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Dr. Premal Khetani

Cardiologist, Ahmedabad

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Dr. Premal Khetani Cardiologist, Ahmedabad
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Premal Khetani
Dr. Premal Khetani is an experienced Cardiologist in Gandhigram Railway station, Ahmedabad. He is currently associated with null in Gandhigram Railway station, Ahmedabad. Book an appointment online with Dr. Premal Khetani on Lybrate.com.

Lybrate.com has a number of highly qualified Cardiologists in India. You will find Cardiologists with more than 25 years of experience on Lybrate.com. Find the best Cardiologists online in Ahmedabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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I am 39 years old I have some problem with too much cholesterol now. so, what should I do.?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 39 years old I have some problem with too much cholesterol now. so, what should I do.?
High cholesterol increases your risk of heart disease and heart attacks. You can improve cholesterol with medications, but if you'd rather first make lifestyle changes to improve your cholesterol, try these five healthy changes. If you already take medications, these changes can improve their cholesterol-lowering effect. 1. Eat heart-healthy foods Even if you have years of unhealthy eating under your belt, making a few changes in your diet can reduce cholesterol and improve your heart health. Choose healthier fats. Saturated fats, found primarily in red meat and dairy products, raise your total cholesterol and low-density lipoprotein (LDL) cholesterol, the "bad" cholesterol. As a rule, you should get less than 7 percent of your daily calories from saturated fat. Choose leaner cuts of meat, low-fat dairy and monounsaturated fats — found in olive and canola oils — for healthier options. Eliminate trans fats. Trans fats affect cholesterol levels by increasing the "bad" cholesterol and lowering the "good" cholesterol. This bad combination increases the risk of heart attacks. Trans fats can be found in fried foods and many commercial products, such as cookies, crackers and snack cakes. But don't rely on packages that are labeled "trans fat-free." In the United States, if a food contains less than 0.5 grams of trans fat in a serving, it can be labeled "trans fat-free." Even small amounts of trans fat can add up if you eat foods that contain small amounts of trans fat. Read the ingredient list, and avoid foods with partially hydrogenated oils. Eat foods rich in omega-3 fatty acids. Omega-3 fatty acids don't affect LDL cholesterol. They have other heart benefits, such as helping to increase high-density lipoprotein (HDL, or "good") cholesterol, reducing your triglycerides, a type of fat in your blood, and reducing blood pressure. Some types of fish — such as salmon, mackerel and herring — are rich in omega-3 fatty acids. Other good sources of omega-3 fatty acids include walnuts, almonds and ground flaxseeds. Increase soluble fiber. There are two types of fiber — soluble and insoluble. Both have heart-health benefits, but soluble fiber also helps lower your LDL levels. You can add soluble fiber to your diet by eating oats and oat bran, fruits, beans, lentils, and vegetables. Add whey protein. Whey protein is one of two proteins in dairy products — the other is casein. Whey protein may account for many of the health benefits attributed to dairy. Studies have shown that whey protein given as a supplement lowers both LDL and total cholesterol. You can find whey protein powders in health food stores and some grocery stores. Exercise can improve cholesterol. Moderate physical activity can help raise high-density lipoprotein (HDL) cholesterol, the "good" cholesterol. With your doctor's OK, work up to at least 30 minutes of exercise a day. Adding physical activity, even in 10-minute intervals several times a day, can help you begin to lose weight. Just be sure that you can keep up the changes you decide to make. Consider: Taking a brisk daily walk during your lunch hour Riding your bike to work Swimming laps Playing a favorite sport To stay motivated, find an exercise buddy or join an exercise group. And remember, any activity is helpful. Even taking the stairs instead of the elevator or doing a few situps while watching television can make a difference. 3. Quit smoking If you smoke, stop. Quitting might improve your HDL cholesterol level. And the benefits don't end there. Within 20 minutes of quitting, your blood pressure and heart rate decrease. Within one year, your risk of heart disease is half that of a smoker. Within 15 years, your risk of heart disease is similar to someone who never smoked.
1 person found this helpful
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1.Clear blood coming from stools .it does not mixed with stools. Blood comes when I eat spicy or taking tea. What would be the cause. 2.BP is high means not less than 140/100 3. Hand is vibrating while writing. Please tell the cause and its treatment.

MS Ayurveda
Proctologist, Jammu
1.Clear blood coming from stools .it does not mixed with stools. Blood comes when I eat spicy or taking tea. What wou...
1.clear blood coming after stool means you have internal haemorrhoids. 2. BP increases with age but you did not specified your age. 3. Hand vibration may be due to some nerve disorder. It is seen in Parkinson's disease.
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I am losing couple of bunch of my hairs daily. And when I wash my hair I lose approx. 200 to 250 hairs. At the duration of comb my hair it is approx. 100 to 150 . Please tell me the reasons and cure to improve?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
I am losing couple of bunch of my hairs daily. And when I wash my hair I lose approx. 200 to 250 hairs. At the durati...
Dear Lybrate User, *Any kind of physical trauma—surgery, a car accident, or a severe illness, even the flu—can cause temporary hair loss. *Pregnancy is one example of the type of physical stress that can cause hair loss (that and hormones). *Overdoing vitamin A-containing supplements or medications can trigger hair loss. *If you don't get enough protein in your diet, your body may ration protein by shutting down hair growth. *caused by a combo of genes and male sex hormones, usually follows a classic pattern in which the hair recedes at the temples, leaving an M-shaped hairline. *Heredity :“If you come from a family where women started to have hair loss at a certain age, then you might be more prone to it, *Emotional stress is less likely to cause hair loss than physical stress, but it can happen, for instance, in the case of divorce, after the death of a loved one, or while caring for an aging parent. More often, though, emotional stress won't actually precipitate the hair loss. It will exacerbate a problem that's already there. *Almost one in 10 women aged 20 through 49 suffers from anemia due to an iron deficiency (the most common type of anemia), which is an easily fixable cause of hair loss.
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Hello hi, my mom suffering with low blood pressure (bp) since one year. Any suggestions to be normal bp, please give right suggestion.

MBBS
General Physician, Faridabad
no medicine for low BP you can take coffee, slightly increased salt, green vegetable, consume 3-4 lt of water. it will help. welcome for further help
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Dr. I am 26 year old male my cholesterol is very high to control it what should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Dr. I am 26 year old male my cholesterol is very high to control it what should I do?
Even if you have years of unhealthy eating under your belt, making a few changes in your diet can reduce cholesterol and improve your heart health. Choose healthier fats. Saturated fats, found primarily in red meat and dairy products, raise your total cholesterol and low-density lipoprotein (LDL) cholesterol, the "bad" cholesterol. As a rule, you should get less than 7 percent of your daily calories from saturated fat. Choose leaner cuts of meat, low-fat dairy and monounsaturated fats — found in olive and canola oils — for healthier options. Eliminate trans fats. Trans fats affect cholesterol levels by increasing the "bad" cholesterol and lowering the "good" cholesterol. This bad combination increases the risk of heart attacks. Trans fats can be found in fried foods and many commercial products, such as cookies, crackers and snack cakes. But don't rely on packages that are labeled "trans fat-free." In the United States, if a food contains less than 0.5 grams of trans fat in a serving, it can be labeled "trans fat-free." Even small amounts of trans fat can add up if you eat foods that contain small amounts of trans fat. Read the ingredient list, and avoid foods with partially hydrogenated oils. Eat foods rich in omega-3 fatty acids. Omega-3 fatty acids don't affect LDL cholesterol. They have other heart benefits, such as helping to increase high-density lipoprotein (HDL, or "good") cholesterol, reducing your triglycerides, a type of fat in your blood, and reducing blood pressure. Some types of fish — such as salmon, mackerel and herring — are rich in omega-3 fatty acids. Other good sources of omega-3 fatty acids include walnuts, almonds and ground flaxseeds. Increase soluble fiber. There are two types of fiber — soluble and insoluble. Both have heart-health benefits, but soluble fiber also helps lower your LDL levels. You can add soluble fiber to your diet by eating oats and oat bran, fruits, beans, lentils, and vegetables. Add whey protein. Whey protein is one of two proteins in dairy products — the other is casein. Whey protein may account for many of the health benefits attributed to dairy. Studies have shown that whey protein given as a supplement lowers both LDL and total cholesterol. You can find whey protein powders in health food stores and some grocery stores. Follow the package directions for how to use them.
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I am suffering from chest pain for 2 days what should I do to get off it, is there is any serious problem, and I have acidity.

MCh HPB Surgery, Fellow, European Board of Surgery, MS - General Surgery, MBBS
Gastroenterologist, Guwahati
I am suffering from chest pain for 2 days what should I do to get off it, is there is any serious problem, and I have...
Drink plenty of water. Avoid chillies in any form. Eat small frequent meals. Please get liver function test and ultrasound whole abdomen done and upload the reports.
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My cholesterol levels were high in previous test and was recommended to have Atorva 40 mg once daily. Now in the recent tests, cholesterol levels are ok. Can I stop this medicine? Thanks.

MBBS, DNB - General Medicine, DNB (Cardiology)
Cardiologist, Delhi
My cholesterol levels were high in previous test and was recommended to have Atorva 40 mg once daily. Now in the rece...
Don't stop. Make it Atorva 10 mg and then repeat test after 2 months, otherwise it will increase suddenly again.
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Mere father heart k patient h. Avi to filal thk h bt kvi kvi mausam khrab hone pr unka tabiyat bigar jata h jaise saans fulna. So mjhe iske liye kya krna cahea?

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
Mere father heart k patient h. Avi to filal thk h bt kvi kvi mausam khrab hone pr unka tabiyat bigar jata h jaise saa...
U should give some immunobooster all around the year so that he can tolerate the seasonal changes. You may start with swamla 1 tsf twice daily with milk. Regular yoga exercises and pranayam. Nutritious diet.
2 people found this helpful
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I have hypothyroidism with high LDL cholesterol. Can exercise help me reduce LDL cholesterol - if yes how much & what type of exercise? Is there any cure for hypothyroidism?

PDDM, MHA, MBBS
General Physician, Nashik
I have hypothyroidism with high LDL cholesterol. Can exercise help me reduce LDL cholesterol - if yes how much & what...
Combination of cardio-vascular exercises and weight training can bring effective weight loss along with the diet. Running, jogging, cycling, swimming and dancing are some best forms of cardio-vascular exercises which burn fat instantly.
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I am 27 year old female, I have a pain in chest and back, and I got my e. C. G done and e. C. O as well. And the reports are fine. I am confused?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 27 year old female, I have a pain in chest and back, and I got my e. C. G done and e. C. O as well. And the repo...
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 1 wk, contact me again. Do not ignore. It could be beginning of a serious problem.
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I am six months pregnant and feel burning in my chest while taking my food like dal, sabji etc etc.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I am six months pregnant and feel burning in my chest while taking my food like dal, sabji etc etc.
Hi Nelay, this burning in chest could be due to acidity. As have burning in chest after spicy Food and dad. Please avoid spicy food. Have a fixed timing for food. You can have antacid syrup
2 people found this helpful
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My grandmother, she is heart patient after checking Dr. Now she feels well but what should I do for the health of her and what should I give her to eat Kindly help me.

MBBS
General Physician, Faridabad
My grandmother, she is heart patient after checking Dr. Now she feels well but what should I do for the health of her...
tell me what type of heart ailment is, so that i can help. give normal diet except oily and fried food. thanks
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What is the difference between olmezest h 20 & olmezest 20 ? CGHS panel gave Olmezest H 20 while my grandmother was having Olmezest 20 earlier. Can she take the medicine or not.

MBBS
General Physician, Mumbai
What is the difference between olmezest h 20 & olmezest 20 ? CGHS panel gave Olmezest H 20 while my grandmother was h...
H is for an additional molecule called as hydrochlorthiazide and which might be required to control her bp.
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Homeopathic Remedies For Low Blood Pressure!

BHMS, MBA (Healthcare)
Homeopath, Dehradun
Homeopathic Remedies For Low Blood Pressure!

Low blood pressure is also known as hypotension. Low blood pressure can be characterized by extreme fatigue, constant recurrence of headache and drowsiness throughout the day. It can also cause severe vertigo, nausea and even fainting. Low blood pressure can be caused due to dehydration, anaemia, hypothyroidism, lack of essential nutrients in diet, extreme stress or heart conditions. Homeopathy is a safe, natural method of treating low blood pressure. It is an effective remedy without causing detrimental consequences or adverse side effects.

Homeopathic medicines start by providing “symptomatic” relief. It eases vertigo, nausea, fatigue and provides relief so that the patient can carry on with daily activities without hindrance. The next step is to normalise the blood circulation in the body, which also includes an improvement in the pulse rate and heart functions. This is done to maintain the normal blood pressure range. The third step involves treating the cause of low blood pressure. This includes a detailed study and analysis of the medical history of the patient. There are different causes of low blood pressure and different age groups are affected. Therefore, medicines are prescribed accordingly. 

Some highly recommended Homeopathic medicines for low blood pressure:

  1. Gelsemiun and Viscum Album are effective homeopathic medicines mostly prescribed for patients with low blood pressure, which is accompanied by extreme vertigo and nausea. Sometimes the patients also suffer from a constant dull aching head and feelings of stress. The pulse is usually slow and weak, causing persistent fatigue.
  2. Glonoine and Natrum Mur help to maintain the blood pressure when it unexpectedly falls due to prolonged sun exposure. Heavy headedness, vertigo, nausea, fainting spells are common in such cases.
  3. Carbo veg and China are highly potent medicines in case of an abnormal fall in blood pressure caused by severe diarrhoea and dehydration. The body has marked signs of exhaustion and the pulse is so weak that it is often imperceptible.
  4. China and Ferrum Met are prescribed when the blood pressure falls due to heavy blood loss. Irregular, feeble purse, anaemia, exhaustion are common symptoms occurring from blood loss due to haemorrhage.

It is important to include nutrients, dairy products and increase intake of iron-containing food along with the homeopathic medicines prescribed to speed up the health improvement process.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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I am 33 years old, I am fit and Fine but I avoid travelling as I get panic as it feels that I will have a heart attack while in train and bus and other remote locations and hence avoid travelling.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I am 33 years old, I am fit and Fine but I avoid travelling as I get panic as it feels that I will have a heart attac...
U just have phobia...might be due to some stress... Get ur heart health examined by ecg and tmt If they are normal then be assured nothing is going to happen Exercise daily and maintain active lifestyle
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Hi I am a Regular smoker (weed hashish and ciggrates) from past 2 3 months I am suffering from chest pain in middle of my rib case. I have pain in early morning nd when I wake up. I also feel it when I lift heavy things.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Hi I am a Regular smoker (weed hashish and ciggrates) from past 2 3 months I am suffering from chest pain in middle o...
Take spongia 12 c four time day for WK Ipecac12c four time day for WK Arnica3c four time day for WK Ars alb 30 2tims day for 5 days
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Stroke - 6 Myths Decoded!

Diploma in Diabetology, MBBS
Endocrinologist, Amravati
Stroke - 6 Myths Decoded!

Stroke affects the arteries that lead to the brain. This serious, life-threatening condition happens when blood supply to a part of the brain gets cut off.

Many myths surround this medical condition :

Myth 1: Only older people suffer from strokes


This isn't true - young people can experience strokes as well. About a quarter of stroke cases are reported by people aged 65 and below. More importantly, irrespective of the age group, the warning signs are the same; it is only in response that differences can be found between younger and older people.

Myth 2: Women don't suffer from strokes

The opposite is true. It is women who suffer strokes more often than men. This is because women tend to live longer than men whose longevity gets affected by heart disease. Since they live longer than men, they tend to be more vulnerable to strokes.

Myth 3: Strokes can't be prevented

Through changes in your lifestyle, strokes can easily be prevented. You can reduce your chances of getting a stroke by having a balanced diet, exercising, keeping an optimum body weight and limiting alcohol consumption as well as quitting smoking. Moreover, up to 80% stroke cases can be prevented by leading a healthy lifestyle.

Myth 4: Strokes aren't easy to recognise

Strokes can be easily diagnosed through the Face, Arm, Speech and Time test (FAST). If you suffer from slurred speech, facial droop or numbness on one side of the body, you're said to suffer from a stroke.

Myth 5: Strokes are similar to one another

This is another misconception about stroke. No two strokes are the same. While certain strokes happen when blood flow to the brain gets interrupted, there are others that take place when blood vessels in the brain get ruptured. Recovery depends on the extent of damage, the type of stroke and your health condition before the occurrence.

Myth 6: Strokes are a form of heart attack

Although strokes and heart attacks are closely related, they are not the same. In strokes, blood supply to the brain gets interrupted; on the other hand, in heart attacks, blood supply to the heart gets severely affected. If you wish to discuss about any specific problem, you can consult an Endocrinologist.

2062 people found this helpful

If bp is around 110/80 to 130/80 always is there any chance of getting heart attack.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
If bp is around 110/80 to 130/80 always is there any chance of getting heart attack.
1) This is a normal BP range, heart attack is more likely to occur in cases of uncontrolled high BP 2) You need to understand that Heart attack is a complex process and is not just dependent on any one factor, so it is not possible to say that just because BP is in the normal range then a patient will not have high BP.
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