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Headache is one of the most common problems in the world. Stress, busy work lives, lack of sleep – all lead to this common problem. Our weekly headache clinic with the help of our headache specialists trained in America will ensure you get the right treatment and approach to get rid of your headaches and evaluate the actual cause.HeadachesDifferent types of headaches can have their own symptoms, occur for unique reasons, and need different kinds of treatments. After knowing the type of headache your doctor can find the treatment that is most likely to help and even try to prevent them. plusThere are more than 100 types of headaches, but most common ones are:Daily Headaches: They are also called stress headaches and common among adults and teens. These headaches cause mild to moderate pain, and come and go over time.Cluster Headaches: In these headaches, pain is intense and feels like burning or piercing pain behind the eyes, either constant or throbbing. It is the least common but the most severe type of headache. The pain is so bad that most people cannot sit still and often pace during an attack.They are termed “cluster headaches” because they tend to happen in groups. You might get them once or thrice in a day during a cluster period, which may last two to three months.Facial Headaches: With these, you feel deep and constant pain in the cheekbones, forehead, or bridge of your nose. They happen when cavities in your head get inflamed. The pain generally comes along with other sinus symptoms, such as feeling of fullness in the ears, a runny nose, fever, and swelling in the face.Chronic Headaches: They are also called inflammatory or traction headaches and get worse over time. They make up less than 5 percent of all headaches in adults and less than 2 percent of all headaches in kids. They may also be the outcome of an illness or disorder of the brain or skull.CausesIn a headache, the pain you feel comes from a mix of signals between the brain, blood vessels, and nearby nerves. Specific nerves of the blood vessels and head muscles switch on and send pain signals to the brain. But it is not clear why these signals turn on in the first place. People often get headaches because of illnesses, stress and environment. TreatmentYour doctor may advice different types of treatments. He/she may recommend more testing or refer you to a headache specialist. The treatment depends on various factors including the type of headache, intensity, frequency, and its causes.MigraineA migraine is a severe, painful headache that can be accompanied or preceded by sensory warning such as blind spots, flashes of light, nausea, vomiting, tingling in the legs and arms, and increased sensitivity to light and sound. pluscholesterol The agonizing pain that migraine brings may last for hours or even days. Migraine is a common problem affecting more than 36 million Americans. CausesThe exact cause of migraine is unknown, however, it is thought to be a result of abnormal brain activity causing temporary alteration in the nerve signals, chemicals and blood flow in the brain. TriggersIndividuals suffering from migraines can identify triggers that cause headache, but many people cannot. Potential migraine triggers are:Bright lights, smoky rooms, loud noise, temperature changes, strong smells, certain odors or perfumesAllergies and allergic reactionsEmotional stress, depression, anxiety, and excitementIrregular sleeps or changes in sleep patternsSkipping meals or fastingSmoking or exposure to smokeAlcoholHormonal triggers such as birth control pills, menstrual cycle fluctuations, or menopauseSymptomsTypical symptoms of migraine are:Moderate to severe pain, commonly confined to one side of the headIncreasing pain during physical activityThe pain is commonly severe, throbbing and pulsating painInability to perform regular activities due to painFeeling sickIncreased insensitivity to sound and light, relieved by lying quietly in a darkened roomSome people may experience other symptoms such as tummy ache, diarrhea, sweating and temperature changesTreatmentsAt present, there is no cure for migraine, so the treatment is basically aimed at preventing migraine attacks and alleviating symptoms. Some lifestyle changes may help reducing the frequency of migraine headaches. These include:Reducing stressGetting enough sleepAvoiding certain foodsDrinking plenty of waterRegular physical exerciseMigraine treatment and prevention focus on avoiding triggers, controlling symptoms and taking medicines.
INR 0 INR 0 5b6b382c5b3b1d0502b00cdf True 2018-02-16T17:06:22
We have renowned neurologists, who can provide the diagnostic testing and care plan, which can treat nerve damage caused due to neuropathy. imgWhat is peripheral neuropathy?The peripheral nervous system is responsible for connecting the nerves from the brain and spinal cord to the rest of the body. Due to an injury or an infection, the nerves can malfunction and disrupt the normal pathway of nerve impulses. This nerve malfunctioning is termed as peripheral neuropathy. Neurological ConditionsHeadacheMigraineParkinson's DiseaseEpilepsyDementiaStrokePeripheral NeuropathyBack PainPain ManagementPeripheral neuropathy can occur due toAn injurySystemic illnessAn infectionAn inherited disorderSymptomsNormally occurring symptoms of Neuropathy includeTingling in the hands or feetSharp, stabbing painsNumbness in the hands or feetHeavy feeling in the arms and legsRegularly dropping things from your handsShocking sensationThinning of the skinDiagnosis of neuropathyThere are varieties of techniques to detect neuropathy Blood test to detect vitamin deficiencies, diabetes, abnormal immune functionImaging test like CT or MRI scansNerve functions testsNerve biopsySkin BiopsyCauses of neuropathyThere are various systemic issues which can cause neuropathyKidney disordersToxins from exposure due to heavy metalschemical imbalances in liverVitamin deficiencies like that of Vitamin B1, Vitamin B6Cancer or tumors which might exert harmful pressure on nervesTreatmentThere are various therapies and procedures which might help ease the signs and symptoms of peripheral neuropathy and our doctors at MPHC clinic would suggest you the right option depending on the state of your health and condition.
INR 0 INR 0 5b6b382c5b3b1d0502b00cb3 True 2018-02-16T17:03:55
Peripheral vascular disease (PVD) is a disorder related to blood circulation. The condition causes the blood vessels outside the heart and brain to narrow, block, or spasm. This can happen in the veins or arteries. Peripheral vascular disease commonly causes pain and fatigue, often in the legs, and specifically during exercise. The pain generally improves with rest. It may also affect the vessels supplying blood and oxygen to arms, kidneys, and stomach and intestines. During the PVD, blood vessels become narrowed and blood flow decreases. This may be an outcome of arteriosclerosis, or hardening of the arteries, or can be due to blood vessel spasm.TypesThere are two different types of conditions: Arterial and Venous.Arterial ConditionsPeripheral arterial disease (PAD) is a chronic condition in which total or partial occlusion deprives the lower extremities of nutrients and oxygen. Common conditions cause blockage includes atherosclerosis, atheromatous plaques, thrombus, emboli or arterial spasm.PAD doesn’t discriminate among its victims on the basis of age and gender, meaning it equally affects men and women. Common conditions related to PAD are:Heart Attack- permanent damage to the heart muscles commonly caused by a lack of blood supplyStroke- interruption of blood flow to the brainTransient Ischemic Attack- temporary interruption in the blood supply to your brainAmputation- the removal of part of the foot or leg, especially in patient who have diabetesRenal artery disease- a narrowing or blockages of the artery that supplies blood to the kidneySymptoms of Arterial ConditionsPainful cramping in the hip, thigh, or calf muscles after certain activitiesColdness in the lower leg or footLeg numbness or weaknessSores on the toes, feet or legsA change in the color of eyesHair lossShiny skin on the legsNo pulse or weak pulse in the legs or feetErectile dysfunction in malesVenous ConditionsPeripheral Venous Disease includes the kind of disorders that occur due to increased venous pressure or valve damage of a vein wall. The damage is often caused by:InflammationDiminishes blood flow through stretchingDilation from defective vein wallsThey may also result from preexisting conditions, such as obesity, CHF result in bilateral diseases. Common venous diseases are:Chronic Venous InsufficiencyChronic Venous Insufficient Varicose VeinsChronic Venous Insufficiency UlcersDeep Vein Thrombosis AcuteCommon Tests Carotid Ultrasound: This ultrasound is usually performed to test the narrowed carotid arteries, which hike the risks of stroke. [Know More]Doppler Ultrasound: It’s a non-invasive test that can be performed to estimate the blood flow through the blood vessels by bouncing high-frequency sound waves off circulating red blood cells. [Know More]Venous Doppler: This blood uses ultrasound in order to look at the blood flow in the large arteries and veins in the legs and veins. [Know More]
Peripheral Vascular Clinic
INR 0 INR 0 5b6b382c5b3b1d0502b00c88 True 2018-02-16T16:59:14
Dizziness is a term stands for describing a range of sensations, such as feeling woozy, faint, weak or unsteady. Dizziness may occur in people of any age, but it is common among older adults. A fear of dizziness can make older adults to restrict or limit their physical as well as social activities. It can also result in falls and other injuries. However, dizziness hardly signals a life-threatening condition. plusdizziness-clinic Treatment of dizziness depends more on the cause and the symptoms. It is generally effective, but the problems may recur. SymptomsIndividuals experiencing dizziness can describe it as any of different sensations, such as:Feeling faint or lightheadednessA false sense of motion or spinning (vertigo)A feeling of floating, wooziness or heavy-headednessUnsteadiness or a loss of balanceThese feelings may well be triggered or worsened by standing up, walking, or moving your head.Dizziness can be caused by different reasons including inner ear disturbance, motion sickness and medication effects. Sometimes it occurs due to underlying health condition such as poor circulation, infection or injury. Main causes of dizziness related to heart and brain are:Dizziness caused by heart diseasesHeart attackIrregular heart rhythms (Arrhythmia), heart rate too fast or too slowExtremely high blood pressureLow blood pressure, which can have multiple causes including diseases of the heart, anemia, bleeding disorders, adverse reactions to medicationsAged, weakened, or diseased heart muscles, toxins or drugs that affect the rate of force of the contractions of the heartDizziness caused by brain diseasesStroke, headaches, tumor, migraineDementia or confusionLoss of decrease of blood supply to the brain, such as faintingOther causes of dizzinessNeurological conditionsAnxiety disorderLow blood sugarLow iron levelsOverheating and dehydrationTests and DiagnosisSpeedy evaluation and treatment may be needed if doctors suspect a serious cause of dizziness. Our experts at MP Heart Clinic ask detailed questions and take a history in order to define the type of dizziness. The patients will also be given a detailed physical examination to further define likely causes. Tests prescribed will be based on the diseases suggested by the patient’s history and results of the physical exam.In the emergency department at MP Heart Clinic, the patient may be placed on a heart monitor, ECG (electrocardiogram) may be performed along with other blood studies. Sometimes tests such as a CT scan or cardiac stress test may be suggested.A surgery can also be suggested to treat internal bleeding or hemorrhage, if this is the case for the symptoms.The patient may be sent to a physical specialist or hospitalized depending on the possible cause.Tilt Table TestWhat is a tilt-table test?A tilt-table test is a test recommended for people who often feel faint or lightheaded. In the test, you can lie on a table that is slowly tilted upward. The test is useful to measure the blood pressure and heart rate respond to the force of gravity. The nurse or technician keeps a track of the blood pressure and the pulse rate. plusimgWhy do people have tilt-table tests?The tilt table test is recommended to trigger your symptoms while watching you. It is method to measure your blood pressure and heart rate during the test to find out what’s causing your symptoms.During the test if your average blood pressure stays stable the table tilts upward and your heart rate increases by a normal amount. If the blood pressure drops and stays low during the test, you may faint or feel lightheaded.Preparation for Tilt-table test The tilt table test procedure involveNo drinking for at least 2 hours before the test.In case of a morning test, the doctor may tell you not to eat or drink after midnight.Medicine should be continued or not.Time duration of a tilt-table testTilt table test may take around ninety minutes. The first part takes around 30 to 40 minutes. The second part takes around 40 to 50 minutes. Orthostatic HypotensionOrthostatic hypotension is also known as postural hypotension which is a form of low blood pressure that occurs when you stand up from sitting or lying down. Orthostatic hypotension can cause dizziness or lightheadedness, and at times you can even faint. plusimg Orthostatic hypotension is often for a very short duration, lasting only for few seconds to a few minutes after standing. But, long-lasting orthostatic hypotension can be a sign of more-serious conditions, so talk to your health practitioner if you frequently encounter lightheaded while standing up. It is highly recommended to see a doctor if you lose consciousness, even momentarily.SymptomsFeeling lightheaded or dizzy after standing upBlurry visionWeaknessFainting (syncope)ConfusionNauseaCommon Causes of Orthostatic HypotensionAgingHypovolemia- a drop in the volume of bloodDehydrationExcessive BleedingImmobility (for example, staying in bed for a long time)PregnancyHeart conditionsAnemiaParkinson's diseaseDiabetic ConditionsHot weatherDiagnostic TestsBlood testElectrocardiogramHolter monitorEchocardiogramTMTTilt table TestCarotid UltrasoundCarotid ultrasound is a safe and painless procedure that uses sound waves in order to examine the blood flow through the carotid arteries. Two carotid arteries are located on each side of the neck. Carotid arteries deliver blood from the heart to the brain. plusWhole Body Ultrasound Carotid ultrasound usually tests for blocked or narrowed arteries, which may increase the risks of stroke. The results will help the doctor to determine a treatment to lower the stroke risk.Why it’s done?Carotid arteries are commonly narrowed by a buildup of plaque- made of fat, calcium, cholesterol and other substances that circulate in the bloodstream. Early diagnosis of a narrowed carotid artery can decrease the risks of stroke.A doctor often recommends carotid ultrasound if a person has transient ischemic attacks (TIAs) or certain types of strokes. It may also be recommended if the person has medical conditions that increase the risks of stroke, including:DiabetesHigh Blood PressureHigh CholesterolFamily history of strokeAbnormal sound in carotid arteriesRecent transient ischemic attack (TIA) or strokeCoronary Artery DiseaseOther uses of carotid ultrasoundA doctor may order a carotid ultrasound for:Evaluating blood flow through the artery after surgery to remove plaquesEvaluating the placement and effectiveness of a stent, a mesh tube used to improve the blood flow through arteryLocating a collection of clotted blood that may prevent the blood flowDetecting other carotid artery abnormalities that may disrupt the blood flow
INR 0 INR 0 5b6b382c5b3b1d0502b00c65 True 2018-02-16T17:08:53
The heart is an important organ vital to your survival. Ensure you keep it healthy with our weekly Healthy Heart Clinic. Get a complete examination and consultation with renowned cardiologists along with basic tests included all in one clinic visit.EchocardiogramWhat is the role of ECG?The role of the ECG is to record the electrical activity or rhythm of the heart. It also checks any abnormal beat, damage or enlargement of the heart muscles. plusimgPurpose of the testThe purpose of the test is toConfirm if heart attack has happenedPredict the risk factor for the heart attackDetect changes in heart RhythmWhat exactly happens in an ECG procedure?ECG is a noninvasive cardiac testing procedure which uses tests outside of the body to record the heart rhythm. The diagnostic test measures the electrical activity of the heart beat. With every beat, an electrical drive (or "wave") goes through the heart. Because of this wave, the heart muscle crushes and pumps the blood from the heart. A normal pulse or heart beat on ECG will demonstrate the P wave and T wave shown by upper and lower chambers respectively..TMTTreadmill Test (TMT) is also called as Cardiac Stress Test which is used in cardiology to test Treadmill Test (TMT) is also called as Cardiac Stress Test and used in cardiology to test the ability of the heart to react to outside sources of stress in a controlled medical atmosphere. The reaction to stress is produced either by exercise or drug stimulation which compares the circulation of blood in the heart when the patient is either resting or he/she is under optimum physical pressure. plusTMTIs TMT procedure a substitute for ECG ?For example, in a case like Angina, if the patient is not having any pain in the chest, the angina symptoms would only come when they increase the heart rate, while doing some physical exertion like walking. This is a condition where we need a TMT test and ECG would not be successful as ECGs are taken at rest when the heart is beating at its lowest rate and patients with a 90% blocks can even have a normal ECG in such a condition. How is TMT test done?The TMT test generally takes up to 90 minutes from beginning to end. The major stress test is only of 20 minutes. The patient’s initial blood pressure is recorded at rest. Next, the electrodes are placed on the patient’s chest and are connected to the wires that are linked to the ECG machine.There is a lead which is placed on different areas of the heart and around 12 lead ECG reports are recorded on the paper. There are three leads that are connected to the Treadmill monitor too.Benefits of TMT or Stress test Stress tests are quite safe and will help the doctor in diagnosing a heart problem and determine what and how much of activity is safe for a patient.Noninvasive Blood Pressure (NIEB)What is Blood Pressure?What is Blood Pressure?Blood pressure refers to the force of blood pushing against the walls of your arteries. When your heart beats, it contracts and pushes the blood through the arteries to the rest of your body, perfusing all organs. The force generates pressure on the arteries and is known as systolic blood pressure. A normal systolic blood pressure should be less than 120 millimeters of mercury. plusNIBPl ‘Diastolic blood pressure’ is the term used to value the bottom number of a blood pressure. This signifies the pressure in the arteries when your heart rests after contracting. A normal diastolic blood pressure is less than 80 millimeters of mercury.Measuring Blood PressureArterial pressure can be measured invasively or non-invasively. However, the former is restricted to a hospital setting. Noninvasive MeasurementThe noninvasive auscultatory and oscillometric measurements are easier and quicker than invasive measurement, require less expertise in fitting, have no complications, and less painful and unpleasant for the patients. It includes the application of a pressure cuff and can be performed manually or automatically.MethodBlood pressure is usually determined by analyzing oscillation of BP cuff pressure caused by the arterial pulses. In order to block arterial blood flow, the BP cuff is inflated and then it starts to deflate. In doing so, arterial pulses generate a pressure wave in the cuff. These waves are the source data for oscillometric noninvasive blood pressure algorithm. Since the cuff is the sensor, it’s important that the correct size is picked by the clinician. Moreover, the cuff needs to be wrapped around the arm properly. There are commonly two types of methods for measuring blood pressure:An electronic blood pressure monitor generally has an internal pump which inflates the cuff. The inflation of the cuff is monitored electronically from pressure and pulse. The machine gives an indication of blood pressure.A mechanical device called sphygmomanometer is also used for measuring blood pressure.HolterWhat is a Holter monitor?A Holter monitor is a battery-operated portable device which performs traditional test which needs to check the heart rhythm. The device measures and records your heart’s activity (ECG) continuously for 24 to 48 hours. plusimg The device is the size of a small camera and it has wires with silver dollar-sized electrodes which are attached to your skin. The Holter monitor records your ECG as you keep doing your day to day activities and hence is also termed as ambulatory electrocardiograms. Reason for wearing a Holter monitor People wear a Holter monitor to let the doctor look at the heart’s activity at one point of the time during ECG test. When the doctor wants to evaluate your irregular heartbeats called arrhythmias, Holter monitor is the best device to monitor your heart performance carried out during the whole day. Holter monitor may provide useful information likeWhether medicines are working optimally or not.The device will be able to tell about the conditions such as dizziness, faintness, or the irregular rhythm of the HeartWhether the Heart is getting desired oxygen required or not
Healthy Heart Clinic
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The human heart is an important organ which is responsible for pumping blood throughout the body via circulatory system, supplying oxygen to the tissues, and removing carbon dioxide and other wastes. The tissues of the human body require a constant supply of nutrients to keep on working, if the heart is unable to supply blood to the organs and tissues, they will die. A human heart is roughly the size of a large fist and weighs between about ten to twelve ounces in men and eight to ten ounces in women. plusCardiology ClinicFunctions of the HeartArterial blood flows from the heart to each part of the human body for providing oxygen and nutrients. The venous blood returns straight from the body to the heart. The blood then travels through the lungs in order to exchange carbon dioxide for new oxygen. The heart is a pump, mainly moves the blood. The veins and arteries are the pipes through which the blood flows. The lungs offer a place to exchange carbon dioxide for oxygen.Common Heart DiseasesHeart diseases include the conditions affecting the structures or functions of the heart, such as:Abnormal Heart Rhythms or Arrythmia- Human heart is an amazing organ which beats about 60 to 100 times every minute. Sometimes, the heart gets out of rhythm. An irregular heartbeat is called an arrhythmia. An arrhythmia can produce an uneven heartbeat, or very slow or fast beat. In this condition, your doctor will request a Holter test. Coronary Artery Disease (CAD) or Ischemia- It is hardening and blockage of the arteries, which provide the heart vital oxygen and nutrients. If you have blockage in the arteries of your heart, the doctor may recommend you a treadmill stress test or echocardiography.Valvular abnormalities- Heart valves sit at the exit of each four heart chambers maintain one-way blood flow through the heart. Improper functioning of the heart valves may cause symptoms from shortness of breath to dizziness and passing out. There are four valves in the heart:Pulmonary valve: It is located between the right ventricle and the pulmonary artery.Tricuspid Valve: It is located between the right atrium and the right ventricleAortic Valve- Located Between the left ventricle and the aortaMitral Valve- Located between the left atrium and the left ventricleYour doctor may recommend an echocardiogram to evaluate valvular abnormalities. Noninvasive Blood Pressure (NIBP)What is Blood Pressure?Blood pressure refers to the force of blood pushing against the walls of your arteries. When your heart beats, it contracts and pushes the blood through the arteries to the rest of your body, perfusing all organs. The force generates pressure on the arteries and is known as systolic blood pressure. A normal systolic blood pressure should be less than 120 millimeters of mercury. plusNIBPl ‘Diastolic blood pressure’ is the term used to value the bottom number of a blood pressure. This signifies the pressure in the arteries when your heart rests after contracting. A normal diastolic blood pressure is less than 80 millimeters of mercury.Measuring Blood PressureArterial pressure can be measured invasively or non-invasively. However, the former is restricted to a hospital setting. Noninvasive MeasurementThe noninvasive auscultatory and oscillometric measurements are easier and quicker than invasive measurement, require less expertise in fitting, have no complications, and less painful and unpleasant for the patients. It includes the application of a pressure cuff and can be performed manually or automatically.MethodBlood pressure is usually determined by analyzing oscillation of BP cuff pressure caused by the arterial pulses. In order to block arterial blood flow, the BP cuff is inflated and then it starts to deflate. In doing so, arterial pulses generate a pressure wave in the cuff. These waves are the source data for oscillometric noninvasive blood pressure algorithm. Since the cuff is the sensor, it’s important that the correct size is picked by the clinician. Moreover, the cuff needs to be wrapped around the arm properly. There are commonly two types of methods for measuring blood pressure:An electronic blood pressure monitor generally has an internal pump which inflates the cuff. The inflation of the cuff is monitored electronically from pressure and pulse. The machine gives an indication of blood pressure.A mechanical device called sphygmomanometer is also used for measuring blood pressure.
INR 0 INR 0 5b6b382c5b3b1d0502b00c03 True 2018-02-16T16:57:56