Treatment of Hip Disorders
Mitral Valve Replacement Surgery
Cerebral Palsy Treatment
Vascular Surgery Treatment
Cardiac Ablation Procedure
Coronary Bypass Surgery
Carotid Angioplasty And Stenting Procedure
Cardiac Catheterization Procedure
Implantable Cardioverter-Defibrillators (Icds) Tre
Intra - Arterial Thrombolysis Procedures
Treatment Of Restenosis
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Patient Review Highlights
Holy month ramadan is auspicious for worldwide muslims and most of them starts fasting early in the morning up to the sunset in the evening during this entire month.
Heart disease patients tend to fast during ramadan but they have many questions:
1. Cardiac patients can fast?
The holy Quran exempts sick people from fasting. Fasting is allowed only for stable heart disease patient and it's strictly the discretion of the treating cardiologist.
Common types of cardiac conditions as follows:
A. Patients who had heart attack or recent stenting or open heart surgery
Many studies comparing ramadan with other months in cardiac patients shows there is no significant differences in the incidence of heart attack or typical cardiac chest pain during ramadan. Patients with recent acute heart attack, heart attack equivalent chest pain with high cardiac enzymes, recent stenting, recent open heart surgery should strictly avoid fasting.
B. Patients with low pumping of heart i. E, reduced ejection fraction
Low pumping of the heart is one of the common cause of frequent hospitalisations among cardiac patients. Many studies done in the middle east shows there was no significant difference in the number of hospitalizations for patients with low heart pumping during ramadan. Its almost similar to other months without fasting. But in this category certain groups of patients cannot fast especially patients with difficulty in breathing, associated swelling of legs, associated cough and sudden increase in weight.
C. Patients with high blood pressure.
Most of the high blood pressure patients on controlled medications can fast during ramadan as it will not affect the blood pressure readings and it was proved in many studies. Certain group of patients with resistant blood pressure who requires multiple drugs for controlling should consult treating doctors before ramadan for appropriate dose adjustments. If dose adjustment is not possible then for such patients it is advisable to abstain from fasting to avoid cardiac and other complications.
2. How to take their cardiac drugs during this month?
Stomach ulcer and related complications are common during ramadan. Hence drugs which can cause gastric irritation (like aspirin) should be taken as per the advice of treating doctor. Before ramadan you should consult your doctor and make sure regarding the dose and timing. Medications like water pill (lasix)to be avoided during fasting.
3. Lifestyle during ramadan
Avoid over eating while breaking the fast
Avoid exercise after a large meal
4. Can cardiac patients do hajj pilgrimage?
Cardiac patients who is certified as stable and fit by the treating cardiologist can go for hajj
Full medical workup is mandatory before hajj.
Patients with recent acute heart attack, heart attack equivalent chest pain with high cardiac enzymes, recent stenting, recent open heart surgery are unfit for hajj.
Take home messages-:
A. Consult your doctor before ramadan regarding your health condition and dose adjustments if required.
B. Comply to medication
C. High risk patients should avoid fasting
D. Unfit cardiac patients should not try hajj pilgrimage.
I am having problem related to my may stomach. Everytym I eat my stomach gets bloated. Nd I feel very heaviness in my body. Pls help.
I am 23 years old and I am suffering piles from last 2 years what should I would like to do and what type of food I should take? Should I take spicy food or oily food?
I have pain back side of my head after use of computer. What should I do to avoid pain. This pain is daily matter.
My blood pressure reading is showing 139/90. Is it normal. Please suggest me what should I need to do.
A healthy lifestyle doesn't just mean eating right; it also means eating food prepared using the right cooking oil. Generally, people buy cooking oil that is advertised as healthy or the one which is being bought regularly for years. However, there is much more to choosing a good cooking oil than just that.
Basic things to remember when choosing an oil
1. Fat composition
-there are 3 types of fats: unsaturated fatty acids saturated and trans fats. Unsaturated are the best followed by saturated, worst being the trans fats.
-unsaturated fats are further classified into monounsaturated fatty acids (mufa) and polyunsaturated fatty acids (pufa)
-studies have shown that when used in place of saturated fats, pufa can help to improve cholesterol levels thereby reducing the risk for heart disease.
-as a rule of thumb, you should choose pufa and mufa containing oils like olive, rice bran, mustard and canola oil, over saturated fats, like butter and vanaspati ghee, to minimize your risk for heart disease.
-trans fats are a strict no-no and are best avoided.
2. Minor health components
-apart from the major components, some oils contain certain components which provide various nutritional benefits even in low levels.
-various such components include tocopherols, oryzanol, phytosterols. All these components have been shown to lower cholesterol levels in the body. They thus help in lowering the risk of heart diseases.
3. Smoke point
-smoking point is the tolerance of oil towards heat. When heated beyond a certain temperature, oil undergoes oxidation thereby forming free radicals which are harmful to your health.
-studies suggest that highly oxidized and heated fats may have carcinogenic effects due to toxic byproducts formed due to frying.
-canola oil, mustard oil, soybean oil, sunflower oil are the ones with a high smoke point and can be used for cooking at high temperature.
Which oils to use?
The oil has around 70% mufa and 22% pufa of which 10% is omega 3 fatty acid, and 12% is omega 6 fatty acid. It was once considered unhealthy, but studies prove that it is one of the healthiest cooking oils due to its high mufa and pufa content. It is low in saturated fatty acids and has an almost ideal omega 6: omega 3 ratio of 6: 5 (olive oil has around 20: 1). It is also rich in vitamin e and antioxidants. Another fact that goes in its favour is that it is cold pressed.
Rice bran oil
Rice bran oil has a very high smoke point and has a mild flavour. It is one of the most balanced oils with 47% mufa, 33% pufa, and 20% saturated fats. It also contains vitamin e, oryzanol and phytosterols. The only drawback of this oil is that it has less omega 3 and omega 6 fatty acid levels.
It is one of the most commonly used oils for cooking. It is a rich source of pufa. The unsaturated fatty acids include 10% alphaleinolenic acid, 50% linoleic acid and 23% oleic acid-all of which is good fat. It contains around 14% saturated fat. It has high smoke point and is commonly used in our homes.
It's a native of Canada and is low acidic in nature. It has a high smoke point and over 60% mufa. It has a neutral taste.
Extra virgin olive oil
It's better known for imparting benefits for the heart. It raises the good cholesterol and lowers the bad cholesterol. 75% fats in it are mufa. It has got the fruity aroma. The only limitation of this oil is that it does not have an ideal omega 6: omega 3 ratios (20: 1).
It is basically refined vegetable oil which is made more stable by increasing its shelf life and decreasing its chances to turn rancid. It is not suitable for deep frying due to its low smoke point. It is considered to be the unhealthiest of al oils since it lacks any vitamins, bioactive compounds and is loaded with trans fats. Consuming this oil is directly linked to high cholesterol and risk of heart diseases.
You should make it a habit of using oils like rice brand oil, canola oil, olive oil and mustard oil in rotation to get the maximum health benefits out of these oils. So go ahead and choose these simple tips to choose your cooking oil for a healthier you.
I have facing problem of acidity my age is 18 im younger though this problem facing past few months so give me suggestion what I eat and what is the solution is there any medicine available for that.
My heart beat is above 100 whenever I'm checking like 115, 109, 113 even I'm relaxed. My pressure is normal. Is this a issue? Do I have to consult a cardiologist?
Peeing frequently means any health issue or any disease, as m feeling same since 2 days, also as its hot summer days here we drink a lot of water each time, so does it affects peeing?
I ate spicy food yesterday. Consequently, I am suffering from a severe stomach ache and mild loose motions since morning. What should I eat to soothe the pain?
I'm 20 years old and my penis foreskin is still not fully erected. I tried to stretch during shower and during my free time, but it sticks at the tip. I can see the hole on the tip of the penis. That means the skin is partially erected as like my small finger tip. Please help me out from this sir.
I think I am suffering from chicken pox please provide me the detail list of its symptoms and precautions.
The summers are at their peak already with the blazing sun and soaring temperatures and what's frightening is that this is just the beginning. All one can think of in this heat is to grab something cool that rejuvenates one's senses. One of the best ways to do this is to prepare yourself some refreshing icy drinks.
Well, before you settle for the calorie dense colas or boring plain water, try out these easy to make and low on calories summer drinks that will surely quench your thirst:
1. Watermelon fizz
Apart from the stimulating taste it naturally has, watermelon juice is very good for kidneys and eyes. It has 90% water and thus you don't need to worry about the calories. It is also very high in fiber which is an add- on health benefit.
How to prepare
Blend the watermelon in a mixer jar and add some crushed ice to it. Avoid straining the blended mixture as you will lose on the fiber. The best part is you do not need to add any sweetener! you may want to add some salt and mint leaves for a different sweet- salty flavor. Add some soda water and your watermelon fizz is ready.
Calorie count: 30 kcal/glass
2. Aam Panna
One of the most relished summer drink for mango lovers is aam panda. It is rich in vitamin c and iron and has antioxidants too which heightens your metabolism rate. Aam Panna keeps you well hydrated and thus prevents heat stroke.
How to prepare
Pressure cook raw mangoes (3-4 whistles) and peel them off to remove the pulp. Blend the pulp in a jar and mix salt, cumin seeds (jeera), black pepper to it. Avoid adding sugar to it but if you really want it sweet, use alternatives to sugar like artificial sweeteners. Store the mixture in a jar in the refrigerator. Add 1/ 2 tsp in a glass, add chilled water and ice and top it up with mint leaves.
Calorie count: 40 kcal/glass
3. Sparkling plum soda
Plums are known for assisting in weight loss owing to the plentiful antioxidants and fiber they possess. It also keeps you full for long which cuts down your overall caloric intake. It is profusely rich in essential nutrients like vitamin a, c, k and iron, calcium, magnesium.
How to prepare
For 4 glasses, take 8-10 plums, cut them into pieces and blend in a jar in a processor. Add artificial sweeteners to the pureed mixture and blend again. Stain the mixture through a sieve using the back of a spoon. Fill 4 glasses up to half with the strained juice. Add soda water and crushed ice to each and relish the drink to your heart's full.
Calorie count:- 120-150 kcal/glass
4. Fizzy peach punch
Peaches are the low-calorie summer fruits that offer a treasure of zinc, calcium, iron, magnesium and potassium. They have a good amount of dietary fiber and have no saturated fats.
How to prepare
For 4 glasses, take 8-10 peaches, cut them into pieces and blend them in a jar to form a puree. Strain the puree through a strainer and obtain the nectar in a jar. Take 1-2 tsp of peach nectar in a glass and fill it up with soda water. Add some artificial sweeteners according to your taste. Squeeze half a lemon into it. You may want to experiment by adding 1 tsp of ginger juice for a sharp and pungent flavor! add crushed ice and serve.
Caloric count: 80 kcal/glass
5. Strawberry lemonade slush
Strawberries bring freshness and add a vibrant color to any drink or dessert they are added to. They have bountiful antioxidants and are a wonderful source of vitamin c. They also have high fiber content are loaded with manganese, iodine, potassium and biotin.
How to prepare
Take about 20-30 strawberries and cut them into small pieces to blend in a jar until smooth. Add some lemon juice to it and one cup of water. Add some artificial sweeteners to add some sweet flavor. Blend well. Freeze this mixture for 3-4 hours till it turns into slush. Add 1/4th cup of this slush mixture to a glass, top it up with soda water and some ginger juice. Enjoy the perfect balance of sweet and tart.
Caloric count: 90- 100 kcal/glass.
Of the few things which make summers in the sub-continent somewhat bearable, the watermelon is certainly a chart-topper. Nothing can refresh our tired and dehydrated bodies more than juicy watermelon cubes after a day at the office. The very sight of the large green fruit quenches our thirst somehow.
For a fruit this delicious, the benefits may seem add-ons but take a look at the following and you are sure to jump into the watermelon fan club, in case you are not a member yet:
1. Hydrates the body
The water content in the fruit is more than 90%. Having as little as a cup full of watermelon cubes replenishes fluid level in the body. Electrolytes like calcium, magnesium, potassium and iron are present in abundance that aids the rehydration process.
2. Rejuvenates eye and skin health
Watermelon has a very high vitamin a content. This is a powerful anti-oxidant that fights free radicals in the body and is great for vision and skin. Vitamin a goes a long way in boosting the body's immunity as well.
3. Promotes health of vital organs
Watermelon is a source of potassium. This essential mineral controls blood pressure and the heart rate thereby ensuring proper functioning of the heart. Also, the kidney is another organ that is benefited owing to the water and mineral content of the fruit.
4. Relieves muscle pains
Arginine is an amino acid that improves blood circulation in the body and relaxes the tissue. Watermelon contains the amino acid citrulline that is synthesized into arginine automatically in the body. Thus, it is a food of choice for athletes.
5. Reduces tanning
Watermelon is the richest natural source of lycopene, an antioxidant that combats UV-ray induced free radicals which cause sunburns. Owing to this, only two cups of watermelon can help you get brighter and glowing skin.
6. Promotes sexual health
Studies have shown the fruit to beef up libido in humans. The improved circulation owing to essential minerals present in the fruit will certainly improve performance in the bed.
7. Improves sleep
A few slices of the fruit before bed-time induces the body to secrete serotonin that helps us get deep sleep that is necessary after all the action the fruit promises to help us get.
8. Combats cancer
The lycopene present in watermelon has been shown by some studies to combat the spread of cancer.
9. Low in calories
For its size and roundness, the fruit's calorie and fat content are incredibly low. Thus, using this tasty treat to satiate your hunger is a healthy lifestyle thing. The cholesterol levels also do not go up at all from having watermelon.
It is recommended to have 2 cups of watermelon daily or as frequently as you can get your hands on it. Going up to anywhere between three to four cups should be absolutely fine. So, go ahead and indulge in the goodness of this delicious and hydrating fruit this summer. Stay healthy, stay happy!
The liver is a vital organ which means a person cannot survive without it. The liver works with other organs in the digestive tract to digest, absorb, and process food. The main function of the liver is to filter the blood that it receives from the digestive tract before passing it to the rest of the body. The liver detoxifies and metabolizes the medicines that you take. It also secretes bile and important blood clotting proteins.
Being such an important organ, it becomes imperative for you to stay away from habits that can damage it.
Here are some common habits that are damaging your liver:
1. Too much sugar
Having excess amounts of sugar is not harmful to just the teeth but the liver as well. Liver converts fructose ( a type of sugar) into fat. If you consume foods with refined sugar, it can build up as fat in the liver leading to liver diseases. Experts suggest that consuming too much sugar can be as harmful to the liver as having excessive alcohol. Avoid foods that contain refined sugars and corn syrup that has high fructose content. Limit foods with added sugars, such as soda, pastries, and candy.
The painkillers that you pop frequently for a sore back, that annoying headache or a toothache can damage your liver in the long run. It is okay to take over the counter pain medications like paracetamol once in a while but make sure that you do not resort to taking them on a regular basis. Always consult your doctor for chronic painful conditions and advice on pain medications.
3. Excessive alcohol
Consuming alcohol in large quantity can cause irreversible damage to the liver. When alcohol is consumed in excessive amounts it interferes with the ability of the liver to get rid of toxins from the body. Studies suggest that having three glasses of alcohol every day is a direct risk for liver cancer.
4. Too many supplements
Taking supplements instead of obtaining those nutrients from your food is a habit that can damage your liver. Unless recommend by your doctor, avoid taking supplements indiscriminately. Eat a well-balanced diet rich in green leafy vegetables, fruits, dairy products, and protein. Always consult a doctor before you start taking a supplement even if it is an herbal supplement. Remember that all medicines are processed by the liver.
5. Sleep deprivation
You may not know but not getting a regular sleep can damage your liver. Studies show that when people are sleep-deprived their livers cannot process the fat efficiently leading to fat accumulation which eventually leads to liver damage. Getting a good sleep also acts as a repair process for the whole body including liver. Make sure you get a good 7- 8 hours of sleep regularly.
6. Soft drinks
Studies have shown that people who drink too much soft drinks have higher chances of developing the non-alcoholic fatty liver disease (NAFLD). Since these drinks are packed with sugar, so it is best to avoid them for improving your overall health.
So, go ahead and change these habits that are harming your liver and embrace a healthy and active lifestyle for a healthier you. Stay healthy, stay happy!