Saturday, November 29, 2025

Calcium loss does not begin with weak bones: Harvard-trained gut doctor reveals early red flags you should never ignore

A growing number of young adults are walking into clinics with symptoms they cannot explain, and according to a Harvard trained gastroenterologist, many of these early clues point toward calcium deficiency long before bones begin to weaken. In a recent Instagram video, Dr Saurabh Sethi, an AIIMS graduate who later trained at Harvard and Stanford, explained that calcium loss often announces itself through subtle neurological signs rather than fractures. His remarks were highlighted in a report based on the transcript of his video.

The First Warning Sign Shows Up in Your Fingers

Dr Sethi says the earliest red flag is tingling or numbness in the fingertips, a sensation people often overlook. As he explains in the video, when calcium levels drop, nerves become unusually excitable, which leads to small muscle twitches and persistent tingling. He calls this the body’s “alarm bell” that most people ignore until symptoms escalate.

To correct low calcium levels, Dr Sethi suggests turning to fortified plant based milk, tofu, sesame seeds and leafy greens, especially for those who avoid dairy. He emphasises that none of it will work unless the body has enough vitamin D, because “without it, calcium just passes through.”

Why Vitamin D Could Be the Missing Piece

His advice aligns with a recent post by Apollo Hospital surgeon Dr Anshuman Kaushal, who clarified in a separate report that Vitamin D functions like a steroid hormone and is central to the body’s calcium economy. Describing it as an “internal solar panel,” Dr Kaushal explained that nearly half the population unknowingly blocks its production by staying indoors, covering up excessively or relying heavily on high SPF sunscreens.

Low vitamin D, he warned, can derail bone health, immunity and nerve function. The Endocrine Society’s 2024 guidelines recommend 1,000 to 2,000 IU daily for adults, with higher short term doses for those severely deficient. Dr Kaushal, however, cautions against self prescribed supplements and urges people to get tested before starting treatment.

Sunshine, Smart Diet and Sensible Testing

While supplements may seem like the easiest fix, both experts agree that lifestyle remains the cornerstone of preventing deficiencies. Dr Kaushal recommends 10 to 15 minutes of morning sunlight with arms and legs exposed, along with foods such as eggs, fish and fortified milk.

Dr Sethi, meanwhile, reminds viewers that early symptoms matter. Tingling, muscle twitching and unexplained fatigue are signs that deserve attention, especially when paired with poor sunlight exposure or limited calcium intake.

A Modern Epidemic Driven by Everyday Habits

From indoor routines to heavily marketed supplements, doctors say lifestyle has quietly shifted in ways that compromise calcium and vitamin D status. Both specialists urge people to catch issues early rather than wait for bone related complications to appear.

Calcium deficiency does not start with fractures. It begins in the fingertips, travels through the nerves and eventually shows up in the bones if ignored for too long. And as Dr Sethi’s message makes clear, those small tingles may be telling you more than you realise.

 

This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   

 

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Wednesday, November 12, 2025

Bengaluru oncologist warns lung cancer is rising among non-smokers; ‘may appear as dry cough, fatigue, or weight loss’

Oncologist Dr Satheesh warns of rising lung cancer cases among non-smokers in India, attributing it to pollution and indoor smoke. 

 Lung cancer is one of the deadliest cancers, with 64 percent survival rates for early detection but only 8 percent for advanced stages. It accounts for an estimated 2 million diagnoses and 1.8 million deaths, as per the National Institute of Health.

Now, with growing pollution and other lifestyle changes, the risk of lung cancer is also increasing. HT Lifestyle reached out to Dr Satheesh CT, senior consultant, medical oncology, HCG  Cancer Hospitals, K R Road, Bengaluru, to shed light on why there is a prevalence of cancer, particularly among non-smokers. “Not every cough is harmless, and not every lung cancer story begins with a cigarette,” the oncologist in turn cautioned.

Why is lung cancer rising among non-smokers?

Shedding light on the fact that lung cancer  is not confined to smokers only, Dr Satheesh warned, “Across the country, a greater number of non-smokers are being diagnosed with lung cancer, highlighting a concerning trend in the country’s cancer landscape.”

The oncologist stated that the reason is that homemakers are exposed to kitchen smoke, children, and people commuting to the workplace, all of whom breathe in polluted air. “The PM2.5 has the tendency to enter our bloodstream, making our organs exposed and vulnerable to carcinogens,” he added. 

Lung cancer cases among non-smokers are rising in India, with approximately 25-40 percent of cases occurring in non-smokers. Therefore, this sudden shift in the increasing influence of air pollution, second-hand smoke, and genetic predisposition is driving the increase in the number of cases amongst non-smokers.

What this means in practical terms for caregivers and patients

  • Recognise early warning signs

Dr Satheesh highlighted that in the case of non-smokers, lung cancer may appear as a persistent dry cough, breathlessness on exertion, unexplained fatigue, or chest discomfort and weight loss, while in smokers, it may vary with coughing up blood, wheezing and recurring infections.

“As a caregiver, if such symptoms persist beyond a usual cold/flu, especially in someone exposed to pollution or indoor smoke, seek a specialist opinion,” he advised.

  • Choose a treatment centre and test wisely

Next, he recommended, “Non-smoker lung cancer may benefit more from targeted therapies (e.g., those aimed at genetic mutations) than traditional treatment alone. Ask whether the oncologist checks for gene mutations (EGFR, ALK, etc) and whether contemporary management pathways are available.”

 

This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   

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Tuesday, July 29, 2025

Signs of silent heart attack

Most people don't realize that they could have a heart attack without even knowing it. Although these are commonly referred to as "silent" heart attacks, a more accurate term may be "unrecognized" heart attack, says cardiologist Dr. David Morrow, director of the cardiac intensive care unit at Harvard-affiliated Brigham and Women's Hospital.

"Some people do have symptoms, so in that sense, their heart attack is not silent. They just don't recognize the sensations as coming from their heart," he explains. They may think it's just indigestion or muscle pain, when the real cause is actually reduced blood flow to the heart. People may also experience other atypical symptoms, such as nausea or excessive sweating during a heart attack (see "Heart attack symptoms").

People with diabetes are more likely to have minimal or atypical symptoms. That's especially worrisome because they already face a higher-than-average risk of heart attack in the first place.

Raising awareness of unrecognized heart attacks is important because over the long term these events are just as dangerous as recognizable heart attacks (see "Survival after an unrecognized heart attack").

During a heart attack, the duration and intensity of symptoms can vary quite a bit. In general, there must be 15 to 30 minutes of reduced blood flow to result in a detectable heart attack (that is, part of the heart muscle becomes damaged or dies). But sometimes symptoms come and go; these are known as stuttering symptoms. And the intensity doesn't correlate with the size of the heart attack. Some people have mild symptoms from a very large heart attack, while others have severe symptoms with a small heart attack, says Dr. Morrow.

 

Heart attack symptoms

Although the most common sign of a heart attack in both men and women is the classic one — discomfort in the center of the chest that spreads through the upper body — this symptom doesn't always occur. Some people experience non-classic symptoms, and these might be slightly more frequent in women and in older people. 

 

Classic symptoms

Non-classic symptoms

  • Pressure, aching, or tightness in the center of the chest
  • Pain or discomfort that radiates to the upper body, especially shoulders or neck and arms
  • Sweating

 

  • Shortness of breath
  • Weakness
  • Nausea or vomiting
  • Dizziness
  • Back or jaw pain
  • Unexplained fatigue

 

 

How long, how strong?

Silent heart attacks are usually discovered on an electrocardiogram (ECG), which is a recording of the heart's electrical activity. Damage to the heart's muscle caused by a heart attack shows up as a distinct signature on an ECG.

ECGs are quick and inexpensive, but they can miss a prior unrecognized heart attack or produce false positives, meaning they find evidence of a heart attack when there actually wasn't one. As a result, ECGs are not recommended for routine screening for people with an average risk of a heart attack who don't have symptoms. However, an ECG and other testing is appropriate for people with symptoms that suggest a heart attack, even if the cause is unclear. "I'd much rather have people get evaluated and it turn out to be nothing serious than not be evaluated and weather a heart attack at home," says Dr. Morrow.

 

Survival after an unrecognized heart attack

A 2019 study reported in JAMA Cardiology identified people who'd experienced heart attacks — some recognized, some not — as well as others who'd never had a heart attack, and followed them all for about 13 years.

Here's a summary of the findings:

Who: 935 adults in Iceland with an average age of 76.

How: MRI of the heart (which can reveal damage caused by a heart attack) done at the start of the study showed that 17% of the participants had at some point had an unrecognized heart attack, while another 10% had a recognized heart attack.

Why: To determine the short- and long-term prognosis after an unrecognized heart attack.

Key findings: After three years, those who'd had unrecognized heart attacks were no more likely to have died than people with no history of heart attack. But after 10 years, about half of the people with unrecognized heart attacks had died — a rate that was nearly identical to those who'd had recognized heart attacks.

 

This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   

 

 

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