Archive for December, 2008

Be a Good dietician

Wednesday, December 31st, 2008

After the THR operation, the doctor advised me not to take up heavy work, running, etc. and so my weight has increased from 58 kg to 85 kg. And my waistline has gone up from 28″ to 36″. Doctor advised me to reduce weight to avoid wear and tear between the ball and socket.
Your overweight appears to be due to steroid intake, hence it will be difficult to shed it as long as you’re taking the medication. Exercise alone will not help. What’s more, strenuous activities will loosen the hip replacement, and in the event of a revision, it can be done only once. I feel you should see a dietician and a physician to counteract the effects of steroids with anti drugs. In any case, once you stop using the drugs the weight will go down gradually. Make the following changes in your diet:
1. Have 2 glasses of water first thing in the morning.
2. Have pulses or a cup of curd (prepared from skimmed milk) at breakfast.
3. You must have a snack at 11,00 a.m. may be a fruit.
4. Have 2 glasses of buttermilk before your lunch.
5. Instead of rice, have bread, which are easier to keep track of.
6. Do not have fried fish on a daily basis.
7. Avoid coconut in all your curries including fish curry. Have a mid evening snack like greeen salad or orange juice.
8. Start dinner with a large bowl of thick soup filled with veggies, a little chicken/fish and rice/ noodles.
9. Restrict the intake of potatoes and tubers such as sweet potatoes and yam.
10. Make sure you have 10-12 glasses of water in a day.
11. Continue with your cardiovascular exercise of 1 hour daily. With these measures, I would expect your weight to go down gradually.

Dealing with Cholesterol

Wednesday, December 31st, 2008

My cholesterol levels including Lipid Profile are borderline, and being maintained with lifestyle changes. Since last 3/4 years I’ve developed white spots of about 1 cm in diameter on both my eyelids. What are these growths and is there any permanent way of getting rid of them?
The skin condition on your eyes is known as Xanthelasma. Half the people with this condition have a normal serum lipid profile, as in your case. These growths can be destroyed by repeated application of 35% Trichlorotcetic acid solution. They may also be destroyed by electro cauterization or removed by surgery. Lasers too, have been used with some risk of scarring and pigmentation.