Dr.Pankaj Chaudhary

Dr.Pankaj Chaudhary Dr. Pankaj Chaudhary is a highly experienced and skilled Diabetes & Gastro specialist in Silchar, Assam.

He is known for his compassionate care and dedication to his patients.

Can early kidney damage be reversed?Yes, in the early stages (like microalbuminuria or Stage 1–2 CKD), kidney damage can...
20/08/2025

Can early kidney damage be reversed?

Yes, in the early stages (like microalbuminuria or Stage 1–2 CKD), kidney damage can often be partly reversible or at least stopped from progressing further — but only if treated early with strict lifestyle and medical care.

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✅ How to protect or reverse early kidney damage

1. Control Blood Pressure

High BP is the leading cause of kidney damage.

Medications like ACE inhibitors or ARBs (e.g., Enalapril, Losartan) are kidney-protective (if prescribed by your doctor).

2. Control Diabetes (if present)

Keep blood sugar under tight control (HbA1c < 7%).

Proper diet, exercise, and medications are key.

3. Dietary care

Reduce salt intake.

Moderate protein intake (avoid very high protein diets).

Limit red meat, processed food, junk food, and excess oil.

4. Avoid harmful medicines

Avoid painkillers (NSAIDs like ibuprofen, diclofenac).

Take antibiotics or other strong drugs only under medical supervision.

5. Lifestyle

Stop smoking.

Do regular light exercise (walking, yoga).

Drink adequate water (as advised by your doctor — not too little, not too much).

6. Regular monitoring

Urine microalbumin test

Serum creatinine & eGFR

Blood pressure checks

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👉 Key point

In early stages, kidney function can improve or stabilize.

In later stages, damage cannot be reversed, but progression can be slowed.

Angina pectoris happens when the heart muscle doesn’t get enough oxygen-rich blood, usually because of narrowed coronary...
18/08/2025

Angina pectoris happens when the heart muscle doesn’t get enough oxygen-rich blood, usually because of narrowed coronary arteries. This causes chest pain or pressure.

Nitroglycerin is the drug of choice in acute angina attacks because:

1. Vasodilation (Widening of blood vessels):

Nitroglycerin is converted in the body to nitric oxide (NO).

NO relaxes smooth muscles in blood vessel walls → veins and arteries dilate.

2. Reduces Preload (Less work for the heart):

Dilation of veins → less blood returning to the heart (reduced preload).

This decreases the workload and oxygen demand of the heart muscle.

3. Reduces Afterload (Easier blood ejection):

Dilation of arteries → lowers resistance against which the heart pumps.

This reduces myocardial oxygen demand further.

4. Improves Coronary Blood Flow:

Nitroglycerin dilates coronary arteries, especially in areas with partial blockage.

This increases oxygen supply to the heart muscle.

5. Rapid Relief:

When given sublingually (under the tongue), it is absorbed quickly into the bloodstream.

Chest pain relief usually occurs within 1–3 minutes.

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In Summary:

Nitroglycerin relieves acute angina because it:
✔ Decreases heart’s oxygen demand (by reducing preload and afterload).
✔ Increases oxygen supply (by dilating coronary arteries).
✔ Provides rapid symptom relief.

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⚠️ Important note: Patients should not take nitroglycerin with drugs like sildenafil (Vi**ra), as it can cause a dangerous fall in blood pressure.

18/08/2025

Celebrating my 6th year on Facebook. Thank you for your continuing support. I could never have made it without you. 🙏🤗🎉

17/08/2025

if your lipid profile is normal, a heart attack is still possible. Cholesterol and triglycerides are important risk factors, but they’re not the only ones. Many people with normal lipid levels can develop heart disease due to other risks.

👉 Some other major risk factors for heart attack:

High blood pressure (Hypertension)

Diabetes or prediabetes

Smoking / To***co use

Family history of heart disease (genetics)

Obesity & lack of exercise

High stress levels

Unhealthy diet (high in salt, sugar, trans fats)

Age (risk increases after 40, especially in men, and after menopause in women)

Inflammation (CRP high, autoimmune diseases, etc.)

⚠️ Important:

A normal lipid profile lowers risk but does not eliminate it.

Some people have normal cholesterol but still develop blockages due to small dense LDL particles, high inflammation, or diabetes-related vessel damage.

Heart attacks can also occur if a plaque suddenly ruptures or if a blood clot blocks flow.
Everyone Products

✅ What you can do:

Keep BP, sugar, weight in check.

Regular exercise (30 min daily).

Balanced diet (more fruits, vegetables, less fried/junk food).

Avoid smoking/alcohol excess.

Manage stress & sleep.

If strong family history → get ECG, Echo, Stress Test, or CT Coronary Angiography for early detection.

15/08/2025
Macrovascular complications in Diabetes refer to damage to the large blood vessels (arteries) due to long-term high bloo...
10/08/2025

Macrovascular complications in Diabetes refer to damage to the large blood vessels (arteries) due to long-term high blood glucose, along with other risk factors like hypertension, dyslipidemia, and smoking. These complications are a major cause of morbidity and mortality in people with diabetes.

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Pathophysiology

Chronic hyperglycemia → endothelial dysfunction → atherosclerosis (plaque buildup) in large and medium-sized arteries → narrowing/blockage → reduced blood flow to vital organs.

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Major Types

1. Coronary Artery Disease (CAD)

Includes: Angina, myocardial infarction (heart attack), heart failure.

Diabetes accelerates atherosclerosis in coronary arteries.

Often presents silently (painless MI is common in diabetics).

2. Cerebrovascular Disease

Includes: Ischemic stroke, transient ischemic attack (TIA).

Diabetics have 2–4× higher risk of stroke.

Poor glycemic control + hypertension = highest risk.

3. Peripheral Arterial Disease (PAD)

Narrowing of arteries in limbs, especially legs.

Symptoms: Claudication (leg pain on walking), non-healing ulcers, gangrene.

Major cause of diabetic foot amputations.

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Risk Factors

Persistent hyperglycemia

Hypertension

Dyslipidemia (↑LDL, ↓HDL, ↑Triglycerides)

Smoking

Obesity

Sedentary lifestyle

Chronic kidney disease

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Prevention & Management

1. Glycemic control – HbA1c < 7% (individualized goals).

2. Blood pressure control – target < 130/80 mmHg.

3. Lipid management – statins for most adults with diabetes.

4. Lifestyle modifications – healthy diet, regular exercise, weight management, smoking cessation.

5. Antiplatelet therapy – low-dose aspirin for high-risk patients.

6. Regular screening – ECG, Doppler studies, carotid ultrasound when indicated.

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📌 Key point:
Microvascular complications (retinopathy, nephropathy, neuropathy) affect small vessels, whereas macrovascular complications affect large vessels and are responsible for most diabetes-related Deaths

Shout out to my newest followers! Excited to have you onboard! অরুপ রায় অপুð Matiullah AbidðĤãmĩð Ũłłãh Ĵãñ Ĥãmĩð
30/07/2025

Shout out to my newest followers! Excited to have you onboard! অরুপ রায় অপুð Matiullah AbidðĤãmĩð Ũłłãh Ĵãñ Ĥãmĩð

29/07/2025

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Shout out to my newest followers! Excited to have you onboard! Kabir Ahmed, Nirvash Ramhit, Hedayet Islam Badsha, Ihtish...
26/07/2025

Shout out to my newest followers! Excited to have you onboard! Kabir Ahmed, Nirvash Ramhit, Hedayet Islam Badsha, Ihtisham Khan, Biniam Amanuel, W***y Moyo

Ventricular Septal Defect (VSD) is one of the most common congenital heart defects. It is characterized by an abnormal o...
22/07/2025

Ventricular Septal Defect (VSD) is one of the most common congenital heart defects. It is characterized by an abnormal opening in the septum, the wall that separates the heart's two lower chambers (ventricles).

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🔬 Definition:

A Ventricular Septal Defect is a hole in the interventricular septum, allowing blood to pass from the left ventricle to the right ventricle.

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💓 Types of VSD:

1. Perimembranous VSD (most common) – near the heart valves.

2. Muscular VSD – in the lower part of the septum.

3. Inlet VSD – near the tricuspid and mitral valves.

4. Outlet VSD – near the pulmonary artery and aorta.

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🔁 Pathophysiology:

Blood flows from the left ventricle (higher pressure) to the right ventricle (lower pressure).

This causes left-to-right shunting, leading to:

Increased pulmonary blood flow

Pulmonary hypertension

Left heart volume overload

Risk of heart failure if untreated

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👶 Symptoms in Infants/Children:

Poor feeding

Failure to thrive

Rapid breathing

Recurrent chest infections

Heart murmur

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👨‍⚕️ Diagnosis:

Clinical examination: pansystolic murmur at the left lower sternal border

Echocardiography: confirms the size and location of the defect

Chest X-ray, ECG, and cardiac catheterization (in complex cases)

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🛠️ Treatment Options:

Small VSDs: often close spontaneously; observation only

Moderate/large VSDs:

Medical: Diuretics, ACE inhibitors, digoxin

Surgical: Open-heart surgery to patch the hole

Device closure via cardiac catheterization (in selected cases)

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⚠️ Complications (if untreated):

Congestive heart failure

Eisenmenger’s syndrome (reversal of shunt)

Endocarditis

Pulmonary hypertension

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✅ Prognosis:

Excellent after surgical closure

Most small VSDs close on their own or cause no major issues

Address

House No 11 Lane No 14 Second Link Road
Silchar
788006

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