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Dr K K Aggarwal

Patients with acidity should avoid chocolates and peppermint

By Dr K K Aggarwal
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Persistent acidity is usually due to reflux of acid from the stomach into the food pipe. Mild cases of acidity reflux can usually be managed with lifestyle and dietary modifications along with antacids H2 blockers and proton pump inhibitors. However patients in whom lifestyle management along with empirical treatment is unsuccessful or who have symptoms suggestive of complicated diseases should undergo endoscopy to rule out cancer of the food pipe a condition linked with persistent acidity. Symptoms that may suggest complicated disease include loss of appetite loss of weight and difficulty in swallowing food bleeding and signs of systemic illness. Lifestyle changes for reflux involve elevation of head and of the body avoidance of food before sleep and avoidance of food which makes the food pipe valve lax. The examples of such foods include fatty food chocolates peppermint and excessive intake of alcohol. Hurry worry and curry are the three main factors for causing acidity apart from alcohol and smoking. People with acidity should consume less of fermented sour salty and pungent foods.

Patients with acidity should avoid chocolates and peppermint

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , , , | | Comments Off on Patients with acidity should avoid chocolates and peppermint

Persistent acidity is usually due to reflux of acid from the stomach into the food pipe. Mild cases of acidity reflux can usually be managed with lifestyle and dietary modifications along with antacids, H2 blockers and proton pump inhibitors. However, patients in whom lifestyle management along with empirical treatment is unsuccessful or who have symptoms suggestive of complicated diseases should undergo endoscopy to rule out cancer of the food pipe, a condition linked with persistent acidity. Symptoms that may suggest complicated disease include loss of appetite, loss of weight and difficulty in swallowing food, bleeding and signs of systemic illness. Lifestyle changes for reflux involve elevation of head and of the body, avoidance of food before sleep and avoidance of food which makes the food pipe valve lax. The examples of such foods include fatty food, chocolates, peppermint and excessive intake of alcohol. Hurry, worry and curry are the three main factors that cause acidity apart from alcohol and smoking. People with acidity should consume less of fermented, sour, salty and pungent foods.

Patients with acidity should avoid chocolates and peppermint

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , , , | | Comments Off on Patients with acidity should avoid chocolates and peppermint

Persistent acidity is usually due to reflux of acid from the stomach into the food pipe. Mild cases of acidity reflux can usually be managed with lifestyle and dietary modifications along with antacids, H2 blockers and proton pump inhibitors.

However, patients in whom lifestyle management along with empirical treatment is unsuccessful or who have symptoms suggestive of complicated diseases should undergo endoscopy to rule out cancer of the food pipe, a condition linked with persistent acidity.

Symptoms that may suggest complicated disease include loss of appetite, loss of weight and difficulty in swallowing food, bleeding and signs of systemic illness.

Lifestyle changes for reflux involve elevation of head and of the body, avoidance of food before sleep and avoidance of food which makes the food pipe valve lax. The examples of such foods include fatty food, chocolates, peppermint and excessive intake of alcohol.

Hurry, worry and curry are the three main factors for causing acidity apart from alcohol and smoking. People with acidity should consume less of fermented, sour, salty and pungent foods.

1. For every 20 mmHg fall of systolic (upper) and 10 fall of diastolic (lower) blood pressure one needs one intervention, either life style life style intervention or one drug.

2. Lifestyle management alone practiced for six months can reduce blood pressure by up to 20/10 mmHg.
3. If blood pressure is more than 20/10 mmHg above goal blood pressure, consideration should be given to initiating therapy with two drugs and one of which usually should be a diuretic.
4. Addition of a second drug from a different class should be initiated when use of a single drug in adequate doses fails to achieve the BP goal.
5. Most patients with high blood pressure require two or more antihypertensive drugs to achieve goal blood pressure.
6. Combinations of two or more drugs is also needed to achieve the target goal of 7. Two drugs in the small doses are better than a single drug in high dose.
8. With a triple drug therapy, one of which is a diuretic, it is practically possible to control blood pressure in over 99% of cases.
9. The most effective therapy prescribed will control high blood pressure only if patients are motivated.
10. Certain high-risk conditions are compelling indications for the initial use of other antihypertensive drug classes (ACE inhibitors, AR blockers, beta-blockers, calcium channel blockers).
11. Thiazide-type diuretics should be used in drug treatment for most patients with uncomplicated high blood pressure, either alone or combined with drugs from other classes.
12. A limited rise in serum creatinine of as much as 35 percent above baseline with ACE inhibitors and AR blockers is acceptable and is not a reason to withhold treatment unless serum potassium rises.
13. With advanced renal disease (estimated GFR

1. Try lifestyle management for up to 6 months. It can alone control blood pressure if initial blood pressure is < 160/100 mmHg.

2.  Lifestyle interventions have effects similar to single drug therapy.

3.  Combinations of two (or more) lifestyle modifications can achieve even better results.

4.      One should maintain normal body weight. One can achieve a reduction of  5–20 mmHg of BP for every 10 kg weight loss.

5. One should consume a diet rich in fruits, vegetables, and low fat dairy products with a reduced content of saturated and total fat. It can reduce a blood pressure of 8-14 mmHg.

6.  One should reduce dietary sodium intake to no more than 100 mmol per day (2.4 g sodium or 6 g sodium chloride). It can alone reduce blood pressure by 2-8 mmHg.

7. One should engage in regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). It can alone reduce blood pressure by 4-9 mmHg.

8. One should limit consumption of alcohol to no more than 2 drinks (1 oz or 30 mL ethanol; e.g., 24 oz beer, 10 oz wine, or 3 oz 80-proof whiskey) per day in most men and to no more than 1 drink per day in women and lighter weight persons. It can alone reduce blood pressure by 2-4 mmHg.