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Reasons for infertility, remedies to control obesity, hypertension and heart disease - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi how can i help u
User :   Hello Doctor
Doctor :   please proceed with your query
User :   I have sent you the testing reports
User :   yesterday
Doctor :   yes we recived the reports

Doctor :   the reports are normal
User :   now what should i do?
Doctor :   this case looks as an unexplained secondary infertility
Doctor :   yu can visit WWW.WWWW.WW Doctor :   website for more infomations on infertility
User :   I already had a talk with dr

User :   and Dt
Doctor :   ok
User :   Dr.
Doctor :   wat did he say
User :   they also told it unexplained
User :   No remedies
Doctor :   ok
Doctor :   even we are not able to find out the cause
User :   In ur panel any of infertility superspecialist?
Doctor :   if cause is not found then its difficult to treat
User :   To whom i cn contact
Doctor :   we will contact behalf of you
User :   thnx
User :   now come to my other problem
Doctor :   ok
User :   High B.P, PE & PD
Doctor :   proceed
User :   LIPID n All hormons lavel seems inline to the range
Doctor :   ok
User :   Electrolites n PPBS is also normal

Doctor :   wat was your last bp reading
User :   it is 92/140
Doctor :   -ok
Doctor :   is there any family history of hypertension
User :   no... father was a cardiac patiant with poor pumping (about 20-22%)
Doctor :   ok
Doctor :   wats your ht and wt
User :   5-8 n 76
User :   BMI abt 26

Doctor :   ok
Doctor :   it comes under obesity
Doctor :   are yu on treatment for hypertension
User :   no
Doctor :   ok
User :   some of times whn feel headache m taking Trika .25 mg
User :   for relax
Doctor :   ok
Doctor :   are yu tensed and stressed
User :   a bit (some of times)

Doctor :   because of family issues or office issues
Doctor :   ok
Doctor :   let me explain
User :   plz
Doctor :   yu have 3 risk factors
Doctor :   1. obesity
Doctor :   2. family history of heart disease
Doctor :   3. stress and tension sometimes
User :   now what are the remedies? sd i go for further investigations or sd i start medicine for Hypertension?

Doctor :   i will help u inthis
User :   tell me please

Doctor :   three important measures is required
Doctor :   one is diet
Doctor :   yu need to have a good control over the diet
Doctor :   avoid pickles
Doctor :   pappad
Doctor :   any salty foods
Doctor :   avoid spicy and fatty foods
Doctor :   avoid butter, cheese, ghee, thick curd and milk
User :   I m already taking wholsone diets (i.e less sodium diets , taking more leafy veg, not taking oily n junk foods)
Doctor :   the diet modifications will also help u to reduce the wt
Doctor :   thats good
Doctor :   maintain the same
Doctor :   do yu have coffee or tea
Doctor :   or milk
User :   milk abt 200 ml /day without cream tea abt two cup /day
User :   no tobeco n alcohol
Doctor :   is the milk skimmed
User :   skimmed?
Doctor :   yes in market skimmed milk is avaialble
Doctor :   it contains less fat compared to nomal milk
Doctor :   so its good for obesity and hypertension
User :   I m taking just normal milk without cream

User :   okay
Doctor :   its good if yu start on skimmed milk
User :   i will
Doctor :   ok
User :   I sdnt go for medication naa?
Doctor :   which oil are yu using for foods
Doctor :   i will guide u
User :   we use sunflower oil

Doctor :   ok
Doctor :   its better to use olive or canola oil
Doctor :   as they contain less saturated fat
Doctor :   and more unsaturated fat
User :   ok

User :   will start that
Doctor :   thats good
Doctor :   do yu have bisciuts at the time of snacks
User :   no
Doctor :   ok
User :   very rare
Doctor :   are yu vegetarian
User :   yes 100% not even egg

Doctor :   ok yu have biscuits which contain wheat
Doctor :   avoid good day or other cheesy one
User :   merigold or parle H

User :   G*
Doctor :   yes AAAAAAA
User :   Not taking
Doctor :   merigold is ok
User :   ok
Doctor :   cucumber, papaya is very good
Doctor :   to control hypertension
Doctor :   even almond is good
User :   4-5 almond taking daily with breakfast
Doctor :   good
Doctor :   do yu have any doubts regardign diet
User :   how much calorie i sd intake per day?

Doctor :   not more than 1600
User :   ok

Doctor :   the next is to burn out the calories that yu eat
Doctor :   wat exercises do yu do
User :   I m regular on morning walk (about 30 mins)

User :   no other excercises
Doctor :   ok

Doctor :   let me adivse yu few Exercises
Doctor :   they are 2 type
User :   plz tell me
Doctor :   one is aerobic
Doctor :   and other is cardio exercises
Doctor :   there are 2 advantages
Doctor :   1. they reduce the bad cholesterol thats LDL type
Doctor :   and increase good cholestrol thats HDL type
User :   what are the cardio exercises ?

Doctor :   2. during exercises there is harmone like subsatance released
Doctor :   called endorphins which will reduce the stress and tension levels
User :   yoga n meditation?

Doctor :   let me talk about aerobic exercises
User :   ok

Doctor :   this is brisk walk, swimming, cycling, and jogging
Doctor :   it better to do brisk walking
Doctor :   do yu know wat it is
User :   no
Doctor :   the speed should me little more than walking
Doctor :   do it on a plain surface
Doctor :   with the movements of theupper limbs
Doctor :   for 30- 40 mins
Doctor :   5-6 days in a week
User :   okay

Doctor :   so the legs, hands, and even the stomach exercises at the same time
User :   k
Doctor :   next is cardio exercise its treadmill
Doctor :   in the gym
User :   ok

Doctor :   at least 2-3 days in a week
User :   k

Doctor :   for 20 mins
Doctor :   yes yoga will help this should be done under a instructor
User :   ok

Doctor :   if with diet and exercises the bp comes to 130/80
Doctor :   no need of medications
User :   okay
User :   what about PE n ED?
Doctor :   other wise yu may need a small dose of antiypertensives
User :   like?
User :   brand name?
Doctor :   Losar 25 mg
User :   it is beta blocker na

Doctor :   no yu should not use beta blockers
Doctor :   because it casues some sexual dyfunction
Doctor :   reduces the sexual drive
Doctor :   in your case
Doctor :   its better to avoid'
User :   ok

Doctor :   this is ACE inhibitors
User :   ok
Doctor :   if yu have good control on obesity
Doctor :   and hypertension
Doctor :   i think the fertility chances will improve
Doctor :   its Dr XXXXXXXX here
User :   I will try my best to follow ur instructions

Doctor :   i saw your all investigations
Doctor :   i am also in touch with senior doctors
Doctor :   who are excellent in infertiliy
Doctor :   i will discuss your case
Doctor :   and get a good fruit full results to yu
Doctor :   is that ok
User :   whn i sd approach you again
User :   Thanks a lot dr
Doctor :   please fill the feed back form
Doctor :   not to worry
Doctor :   i will help u the best to solve your problem
User :   so nice of u

Doctor :   is there any thing i can help u with
User :   that cream is creating burning problem

Doctor :   how do yu apply that cream
User :   after appling the gel panis become loose
User :   out side
User :   with applicaror
Doctor :   yu need to apply it in a erected stage
User :   yes
Doctor :   8-10 min before the intercourse
User :   i applied twice during fully erection
Doctor :   then yu need to wash the penis after the sex
Doctor :   is that prilox cream or gel
User :   prilox cream

Doctor :   its also available in water form yu can try it
User :   u mean gel?
Doctor :   even if your allergic then yu need to stop it
Doctor :   yes the prilox is available even in water based forms
User :   found some reddishness too

Doctor :   ok
User :   so i stopped
Doctor :   ok
Doctor :   try with that if not its better to avoid
User :   Xylocain and prilox is the same?
Doctor :   longer appilcation can damage your penis
Doctor :   its the same
Doctor :   so better to avoid
User :   okay
Doctor :   ok take care
User :   any other medicines that can help me in PE n ED
Doctor :   yes there are medications
Doctor :   but they haave more side effects
Doctor :   and not advised in hypertension
Doctor :   its better to control hypertension and obesity
Doctor :   so that your Ed problem will settle
User :   ok
Doctor :   Thanks for consulting HealthcareMagic. Bye for now.
User :   okay doctor thank you very much for your wholsome suggessions
Doctor :   ok
User :   bye
Doctor :   will get back to yu after
User :   Good Night
Doctor :   consulting the senior consultants
Doctor :   ok
Doctor :   good nite
User :   sd i wait for ur mail
User :   or i sd come online?
Doctor :   ok
Doctor :   online
User :   when?

User :   When?
Doctor :   i will put a mail once its done then yu can come to chat
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