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Health Tips
Blood Pressure :
Blood Pressure is a silent killer. High blood pressure can quietly damage your body before actual symptoms get visible. Left uncontrolled, you may end up with disability, poor quality of life or even fatal heart attack. Read the symptoms & signs for this silent killer.

High blood pressure or hypertension is a condition where your blood pressure crosses the normal limit of 140/90. If untreated, it may lead to heart disease and stroke. It can be dangerous as it makes your heart work harder to pump out the blood. Excessive consumption of salt, an unhealthy diet, obesity, lack of physical activities and stress are some of the common causes of high blood pressure. For most of us, our lifestyle resonates with one or more of the above factors which is why its is not surprising that high blood pressure is affecting the young and the old alike.

While high blood pressure is turning out to be common and more and more people are getting diagnosed, a new study reveals something rather shocking. As per a study, published in the journal Canadian Family Physician, almost 20% of the people who are being treated for high blood pressure may not really have it! Researchers of the study believe that it might be a case of misdiagnosis as a result of doctors using manual devices to measure blood pressure.

To prove their point, they conducted a survey among Canadian family doctors in 2016 which revealed that 52% of the 769 respondents used a manual tensiometer to measure blood pressure. Only 43 per cent used an automatic device. The manual devices that measures blood pressure is considered to use a dated technology that often leads to errors and misdiagnosis.

"About 20 per cent of people receiving treatment for hypertension don't actually have a problem and do not need medication. This is due mainly to the fact that their blood pressure was improperly measured. Clinicians should use automatic devices," said lead author Janusz Kaczorowski, Professor at Universite de Montreal in Canada.

It is recommended to use automated devices to measure high blood pressure because they tend to eliminate something known as the white-coat syndrome in which a person may report higher levels of blood pressure due to the stress of being in a doctor's office and human interaction. The correct diagnosis of high blood pressure can definitely help in reducing the incidence of heart disease.

High blood pressure can be effectively managed with the help of a good diet and regular exercises. People are also advised to keep a check on their salt intake. According to Wellness Expert, Preeti Rao, certain home remedies like lemon, watermelon seeds and garlic can help lowering high levels of blood pressure, though, you must always consult your doctor before changing or altering your medicines and opting for a natural remedy.

Eggs make for an important part of our breakfast and are known for their many health benefits; moreover, they are versatile. They can be made in to an omelette or can be scrambled, boiled, fried or just about anything. However, there has been a constant debate on how eggs also contribute to increased cholesterol level that is generally found in the egg yolk, which is why most people opt for only egg whites. Eating only egg whites instead of whole may lower the amount of calories, fat and saturated fats you consume. We reveal some benefits the much neglected egg whites have.1. Cholesterol-Free

Once you have removed the egg yolk, the egg is left with no cholesterol content. Therefore, anyone who has high cholesterol levels can eat egg whites, leaving lesser chances of developing heart disease risk or elevation of cholesterol levels.

2. Rich In Protein

Whole eggs top the charts in terms of protein content, courtesy egg yolk. However, egg whites also tend to have generous amount of low-fat protein that is beneficial for the body. High quality protein helps build muscles and also helps you cut down on cravings and hunger pangs by keeping you fuller for long.

3. Low-Calorie Food

Egg is not a high-calorie food in the first place; therefore, cutting the yolk out of the meal would only mean you are adding even lesser calories. So if you are looking to lose weight, make sure you opt for egg whites rather than the whole egg.

4. Helps In Maintaining Blood Pressure

The presence of potassium in an egg white may help reduce and maintain blood pressure levels. Potassium is a mineral and electrolyte that is associated with heart and bone health along with the proper functioning of the body. According to a study by American Chemical Society, egg white contains a peptide called RVPSL, which is a component of protein that helps reduce blood pressure levels.

5. Helps Lower The Risk Of Cardiovascular Diseases

Potassium helps in lowering blood pressure, which in turn can avert any cardiovascular diseases. It works by promoting vasodilation, a process in which blood vessels widen, which allows smooth blood flow and prevent any chances of clogging.

6. Contains Essential Vitamins

Egg whites contain essential vitamins like A, B-12 and D. One of the most important vitamins is riboflavin, also known as vitamin B2, is necessary for preventing various conditions like age-related macular degeneration, cataracts and migraine headaches.

Add egg whites to salads, make omelettes or scramble it; eat it anyway you'd like. Have an egg-cellent day!

You probably know that high blood pressure, or hypertension, is a major risk factor for heart attack, stroke, vision problems, even dementia. But did you know this? Hand-grip exercises - squeezing one of those V-shape devices with a resistance spring - can lower your blood pressure by about 10 percent.

That's one of the "15 Things You Better Know About Your Blood Pressure" that AARP reports in the June issue of its Bulletin publication and at aarp.org. It cites a "landmark" paper published in 2013 in Hypertension, a journal of the American Heart Association, which said that while all exercise did good things for blood pressure, "some of the most impressive improvements" came after four weeks of hand-grip squeezing.

AARP suggests squeezing the gripper for two minutes at a time for a total of 12 to 15 minutes, three times a week. You can get one at a sporting goods store for about $10 or $20.

AARP is interested because blood pressure typically rises as we age, and two-thirds of Americans older than 60 are in the "high" zone (140/90 and up.) But about a third of people in their 30s and 40s have hypertension, too.

Some other items from AARP's list of things to know:

1. New blood pressure medications may not be much better than old standbys. Diuretics, or "water pills," which remove excess sodium and water through urination, are "some of the oldest hypertension medications around," the article says. "Newer medications called ACE (angiotensin-converting enzyme) inhibitors prevent the body from producing a hormone that raises blood pressure. Angiotensin II receptor blockers, or ARBs, block the action of the same hormone. Research shows that the newer meds may be no more effective than diuretics, though they often have fewer side effects."

2. Some over-the-counter medications can raise blood pressure by several points. These include cold medicines that contain pseudoephedrine and nonsteroidal anti-inflammatories such as ibuprofen.

3. Deep breathing - slowing down to about six breaths in 30 seconds - can take three points off your systolic pressure. That's the top number in your blood pressure reading. It's the one to watch as you get older, because the bottom number, your diastolic pressure, peaks at about age 55 and gradually falls.

4. High blood pressure often has no symptoms. You probably knew that, too, but it's the kind of thing you forget because - well, because you have no symptoms. So get it checked.

Pregnant women are advised ample rest and there’s a good reason for it. In fact, pregnant women undergo constant blood pressure check up so that the doctor can monitor the pressure levels throughout pregnancy. Developing high blood pressure during pregnancy is not always harmful but it could also lead to several complications. “These days high BP during late pregnancies is very common. There is also a high possibility that women have hypertension as a pre-existing condition,” says Dr Anjali Talwalkar, obstetrics and gynecology, Kohinoor Hospital.

These are some of the symptoms that you need to watch out for:

Typically, most women develop high BP during the seventh month, usually after 20 or 24 weeks. This is the time that women need to be careful and lead as healthy a life as possible. “Some of the effects include protein loss in urine, which could lead to kidney damage. At the same time fluid retention (which is very common) can lead to swollen feet,” she adds. High BP could also lead to pre-eclampsia.

According to Dr Bilsi Mittal, MS (obstetrics and gynaecology), Wockhardt Hospital, “Pregnant women should watch out for symptoms like too much weight gain, blurring of vision, turbidity of urine, severe headaches.”

Here’s what high BP means for your growing baby:

Due to the increased pressure, it directly affects the placenta. “This makes the blood vessels shrink leading to reduced blood flow for your baby. The baby can also experience severe intrauterine growth retardation,” says Talwalkar.

She adds, “Accidental haemohrage is also a complication that women should be aware of. This causes the placenta to separate from the uterus and leads to bleeding.”

High BP can be a dangerous condition because sometimes it can also lead to termination of pregnancy. “This situation is rare but occurs if the pregnant woman’s BP doesn’t come under control with treatment,” says Dr Mittal.

So, what are some of the precautionary measures?

Controlling blood pressure is very important. “It is important for mothers-to-be to ensure that they opt for early detection, which helps in better prognosis. Be regular for antenatal visits. Always follow a low salt diet and continue regular intake of calcium and iron tablets,” says Dr Mittal. Most importantly, a mother-to-be should be supported at home and at work places to help her sail through the pregnancy smoothly.

While the popular belief is that smoking largely affects the lungs because they get directly exposed to inhaled smoke, health experts warn that it also impacts the entire cardiovascular system. According to the World Health Organisation (WHO), smoking tobacco is globally the second leading cause of heart diseases after high blood pressure. Nearly 12 % of cardiovascular deaths worldwide occur due to tobacco abuse and secondhand smoking.

In tobacco cigarette, there is combustion, a burning of an organic material that generates temperatures up to 900 degree Celsius. Chronic exposure to this tends to thicken blood vessels, making them weaker in the long run. This can lead to blood clots and ultimately result in stroke or peripheral heart diseases.

“Inhaling the smoke from tobacco builds fatty material -- atheroma -- in the heart of the smoker which then damages the inner lining of arteries and also narrows them further,” Tapan Ghose, Director & HOD, Cardiology at Fortis Flt. Lt. Rajan Dhall Hospital, told IANS. “This narrowing can cause the angina, stroke or heart attack,” he added.

Further, the presence of nicotine in the cigarettes raises the blood pressure, which can have a detrimental effect on the heart’s oxygen balance. “Nicotine causes thickening of the blood vessels, which hampers the blood flow and also causes high blood pressure or hypertension,” Mukesh Goel, Senior Consultant, Cardio Thoracic & Vascular Surgery at Indraprastha Apollo Hospitals, told IANS.

Tobacco also has carbon monoxide, which blends with haemoglobin in the blood more easily than oxygen does, thus affecting the oxygen supply in the body. The carbon monoxide prevents the blood system from effectively carrying oxygen around the body, specifically to vital organs such as the heart and brain, the experts said, adding that apart from regular smokers, those who inhale the smoke passively may also be at risk.

WHO states that of the seven million lives that tobacco claims worldwide each year, almost 900,000 are passive-smokers. Tobacco, whether smoked, swallowed, or chewed poses multiple hazards. In addition to affecting the lungs and heart, it also increases the risk of head and neck, lung, esophageal, pancreatic, and urologic cancers.

According to a recent study published in The Journal of Physiology, smoking could directly damage the muscles by reducing the number of blood vessels in leg muscles, which in turn reduce the amount of oxygen and nutrients the muscles receive. This may impact the metabolism and activity levels. Moreover, smoking also affects both male and female fertility, doctors said.

“Women smoking tobacco reduce their chances of conceiving by at least 60% and is also linked to ectopic pregnancy and other tubal factor infertility,” Sagarika Aggarwal, an IVF expert at Indira IVF Hospital, New Delhi, told IANS. On the other hand, male smokers can suffer from decreased sperm quality with lower mobility and increased numbers of abnormally-shaped sperms. Moreover, chain smoking might also decrease the sperm’s ability to fertilise eggs. Besides causing infertility, tobacco during pregnancy can also lead to multiple issues ranging from miscarriage to under-development of the foetus and making the child susceptible to various forms of disorder such as Attention Deficit Hyperactivity Disorder (ADHD), Goel noted.

Quitting is the best way, the experts said while discouraging the use of alternatives like e-cigarettes. “While it is true that e-cigarettes have less quantity of tobacco as compared to regular cigarettes, bidis or hookah, but they also expose lungs, heart and other organs to very high levels of toxic substances,” Goel said. Other measures like clinical interventions, counselling and behavioural therapies can help people quit tobacco abuse.

“Nicotine replacement therapy, including nicotine patches, gum, lozenges, inhalers etc, has been found to be effective. Combination therapy with drugs like bupropion has been found to be more effective than nicotine replacement alone,” said Viveka Kumar, Senior Director, Max Heart & Vascular Institute, Saket.

Kumar also emphasised on the role of mass media in spreading awareness about the harmful effects of tobacco, while curbing the easy access to tobacco, especially among the younger vulnerable population. “Availability and accessibility of smoking cessation programmes to smokers who want to stop smoking remains an area which needs to be addressed,” Kumar said.

Dr. Vijay Jagdale
Dr. Vijay Jagdale
BHMS, Homeopath, 10 yrs, Mumbai
Dr. Amol Pharande
Dr. Amol Pharande
MDS, Cosmetic and Aesthetic Dentist Dental Surgeon, 14 yrs, Pune
Dr. Yogesh  Wankhede
Dr. Yogesh Wankhede
BAMS, Ayurveda Acupressurist, 5 yrs, Pune
Dr. Mandar Phutane
Dr. Mandar Phutane
BDS, Cosmetic and Aesthetic Dentist Dental Surgeon, 10 yrs, Pune
Dr. Amol Dange
Dr. Amol Dange
MBBS, Diabetologist, 14 yrs, Pune
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