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Overview

Low Blood Pressure: Treatment, Procedure, Cost and Side Effects

What is the treatment?

When a person suffers from chronic blood pressure syndrome it is not considered a serious matter. Medical trouble can arise when there is a sudden drop in the blood pressure levels. When this happens the brain is unable to receive adequate supply of blood. This can cause the person suffering from the low pressure attack to feel lightheaded or dizzy. This sudden drop occurs generally in people who have been sitting or lying in a particular position for long and then suddenly stand up. This sudden drop in blood pressure levels is known as orthostatic hypotension or sometimes as postural hypotension.

There is a third kind of low blood pressure or hypotension when someone stands for a long time which is called neurally mediated hypotension. If it causes someone to faint it is known as vasovagal syncope. When the cardiovascular system or nervous system fails to respond correctly to certain unexpected changes encountered by the body it is known as postural hypotension. This failure on the part of the cardiovascular or nervous system to adapt to the sudden changes is signalled by the body by transmitting certain messages to the heart which makes it beat more rapidly and also to the blood vessels making it narrower.

The condition of either low or high blood pressure is more prevalent in older people because the supply of blood flow to the brain and heart muscle is lowered with age. The symptoms of low blood pressure include feeling lightheaded or dizzy or unsteady, blurring of vision, body weakness, tiredness, nausea, clammy and pale skin and tendency to pass out. Pregnancy, dehydration, blood loss, heart disorders, septicaemia or any other serious infection, anaphylaxis or a significant insufficient of nutrients in your daily diet can be some of the reasons for the sudden drop on your blood pressure levels.

How is the treatment done?

Low blood pressure in itself is not a serious condition. Often it can be a symptom of another health problem. The underlying conditions differ from person to person. Therefore, it is necessary for the doctor to identify the real cause of your blood pressure problem. First, fix an appointment with your doctor; notify him/her about your medical history, your age, the symptoms you are currently experiencing, and the reasons for the occurrence of the blood pressure drop. The doctor will conduct a thorough physical examination of the concerned patient. Then she or he will make the patient undergo a series of tests where the patient will be asked to stand up suddenly after lying down for some time. During this time, the doctor will take the pulse rate and will check the blood pressure levels.

If the doctor feels necessary then she or he may perform an ECG or an electrocardiogram in order to check the pulse rate and also an echocardiogram/ultrasound test in order to see the condition of the heart and take pictures of it for later reference. She or he might also take blood test samples from the patient in order to check for anemia or any issues with your blood sugar level.

In order to check for irregular heart rate the doctor may ask the patient to get an ECG or a Holter monitor done. An exercise test or stress test may also be advised. In certain cases, a ‘tilt table’ test is performed for a patient experiencing postural hypotension in order to assess the response of the body to unexpected changes in movements or position.

Who is eligible for the treatment? (When is the treatment done?)

A person who is experiencing shock or symptoms of low blood pressure like feeling lightheaded or dizzy on an off and on basis. Although chronic low blood pressure might not be a serious health issue in itself, it can be a symptom of a much severe underlying medical condition.

Who is not eligible for the treatment?

All those people who are experiencing the symptoms of low blood pressure mentioned above do not need to go visit a doctor.

Are there any side effects?

The side effects of taking flodrocortisone include heart failure, muscle weakness, expansion of the heart, easy bruising, headaches, light-headedness and sudden increase in blood glucose levels.

What are the post-treatment guidelines?

The doctor may advise you to increase the amount of salt in your diet because sodium increases pressure drastically. Also, increase the quantity of your fluid intake daily in order to prevent dehydration by drinking lots of water.

You may also be advised to wear stockings that put on compression on your legs by pooling the blood. This can help to reduce inflammation and pain. You may also be prescribed certain medications such as fludrocortisone and midodrine/orvaten help to treat the problem of hypotension or low blood pressure.

How long does it take to recover?

With proper rest, medication and water (for drinking, in case the low blood pressure occurred as a result of dehydration) you can recover within a few hours.

What is the price of the treatment in India?

In India one strip of 2.5 mg of Midodrine costs about 2,3000 Rupees, an ECG test costs about 250 Rupees in India, and an ultrasound test can cost you about Rs. 1000- 4000 in India.

Are the results of the treatment permanent?

The results of the treatment depends on well you adhere to the post-treatment guidelines. If you can look after your daily diet and also identity the reasons behind your sudden blood pressure levels you can prevent the sudden attacks from occurring on getting up after lying for some time.

What are the alternatives to the treatment?

Alternatives for low blood pressure problems include certain home remedies such as increasing the daily water consumption level and cutting down on alcohol which will help to tackle the dehydration levels, having a balance diet which incorporates nutritional items such as fruits, veggies, whole grains and protein such as chicken and fish. Other remedies include gently moving from one place to another instead of getting up suddenly or moving too fast. Avoid sitting with your legs crossed and try to consume small portion of really low-carb foods. Also, keep eating small portions of food throughout the day to prevent the blood pressure levels from dropping suddenly.

Safety: High Effectiveness: Medium Timeliness: Medium Relative Risk: Low Side Effects: Low Time For Recovery: Low Price Range:

Rs. 250- Rs. 4,000

Popular Health Tips

Shortness in Breath - Can Your Heart Be In Danger?

MBBS, Master of Surgery - General Surgery, Magistrar Chirurgiae (Cardio-Thoracic Surgery)
Cardiologist, Faridabad
Shortness in Breath - Can Your Heart Be In Danger?

There are different types of heart problems like coronary artery disease, congenital heart failure and cardiomyopathy, but their warning signs are the same i.e. shortness of breath. This is the reason why shortness of breath should never be taken lightly and should always be investigated for heart diseases.

Why does shortness of breath happen?
You may not be able to get in enough air while experiencing shortness of breath. Known medically as dyspnea, shortness of breath is often described as an intense tightening in the chest and a feeling of suffocation. This is one of the most frightening conditions experienced by a patient. You can experience dyspnea without any serious medical problems in these conditions

  1. After strenuous exercise
  2. In extreme temperatures
  3. Due to obesity and
  4. In high altitudes

But if you are not in any of these conditions, then shortness of breath is a sign of a serious medical problem usually involving your heart or lungs. These two vital organs transport oxygen to the rest of your body and remove carbon dioxide; hence problems with either of these organs can affect your breathing. Shortness of breath that comes on suddenly called acute, can be due to other causes too like:

  1. Asthma
  2. Excess fluid around the heart
  3. Low BP
  4. Heart failure
  5. Blood clot in an artery in the lung
  6. Collapsed lung
  7. Pneumonia

If you have had shortness of breath that has lasted for weeks, then we call it chronic and its causes can be various diseases of the heart apart from asthma and COPD. There is no doubt that your heart may be in trouble, if you have chronic shortness of breath. You may be suffering from these heart conditions:

  1. Cardiomyopathy or problems with the heart muscle cause symptoms like shortness of breath after physical exertion as well as fatigue, and swelling of legs and abdomen. Patients suffering from cardiomyopathy are at risk of sudden death due to cardiac arrest.
  2. Heart arrhythmias is also called irregular heartbeat, and can cause slow or fast heartbeats. These also have symptoms like shortness of breath. Arrhythmias can cause strokes, heart failure and cardiac arrest.
  3. Heart failure occurs when the heart is unable to pump blood efficiently to meet the needs of the body. This is a potentially fatal condition. One of the most common symptom is shortness of breath with exercise and while lying down. Fatigue is another common symptom.
  4. Pericarditis or swelling of membranes around the heart is also characterised by shortness of breath.

Treatment of breathlessness can start after you are referred to a heart specialist for further tests to confirm the likely cause.

2862 people found this helpful

Sorbitrate

MBBS, MD
General Physician, Kolkata
Sorbitrate

Be sure before taking sublingual nitrates as it might aggravate low bp and cause blackout.Only real anginal pain will benefit from sublingual nitroglycerin or isosorbide dinitrate.

High Blood Pressure And Low Blood Pressure

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
High Blood Pressure And Low Blood Pressure

What is blood pressure?

When your heart beats, it pumps blood round your body to give it the energy and oxygen it needs. As the blood moves, it pushes against the sides of the blood vessels. The strength of this pushing is your blood pressure. If your blood pressure is too high, it puts extra strain on your arteries (and your heart) and this may lead to heart attacks and strokes.

What is high blood pressure?

You probably have high blood pressure (hypertension) if your blood pressure readings are consistently 140 over 90, or higher, over a number of weeks.

You may also have high blood pressure if just one of the numbers is higher than it should be over a number of weeks. 

If you have high blood pressure, this higher pressure puts extra strain on your heart and blood vessels. Over time, this extra strain increases your risk of a heart attack or stroke.

High blood pressure can also cause heart and kidney disease, and is closely linked to some forms of dementia.


What is low blood pressure?

Many people worry about low blood pressure (hypotension), but probably don't need to.

Some people have a blood pressure level that is lower than normal. In general this may be good news - because the lower your blood pressure is, the lower your risk of stroke or heart disease. However, in a few cases, having low blood pressure can cause problems, so you might need to speak to your doctor or nurse.

What are the symptoms of hypertension?

Hypertension is generally a silent condition. Many people won’t experience any symptoms. It may take years or even decades for the condition to reach levels severe enough that symptoms become obvious. Even then, these symptoms may be attributed to other issues.

Symptoms of severe hypertension can include:

headaches
shortness of breath
nosebleeds
flushing
dizziness
chest pain
visual changes
blood in the urine
These symptoms require immediate medical attention. They don’t occur in everyone with hypertension, but waiting for a symptom of this condition to appear could be fatal.

The best way to know if you have hypertension is to get regular blood pressure readings. Most doctors’ offices take a blood pressure reading at every appointment.

If you only have a yearly physical, talk to your doctor about your risks for hypertension and other readings you may need to help you watch your blood pressure.

For example, if you have a family history of heart disease or have risk factors for developing the condition, your doctor may recommend that you have your blood pressure checked twice a year. This helps you and your doctor stay on top of any possible issues before they become problematic.

What causes high blood pressure?
There are two types of hypertension. Each type has a different cause.

Primary hypertension
Primary hypertension is also called essential hypertension. This kind of hypertension develops over time with no identifiable cause. Most people have this type of high blood pressure.

Researchers are still unclear what mechanisms cause blood pressure to slowly increase. A combination of factors may play a role. These factors include:

Genes: Some people are genetically predisposed to hypertension. This may be from gene mutations or genetic abnormalities inherited from your parents.
Physical changes: If something in your body changes, you may begin experiencing issues throughout your body. High blood pressure may be one of those issues. For example, it’s thought that changes in your kidney function due to aging may upset the body’s natural balance of salts and fluid. This change may cause your body’s blood pressure to increase.
Environment: Over time, unhealthy lifestyle choices like lack of physical activity and poor diet can take their toll on your body. Lifestyle choices can lead to weight problems. Being overweight or obese can increase your risk for hypertension.
Secondary hypertension
Secondary hypertension often occurs quickly and can become more severe than primary hypertension. Several conditions that may cause secondary hypertension include:

kidney disease
obstructive sleep apnea
congenital heart defects
problems with your thyroid
side effects of medications
use of illegal drugs
alcohol abuse or chronic use
adrenal gland problems
certain endocrine tumors

Diagnosing high blood pressure
Diagnosing hypertension is as simple as taking a blood pressure reading. Most doctors’ offices check blood pressure as part of a routine visit. If you don’t receive a blood pressure reading at your next appointment, request one.

If your blood pressure is elevated, your doctor may request you have more readings over the course of a few days or weeks. A hypertension diagnosis is rarely given after just one reading. Your doctor needs to see evidence of a sustained problem. That’s because your environment can contribute to increased blood pressure, such as the stress you may feel by being at the doctor’s office. Also, blood pressure levels change throughout the day.

If your blood pressure remains high, your doctor will likely conduct more tests to rule out underlying conditions. These tests can include:

urine test
cholesterol screening and other blood tests
test of your heart’s electrical activity with an electrocardiogram (EKG, sometimes referred to as an ECG)
ultrasound of your heart or kidneys
These tests can help your doctor identify any secondary issues causing your elevated blood pressure. They can also look at the effects high blood pressure may have had on your organs.

During this time, your doctor may begin treating your hypertension. Early treatment may reduce your risk of lasting damage.

High blood pressure: Tips for prevention

If you have risk factors for hypertension, you can take steps now to lower your risk for the condition and its complications.

Add healthy foods to your diet
Slowly work your way up to eating more servings of heart-healthy plants. Aim to eat more than seven servings of fruits and vegetables each day. Then aim to add one more serving per day for two weeks. After those two weeks, aim to add one more serving. The goal is to have ten servings of fruits and vegetables per day.
Adjust how you think of the average dinner plate
Leafy greens. Potassium helps your kidneys get rid of more sodium through your urine. ...
Berries. Berries, especially blueberries, are rich in natural compounds called flavonoids. ...
Red beets. ...
Skim milk and yogurt. ...
Oatmeal. ...
Bananas. ...
Salmon, mackerel, and fish with omega-3s. ...
Seeds
Cut sugar
Set weight loss goals
 

1 person found this helpful

Blood Pressure Measurements: Special Cases

MD - Physiology, MBBS
General Physician, Lucknow
Blood Pressure Measurements: Special Cases

Special cases of measurements of blood pressure: 

Certain groups of people merit special consideration for the measurement of blood pressure because of age, body habitus or disturbances of blood pressure related to haemodynamic alterations in the cardiovascular system.

1. Children:

Measurement of blood pressure in children presents a number of difficulties. Variability of blood pressure is greater than in adults, and any one measurement is less likely to represent the true blood pressure. Systolic pressure is more accurate and reproducible than diastolic pressure. A cuff with proper dimensions is essential for accurate measurement. The widest cuff practicable should be used. Ideally, blood pressure should be measured after a few minutes of rest. Values obtained during sucking, crying or eating will not be representative. As with adults, a child’s blood pressure status should be decided only after it has been measured on a number of separate occasions. Ambulatory blood pressure measurement is being used increasingly in children.

2. Elderly people:

In epidemiological and interventional studies, blood pressure predicts morbidity and mortality in elderly people as effectively as in the young. Elderly people have considerable variability in blood pressure, which can lead to a number of diurnal blood pressure patterns that are identified best with ambulatory blood pressure measurement. These patterns include isolated systolic hypertension, white coat hypertension and hypotension. Elderly patients may also have pseudohypertension, a condition in which there is a large discrepancy between cuff and direct measurement of blood pressure in elderly patients. When conventional measurements seem to be out of proportion with the clinical findings, referral to a specialist cardiovascular centre for further investigation may be an appropriate option.

3. Obese people:

The association between obesity and hypertension has been confirmed in many epidemiological studies. Obesity may affect the accuracy of measurement of blood pressure in children, young and elderly people, and pregnant women. The relation of arm circumference to bladder dimensions is particularly important. If the bladder is too short for the arm as often happens with obese arms, blood pressure will be overestimated – ‘cuff hypertension’. The increasing prevalence of the metabolic syndrome (obesity, hypertension and hyperglycaemia) makes accurate measurement of blood pressure in obese people increasingly important. In some obese patients, the arm circumference is so great that upper arm measurement is not possible and forearm measurement may be the only option. For conventional measurement, the Korotkoff sounds are auscultated over the radial artery and for devices that measure blood pressure by oscillometry (devices for self-measurement and ambulatory blood pressure measurement), the cuff is placed on the forearm.

4. Patients with arrhythmias:

Large variations in blood pressure from beat to beat make it difficult to obtain accurate measurements in patients with arrhythmias. In patients with arrhythmias, such as atrial fibrillation, blood pressure varies depending on the preceding pulse interval. No generally accepted method of determining auscultatory end points in patients with arrhythmias exists. Devices for measuring blood pressure with oscillometry vary in their ability to accurately record blood pressure in patients with arrhythmias. Measurements of blood pressure at best will constitute a rough estimate in those with atrial fibrillation, particularly when the ventricular rhythm is rapid or highly irregular, or both. The rate of deflation should be no faster than 2 mm Hg per heartbeat, and repeated measurements may be needed to overcome variability from beat to beat. Two potential sources of error exist when patients have bradyarrhythmia. If the rhythm is irregular, the same problems as with atrial fibrillation will apply. When the heart rate is extremely slow – for example, 40 beats/min – it is important that the rate of deflation used is less than for people with normal heart rates, as too rapid deflation will lead to underestimation of systolic blood pressure and overestimation of diastolic blood pressure.

5. Pregnant women:

Clinically, relevant hypertension occurs in more than 10% of pregnant women in most populations. High blood pressure is a key factor in making medical decisions in pregnancy. Disappearance of sounds (fifth phase) is the most accurate measurement of diastolic pressure, except when sounds persist to zero, in which case the fourth phase of muffling of sounds should be used.

6. Patients who take antihypertensive drugs:

In patients who take antihypertensive drugs, the timing of measurement may have a substantial influence on the blood pressure. The time of taking antihypertensive drugs should be noted.

7. Patients who are exercising:

Systolic blood pressure increases with increasing dynamic work as a result of increasing cardiac output, whereas diastolic pressure usually remains about the same or moderately lower.

An exaggerated blood pressure response during exercise may predict development of future hypertension.

2 people found this helpful

Low Blood Sugar(Hypoglycemia): Do You Know the Symptoms?

D ( Diabetology), AFIH, DNB (F.MEDICINE), MBBS
General Physician, Pune
Low Blood Sugar(Hypoglycemia): Do You Know the Symptoms?

There are numerous conditions that can arise when the body does not process the dietary glucose properly. Hypoglycemia, otherwise called as low blood sugar, is when the blood sugar level in a person’s body decreases than normal value. Individuals with diabetes can get hypoglycemia (low blood sugar) when their bodies do not have enough sugar to use as fuel. It can happen for a few reasons, including diet, few medications and conditions, and exercise. 

In case you get hypoglycemia, record the date and time when it happened and what you did. Give the record to your specialist, so he or she can search for a pattern and adjust your medications accordingly. The most widely recognized reason for hypoglycemia includes medicines used to treat diabetes mellitus, for example, insulin and sulfonylureas. 

The risk is more noteworthy in diabetics who have eaten very less than what is required, exercised more than expected, or have had excessive alcohol. Other reasons for hypoglycemia incorporate kidney failure, certain cancers, for example, insulinoma, liver sickness, hypothyroidism, hunger, an inherent error of digestive system, extreme diseases, receptive hypoglycemia, various medications and liquor. The vast majority feels the symptoms of hypoglycemia when their glucose is 70 milligrams per deciliter (mg/dL) or lower. Every individual with diabetes may have distinctive symptoms of hypoglycemia depending on their age, stage and other factors. You will figure out how to recognize yours. 

Some of the most common symptoms are: 

Early indications include: 

  1. Confusion 
  2. Drowsiness 
  3. Shivering or shaking 
  4. Hunger 
  5. Irritation 
  6. Headaches 
  7. Pounding heart 
  8. Racing pulse 
  9. Pale skin 
  10. Sweating 
  11. Trembling 
  12. Weakness 
  13. Nervousness 

Anxiety Without treatment, you may get more serious side effects, including: 

  1. Poor coordination 
  2. Concentration issues 
  3. Numbness in mouth and tongue 
  4. Nightmares 
  5. Unconsciousness 
  6. Trouble talking, impaired speech 
  7. Ataxia, incoordination, mistaken up for being drunk 
  8. Central or general motor deficiency, loss of motion, hemiparesis 
  9. Migraine 
  10. Trance, coma like state, strange breathing 
  11. Seizures Individuals with hypoglycemia unawareness do not have any idea about their glucose level drops. 

In case you have this condition, your glucose can drop without you noticing it. Without quick treatment, you can pass out, encounter a seizure, or even go into a state of extreme coma. In case somebody is having an extreme reaction, for example, unconsciousness, it is imperative to inject a drug called glucagon and contact the hospital quickly. People who are at danger for low glucose need to speak with their specialist about getting a solution for glucagon. You should never give an unconscious individual anything by mouth, as it could make them choke. Hypoglycemia should not be ignored. 

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

3439 people found this helpful

Popular Questions & Answers

I am on lotensyl 5 mg early morning for hypertension due to stress since 14 months. I also take metosartan 50 mg at night since 8 yrs. I was ok till 4 days back. Since few days my BP goes down to 115/65 some times during day. My usual BP is 140/80. I feel tired and sleepy. No angina o any other symptom. I am 77 .weight 49 kg. Very active. I am a diabetic on metformin and sugar very much under control. Should I stop lotensyl for few days and observe. Please advise. Thank you.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, Thanks for the query. BP 115 / 65 mmHg is absolutely normal. Usually the range is 100 to 140 / 60 90 mmHg. As the age advances, it may be a bit higher. But 115.65 is quite fine. If you feel it is too low for you, then may stop Lotensyl tablet for a few days and check again. Thanks.
1 person found this helpful

Hi Sir, I'm suffering to valve disease low blood pressure chest pain sometimes so please suggest me sir what I do I'm worried about this.

MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
Valve diseases can be of various types ranging from stenosis to regurgitation which could affect BP, need details of your echo report.
2 people found this helpful

I am 30 years old. Last night I got checked my bp it was 110,80. I also have low bp problem. In normal it is100, 60.Please advise.

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
Your BP very good. Measure BP only once every year on fixed dates after resting for ten minutes. Low BP leading to needless worry, but low BP means long life usually.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Blood Pressure and Diabetes
Dietary Tips to overcome Blood Pressure and Diabetes

Hello, I am Sheila Seharawat, dietician, Mental Diet Clinic. We are in this field for the past eleven years. And have been treating so many therapeutic patients with the medical issues in a healthy manner, like aajkal agar aap dekhoge toh BP, diabetic ki patient s kaafi a rahain hai. But aajkal dekhogi, BP pehle hoti thi humaare kam se kam 35+ but aajkal aapke teenagers mein bhi like 12 years + also maine case dekhe hai jinko ki BP ki kaafi problem hoti hai. BP ko control karne ke liye jo aapko food stuffs daily routine mein aapko include karne hai woh aapke potassium rich food stuffs hone chahiye. Jaise ki aap fruits mein, banana use kar sakhteh ho. Aap kiwi fruits use kar sakhteh ho. Aap avocado use kar sakhteh ho that are rich in potassium. Jo ki aapki BP ke level ko control kar sakhteh hai.

Second thing aapki daily routine mein aapki paani ka intake aapna accha include karna jisse ki BP aapka control hoteh hai. Phir humhe vegetables pe dihaan rakhna chahiye. Vegetables and salads aapke diet mein zaroor hona chahiye. Jo ki appko roughage provide karta hai jisse ki aapka BP control hota hai.

Vegetables mein aapko green leafy vegetables include kar sakhteh ho especially jaise ki white beans aap daily routine mein aapke diet mein include karoge, as a salad use kar sakhteh ho, woh aapki BP ko control karega. Plus ek sweet potato agar daily small size ka sweet potato agar aap daily include kar sakhteh ho that is rich source of potassium jo ki aapki BP ko control karne mein help karega.

Plus I will suggest daily, agar aap 15-20 minutes ki walk kar sakhteh ho toh that is really good for your BP as well as overall health. Then aapko quinoa, aajkal aapne kaafi suna hoga, quinoa is rich in protein as well as fiber. Quinoa ko aap as a dahlia use kar sakhteh ho. That is really good for your BP control. So yeh theh aapki kuch important points jinko aap mind mein rakhke aapki daily diets mein include kar ke aapki BP ko control kar sakhteh ho.

Toh, for further queries you can contact us via Lybrate.
Play video
Nasal Bleeding
Hello Everyone.

Myself Dr. Neetu Modgil. I am ENT consultant working in Noida.

Today I am going to talk about the most common problem with the patients i.e. nasal Bleeding. It is not that challenging for the ENT consultant as it a concern for the patient himself or herself. Nasal bleeding there are so many cause behind it. There are so many presentations for it. But my logo for the nasal bleeding which you have to remember from the beginning to the end of this health tip in this video is don t pain, nasal panic no ignore . Basically there is a condition where you do not panic and please do not ignore the problem. Don t think that this is the first and last episode now you don t have to visit the ENT consultant. There can be many concerns about nasal bleeding which would to discuss in this video. First of all nasal bleeding can present in many ways, it can present as a perfuse bleeding, I can present just 1 to2 drops in one or both the nostrils, or it can present as blood mixed with mucus or the flam when you blow the nose. So there are . It can present in children, adults, young, old age. Any age can be effected with the nasal bleeding so there are many causes behind but before we go into the details of the causes because the causes, difference of causes in the pediatric group and the old age group. First I would like to tell you if there is any bleeding if you are sitting some place or if you are somewhere else and your nose starts bleeding spontaneously, please do not panic. The most important thing what you have to do is that pinch your nose. See this is the airline design area, you have to pinch this side of the nose and bend forward, and do this procedure for 3 minutes for the count of three minute, and basically our bleeding time is 2 to 3 minutes. So this is the concern that the patient has to press the press the nose for around 3 minutes at maximum 5 minutes. This send the signal to your brain you have to that the nose blood vessels have to stop bleeding. So this accelerate the procedure to stop the bleeding. This is the most important thing. Secondly the patient think the most common notion among the patient is that high blood pressure is causing the bleeding or high temperature is causing the bleeding so this is what I want clear, basically nasal bleeding is not caused by the high blood pressure but blood pressure is caused by the nasal bleeding when patient reached the hospital in the time, when the time patient reached the hospital he is or she is in so much panic that it creates high pressure. That s the relation between nasal bleeding and high blood pressure. So don t connect your BP with your nasal bleeding, first thing. Second thing hot temperature is not responsible for the nasal bleeding. Basically if we say into our data, our medical data, the most common problem of nasal bleeding is in the dry weather. So as I have already come to the causes so let s discuss in detail about what are the causes of nasal bleeding. For the first, I would like to discuss about the young and adult nasal bleeding causes. The most important thing is the dry weather. When the dry weather is mostly in the autumn season. Autumn is that season of the year, where there is transition from the summer into winter season, September to November month basically. In this season there is no rain, there is less humidity. Even in the winter season if there is no rain in that season it has a less humidity. Even in the summer season if you see just before the June i.e. May and April, it is again dry weather. So this is the dry weather it does not depend if it is hot weather or cold weather. It is the dry weather which is responsible for our nasal bleeding. So usually 80% of the nasal bleeding occurs in the interior part of the nose. There are some blood vessels is the posterior part of the nose also which a patient cannot control so definitely if you are pinching the nose it is controlling the interior part of the nasal bleeding. So you have to be careful the most important cause of the nasal bleeding is dry weather. After the nasal bleeding just apply some lubricants like petroleum jelly any ghee or any ointment in the nose. It will lubricate they nose and prevent the recurring nasal bleeding. And later on please the second thing, most important thing is don t ignore your nasal bleeding. Visit you ENT specialist to rule out the many other causes of nasal bleeding. So for my take away message home for patient is neither panic nor ignore. Please nasal bleeding is not the situation to panic and do not ignore it, visit your ENT specialist to rule out anything serious for the nasal bleeding.

Thank you so much.
Play video
Low Sex Drive
Hello everyone,

I am Dr. Vikas Deshmukh consultant psychiatrist and sexologist, I am working in Manovikas Clinic at Vashi, Navi Mumbai, Sector 17.

Friends aaj hum log baat karne wale hain aphrodisiac ke baare mein, toh aphrodisiac any sexual desire badane wali medicine ya davaiyan, ya foods unko aphrodisiac bolte hain. Generally hazaro saalon se bahut sara khana food, beverages, peene ki bahut pai ya jaise bolte hain woh log, herbs, medicine, ayurvedic dawaiya saree cheezo ko kafi acche log use karte hain aphrodisiac bolke yani sexual power badane wala bol ke. But kya in sab cheezo ka scientific evidence hai agar scientifically dekha jaye toh isme se bahut hai kam almost na ke barabar hi medicines or khane food ka, beverages ka scientific reason hai. Isme se kuch kuch davaiyan, kuch kuch herbs toh nuksan bhi karti hai, aur wo kafi mehngi bhi hoti hai lekin phir bhi blindly sab log woh lete jaate hain. Toh bahut sare examples oyster, banana, dates even aapka watermelon, vanilla, chocolate even toh kuch kuch cultures mei toh giraffe tongue, penis tiger ye funny cheeze bhi aphrodisiac bol ke use ki jati hai. Lekin inter scientific evidence nahi hai, isme se kuch cheeze feel good serotonin level badati hain aur serotonin level brain mein badne ki wajah se feel good effect aata hai, aur woh feel good effect ki wajah se aapke sexual desire kabhi kabhi badte hai, aapka interest badta hai toh uski wajah se aapka desire bade aisa lag sakta hai. Dusra, kuch kuch patients bolte hain ki nahi sir kuch kuch divaiyan bahut acche se kaam karti hain, toh uska ek reason hai koi bhi cheez agar mehengi dawa hai ya koi bhi ek accha doctor hai jiske upar aap pura belief karke aap koi cheez kharidte ho aur khate ho aur purey belief ke saath khate ho, toh ek placebo effect hota hai, placebo matlab aapka man n, aapka psyche, aapka body, us hisab se kaam karta hai acche effect ke liye aur us tarike se bhi kuch effect dikhta hai usko bolte hain placebo effect aur yeh ek scientific phenomena hai. So friends phir aap log bologe ki sabse accha product ya sabse accha sexual power badane wali cheeze ya kya kar sakte hain apne body ke liye ki hamara sexual power achha rahe, mere khayal se sabse acchey aphrodisiac hai aapka well rested body, relax state of mind thik hai, conductive monument activity jahan par koi dar nahi hai aapko aaram see aap sex kar pao, love for your partner, sexual attraction for your partner these are the best aphrodisiac. Second, most important aphrodisiac in your body is your health, agar aap physically health hain diabetes nahi hai, hypertension nahi hai, koi cardiac disease nahi hai toh aap ki sexual health acchi ho jaegi, agar aap mentally ill nahi hai no anxiety, no depression, mind relax hai toh aapka sexual desire badega so that is the best aphrodisiac. Bahut sarey patients bolte hain ki phir khana kya chahiye kya khaye hum, jo bhi cheez jo aapke heart ke liye, body ke liye healthy hai wo aapke penis ke liye aapke sexual activity ke liye healthy hai. Toh dates, banana yeh sari cheeze aapki body ke liye healthy hain toh aapki sexual activity ke liye bhi utni hi healthy hai, toh iska matlab ye nahi hai ki alag se sexual desire badati hai. Koi bhi ad dekhte ho bus stand pe, local mein, newspaper mein ki yeh medicine, ye dawai aisi hai jo sexual power badati hai yeh bahut mehngi hai aisa hai, toh kisi bhi ad ke upar believe na kare kyonki inn sabka koi bhi scientific evidence nahi hai. K oi bhi cheez scientific evidence ke hisab se dekhna chahiye toh bahut jyada in cheezon ke upar paise, time apna kharch na kare.

Mujhe sunne ke liye dhanyavad, aur jankari ke liye please lybrate.com se mujhe contact karne ki koshish kare.

Thank you very much.
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