Sub Logo

Dr K K Aggarwal

By keeping your BP below 120/80, you can avoid a number of diseases, such as heart disease, kidney failure and erectile dysfunction. When lifestyle changes fail to provide benefit, doctors can provide medication.

  • Limit sodium intake. DASH diet keeps sodium to 2,300 mg per day (about one teaspoon of salt). Cutting it down to 1,500 is even better. The DASH diet can decrease your systolic blood pressure by 10 points or more.
  • Monitor your blood pressure at home. This can give you an instant idea on the benefits of diet and exercise and yield a more accurate picture of your blood pressure levels. This is important, in the sense that some people experience white coat hypertension, wherein the blood pressure rises higher than normal when measured at the doctor’s office.
  • Limit alcohol intake. Men can take 1 to 2 alcoholic drinks per day, defined as 1.5 ounces (1 shot glass) of 80–proof spirits, a 5–ounce serving of wine, or a 12–ounce serving of beer. Women may take no more than one drink a day.
  • Take more meds if required—but take the right ones.


Nicotine present in tobacco has been used for its medicinal value for quite some time for diseases like Parkinson’s disease and ulcerative colitis. A study from University of Miami School of Medicine, USA revealed that people from families prone to Parkinson’s disease are less likely to develop the disease if they drink coffee on a regular basis.

Both coffee and nicotine have a link with dopamine in the brain. Dopamine is a chemical that decreases in patients with Parkinson’s disease.

It is possible that people who are going to have Parkinsons disease have lower levels of dopamine. Those with low levels of dopamine may be more likely to enjoy caffeine.

Parkinsons disease occurs when brain cells that produce dopamine die. This is a progressive disease and affects about 1% of people above 65 years of age. Symptoms include tremors, muscular rigidity and slow movements and can progress to paralysis. While there is no cure, some drugs may make symptoms better for a period of time.

  • Normally people can walk a distance of 400-700 meters in 6 minutes.
  • A 6-minute walking distance of less than 300 meter is a simple and useful predictor of sudden cardiac death in a patient with mild to moderate heart failure.
  • Patients with interstitial lung disease who can cover less than 200 meters during 6 minute walk test are 4 times more likely to die than those who can walk greater distance.
  • People who can cover a distance of 200-300 meters need further evaluation.
  • A fall of SpO2 of more than 4% ending below 93% suggests significant desaturation.
  • An improvement of more than 70 meters or 10% in distance walked can make all the difference.
  • An improvement of 30 meters in any distance walked is the minimally important difference in any treatment.
  • Sudden cardiac death is linked to 15% of total urban mortality.
  • Risk factors for sudden cardiac death include abnormal lipid level, high blood pressure, cigarette smoking, physical inactivity, diabetes, obesity and family history of premature heart disease or heart attack.
  • Binge alcoholism can cause sudden cardiac death (6 or more drinks per day or five drinks in one session).
  • Risk of sudden cardiac arrest is transiently increased for up to 30 minutes after strenuous exercise.
  • If you are at low risk for having a heart problem, you do not need a regular treadmill test.

Even Children Can Have Acidity

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | No Comments»

Children with continuing recurrence of cough and croup could probably be suffering from stomach acid reflux problems.

Croup or ‘Kali Khansi’, as it is called in local parlance, is recognized by a loud cough that often sounds like the barking of a seal. It can cause rapid or difficult breathing, and sometimes wheezing. Croup is believed to be caused by a virus, but reflux acidity has been suggested as a possible trigger.

In gastroesophageal reflux disease (GERD), stomach acid causes swelling and inflammation of the larynx, thus narrowing the airway. It can incite more swelling with any viral or respiratory infection.

It is important to identify children with GERD in order to help treat and improve recurring croup. It is unusual that a child would have three or more bouts of croup over a short period of time. These children need to be evaluated.

The same is true for adults also. Patients with non-responding asthma should be investigated for underlying acidity as the cause of acute asthma.

Tips to prevent diabetes

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on Tips to prevent diabetes

  • Do not eat white refined carbohydrates.
  • Eat less at a time.
  • Work out at least 30 minutes a day.
  • Eat plenty of green bitter vegetables.
  • Eat a high fiber diet.
  • Do not consume trans fats.

Winter smoking may be dangerous

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on Winter smoking may be dangerous

Winter smoking can precipitate heart attack, paralysis and acute rise in blood pressure.

Smoking in winter can also increase the risk of erectile dysfunction in men. Men who smoke 20 cigarettes a day are 40% more likely to struggle with erectile dysfunction than men who do not smoke. Nicotine present in smoke can constrict the blood supply to the male organ.

As per a study published in the journal Tobacco Control, in men aged 16-59, the risk of erectile dysfunction was almost double in smokers than in non-smokers.

In winter, blood pressure and diabetes may also be uncontrolled adding to the problem of erectile dysfunction.

Obese people and people who consume more alcohol are more at risk.

Depression is also common in winter adding to the agony.

10 surprising benefits of walking

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on 10 surprising benefits of walking

  1. It helps maintain a healthy weight.
  2. Regular walking is linked with longevity.
  3. It strengthens bones and muscles.
  4. It relieves joint pain.
  5. It boosts your mood.
  6. It can reduce the risk of breast cancer.
  7. Walking can help you sleep better.
  8. It can reduce your risk of diabetes.
  9. It helps your heart.
  10. It protects your brain.

All diabetics must get an eye check-up done

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on All diabetics must get an eye check-up done

The vast majority of diabetes patients who develop diabetic retinopathy (eye involvement) have no symptoms until the very late stages (by which time it may be too late for effective treatment). Since the rate of progression may be rapid, therapy can be beneficial for both symptom amelioration as well as reduction in the rate of disease progression. It is important to screen patients with diabetes for the development of retinal disease. The eyes carry important early clues to heart disease, signaling damage to tiny blood vessels long before symptoms start to show elsewhere. Diabetic people with retinopathy are more likely to die of heart disease over the next 12 years than those without it. As per a study from the University of Sydney and the University of Melbourne in Australia and the National University of Singapore, people with retinopathy have nearly twice the odds of dying of heart disease compared to people without it.

People with these changes in the eyes may be getting a first warning that damage has started in their arteries, and that work is needed to lower cholesterol levels and blood pressure. Patients with retinopathy have a greater risk of incident cardiovascular disease (CVD) events, including heart attack, stroke, revascularization, and CVD death, compared with those without retinopathy.

Avoid drunk or drugged driving

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , | | Comments Off on Avoid drunk or drugged driving

The dangers of drinking alcohol and driving are well known to all. But, it is also important to recognize that taking drugs and driving too can be as dangerous. Drugged driving or driving under the influence of any drug that acts on the brain can adversely affect your vision, reaction time and judgment and driving skills. This not only endangers your life but also of your co-passengers as well as others on the road.

Tips for safe driving

  • All through the year, especially during the holiday season, take steps to make sure that you and everyone you celebrate with avoids driving under the influence of alcohol or other drugs.
  • Identify a non-drinking driver before any holiday party or celebration begins.
  • Arrange for someone to pick you up.
  • Do not let a friend drive if you think that they are under the influence of a drug or alcohol. Take the car keys.
  • Stay overnight at your friend’s place, if possible and drive back home in the morning.

Sodium phosphate enemas should be avoided in the elderly

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on Sodium phosphate enemas should be avoided in the elderly

Sodium phosphate enemas are used in the treatment of constipation and for preparation for flexible sigmoidoscopy. Sodium phosphate enema use in older adults (mean age 80 years, range 61 to 89 years) is associated with hypotension, volume depletion, hyperphosphatemia, hypo- or hyperkalemia, metabolic acidosis, severe hypocalcemia, renal failure and EKG changes (prolonged QT interval). In patients over the age of 70 years, use warm water enemas rather than sodium phosphate enemas.

Add fiber to the diet only slowly

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off on Add fiber to the diet only slowly

Fiber is a plant substance that is required for a healthy diet. Lots of fiber is needed each day to help reduce the risk of heart disease, improve digestion, prevent constipation and maintain a healthy body weight.

Fiber can be found in fruits, whole grains and vegetables. Most adults should eat at least 20 to 35 grams of fiber every day; though the doctors say most people only eat about half as much. It’s best to slowly increase the fiber in your diet instead of piling it on all at once. A sudden increase in fiber intake can cause abdominal discomfort.

Fiber intake should be at least 14 grams per 1000 calories daily; higher fiber intake may improve glycemic control. Saturated fat should be less than 7% of calories and there should be minimal trans fat. Total cholesterol should be less than 200 mg daily.

There is an average fall of 1.2/1.3 mmHg blood pressure with average 10 gram intake of fiber.

Certain soluble fibers (psyllium, pectin, wheat dextrin and oat products) reduce LDL cholesterol. Every gram increase in soluble fiber reduces LDL cholesterol by an average of 2.2 mg/dL. The message is incorporation of greater amounts of fiber, in which carbohydrate is derived from unprocessed whole foods.

A few tips on how to stay healthy during the winter months

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on A few tips on how to stay healthy during the winter months

  • Don’t stress your heart, regularly step out in sunlight and indulge in adequate amounts of aerobic exercise.
  • Don’t indulge in high-intensity workouts; excessive exhaustion can overstress your heart. Take rest breaks so that you don’t feel too tired suddenly while walking.
  • Don’t go for a walk on extreme chilly mornings, instead go out when the sun is out.
  • Ask your doctor to adjust the dosage of your routine medicines
  • Keep a close check on your cholesterol levels, as they can fluctuate in the winters. Immediately consult your doctor in case you notice something unusual.Borderline high cholesterol levels can put you at an increased risk of a heart attack.
  • Hypothermia is one such problem that majority of heart patients encounter during winters. To keep the risk of hypothermia away, it is suggested that you stay warmly clad.
  • Don’t ignore any unusual symptoms like slight discomfort in the chest, sweating, pain in jaw and shoulders, pain in neck and arms and shortness of breath. Immediately, reach out for medical assistance in case you suffer from any of these symptoms.

Prevention is always better than cure. A little extra care can help make the winter months more enjoyable and heart healthy.

Smoking in women can increase risk of colorectal cancer

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on Smoking in women can increase risk of colorectal cancer

Women who smoke are at twice the risk of developing cancer of the rectum and the risk goes up with the increase in number of cigarettes smoked per day, duration of smoking and older age at smoking cessation.

Women should never smoke. Current smokers are 95% more likely to develop rectal cancer. Younger adults can develop colorectal cancer; however the odds increase remarkably after 50 years of age. Over 9 out of 10 people with colorectal cancer are above 50.

A history of adenomatous polyps (adenomas), especially if they are large, increases the risk of cancer.

If someone has had colorectal cancer, even if it has been completely removed, the person is more likely to develop new cancers in other areas of the colon and rectum. The odds are higher if they have had their first colorectal cancer at a younger age.

Though the no. 1 cancer in women in urban areas is breast cancer and in rural areas is cancer of the cervix, cancer of the rectum is on the rise.

Prevention of water-borne diseases during the monsoon season

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on Prevention of water-borne diseases during the monsoon season

Rains bring much-welcome relief from the scorching summer heat, but they also increase susceptibility to diseases that are common during the season. The incidence of water-borne diseases, including diarrhea, typhoid, and cholera, rises during the rainy reason. These diseases are 100% preventable, and a threat to life can be avoided with timely diagnosis and treatment of the diseases.

The bodys intestinal and digestive system tends to become weak during the monsoon season, which can increase an individual’s likelihood to catch infections. People should take necessary precautions. They must avoid drinking water that is not properly boiled and stored and avoid consuming food that has been exposed to the surroundings for a long time, for instance, street food, pre-cut fruits, and vegetables. A persons diet during the monsoon season should consist of light and non-spicy food. Greasy, fried and fatty foods have thermal effect on our body and make us feel lethargic and should therefore be avoided.

Contaminated water and unhygienic conditions often cause monsoon ailments. Skin conditions, asthma, and arthritis can get aggravated due to increased humidity.

Here are a few tips to prevent water-borne diseases this monsoon:

  • Drink only filtered/boiled water.
  • Store water in a clean container.
  • Water jars/containers should be washed daily.
  • Hands should be thoroughly washed before and after preparing food and eating. Educate children about the importance of washing their hands effectively and regularly.
  • It is mandatory to wash one’s hands with soaps or use hand sanitizers after using a washroom, changing a childs diaper, or after visiting unclean and infection-prone areas, such as public washrooms, hospitals, etc.
  • Consume warm and home cooked foods and avoid consuming street food.
  • Wash food thoroughly before cooking.
  • Always keep foods/beverages covered.
  • The pipes and tanks that supply water to your house should be properly maintained and cleaned.
  • Travelers should only drink bottled water and avoid uncooked food.
  • People suffering from water-borne diseases should not go to work until fully recovered to avoid spreading the infection.
  • Avoid using ice made from tap water.
  • Freezing does not kill the organisms that cause diarrhea. Ice in drinks is not safe unless it has been made from adequately boiled or filtered water.
  • Alcohol does not sterilize water or the ice. Mixed drinks may still be contaminated.
  • Hot tea and coffee are the best alternatives to boiled water.

Pain management

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on Pain management

  • Pain is a common occurrence in day-to-day life and should be managed well.
  • Remember the word ‘ICE’, where ‘I’ means putting ice pack on the injured painful area, ‘C’ stands for compression and ‘E’ stands for elevation.
  • The mantra, therefore, is to use cold compression and elevation for any injury.
  • Alternate hot and cold packs are used for chronic pain.
  • Painkillers should not be taken without a doctor’s advice.
  • If a painkiller has to be taken, it should be one tablet of paracetamol.
  • People who take alcohol should not consume paracetamol without asking their doctor.
  • In patients with kidney disease, even one tablet of painkiller can precipitate kidney failure.
  • In patients with acid peptic disease, one tablet of painkiller can precipitate gastric bleeding.
  • Instead of taking a painkiller, look for alternative methods to relieve pain.
  • Pain relieving ointments are better than oral painkillers.
  • Intravenous and intramuscular injectable painkillers are available in hospital setting.
  • Always tell your doctor that you are taking painkillers.
  • Always contact your doctor if the pain makes you uneasy, is unexplainable or appears for the first time in life.