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Diet restrictions and exercise to control hypercholestremia - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Cholesterol
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User :   Hi
Doctor :   Hi
Doctor :   dr here
Doctor :   How may i help you?
User :   I have recently tested my cholestrol levels and i am 27 yrs old
Doctor :   Ok
User :   cholestrol is 222 and triglycerides are 174
Doctor :   what about LDL and HDL
Doctor :   Both are under the higher side
User :   yes...i am very much worried....actually i am being treated for axiety for the past 4 months
User :   ldl is 137 and hdl is 51 sir
Doctor :   All you nedd now is diet restriction/moderate exercise
Doctor :   and once you are able to control then its will be fien
Doctor :   In case the values are not controlled
Doctor :   Then we have drugs which fasten lipid absorption
Doctor :   As in your case your are just above the normal border increase
User :   ok..but my problem is that i experience acute pain in my chest which lasts for about 10 mins when i am very much tesnsed....does that indicate any blockage in heart?
Doctor :   So can be easily reduce the calues
Doctor :   Ok a problem to be concerned
Doctor :   I will require to ask you few more questions
Doctor :   Do you smoke? alcohol
User :   sure..plz go a head
User :   no ..i dont have any bad habits
Doctor :   Thats good
Doctor :   Do you consume Non veg food
User :   no i am a vegetarian
Doctor :   Ok frequency of consumption
User :   every 4 hrs i eat something
User :   burning sensation got reduced after i statrted taking clonazepam 1 mg everyday..
Doctor :   No about Non veg consumption
User :   i dont eat non veg
Doctor :   sorry
User :   nope
Doctor :   I took it as non veg
Doctor :   See let me breif you You have to start controlling yoiur diet intake of fat and cholesterol
Doctor :   Simple things like avoiding junk food/ pastries/ Carbonated drinks/ Passive smoking
Doctor :   and add more of fibre rich diet and once in while do practise detox foods
Doctor :   You will require to work out on cardio exeercise
User :   what are detox foods
User :   ?
Doctor :   Purely on fruits and vegtables for an week with plenty water#
User : i need to reduce the consumption of rice ?
User :   after how many days i need to take a test again?
Doctor :   No issues with that , just add more of fibre diet
Doctor :   When was your last health check up done
User :   do drugs like clonazepam and bupron xl increase any cholestrol and LDL levels?
Doctor :   As concerned with mild rise in cholesterol and chest pain
User :   2 days back
Doctor :   I will suggest you to get an ECG and ECHO done
Doctor :   No
User :   i have fixed an app with a cardiac surgoen this i need the permission of the doc to get these tests done?
Doctor :   You just need to meet an cardiologist
Doctor :   And ECG and ECHO Can be done from any hospital on request
Doctor :   Some how you will be asked to do the same after meeting the cardiologist
User :   ok...if there is any blockage or something does echo reveal that?
Doctor :   No
Doctor :   But will point out abnormalities
Doctor :   Then further investigationsa are done to rule out blocks
User :   ok..but one thing is that the pain is not that much severe..its negligible...but some what uncomfortable...i cant ignore
Doctor :   No plz get your self examined by a doctor
Doctor :   Though having minimal risks will advise to visit and get checked
Doctor :   Is the pain related to food intake?
User :   no..i dont even have any acidity problem...i will have pain when i severly tensed and stressed..
Doctor :   Ok even stress will induce more acid production resulting in such symptoms
Doctor :   Ok till you meet the doctor you can have Syrup Gelusil 5ml before 1/2 hr beforefood
User :   ok...can i ask one question plz be frank
Doctor :   Or any antaciods available with you
Doctor :   Yes proceed
User :   these cholestrol and ldl reading uncommon for any person at this early age of 27...?
Doctor :   yes now a days it become common
Doctor :   because people now have adapted to sedantry lifestyles and minimal physical activity
Doctor :   And the main being unhealthy food habits
User :   but none of my colleagues faced this till chest pain
User :   i need to start morning walk i think..
Doctor :   As an doctor i have seen many
Doctor :   Yes you will require active walk and follwed by some brisk gaming
User :   can u suggest me some simple cardio excercises that dont strain the heart too much...if so i will face the problem of acute pain again..
Doctor :   Ok
Doctor :   Aerobics will be best suited for training cardio
Doctor :   Start with brisk jogging and atleast two to three minutes on treadmill
Doctor :   Then you have various situps and side streches including tables up
Doctor :   It cant be explained in words you will rather need an instructor
User :   ok..after how many days i need to get these tests (cholestrol) done again..?
Doctor :   1 month
User :   ok....cholestrol should come below 200 and what abt triglycerides? what is best level for my age?
Doctor :   Around 160
Doctor :   triglycerides (Male) 40 - 170 mg/dl
User :   heard that they are no1 risk factor
Doctor :   Yes if left uncontrolled and untreated
Doctor :   But your just in above normal you can easily control them
Doctor :   Just see to that involve in moderate physical activity
User :   as of now is there any chance of scelerosis with a cholestrol level of 222?
Doctor :   And healthy diet (*regular)
User :   coz my father has that
Doctor :   No and not at this age
User :   atheroscelerosis
User :   ok
Doctor :   Though he had it your values are just mild raised
Doctor :   All you need to do is be cautious from now
User :   being an it prof my life style is worst ...i come at 1 in the night and wake up at 7
Doctor :   Its just deposition of cholesterol plauques in the artery it happens when there is very high levels
Doctor :   Its important you change your lifestyle and dedicate more time to you health
Doctor :   See to that atleast cardio exercises thrice a week is done and minimum 1 hour moderate exercise daily
User :   but one thing i noticed is that i am not able to control or reduce my palpitations..if continuously use clonazepam then its ok...else evry thing becomes abnormal
User :   i am addicted to these medications from 4 months...
Doctor :   Its a depressant and will have withdrwal symptoms
Doctor :   You should taper them and discontinue
Doctor :   they will cause high degree of dependence
Doctor :   Were these medications prescribed to you
User :   ist when i try to do that even to lower the dosage i am experiencing higher palpitations...they were prescribed by a psychiatr
Doctor :   Ok you better consult an psychiatrist he will help you in discontinuation
Doctor :   These drugs are prone for severe side effects follwoing withdrawal hence will require extra care
Doctor :   There are drugs in substitute which can be only prescribed by the psychiatrist
Doctor :   Do you consume them due to anxiety or sleepness
User :   yes reduce anxiety ..every day...some .5 mg
Doctor :   Ok now are releived from the anxiety issues
Doctor :   Better revist him an explain your symptoms he might modify the drug
Doctor :   Because some people also develop very untoward experiences
User :   i am only 46kg wt and very much under weight...but my concern now is that it will be very difficult for me to gain weight after doing all these exercises and following the diet rules..
Doctor :   Yes you will al required is proper supplementation
Doctor :   weight is not the issue Get to control the cholesterol values then can plan for weight gain
User :   i am using revital tabs continuously for the past 3-4 i feel somewhat it ok?
Doctor :   Its fine But will not help in gaining weight
Doctor :   Rather adapt to healthy lifestyles will be more energetic
Doctor :   And excerises keeps a man more brisk
User :   ok..i also have the problem of hallow breathing inaddition to palpitations....ECG and ECHO pain?
Doctor :   Shallow?
Doctor :   Is it fast and shorter , do you gasp for breath
Doctor :   Or is it difficulty
User : unable to breathe completely when i am quite stressed
Doctor :   Ok
User :   not excatly difficulty
Doctor :   Then its mostly associated with anxiety and nervousness
Doctor :   Will it reduce follwing decresed anxiety/ stress
User :   yes..
User :   immediately
Doctor :   Then you dont have worry about it
User : the tests ECG and ECHO pain ?
Doctor :   Just get ECG and ECHO done with cardiologist consultation
User :   ok...what does echo reveal?
Doctor :   The phsiology of heart
Doctor :   Ecg will reveal the normal funtioning of heart ( electrical activity)
User :   ok...
Doctor :   Is there anything else i can help you ?
User :   i have a blood sugar of that fine?
Doctor :   Yes
User :   ok..thank much for the hellp
Doctor :   Thanks for consulting me
Doctor :   wishing you speedy recovery
Doctor :   Bye for now
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