 up side.

PG Diploma In Clinical Cosmetology (PGDCC), MBBS
Cardiologist, Mumbai
I am a 62 year old person, at present my weight is 75 kg as per my opinion its more than required 2ndly my B P is alw...
Hello. Your expected body weight depends on your height. If you are a known hypertensive, you need to take your bp medications regularly if not regular. And if regular, then need to revise your prescription. Along with thi you need to follow dash diet i. E. Foods low in saturated and trans fats, rich in potassium, magnesium, calcium, fiber, protein and less of salt (1500 mg/day. And regular exercise. For 40-45 mins.
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I am 26 year old male person. I have pain in my chest suddenly in a morning time. What should do?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am 26 year old male person. I have pain in my chest suddenly in a morning time. What should do?
get your ecg done.. and bp checked ..if its normal then probably its muscular chest pain..u can take muscle relaxants like nucoxia -mr once daily to relieve the pain if the investigations come out to be normal
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What to do at home when any old person's blood pressure is high, how to control at home very fast?

BAMS
Ayurveda, Ambala
What to do at home when any old person's blood pressure is high, how to control at home very fast?
To control & maintain Blood pressure to normal these are best methods to follow:.• Do physical exercise like jogging, running or brisk walk for atleast 20-30 minutes. • Maintain your cholesterol level to normal & eat least amount of butter, cream or fatty things. • Eat less amount of pickle, salt and fast food as they contain high sodium levels. • Avoid drinking alcohol and smoking. • Take less amount of caffine containing coffee, tea or cold drinks because caffine causes increase BP. • Drink 8 to 10 glass of water daily • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams (Anulom- Vilom, Bhramari) daily for 10 - 15 minutes. It will reduce your stress level in your body. • Eat healthy diet such as green leafy vegetables, fruits. • Take 5 ml of GULAB Jal added in a glass of water daily once a day.
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Can the high LDL cholesterol patients can also intake ghee? Pls advice. We observed the LDL cholesterol as 146. Pls suggest us some healthy ways to maintain back the correct level of LDL with diet habits (food list) and exercises.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
Can the high LDL cholesterol patients can also intake ghee? Pls advice. We observed the LDL cholesterol as 146. Pls s...
Ghee is a an absolute No for cholesterol deranged patients. Take a detailed diet consult for a healthy heart diet and exercise daily, begin gradually and increase to 45 mins daily. Quit drinking and smoking.
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