Dr Narendra Paliwal

05/09/2024

पहली बार

29/04/2024

10 minute workout anywhere

29/04/2024

Doctor - Patient Communication Exercise
Hydrochlorothiazide for hypertension :
Give instructions to 55 year old male patient with hypertension who is prescribed Tablet Hydrochlorothiazide 25 mg daily.
Doctor - Patient Communication :
1. You have been diagnosed with hypertension, a condition in which your blood pressure remains high. If left untreated, may lead to end organ damage ( Coronary heart disease, myocardial infarction, eye and kidney problems, brain hemorrhage )
2. I am prescribing you a tablet called hydrochlorothiazide 25 mg , which will excrete excess water and sodium from your body and will keep your blood pressure under control.
3. Take one tablet of hydrochlorothiazide 25 mg every day, once in morning after breakfast.
4. You might notice that you urinate more frequently. It is normal. Take your dose at maximum before 4 pm so that you will not be disturbed in your sleep.
5. If you notice any muscle cramps or excessive fatigue or dypnoea, please report immediately.
6. You will be have to take this medicine life long as hypertension requires long term treatment and stopping the treatment will result in complications.
7. Reduce the amount of salt intake upto 2 grams per day in your food. Avoid pickles, papads or noodles. Have a diet rich in vegetables, fruits, legumes, nuts, whole grains, fish, polyunsaturated fatty acids. Minimize consumption of processed meat, refined carbohydrates, and sweetened beverages.
8. Do regular exercise of mild to moderate intensity ( 150 minutes / week approx. )
9. Avoid smoking and alcohol consumption.
10. Have adequate sleep.
11. Maintain a diary recording of your blood pressure either at home or in the nearest health care facility for the next month.
12. Review after one month.

28/04/2024

24/04/2024

For Ni****ne De- Addiction : Important Instructions for Ni****ne Chewing GUM Users :
1. Chew Ni****ne Chewing Gum - When you feel craving ( Do not delay chewing because as the time of craving passes ; ni****ne chewing gum efficacy to reduce craving will also decrease )
2. Do not chew ni****ne chewing gum continuously - Use " Chew - Park - Chew " technique , so that ni****ne chewing gum's gastric tolerance will improve. If any-one chew ni****ne chewing gum continuously then it may lead to hyper acidity or ni****ne intolerance.
For any query feel to contact me DrNarendra Paliwal - 9227500879

24/04/2024

List of medicines required for one camp ( 100 persons per camp )
1. Tab Paracetamol 650 mg ( 100 )
2. Tab Paracetamol 500 mg ( 100 )
3. Tab Azithromycin 500 mg ( 30 )
4. Tab Cetrizine 10 mg ( 100 )
5. Tab Vitamin C 500 mg ( 30 )
6. Tab Multivitamin ( 300 )
7. Tab Iron - Folic Acid ( 500 )
8. Cap Vitamin D3 with calcium ( 50 )
9. Tab Fluconazole 150 mg ( 20 )
10. ORS ( 10 )
11. Suspension Paracetamol ( 2 )
12. Suspension Moxclav ( 2 )
13. Tab Pentaprazole plus domperidone ( 30 )
14. Tab Moxclav 625 mg ( 20 )
15. *Tab Albendazole 400 mg ( 20 ) - Give to all on the spot*
16. Syp Dextromethorphan ( 2 )
17. Antifungal cream ( 2 )
18. Analgesic cream ( 5 )
19. Tab Cefadroxil 125 mg ( 20 )
20. Tab Famotidine 40 mg ( 50 )
Note :
- Prescribe for pediatric patients
- Give Albendazole on the spot
- only orthopedic doctors will prescribe diclofenac/ aceclofenac / other analgesics
- Do not purchase excessive creams for camps
- Keep BP instrument, glucometer with strips , measuring tape, torch , vision testing charts, Anemia Detection Charts , Cancer Awareness literature, Dedicated Referral Services for expert opinion and laboratory investigation
- Hang benefits of Bicycling banner , Diet in Diabetes banner at medical camp.
- Your suggestions are always welcome
- Education is the defence of any National Medicos Organisation

23/04/2024

Have a Safe Summer 🌞 ⛱️
*Do's*
1. Wear light thin cotton clothes to keep the
body cool.
2. Cover head with cloth or Cap
3. Apply sun screen over face
4. Drink lot of fluids
5. Drink water even when you are not thirsty. Please remember
feeling thirsty, means the body is already 15 % dehydrated.
6. Drink ORS
7. Drink Curd water, lemon juice, rice water , coconut water
11. Wear light clothes preferably white color
12. Wear sun glasses
13. Take care of elders, childrens and patients
14. Use umbrella
15. Daytime sleep is permitted as there will be long days and
shorter nights

Summer 🌞 ⛱️

*Don't*

1. Do not go out in the direct sun from 12 - 3 pm
2. If you are out in afternoon - Do not exert more . Avoid extensive
physical activity.
3. Do not cook in afternoon.
4. Open windows of kitchen in afternoon
5. Do not drink more tea, coffee and soft drinks which increase
urine output
6. Do not eat diet rich in excessive proteins , meat etc
7. Avoid alcohol
8. Do not leave children or pets in parked vehicle
9. Avoid wearing dark, heavy or tight clothes.
10. Do not consume pungent, spicy, salty and sour foods which produce too much heat in the body.

Monitor the frequency, quantity and colour of urine every time and make sure to urinate around 300 - 500 ml in 2 - 3 hours and it's color should be light yellow or colorless.

The dark yellow or orange color of urine indicates that the body needs fluids immediately.

Have a safe summer this season.

Bharat Mata Ki Jai

26/03/2024

It's all about life style.
Need daily exercise.
Need to visit Mandir regularly to relieve stress.
Healthy Diet - Fruits Daily
Quit to***co and alcohol.
Curtail salt and sugar.
Cut mobile ( social media ) time and invest it in family.
Bharat Mata Ki Jai

03/08/2023

Vitamin D Deficiency or Resistance : Causes
1. Nutritional / Sunlight deprivation
2. GI Disease / Fat malabsorption
3. Drugs : Anticonvulsants , Rifampicin, Ketoconazole, 5 - FU , Leucovorin
4. Genetic ( 1 alpha hydroxylase, VDR mutations )