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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1058 Answers  |Ask -

General Physician - Answered on Aug 03, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
Prabir Question by Prabir on Aug 01, 2024Hindi
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Sir, kindly answer my health related question asked on 24 June, 2024

Ans: Am sorry
I missed it
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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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

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Dr Hemalata

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General Physician - Answered on Jun 21, 2024

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I am 77 years old. I was taking medicine for high BP from the age of 50 years.I was very active doing yoga regularly in the morning and doing walk in the evening. I do not smoke and do not drink as well. I am a person with height weight normal as per the standard chart. I was very active doing my job and never use to get tired. I worked for six years in Central Govt, thirty years in PSU and seventeen years in Private Organisations. I used to believe that " a Person should never retire from work". I stopped going to work from March 2020 after the Covid 19 spread in India. During a routine check up, my doctor mentioned on my prescription as "Stable Angina". I asked about it but he replied, it is nothing, do not worry. I was not having any pain etc. But this remark of Stable Angina. was written on my prescription on every visit. In June 2022, I got a CT Angiography done just to know the deposits in my arteries. It was found to be more in all the five arteries. But I had no symptoms of any pain or breathlessness while moving or working.In August 2022, I got some problem in my left eye, went to eye specialist, he observed a little deposit in eye nerve. He tried to break it but could not. I went for Angiography. All the arteries were found with deposits but still I had no pain etc. I was operated for Heart By pass Surgery on 22.9.22 and released from Hospital on 1.10.22. I was put on High Protein Diet. During Jan 23 to July 23, my Blood Urea Nitrogen & Urea got up the required level.High Protein Diet was stopped and advised take more Fruits. BUN & Urea came normal. More fruits were being taken. It caused potassium level to go up. Then in fruits also restriction imposed on banana, coconut water & citrus fruits. Now I am on restricted diet. BUN & Urea are normal but potassium remains fluctuating. Now I am alright but feel very weak. I do little walk but get tired soon. I am not able to do yoga due to low energy. Vitamin supplements are being taken but not getting strength. Even feels stability problem. While standing feels giddiness and feels that i may fall. I am also feeling severe pain in my arms muscles. Now I am taking medicines for BP, Cholesterol, Blood Thinner, Enlarged Prostrate Gland, Vitamin supplement. I always think why I am feeling so many problems after Heart Bye Pass Surgery. Please advise.
Ans: I feel you need your medications adjusted. They're probably making you feel like this.

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Latest Questions
Nitin

Nitin Narkhede  |4 Answers  |Ask -

MF, PF Guru - Answered on Sep 10, 2024

Asked by Anonymous - Sep 06, 2024Hindi
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I am 16 and I want to invest in mutual funds. I get pocket money of Rs 3000 per month. After cutting costs, I save about Rs 1200-1500 per month. Can I invest this in SIPs? My goal is to buy a Yamaha bike In December 2025 for my 18th birthday which costs Rs 1.5 lakh. I have already saved Rs 40,000. Where can I invest so that I can double my savings by next year? Please advice
Ans: Dear
It’s awesome that you’re thinking about investing at such a young age! Your goal of buying a Yamaha bike for your 18th birthday is achievable with the right investment strategy. Let’s break it down:
1. SIP (Systematic Investment Plan) for Your Monthly Savings you can absolutely invest your savings in SIPs. With Rs 1200-1500 available per month, SIPs are a great way to start investing in mutual funds. They allow you to invest small amounts regularly, and over time, you can benefit from compounding and rupee-cost averaging, which means your money can grow steadily. However, since your goal is just over a year away (December 2025), you’ll need to invest in something that balances growth with moderate risk, because mutual funds, especially equity ones, can be volatile in the short term.
2. How Much You Need to Save - Your target is Rs 1.5 lakh, and you’ve already saved Rs 40,000.- So, you need Rs 1.1 lakh more by December 2025. - You have roughly 15 months left, meaning you need to save or grow your savings by about Rs 7333 per month to meet your goal.
3. Investment Options - Given your short time frame, here are a few options to consider: - Hybrid or Balanced Mutual Funds: These funds invest in both stocks (equity) and bonds (debt), providing moderate growth with relatively lower risk than pure equity funds. While they might not double your savings in a year, they can give you better returns than a bank savings account. On average, you could expect returns of 8-10% per year. - Debt Mutual Funds: These are safer compared to equity mutual funds but offer lower returns, typically 6-8% per year. Debt funds might be a good option if you want to minimize risk, though they won't give huge returns in a short time. - Recurring Deposits (RDs): If you’re looking for safety and guaranteed returns, an RD in a bank might be a safer option, though the returns will be around 5-6%. This won’t help double your money, but it’s secure.
4. Doubling Your Money in a Year- While it’s tempting to look for ways to double your money quickly, it’s important to understand that high returns usually come with high risk. Investing in high-risk options like **stock trading** or **cryptocurrencies** could lead to losses, especially over such a short period.
Unfortunately, doubling your money in just over a year is not realistic without taking on significant risk. A better approach is to aim for stable growth and possibly adjust your bike budget or timeframe if necessary.
5. Action Plan - Start a SIP in a **balanced or hybrid mutual fund** with your monthly savings of Rs 1200-1500.
- Continue saving as much as possible to reach your target.
- Be cautious of high-risk investments, as they could hurt your savings in the short term.
So the Conclusion that by investing in SIPs and sticking to a disciplined savings plan, you should be able to get close to your goal. While doubling your money may not happen within a year, steady growth will help you build towards your dream bike.
If you need more personalized advice, consider speaking to a financial advisor to find the best funds for your situation.

Best regards,
Nitin Narkhede
Founder & MD, Prosperity Lifestyle Hub https://Nitinnarkhede.com
Free Webinar https://bit.ly/PLH-Webinar

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