Q. How is it possible that my ABI is 1.27 when I can literally see the tibial pulse in both feet with feet raised? I have pedal oedema due to venous reflux.
Doctor Answer is medically reviewed by SecondMedic medical review team.
ABI (Ankle-Brachial Index) is a non-invasive measurement used to diagnose peripheral artery disease by comparing the blood pressure in your ankle with that of your arm. A “normal” ABI reading is between 0.9 and 1.3, so it does seem strange that your reading would be 1.27 when you can feel the tibial pulse in both feet – this indicates sufficient circulation!
There are two possible explanations for why your ABI wouldn't reflect what you see with the naked eye:
1) Your arteries may not be as healthy as they appear—the pulse could still be detectable, but weak enough for an abnormal ABI result because of plaque or inflammation build up on the walls of the artery;
2) There could also be venous reflux present which is dilating veins resulting in increased pressures throughout venous system - although pedal oedema due to reflux has been identified, there can sometimes still remain poor arterial flow exhibiting higher than usual pressures at rest leading to an increase in readings despite visible pulses via palpation/auscultation.
Either way, if you have a weak tibial pulse detected by physical examination combined with an elevated ABI result (1.27), then it would suggest further testing should be done to assess potential vascular health issues and confirm whether or not these symptoms are related to potential underlying medical conditions such as critical limb ischemia, diabetes-related arteriosclerosis or deep vein thrombosis etc.
Q. Hello Doctor, from past 3 weeks I have too much dandruff problem and it cause hair loss will you suggest any best solution for this?
Doctor Answer is medically reviewed by SecondMedic medical review team.
Answered by Secondmedic ExpertDealing with excessive dandruff leading to hair loss can be frustrating, but there are effective ways to address this issue. Here's what you can do:
1. Switch to a Gentle Shampoo: Opt for shampoos specifically designed for dandruff, containing ingredients like ketoconazole, zinc pyrithione, coal tar, or selenium sulfide. Use these shampoos regularly to reduce dandruff buildup.
2. Scalp Massage: Gently massage your scalp while shampooing to help remove flakes and improve blood circulation, which can promote healthier hair growth.
3. Avoid Hot Water: Wash your hair with lukewarm water instead of hot water, as hot water can dry out your scalp and worsen dandruff.
4. Balanced Diet: Ensure you're eating a balanced diet rich in vitamins and minerals essential for healthy hair and scalp, such as omega-3 fatty acids, zinc, and B vitamins.
5. Manage Stress: Stress can exacerbate dandruff problems. Practice stress-relief techniques like meditation, yoga, or regular exercise to help manage stress levels.
6. Apple Cider Vinegar Rinse: Consider using diluted apple cider vinegar as a rinse after shampooing. It can help restore the scalp's pH balance and reduce dandruff.
7. Consult a Dermatologist: If the issue persists despite trying home remedies or over-the-counter solutions, seek advice from a dermatologist. They can provide a personalized treatment plan tailored to your specific scalp condition.
Remember, consistency is key when dealing with dandruff. Give these remedies some time to work, as immediate results might not always occur. It's essential to find what works best for your scalp, so don't get discouraged if you don't see immediate improvements.
Taking care of your scalp health not only addresses dandruff but also aids in reducing hair loss associated with this issue. Feel free to incorporate these tips into your routine and observe how your scalp responds. If the problem persists or worsens, seeking professional guidance is always recommended.
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