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heart doctors in Doddaballapur Road, Bangalore • Pericarditis Inflammation of the pericardial sac may occur as a result of scores of conditions.20 The principal causes of acute pericarditis, where chest pain has to be differentiated from ischaemia, are as follows: 1 infection: viral or bacterial, or associated with pneumonia and severe systemic symptoms, or as a complication of HIV infection or superinfection (e.g. mycobacterial) 2 systemic inflammatory disease: such as rheumatoid arthritis or systemic lupus erythematosus 3 myocardial infarction (epistenocardiac pericarditis, 4 Dressler’s syndrome (after some delay following an infarct or cardiac surgery) 5 uraemia 6 malignancy (not often presenting as chest pain) or radiotherapy. A large group, resembling acute viral pericarditis clinically, remains idiopathic. Symptoms The inflammation causes chest pain that can be difficult to distinguish from that of myocardial infarction but that tends to have a number of distinct features. There may be symptoms of a viral illness or of a connective tissue disease. Pericardial pain is usually pleuritic ; that is, it is worse with respiratory movements. This is because breathing, especially deep breathing, causes the inflamed pericardial surfaces to rub together. Oddly enough, the pain is practically never pulsatile—in keeping with the heart beat. Patients with pericarditis are often more comfortable if they sit up and lean forward. The pain is usually central or left-sided, especially in those with associated pleurisy. Trapezius ridge radiation is highly characteristic of pericarditis; it does not occur in ischaemia. There may be some dyspnoea, which is at least partly a result of the discomfort of breathing.
Symptoms of a Vitamin C Deficiency Fatigue - Early on, someone with a vitamin C deficiency will tend to get tired easily and experience reduced energy. Because chronic fatigue is a symptom of so many illnesses, it c Mood Changes - Individuals with a vitamin C deficiency may become irritable or short tempered. Weight Loss - As with other "wasting conditions" someone with a vitamin C deficiency may experience sudden weight loss. Joint and Muscle Aches - Chronic pain in the limbs or joints can be a symptom of a vitamin deficiency. Bruising - Individuals with a vitamin C deficiency will tend to bruise easily. Excessive bruising is a sign that the body's chemistry needs to be improved. Dental Conditions - Just as a healthy daily dose of vitamin C contributes to healthy teeth and gums, a deficiency can cause deterioration of the gums. Periodontal problems are a symptom of a vitamin C deficiency that has been allowed to develop to a hazardous level. This kind of deficiency was classically called "scurvy" when it happened to mariners who had no access to nutrients (or sometimes even fresh water) on long trips at sea. In today's world, it is a rare but frightening condition. Dry Hair and Skin - A change in hair and skin conditions can also signal that the body is not getting enough of vitamin C and other essential vitamins and minerals. Infections - When an individual does not have enough vitamin C over time, this can have a negative impact on general healing of wounds and the fighting of infections. Generally, the body's immune system will be compromised.
How sleeping less than 6 hours affects your health After being awake for almost 14-16 hours, our body demands sleep. Minimum sleeping time required for a healthy mind and body is 7-8 hours. Although, this duration varies according to age. Because generally speaking, where a child can sleep for 12-14 hours, grownups can sleep for not more than 9 hours. Sound sleep is very essential otherwise, it can be harmful for our health. Let’s see how sleeping for less than 6 hours affects our health. Headache, weight gain and poor vision: When you sleep for less than 6 hours a day, it can not only give you headache all the time but can lead to a poor vision also. And if continued for a long time, may hamper your eyesight. The lesser you sleep the more weight you gain. And after-effects of gaining weight could be even more hazardous. Memory loss, heart disease, infection: Sleeplessness can have an adverse effect on one’s memory too. A person may find it difficult to remember even simple things. Also, infections can take a longer time to heal because sleep is something that stabilises and balances everything that goes wrong while we are awake. If we don’t get proper sleep, the process of healing takes longer. Lack of sleep can also elevate blood pressure which ultimately affects the heart. Urine overproduction, stammering and accident: Sleeping slows down urinating process but when you are awake for longer hours, you might have to urinate more than usual. Lack of sleep can also make you stammer while speaking. If lack of sleep continues, you may not be able to communicate properly. When you do not have sound sleep, your mental condition would not be stable because of declining concentration. You can be accident prone if you drive in such a condition. These are just a few of the ill effects. Sleeping for less than 5 hours is far more dangerous than you can even think. From behavioural to mental to physical effects, it can harm you in many more ways, So, have a sound sleep to avoid complications in life.
''SAMIKSHA HEART AND DIABETIC CARE'' Smoking The Framingham study found an 18% increase in coronary events for males and a 31% increase for females for every 10 cigarettes smoked per day. There is more of an association between smoking and myocardial infarction than between smoking and stable angina. Smoking increases the risk of stroke, coronary heart disease and peripheral vascular disease through a number of mechanisms (Table 1.11). Smoking is a major factor in the increased risk of coronary heart disease for women using oestrogen-containing contraceptive pills Some effects of smoking 1 Increased atherogenesis, probably by toxic injury to endothelial cells 2 Hypoxia, resulting in intimal proliferation 3 Thrombogenesis 4 Reduction in HDL 5 Oxidation of lipids 6 Increase in fibrinogen levels Smoking cessation is associated with a rapid decline in death rates from coronary disease, probably because of smoking’s thrombogenic effects. Smoking seems less important as a risk factor in populations with low LDL levels Smoking cessation Many strategies are available to help patients to give up smoking. These should all begin with an explanation of the reasons smoking cessation is worthwhile. Some explanation of the mechanism of its deleterious effects may be helpful. Patients who have recently presented with possible cardiac symptoms may be amenable to advice of this nature. It is also especially important to give strong advice about smoking to patients with multiple existing coronary risk factors. The rapidity at which benefits begin to occur, and the risks and difficulties involved in further cardiac treatment (e.g. coronary surgery) for smokers, should be emphasised. The postoperative risk is considerably higher for smokers, particularly for serious chest infections. This risk falls quickly (within four weeks) once smoking is stopped. Nicotine replacement patches may be helpful and appear safe even for patients with ischaemic heart disease. The drug bupropion, which is a non-tricyclic antidepressant, is now available for patients who wish to stop smoking. This drug seems safe for patients with cardiac disease, at least for those without unstable symptoms. It does not cause conduction abnormalities or increase the risk of ventricular arrhythmias. Patients should be advised to continue smoking when they first start the drug but plan to stop on a particular day after about a week of treatment. The drug is usually continued for at least seven weeks. The starting dose is 150 mg daily and then 150 mg twice a day. It is important to discuss strategies for smoking cessation with the patient and to try to establish a treatment plan that suits the individual. Passive smoking Evidence of an increased cardiovascular risk from environmental smoke has been available for some years.20 Legislation is gradually reducing the risk for people in occupations associated with smoking (e.g. serving in bars and restaurants) but patients with existing ischaemic heart disease should be advised to avoid exposure.
Diabetologists in Chikkajala, Bangalore • How do people know if they have diabetes? People with diabetes frequently experience certain symptoms. These include: Being very thirsty Frequent urination Weight loss Increased hunger Blurry vision Irritability Tingling or numbness in the hands or feet Frequent skin, bladder or gum infections Wounds that don’t heal Extreme unexplained fatigue In some cases, there are no symptoms — this happens at times with type 2 diabetes. In this case, people can live for months, even years without knowing they have the disease. This form of diabetes comes on so gradually that symptoms may not even be recognized.