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Archives for September 2017

September 30, 2017 By Azra Faizan 39 Comments

How to Reduce Side effects of most commonly used Drugs

“For every drug that benefits a patient, there is a natural substance that can achieve the same effect.”
– Dr Carl C. Pfeiffer

Then why is it that drugs have become our first choice and not herbs? Well, the answer is obvious, in today’s fast-paced life we all want immediate results and while, some herbs do give immediate results for simple ailments, more serious ailments call for a longer treatment with herbs which most people don’t have the patience for. Also, at times the harm done is so extensive that we do need immediate results.

But, the biggest problem with allopathic medicines is their side effects, they might cure your ailment, but they more often than not, leave you with another one, resulting in the Doctor prescribing you another drug to reduce the side effect. This can sometimes become a vicious cycle.

From my personal experience, I understand that even though medication, long-term or temporary, sometimes is a necessity but, having further prescription drugs to counter the side effects of medications can usually be avoided by adopting simple home remedies instead.

 So what are the most commonly occurring side effects of most allopathic medications?

Hyperacidity, constipation, diarrhoea, nausea, Abdominal cramps, water retention, oral ulcers, weight gain, weight loss, bone and joint pains, hair fall, High blood pressure, liver toxicity, kidney toxicity, drowsiness and, even hallucinations.

 So let us learn a few tips to keep in mind whenever on medication.

  1. Know your medicine– don’t blindly accept whatever the Doctor has prescribed, without counter questions. Inquire about the side effect so that you are aware if it ever occurs, check the dosage too, and always make sure to ask your Doctor for the minimum dose required.
  2. WATER, WATER, WATER– Keep yourself hydrated, side effects occur because all oral medicines affect our whole body and not just the affected part. So drinking adequate water helps in flushing out the toxins present in drugs.
  3. Supplementation – Most drugs along with the ailment deplete our body’s vitamin and mineral stores, in turn leading to the side effects. So, why not replenish our vitamin stores instead of treating the symptom alone. Supplementation also helps in a quicker recovery.

Now; I know what my colleagues would be thinking “How can a nutritionist say take supplementation, instead of trying to get essential micronutrients through food?? “

Yes, like most nutritionists I do agree that healthy eating can keep giving us all the essential micronutrients that we need and that supplementation gives us synthetic vitamins and minerals which are not equally effective. But, the rules are changed when on medication, and to make up for the fast depletion and to prevent simple side effects, supplementation is key.

Now let’s take up those common Side effects individually and know what can be done about them.

Hyperacidity: – If you have ever been prescribed an antibiotic, you would have noticed that your Doctor always prescribes an antacid along with it. And, it’s not only antibiotics that cause acidity, most drugs do.

DID YOU KNOW – antacids themselves can cause drug dependence, constipation or diarrhoea, the vicious cycle that I was talking about.

Instead, ditch the antacid and go for a glass of warm water with half a lemon squeezed in it – first thing in the morning. In fact, don’t wait till you get the acidity, start beforehand to prevent it, Plus lemon water also helps to remove those toxins I was talking about.

For severe acidity, you can have lemon water after every meal too. And for immediate relief, you can try chewing on a basil leaf – works same as 2 tbsp of prescribed antacid syrup.

 Constipation: – Another simple side effect, with a simple cure, though in the case of any complaint from the patient for constipation along with medicines, the Doctor will never fail to prescribe yet another syrup for relieving the symptom. The problem – drug dependence again. The Solution – adequate hydration, good soluble fibre in the diet, simple fruits like papaya, and bananas can work wonders.

In the case of severe constipation, a tablespoon of Psyllium husk (Isabgol), that is a naturally occurring fibre can work as good as any prescribed syrup.

Diarrhea: – If it’s not constipation, it’s diarrhoea – more often than not diarrhoea is caused due to hyperacidity. So the above-mentioned lemon water works as the best prevention. Another quick age-old cure is black tea with lemon -tea contains astringent tannins that help reduce intestinal inflammation.

And to replenish the electrolytes lost during severe diarrhoea, just have simple ORS solution, lime juice (with sugar and salt), juices and coconut water at short intervals.

Nausea – Nausea or vomiting again usually subsides with lime juice and ORS solution.

Oral ulcers – Another common occurrence whenever someone is prescribed antibiotics. These are caused due to hyperacidity and depletion of B-complex vitamin stores in the body – So a supplementation of B-complex and the first prevention that is lemon water usually works best.

For severe and painful ulcers – applying honey on the affected area, and gargling with lightly salted water usually, helps alleviate the pain.

Water retention and weight gain: – Almost 70% of weight gain due to medication is because of water retention. So by simply reducing our salt intake, upping our potassium intake and water intake, we can say goodbye to our water intake.

Fruits like sweet lime, oranges, tomatoes, and bananas are all high in potassium, and not to forget my favourite – coconut water.

Increasing our water intake also helps in reducing water retention.

Replacing some of our salt with black salt also helps in increasing your potassium intake and reduce sodium intake. Another big culprit of high sodium in processed food which can be easily avoided.

Water retention aside, the long-term use of some drugs – like oral steroids, antidepressants, Antihistamines, and even insulin can cause weight gain.

In such a case, eating healthy, and having a good exercise regime helps a lot. If a healthy lifestyle is adopted, these drugs are less likely to affect our waistlines. Knowing that the drug can cause weight gain also helps in making sure we try and avoid long-term use of the same.

Weight loss: – With most medications, weight loss results due to severe loss of appetite, and the toll the ailment and its treatment is taking on the body. Good Proteins and good fats to supplement our diet along with medication helps a lot in preventing severe weight loss.

It is also important to understand that this weight loss is temporary and due to the condition, which can be reversed once the medication stops.

Bone and Joint Pain: – Many drugs leach calcium from our body and some medicines can also cause depletion of vitamin D. So, timely calcium and vitamin D supplementation along with prescribed drugs can usually reduce these symptoms.

Hair loss: – Again, nothing but protein depletion, and your body’s proteins are getting used up elsewhere to fight inflammation.

Liver toxicity: –  Our liver should be cleansed timely, ailment or no ailment, side effects or no side effects. It may sound complex but, it’s really easy. A daily morning glass of lemon water on an empty stomach can detox your liver. For added toxicity or side effects, garlic is another excellent food to cleanse the liver. Just chew on a clove of raw garlic every morning, and the allicin (an organosulfur compound obtained from garlic) works wonders.

Kidney toxicity: – Simple kidney toxicity or high uric acid levels can be easily corrected with just increasing our water intake, for cleansing the liver further, you can just add a cup of coriander or parsley tea to your routine daily.

Drowsiness: Drowsiness is usually just temporary, and again, knowing in advance that a drug can cause you to be sleepy, can prevent any serious damage.

Hallucination: –  Yes, some drugs do cause hallucination, again temporarily, And the best way to Manage these. Is to be aware that the said drug can cause hallucinations. If we stay aware, it is less likely that the hallucination will scare or disturb us.

Follow the above and avoid complications due to medications.

September 29, 2017 By Anusha Subramanian 2 Comments

The Heart Truth: ‘Let heart disease be a new beginning’

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Widely recognized as a pioneer of Cardiac rehabilitation in India, Dr Aashish Contractor is a valuable information resource for the layperson to understand the various dimensions of coronary complications, their prevention and resolution. He just does not believe in leading a sedentary lifestyle. He is a marathoner and was the medical director at Standard Chartered Mumbai Marathon from 2004-14. In his book ‘The Heart Truth’, Dr Contractor has summed up his 18 years of medical experience to provide inputs and tips on how to take care of the heart. This is not a doctor prescribing from the pulpit but a heart expert sharing his knowledge as a friend would. The intention of the book is to spell things out with clarity. Anusha Subramanian met up with Dr Contractor to know all about ‘The Heart Truth’. Here are excerpts from the Interview.

  • What prompted you to write this book?

The Heart TruthHeart Disease is the leading cause of death among men and women worldwide and even in India. I have found that even among people who have suffered a heart disease, the lack of knowledge about the disease is astounding. With the amount of information we have today, I would expect people to be more aware but they aren’t. Funnily enough, there is lots of alternative information floating around and what’s app just amplifies it. Which is why I called the book- ‘The Heart Truth’ and decided let’s stick to facts and put it out. Secondly, I wanted to share a lot of real-life examples in order to show that after suffering a heart disease life does not end in fact in my opinion it begins. One starts a new chapter in life. My philosophy is one should get better than before and not just get back to where they were before. Through these real-life examples, many of whom have gone on to run marathons or climb mountains. One of them even had a turnaround just 200-300 meters from Mt Everest Summit only because of bad weather. Through the book, the idea was to showcase these real-life examples and inspire people to turn their lives and let heart disease be a new beginning.

  • What has led India to face this heart disease epidemic? We are already called the world Capital of Diabetes and we are not far from being called the World Capital of Heart Disease. Any particular reason why India’s are more prone to heart disease?

You are absolutely right, the trend of heart disease in India is rapidly on the increase. The statistics show that from 1990-2000 there has been a rapid upward curve for the disease and we are getting close to being called the world capital of heart disease and there are multifactorial reasons for this. According to me earlier many were dying of infectious diseases. I guess, the life expectancy during the early 50s and 60s was also less. Most were not living long enough to suffer from heart disease. As we are getting better and taking care of infectious diseases we are living longer. And with better diagnostic, we are understanding what the health issues are. Earlier, probably people were suffering heart diseases but one did not know or diagnosed and just died. Hence, we did not label it as dying of heart disease. There is a gross underestimation of the no. of heart disease deaths in the past. Now we are getting better in measuring this. Secondly, as we have got economically better off, our lifestyle has also changed. There is more processed food in our diet now than it was before, one is indulging in far less physical activity on a daily basis or there is no activity at all. Indian’s are genetically more prone to developing insulin resistance, metabolic syndrome, and higher triglycerides and more prone to developing belly fat and all of these conditions are a boiling pot which makes Indians more susceptible to heart disease.

  • When you say Indians are more susceptible to insulin resistance, higher triglycerides and other areas of diseases.. is it because of our diet?

One aspect could be a diet but, we should not isolate genes. Genetics or family risk for heart disease is a potent risk factor.  How much would they affect, it is difficult to say. Some people’s genes are so ‘bad’ they may get it no matter what but there is a difference. If they take all the care, they may get an attack at 60, that too, a mild one than getting a fatal attack at 45. So it is not that if your genes are bad, you are doomed, there are a lot of other things that you can do. We are genetically prone and Indians are affected a decade earlier than our western counterparts.

  • What according to you is the best way to detect Cardiac Ailment? As a layperson, if I do not want to go to a doctor but yet know if have a cardiac ailment?

There is no best way to detect. Once you become an adult you should keep a track of your BMI, height, weight, waist circumference on a regular basis. Once a year you should get a medical checkup done to know your basic lipid, cholesterol, BP and blood sugar levels. If the values are normal then it’s very good and you should get your tests done regularly once a year and if they are not then you must take the necessary action and make sure you go for follow-ups. If you feel any sort of discomfort, heaviness, breathlessness, chest pain, pain in the arms, in the right, in the left, back, jaw, exhaustion related kind of pain could be related to heart disease, exhaustion in your daily activity which you were doing easily at one point in time could be a symptom. These are warning signs and in most cases, these symptoms do occur before the full-blown attack it’s just that people ignore these symptoms.

  • Are Bypass and Angioplasty the only cure or are there alternative therapies?

Talking about heart disease or blockages, depending on where and what type of blockages these are. The kind of risk profile and symptoms the patient has, the medical management the patient has undergone, whether it is a bypass surgery or angioplasty? Bypass and Angioplasty are not the only cure. All the above questions have to be built on good lifestyle management. Whether you do A B or C you still need to maintain a good lifestyle. In addition to all of this, you may be fine just taking medicines or you might need a surgery or an angioplasty. Considering avoiding bypass and telling will manage through good lifestyle is not an alternative therapy. It’s a misnomer. True alternative therapies are external counterpulsation (ECP). ECP is meant for a specific subset of patients who have had stable angina after best medical management and stable angina still remains then ECP might work on them. This is generally done over 35 sittings, for an hour each. The goal of the therapy is to create collateral circulation by opening up small channels of blood. ECP is a good therapy for some patients with angina and for patients with heart failure. However, it’s not appropriate for every person with heart disease.

  • Can we reverse heart disease without surgery?

The term reversal of heart disease needs to be understood properly. We think that there is an artery with 90% block and you do something and it reduces to 60% but, it doesn’t work that way. The block doesn’t shrink to 60%, the only thing that is reduced is the chance of an event. So it is a physiological reversal but it is not an anatomical reversal. When you take care of all these factors, a reversal is possible. That is what we also do in our cardiac rehab program. He has ‘a method’, we have ‘a method’ but the principles are the same

  • There is a huge confusion on the fact that fit people are succumbing to a heart attack. Case in point is Dr Rakesh Sinha who was fit and a marathoner and he suddenly one day had a heart attack and died. And on the other hand, you have people who are completely unfit and doing all sorts of vices and yet survive longer a with no ailments

This is a concept of Risk Factors. Different factors go into your risk to develop heart disease. My classic example is driving a car; there are many factors that are in consideration when making a car accident-free. You cannot just say that my breaks were running fine and still I had an accident. That is exactly like saying I am fit and I still got a heart attack. It is good that one is fit but it is just one factor, being fit doesn’t give you immunity against other factors.

  • Two things that women need to know about Heart Disease.

One of the main thing that women need to know is that heart disease is one of the main cause of deaths among women, not breast cancer. Secondly, awareness is important as women often do not get diagnosed and this is a fact world over which is they get less care than men. The symptoms such as breathlessness in women are never considered to be a risk towards heart disease and hence not be considered for diagnosis. Sadly, women’s health is the most neglected.

  • Dr Contractor how do you keep yourself fit

I run, cycle and gym at least four to 5 days a week. It’s a mix and match of all the activities during the week.

  • How do you keep yourself away from getting stress?

Stress is part of normal life. I do believe that exercising regularly is a great stress buster for me. I would like to think that I take on a fairly positive attitude and this helps. It’s about how you deal with it. Some people really react to it negatively while some people deal with it calmly.

  • What are the three main things that people should keep in mind?

1st thing- you do not have to run a marathon or climb a mountain to be healthy. That you should do for achievements and not for health. First thing is to build a good baseline. Basic routine for few months then after that you can go for your huge goal of running a marathon or other extreme activities.

2nd Make a good plan and 3rd stick to that plan and gradually build on it. Believe me, there is nothing that you cannot do. Everybody can do everything.

  • Your Parting comments

Overall take care of yourself. Nobody needs to do anything dramatic. Consistency gets people results. As supposed to doing a dramatic program… push hard for 3-6 months and then after that, the motivation fades away. Remember, always stick to your plan. 42-43 weeks out of 52 weeks in a year helps.

Follow the ABCD principle-A- active, B- Blood pressure, C-Cholesterol and D-Good balanced diet, take care of Diabetes and do not smoke and get adequate sleep daily.

It’s not the end of the road. After suffering a heart ailment you can still come back and live a good life.

September 28, 2017 By Anusha Subramanian Leave a Comment

Know your ‘Heart’ and its risks

Know your heart

Mahesh Agrawal was the happiest man as he watched his only daughter walk down the stairs in her bright red bridal dress. His eyes were moist. Father and daughter posed happily for photographs, laughed and joked. Amidst all the happiness and laughter, Mr Agrawal suddenly realized a strange discomfort in his chest. It was more likely an excruciating pain and he started to profusely sweat. The pain had now moved to his neck and he developed shortness of breath almost feeling choked. He held his hand tightly on his chest and slowly settled himself on a chair without letting anyone know.

At this point in time, he remembered his father had a similar heart attack. But, he did not want that scene to cloud the happy scene of watching his daughter getting married. As he watched his daughter get married he bid her a silent goodbye and passed away peacefully with a smile on his face. Unfortunately, it was too late before a doctor was called in.

When everybody got to know what had happened there was a sudden atmosphere of gloom. Nobody was aware what had happened. Today, on World heart Day, let’s try and understand more about our hearts and through this story we could exactly understand what happened to Mr Agrawal and why?

On doctor’s examination, the doctor revealed that Mr Agrawal had suffered a heart attack and that was because he had a Coronary Heart Disease (CHD). A heart attack occurs if the flow of oxygen-rich blood to a section of heart muscle is cut off. If blood flow isn’t restored quickly, the section of heart muscle begins to die. Without quick treatment, a heart attack can lead to serious health problems or death. CHD is the most common of all heart diseases. In the United States, CHD is the #1 cause of death for both men and women. India is not far behind. According to an article by Dr Arvind Kohli, a Cardiac Surgeon, there has been a dramatic rise in heart disease in India.

India will soon be the largest burden of heart disease globally. In India, out of the estimated population of more than 1.27 billion dispersed across various geographical regions, about 45 million people suffer from coronary artery disease. According to current estimates, India will soon have the highest number of cases of cardiovascular disease in the world. It is estimated to account for 35.9 percent deaths by the year 2030, said the article.

Over time, CHD can weaken the heart muscle and lead to heart failure and arrhythmias (ah-RITH-me-ahs). Heart failure is a condition in which your heart can’t pump enough blood to meet your body’s needs. Arrhythmias are problems with the rate or rhythm of the heartbeat.

Knowing the warning symptoms of a heart attack and how to take action can save your life or someone else’s say, doctors. In many cases patients are unaware of the risk factors and that this could be a problem that has developed over the years due to pre-existing heart disease. Several factors such as genetic, metabolic, early-life, conventional and non-conventional risk factors are suspected to cause high CHD morbidity and mortality rates among Indians. Knowing who is at risk helps a great deal. Men have a greater risk of heart attack than women do, and men have heart attacks earlier in life than women. However, beginning at Age 70, the risk is equal for men and women.

Many are of the opinion that heart disease is a lifestyle disease that occurs because one is not maintaining a proper healthy lifestyle. But, you are mistaken. Heart disease could also be due to family history. Here is where the nature vs nurture concept comes in. Did you develop a heart disease over the years, did you already have it and it went undiagnosed or did someone give it to you. In fact, you have an increased risk of developing heart disease if you have a parent with a history of heart disease, especially if they were diagnosed before Age 50. Ask your doctor when it’s appropriate for you to start screenings for heart disease so it can be detected and treated early.

The other common risk factors could include cigarette smoking and exposure to tobacco smoke, high blood cholesterol, and high triglycerides – especially high LDL (“bad”) cholesterol over 100 mg/dL and low HDL (“good”) cholesterol under 40 mg/dL. Some patients who have existing heart or blood vessel disease, and other patients who have a very high risk, should aim for an LDL level less than 70 mg/dL. Your doctor can provide specific guidelines.

The risk of heart disease is also highest among the urban population. A 2013 study concluded that over 70 percent of the Urban Indian population is at the risk of being diagnosed with heart disease. This is mainly due to unhealthy eating habits, lack of physical activity and stress.

High blood pressure (140/90 mmHg or higher), uncontrolled diabetes (HbA1c >7.0), physical inactivity and being overweight (body mass index [BMI] 25–29 kg/m2) or being obese (BMI higher than 30 kg/m2) are other risks for heart diseases. The population of diabetics in India is about 50.8 million, making India the diabetic capital of the world. The prevalence is higher in urban areas (6-8 percent) compared to rural areas (2-3 percent), according to statics provided in Dr Kohli’s article. The increase in hypertension prevalence has been steady over the last 50 years, more in urban than in rural areas. Hypertension is about 25-30 percent in urban and 10-15 percent in rural individuals.

You might be surprised but uncontrolled stress and anger could also lead to CHD. Staying calm helps. Indians like Americans have a higher degree of obesity due to bad food habits. Diet high in saturated fat and cholesterol apart from drinking too much alcohol are also a major risk factor for CHD. The more risk factors you have, the greater your risk of developing coronary artery disease.

Hence knowing the symptoms and risk factors is very important. The most common symptom of CHD is angina (also called angina pectoris). Angina is often referred to as chest pain. It is also described as chest discomfort, heaviness, tightness, pressure, aching, burning, numbness, fullness, or squeezing. It can be mistaken for indigestion or heartburn. Angina is usually felt in the chest, but may also be felt in the left shoulder, arms, neck, back or jaw. All of these symptoms were witnessed by Mr Agrawal.

Other symptoms that may occur with coronary artery disease include:

  • Shortness of breath
  • Palpitations (irregular heartbeats, skipped beats or a “flip-flop” feeling in your chest)
  • A faster heartbeat
  • Dizziness
  • Nausea
  • Extreme weakness
  • Sweating

Cardiac surgeons opine that the treatment for CHD involves reducing your risk factors. Change your lifestyle. Get active, exercise and eat right and sleep well. If lifestyle changes aren’t enough to control your heart disease, taking medications as prescribed to treat certain risk factors, such as high cholesterol or high blood pressure helps. Possibly undergoing invasive and/or surgical procedures, and seeing your doctor for regular visits is also good. Treating CHD is important to reduce your risk of a heart attack or stroke. If the problem is detected early lifestyle changes, medicines, and medical procedures can help prevent or treat CHD. These treatments may reduce the risk of related health problems.

September 27, 2017 By Neha Morche 3 Comments

Hypertension: Cause for all heart issues

heart-failure2

Heart is one of the most important organs of our body and keeping it healthy is important. Heart connects the entire body through its vital functions.

What does the heart exactly do? Why is it related to blood pressure?

This small fist like structure works hard to maintain blood flow to our body day and night. Fundamentally it takes all the impure blood from the body makes it pure with lots of Oxygen (fresh air) and sends it back. While doing this it also contracts and relaxes (medically termed it as systolic and diastolic respectively) in between a single beat. In normal course if the person is healthy this happens smoothly without much pressure on it. Normal blood pressure levels should be 120/80 mm/hg.

Blood pressure is the culprit to heart issues. It’s natural to increase our blood pressure due to certain unpleasant situations but, if the blood pressure stays elevated for longer periods then it turns into hypertension.

Causes for increased blood pressure:

  • Stress
  • Smoking
  • Alcohol
  • Obesity
  • Less water intake
  • High salt intake
  • Intake of more processed or bakery food.
  • Junk food or less fibrous food Intake
  • Less activity
  • Less sleep
  • Kidney disorders
  • Heredity
  • High fat food intake

All of these lead to plaque formation in the tiny blood vessels due to which heart has to put more pressure than usual for a smooth blood flow. When it goes beyond the heart’s limit (it has muscles after all) it stops pumping blood (which carries water, nutrients and oxygen) thus it results in heart attack.

Good news is that one can avoid high blood pressure and avert heart attacks by just taking care of our daily meals, activities, water, sleep, stress etc. in short keeping a check on our lifestyle.

We need to improve all micro habits which set into our routine. Once you set yourself a routine, it’s difficult to break it.

Salt is the crucial factor that can lead to high blood pressure. Salt is a combination of sodium and chloride. Daily requirement of sodium is 1500mg to 2300mg that means we can include approximately 1 TSP of salt. Sodium is also found in baking soda, monosodium glutamate (MSG), various seasonings, additives, condiments, meat, fish, poultry, dairy foods, eggs, smoked meats, olives, and pickled foods. High sodium directly contributes to high blood pressure.

Here are some heart friendly food options I have listed down for you

Antioxidants ( green tea, red wine)

Fiber and Vitamin K( green leafy vegetables, whole grains, beans, whole pulses)

Whole Fruits

Omega 3 and Omega 6 fats (Almonds, walnuts, flax seeds, fish like salmon, sardines, mackerel, herring, tuna, avocado)

Ample amount of water intake.

Doing regular breathing exercises help us increase our Oxygen uptake.

Yoga or meditation or giving time to your hobbies keeps stress at bay.

Staying active through the entire day or indulging in any type of activity or game you enjoy can keep stress levels under check.

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Hema Sangani - Reducing medication

The Art Of Reducing Medication & Getting Healthy With GOQii

If you speak to anyone who has lost weight the right way and maintains their health, you’ll begin to understand that it is an art that requires patience, dedication and consistency. Without these, your health will spiral downwards. Our Player Hema Sangani realised this as she took the decision to get healthy with GOQii. Here’s […]

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