6 important things related to investigation
1. Invasive test requires expert and it is done by making a cut in any part or by entering the machine. These are big tests. For example: CT Coronary Angiogram etc. Do not get such tests done without doctor’s advice.
2. Non-invasive tests are also called mini tests. People usually do this test without asking the doctor to check their health status: Sugar tests including fasting, 2 hours after eating, HbA1c, CBC, LFT, KFT etc.
3. If there is a family history, even if there are no symptoms, then after 30 years, small tests can be done every 3 years. Keep in mind that there is no need to get major tests done at the request of a lab or hospital unless the doctor says so.
4. Just keep in mind that there should be a special basis for conducting any test. Family history, symptoms of any disease are most important in this. By the way, everyone should follow the last advice of their doctor.
5. It is often seen that people do not get tested even after the doctor has prescribed small tests. Patients feel is not necessary. Actually, with the help of these tests, the condition of the patient is known and it is easy to treat.
6. Many patients get the medicine started from the doctor after getting the test done once, after that they neither get the test done nor show it to any doctor for many years. Patients keep taking old medicines without any medical advice. it’s dangerous.
Self-assessment is the best way to know your health status. If someone does not feel tired without any reason, does not have pain in any part of the body, remains energetic while working, his mental health is also sound, there is no problem of overthinking or taking extra stress, then it can be assumed that the total Overall his health is good. Nowadays, due to the high level of pollution, many new diseases have arisen. This situation has become worse since Corona. In such a situation, it is also necessary to check blood, heart, kidney, liver etc. at an interval.
Understand the basics:
There are 2 types of tests:
1. Invasive (large test)
2. Non-invasive (small test)
Tests are done in 2 ways:
1. Preventive Test: These tests are done at an interval of 1 to 3 years. People who are health conscious get this test done.
2. On doctor’s advice: Seeing any disease or symptom, the doctor advises to get the test done.
Q. What are the reasons for being healthy and getting sick?
A. Simply put, the things which are necessary to be healthy, the exact opposite things slow down the health.
For example:
1. Complete sleep: Every person can guess the importance of sleep every day. A person eats half of the food he needs in one day, do the same on the second day. What will happen with this? To be honest, nothing will happen. He’ll feel better. But if the same person sleeps for 8 hours every day and if he sleeps for half i.e. 4-4 hours for two consecutive days, then ask about his condition. He will feel tired throughout the day. He will not feel like working. His energy will be halved. If he has a problem with BP, then his readings will be slightly increased. That’s why good sleep is very important.
2. Exercise every day: If you want good sleep, then exercise, if you want to strengthen the muscles of the body, then exercise, if you want to increase your ability to work, then exercise means exercise. In this, cardio (brisk walk, running etc.) and strength-enhancing exercises (lifting dumbbells or weights) must be done.
brisk walk
- If the person is normal: 30 minutes every day, at least 5 days a week i.e. total 150 minutes a week. Apart from this, 20 minutes of exercise every day. Brisk walk means that he must walk at least 100 steps (fast-fast) every minute.
- If there is a problem like sugar, BP: 60 minutes every day, 5 days a week i.e. total 300 minutes. Apart from this, 30 minutes of exercise every day. Actually, to keep sugar and BP under control, such people need more exercise and brisk walk.
- Eating right and eating on time: Eating right is as important as eating right. Eating right means that the amount of fiber in the food should be high. The less you eat junk food, fast food, the better.
As far as eating on time is concerned, fix a time for your meals. Try to follow that time. For example: Breakfast till 9 am, Lunch from 1:30 to 2 pm, Dinner before 8 pm. Always eat light food at night. Poha, moong dal cheela can be taken for breakfast. A handful of dry fruits (almonds and walnuts) should be taken in the morning. Where diseases arise due to food disturbances, on the other hand, by correcting the food, they can also be cured to a great extent.
Avoiding Drunkenness: Smoking, tobacco is dangerous. The more distance you stay from them, understand that life will be better. The reality is that if a person is troubled by sugar, BP and at the same time he also smokes, then his chances of getting seriously ill increase manifold. Even if he keeps them under control. On the other hand, if another person who has problems with sugar and BP, but is not addicted to cigarettes or tobacco. There is less possibility of such a person having serious problems. Especially then it decreases further, when he leads a disciplined life. He keeps his sugar and BP under control. Apart from these, alcohol should also be avoided.
Prevention from pollution: Although this is the problem of the whole world, but it is a big problem of big cities like Delhi, Mumbai. When pollution is at its peak, every breath slowly makes us sick. affects our lungs. In such a situation, we should try to avoid pollution. Go out only if you need to. Must use mask. How can we save from pollution, for this we can go to the Facebook page SundayNbt and search for pollution. Lots of information will be available.
Q. How to know that we are progressing towards the disease?
A. 1. Being overweight. Waist to hip ratio should not exceed 0.81 for women and 0.89 for men.
2. Feeling tired without any reason. Pain in any part
3. Having a family history of the disease and not getting treatment even after some symptoms, not changing the routine. Do not give up addiction.
Many times people eat more in the party. What is the correct way?
Can’t stop going to the party, but what to eat and how to eat, we can definitely correct it. Most people eat food first and then eat sweets or ice cream. I do the exact opposite. Whenever I go to a party, I eat one or two sweets first. Eating sweets satisfies my hunger to a great extent. This reduces the quantity of food. If I eat food first, I will eat more food and then eat one or two sweets on top of that.
Q. Nowadays preventive health checkup has also become fashionable. What is your opinion on this?
A. We can divide the health checkup test into the following parts according to the requirement:
1. A person who is normal: Such a person neither has any lifestyle disease (sugar, BP, thyroid) nor any serious disease. He usually does brisk walk for 5 to 6 days in a week. He is not addicted to drugs. Also, if none of his parents have any lifestyle disease or any serious illness, then he does not need to get any preventive test or non-invasive test done before the age of 35 years.
After 35 years, non-invasive tests like KFT, LFT, CBC, Lipid profile, ECG etc can be done every 3 years.
2. The person is normal, but has a family history: If this is the case, such a person should get non-invasive tests done every 2 or 3 years after the age of 30. Especially the tests related to the illness of the parents. Such tests should be done every 2 years after 40 years and every one year after 50 years.
3. When the disease is detected: At whatever age this happens, that person should meet the doctor with his report and must get the test done at the time prescribed by the doctor. In fact, many people avoid it. A few days ago a similar case came to me. A person who got sugar detected 10 years back. He was taking the medicine prescribed 10 years ago. Sugar was very high. His HbA1c (it tells the average level of sugar for the last 3 months) was more than 10.7, which should not be more than 5.7 for a normal person. During the last 10 years, he had neither seen any doctor nor got the test done again. Such negligence is not right.
Q. You told when small tests should be done. Now tell when should the big tests be done?
A. I believe that even if someone has a family history, but is fit, then he does not need to undergo CT Coronary Angiogram test till the age of 25-30 years. Actually, we get to know about the blockage from this test, but it is difficult to estimate how dangerous the blockage is. It is possible that a person with 30 per cent blockage may have more problems in the future as compared to a person with 70 per cent blockage. Instead of this test, we can also prescribe medicine and proper diet etc. to the patient by looking at the validated tools (family history, symptoms, smoking addiction etc.). It is also worth noting that if symptoms of angina (decreased blood flow from the heart i.e. constriction of the blood vessels) also start coming, such as shortness of breath even while sitting, pain in the chest (this pain should not be of gas, Gas pain occurs in the middle of the chest, while pain related to heart arises on the left side of the chest and increases on the left side) etc., then a doctor must be consulted.
Q. Nowadays such cases are coming to the fore when even a young person becomes a victim of heart attack or cardiac arrest. Why so?
A. Yes, it is true that nowadays such cases are coming more and more. But looking deeply into these cases, it is known that such people who already had heart related problems, they themselves did not know about it. For example: someone’s heart muscles have become weak, blockage has come in his blood vessels. Many times that person does not know about this. In such a situation, when he does heavy exercise in the gym or dances continuously, there is a possibility of heart attack or cardiac arrest. The situation is worse when the weakened muscles are in the part of the heart where the SA node (the part of the heart that generates the electric current in the heart and keeps the heart pumping) is located and that If it stops working, the heart attack immediately turns into cardiac arrest. According to an estimate, more than 50 percent of heart attack cases turn into cardiac arrest.