Record for PP's consumption of Bisacodyl 5mg tablet on 2016-10-29 and the results

PP took one tablet of 5mg Bisacodyl at 7.45 PM on 2016-10-29, Saturday.

PP passed motion. Soft. Size: small to medium. Time: 3.05 pm on 2016-10-30 Sunday.

Correct Posture for blood pressure measurement

http://www.guands.com/high-blood-pressure/blood-pressure-measurement-and-monitoring.html

Correct Posture for blood pressure measurement

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1. Sit with back straight.

2. The air bag and the right atrium are simultaneously in a parallel line.

3. If the cuff tied too tightly, the measured systolic blood pressure and diastolic blood pressure is a little lower; If the cuff tied too loose, the measured systolic blood pressure and diastolic blood pressure is a little higher. Generally, the cuff can accommodate 2 fingers, the tightness is appropriate.

4. The height difference between the table and the chair is 25-30 cm.

Sent from my ASUS

Why Low blood pressure when standing up for the patients of multiple system Atrophy

http://www.nhs.uk/Conditions/multiple-system-atrophy/Pages/Introduction.aspx

Low blood pressure when standing up 

It's common for someone with multiple system atrophy to feel lightheaded, dizzy and faint when they suddenly sit or stand up. This is because their blood pressure drops when they become upright, which is known as postural hypotension.

When you stand up after lying down, your blood vessels usually narrow quickly and your heart rate increases slightly, to prevent blood pressure dropping and maintain blood flow to the brain. This function is carried out automatically by the autonomic nervous system.

However, because this doesn't work properly in people with multiple system atrophy, this control is lost.

Problems with coordination, balance and speech

A part of the brain called the cerebellum becomes damaged in multiple system atrophy, which can make the person clumsy and unsteady when walking, and can also cause slurred speech.

These problems are collectively known as cerebellar ataxia.

Feeling stiff, and slowness of movement 

A person with multiple system atrophy typically has much slower movements than normal. This is referred to as "bradykinesia" and can make everyday tasks difficult. Movement is hard to initiate, and they often have a distinctive slow, shuffling walk with very small steps. 

Some people may also have stiffness and tension in the muscles, which can make it even more difficult to move around and can result in painful muscle cramps (dystonia).

The above symptoms are typical of Parkinson's disease, but unfortunately the medication used to relieve these symptoms in people with Parkinson's disease (levodopa therapy) is not very effective for people with multiple system atrophy.

My Weight on 2016-10-28

My weight
2016-10-28
62.5 kg
BMI 22.681

Increasing your fluid and salt intake to treat low blood pressure

http://www.nhs.uk/Conditions/Blood-pressure-(low)/Pages/Treatment.aspx

Increasing your fluid and salt intake

Dehydration can cause low blood pressure. This can be easily treated by increasing your fluid and salt intake. Ensuring you drink enough fluid will help by increasing the volume of your blood, which increases your blood pressure.

If you have low blood pressure, you may benefit from having more salt in your diet. Your GP can advise how much additional salt you need and whether you can add salt to your usual food or take salt tablets. Don't add extra salt to your diet without seeing your GP first.

Minced pork with doubanjiang ( 豆瓣酱, a soy bean product)

On 2016-10-18, Tuesday. At 7.30 pm I cooked for TT minced pork with doubanjiang ( 豆瓣酱) which is made of soy beans (product name鲜枣荳酱王Tou Cheong (a product of TONG FOONG SAUCE FACTORY SDN. BHD.). Available at NTUC Fairprice, AMK Hub.

Ingredients: minced pork 200g, Chinese toufu 1 pack 300g , doubanjiang (豆瓣酱) 3.5 table spoon, some sliced garlic.

To be eaten with plain porridge.

Verdict: TT said good.

First-time-use of Bisacodyl to solve my constipation

I took 5mg of Bisacodyl at 8.35 pm on 2016-10-12.

At 11.20 pm, a long, dry, hard and stubborn chocolate finally came put the bottom exit of my body.

This was the first time I took 5 mg of Bisacodyl to solve a very bad constipation problem.

Very effective!

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https://medlineplus.gov/druginfo/meds/a601027.html

Why is this medication prescribed?

Bisacodyl is used on a short-term basis to treat constipation. It also is used to empty the bowels before surgery and certain medical procedures. Bisacodyl is in a class of medications called stimulant laxatives. It works by increasing activity of the intestines to cause a bowel movement.

How should this medicine be used?

Bisacodyl comes as a tablet to take by mouth. It is usually taken the evening before a bowel movement is desired. Bisacodyl normally causes a bowel movement within 6 to 12 hours. Do not take bisacodyl more than once a day or for more than 1 week without talking to your doctor. Follow the directions on the package or on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take bisacodyl exactly as directed. Frequent or continued use of bisacodyl may make you dependent on laxatives and cause your bowels to lose their normal activity. If you do not have a regular bowel movement after taking bisacodyl, do not take any more medication and talk to your doctor.

Swallow the tablets whole with a glass of water; do not split, chew, or crush them.

Do not take bisacodyl within 1 hour after drinking or eating dairy products.

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Blood pressure - SYSTOLIC AND DIASTOLIC -- Which is more important, the bottom or the top number?

http://www.bloodpressureuk.org/BloodPressureandyou/FAQs/Bloodpressurenumbers

Which is more important, the bottom or the top number?

We have discovered that systolic blood pressure (the top number or highest blood pressure when the heart is squeezing and pushing the blood round the body) is more important than diastolic blood pressure (the bottom number or lowest blood pressure between heart beats) because it gives the best idea of your risk of having a stroke or heart attack.

We know, for example, that having a blood pressure of 160/80mmHg is more “risky” than having a blood pressure of 150/90mmHg. Having a raised systolic blood pressure but normal or low diastolic blood pressure is called Isolated Systolic Hypertension (ISH) and carries an increased risk of developing heart attacks or strokes and should be treated.

However, there are some circumstances where diastolic blood pressure may be more important than systolic. For example, some studies suggest that, in people aged younger than 40 years, diastolic blood pressure is a better way of assessing risk. However, younger people are less likely to have a stroke or heart attack, so information on their risk of future problems is limited. It could be that diastolic blood pressure becomes more important when it is very high. There is some evidence to suggest that, for example, a blood pressure of 180/120mmHg gives a greater risk of stroke or heart attack than 180/100mmHg.

The only way to resolve this issue is to obtain data from thousands of patients collected on a systematic basis. The statistical tests to investigate the relative importance of systolic and diastolic blood pressure are immensely complicated. However, current evidence strongly suggests that, over the age of 40, it is systolic pressure that is most important.

Neuroprotective Diet for Multiple System Atrophy

http://www.news-medical.net/health/Multiple-System-Atrophy-Treatment.aspx

Neuroprotective Diet

In addition to medications and symptomatic treatment, some physicians recommend a neuroprotective diet. Calorie restriction is claimed to boost the levels of glutamate in the brain. Glutamate is an amino acid and neurotransmitter which improves motor control.

A low protein diet may potentiate the actions of certain drugs prescribed for Parkinson's-like symptoms. Again, an anti-inflammatory diet may reduce the risk and progression of degenerative diseases, including not only MSA, but heart disease, diabetes, and autoimmune disease. This kind of diet is high in fruits and vegetables, healthy fats, fish, and beneficial micronutrients like quercetin and flavonoids.

Reviewed by Dr. Liji Thomas, MD