LifeAID Clinic

Hello friends,

Welcome to lybrate to watch my video. Today I am going to discuss a very important topic with you. The topic of why it is so difficult to lose weight.

Many of my patients come to me and they have this pertinent question which keeps on rising day by day that ' Doctor I am trying everything which I can do as far as diet is concerned, exercise is concerned. In spite of all these measures I haven't been able to lose weight that I would like to lose.'  Well friends , this question would be best addressed if I give you the right quantum of advice and the mechanism behind the reasons because of which weight loss is such a difficult proposition for the human body.

You all are aware that all of us have got a very specific temperature, beyond this temperature we feel feverish and below this fever, below this temperature, we start feeling hypothermia. So body has got a thermostat installed in itself because of which only a specific temperature suits the body. The normal temperature is set for every human being and that is why that normal is what doctor is seeking as far as the temperature is concerned.

In a similar manner the body has got an osmostat, the problem with osmostat is that the body decides on itself what is the proper way which is applicable for a particular human body. So our bodies are accustomed to a particular weight, a person who has got a weight of 80 kgs and want to lose it till 60 it is so difficult for that person to lose weight because the body thinks that if you are losing weight you are under stress and it tries to bring you back to the same level of weight which you are presently or currently rappelling with.

So to say it in a very simple manner , a person who is at 80 kgs of weight would find it very difficult because the body would not let itself to lose weight because of the osmostat start mechanism. The body will not let you lose weight because it thinks , but if you are losing weight you are actually becoming more and more sick. The trick is not to lose the weight too fast.

All these health programs the diet regiments you try to follow they all recommend loss of weight as quickly as possible.The problem is , the moment you start losing very quickly you will gain the weight as quickly as ever in the same manner which you have lost the weight. If you want to trick your body , you will have to slowly and slowly bring down the metre of the osmostat and you will have to understand that losing 500 grams or 1 kg in a month is a much better position to stay healthy and fit and lose weight on a forever basis rather than try to lose weight quickly and then thinking that I would not gain that weight ever again.

So the idea is to trick your body and if you want to trick your body , then please remember that you will have to lose weight on a step-by-step basis and in a very relaxed manner in which you are losing weight consistently slowly on the basis of around 500 grams to 1 kg every month. That is the surest method by which you will be able to reset the osmostat of the body and forever remain thin and lean, a body which you desire.

My name is Dr Hanish Gupta and I am your friend here at lybrate. You can catch me at lybrate, tag me at lybrate and you can always catch me at my Mayur Vihar Clinic Delhi. Thank you for watching.

Hello friends!

My name is Dr. Hanish Gupta. I am physician in Delhi. Primarily my practice is hovering around diabetes and cardiovascular diseases. I am an expert in diabetes and today I want to talk with you about a very important topic which is becoming the talk of the town and lot of my patients have questions regarding it and the topic is about Prediabetics. Well I would like to explain to you what exactly Prediabetes is. As the name explains on itself Prediabetes is the precursor stage of diabetes or the stage of the body when diabetes is becoming a reality but the patient is not yet there and hasn't become a diabetic as yet.

Now Prediabetes is set on a diagnostic criteria and as per WHO, the diagnostic criteria is that anybody who doesn't qualify to be a diabetic meaning by which hasn't got a fasting blood sugar greater than 126 but but has got a fasting blood sugar greater than 110 then that person is in the stage when diabetes may become a reality for that patient in the years to come. So bahut sare patients ko aisa lagta hai kya diabetics ke pehle mujhe pata chal sakta tha ki mujhe diabetes hone wali hai ya nahi?

Prediabetes woh stage hai, woh padhav hai zindagi ka jahan par agar aap alert hai aur aap ko pata hai ki meri blood sugar 110 or 126 ke beech mein aa chuki hai at the time of fasting then you have to take measures to delay the stage or to make such lifestyle changes such that diabetes doesn't become a reality for you. Aur in sab cheezo ke liye sabse achi baat ye hai ki aap ko dawaiyon ki avashyakta nahi hai. Aapko Prediabetes ki stage ko kabhi zindagi mei diabetes ki stage na ban jaye iske liye aapko dawa ki jarurat nahi balki lifestyle modification jiske andar exercise or diet ka sabse ahem role hai unn chizon ki aavshyakta hai. So if you make dietary changes in which you stop taking artificial sugars, very high carbohydrate diet, stop taking fatty food and at the same time start accustoming your body for right amount of aerobic exercises on a daily basis then you can make a possibility of diabetes a near avoidance for you forever.

Kaun zindagi mein diabetes ke sath mei joojhna chahta hai? Koi nahi chahta ki diabetes usko ho jaye. Aur aise patients jinke mata pita ko ya bhai behno ko diabetes ho chuki hai unke liye apne aapko Prediabetes screening karane ka pura pura alertness hona chahiye. Unko sochna chahiye ki agar hame diabetes ho gayi toh hame zindagi bhar dawai khani padegi, hame zindagi bhar unn sabhi complications ke saath deal karna padega jo 1 Diabetes ke patient ko karna hota hai. So if you want to remain healthy screen yourself for Prediabetes today and you will save yourself from Diabetes forever in your life. You can tag me, you can talk to me and you can always reach out for me at my Mayur Vihar clinic or at Lybrate which is my online platform for your help forever.

Thanks so much for watching!

Hello friends,

Thanks for joining me again on lybrate And I hope my previous videos are very helpful to you for understanding your disease and for personal education about your physical fitness. Today, I’m going to touch a very taboo topic, a topic which is always discussed under wraps the topic of diabetes and impotence. Impotence is not about sterility. Sterility and impotence are two different things, impotence is the inability of a partner to satisfy its partner on sexual basic, sterility is the difficulty in the ability to have production, reproduction and that is a very important topic that I’m going to discuss today diabetes and impotence. Well, a lot of my patients of diabetes always have a query that doctor, how is diabetes going to affect my sex life, well my answer to you is yes diabetes is going to affect your sex life is not one but many ways. first of all diabetes in itself is a problem that leads to nerve dysfunction and in spite of getting stimulated some people in diabetes in later stages who got diabetes uncontrolled for very long, they start to develop a problem by the name of erectile dysfunction.

Erectile dysfunction is a problem in which after maximal stimulation a man is not able to have a proper erection and this problem actually comes up out of the nervous system problems that happen because of the uncontrolled blood sugar level well, don’t get me wrong I don’t want to imply here that only diabetes is the reason because of people develop erectile dysfunction but diabetes is a very important reason because of which people develop erectile dysfunction. The second problem that people with diabetes may develop because they can have an effect on their sex life is about premature ejaculation.

Premature ejaculation is the lack of stamina in continuing the sexual act and the culmination of the sexual act by ejaculation which is premature and this means that a patient is not able to have a sexual satisfaction with his partner and neither does the partner achieve complete satisfaction because the male partner has ejaculated and there is no further stamina left for the continuation of the sexual act. I don’t understand that these people who have these problems of erectile dysfunction and premature ejaculation they are more concerned about the sexual factor affecting them rather than diabetes that is affecting them but they have to understand that the core problem is the uncontrolled blood sugar, if they are able to control their blood sugar then probably they will be able have the cure and a solution to both these problems. Also, the second thing that is very baffling to me is the fact that most of the people who are suffering from these kind of sexual problems they go to quacks and people who are unqualified to the solution of their problems. well, I believe that if you confy in your doctor and go to a doctor who is qualified to handle this problem then probably you will get a better solution and a better cure of your problem rather than going to somebody who is going to provide you obscure desi medicine who doesn’t even have the qualification to cure it and in spite of that the people are streaming to these unqualified people rather than the doctor who may provide them the scientific solution to their problem ,having said that I will also like to recommend you that you can also make use of the online consults that are available on lybrate which will help you at least get a customize solution to your problem without having to go to people who are going to mess up your life because they don’t themselves know that what they are going to give as a medicine to you so don’t go to those people who are not qualified that’s my humble submission to you and I believe you will enjoy a very healthy life ahead of you and try to understand that it is actually the control of blood sugar that is paramount in the control of your sex life thank you very much and thanks for joining it.

Hello friends,

Welcome back joining me on Lybrate once again, and today I am going to discuss about a very important topic for which I have received so many queries that I decided I am going to make a video on this topic and this very important and significant that is afflicting a lot of people in our society is thyroid and pregnancy. Well lot of women, who are suffering from thyroid in any form with a hypothyroidism or hyperthyroidism and lot of these women are in the child bearing age so it is not surprising that these women they develop conception during the time that they have got hypothyroidism or hyperthyroidism or for matter of fact they are discovered to be a patient of hypo or hyperthyroidism during the time that they can ecologist for the first time asks them to get thyroids checked well thyroid is a very important endocrine organ in our body which regulates a lot of functions of our body and at the same point of time the thyroid harmones are very important harmones for the development of child and the most importan phase of that period for that development is the first trimester of pregnancy which is the first 12 weeks that the women are pregnant because this is the period of time of the first trimester when the maximum organ formation develops. In fact the entire organ development of the child, it develops in the first trimester of pregnancy and it is only natural that we have to understand that if the thyroid is not controlled during that period then the child might have left many congenital malformations may be having a lot of mental disturbances when the child is born. So it is very important for you to understand that if you want your child to be healthy mentally as well as physically you have to keep the thyroid under control.

I also would like to mention a very important fact that the levels at which the TSH is monitored during the pregnancy are different from the levels during which it is monitored the non-pregnancy state, in fact, a very strict control of thyroid is necessary during the time of pregnancy and if that is not maintained then not only congenital malformation but there could be also imminent fetal loss which can happen at any of the trimesters of pregnancy. In fact, conception it self-becomes a problem when the thyroid is not under control. And today we are into an era that a lot of females they are developing this problem, are facing this problem that they are not able to conceive in time and are very disturbed and agitated and their families are really frustrated because they are not able to conceive. Well that matter of fact, you need to check your thyroid and keep it under control. French thyroid can be controlled only by one pill in a day and needs to be monitored only. Initially on 21 day basis so at every three weeks you need to get you thyroids levels checked and if they are not under control there has to be a fluctuation of the thyroid hormones in the body and that is why we have to upgrade you medicine or downgrade the dose of your medicine and that the only things we doctors do to keep your thyroids under control. Because essentially what we are doing with your thyroid is that we are providing supplementation of the deficient hormones in the body or we are making the thyroid get itself under by giving it a pill by which it doesn’t hyperfunction in cases of hyperthyroidism so only by one medicine by a day therapy you can do wonders with your body and you can save the life of your unborn child and give them a healthy and very nice physical fitness when they are born. So please keep your thyroids under control. And remember that thyroid is not a frivolous thing especially during the time of pregnancy. I hope this video enlightens you and you can get back to me on Lybrate through a very important channel of online consults which has been offered by Lybrate. You don’t have to be physically present with me and you can take my advise simply logging into Lybrate and finding out the name of Dr Hanish Gupta

Symptoms and Tests to Diagnose Diabetes

Hello friends. Mai Dr. Hanish Gupta hun jo ki diabetes se sambandhit kuch information aaj aap log k saath share karne aaya hun. Mai Delhi sheher mein practice karta hun aur Lybrate ka aabhari hun ki Lybrate mujhe ye awasar de raha hai ki mai aap ke saath diabetes k uplaksh mein kuch baate discuss kar sakta hun. Sab se zyada bechida sawaal jo mai logon se sunta hu jo vastavik mein ek simple sawaal hai wo ye hai k kya diabetes mujhe hai bhi ya nahi. Har insaan janna chahta hai k diabetes ya mudhume jaisi bimaari usey grasth kar rahi hai ya nahi. Well iska jawab aap ek simple blood test k dwara kisi bhi laboratory mein test karwa paa sakte hai. Agar aap ki fasting blood sugar 126 se zyada hai wo bhi 2 awsaro par na ki ek awsar par to aap ko diabetes ka mareez ghosith kiya jayega.

Aur isi uplaksh mein ek aur, isi samdhar mein ek aur test hota hai jo ki hai glycocelated Haemoglobin jise aasan bhasa mein HB-A1C test kaha jaata hai. Is test dwara aap ke 3 mahine k blood sugar ki ausaad pata lagayi ja sakti hai. Is test ka humein result percentage mein milta hai. Agar ye test 6.4% se zyada kisi bhi mareez mein paya jaata hai to use bhi diabetes ka mareez ghosith kia jaa sakta hai. Dosto diabetes itni bhi bechida bemari nahi hai jitna isko banaya jaata hai. Diabetes ko pata lagane k liye kewal ye 2 test mehetwapoorna bhi hai aur purna taur pe poore bhi hai jiske dwara aap diabetes k baare mein pata bhi laga sakte hai. Kuch aisi baate aur bhi hai jo mai aap ke saath discuss karna chahta hun.

Well, agar aap ke parivar me koi aisa sadasya hai jise diabetes hai ya aap ki umar 40yrs se zyada ho chuki hai ya aap ko sudden unexplained weight loss hai ya aap wazan me zyada hai ya aisa hai ki kuch dino se aap ko kuch zarurat se zyada bhukh lagne lagi hai ya zarurat se zyada peshaab aane lag gay ahai to aap ko diabetes ka test karana aniwarya hai. To dosto in vishesh baaton ka agar aap dhyaan rakhege to aapno ko aur aapne parijano ko diabetes jaisi bimaari se bacha sakte hai. Mere se sampark karne k liye aap kabhi bhi Delhi me mere clinic ka address Librate dwara paa sakte hai. Dhanyawad. Hello friends. Mai Dr. Hanish Gupta hun jo ki diabetes se sambandhit kuch information aaj aap log k saath share karne aaya hun.

Mai Delhi sheher mein practice karta hun aur Librate ka aabhari hun ki Librate mujhe ye awasar de raha hai ki mai aap ke saath diabetes k uplaksh mein kuch baate discuss kar sakta hun. Sab se zyada bechida sawaal jo mai logon se sunta hu jo vastavik mein ek simple sawaal hai wo ye hai k kya diabetes mujhe hai bhi ya nahi. Har insaan janna chahta hai k diabetes ya mudhume jaisi bimaari usey grasth kar rahi hai ya nahi. Well iska jawab aap ek simple blood test k dwara kisi bhi laboratory mein test karwa paa sakte hai. Agar aap ki fasting blood sugar 126 se zyada hai wo bhi 2 awsaro par na ki ek awsar par to aap ko diabetes ka mareez ghosith kiya jayega. Aur isi uplaksh mein ek aur, isi samdhar mein ek aur test hota hai jo ki hai glycocelated Haemoglobin jise aasan bhasa mein HB-A1C test kaha jaata hai. Is test dwara aap ke 3 mahine k blood sugar ki ausaad pata lagayi ja sakti hai. Is test ka humein result percentage mein milta hai. Agar ye test 6.4% se zyada kisi bhi mareez mein paya jaata hai to use bhi diabetes ka mareez ghosith kia jaa sakta hai.

Dosto diabetes itni bhi bechida bemari nahi hai jitna isko banaya jaata hai. Diabetes ko pata lagane k liye kewal ye 2 test mehetwapoorna bhi hai aur purna taur pe poore bhi hai jiske dwara aap diabetes k baare mein pata bhi laga sakte hai. Kuch aisi baate aur bhi hai jo mai aap ke saath discuss karna chahta hun. Well, agar aap ke parivar me koi aisa sadasya hai jise diabetes hai ya aap ki umar 40yrs se zyada ho chuki hai ya aap ko sudden unexplained weight loss hai ya aap wazan me zyada hai ya aisa hai ki kuch dino se aap ko kuch zarurat se zyada bhukh lagne lagi hai ya zarurat se zyada peshaab aane lag gay ahai to aap ko diabetes ka test karana aniwarya hai.

To dosto in vishesh baaton ka agar aap dhyaan rakhege to aapno ko aur aapne parijano ko diabetes jaisi bimaari se bacha sakte hai. Mere se sampark karne k liye aap kabhi bhi Delhi me mere clinic ka address Librate dwara paa sakte hai. Dhanyawad.

Tests which confirm about Diabetes and its Symptoms

Hello friends main doctor Hanish Gupta hu, diabetes related kuch information mein aaj aaplogo ke sath share karne aaya hu. Main Delhi sahar mein practice karta hu aur Lybrate ka abhari hu ki Lybrate mujhe yeh avsar de raha hai ki main apke sath diabetes ke upalaksh mein kuch batey discuss kar saku. Sabse zyada pechida sawal jo main logo se sunta hu jo ki vastavik roop mein ek simple sawal hai who yeh hai ki kya diabetes mujhe hai bhi yah nahin?

Har insaan janna chahta hai ki diabetes yah madhumeh jaisi bimari ussey grasth kar rahi hai yah nahin? Well iska jawab aap ek simple blood test dwara kahi bhi kisi bhi laboratory mein test kara ke paa sakte hai. Agar apka fasting blood sugar 126 se zyada hai who bhi do avsaro par naki ek avsar par toh apko diabetes ka mareez ghoshit kiya jayega. Isi upalaksh mein ek aur test hota hai jo ki hai glycosylated haemoglobin jissey asaan bhasha mein hba1c ka test kaha jata hai. Is test dwara apke teen mahine ki blood sugar ki ausat pata lagayi jaa sakti hai. Iss test ka humein result percentage mein milta hai. Agar yeh test 6.4% se zyada kisi bhi mariz mein paya jaa raha hai toh ussey bhi diabetes ka mareez ghoshit kiya jaa sakta hai.

Dosto diabetes itni pechida bimari nahin hai jisko bana diya jata hai. Diabetes ko pata lagan ke liye keval yeh do test mahetwapurn bhi hai aur purn taur pe purey bhi hai jiske dwara aap diabetes ke barey mein pata laga sakte hai. Kuch aisi baatey aur bhi hain jo main apke sath discuss karna chahta hu jaise diabetes ke lakshan kya hai. Well agar apke parivar mein koi aisa sadasya hai jissey diabetes hai yah apke upar 40 saal se zyada ho chuki hai yah apko sudden unexplained weight loss hai yah aap wazan mein zyada hai yah aisa hai ki kuch dino se apko zarurat se zyada bhook lagne lagi hai yah zarurat se zyada peshaab aney lag gaya hai toh apko diabetes ke test karwana anivarya hai.

Toh dosto in vishesh baton ka agar aap dhyaan rakhengey toh aap apno ko aur apne parijano ko diabetes jaisi bimari se bacha sakte hai. Mere se sampark karne ke liye aap kabhi v Delhi mein mere clinic ka address Lybrate dwara paa sakte hai. Dhanyabaad!

How alcohol affects liver and metabolism?

Hello, friends, my name is Dr. Hanish Gupta. I am a General Physician working in Delhi at various major hospitals and having my own clinic by the name of Life Aid in Mayur Vihar Phase one. Today, I have come to discuss with you very important topic of the bad effects of alcohol on our liver.

We all know that liver is the primary organ in the body that deals with metabolism and metabolism is the process by which we digest food, we assimilate it in our body and also eliminate the toxins that come with it. Fortunately for us liver is the organ that takes care of all these toxins. All the bad things that collect in our body because of our bad eating habits or drinking habits, the liver is the organ that helps us eliminate those toxins and keeps us healthy. Alcohol is one such toxin.

We may have a good time with alcohol drinking with our friends whether socially or by our own conception but at the end of the day alcohol is and will remain a very important toxin in the body that needs to be eliminated. Liver is the organ that does that. Unfortunately some people they don't realize the delicate balance of alcohol and liver if we take alcohol in moderation then liver gets the ample time to eliminate it from the body and metabolize it but if we keep on taking it regularly and in very high amount then liver becomes overburdened in eliminating. This toxin out of the body what happens is that liver starts to store the excess alcohol because it does not have enough time or power to eliminate. It is the excess alcohol that starts to get collected in the liver cells and because of this excess accumulation of alcohol in the liver cells they start to bloat up and the first stage of liver damage begins.

At this stage if a person who has started to become dependent on alcohol stops taking alcohol then all the bad effects of alcohol they get reversed as far as the liver mousse but if unfortunately somebody continues to take alcohol despite the good advice of his doctor then liver starts to undergo permanent damage and may become shrunken in a very short span of time. This is the problem with liver once it starts shrinking the permanent damage has already been done which is known cirrhosis of liver which is actually an irreversible damage to the live.

So friends my nice advice to you is that you want to take alcohol always remember the delicate balance between alcohol intake and your liver metabolism. If you go by this principle then you will have a very healthy life which is going to be too thanks for listening in. I hope that you connect with me again on liberate online consults or have the sweet opportunity of visiting my clinic at Delhi. Thank you very much.

Diabetes is the major cause of Kidney Disease!

Hello friends welcome back to Lybrate I am Dr Hanish Gupta and today I will be talking about diabetes and kidney diseases. Friends all over the world a large number of patients are started to have dialysis, a large number of patients are undergoing kidney failure. This hasn't happened suddenly but has happened because of 2 common causes known as diabetes and blood pressure. Diabetes forms the biggest cause of Kidney failure and kidney diseases and today for any stage of kidney illness diabetes is the number one cause for the people of USA. India is also fast approaching that scenario.

People believe that in diabetes when they get their kidney function test done and it comes out to be normal they think everything is fine which isn't the case. Kidney starts the sign of deterioration with diabetes very early on and it is very important for the Dr to detect if there is any kidney issue or not. The test required here is the urine test. In very early stage of diabetes there is microalbuminuria in urine which is the passage of protein from the body in very small amount, that is the result stage of kidney failure. That is also the right time to save further complications of kidney infection.

People keep in getting their kidney function test and believe their kidney is fine on the basis of that. But it is actually the urine ACR done by standardized methods in laboratories that gives the right diagnosis. The important thing is that not only test but also the signs and symptoms that tell us about the kidney condition. People believe that it is the amount of urine passage that decides this factor but the most important sign is swelling over the body. Simple signs like loss of appetite can also detail about kidney failure.When kidney has started deteriorating patient observed a tremendous amount of relief in sugar control, thus patient believes that diabetes condition is improving but that is not the case it is actually kidney deterioration that brings down the sugar level. The reason for this is  that insulin is eliminated from the kidney and when kidney is undergoing deterioration the time period for which insulin remains in the body increases which is called as increase in the half life of insulin. So with that points keep your kidneys healthy and keep diabetes under control.

You can visit my clinic or contact me through Lybrate.

Knowing thyroid problems

Hello everyone! My name is Dr. Hanish Gupta and I’m here today to discuss with you the important effects of thyroid gland on human body.
We have appropriately titled this video as three minute thyroid consult because I’m going to explain you within three minutes that what is thyroid gland and how it affects the human body.
Thyroid gland is a butterfly shaped gland which is located in front of your windpipe just like this. This is the thyroid gland. Thyroid gland despite its small size is a very very important gland for the human body because it controls the growth and the energy processes of the human body that is why the effect of this hormone has a far reaching effect on the entire functioning of the human body.

Now I will talk about the excess and the deficiency of this hormone in the human body which needs two conditions called hypothyroidism when there is a deficiency of this hormone in the body and hyperthyroidism when there is an excess of this hormone in the human body. The most common condition of hypothyroidism or deficiency of this hormone in the human body is hashimoto thyroiditis in which the thyroid gland looks like this. This is a condition in which all the energy processes of the human body, they become slower. There is weight gain, there is slowness of the heart rate or bradycardia there is swelling of the human body, there is hair fall, there is infertility or menstrual problems in females, there is depression, and most importantly all these things they collect together and become a very big problem for the patient.

However, the help is nearby because this condition can be treated with taking only one pill on daily basis. Similarly, a condition in which there is an excess of this hormone in the human body is known as hyperthyroidism and the most common cause of hyperthyroidism is Grave’s disease in which the thyroid gland looks like this. This is a condition in which all the energy processes of the human body, they become fast, there is faster heart rate, there is tremors or tremulousness, there is irritability of mood, there is weight loss, there is lot of other things that indicate that the patient is having faster energy but of no use because he’s having this condition for a long time and this condition can also be treated by taking only one pill, which can even be stopped later in life.

So, friends I hope that I have been able to dispel your doubts about thyroid hormone and I believe that you would love to come back to me on Lybrate for an online opinion or at my clinic at life aid clinic located in Delhi.
Thanks for watching and keep healthy!

 

Here are some differences between chest pain and heart attack

Hello everyone, my name is Dr. Hanish Gupta. I’m a specialist in internal medicine and mainly an expert in diabetes and cardio vascular diseases. Today I’m here with you to discuss a very important symptom of Chest pains.
It is a very worrisome symptom for any patient. It is very frustrating for the family members because they believe that every chest pain could be a hall mark of a heart attack. But my friends, this is not the case every single time. Chest pain is a pathogenic symptom of heart attack but all heart attacks do not necessarily come with chest pains and vice versa. It is most importantly found in patients of gastric diseases like Peptic Ulcer disease by which a patient suffering from hyper acidity would also come to his doctor with the same complaint. So if your chest pain is related to food, meals or associated with feelings of vomiting like nausea then definitely this could be related to the gastro-intestinal diseases. Moreover some patients come to us and say that they have a pin point chest pain which can be pointed at any part of the chest specially if they are pressing on that part and fuelling that same act of pain, then perhaps there is a muscular-skeletal chest pain which deals with muscles and the rib cage other than the heart itself.

Having said that, chest pain which is related to the Heart attack is almost always related to breathlessness. Nobody ever had a heart attack without having breathlessness. So this is a very important symptom to be noted in the patient that if he is having breathlessness associated with chest pains then it is a definite symptom which is going towards a ‘red flag’ sign of heart attack. Moreover I’d like to point out here that some of the patients of diabetes can present to us without having chest pain and just presenting to us with breathlessness. This is primarily so that just like there is a feeling of numbness in the limbs of a diabetic patient. Similarly there is a numbness id the muscles and nerves around the rib cage due to which this patient may have a silent heart attack which presents only with breathlessness and chest pain. That is why in patients of diabetes only breathlessness itself is a hall mark of heart attack.

If a person has chest pain which is related specially to activity, example: climbing up the stairs, walking, jogging, swimming or running or any kind of strenuous activity and that is the time when the pain but goes away when the patient is resting. This kind of a chest pain could be related to the ischemic heart diseases or the coronary artery disease that leads to heart attack in future.

This is known as Angina pectoris and if you have further enquires, you are free to call me or contact me at Lybrate or at my clinic which is located in Delhi by the name of Life aid clinic.