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Overview

Hypertension - Symptom, Treatment And Causes

What is Hypertension?

Hypertension also known as high blood pressure is a condition where the force of the blood hitting against your artery wall is excessively high that it causes health problems like heart diseases. Blood pressure is usually determined by the level of blood which your heart pumps. If your arteries are narrow and your heart pumps excessive amount of blood, your pressure tends to get higher. Hypertension can develop for many years without any apparent symptom, high blood pressure can give rise to complications such as stroke and heart attack which might result to death if not treated on time. High blood pressure eventually affects everyone at one time or the other.

There are two essential (primary) hypertension and secondary hypertension. There is no cause for primary hypertension but studies suggest that it tends to develop over the years. Whereas, secondary hypertension can occur due to obstructive sleeping patterns, kidney problems, adrenal gland tumors, thyroid problems, congenital defects in the blood vessels, medications like over the counter pain killers, cold remedies, decongestants & birth control pills, illegal drugs like amphetamines & cocaine and excessive alcohol use. Secondary Hypertension can be an underlying cause of a much fatal disorder.

Diagnosis:

Hypertension is usually diagnosed during a routine body checkup. It is advisable to visit a general physician on the off chance that you develop high blood pressure. People who are between the age group of 18 to 39 and 40 years or older are at a higher risk of developing high blood pressure. An appropriate sized arm cuff is used to diagnose Hypertension. There are some machines available which can analyze your blood pressure levels for free.

Risk factors that can increase your chances of developing high blood pressure:

  • Alcohol- Excessive alcohol consumption can not only affect your blood pressure but also damage your heart and liver.
  • Family history- If one or more of your family members have hypertension, chances are that you are at a higher risk for developing high blood pressure.
  • Obesity- Hypertension is also very common in people who are obese and overweight.
  • Laziness- People who are physically inactive have higher heart rates. This puts a lot of pressure in the arteries resulting in high blood pressure.
  • Tobacco- Chewing or smoking tobacco can damage the lining of your arteries leading to severe Hypertension.
  • Inadequate vitamins- Very little amount of vitamin D and potassium in your diet can disturb the sodium levels in your blood causing high blood pressure.
Can't be cured, but treatment helps Require medical diagnosis Lab test always required Chronic: can last for years or be lifelong Non communicable
Symptoms
Headaches Shortness of breath Bleeding from the nose

Popular Health Tips

Renal Hypertension - 5 Foods That Can Help You Manage It!

MD, MBBS, FRCP - Nephrology
Nephrologist, Delhi
Renal Hypertension - 5 Foods That Can Help You Manage It!

Renal hypertension is hypertension or increased blood pressure in the artery that supplies blood to the kidney. The high blood pressure in the renal artery is the result of deposition of plaque on the inner walls of the artery. Due to this deposition, the arteries become hard and the channel through which blood flows narrows down significantly. This causes the kidneys to function abnormally. As the kidneys receive less blood flow, they perceive it as dehydration and therefore, they release hormones that trigger water and sodium retention by the body. This results in filling up of the blood vessels with more fluid, thereby increasing blood pressure.

So, the treatment of renal hypertension would require treating hypertension or blood pressure of the whole body. Given are 5 foods that can help you manage renal hypertension:

1. Low-fat milk and yogurt
Low-fat milk or skim milk is very healthy for heart and is rich in calcium. Blood pressure is significantly lowered by regular consumption of sugar free yogurt and skim milk. You can also have fruits, nuts or muesli, mixed with yogurt for a healthy breakfast.

2. Green leafy vegetables
Green leafy vegetables are always very healthy for the body. They are rich in potassium which helps in removing excess sodium from the body. Vegetables like spinach, lettuce, green onions, beet greens, turnip greens, broccoli, green beans, squash etc. should be a part of your regular diet if you are seeking optimum health.

3. Fish with omega-3 fatty acid like Salmon, Tuna
Omega-3 fatty acids are responsible for lowering blood pressure, triglycerides and inflammation. There are fish like trout that is rich in vitamin D which also lowers blood pressure. Apart from vitamins and fatty acids, tuna is also rich in antioxidants, protein and minerals like selenium, magnesium, potassium and iron.

4. Ashwagandha
Ashwagandha is a medicinal herb that is used for its beneficial effects on the body, such as lowering blood pressure, reducing stress and anxiety, reducing hypertension and blood pressure. Ashwagandha has also been reported to have anti-cancer properties and has been successful in treating cancer in colon, lungs, ovaries, brain or breasts. A few studies have proved that ashwagandha has been able to reduce some of the symptoms of depression too.

5. Oatmeal
Oatmeal is a grain that is rich in soluble and insoluble fibre, protein, nutrients like magnesium, zinc, iron, selenium and phosphorous. It is quite beneficial in reducing cholesterol levels in the blood and thereby reduces the blood pressure level.

6 people found this helpful

How Do You Check Your Own Blood Pressure?

FDNB, MD, MBBS
Cardiologist, Noida
How Do You Check Your Own Blood Pressure?

Measurement of the blood pressure is considered to be an important step in the diagnostic protocol since the flow of blood in the body determines one’s health. Higher the blood pressure, more the risk of health problems.

Now what exactly blood pressure is? It is the pressure exerted by blood on the walls of the blood vessels, specifically on the large arteries of the systemic circulation. The normal resting blood pressure of the human body is 120/80 mm Hg, where 120 is the systolic pressure and 80 is diastolic pressure, measured by the auscultatory method.

Usually, for measuring blood pressure, a physician is consulted. However nowadays, blood pressure can be measured at home itself, thus removing the necessity of visiting a clinic for the same. There is a possibility of the patient being suffering from the ‘White Coat” hypertension, where blood pressure of the patient shoots up in the presence of the physician at the clinic. In such patients, it’s safer to suggest blood pressure measurement at home itself.

Certain factors like stress, smoking, heavy exercise, brisk walking, rapid movements, caffeine and certain medications can alter the pressure of blood. These factors should be avoided. There are two ways by which the blood pressure can be measured at home-

  1. Manual method using a sphygmomanometer
  2. Digital devices

A. Measurement of blood pressure using a sphygmomanometer

Steps:  

1- Sit comfortably at one place and open the kit.

2- Raise your arm to the heart level.

3- Wrap the cuff around your upper arm, preferably the left arm.

4- The cuff should be adjusted to snugly fit. It shouldn’t be too tight.

5- Place the diaphragm (head) of the stethoscope flat against the skin on the inside of your arm.

6- Tighten the valve of the rubber bulb and inflate the cuff.

7- Release the valve slowly and note down the first thumping sound. This is the systolic blood pressure.

8- After the thumping sounds subside, there is a small whooshing sound, following which no sound is audible. Note down this pressure on the gauge, it is termed as diastolic blood pressure.  

B. Digital devices

Steps:

1- Sit comfortably and relaxed with your back supported.

2- Support your arm on a tabletop at an even level with your heart.

3- Place the cuff on the left arm and keep tubing at the centre of your arm facing the front. Place the sensor is correctly.

4- Press the “start” button. When the measurement is complete, readings of your systolic and diastolic blood pressures and your pulse rate will be displayed on the digital panel.

5- Record the reading of the first measurement and obtain another reading of blood pressure after resting.

6- Take the average value of the two readings.

By using these two simple methods and following the above mentioned easy steps, blood pressure can be measured and monitored at home itself. If there is a huge difference between consecutive readings, then it is best to consult the physician for accurate results.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2454 people found this helpful

Hypertension During Pregnancy - How Can It Be Controlled?

DNB (Obstetrics & Gynecology), DGO, MBBS
Gynaecologist, Delhi
Hypertension During Pregnancy - How Can It Be Controlled?

A certain percentage of women are known to suffer from hypertension when they are pregnant. Such women have blood pressure levels above the acceptable range, that is, 140 / 90. Hypertension during pregnancy may result because of the changes that their body experiences during pregnancy or a history of high blood pressure prior to pregnancy. However, if a woman develops high blood pressure after becoming pregnant, then she is said to be suffering from gestational hypertension.

Some of the leading causes of hypertension during pregnancy are hormone-related imbalances, nutritional deficiencies, age-related factors, and obesity. The risk factors of the condition include genetic considerations, cigarette smoking, and previous pregnancies. During pregnancy, if you are experiencing symptoms such abdominal pain, kidney-related issues, nauseous sensation, ringing in the ears, or liver-related troubles, then getting diagnosed for hypertension is advised. This is because if you have hypertension, the development of the fetus could also be affected. Pregnant women may suffer from different types of blood-pressure conditions, including chronic hypertension, gestational hypertension, and chronic hypertension with preeclampsia, or just preeclampsia.

Controlling Hypertension During Pregnancy:

There are different ways of reducing the blood pressure levels during pregnancy. Some of these include the following:

  1. Body Exertion: During pregnancy, remaining active is extremely important. As a consequence, you can improve your cardiovascular health and also, lower your blood pressure levels. Additionally, this ensures the release of the ‘feel-good’ hormones known as endorphins. They help to keep you in a positive state of mind.
  2. Avoid Alcohol and Tobacco Intake: As a result of smoking tobacco or drinking alcohol, there could be an imbalance in the blood pressure levels. Especially pregnant women, especially those with gestational hypertension, are advised to abstain from these vices.
  3. Anti-hypertensive Drugs: In some cases, your doctor may deem it suitable for you to take blood pressure medications when you are pregnant. He or she will do so after studying your physical condition, even though these drugs are not advised for regular consumption during pregnancy.
  4. Never Miss Prenatal Appointments: Be sure to visit your doctor for regular check-ups to ascertain that your blood pressure levels are within the reasonable range. Also, your weight will be checked during your visits to the healthcare provider. Additionally, urine and blood tests will be conducted to ensure that the situation is under control. The medical professionals will check the fetus’s health as well during the visit. Through ultrasounds, they can monitor your baby’s heart rate and the overall development as per the gestational age.
  5. Controlling Hypertension Before Pregnancy: Prior to becoming pregnant, you can take some measures to keep your blood pressure levels within the normal range.
  6. Nutritious Diet: When planning for pregnancy, you must increase your intake of fresh fruits and vegetables to provide sufficient nutrients to your body. Also, the consumption of potassium-rich foods is advised to reduce the strain on blood vessels and subsequently, monitoring of the blood pressure levels.
  7. Postpone Pregnancy: If you are suffering from obesity, consider delaying your pregnancy. You must keep in mind that a lowering body weight to normal levels can help prevent hypertension during pregnancy. Therefore, at first, you should intensify your weight-loss efforts and only then, plan for pregnancy.

Conclusion: In case you develop hypertension during pregnancy, your medical practitioner may consider it suitable to induce labor prior to your due date for your well being, as well as the health of the fetus. Always work in conjunction with your doctor and carefully consider your options before taking any decisions. It is better to maintain a balanced approach so you do not regret your decisions later. In case you have a concern or query you can always consult an expert & get answers to your questions!

4107 people found this helpful

Renovascular Hypertension - What Is It?

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
Renovascular Hypertension - What Is It?

Renovascular hypertension is also known as renal hypertension. This can be defined as a rise in blood pressure because of partial or complete blockage of the renal arteries. It may be caused by a blockage in only one artery or multiple arteries. This condition does not usually exhibit any symptoms unless it is a long-standing condition. Renovascular hypertension may be caused by a narrowing of one or both renal arteries or fibromuscular dysplasia. It can also be affected by kidney disease.

Without treatment, renal hypertension can affect a number of other organs. In extreme cases, it can even be fatal by causing kidney failure, heart attacks or a stroke. Hence, an early diagnosis and treatment is a must. Medication is usually the first form of treatment advised by a person. This takes the form of ACE inhibitors and angiotensin II receptor blockers. However, in some cases, taking both types of medication may still not be enough to reduce renal hypertension. In such cases, surgical procedures may be required. Surgery has longer lasting results and it helps control hypertension to a much higher degree as compared to medication. The results of a surgical procedure are also quicker.

The most common surgical procedures used to treat this condition include:

  1. Angioplasty: This is a minimally invasive procedure that does not always require hospitalization. The procedure involves threading a catheter through a large artery in the groin and taking it to the renal artery. The catheter is then used to inflate a balloon in the renal artery for a few minutes. This helps widen the artery and increase the blood flow rate.
  2. Stenting: This can be considered an extension of an angioplasty. Along with the balloon, a wire mesh stent is also expanded in the renal artery. Though the balloon is later deflated and removed the wire mesh is left in place. This helps keep the artery open and improves blood flow.
  3. Bypass SurgeryThis procedure is an open abdominal procedure for which the patient is put under general anesthesia. A bypass surgery is usually considered only if an angioplasty and stenting are not viable forms of treatment. This procedure involves sewing a healthy blood vessel in place beside the renal artery and redirecting blood flow to this blood vessel. This blood vessel may be harvested as part of the aorta. Bypass surgery is the most effective form of treatment and has the longest lasting results. In case you have a concern or query you can always consult an expert & get answers to your questions!
3074 people found this helpful

Ways To Help You Manage Diabetic Hypertension!

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
Ways To Help You Manage Diabetic Hypertension!

Hypertension is commonly witnessed among patients suffering from type 2 diabetes as compared to those who do not have diabetes. Studies have revealed that arterial hypertension among patients suffering from type 2 diabetes is in the vicinity of 40-50 percent. What’s more, a patient suffering from hypertension and diabetes has an increased risk factor for certain other diseases such as left ventricular hypertrophy, dyslipidemia, elevated fibrinogen and hyperuricemia.

The measurement practice:
It is important to measure blood pressure in a person who is suffering from type 2 diabetes with or without hypertension and renal diseases. Blood pressure measurement should be repeated within a month, if the measurement is 150/190 mm Hg. BP should be measured within a couple, of months if BP is greater than 140/80 mm of Hg.

Lifestyle practices:
If a person is consistently suffering from type 2 diabetes and has a BP range of 140/80, the following life style practices should be maintained always:

  1. A daily exercise schedule: Hypertension coupled with diabetes can be a dangerous combination. To ensure that a person remains healthy it is imperative to maintain a daily exercise schedule for at least half an hour. Exercise consumes extra calories and helps a person maintain a steady blood-sugar level.
  2. Food habits: Food habit is yet another important criterion to maintain good health for a person suffering from diabetic hypertension. Avoiding starch, glucose, and food with high carbs should be a mandate. Refraining from processed food with a high density of condensed fat, sugar and oil will go a long way in maintaining good health. Consulting a nutritionist is the best way to go.
  3. Stress is yet another factor that drives diabetic hypertension: A person suffering from regular stress has a greater tendency to fall prey to cardiovascular and renal diseases. The only way to stay away from stress is to ensure that good lifestyle choice are made. A stress -free life can pay rich dividends to a person suffering from diabetic hypertension.

Drug treatment:
A doctor’s first line of treatment hovers around ACE inhibitors. A pregnant woman suffering from diabetic hypertension is typically prescribed a calcium blocker. This is an antihypertensive drug that helps to stabilize the pregnancy and keep complications at bay. For a person who is resisting to ACE Inhibitor, a doctor might subscribe angiotensin 2 receptor. If the BP is not reduced after the first line of treatment, a doctor adds a thiazide-related diuretic along with the ACE inhibitor to expedite the treatment process.

Even after a triple therapy if a person continues to suffer from high blood pressure, a doctor might prescribe an alpha-blocker, potassium blocker or a beta blocker.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4190 people found this helpful

Popular Questions & Answers

Hi, My bp always remain high as I take low salt in diet then also my bp remain high which tablet to be taken ,presently i, am taking Amlopres at . Is there any remedy?

MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
High salt is only one of the reasons of high BP, continue taking low salt and your BP medicine, be physically active and avoid smoking, also watch your kidney function test.

My bp always remains around 140/70 with telma 40 once a day. Can I go for gym? And after doing gym sometimes I feel heavy headed with fluctuating nerves in my forehead and around my ears. What can I do for it?

MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
This could happen because of high BP after gym. You should do cardio exercises, not excessive, and avoid weights or isometric exercise. Also see a specialist for your proper check up.
1 person found this helpful

Hi. I am taking Telma 80 AM since two weeks and now my blood pressure decreased to 66 to 110. Can I back the tablet and take half of Telma? Division of Tablet is not pro problem?

MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
Telma Am has two medicines in it, maybe you need one of these not two. See your doctor and get it adjusted as per your BP requirements.
1 person found this helpful

Can I use diabonil sbl homeopathic medicine along with R7 homeopathic medicine or suggest homeopathic medicine for high blood sugar levels and for gall stone which can be used simultaneous? Please suggest.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Mr. lybrate-user, Thanks for the query. I am not a homeopathic practitioner, so no idea about the drugs you are talking about. For controlling diabetes effectively only modern medicines are helpful. Even though other drugs (as mentioned by you) do claim about controlling, but those are hardly effective. Ideally when blood glucose is well controlled fasting glucose should be < 100 mg, PP 150 to 160 mg and HbA1c% <6.8. Since there is no mention about those values, it is unclear whether your diabetes is well controlled at all. Thanks.
1 person found this helpful

I am 47 years old, since few years, checking my BP it shows 160 Systolic and mostly 100 Diastolic, height 1.75 cm, Weight 80 kg, I am very concern of secondary affects of such high blood pressure, I don't have family hypertension history, my son 24 years old has the same scenario, appreciated to advise us, what to do?

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
Omit sugar jaggery and reduce starchy foods, increase traditional health foods like butter non veg nuts etc. Measure BP only once every month on fixed date after resting for ten minutes. Make a chart, consider medicines if most recording are above 150.
5 people found this helpful

Table of Content

What is Hypertension?

Diagnosis:

Risk factors that can increase your chances of developing high blood pressure:

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Hypertension: How Does It Increase The Risk Of Major Diseases?
This is Dr. Ramesh Kawar and I m interventional cardiologist attach to Bombay Hospital, Beach Candy Hospital, Surana Group of Hospitals and in Malad Lifeline Hospitals. I m in the field of interventional cardiology from last 20 years doing an intervention for coronary and non-coronary situations. For vulvar situations, for congenital heart diseases and other interventional fields. Today we are going to talk on hypertension. As you know hypertension is a very common illness which is affecting as a non-communicable disease which is affecting Indian population at large.

If you see the prevalence of hypertension in India in rural population is somewhere around 5-7% while in urban population it is around 10%. So a huge chunk of our population is suffering from hypertension. Unfortunately, diagnosis and the treatment of hypertension remains poorly managed in the sense that almost 25 % of our patients are not diagnosed. Though they are suffering from hypertension around to the latest ACCH guidelines. Almost 25% remains undiagnosed, roughly around 25% they are diagnosed but they are not treated properly.

Similarly, around 25% of these patients who are diagnosed are treated poorly. Only 25% of our patients who are suffering from hypertension is are being treated properly. So there is a roughly 25% rule. It is important to treat patients with hypertension why? Because if we keep these patients untreated they are going to land up in a lot of cardiovascular disease problem like patients suffering from a stroke because of either ischemic stroke or bleed in the brain or they may suffer a heart attack like myocardial infarction or die from erythema because of hypertensive heart disease.

They may also suffer from kidney problem and lead to end-stage renal disease and dialysis. They may suffer from a retinal problem with loss of vision. So it is very important to treat and control their blood pressure so as to prevent all these deadly diseases. Now there are various stages of hypertension. Normally we say that a patient whose normal blood pressure is less than 120mm systolic and less than 80mm diastolic then we call as stage 1 hypertension where your blood pressure systolic blood pressure is between 132-139.

Earlier was 142-149 but now with the latest guidelines, 2017 ACCH guidelines recommend that any person who is having systolic blood pressure between 132-139 and a diastolic blood pressure of 80-89 is classified as stage 1 hypertension. And anything more than 140mm of systolic and more than 90mm of diastolic is classed as class 2 hypertension or stage 2 hypertension. Respective their stage we have to take a proactive step to control their blood pressure either by non-pharmacological means or by pharmacological means.

Non-pharmacological means should we tried for each and every patient whatever stage is, it is very important and there are various ways in which you can control blood pressure. If you are obese then reduction of weight will help you in controlling your blood pressure, reduction of salts intake less than 2-3 grams per day will help you in reducing your blood pressure. Similarly increasing potassium intakes like fruits-vegetable lot of vegetables and fruits especially fruits containing citrus fruits like juicy fruits like oranges, sweet limes all these will help in bringing down your blood pressure.

Regarding the salt intake, you have to avoid all the salty things like a pickle, pepper, baked products, processed foods, junk foods, you have to avoid all these to reduce your salt intake. Home cook food is best. Besides salts and potassium and weight reduction, other non-pharmacological majors which will help you in controlling your blood pressure is sedation of smoking if you are smoker, reduction of alcohol to less than 60ml per day for adult males and less than 30ml for women should encourage.

Then also regular physical activities is very very important in controlling your blood pressure. You should walk to at least 30-45minutes of the brisk walk at least 5-6 days a week if not for all days but the minimum for 5 days a week and 30-45minutes of brisk walking. You can also do yoga, meditation and other things to control your blood pressure. If your blood pressure doesn t come under control with these majors then one can start with pharmacological treatments. You have to control your blood pressure by whatever means.

Even if you have to take 1 medicine 2 medicines 3 or even 4 number of medicines it is very very important to keep them under control with the help of drugs which are very effective in controlling your blood pressure. If you control your blood pressure properly you are less likely to suffer from other cardiovascular disease mortality. So it is very very important to control your blood pressure. Be aware about your blood pressure and try to control it by whatever means which includes non-pharmacological treatment as well as pharmacological treatment. So to book an appointment with me you can contact me through lybrate.com.
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Lifestyle Diseases
The lifestyle diseases include life-threatening issues like heart attack, stroke, obesity, atherosclerosis and type 2 diabetes. It also includes diseases caused due to smoking, alcohol consumption and drug abuse. These can be prevented through regular physical activities.
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Hypertension
Hypertension is another name for high blood pressure. It can lead to severe complications and increases the risk of heart disease, stroke, and death.Hypertension and heart disease are global health concerns.
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Heart Attack - Causes , Risks & Precautions
Hello Friends!

I am Dr. Anupam Goel. I am a senior interventional cardiologist in Max Hospital, Saket, Delhi. Today we will discuss a very important issue, I am not sure how best you can see this slide, this is just to say that the heart attack complains increase day by day and unfortunately it is affecting young people. By an estimate of WHO, in next 2 years means by the year 2020, in India, we will have maximum patients of hypertension, diabetes and heart disease. So, we are going to face an epidemic of heart disease. So, I just tell you how the heart disease happens. Normally, our heart arteries are very narrow smooth whole tubes structure. But all the year because of disease and cholesterol deposition the blockage happens and the channel for blood carrying, keeps on reducing. So, what exactly happens is less and less blood reaches the heart and heart is not even getting enough blood for its routine functioning. When this blood supply is interrupted that is when the heart attack happens because those cells of the heart don't get any blood. Suddenly and repeatedly, these holes will never be going to function again. More important than heart attack itself because of awareness not many of us know about heart disease in women. Whenever we think of heart disease, we think about male but unfortunately, as we have more data, the heart diseases in men are reducing.

This is the data from the United State not from our on the country. Because of ignorance or prognosis, societies not aware of heart disease in women, the death in women are increasing because of heart disease. When we see the causes of death in women, cancers are a very important part but much more than that heart and circulatory disorders are the biggest reason any women will die. So, what we have is, heart disease is the no.1 killer in women. And heart disease causes 1 in every 3 deaths in women. Every 3rd one is dying because of heart disease. 90% of women are at the risk of developing heart disease but they are not aware of it. It suddenly affects them and causes the bad prognosis. Let's bust some myths. Most of us believe that the heart disease is of men. But heart disease can affect both men and women, in fact, 50k women in a year die because of heart disease.

The women die because of heart diseases as compared to all the cancers combined together. And because of under-diagnosis and treatment, even the doctors are less aware of it, women face more adverse outcome. And why would it happen? Because none of us relate to heart disease to women. So, they come to an emergency late. they keep on thinking that it could be gastritis or something else and they are busy taking care of each other. And it could also be because the heart disease presents differently in women. In a man classical signs, you would all know. The heart attack would present as a heaviness or like an elephant sitting on the chest. But in women, it can very vague. They will be like not feeling well, palpitation and just unwell. It can't be just simple chest pain. So, most of the women just confused about their heart attack presentation and would be late in getting treatment. the good thing is 80-90% heart diseases are preventable. So, if we are aware, we are able to take care of the risk factors. There is a large proportion of heart disease which we can prevent.

So, we will discuss some important risk factors which can take care of to prevent disease. Some risk factors are non-modifiable. Like the family history of heart disease. if there is the strong history of heart disease and in one genetics than one is likely to have heart problems. So, it is advancing age. But there are a few risk factors which we can control. Like high blood pressure, high cholesterol, high sugar, smoking, more weight and some newer risk factors like CRP level and clotting factors. few of these which are relevant, diabetes, 2/3 of all diabetics will die of heart disease eventually. Risk of having a heart problem in women, if she is diabetic as compared to the women who are non-diabetic and in men also, the risk of heart disease increases 3 times, if they are diabetic. So, diabetics have to be more conscious about their heart conditions. Than smoking. Smoking is one single most preventable risk factor which is responsible for heart disease. It is relevant in both male and female. Especially, a young woman who smokes is at the very high risk of heart disease. And if somebody is on oral contraceptive because of their age or anything, the risk of heart disease is compounded with smoking.

So, what smoking does, it causes the plaque. The cholesterol deposits the arteries to burst. They form a clot and causes a heart attack suddenly. it reduces good cholesterol. It gets burned by smoking which causes one to have more heart attack. And smokers who have a heart attack, they are more likely to die young. When one quite smoking, then the risk of developing a heart attack comes to 1/3 in the next 2 years. But you know, it takes almost 10-15 years for the risk to come back to normal as compared to somebody who has never smoked. So, I request everybody to quit smoking. 3rd is physical inactivity. So, inactivity is a very important factor in our Indian culture to cause a heart attack. We should all exercise not because it burns calories and helps in weight loss but it increases good cholesterol. It helps us in keeping our heart healthy. One should try to stay active physically. Just get up in the morning and walk. Walking is a good exercise which will help you in preventing heart disease. One more important factor is obesity, BMI. if the BMI is less than 25% is normal.

Beyond that, it becomes overweight and predisposes one would have more and more heart attack. Heart attack increases almost 6 times as compared to a normal weight person in those persons who are very heavyweight. So, we should all be very careful about our own body weight. Till very recently we didn't know that women are at the highest risk of heart disease. Thanks to research and data which we have. Now we know women are more likely to have heart disease. The disease starts in early childhood. It is a gradual process. Small changes in our lifestyle can make a big difference. We all need to prevent it. So, we all should start with lifestyle changes but if one has risk factors, it is a good idea to see your doctor at earliest. I am with Max Hospital, Saket. If anybody needs any help for their heart health, please don't hesitate. You can contact me and come and see me.

Thank you so much. Take care of your health and your heart.
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How To Deal With Headache?
Hello!

Myself is Dr. Harshita Sethi. I am ayurvedic physician, diet and lifestyle consultants.

Today I m going to talk about common problem which is headache. We all experienced headache in our lifetime. It is very prevalent in all over the world. I have practiced in UK for 8 years and their I have also seen so many patients complaining about a headache we can classify headache in two different categories one when it comes in a full fledge form like migraines headache, sinus headache, cluster headache or tension headache and second when it is associate with some other underline cause like fever hypertension other eye refracted problems sinusitis, high intake alcohol and really intracranial tumors so i have seen headache running in the families the people who have got more wata in there body who have got more water pre dominant body constitution they have tend to get less threshold so there nerves are little bit weaker so as soon as the get the trigger then there nerves start reacting or stimulating an this start getting headache this trigger can be change in routine, loud noise, change in temperature, change in heat or acidity, constipation etc. an there can be different kind of pain which they can experience burning, throbbing, pulsating and it could be pursing pain in Ayurveda also achariya s have mentioned different kind of headache and very beautiful they have describe this pain like a bhedak, sarak and lemon types of headaches are mention under shirorig by achariya-Shao sharod so one variety is Wataj which is more related to gastric upset when we have constipation we traied to make kore gas in our tummies then we tend have this wajach kind of shrerook secound is fitaaj when we have acidity then we have burning kind of headache then kafaaj shiroroo which is related To sinuses congestion or heaviness in head which happen to more accumulation of mucus then sunny pataj which is the mixture of All of them then there is raktaj variety, krimaj variety, shaiaj variety and ananat wata, arda bhedak, suriya wadh and shankath all these varieties Are beautifully described in ayourwedic tect like anantwarta could be a correlated with, or dhao bedahak could be correlated with migraines carity where we feel the headache pain in half side of our head either right or left. it is written that i comes in 10 days or 15 days an there is another one suriyawrata which could be co related to sinusitis as The sun goes up then the pain goes high as the sun comes down then pain start subsequently down so these are beautifully mentioned in ayurvedik text then there is another variety called shankhakh which happen in the terminal stages of cancer its usually difficult to treat but very beautifully mentioned in Ayurveda and different causes are mentioned in Ayurveda because once we know the cause then we can treat according to cause and we can cure the disease the causes could be long holding of natural urges then people are setting in the offices not going to the toilet at the rite time then they tend to develop to symptom when the people sleeping wrong posture when people take more cold drinks and food especially in night time then it could be one of cause we can say life style is not regulated there is no time to wake and sleep then we tend to get shiro roga headached now we comes to the chikitsa so we have to treat the cause once we know the cause weather its due to acidity constipation or stree full life then we treat according too cause we do various therapies we do various ayurvedik formulation in the form of Decoption, tablets or liquids or powders and i tell my patients to do a very simple thing on daily basis which they can do at home or here we can do it center in a form of nasiyum therapy we put two drops of antails badataila shunbindtaula in the Noses tail which can nourish the nerves which can strength the nerves an i tell people you take almond oil when u know the headache is going to happen u can put pressure on these marna points which can calm down your nerves and then nasiyum tharapy can be done 7, 8 times over here in any panchkana center an then this practice of anu taila intilation nostrils can be practice a daily bases at home so there various herbs which we use like jhata mansi, molethi, wacha, jotish mati various kinds of oils we use in our chikitsa.

So, it is beautifully mentioned in ayurveda text so we can cure this problem and we can avoid this problem so you contact me through Lybrate or I practice ayurveda at two of my centers one is in noida another one is in gurgaon. So I run my practice with the awaidna ayurveda.

Thank you very much.
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