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Dr K K Aggarwal

An empty mind is the devil�s house

By Dr K K Aggarwal
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It is an old saying that “Khali dimag shaitan ka ghar”. Empty mind means when you are doing nothing and Shaitan means negative thoughts. In terms of Vedic science, negative thoughts mean absence of positive thoughts and they are often equated to darkness, which is absence of light. Positive thoughts always need efforts and exertions, while negative thoughts are spontaneous and without exertion. It is recommended that one should think differently and positive otherwise there will be spontaneous appearance of negative thoughts. Darkness is spontaneous and naturally present and to bring light one has to make efforts by switching on the light or the nature has to ask the Sun to come and give the light. (Disclaimer: The views expressed in this write up are my own).

Fever

By Dr K K Aggarwal
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Fever does not mean presence of infection. There are many situations where there is fever without infection and hence needs no antibiotics.

  • Sepsis is a clinical syndrome, which results from the dysregulation of inflammatory response to an infection. The temperature is between 36oC to 38.3oC. Heart rate is often more than 90 per minute.
  • Symptomatic inflammatory response syndrome means a clinical syndrome, which results from dysregulated inflammatory response to any infections such as inflammation of the pancreas, inflammation of the vessels, clot formations in the veins.
  • Many antibiotics can cause fever; unless they are discontinued, fever will not subside.
  • Hyperthermia is a condition with elevated body temperature but it is not called fever. Examples are exposure to heat or heat stroke and in response to anesthetic drugs and anti–psychotic drugs.
  • Hyperthermia may not respond to anti–fever drugs.
  • When fever is more than 41.5oC, it is acute hyperpyrexia.
  • Hyperpyrexia is usually seen in patients with severe infections but it may also occur in brain hemorrhage. It responds to anti–fever drugs.
  • High temperature without infection is found in condition of hyperfunctioning of the thyroid gland.
  • Recreational drugs such as Ecstasy can also cause fever without any infection.
  • Mild fever can also occur after exertion.

Fever

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

Fever does not always mean presence of infection. There are many situations where fever may occur without any infection and hence needs no antibiotics.

  • Sepsis is a clinical syndrome, which results from the dysregulation of inflammatory response to an infection. The temperature is between 36°C to 38.30°C. Heart rate is often more than 90 per minute.
  • Symptomatic inflammatory response syndrome means a clinical syndrome, which results from dysregulated inflammatory response to any infections such as inflammation of the pancreas, inflammation of the vessels, clot formations in the veins.
  • Many antibiotics can cause fever; unless they are discontinued, fever will not subside.
  • Hyperthermia is a condition with elevated body temperature but it is not called fever. Examples are exposure to heat or heat stroke and in response to anesthetic drugs and anti–psychotic drugs.
  • Hyperthermia may not respond to anti–fever drugs.
  • When fever is more than 41.5°C, it is acute hyperpyrexia.
  • Hyperpyrexia is usually seen in patients with severe infections but it may also occur in brain hemorrhage. It responds to anti–fever drugs.
  • High temperature without infection is found in condition of hyperfunctioning of the thyroid gland.
  • Recreational drugs such as Ecstasy can also cause fever without any infection.
  • Mild fever can also occur after exertion.

Fever

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

Fever does not mean presence of infection. There are many situations where there may be fever without infection and hence needs no antibiotics.

  • Sepsis is a clinical syndrome, which results from the dysregulation of inflammatory response to an infection. The temperature is between 36°C to 38.30°C. Heart rate is often more than 90 per minute.
  • Symptomatic inflammatory response syndrome means a clinical syndrome, which results from dysregulated inflammatory response to any infections such as inflammation of the pancreas, inflammation of the vessels, clot formations in the veins.
  • Many antibiotics can cause fever; unless they are discontinued, fever will not subside.
  • Hyperthermia is a condition with elevated body temperature but it is not called fever. Examples are exposure to heat or heat stroke and in response to anesthetic drugs and anti-psychotic drugs.
  • Hyperthermia may not respond to anti–fever drugs.
  • When fever is more than 41.5°C, it is acute hyperpyrexia.
  • Hyperpyrexia is usually seen in patients with severe infections but it may also occur in brain hemorrhage. It responds to anti–fever drugs.
  • High temperature without infection is found in condition of hyperfunctioning of the thyroid gland.
  • Recreational drugs such as Ecstasy can also cause fever without any infection.
  • Mild fever can also occur after exertion.

Unusual Or Irregular Palpitations On Exertion: A Cause Of Concern

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Unusual or irregular palpitations occurring while exercising, walking or climbing stairs should not be ignored.

Missing of beats at rest and disappearing on exertion may be a normal phenomenon but missing of beats on exertion may indicate underlying blockages.

Any palpitation in a patient with underlying heart disease, in the setting of acute heart attack or which are unusual, unexplained or appearing for the first time also should not be ignored.

Palpitations in the presence of a low functioning heart (lower than 35%) need special investigations as these people have high chances of developing sudden cardiac arrest and death in future.

Patients who have survived a cardiac arrest should undergo more intensive investigations and evaluations to prevent a subsequent event.

Any person who can climb two flights of stairs, walk 2 km without any discomfort or breathlessness usually require no cardiac investigations.