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Overview

Pulmonary Hypertension: Treatment, Procedure, Cost and Side Effects

How is the treatment done?

Pulmonary Hypertension is a kind of high blood pressure which affects the functioning of the arteries in your lungs along with the right side of your heart. In a certain kind of pulmonary hypertension, pulmonary arterioles and capillaries get narrowed down, blocked or destroyed completely which makes it extremely difficult for blood to flow through your lungs. Simultaneously, this raises pressure within your lungs’ arteries and causes the pressure to build in the right ventricle. The pressure build compels the blood to pump harder through the lungs resulting in the heart muscle to weaken which can eventually lead to heart fail as well

Pulmonary Hypertension is extremely dangerous. However, treatment at the right time can help you lead a healthier and better life with the disease. Doctors are often not able to find the reason for high blood pressure in the lungs. Sometimes, genes also play a role in inheriting this disease. In case you are affected with diseases like emphysema, a heart defect which you were born with, sleep apnea, HIV, autoimmune diseases, drug use, congestive heart failure or blood clots in the lung, then you are more prone to having the disease.

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

Pulmonary Hypertension varies from person to person, therefore, the treatment for every individual can be different. Firstly, the cause of the disease is identified by the doctor and then the cause is treated to cure Pulmonary Hypertension. Oxygen therapy is suggested to improve breathing problems. Blood thinners are recommended to people who have blood clotting issues. Other medications are also used to improve the working of the heart and to keep the fluids from building in the body.

Calcium channel blockers are suggested by doctors in case of severe pulmonary hypertension. These medicines help in lowering the blood pressure in the lungs and help rest the body. In extremely severe cases when the medications do not suffice, doctors recommend the patients to opt for a lung transplant or a procedure called atrial septostomy. However, this surgery can cause severe side effects as well.

Who is not eligible for the treatment?

Individuals who are already affected by diseases like HIV, sleep apnea, clotting of blood among others are suggested to get tested and treated for pulmonary hypertension. Other symptoms like chest pain, fatigue, swelling of ankles and legs and passing out should not be ignored by individuals with threat of pulmonary hypertension disease.

Are there any side effects?

Pulmonary hypertension is an extremely dangerous disease therefore, without a proper checkup and diagnoses, one should not get the treatment. A medical practitioner should be approached before taking any serious step.

What are the post-treatment guidelines?

Certain medications can have severe side effects. For an instance, Epoprostenol needs continuous infusion into the heart and this needs the catheter to be surgically implanted to the chest. Patients have to wear a pump around the waist to ensure the delivery of the drug to the catheter. Epoprostenol has some severe side effects like pump malfunction, blood clotting, and catheter infections. The side effects of the drug induce can be diarrhea, joint pains and rashes. Sudden weight gain, irregular heartbeats, blurred vision or fainting, swelling of the arms, ankles and legs are few of the side effects to various other medications. The process of atrial septostomy can cause complications like tearing of the cardiac tissue, arrhythmias and in rare cases, it can be fatal as well.

How long does it take to recover?

Patients need to be very careful about their post treatment choices as the disease cannot be cured. Therefore, individuals need to be extremely mindful about following a healthy diet and giving up on the habit of smoking. Keeping your body engaged by doing physical activities on a regular basis is mandatory for individuals affected by pulmonary hypertension.

What is the price of the treatment in India?

Pulmonary Hypertension is an incurable disease. The disease keeps progressing throughout the patient’s life. However, with proper medications and treatments, patients can still live a healthy life and slower the progression of the disease.

What are the alternatives to the treatment?

Since pulmonary hypertension cannot be cured completely, patients need to be very careful about being regular with their medications and their timely visits to the doctor. The medications and treatment given can help individuals lead a longer and healthier life.

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

Popular Health Tips

Congenital Heart Disease - Signs Your Kid is Suffering from It!

MBBS, DM - Cardiology, MD
Cardiologist, Hyderabad
Congenital Heart Disease - Signs Your Kid is Suffering from It!

Most families refer to their newborn baby as their 'bundle of joy'. The news of a child being born brings immense joy to the entire family. However, due to various reasons, a child could be born with some medical abnormalities, which would be known as congenital abnormalities. There are several different types of heart defects that can be congenital. These usually manifest themselves either immediately after birth or in the early years of life. In some cases, the abnormality could be detected on prenatal ultrasounds. In others, it may not be and the family could be caught off guard about the condition. This causes a lot of stress, both for the child, who does not receive regular postnatal care and for the parents immediately after the delivery process.

If the baby has the following symptoms within the first few hours of life, there could be a serious underlying condition, which requires medical attention. The presence and severity of the symptoms would depend on the actual abnormality.

  1. The skin is pale gray or blue in color due to excessive venous flow in the system
  2. Excessive sweating
  3. The child is exerting to breathe regularly
  4. Rapid breathing causes added load on the heart accompanied by a grunting noise
  5. Flared nostrils i.e. the baby attempts to take in more oxygen with each breath causes flared nostrils
  6. Swollen legs, eyes, and abdomen: Fluid retention in the legs and abdomen is quite common, and this could be characteristic of newborns with congenital heart disease
  7. Shortness of breath, even during feeding
  8. Clubbed fingernails
  9. Lethargy and low energy, even with feeding, therefore very poor feeding pattern
  10. Chest pain, which may cause the newborn to cry incessantly
  11. Low weight gain, as they feed less

In some children, symptoms manifest only during the teenage years or early adulthood. These conditions are not very severe and the symptoms include:

  1. Swelling of the hands, feet, and ankles due to fluid accumulation
  2. Lowered energy levels, leading to easy fatigue
  3. Shortness of breath with even minimal physical activity
  4. Inability to exercise
  5. Developmental delays and changes in growth milestones
  6. Recurrent respiratory tract infections including sinus infections, bronchitis, and pneumonia
  7. Endocarditis
  8. Pulmonary hypertension
  9. Heart failure, where the heart is not able to effectively function and pump blood to all parts of the body.

Some or more of these symptoms should trigger a warning to get the child tested for congenital heart disease. While some would just require a monitoring until severe symptoms develop, severe conditions like holes, abnormal valves, narrowed arteries, and blood vessel abnormalities might require immediate intervention. If you wish to discuss about any specific problem, you can consult a cardiologist.

3325 people found this helpful

Pulmonary Hypertension: How to Treat It?

MD - Pulmonary, DTCD
Pulmonologist, Faridabad
Pulmonary Hypertension: How to Treat It?

Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.

There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.

Common Treatments for pulmonary hypertension:

Medications:

  1. Blood vessel dilators (vasodilators): Vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (Flolan, Veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (IV) catheter via a small pump that you wear in a pack on your belt or shoulder.
  2. Ventavis: Another form of the drug, iloprost (Ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.
  3. Treprostinil (Tyvaso, Remodulin, Orenitram): It is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.
  4. Endothelin receptor antagonists: These medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.
  5. Sildenafil and tadalafil: Sildenafil (Revatio, Viagra) and tadalafil (Cialis, Adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.
  6. High-dose calcium channel blockers: These drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (Norvasc), diltiazem (Cardizem, Tiazac, others) and nifedipine (Procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.
  7. Soluble guanylate cyclase (SGC) stimulator: Soluble guanylate cyclase (SGC) stimulators (Adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.
  8. Anticoagulants: Your doctor is likely to prescribe the anticoagulant warfarin (Coumadin, Jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.
  9. Digoxin: Digoxin (Lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.
  10. Diuretics: Commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.
  11. Oxygen: Your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.

Surgeries:

  1. Atrial Septostomy: If medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.
  2. Lung Transplantation: In some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.

Reducing Complications:

  1. The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail
  2. Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying.
8727 people found this helpful

Pulmonary Hypertension - How To Treat It?

Internal Medicine Specialist, Delhi
Pulmonary Hypertension - How To Treat It?

Pulmonary hypertension is a medical condition that arises when the blood pressure remains consistently high in the vessels of the lungs. This condition can develop from a completely unrelated medical condition and is more prevalent among women. 

Pulmonary Hypertension can be a hard disease to diagnose. While it has no permanent cure, the medication depends on how far the disease has advanced. From group 1 PAH to group 5 PAH, pulmonary hypertension has 5 stages of advancement. 

Here is a list of 10 ways by which this disease can be kept under control along with the prescribed medication:

  1. Quit smoking: Smoking aggravates pulmonary hypertension. It has adverse effects on both the heart and the lung. It is therefore of utmost importance to quit smoking. If you fail to control your urge of smoking, contact your doctor who can suggest a quitting plan.
  2. Avoid high altitude: Patients suffering from pulmonary hypertension should avoid flying and living at high altitude. An altitude of 8000 feet and above can worsen the symptoms. It is therefore suggested that you do not take flights for travelling or come down below the altitude of 2428 meters if you are living in hilly areas.
  3. A healthy diet: A healthy diet consisting of fresh fruit and vegetables, lean meat and whole grains should be consumed on a daily basis. A nutritious diet goes a long way in keeping pulmonary hypertension in check.
  4. Adequate rest: A minimum of 8 hours of sleep is recommended for patients suffering from pulmonary hypertension. A good night’s sleep and frequent naps keeps fatigue at bay. 
  5. Pregnancy and birth control pills: Avoiding pregnancy is a must for patients suffering from this disease. Pregnancy can be life threatening for the both the baby and the mother. Birth control pills should be avoided as well. It greatly increases the chance of blood clots. 
  6. Maintain a steady blood pressure: Any activities that lower the blood pressure should be avoided by all means. Spending too much time in a bathtub or prolonged stress increases the chances fainting.
  7. Become more active: Patients of pulmonary hypertension often run out of breath with little to no activity. While activities such as weight lifting should be strictly avoided, some exercise or daily jogging can fetch good result in keeping a patient healthy.
  8. Get vaccine on time: Doctors often suggest vaccines if the patient suffers from pneumonia or influenza. It should be ensured that such vaccines are taken on time. For patients suffering from pulmonary hypertension, prolonged exposure to diseases such as pneumonia can wreak havoc.
  9. Regular checkup: Regular follow up with the doctor is of prime importance. Any possible side effects or deterioration can be arrested with constant supervision.
  10. On time medication: Patients of pulmonary hypertension should ensure that all the medicines suggested by the doctor are taken at regular intervals as per prescribed dosage.

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

5324 people found this helpful

How Is Pulmonary Hypertension Treated?

MD - Internal Medicine, MBBS
Internal Medicine Specialist, Mumbai
How Is Pulmonary Hypertension Treated?

Pulmonary hypertension is a medical condition that arises when the blood pressure remains consistently high in the vessels of the lungs. This condition can develop from a completely unrelated medical condition and is more prevalent among women. 

Pulmonary Hypertension can be a hard disease to diagnose. While it has no permanent cure, the medication depends on how far the disease has advanced. From group 1 PAH to group 5 PAH, pulmonary hypertension has 5 stages of advancement. 

Here is a list of 10 ways by which this disease can be kept under control along with the prescribed medication:

  1. Quit smoking: Smoking aggravates pulmonary hypertension. It has adverse effects on both the heart and the lung. It is therefore of utmost importance to quit smoking. If you fail to control your urge of smoking, contact your doctor who can suggest a quitting plan.
  2. Avoid high altitude: Patients suffering from pulmonary hypertension should avoid flying and living at high altitude. An altitude of 8000 feet and above can worsen the symptoms. It is therefore suggested that you do not take flights for travelling or come down below the altitude of 2428 meters if you are living in hilly areas.
  3. A healthy diet: A healthy diet consisting of fresh fruit and vegetables, lean meat and whole grains should be consumed on a daily basis. A nutritious diet goes a long way in keeping pulmonary hypertension in check.
  4. Adequate rest: A minimum of 8 hours of sleep is recommended for patients suffering from pulmonary hypertension. A good night’s sleep and frequent naps keeps fatigue at bay. 
  5. Pregnancy and birth control pills: Avoiding pregnancy is a must for patients suffering from this disease. Pregnancy can be life threatening for the both the baby and the mother. Birth control pills should be avoided as well. It greatly increases the chance of blood clots. 
  6. Maintain a steady blood pressure: Any activities that lower the blood pressure should be avoided by all means. Spending too much time in a bathtub or prolonged stress increases the chances fainting.
  7. Become more active: Patients of pulmonary hypertension often run out of breath with little to no activity. While activities such as weight lifting should be strictly avoided, some exercise or daily jogging can fetch good result in keeping a patient healthy.
  8. Get vaccine on time: Doctors often suggest vaccines if the patient suffers from pneumonia or influenza. It should be ensured that such vaccines are taken on time. For patients suffering from pulmonary hypertension, prolonged exposure to diseases such as pneumonia can wreak havoc.
  9. Regular checkup: Regular follow up with the doctor is of prime importance. Any possible side effects or deterioration can be arrested with constant supervision.
  10. On time medication: Patients of pulmonary hypertension should ensure that all the medicines suggested by the doctor are taken at regular intervals as per prescribed dosage.

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

6341 people found this helpful

Pulmonary Hypertension - What Type Of Treatment Is Given?

MD , MBBS
Pulmonologist, Delhi
Pulmonary Hypertension - What Type Of Treatment Is Given?

Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.

There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.

Common Treatments for pulmonary hypertension:

Medications:

  1. Blood vessel dilators (vasodilators): Vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (Flolan, Veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (IV) catheter via a small pump that you wear in a pack on your belt or shoulder.
  2. Ventavis: Another form of the drug, iloprost (Ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.
  3. Treprostinil (Tyvaso, Remodulin, Orenitram): It is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.
  4. Endothelin receptor antagonists: These medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.
  5. Sildenafil and tadalafil: Sildenafil (Revatio, Viagra) and tadalafil (Cialis, Adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.
  6. High-dose calcium channel blockers: These drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (Norvasc), diltiazem (Cardizem, Tiazac, others) and nifedipine (Procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.
  7. Soluble guanylate cyclase (SGC) stimulator: Soluble guanylate cyclase (SGC) stimulators (Adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.
  8. Anticoagulants: Your doctor is likely to prescribe the anticoagulant warfarin (Coumadin, Jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.
  9. Digoxin: Digoxin (Lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.
  10. Diuretics: Commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.
  11. Oxygen: Your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.

Surgeries:

  1. Atrial Septostomy: If medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.
  2. Lung Transplantation: In some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.

Reducing Complications:

  1. The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail
  2. Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying. If you wish to discuss about any specific problem, you can consult a Pulmonologist.
2500 people found this helpful

Popular Questions & Answers

On 10 sep 2015 2d echo done it shows mild pulmonary hypertension estimated rvsp 44mmhg. On 6/7/2016 2d echo again done pa pressure 36mmhg my question is how many years a person with mild pulmonary hypertension can live. In how many years mild pulmonary hypertension become serve hypertension. If serve pulmonary hypertension present then how many years person can live is treatment is available for serve pulmonary hypertension please give advice.

MBBS, DMRD, MD - Radio Diagnosis, FIIM(Ayurved), D.SC, Post Doctoral Fellowship of Institute of Indian Medicine, Ph.D
Non-Invasive Conservative Cardiac Care Specialist, Ahmednagar
Dear Stop smoking Improve lung health by pranayam and exercise. This will help in long run. Take natural immunity boosters like cap Reimmugen. Vm.

Table of Content

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?
What are the alternatives to the treatment?
Play video
Pulmonary Physiotherapy
Hello everybody!

I am Dr. Ankita Grover, Cardio-Pulmonary Physiotherapist at Xcell Physiocare Pvt. Ltd. These days as you all know that the pollution levels are rising in India and especially when we talk about Delhi NCR, the situation is even worse. There are many respiratory problems that are associated with pollution and which is causing problems to the patients such as COPD, asthma, emphysema, pneumonia etc. All these are the problem very common that you will be able to find around your surroundings. This is not only creating diseases but it is also causing patients to frequently go to the hospital. And hospital admission rates have gone up, their medication usage has gone up which is creating internal side effects for them.

So, what we at Xcell have come up with is state of the art physio or pulmonary-physio specialised labs that we have set up here and it is properly dedicated to lung rehabilitation in India. It is first of its kind in Delhi NCR and it is properly dedicated to all the lung issues that you are facing. Now coming over to what we do at Xcell Physiocare. Our first start of the treatment before the treatment is the patient screening part and the assessment part that whenever the patient comes to us we access him thoroughly through the screening test and through our specialised scales that we use. We focus on proper assessment of the patient then after the assessment is done we chart some goals for the patient.

We frame some targets for him to achieve so that symptoms are reduced and his problems related to lung issues instead of getting worse, they lower down. After framing the goals for the patient, we start a customised treatment plan and that plan is according to the patients situation. It's like ABC, A part is your assessment, B is your goal formation and C is your customised treatment plan. Now coming to our treatment plan we are having certain specialised part of pulmonary and lung rehabilitation at our setup. Firstly we focus on airway clearance techniques. Now airways clearance techniques is something which is something very important for any patient who is having a lung issue. Their airways are blocked may be due to any kind of situation, be it asthama, maybe it is Bronchitis. So our motto is to clear their airways and for that we are having specialised devices in our setup and through them, we help in getting clearance techniques.

Secondly we have focus on breathing exercises of the patient which is very important because many of the patient that come up to a centre are either complaining of shortness of breath which we call Dyspnea in medical terms and they are not able to breathe properly or even if they are breathing the breath is very shallow. We focus on training their breathing and make them do breathing exercises. Now breathing exercises and not just the exercises that we do teaching them manually but we also have devices here which specially train the respiratory muscles of the patients. You all have heard about muscle training through equipments, the body muscle training through various equipments for exercises but when it comes to respiratory muscle training I think India is far behind compared to the western countries.

We have dedicatedly planned an inspiratory muscle training program also for the patients so that we can increase their inspiratory and expiratory muscle strength which is very important for their lung rehabilitation program. Coming over the third aspect that we deal is their overall increased energy levels and that will come through their increased strength, their increase stamina or endurance and this is done through our gym section which we have at our set up at Xcell Physiocare. We also train the patients through specialised equipment that we have had for strength and conditioning as well as for endurance. This is all how our Xcell Physiocare pulmonary setup is. I have just given you an introduction about it and I would like you all to come and visit us and also I would like to you to know that on your first visit we have a special free consultation offer going for you for this month. So please do make a visit and let us know about your experience.

Thank You!
Play video
Know More About Hypertension
Briefing on Hypertension and its treatment

I'm Dr. R.K Joshi from Siddharth Clinic, Palam Bihar Gurgaon. Mai aaj aap ko hyper tension k baare me kuch batauga, ki hypertension hota kya hai aur hota kyu hai aur iske causes kya hai aur treatment kya ho sakti hai. Hypertension, kyuki ye tension hota hai jo aap ki arteries jo humareblood vessels hai unka tension hota hai, unke lateral wall spe padhta hai jis ki wajah se humko hypertension hota hai. Aur jaisa ap sab log jante hai ki ye blood humare saare sharir me daudta hai islye har organ pe ye apna bad effects chod k jaata hai jaise ki aap ka liver, kidney, heart, brain sab jagah pe iske bad effects dekhe ja sakte hai aur etina mein bhi iska effect aata hai, eye mein parde k upar. To islye isko treat karna, iske baare me janna bohot zaruri hai, to ye humare lifestyle k thode se changes se jo hai thik ho sakta hai.

Medication part bhi isme hai lekin vo bohot baad mein aata hai. Lekin iska jo hai jise cardaic arrest kehte hai jisme aapka cardiac muscles kaam karna band ho jaata hai jis ki wajah se aap ka immediate death ho jaata hai. To kyu ki heart humare paas ek hi hai isliye humein usko bohot sanjo k rakhna padhta hai aur humare jo 4 chambered heart hota hai, jisme ki 2 deoxigenated aur 2 mein oxigenated blood hota hai. To isliye ye pumping station hai aur isiliye iska bohot khyaal rakhna padhta hai. Aur aap apne diet me jaise ki aap unsaturated fats le sakte hai, saturated fats mat lijiye, aur aap junk food pe zyada depend mat hoiye.

Aur dusri baat aap sodium ka intake kam kar sakte hai jo ki humare common white salt mein bohot hota hai kyuki sodium chloride hai vo. To unko aap kam kar sakte hai jaise jinko Hypertension hai unko to thoda kam lena chahiye aur jinko nahi hai, jo swasth hai abhi unko bhi one teaspoon se zyada per dy consume nahi karna chahiye, aur oily chizo se bachna chahiye, potassium ka intake zyada hona chahiye kyuki potassium isko level karta hai, kam karta hai. Jaise potassium k liye aap kela apne diet me shamil kar sakte hai, kela, amrud mein thoda potassium mil jaata hai aap ko to iske wajah se aap isse bach sakte hai aur aap isko thik kar sakte hai, level me la sakte hai. Aur agar koi young hai to uske liye 140-190 tak bhi chal jaata hai, uske niche hona chahiye to accha hai.

Lekin jaise aap ki age badhti hai to upper limit 150-260 bhi ja sakta hai, lekin contrl karna chahiye taki vo niche hi rahe 140 k to zyada better hota hai. 70-90 aap ka niche ka jisko hum distolic kehte hai aur 140-150 upper limit hai jisko hum systolic bolte hai, systolic blood pressure kehte hai. To aap agar ye rakhege to aap k liye accha hoga aur iska treatment part mein homeopathy mein khas taur se humlog ka disease diagnosis nahi hota hai, symptomatic treatment hota hai jisko ki hmare clinic pe agar aap aate hai to aap ko homeopathic doctor sahi guide kar sakte hai ki kya treatment aap ko chahiye.

Agar aap ko aur kuch bhi jankari chahiye ho to aap mere se sampark kar sakte hai through Lybrate aur mujhe khushi hogi ki mai aap ke shankaon ka samadhan kar sakun. Dhanyawad.
Play video
Know More About Hypertension
My name is Dr Anil Kumar Mehta. I am a consultant physician attached to Akash Hospital. Today's topic of discussion is Hypertension and its main complications.

Hypertension is a high blood pressure which can reach to many complications mainly in old age people. mainly in diabetics, kidney disorders and other heart-related issues. Having diabetes leads to high blood pressure problems and other heart and circulation problem also. Hypertension mainly causes damage to arteries, small capillary vessels all over the body, heart, kidney, eyes, it can affect all the major organs which can ultimately lead to heart failure, heart attack and also kidney failure.

Basically, people have four complications-

Strokes in the central nervous system.
Peripheral vascular disease, hardening of arteries legs and the feet
Heart failure
Colinary arteries
The normal BP in our body is 120-80. It can change with the lifestyle, activities which are involved in our day to day life.

The symptoms of Hypertension- Headache, numbness, body urea. Whenever hyper pressure affects eyes, it diminishes the vision, gastritis, liver problem etc.

How blood pressure is being treated?

There are various medicines available in the market such as angiotensins, blockers, angiotensin receptor blockers and other central nervous action drugs. It can reach up to the certain point of cure of hypertension. The 100% cure is not possible, you can only manage hypertension.

Rest hypertension can only be treated by changing the lifestyle. For example- maintain your sugar level, stop smoking, eat healthy balanced diet, limit the consumption of alcohol, maintain the body weight, exercise regularly. And consult the doctor regularly for the regular check up.

This is a brief information I shared with you regarding Hypertension.

For more information or consultation, you can contact me through Lybrate.

Thank you.







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Hypertension
Hello friends, me Dr Sumit Dhawan hun aur me ek homoeopathic doctor hun. I practice in Delhi. Aaj hum discuss karenge Hypertension. Bohot log is problem se suffer kar rahe hai, yeh ek aisi beemari hai jo aaj kal young age log bhi suffer kar rahe hai. Aaj hum apko uske liye tips bhi denge aur conventionally jo purane allopathic doctors hain aur modern doctors hai, wo kya treatment de rahe hai aur hum usme apki kese help kar sakte hai being a homoeopathic doctor.

Aaj me sabse pehle apko yeh bata batana chahunga ki BP koi beemari nahi hai, BP bas ek androoni underlined cause hai uska jisse BP high hojata hai kisi ka. Iske symptoms kuch is tarah ke hote ha ki,

Tiredness
Ankho me blured vision
Nose bleeding
Chakkar ana
Aise lakshan hote hai iske.

Blood pressure do tareeke ka hota hai. Ek to normal hota hai jisme patient ko pata bhi nahi chalta hai. Islie me recommend karunga ki aap jab bhi doctors ke paas jae to ek bar apne BP zarur check karwae. Agar blood pressure high ata hai to usko theek kare. Use theek karne ke liye modern medicine me uska koi treatmnet nahi hai. Ye bas managable hai. Jese high BP ko low karne ki dawai hai lekin BP kyu badh raha hai, uski koi dawai nahi hai. Saalo tak log BP ki dawaiya lete rehte hai aur zada saalo tak dawaiya khane se baaki organs pe bhi effect aane lag jata hai jise hum Malignant Hypertenion bolte hai. Problems jese ki ankho ke neeche swelling, legs swelling, urinary problems etc hone lag jati hai. Ye saari problems long term medication ki wajah se aati hai.

Hume starting me he is problem k root cause ko theek kar dena chaie homoeopathy ke dwara, jisse ki aapko life long aise problems face na karni pade. Aaj hum apko bataenge ki sabse pehle conventionally kya-kya use hota hai. Isme modern medicines me Bea blockers, alpha blockers ya fir diuretics (jo apka urine ekdam se bahar nikal de aur apka BP low hojae), ye sab BP lowering agents hai. Jo bhi chemicals apko diye jate hai ya jo bhi synthesised hai wo apko immediately to harm nahi karenge, wo apko protect bhi karenge lekin uska treatment nahi hppaega. Uska sirf management he ho paega. Bp high hone ki wajah se koi aur nuksaan na ho, uska treatment diya jata hai. Ye sab lena bhi zaruri hai but sath he yeh bhi dekhna hta hai ki is problem ko theek kese kia jaae.

Homeopathy ek aisi pathy hai jise 250 saal pehle discover kiya gaya hai. Aur iske good effects se bohot logo ka faeda hum kar paa rahe hai. Yeh humare liye ek boon hai. Homeopathy ke dwara hum manage to karenge he problem ko aur sath me yeh faeda bhi denge ki Blood Pressure over high na jaae aur sath me apko benefit bhi milta rahe aur apka main root cause bhi khatam hota rahe.

Homeopathy se hume root cause nikalna hota hai ki BP high kyu horaha hai. Kya kidney ki wajah se problem hai? Ya heart ki wajah se problem hai? ya stress ya over work ki wajah se yeh problem hai?

To hume BP ke reasons ko theek karna hai. iske lie humare pass bohot sari medications hoti hai jo ki apke physical aur mental cause ko dekh ke select ki jaati hai.

Is problem ko theek karne ke liye 4 tips hai;

Exercise regime banaiye, jisse humara stress khatam hoga, body active hoga aur humare organs jese ki haert, kidney ki bhi exercise hojati hai. To isse apke BP causing agents kam honge.
Jo bhi apki medicines chal rahi hai, wo time pe lijiye aur sath me homoeopathic ki goodness bhi add kijiye jisse ki apke BP ka root cause bhi theek ho.
Apkon apna lifestyle change karn apdega. Jese ki apko apna salt quantity kam karna padge, fast food kam karna padega, Baking soda related food kam khae kyuki wo bhi BP increase hone ka reason hai, koi preserved food na khaae. Aap natural cheez khae, salad pe salt na daale.
Last is ki apko homoeopathy apni diet me add karna hai. Apko apne doctor ko consult karna chaie.
Aap chahe to mujhe bhi Lybrate ke through consult kar sakte hai aur aap meri website ke through bhi consult kar sakte hai.

All the best.

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Hypertension
Here are Reasons, Effects, Precautions of Hypertension.

I am Dr. Rajiva Gupta, senior consultant in internal medicine and diabetes. I have my practice at Upchar Valley in Ashok Vihar. Today we will talk about hypertension or high blood pressure.

Hypertension is a growing problem in the entire world and especially in the developing countries like India. Last surveys have found that hypertension is prevalent in almost 30% of adult population of India. Why is hypertension or high blood pressure increasing? The reasons are multi-factorial essentially because of bad lifestyle which includes obesity, diets like processed foods or restaurant food which is very high in salt, increase in mental stress and lack of physical activity. In addition to that, as the population ages, so does the prevalence of hypertension increases.

Why is hypertension so important to control? The reason is that researches found that hypertension is one of the most important modifiable factors for heart disease and strokes. Therefore, if a patient has got hypertension and if the blood pressure is controlled adequately, then the chances of developing a stroke or heart attack or heart failure or kidney failure or blindness get reduced markedly. However once the patient does not control the blood pressure and these complications occur, then it becomes a lifelong medical problem and adds to the quality of life- survival as well as the financial burden on the patient and his family. So blood pressure needs to be controlled meticulously.

Now, how to go about it? We, as physicians, always measure blood pressure of every patient who comes to our clinic irrespective of his symptoms and we are able to identify which are the patients who are likely to develop hypertension. If a patient comes to the clinic and his blood pressure is somewhere around 130 to 135, then we ask the patient to get a recheck done to see if the pressure is persistently elevated. At this point, I would like to mention that overall the agreed definition of hypertension is persistent blood pressure more than 140 upper blood pressure which is called the systolic blood pressure and more than 90 which is the diastolic blood pressure.

Secondly, if we find that the patient is having blood pressure more than this level then we give him counseling about lifestyle modification like control of diet, exercise, to get his other parameters checked like cholesterol levels, blood sugar levels and we discuss with the patient about the importance of blood pressure and treatment for blood pressure medication. Once we control blood pressure, we find that the patient s quality of life improves and the prevalence of complications is also reduced markedly. Blood pressure control has been found to be one of the most cost effective modalities of treatment. Cost effectiveness means the cost of treatment of blood pressure is than when the complications occur.

As I had mentioned earlier, that once the complications because of hypertension occur then it leads markedly to financial burden on the patient s family. Therefore, blood pressure is important to recognize. Ideally what is to be done is to prevent the occurrence of blood pressure by adopting a healthy lifestyle. If blood pressure has already occurred, then we should consult the doctor to treat it adequately in addition to modification of lifestyle which has already been addressed to. In this way, it will go a long way in reducing the burden of hypertension on the entire society.

In case, any of our viewers or listeners are interested in seeking any query on hypertension or seeking treatment of blood pressure, you can log on to the lybrate.com homepage and look for Dr. Rajiva Gupta.
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