Lost your password? Please enter your email address. You will receive a link and will create a new password via email.
Please briefly explain why you feel this question should be reported.
Please briefly explain why you feel this answer should be reported.
Preload
Hello Dr. Sanila, You have a very appropriate question. A very logical one. You are absolutely right that we aim to improve the preload by Snehan process which can create pressure on the heart. There are two types of Heart failure. Low Preload or End Diastolic Volume High Preload or End Diastolic VoRead more
Hello Dr. Sanila,
You have a very appropriate question. A very logical one.
You are absolutely right that we aim to improve the preload by Snehan process which can create pressure on the heart.
There are two types of Heart failure.
In the first category, Snehan will rectify the problem by improving the EDV and reversing failure.
In the second category, patients should be first given Mutra or Purisha Virechan to reduce the EDV or can be planned for 24 hour NBM or Langhana before you take the patients for these procedures.
If Snehan is performed in these High EDV high Preload patients blindly, it might create a load on the heart. But this is also kept in check by the next process called Swedan which helps in reducing the EDV or Preload.
Now let us understand the same in figures. This preload can be assessed on the ECHO by a parameter called EDV, End diastolic volume. Normally it should be ranging from 80 to 120 ml. Patients with high NT pro BNP and grade Grade 4 Failure in CHF have a very high EDV, may be above 180 or 200. Such patients are first to be given Mutra or Purisha virechan to lower the EDV significantly before taking him for any procedure. 24 hour NBM or Langhan can also be an effective procedure to reduce the EDV. Swedan also helps to control this EDV to a significant level.
Snehan does increase the EDV to a certain level transiently. This procedure is to be performed for patients who have normal EDV or till 180 to 200 ml. Usually Swedan, a process to control the raised EDV is to be performed post Snehan. If Swedan is not performed post snehan the raised EDV can create a pressure on heart in case of High EDV heart failure. In low EDV failure, Snehan will rectify the problem by improving the EDV.
I hope i have tried to answer your question. If any more doubts, please feel free to ask more questions.
See lessCabbage in salad should not be allowed in Swathyam diet box, for TMP pts
Dr Akshata, You are right, raw cabbage and cruciferous vegetables can reduce iodine absorption, but simple steaming till full cooked can be reduce goitrogen by 1/3rd and boiling Vegetable for 30 min can reduce 90% of goitrogen. Hence raw cabbage is not advisable for Hypothyroid and subclinical HypoRead more
Dr Akshata,
You are right, raw cabbage and cruciferous vegetables can reduce iodine absorption, but simple steaming till full cooked can be reduce goitrogen by 1/3rd and boiling Vegetable for 30 min can reduce 90% of goitrogen.
Hence raw cabbage is not advisable for Hypothyroid and subclinical Hypothyroid patients.
See lesslow BMI Dm patient losing weight
Dear Dr Priti, T2DM progressing towards sarcopenia is one of the common complications of T2DM, Here we are planning to provide product that improve skeletal muscle growth. I request you to contact me on 09561043299 so that we can plan this intervention in your Low BMI Patient.
Dear Dr Priti,
T2DM progressing towards sarcopenia is one of the common complications of T2DM, Here we are planning to provide product that improve skeletal muscle growth. I request you to contact me on 09561043299 so that we can plan this intervention in your Low BMI Patient.
See lessPVD and diabetic neuropathy
Yes, Endoprotector contains Aamalki Ghana which concentrated form Aamalki. Endoprotector treatment with its high antioxidant action can surely help to reduce load of oxidative radicles. Recent Double blind control trial suggest that Amalki can effectively reduce vascular oxidative stress and inflammRead more
Yes,
Endoprotector contains Aamalki Ghana which concentrated form Aamalki. Endoprotector treatment with its high antioxidant action can surely help to reduce load of oxidative radicles.
Recent Double blind control trial suggest that Amalki can effectively reduce vascular oxidative stress and inflammation in T2DM with microvascular complications.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3735284/
See lessDo you know the Power of Courtesy Call?
To know about the Power of Courtesy Call, please click below link - Meeting Recording: https://madhavbaug.zoom.us/rec/share/L6QsuSOXTsSPP2chdqMu3WEQyn-RNTGgehyUmT-zbyL0foqndL1zU8QS6wBodTG6.YPp1hQbfQMTEQlkR
To know about the Power of Courtesy Call, please click below link –
Meeting Recording:
See lesshttps://madhavbaug.zoom.us/rec/share/L6QsuSOXTsSPP2chdqMu3WEQyn-RNTGgehyUmT-zbyL0foqndL1zU8QS6wBodTG6.YPp1hQbfQMTEQlkR
Is Discipline the Way to Success?
To know whether Discipline is the Way to Success, pls click the link below - Meeting Recording: https://madhavbaug.zoom.us/rec/share/X2p4Vs8HxwQ4z1dZ5tPf_F_6A8Ny7VvWG8rbsRvFWfcmU1oMcQ1bwb5FckSq36wn.Otgtg0T2cxRKBxr3
To know whether Discipline is the Way to Success, pls click the link below –
Meeting Recording:
See lesshttps://madhavbaug.zoom.us/rec/share/X2p4Vs8HxwQ4z1dZ5tPf_F_6A8Ny7VvWG8rbsRvFWfcmU1oMcQ1bwb5FckSq36wn.Otgtg0T2cxRKBxr3
Dyslipiudemia
Dear Dr Priti Madam, Higher fasting cholesterol is often associated with vascular inflammation, we need to figure out root causes of inflammation. Here weight loss is indicating that the patient is following diet properly but apart from diet few more points we need to address. Sleep quality. FastingRead more
Dear Dr Priti Madam,
Higher fasting cholesterol is often associated with vascular inflammation, we need to figure out root causes of inflammation. Here weight loss is indicating that the patient is following diet properly but apart from diet few more points we need to address.
1st Line
Nidaan Parivarjan(identify and Eliminate the Root Cause).
2nd Line
Sasnhea Virechan followed by sansarjan kram can be immediate solution to reduce down fasting lipid levels.
3rd Line
24 hrs of Modified Kutipraveshik with Madhavprash as all day food and 2 lit Shadang paaniya for all drinking water, 24 hr Isolation in Room with no Mobile,TV, relatives.
4th line
Use of Jwarmed for Paachna and Aamari oil weekly once for Virechan.
if needed, Take a Help of your ZMH.
We can surely reduce down fasting cholesterol levels.
See lessWant to know about Exercise Care Plans?
To know more about Exercise Care Plans, please click below link - Meeting Recording: https://madhavbaug.zoom.us/rec/share/XGBW2QHEr6OIjmFm6afswXZ9u-FSeh4lVgzmz-CEeSPeOyLbUjq_xrE43WKjL0Jb.KwNwd9qtNDxlmYe5
To know more about Exercise Care Plans, please click below link –
Meeting Recording:
See lesshttps://madhavbaug.zoom.us/rec/share/XGBW2QHEr6OIjmFm6afswXZ9u-FSeh4lVgzmz-CEeSPeOyLbUjq_xrE43WKjL0Jb.KwNwd9qtNDxlmYe5
Low BMI Type 2 DM patient.. how to achieve gtt negative in such patient
Hello Dr. Archana, First of all I will like to congratulate you for your confidence in tapering medications of a Low BMI DM patient keeping his sugar levels in control. Helping such a patient to maintain his HbA1C levels in control without Insulin and OHA is a great task. I would like to clarify onRead more
Hello Dr. Archana,
First of all I will like to congratulate you for your confidence in tapering medications of a Low BMI DM patient keeping his sugar levels in control. Helping such a patient to maintain his HbA1C levels in control without Insulin and OHA is a great task.
I would like to clarify one point here that GTT is not the target for such patients. You should consider Hba1C as the parameter of reversal in such patients.
As you rightly said, to grow the muscle mass you have advised your patient for strength training and you should be aware that growing muscle bulk is a time consuming process.
According to me, you should conduct his GTT after a year of maintaining his HbA1C under 6 and growing his muscle bulk considerably so that the consumed sugars can be well utilized by his muscles.
See lesslow BMI Dm patient losing weight
Hello Doc, You are absolutely right. You can add some Ghee or Til oil to the basti kadha. In the near future, a new Anuvasan basti formulation in trial at present, will be launched to handle such Vata vruddhi related low BMI patients. The new formulation will help the patient to stop weight loss andRead more
Hello Doc,
You are absolutely right. You can add some Ghee or Til oil to the basti kadha. In the near future, a new Anuvasan basti formulation in trial at present, will be launched to handle such Vata vruddhi related low BMI patients.
The new formulation will help the patient to stop weight loss and also help in weight gain also keeping his blood sugar levels in control.
As well this patient you mentioned if has his HbA1C under 6.5, it seem the patient has good control of his blood sugar. In that case, a new oral supplement called PND in trial also can be given to the patient. Contact Dr. Rahul Mandole or your ZMH for the same.
See less