Common Specialities
Common Issues
Common Treatments


Palpitations: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Heart palpitations can make your feel that your heart is skipping a beat, fluttering or beating too fast or too slow. It can happen due to stress, exercise or medication. It is generally not a serious or harmful condition and does not require treatment. If you seldom experience heart palpitations that last for a few seconds, there is nothing to be worried about. However, if you have a history of heart disease and are experiencing frequent palpitations, you should consult your doctor. Also, you must see your doctor if your palpitations are becoming more frequent with time and are worsening. Chest discomfort or pain, fainting, severe shortness of breath and severe dizziness are some signs that should never be ignored. Seek immediate medical help.

How is the treatment done?

Your doctor will ask you to go through several tests like ECG, holter monitoring, event recording and echocardiogram. An ECG (electrocardiogram) will record the electrical impulses that make your heart beat. It will help your doctor in detecting the irregularities in your heart beat. Holter monitoring is done by wearing a portable device for 24 to 72 hours. It can detect palpitations that are not detected during ECG. Event recorder is another that needs to be worn for a few weeks to record your heartbeats. Echocardiogram is done to see the detailed images of your heart’s structure and function by doing an ultrasound of your chest. Treatment will be provided only if, after going through the test results, your doctor believes that you have a serious heart condition. In other mild cases, there is no need for treatment.

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

If you are experiencing frequent palpitations and they are worsening with time, you must consult a doctor.

Who is not eligible for the treatment?

Infrequent palpitations may be felt after exercising, exhaustion or stress. There is nothing to worry about.

Are there any side effects?

Diagnostic tests may cause temporary redness or itching in your skin due to the instruments that are attached. Do not worry; the effects wear off soon.

What are the post-treatment guidelines?

You should avoid consuming illegal drugs. Limit the amount of tobacco and alcohol intake. Make sure that your meals are filled with healthy foods like fruits, vegetables, pulses, meat, fish etc. Avoid heavy work out sessions. Exercise according to your age and as per the instructions of your doctor.

How long does it take to recover?

The time period of recovery depends on the kind and severity of the condition you are diagnosed with. Normal palpitations go away with time.

What is the price of the treatment in India?

One session of consultation with your doctor may cost around ₹400 - ₹800. The cost of ECG is between ₹300 and₹1100. Echocardiogram may cost ₹1200 - ₹1900. Holter testing costs ₹3500 - ₹6000.

Are the results of the treatment permanent?

The validity of results depend on the kind and severity of condition you are diagnosed with.

What are the alternatives to the treatment?

You can try to control the palpitations by reducing stress or anxiety. Meditation, yoga and deep breathing help in doing so. Illegal drugs like cocaine and amphetamines are known to bring on heart palpitations. Stay away from them. Excess caffeine, nicotine and energy drinks also contribute in bring on palpitations. Limit your consumption.

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

Rs 400 - Rs 6,000

Popular Health Tips

Fast Heart Rate - Know Why It Happens!

MBBS, MRCP (UK), PG Diploma In Lipid Management, MBA (Healthcare)
Cardiologist, Bangalore
Fast Heart Rate - Know Why It Happens!

Tachycardia is the medical term of a fast heart rate. When a person’s heart beats for more than 100 times per minute, he/she is said to be suffering from tachycardia. Atria and Ventricles (both left and right) are the four major parts of the heart. They contract and expand so that blood can be pumped out of the heart and oxygen reaches all the organs of the body. Now, this pumping occurs at a stable pace, owing to electrical impulses that activate the pumping in the first place. When an underlying medical condition or a defect in the heart disrupts these electrical impulses a person is confronted with tachycardia.

In many people, no symptoms are observed until and unless it is detected by a blood pressure device or a tool that checks the pulse rate. But if the heart rate is significantly high a person might feel dizzy, fatigued. He/she can also suffer from shortness of breath, palpitation as well as chest pain.

When the heart beats faster than usual the oxygen in the body gets depleted, which can result in the death of myocardial cells, leading to heart attack.

Heart diseases like coronary artery disease, heart valve disease, heart muscle disease, tumors or infection can lead to increased rate of heart beat. Apart from that, other conditions that might lead to tachycardia are: stress, hormonal disorders, especially in case one is suffering from hyperthyroidism, blood loss etc.


If there is an underlying medical defect that is causing the increased heart rate in the first place, it needs to be treated. For example, if a person is suffering from hyperthyroidism then medicines are prescribed to regulate the function of the thyroid glands.

If tachycardia develops as a result of weakened heart muscle then medicines are given to strengthen the heart. Beta blockers are given to check the defective electrical impulse in the heart, if that is the cause of tachycardia. Depending on the condition of the patient anti-arrhythmic medicines might also be given. People who stand at a risk of receiving a stroke as a result of this condition are prescribed warfarin.

Surgery and Implantation

Implantable cardioverter defibrillator
This procedure involves the insertion of an artificial device in the heart that controls the heart rate. It is equipped to send an electrical shock whenever it detects defective electrical impulse in the heart. In other words, it is designed to mechanically deflect the erroneous impulse.

If medications fail to rectify the disorder, a surgery has to be performed. In this case a section of the heart tissue is removed through operation. The scar that is left by the operation controls defective electrical impulse as a scar tissue is affirmed to be a bad conductor of electricity.  In case you have a concern or query you can always consult an expert & get answers to your questions!

3077 people found this helpful

Holter Monitor - What Exactly It Is?

Multi Speciality
Cardiologist, Delhi
Holter Monitor - What Exactly It Is?

A holter is a a 24-48 hour hour ECG that is used to evaluate disturbances in the rhythm of your heart. A holter monitor is a little, battery controlled therapeutic gadget that measures your heart's actions, for example, rate and cadence. Your specialist may request that you utilize one, in case that they require more data about how your heart functions, that a normal electrocardiogram (EKG) cannot give them. Twenty four hour holter monitoring is an important test to record your heart's rate and cadence for twenty four hours. 

You wear the holter small monitor for twelve to forty-eight hours as you continue with your usual everyday routine. This gadget has cathodes and electrical leads like a standard ECG. It can get your heart's rate and beat as well as when you feel neck pains or display indications of an unpredictable pulse or arrhythmia. 

Here is how it usually works:

  1. The holter monitor is very small. It is marginally bigger than a deck of playing cards. A few leads or wires, are attached to your body like an ECG. The leads connect with cathodes that are put on the skin of your chest with a paste like gel. The metal anodes direct your heart's movement through the wires and into the holter screen. 
  2. You wear a little pocket around your neck that holds the recorder. It is important to keep the monitor near your body during the testing time frame to ensure the readings are precise. 
  3. You will get guidelines that disclose how to deal with your monitor and what not to do while you are wearing it. It is vital to abstain from activities, such as washing, exercising, or running, while you are wearing the screen.
  4. You are urged to take an interest in your typical routine during the holter twenty-four-hour test. You will be coordinated to record your routine in a journal. 
  5. A 24-hour holter test is effortless. Make sure to record any pain, fast pulse, or other cardiovascular symptoms you have during the testing period. Keep the Holter dry to guarantee it works properly. Scrub down or shower before your arrangement to have the screen fitted and do not apply any moisturizers or creams. Stay away from exercises that may lead to the screen getting wet.
  6. Electrical fields may meddle with the capacity of the holter screen. Keep away from zones of high voltage while wearing the screen. 

The results can somewhat be determined as follows: 

  1. After the suggested testing time allotment has passed, you will come back to your specialist's office to have the holter monitor removed. Your specialist will read your movement and examine the aftereffects of the screen. Depending upon the results of the test, you may need to experience additional testing before a conclusion is made.
  2. The holter monitor may uncover underlying disturbances in your heart rate that may go unnoticed and will help your doctor in treatment of the condition. This is an a very informative and useful tests specially if you have irregular heart beats, fast heart beats, unexplained dizziness or fainting.

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

3774 people found this helpful

Irregular Heartbeat - Signs You Are Suffering From It!

MBBS, DM - Cardiology, MD
Cardiologist, Hyderabad
Irregular Heartbeat - Signs You Are Suffering From It!

Atrial fibrillation is a form of irregular heartbeat or arrhythmia, which you may experience due to a problem in the electrical system of the heart. Such a problem causes the upper parts of the heart or the atria to fibrillate. Due to this quivering, the normal rhythm between the lower parts of the heart and the atria gets disrupted. The ventricles are likely to beat faster in an irregular rhythm. This is a severe condition where the blood may get collected in the atria; this could lead to the formation of blood clots. These clots can block the blood flow and lead to a stroke.

Several conditions cause strain and damage to the heart. These include the following:

  1. High blood pressure or hypertension
  2. Heart attack
  3. Valvular diseases
  4. Coronary artery disease
  5. Medical problems like heart failure, lung diseases, high level of thyroid or pneumonia
  6. Heart surgeries
  7. Excess consumption of alcohol

The primary symptoms of atrial fibrillation include the following:

  1. Light-headedness and dizziness
  2. Shortness of breath
  3. Feeling weak and fatigued
  4. Feeling as if the heart is pounding, fluttering or racing (known as palpitations)
  5. Feeling that the beating of the heart is uneven
  6. Chest pain and fainting

In many cases of atrial fibrillation, the symptoms may be absent.

Conducting several tests, physical examinations and an analysis of your health history is the first step towards diagnosing atrial fibrillation. An electrocardiogram (ECG) needs to be carried out for the detection of this condition. This test is performed for checking problems regarding the electrical activity of the heart. Other laboratory tests and an echocardiogram maybe required as well. An echocardiogram helps in observing the pumping function of the heart and to check whether the valves have been damaged.

The treatment options for atrial fibrillation depend on the cause, symptoms and the risks of getting a stroke. Several medicines are used for treatment along with other methods. They are as follows:

  1. Blood thinning medicines for the prevention of a stroke.
  2. Heart rate control medicines which will prevent irregular beating of the heart.
  3. Rhythm control medicines for restoring the heart’s rhythm to normal.
  4. A process known as cardioversion may be used to bring the heartbeat to a normal rhythm. This can be carried out by medicines or an electric shock therapy known as electrical cardioversion.
  5. In case of severe symptoms, ablation may be carried out where the affected areas of the heart are destroyed by the creation of a scar tissue.

For the best diagnosis and treatment of atrial fibrillation, you must consult a doctor as soon as you start experiencing the symptoms of the condition. A doctor will prescribe all that you need for an effective treatment.

4859 people found this helpful

Anger Management - 12 Tips To Help You!

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
Anger Management - 12 Tips To Help You!

Anger is good. It protects you. But intense, uncontrolled anger may destroy valuable relationships. Anger is a result of anxiety and fear. When we assume that our expectations will not be met, we become anxious. When we feel unsure about our own capabilities we become anxious. This anxiety creates fear. Anxiety comes from our beliefs. All beliefs can be modified.

Anger has lots of energy. Avoid arguments/confrontations when you are very angry. When you are very angry you are likely to use rough language which may damage your relations and you are likely to behave impulsively. All this you might regret later on. Following are a few techniques which will help you to manage your anger in difficult situations :

  1. Sit down and have a glass of water, slowly. This will help you to calm down a little.
  2. Avoid or go away from that room or situation. Tell the people concerned, that you are angry and would like to discuss it some other time.
  3. Deep breathing exercises help a lot. Close your eyes, take 10 deep breaths, turn your attention towards your body. See what is happening to your body. Tell your body muscles to relax. If your heart is beating fast, if you are breathing fast, continue deep breathing, till it normalises.
  4. Now understand what is making you angry. Understand your own anxiety and fear related to the issue.
  5. Let the other person know how you are “feeling”. Start your statements, “I feel hurt/insulted/let down/neglected etc. when you do this”, instead of saying “You hurt/neglect me”. When you express your feeling in this manner, the other person does not feel blamed, which makes the other person more receptive.
  6. Focus on the current issue, don’t bring in past situations.
  7. Tell the other person, what you want or expect, instead of telling what you do not want. E.G. Instead of saying “I don’t want you to go out now”, say “I would like you to stay at home today”.
  8. Listen carefully what the other person wants to tell you. Give others a chance to voice their opinions.
  9. Make an eye contact and be firm but polite while communicating your point of view.
  10. Understand everyone’s responsibility in the situation. Try to see, what is your share in the problematic situation? Work on that.
  11. Understand what change you want.
  12. Have realistic expectations from others and also from yourself. 

    If you wish to discuss about any specific problem, you can consult a psychologist.

2881 people found this helpful

Postural Tachycardia Syndrome - All You Need To Know About It?

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
Postural Tachycardia Syndrome - All You Need To Know About It?

Postural Tachycardia Syndrome or POTS, what this condition entails is a sudden and abnormal increase in the heart beat of an individual, causing them difficulty in breathing, dizziness, and even blackouts.
There are some factors that can trigger the situation and stem the sudden rise in the heart beat. Meeting with a medical expert may help bring the situation under control.

What is Postural Tachycardia Syndrome?
Postural Tachycardia Syndrome or POTS is a cardiovascular condition that is caused due to the sudden shift from an upright position to a supine position or vice versa. It is this sudden increase in heartbeat of an individual that is referred to as Tachycardia.

The longer you overlook this condition, the bigger is the trouble you are putting your health in. This is when it becomes extremely important for you to get in touch with a medical expert, who can offer you perfect consultancy, diagnose the causes and also find a result for the same.

What Causes POTS?
According to medical specialists, there are some factors that this condition stems from and it all differs from one person to the other. Some of the most common causes of the condition are-

  1. Joint Hypermobility Syndrome
  2. Faulty Gene
  3. Poisoning
  4. Amyloidosis
  5. Lupus
  6. Diabetes
  7. Sarcoidosis
  8. Siogren’s Syndrome
  9. Cancer

Signs of Postural Tachycardia Syndrome:
There are multiple signs that indicate that an individual is stricken by Postural Tachycardia Syndrome. Some of the more common signs and symptoms include:

  1. Orthostatic Hypotension: Orthostatic Hypotension refers to the sudden increase in the heart beat by at least 30 beats per minute, within or after 10 minutes of rising up from a sitting or lying down position. Though the condition increases the heart rate, it does not trigger any drop or rise in blood pressure. Certain medications used to diminish this effect often extend some side effects, such as lightheadedness, palpitation, difficulty to breath, discomfort in the chest, weakness, heaviness in the chest area, nausea, cognitive difficulties and also stain on the vision.
  2. Effects in Response to Postural Change: Almost one-third of the people with Postural Tachycardia Syndrome are noticed to faint as a result of the increased heartbeat, almost 40 beats minutes, instead of the chance in postural position. Other symptoms under this head include a headache, migraine, disturbance in sleep, fatigue, acrocyanosis or blood pooling in feet, etc.
  3. Ehlers- Danlos Syndrome (EDS): Sometimes POTS is found to coexist in an individual with other conditions, such as EDS. This condition makes an individual prone to dislocation of bones, greater laxity in skin, loose- clicking joints, chronic fatigue, reduced level of tolerance towards any exercise, etc. According to medical specialists, though these are common symptoms of POTS, there might also be other signs. These signs and symptoms differ from one person to the other.

When Should You Consult a Doctor?
The moment you experience a POTS attack or for that matter notice some of the symptoms of the condition, it is time for you to consult a medical expert. The doctor will give you valued consultation, as well as diagnose the condition properly, thus finding the best treatment and suitable medication for you.

1958 people found this helpful

Popular Questions & Answers

Hi I am 62 years old female. I recently just like that checked my BP and it was 200/100. I have not been taking tablets for BP. But now I have been advised to take Telma 40 mg. Still my BP in the morning is very high. But after taking the tablets stabilises. Once in a way I have been having mild palpitations. I recently joined a gym and now I have put that on hold. What blood reports you suggest that I should take?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Cardiology, Interventional Fellow- Interventional Cardiology
Cardiologist, Hyderabad
You need to get a comprehensive evaluation done. Most of the hospitals have packages for heart check up that also includes blood tests for kidneys, cholesterol, ECG, Echo, eye examination etc. Also, seek a professional opinion who can guide you further. Major exertion is not advisable since your blood pressure is very high. Take care.
5 people found this helpful

Hello Doctor, my age is 39 and I suffer from irregular palpitations. When it happens I become depress and feel that something wrong is going to happen. Please help me out.

MBBS, MD Psychiatry, ECFMG (USA), DPM
Psychiatrist, Delhi
Some extrasystoles or irregular beats are normal variant. Pl consult a cardiologist to rule out any anomaly. If all reports are normal then you should focus on positive things in life. Start a new hobby and exercise regularly.
1 person found this helpful

I am suffering from palpitations from last few months. My heartbeat stay around 90-100 Sometime more. I feel fine when I go to sleep at night. I am suffering from severe gas problem also. Now taking homeopathy medicine and feel little better. I have chest pain also. Breathing is fine. I have joined gym to loose weight also. Please suggest.

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
Start eating well, if you take a very restricted diet as is fashionable now, these problems start. I suggest you discuss your diet on phone with me, you will become better and lose weight as well.

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
Know More About Thyroid Disorders

This is Dr. Pradnya Mulay. I am a homeopath. I practice at Kharghar Navi Mumbai.

Today I am going to talk about thyroid disorders and its homeopathic management. Thyroid is one of the most important organs I the body. It is an endocrine gland. It is placed in front of the neck below Adams apple. This gland regulates various metabolic processes, metabolic rate, blood sugar level, blood calcium level, growth rate. Its mechanism is regulated by a feedback mechanism. Pituitary gland and hypothalamus gland in brain control the thyroid gland. So disorder of these two can also cause the disorders of thyroid gland. Hypothyroidism, this is a condition where there is insufficient production of thyroid hormones because of this patient experiences fatigue, mentally being foggy, concertation difficult, muscular and joint pain, fluid retention, constipation, dry skin various menstrual disorders and a prominent symptom being wright gain. Hyperthyroidism thyroids is excessive production of thyroid hormones because of which there is an increase in metabolic rate. Patient complains of tremors, fatigue, and palpitations that is fast heartbeat, nervousness, increased bowel movements, sweating, poor concentration and the standout symptom being un-intentional weight loss. We diagnose thyroid function disorders with thyroid function test. In some cases sonography and epilepsy is advised if the swelling is present. In most of the cases thyroid can be well managed with the medicine and not a life threatening disease but some may need surgery. Homeopathy aims to deal with the root cause of the disease. It stimulates the natural capabilities of the body. Some common medicine are Fucus Vesiculosus, it stimulates the production of thyroid hormones there by controls the metabolic rate. Lycopus, in case hyperthyroidism this remedy never fails. Calcarea Carb this remedy suited for the case of hypothyroidism where patient complains of constipation along with sweating on head. Sepia if she is weak, pale, yellow faced, she is chilly in warm room, and she has so many menstrual complains, menses too early to profuse. Lycopodia, for hypothyroidism and hyperthyroidism with gastric bubbles, yellow face, blue rings around the eyes, patient often is irritable. Graphites, super for the patients of hypothyroidism with constipation, patient is sad, timid, and weepy. These are some indications of homeopathy for thyroid disorder.

For any query or treatment contact me on Lybrate on in my clinic. Thank you.
Play video
How Does Thyroid Disease Affect Your Body?
I m Dr. C.M.Batra. I m consultant senior consultant endocrinologist at Indraprastha Apollo Hospital New Delhi.

I will be talking to you today about thyroid disorders. What is thyroid disorders? The thyroid gland is in the center of the neck. It is a middle line structure and it is over line the windpipe or the trachea, on the esophagus i.e. the food pipe. And its function is to produce hormones i.e. T3 and T4. And due to this whore production of hormones or underproduction of hormones i.e. the hormones being less or hormones being more, they are disorders.

The thyroid gland itself can become a large without any hormonal disorder and thus produce problems also. So let me talk to you first about disorders caused by enlargement of thyroid gland itself. The thyroid gland can become very big and compress the windpipe i.e. the trachea and the food pipe i.e. the esophagus and thereby it causing problems. The problems will be shortness of breath, difficulty in eating and this will be increased at night, because when the patient lies down it increases.

And the treatment is very simple just you have to remove the thyroid gland which is obstructing or which is causing the problems. The thyroid gland can function more than it should be or less than it should. And if it adds its function more it is called thyrotoxicosis i.e. it produces more hormone than it should. In that case the person will have weight loss, will feel very uncomfortable, will have palpitation, will have tremors, will be having bulging eyes, might have a thyroid gland enlargement which we called Goitre.

This will how do you diagnose a person with thyrotoxicosis or having excess of thyroid hormone, simple blood test is a trick. The blood test is named free T3 T4 and TSH. And the thyroid scan and radioactive iodine uptake is another test. If you have these two tests you can make the diagnosis of the thyrotoxicosis. Once you made the diagnosis what you do? You start treating it with tablets, they are called neomercazole or methimazole and the other options available are radioiodine and you can even operate the enlarged thyroid and get rid of the excess thyroid hormones.

In person thyroid gland functions less is called hypothyroidism in which the person becomes slow sluggish easily fatigue exhausted, has slow pulse rate, skin becomes dry, the thyroid gland can become enlarge i.e. the goiter can happen and how do you make a diagnosis? A simple blood test T3 will be or T4 will be low TSH will be high. The treatment is simple i.e. the thyroxin tablet can be given and that within three to four weeks the patient becomes alright. But these tablets have to continue throughout life in most cases.

The next disorder of thyroid is thyroiditis in which it is a simple inflammation or swelling of the thyroid gland that causes pain in the thyroid region or the neck region that can cause thyrotoxicosis or excess of thyroid hormone or decreased in thyroid hormones called hypothyroidism and the treatment is usually simple. You don t have to do anything except just give analgesics and some drugs and mostly the thyroid disease disappear itself. If you are having problems of this type with the thyroid gland you are most welcome to visit me at Indraprastha Apollo Hospital or my clinic, Sarita Vihar.
Play video
Coronary Artery Disease
Here are Causes, Symptoms, Tests and Precautions of Coronary Artery Disease.

A big Hi to all the viewers. I am Dr. Hardik Thakkar an MB physician practicing in Mumbai. I would like to take this opportunity to talk to you about coronary artery disease.

As the word suggests coronary artery disease is a lifestyle disorder which affects the blood vessels of the heart. What happens in you is there are these cholesterol throbey blocks as we call them in layman s term which deposit in the arteries and then they cause blockage to your micro circulation in the heart. So because of this what happens is the patient complains of pain in the chest, breathlessness, leg swelling, and sometimes even palpitations and a lot of diabetic patients may just get asymptomatic MIs which is these blocks will be there but they may not have any symptoms as I mentioned before.

Now this disease is dreadful because a lot of times these episodes come suddenly in the middle of the night and you may not have enough time to respond and a lot of these patients if they have a very significant amount of block like more than 90 or may be a 100 percent block. They may even die within hours of reaching the hospital. This is the gravity of the situation and hence one has to act very very fast if it all you get a chest pain.

But to begin with since we are talking about lifestyle modification we want to know what is in the lifestyle which leads to the coronary artery disease. As we all know a lot of people from the urban areas who are having sedentary who are not eating right. They are not sleeping right and they are not even working out so all this puts a huge oxidant stress and the wrong diet along with high fi diet which leads to cholesterol deposition and the plagues in the coronary arteries. So what should be done? I mean we need to start at a young age because it is not as we have to wait till 40 and start acting because this plague starts developing as early as 15 years of age. To begin with to prevent the coronary artery disease you have to start early, eat healthy right from your young age. Workout regularly and have an active lifestyle and avoid smoking and alcohol. Smoking is one of the major confounding factors which predisposes to lot of damage to endothelium of your arteries.

So leading a good lifestyle right from the beginning is very very important to you know take care of your coronary artery disease and diabetics as a matter of fact are at a very high risk of having coronary artery disease as compared to the general population. And I would also recommend the public I mean the regular people at least above 40 years to have a stresses done at least once a year along with your lipid profile sugar. This is just to make sure you are on a right track and you are not missing a coronary artery disease. I would like to talk a little bit in brief on this stress test which is you know a test which used to diagnose Angina.

So what we do we make a patient run on treadmill for ten minutes and we record ECGs of all the ten minutes along with the BP changes and if it all if a person has a hidden heart disease not reflected on his symptoms we pick it up and this is followed by the angiography. Once the angiography is done depending on the amount if blocks that are found we treat the patient either medically or with stents or by bypass. This is dictated by the number of arteries the location of plague and the extent of the block. So that s about it for coronary artery disease at the moment.

If you wish to have more private consultation with me you can reach me through my website which is or also through the lybrate website which is Thank you very much for your time.
Play video
Anxiety Disorders
Here are Types, Causes, Symptoms, Treatment of Anxiety Disorders

Hello, everyone, I am Dr. Sudeshna Biswas senior consultant neuron-psychiatrist attached with Fortis C-DOC Hospital Nehru place and have my own clinic at CR Park. Today we are going to discuss a very common issue Anxiety. Now the moment we hear the word anxiety many questions come to our mind. What is anxiety? How do we know that we are suffering any kind of anxiety disorder? And how do we know that we have to seek any professional help? Does any age group or any sex acceptable to this disorder? So, so many questions come to our mind? So let s try to find out the answers of these questions?

So now let s begin with what is anxiety? Anxiety is nothing but Anxiousness in a stressful situation. Now when anxiety becomes overwhelming or starts interfering day to day life that is what anxiety disorder is. So let s just try to find out what are the symptoms of anxiety disorders so you can detect the symptoms of anxiety disorder of it is there with you at the earliest.

Now there are two groups of anxiety disorders. The first group, we call it emotional symptoms, the second group is a physical symptom. Now emotional symptom could be in the form of apprehension, restlessness, reduction in the concentration, difficulty in retaining things in your mind that are memory loss. Physical symptoms could be in the form of increased heart rate or a feeling of palpitation, shortness of breath or a stomach upset, numbness in hands and legs, pains in hand and legs, headache, shivering, tremor and some more.
After knowing the symptoms of anxiety disorder let s talk about what are the types of anxiety disorders?

Now there are many types of anxiety disorders. I would try to brief few of them. One could be a generalized anxiety disorder. In this generalized anxiety disorder, people have various reasons to feel anxious throughout the day, many thought keeps on coming into their minds of a different variety. Usually, when these symptoms are lasting for at least six months of duration people are considered to be suffering from generalized anxiety disorder.
There is one more disorder we call obsessive compulsive disorder. In this disorder, people might have frequent washing or checking habits. Once single thoughts which is not acceptable to them coming to their mind again and again. Now again if these thoughts are there for two weeks duration they might be suffering from an obsessive compulsive disorder.
Some other disorders are there like we call it phobia is nothing but a fear of a particular substance. It could be in the form of fear of heights, fear of crowded spaces, examination phobia which is very common among the children.
Similar kind of other disorders includes social anxiety disorder. In this people have an anxiety of social situations. People become scared that other people are looking at them, probably criticizing them. They have a problem of public speaking etc. So this is one we call it social anxiety disorder.
Now few others are post-traumatic stress disorder. In this disorder people might have the anxiety symptoms after a big stress in their life, could be Tsunami for example.
Another type is called panic disorder. In this all the symptoms which are mentioned in physical symptoms, they usually happen for a short duration and people have the feeling that they are going to die the next moment.
So these are all, in short, the different types of anxiety disorder. We would just come straight away towards the treatment.

Treatment could be medicinal or therapeutic. There is various type of medicines available for such kind of disorder. Therapies are there like relaxation therapies, cognitive behavioral therapies and behavioral therapy and many others. So my request to all the viewers would be that please detect your problem at the earliest and seek the help of your near professional because this is a problem that definitely has a solution.

So now to end up if you need my help you can directly come to me by taking the appointment or you can use the app which is Lybrate which is a very good app in your mobile or you can just contact me through lybrate and seek up the appointment. Thank you very much. Stay well.

Having issues? Consult a doctor for medical advice