Malshe Sir’s Weekly Class With Piyush Juneja 11-09-2020

Hypertension does not cause any symptom by itself; and it is not a disease. But it prepares the soil for several diseases over years. The Heart, Kidneys, Brain and Retina suffer major damage due to persistent hypertension.

Treatment of hypertension:
Patients should be explained that it is fortunate that a silent killer has been identified, which otherwise would have come to light only when complications developed.
Non-pharmacological treatment:
1. Adjust diet to bring body weight to normal. Since most hypertensives are obese, this usually means a weight reduction. Calorie restriction is essential, patients should be encouraged to lose weight by fasting.
2. Reduce salt intake.
3. Stop smoking: It is an additional risk factor also. When one stops smoking the blood pressure may come to normal and you may not require to take medicines.
4. Daily exercise.
5. Relaxation: Shavasana helps reducing the peripheral resistance bu relaxing the vascular smooth muscles. A daily practice of about 45 -60 minutes of Asanas followed by Shavasana for 20 minues daily brings down the blood pressure in 2-3 weeks. The practice needs to be continued for whole life, although.
The non-pharmacological treatment must be given adequate trial before starting a drug.If the blood pressure come to normal with use of drugs only, then it is best to continue taking the drug so that the blood pressure remains in the normal range.
Sometimes the act of bringing down the blood pressure itself causes the patient to feel weak, and patients sometimes resist taking the medicines because they feel sinking sensation, like syncope. Some may even actually have one. However, they should be reassured that this will vanish in a few days.

#Links for other videos of Dr Prakash C. Malshe:

#PAIN In English)#

#PAIN ( IN Hindi)#

#PAIN in abdomen ( In English)#

#FEVER ( In Hindi)#

#FEVER (In English)#

#HYPERTENSION ( In English)#


#NAFLD: Non alcoholic Fatty Liver Disease ( In English)#

#NAFLD: Non alcoholic Fatty Liver Disease ( In English)#



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