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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |696 Answers  |Ask -

General Physician - Answered on May 14, 2023

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
Vikas Question by Vikas on May 09, 2023Hindi
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What is cardio enzyme test? On sunday, 7th May 2023 my blood pressure was 148/84. On Monday it was 145/84 and Today it was 173/84. BP figures are not stable. So my doctor suggested to undergo cardio enzyme test. On 7th May & 8th May I went for BP reading after my morning walk of nearly 3.75 kms. Today I woke up late and did not go for my usual walk and straightway went for BP reading. I regularly take Amplip-5 tablet in the morning. Please guide.

Ans: The high upper limit consistently is seen with variations, in your case. The lower limit stays within normal range. So please check your BP consistently on a same time for a week and see. If it still fluctuating then may have to address your stress and lifestyle midifications
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 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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Hi sir I want your advice as I don't know what to do and how to handle I am in long distance relationship with a guy who is in navy since 3 years .He told to his parents about our relationship buy they rejected because off intercaste and all usko bhut kuch sunaya aur ba vo use bat bhi nhi kar rhe pichle 4 mahino se usko mumy use bat gak nhi kar rhi aur use ghar vale uske liye ladki bhi search karne lag gye taki shadi karva de khi aur Is bich vo mujhe ab distance bna rha dur ho rha mujhse dhere dhere mer khane par bat kar rha bs aur.bol rha ab Humara koi future nhi hai isliye acha hoga ab hum bag nhi kare but mai uske bina nhi rhe la rhi bhut buri halat ho rhi meri uske bina vo mer khane par bat kar rha kar vo bhut jyada preshna hai samj nhi aya rha kya karo kese thik karu sab Usne mujhe har jgh se block kar diya gha ek bar par mere manane par aya hai but ab na mere number save kar rha na Instagram par follow kar rha kuch nhi maine jab bola to bolta hai bat ho rhi na bs
Ans: Dear Shruti,

I am sorry that you are in this situation. First of all, please try to look at it from your partner's perspective. It isn't easy to confront your parents and it's even harder when they stop communicating altogether. Having said that, I also understand how it is for you. It is not fair, especially in today's day and age, to face discrimination based on caste.

You have two options:
One, you wait patiently, emotionally support your boyfriend, and hope that his parents come to their senses and realize that we are living in 2024, and caste-based discrimination is ridiculous. In this scenario, you do have to let go of your self-respect and have to face many more hardships, that much is guaranteed.

The second option is you hold your head high and move on. Yes, it isn't what you hoped for when you emotionally invested in building this relationship, but unfortunately, these things are still happening. In this scenario, you will be sad for a long time, but you don't have to compromise on your self-respect and you will move on and live to see happier days with someone who respects you and sees you for who you are and not your caste.

Now, the choice is yours.

Best Wishes!
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I am MSC microbiologist. I have applying many companies but no response from anywhere I am desperately searching but not found my wishes job opportunity from Maharashtra but not responding any consultant and companies
Ans: I'm sorry to hear about your challenges in finding job opportunities in Maharashtra. Consider searching for positions in neighboring cities or regions where there may be more demand for microbiologists. Make use of online job portals and professional networking platforms to search for job openings in your field. Tailor your resume to highlight your relevant skills and experiences, and actively apply to positions that match your qualifications. Attend industry-specific events, seminars, and conferences where you can network with professionals in your field and learn about job opportunities. Join relevant industry associations or online forums to stay updated on industry trends and job openings. Identify companies in Maharashtra that may require microbiologists for research, testing, or product development purposes. Visit their websites, review their career pages, and reach out directly to inquire about job opportunities or submit your resume. Job searching can be a challenging and time-consuming process, but it's important to stay persistent and maintain a positive attitude. Celebrate small victories, stay proactive in your job search efforts, and remain confident in your abilities and qualifications. Keep refining your job search strategies, and don't hesitate to seek support from former colleagues, classmates, professors, and industry contacts who may be aware of job openings or able to provide insights into the job market.
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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |696 Answers  |Ask -

General Physician - Answered on Apr 23, 2024

Asked by Anonymous - Apr 11, 2024Hindi
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My grandmother has Parkinson's and got a tube in her nose that extends to her stomach that so we can inject liquids easily as she completely avoids eating food and doesn't even swallow a sip of water. She snatched the tube out of her nose completely and now it cannot be used again. We cannot keep a check on her for full 24 hours but we try our best. Please suggest anything to avoid the snatching as once a tube has been taken out it cannot be re-inserted. And please one more thing that she keeps wetting the bed despite of using diapers. The diaper always leaks out and then my mom has to clean grandmother, her clothes, the bed sheets etc. She gets tired by doing this twice a day as it is a lot of work. Pls suggest something about the bed wetting to how to minimise it. She is around 70 kgs and cannot even get up herself so my mom has to pull her out of the bed which requires a lot of strength. My mom feels pain in her back and shoulder a lot. All of this happening around the house is too much. I will be grateful if you reply.
Ans: To avoid bed wetting you need to make her wear the correct size diaper. Undersheets can be used as an added protection.
Normally soaking happens if we do not change the diaper adequately.
Please ask your Mom to do some upper body work outs through a physios, help.
With respect to the Ryle's tube, it is an irritant that one gets used to. If your Grandmom does not like it and non cooperative not much can be done. But you could check up with her Physician if now and then Parenteral nutrition can be given by hospitalising her
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