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Treatment Goals for high BP ?

Asked by atul mishra in Personal Health at   11:17 AM on July 24, 2008

KHURSHEED's Answer

You should always Keep in mind that high blood pressure is usually present for many years before its complications develop. The idea, therefore, is to treat hypertension early, before it damages important organs in the body. Accordingly, increased public awareness and screening programs to detect early, uncomplicated hypertension are the keys to successful treatment of high blood pressure. By treating high blood pressure successfully early enough, you can significantly decrease the risk of stroke, heart attack, and kidney failure.
The goal for patients with combined systolic and diastolic hypertension is to attain a blood pressure of 140/85 mm Hg. Bringing the blood pressure down even lower, as mentioned earlier, may be desirable in African American patients, and patients with diabetes or chronic kidney disease. Although life style changes in pre-hypertensive patients is appropriate, it is not well established that treatment with medication of patients with pre-hypertension is beneficial.

Answered at 8:41 PM on July 25, 2008

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how is Medical evaluation of High Blood Pressure done ?

Asked by atul mishra in Personal Health at   11:18 AM on July 24, 2008

KHURSHEED's Answer

Medical evaluation of high blood prressure should always include :

* Chest X-Ray
* ECG
* Echocardiography
* Urinalysis
* Fasting Blood Lipids
* Urea Creatinine and Electrolytes

If the urea or the creatinine levels are abnormal, creatinine clearance, Intravenous excretion Urography, Renal Ultra sound,and other tests of renal functions are necessary.

If Co-arctation of Aorta is suspected, digital vascular imaging with intravenous contrast injection or MRI will usually demonstrate the lesion.

If the patient is not taking diuretics, low serum Potassium should suggest an endocrine problem. and aldosterone , cortisol,and renin measurements should be performed. A history suggestive of Pheochromocytoma can be investigated with measurement of serum catecholamines or urine catecholamines metabolites.

Answered at 8:40 PM on July 25, 2008

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what are Types of High blood pressure

Asked by atul mishra in Personal Health at   11:17 AM on July 24, 2008

KHURSHEED's Answer

there are two types of high BP :

Primary Hypertension: Most people with high blood pressure - 95% - have what's called primary or essential hypertension. This means that there's no single clear cause of it.

Although there is no specific cause of essential hypertension, But you are also more likely to develop hypertension if you:

*
are obese (very overweight)
*
drink a lot of alcohol
*
eat a lot of salt
*
are under a lot of stress
*
have stron family history.

Secondary hypertension
You may be among the other 5% of people with high blood pressure who have what's known as secondary hypertension. This means your condition can be linked to a recognised cause - in fact, it may be a symptom of another underlying disease.

Secondary hypertension can be caused by:

*
kidney disease
*
adrenal gland disease
*
narrowing of the aorta (Coarctation)
*
Secondary hypertension can also be caused by the contraceptive pill (rarely), steroids, or by pregnancy causing pre-eclampsia.

Answered at 8:39 PM on July 25, 2008

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What are risk factors for stroke?

Asked by atul mishra in Personal Health at   11:19 AM on July 24, 2008

KHURSHEED's Answer

Controllable risk factors & life style choices:
Smoking.
Tobacco use is a major preventable risk factor for stroke and heart disease. Even if you have smoked for years, you can still reduce your risk by quitting now.
(Need help quitting? The Freedom From Smoking® plan is freely available online at the American Lung Association.)


Obesity, elevated cholesterol, and elevated lipids.
Reducing your dietary intake of saturated fats and cholesterol may help reduce your risk of a stroke.
(Check the Dietary Guidelines for Healthy American Adults from the American Heart Association to see how your diet measures up.)
Physical inactivity.
A sedentary lifestyle void of regular exercise can contribute to heart disease which may lead to stroke.
(Learn the facts about exercise from the Physical Activity and Cardiovascular Health Fact Sheet from the American Heart Association.)
Excessive alcohol intake.
Illegal drug use.

Uncontrollable risk factors:
Increasing age.
Stroke is more common in people over 60.
Male sex.
Men and women both have strokes, although stroke is more common at younger ages in men.
Heredity and ethnicity.
Stroke is more common in people whose close relatives have had stroke at an early age. African-Americans and Hispanic Americans are at higher risk than white Americans. This may be due in part to high blood pressure and dietary differences.

Answered at 8:32 PM on July 25, 2008

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How tall (or short) do you wish you were?

Asked by KABIR RIBAK in Personal Health at   1:56 PM on July 25, 2008

KHURSHEED's Answer

I was always great at sports, but just small enuff to not get consideration for the starting line-ups. So, I wish I would have been at least 6' to 6'2". I would have had a better chance of advancing my sports career.

Answered at 8:29 PM on July 25, 2008

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What is a stroke?

Asked by atul mishra in Personal Health at   11:19 AM on July 24, 2008

KHURSHEED's Answer

A stroke is when an area of the brain is deprived of its blood supply - usually because of a blockage or burst blood vessel - for long enough to cause vital brain tissue to die. It's essentially the same as what happens in the arteries leading to the heart when someone has a heart attack, which is why a stroke is now often described as a 'brain attack'.

If brain cells lose their supply of oxygen from the blood, they may be damaged or die. When this happens, it's so sudden there's little medical science can do to prevent it.

Dead brain cells can't start working again. However, surrounding these dead cells is an area of tissue where blood supply is poor but not lost completely, so the nerve cells are receiving barely enough oxygen to stay alive.

One of the main aims of treating a stroke is to act fast enough to save this threatened brain tissue by restoring blood flow to the area and minimising the damage. As the inflammation and swelling caused by the stroke subside, brain cells near the dead cells may recover and begin working again.

Answered at 8:24 PM on July 25, 2008

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how is cancer screened from the body ?

Asked by atul mishra in Personal Health at   11:05 AM on July 24, 2008

KHURSHEED's Answer

Follow cancer screening guidelines:

Breast Examination
Women should learn to examine their own breasts once a week breasts. It is best done when having a bath. Raise one hand above the head. With the other hand, using the flat of the hand, examine the other breasts using small circular movements. The whole breast including the area near and under the armpit needs to be self-examined. If there is any mass or ball like structure felt it should be reported to the doctor. Learn more about breast self-examination from your doctor.
For women, whose mother or sister has had breast cancer discuss with a cancer specialist about mammography.

SCREEN FOR CERVICAL CANCER
Speak to your doctor about screening for cervical cancer.
A Pap test ( a smear from the cervix is taken on the slide), done from the cervix is able to detect cancer in the cervix in the very precancerous stages and treatment at this stage can prevent cancer of the cervix .
It is a painless and simple test which women after 40 years of age should get done atleast every 3 years.

SCREEN FOR PROSTATE CANCER IN MEN
Speak to your doctor about screening for prostate cancer.
It is generally advisable to get a blood test done in older men which detects the probability of prostate cancer.


Know your body . If there are any changes in your daily body habits then report to the doctor (change in the menstrual cycle or flow, change in bowel movements, drop in your body weight with loss of appetite, a cough which goes on for more than 4 weeks, spotting after menopause, an ulcer which is not healing, difficulty in passing urine etc). Doctors are trained to spot the early manifestations of disease.
If you notice any painless ulcer in the mouth then again show it to your doctor.

Answered at 8:14 PM on July 25, 2008

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What is Heart disease?

Asked by atul mishra in Personal Health at   11:08 AM on July 24, 2008

KHURSHEED's Answer

The heart muscle is living and needs food and oxygen to survive. There are arteries within the heart muscle which supply the food and oxygen to the heart muscle. These arteries are known as coronary arteries. When one or more of these arteries in the heart get narrowed, or partially blocked, then it leads to coronary artery disease. When one or more of these arteries get blocked then some part of the heart muscle does not get food and oxygen. This condition is called a heart attack .

The term, Coronary artery disease is used for problems which include: angina, heart attack, and heart failure.

(It may beconfusing as there are other heart conditions such as heart valve problems, congenital heart problems, etc. However, these are not usually included when we talk about 'heart disease'.)

The root cause of most cases of coronary artery disease or cardiovascular disease is a build up of atheroma - a fatty deposit within the inside lining of arteries. A blockage caused by the development of complex atheromatous plaques, composed of inflamed tissues and fatty deposits on the inner surface of the artery. These plaques develop slowly over time and may cause chronic restriction of blood flow leading to pain on exertion (angina) or it may lead to as acute blockage. This most often occurs when the irregular, inflamed surface of the plaque leads to the formation of a blood clot. When this occurs a region of heart muscle is suddenly deprived of blood and gets damaged. This is what is known as a heart attack. If the damage is relatively limited the heart can recover but major damage can lead to death. Similar degeneration of arteries in the brain leads to loss of blood supply and stroke or death. Smoking and high levels of blood cholesterol, associated with high intakes of saturated fat, are both major risk factors for these plaques, coronary artery disease and strokes.

Answered at 8:10 PM on July 25, 2008

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are their any tools to prevent cancer ?

Asked by atul mishra in Personal Health at   11:04 AM on July 24, 2008

KHURSHEED's Answer

Tools to prevent cancer
What you eat and drink, how you live, where you work . . . all these factors can affect your risk for cancer. Find out more about these risks and what you can do to minimize them.
Some of the tools for prevention of cancer are:

Keep away from tobacco
Tobacco is the most preventable cause of death and most preventable cause of cancer. Avoid tobacco. If you are consuming tobacco, in any form, give it up.

Keep away from second hand smoke

Non-smokers exposed to second-hand smoke are also at higher risk of getting cancer and other lung diseases. If you chew tobacco, quit, If you are a smoker, quit. If you are a non-smoker, avoid second-hand smoke. . Use of tobacco (both smoked and chewable forms ) increases your risk of developing cancers of the mouth, throat, larynx, cervix, pancreas, oesophagus, lungs, colon, rectum, kidney and bladder.

Avoid insecticides, pesticides and other pollutants

Pesticides and insecticides in the food ( fruits, vegetables and grains ) and the environment get inside the body into each cell membrane.Over time, these can damage the blue print of the body.
This after a few years can cause cancer.

Answered at 8:15 PM on July 25, 2008

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What can be done to remove knee pain

Asked by Devesh B in Personal Health at   12:25 PM on July 19, 2008

KHURSHEED's Answer

Diagnosing knee joint injuries begins with a detailed medical history, physical examination and usually x-rays. In some cases additional tests such as a bone scan, CT scan or MRI may also be needed. The arthroscope allows direct visualization of the inside of the knee and is accurate in determining injury or disease inside the knee. Some of the most frequent conditions found during arthroscopy of the knee joint are: meniscus injuries, ligament injuries and loose pieces of bone and/or cartilage. The lining of the knee joint can also be inspected.

After arthroscopic surgery the small incisions are covered with a dry dressing. These small incisions will heal over several days. Before leaving the hospital or surgical suite, you will be given instructions about care for your incisions and what activities you should avoid and which exercises you should do to aid your recovery. During a follow up visit the surgeon will inspect your incisions, discuss what was done and discuss your rehabilitation program.

The amount of surgery required and recovery time will depend on the complexity of your knee problem. Occasionally during arthroscopy the surgeon may discover that the injury or disease cannot be treated adequately with arthroscopy alone. More extensive surgery may be performed while you are still anaesthetized or at a later date after you discuss the findings with your surgeon.

Answered at 8:18 PM on July 25, 2008

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