Dr S S Rawat's Blog

Lifestyle and Dietary management of raised Blood Pressure Diagnosis and Epidemiology: Hypertension is a common primary care diagnosis.It has a strong association with cardiovascular diseases (CVD) and has become one of the leading risk factors for premature death in the world. At least one quarter of adults (and more than half of those older than 60) have high blood pressure Each 2 mmHg rise in systolic blood pressure associated with a 7% increased risk of mortality from ischaemic heart disease and a 10% increased risk of mortality from stroke JNC-7 Classifies BP for adults aged 18 years or older as follows : Normal: Systolic lower than 120 mm Hg, diastolic lower than 80 mm Hg Prehypertension: Systolic 120-139 mm Hg, diastolic 80-89 mm Hg Stage 1 Hypertension: Systolic 140-159 mm Hg, diastolic 90-99 mm Hg Stage 2 Hypertension : Systolic ...

Vitamin D Sunshine is the primary source of Vitamin D3 ( over 90 % ). Direct sun exposure to skin between 10 AM and 3PM produces Vitamin D3. This is not produced by sunlight through glass of a window. Dietary Vitamin D2 can be increased through consumption of oily fish, egg yolk and fortified milk. Baking Fish preserves its Vitamin D content but frying it reduced it by over 50 %. Vitamin D3 deficiency is usually asymptomatic. In children this can manifest as delayed walking, bow legs or recurrent infections. Adults may get aches, pains, tiredness and other non specific symptoms. Vitamin D has several roles within the body including  -bone and muscle strength -reduced inflammation and optimum immune function -reduced cardio-vascular disease  -reduction in certain types of cancer -reduced incidence of dementia and multiple sclerosis  This meta-analysis showed an inverse relationship between Vitamin D levels and cognitive decline in Multiple Sclerosis levels https:...

Presence of Fatty Liver increases risk of Covid19 complications: In this observational study, a history of NAFLD/NASH was associated with a significantly increased odds of hospitalization https://www.medrxiv.org/content/10.1101/2020.09.01.20185850v1     Pathology, Diagnosis and Epidemiology:  NAFLD: Non Alcoholic Fatty Liver Disease is an umbrella diagnosis which includes a spectrum of clinical stages ranging from simple fatty liver to cirrhosis and liver failure. Due to the strong association with obesity, insulin resistance or type 2 diabetes mellitus, and dyslipidaemia, NAFLD has been described as the hepatic manifestation of the metabolic syndrome  Most patients with nonalcoholic fatty liver disease (NAFLD) are asymptomatic. However, if questioned, more than 50% of patients with fatty liver or nonalcoholic steatohepatitis (NASH) report persistent fatigue, malaise, or upper abdominal discomfort.  Around  one third of the population had evidence o...