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Dr Ashit

Dr Ashit Hegde  | Answer  |Ask -

Consultant Physician, Internal Medicine and Critical Care Expert - Answered on May 30, 2023

Dr Ashit Hegde specialises in internal medicine and intensive care. He has nearly 40 years of experience and is consultant physician, intensivist and head of the critical care section at the PD Hinduja Hospital and Medical Research Centre.
He is actively involved in teaching and training residents for post graduate programmes in internal medicine and critical care.
He holds an MD degree in general medicine and therapeutics from the Lokmanya Tilak Municipal Medical College, Mumbai, and an MRCP from the Royal College of Physicians, Edinburgh.... more
Asked by Anonymous - May 27, 2023Hindi
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Hello Doctor, I am 44. I was suffering from gastric issues Somewhere in Oct 2021, i started feeling anxious and all negative thoughts. As a nature, i take good care of self. But due to this anxiouness, i was unable to sleep well or even concentrate well. I thought to consult a MD and he took my BP reading, which was in range of 142/90. He avoided started any medications and advised for lifestyle changes to alter this situation, to which i stared with certain life-style changes like, - sun-bath in morning. - walking - morning & evening - meditation - in evening. i continued this till Dec 2021 and again revisited the MD in Jan 2022, to which he advised to continued with the same routine. By March 2022, i was feeling better. Again, the same story repeated in Sep2022 and this time, with lot of gastric issues, sleep troubel and feeling of fear and anxiety and again i visited him in Nov 2022, was getting more anxious. Looking at my condition he started with beta-blocker. The condition was not very much improving and i took the blood tests on my own in Nov 2022 end, to which, Lipid profile was bit out of range, HaB1c - in pre-diabetic zone and in liver tests - SGPT was 62. I visited to the MD with report and he advised me to continue with beta- blocker and to start with the statins daily 10 mg, after dinner. I continued this for Dec 2022 with life style change with yoga and meditation routines along with walks. In Jan 2023, the tests were repeated and it was all NORMAL. The doctor advised to stop the medicines wef Jan 2023 and again advised to repeated tests in Feb 2023. In Feb 2023, all parametere were normal , but Lipid profile was again out of range. The MD again started with the same medicines from March 2023 onwards ie 1 beta - blocker in morning after break-fast and 10 mg statin after dinner. I repeated the tests in April 2023 and it was again all NORMAL. Now, the MD reduced the statin drug to 5 mg from 10 mg and continued with beta - blocker. I am leading a healthy life with yoga, meditation, diets with more fibres and less oily or say no oil deits to the extent possible. I have stopped eating any outside food and fully on home made food only now. benefits till now, - Sleep paterrn improved - Gastric issues has gone - IBS gone, - better mood My questions to you sir, - The MD is again planning to stop the medications in next visit, since all reports are normal and i feel normal. is that okay? - Again, i may develop the symptoms? - I am following a better life style - yoga, meditation, walkings, proper diets, are there chances that i would remain off medicine always? - What are the benefits and disadvantages of station and beta -blockers, if at all, i have to take it? thanks.

Ans: Beta blockers have probably been prescribed for your symptoms of anxiety but they can increase the levels of the lipids. You need to consult a psychiatrist about the best treatment for anxiety.
Ideally statins need to be taken for long because the lipid levels are bound to go up once you stop the statin. We need to decide however whether you really need a statin at your age. Do you have a family history of premature heart disease. If you do not have a family history of premature heart disease, you can probably stop statins for a few years . Can consider doing a CT Coronary calcium score
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Dr Hemalata

Dr Hemalata Arora  | Answer  |Ask -

General Physician - Answered on Jun 07, 2023

Asked by Anonymous - Jun 01, 2023Hindi
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Hello Doctor, I am 44. I prefer healthy life and all nice in terms of health, except that I was suffering from gastric issues, IBS and related issues. I had covid also in April 2021 and somewhere in Oct 2021, i started feeling anxious and all negative thoughts. In about Aug 2021, i noticed that my heartbeats is high than normal, which initially i tried to control with routine meditation. But somehow, was not feeling that well from within and mind was like getting anxious, as if , something is happening which i could not understand, what. I visited to MD - Medicine, in Oct 2021. As a process, the vitals were taken and BP reading was taken which was 145/90. The concern MD, which after going through the reading, did not tagged me as BP patient and advised me to have changes in lifestyle with yoga, walking, meditation and dietary changes. I throughly followed the advised and started feeling better from Jan 2022 onwards and it was all nice. Again from Sep 2022 onwards, i started feeling the same issues. And i visited the MD in Oct 2022. From Nov 2022, he put me on 25mg dose of beta-blocker , daily in the morning after breakfast. While, i was on beta-blocker, i was still not feeling that nice from within and i unilaterly took the decision to go for complete blood tests in Nov 2022 end. The results were, - Lipid profile - was disturbed. - Sugar : I was in pre-diabetic range. - Uric Acid : I was on borderline high. I visited the MD with the report and he add another dose of 10 mg of Statins from Dec 2022 onwards. I followed the medication along with dietary changes, yoga & meditation routine and took the tests in Jan 2023, which shows the results as under, - Lipid : Normal - Sugar: I was back to Non-Diabtic range from pre-diabetic. - uric acid - normal. And all other parameters improved too like Hemoglobin - 15 and all other paramters of cbc was normal, thyroid - normal , Liver function - normal - when certain times SGPT was bit on higher sides, but normal in this report. With this report the MD stopped the statin drug from Feb 2022 onwards and advised me to continue with beta-blocker of 12.50 mg instead of 25 mg. I followed the same routine for full Feb 2022 and again took the test in March 2023, and results were as under, - Sugar : non-diabetic - all other paramters - normal - Lipid - Not normal. So again from March 2023, the MD started with the same statin dose of 10 mg and beta- blocker of 25 mg. I took the test in April 2023 and again the reports were normal, so now, again he reduce the statin dose to half ie 5 mg and continued with the same dose of beta-blocker 25mg. My questions: 1. AT present, i follow proper diet schedule as prescribed by dietcian , have been doing meditation and yoga on regular basis. 2. Stress level is minimum. 3. I am feeling overall better. 4. BP levels are always normal 5. Gastric issues, IBS seems to have gone. 6. Sleep patern is improved. My question: a. I feel, in the next visit the MD may stop the statin. Can the lipid profile remain in normal range , when i am follwing all diet patterms , with yoga and exercise. Why the lipid profile became abnormal, previously even when i was following all routine very property ? b. Is it okay to consume beta - blocker 25mg regularly, even after doctor told me to stop statin or may stop my statin in next visit? c. Is there any way to know, to find, if i am feeling better normally or due to medicine? as i am feeling normal and unable to check, what after i stopped beta-blocker? Any other care which i should take and lead a healthy life.
Ans: Hello. These are good questions and a lot of people go through the same stages. Cholesterol levels are generally genetically determined and don't change much from dietary or lifestyle changes. It can be reduced by medications. However if it is the only risk factor for heart disease/stroke, then it need not be corrected unless it is very high, LDL> 160. On the other hand the B blocker, if it was taken only for BP, may be stopped if BP comes down and remains normal. A closer monitoring may be required for that. If BP stays normal or low on taking the medicine, reduce the medicine and recheck, if it still stays low or normal, stop and see. Take it slow.

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Dr Hemalata

Dr Hemalata Arora  | Answer  |Ask -

General Physician - Answered on Jun 22, 2023

Asked by Anonymous - Jun 14, 2023Hindi
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My triglycerides is 230 ; LDL cholestrol direct 122; non HDL Cholestrol 143 ; very low density lipoprotoen 46. Fasting sugar : 164 HBA1C : 7.9 SINCE 5 YEARS TAKING VIDAGLYPTIN PLUS METFORMIN 50/500 THIS REPORT WAS ON 13TH APRIL. I NEGLECTED DOCTOR ADVISE AND DID NOTHING AS I WAS OTHERWISE BUSY. EARLIER I USED TO WALK 4 KM IN PARK EVERYDAY WHICH I DISCONTINUED AS I BECAME OTHERWISE BUSY. NOW I AM QUITE UNFIT. PANTING, GETTING FATIGUED AND I CAN FEEL THE NEGLECT. I think all the above values must have further shot up. 5 days ago i resumed walking 4.5 kms and 5 days ago started taking Rosovastatin 10 mg at night. Continuing vidaglyptin plus metformin 5p/500. Have also completely given up rice, sweets since 5 days !! What else can i take ? My wife asking ne to take soaked Methi seeds in morning. By the way, my age is 74. Weight 79 kgs I am very depressed as i neglected which i usually do not do. I am mentally reconciled to 90 days cure period. Pls advise ways to expedite . Will be much appreciated. Thanks profusely.
Ans: Hello. You are doing all the right things and it is never too late. Don't be stressed. Even that will only increase your sugars and BP. To speed up the results, you can try intermittent fasting. It is when you eat during about 8 hours of the day and do not eat for about 16 hours. During those 16 hours of fasting, you can drink non calorie fluids and eat cucumbers. You can have methi seeds in water as advised by your wife. It will help reduce sugars a little more. In addition, try some stress busting activities like yoga, breathing exercises, pick up a hobby or get involved in some community activities that you believe in. All these will help you stay happier and therefore reduce your sugar levels additionally.

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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1145 Answers  |Ask -

General Physician - Answered on Jun 26, 2024

Asked by Anonymous - May 09, 2024Hindi
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I am 54 years M ,having Diabetes and High BP (HTN) since the past 13 years. At times it has been in poor control also like in May 2021 the HbA1c was 10.10 which gradually went down to 7.70 and then remained constant between 7.90 and 8.10 with the medications and 'not so strict' diet regime. Plus the body weight was also increasing and i gained around 10 kgs (101.2 Kgs) in a span of around 06 months. Recently in March 2024, the test reports indicated it as 8.70 causing me some concern and in April 2024 the reports showed a value of 9.20, which made me think about the reliablity of Lab report as well as made me change the doctor. My medicines were changed from Glimepiride (2 mg),Metformin (500 mg) Pioglitazone (15 mg) and METFORMIN-500MG + VILDAGLIPTIN-50MG twice daily ( taking for about 20 months) to GLIMEPIRIDE-2MG + METFORMIN-500MG + VOGLIBOSE-0.2MG and Dapagliflozin 5 mg+Metformin 500 mg twice daily recently in Mid April 2024. I was asked by the doctor to report after a month with Fasting and PP readings. However after few days,I started realising that my blood sugar was approaching higher and then I experienced needle like sensations in feet and hands plus sticky urine with a heavy head and hot face. I again went for a checkup three days back and the randomn sugar was 291 mg/dl. The medications have again been changed to Dapagliflozin (10mg) + Metformin (500mg) + Sitagliptin (100mg) + Saroglitazar (4mg) in the morning and METFORMIN-500MG + VILDAGLIPTIN-50MG since yesterday (08.05.2024) and I have been asked to take daily readings and report after 10 days. All this has lead to a panicky feeling in me, resulting in increased HTN. I am worried that how this hit and trial or permutations and combinations will help me in achieving a perfect set of medicines to lower my blood sugar to normal levels. Kindly advice. I shall be highly obliged.
Ans: Medicines alone cannot work in these Lifestyle diseases.
Lifestyle modification plays a vital role
So start with your dietary discipline. Strict no to Sugars and refined carbohydrates.
Have less portion of Carbohydrate in a complex form
Timely meals with early dinner before 7 pm

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Dr Nagarajan Jsk

Dr Nagarajan Jsk   |314 Answers  |Ask -

NEET, Medical, Pharmacy Careers - Answered on Apr 06, 2025

Asked by Anonymous - Apr 03, 2025Hindi
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Hello sir, Saranya from chennai. Doing final year B pharm. Heard about gpat from my friends How to do this entrance exam for joining pg course Please tell me if any other entrance exam is there for pg
Ans: Hi Saranya,

As you mentioned, many pharmacy graduates are considering the GPAT after completing their undergraduate studies in pharmacy. However, there are several more options available for pursuing a postgraduate degree in pharmacy today.

Here are the options for pursuing a PG in pharmacy:

1. GPAT: You can appear for the GPAT exam, and if you qualify, you will be eligible for a scholarship.

2. NIPER: You can also take the entrance exam for NIPER (National Institute of Pharmaceutical Education and Research) campuses, which include Ahmedabad, Guwahati, Hajipur, Hyderabad, Kolkata, Raebareli, and Mohali. Qualifying here also makes you eligible for a scholarship.

3. PG-CUET: A new option is the PG-CUET (Common University Entrance Test), which is being conducted by the NTA (National Testing Agency) under the Department of Higher Education.

4. Government Institutions: State governments will announce admission through advertisements. Admission will be based on marks or an entrance exam.

5. Deemed Universities: Some deemed universities offer admission through their own entrance exams.

Historically, GPAT and NIPER were the primary options for national-level aspirants. Starting from the academic year 2025-26, the NTA will also conduct the PG-CUET for national-level admissions.

I have included more details about the PG-CUET below.
PGCUET (CODE - SCQP23)
The Common University Entrance Test (CUET) is a National level Test conducted for admission into PG programmes in Central, State, and Participating Universities/ Institutions. The Common University Entrance Test CUET (PG) will provide a common platform and equal opportunity to candidates across the country, especially those from rural and other remote areas, and help establish better connections with the Universities. A single application form will enable the Candidates to cover a wide outreach and be part of the admission process to various Central and participating Universities. NTA has been assigned the responsibility of conducting the Common University Entrance Test (CUET).

Under Participating universities/instituttions are: Central and State Universities, Deemed and Private universities and Government institutuions.

Candidate must only select the test paper code. As the list of universities is dynamic and keeps on changing during the registration period.

A candidate can apply for two (02) Test Papers by paying the application fee (details mentioned at point 18).

A candidate can further apply for (02) additional Test Papers by paying additional application fees as applicable and maximum of four (04) test paper codes can be selected.

Mode of exam is CBT (Computer Based Test).
All Question Papers will be MCQ type. • Candidates can choose a maximum of four question paper codes. • The comprehension section in the General Paper will be available in either English or Hindi, based on the candidate's preference indicated during registration. • The duration of the Exam would be 90 Minutes. • The Question paper will have 75 Questions. • Four marks will be awarded for each correct answer and one mark will be deducted for each wrong answer.
• Language papers will be in the concerned language only.
• M.Tech/Higher Sciences will be in English only.
•Acharya papers will be in Sanskrit except for Hindu Studies, Indian Knowledge System, and Baudha Darshan.
• Humanities, Sciences, and Common papers would be bilingual (English and Hindi).
• The examination would be conducted in 2-3 shifts.
• The English version of the questions in all the question papers except languages and Acharya will be taken as final.

Syllabus: The Examination Syllabus will be uploaded on the Exam.

For the current year the examination dates (13.03.2025 to 31.03.2025) got over. iI THINK YOU HAVE MISSED IT. DONT WORRY. NEXT YEAR YOU CAN TRY OR YOU CAN ASSIST YOUR JUNIORS.

ADMISSION: Admissions will be handled at the level of each of the participating Universities for their respective programmes. After the declaration of the CUET(PG) 2025 results, the respective Universities will declare the counselling/admission schedule and merit list based on the CUET (PG) - 2025 score and any other criteria of participating universities. Please see the website of the concerned university for details regarding admission. There may be admission counselling by the universities with additional fees.

Applicants as per eligibility can apply for multiple test paper codes in one registration form. Candidates should not apply through duplicate or multiple forms, which may lead to the cancellation of all his/her Application Forms

CODE FOR PHARMACY: SCQP-23
SYLLABUS [POC, PIC, MATHS, OC - II, MICRO, APH (I&II), PHARM ENGINEERING, DCH PHARMACY, PHARM ANALYSIS (I -IV ), COGNOSY, CEUTICS-II, BIOCHEM, JURIS, COSMETICS, PHARM TECH, MED CHEM I-III, PHARMACOLOGY I-IV, BIOTECH, DRUG DESIGN, MARKETING, FOOD SCIENCE, QA, MANAGEMENT] HAS SHARED IN NTA WEBSITE.

THIS YEAR 57 INSTITUTIONS PARTICIPATED FOR THE SAID PURPOSE. NEXT YEAR THIS MAY INCREASE.

THE ADVANTAGES ARE NOT ONLY CAN PURSUE PHARMACY, APART FROM PHARMACY, YOU CAN PURSUE - DATA SCIENCE & AI, PUBLIC HEALTH, BIOINFORMATICS, PACKAGING TECH, ENVIRONMENTAL MANAGEMENT, GEOSPATIAL SCIENCE, PG DIP IN AI DIGITAL IMAGING, HEALTH CARE DATA, GEOINFORMATICS, PB-PHARMD, M.PHARM-PV, MSc- MICRO, MSc-NUTRITION, DIETICS.

I believe this information will be beneficial for your future education.

POOCHO. LIFE CHANGE KARO!

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Dr Nagarajan Jsk

Dr Nagarajan Jsk   |314 Answers  |Ask -

NEET, Medical, Pharmacy Careers - Answered on Apr 06, 2025

Asked by Anonymous - Mar 09, 2025Hindi
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I am a 12th student now in state board of tamil Nadu and I am a government school student what is the minimum requirement for me to join mbbs in AFMC medical College
Ans: The following requirements are mandatory for admission to AFMC.

Age: 17-24yrs
Academic qualitfication: FIRST ATTEMPT with English, Physics, Chemistry and Biology/ Bio-technology taken simultaneously and securing not less than 60% of the aggregate marks in these three science subjects taken together and not less than 50% marks in English and 50% marks in each of the science subjects. They must have also passed an examination in Mathematics of the tenth standard.
Candidates seeking admission for MBBS course at AFMC Pune will have to mandatorily qualify the NEET UG 2024 Examination conducted by National Testing Agency (NTA). 11. Eligible candidates who are interested to join AFMC, Pune to pursue the MBBS course will have to mandatorily register and apply for AFMC, Pune on DGHS

The shortlisted candidates will be called for screening which comprises of Test of English Language and Reasoning (ToELR), Psychological Assessment Test (PAT), Interview and Medical Examination at AFMC, Pune.

ToELR & PAT - Test of English Language and Reasoning (ToELR) in the form of Computer Based Test (CBT) and also Psychological Assessment Test (PAT) to be conducted at AFMC, Pune only for candidates shortlisted for interview. (t) Written Examination Score - Score obtained in NEET (UG) 2024 (720 marks) added to ToELR Score (80 marks) divided by 4 to get a score out of 200. (u) Final Score - Written examination score (200 marks) + Interview marks (50 marks).

MEDICAL FITNESS: MANDATORY AS PER AFMC

ALL THE BEST

POOCHO. LIFE CHANGE KARO!

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DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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