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Dr. Prakash

Cardiologist, Bangalore

Dr. Prakash Cardiologist, Bangalore
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Prakash
Dr. Prakash is a trusted Cardiologist in Chamarajpet, Bangalore. He is currently associated with Spandana Hearth centre in Chamarajpet, Bangalore. Book an appointment online with Dr. Prakash on Lybrate.com.

Find numerous Cardiologists in India from the comfort of your home on Lybrate.com. You will find Cardiologists with more than 41 years of experience on Lybrate.com. You can find Cardiologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Gayathri Building,5th main Road ChamrajpetBangalore Get Directions
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What is vldl cholesterol, My vldl cholesterol is 21.6 mgdl I want to know is it normal or above d normal range ldl is71 mgdl hdl is 45.2mgdl.

MBBS
General Physician, Faridabad
What is vldl cholesterol, My vldl cholesterol is 21.6 mgdl I want to know is it normal or above d normal range ldl is...
Any HDL level above more than 60 mg/dL (1.56 mmol/L) is considered high. A high HDL level is considered very healthy, since it has a protective role in guarding against heart disease. An acceptable HDL range is between 40- 60 mg/dL (1.04–1.56 mmol/L). An undesirable level of HDL is any level below 40 mg/dL (1.04 mmol/L). In this case, low HDL levels may help to contribute to heart disease. Very Low Density Lipoproteins Very low density lipoproteins, or VLDL, are lipoproteins that carry cholesterol from the liver to organs and tissues in the body. They are formed by a combination of cholesterol and triglycerides. VLDLs are heavier than low density lipoproteins, and are also associated with atherosclerosis and heart disease. This number is obtained by dividing your triglyceride levels by 5.
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What is treatment of high blood pressure. In 24 years my pressure is 140/85. Please help me.

BHMS
Homeopath,
What is treatment of high blood pressure. In 24 years my pressure is 140/85. Please help me.
Dear Mr. Lybrate-user. You should take homeopathic mother tincture rawoulfia serpentina q, 30 drops, thrice daily with water after meals.
1 person found this helpful
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Sir I get pain in my heart in morning time before taking breakfast. Pls tell me reason and precautions I should take to avoid.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Faridabad
Sir I get pain in my heart in morning time before taking breakfast. Pls tell me reason and precautions I should take ...
Dear it can be due to gastritis..Take 1tsf avipattikar churna twice a day empty stomach and 2 tab soothshekhar ras 30min after meals twice a day for 7 days. Get an ECG done. If u have cough then get an XRay chest done. Revert back with reports.
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I'm 41 years old, have very bad addition of smoking and chewing guthka. Now days i'm facing problems of chest pain and breathing. I feel tired very fast always feel jam and blocked in chest. please help if any homeopathic medication.

BHMS
Homeopath,
I'm 41 years old, have very bad addition of smoking and chewing guthka. Now days i'm facing problems of chest pain an...
Dear lybrate user, you may need a bit of willpower to stop smoking permanently. You could easily abstain yourself from smoking during the initial 2-3 days. But after few days of abstaining from smoking you will feel a strong craving to smoke a cigarette whenever you face any tense situation. Here lies your real test. You will need a lot of willpower to resist that craving & face any tense situation without the help of nicotine. However, you can take homoeopathic mother tincture daphne indica q, 30 drops, thrice daily, after meals, in a cup of water. This medicine will help to reduce your craving for nicotine. To minimise the bad-effects of smoking take one single bulb garlic everyday at morning before brushing your teeth.
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My chest suddenly starts paining. It feels like sudden vigorous pain. After that I am not able even to breath properly for 2 min. What's the problem? What should I do?

MBBS
General Physician, Cuttack
My chest suddenly starts paining. It feels like sudden vigorous pain. After that I am not able even to breath properl...
1. For your age pain chest could be due to anxiety, stress, depression, physical and mental strain, hyper acidity, muscular problem 2. Avoid stress and strain 3. Do regular exercise, reduce your weight if over weight. 4. Control your diet. Avoid oily/spicy/fried and junk food, high calorie and cholesterol rich diet. Take small frequent meals (5-6 meals/day instead of three heavy meals. If you have hyper acidity take one tablet of pan 40 in the morning before breakfast daily for few days 5. Do yoga, meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress. 6. Have sound sleep for 7-8 hours daily. 7. Avoid smoking, alcohol, excess tea/coffee, if you are having 8. Drink plenty of water and take rest 9. Takecrocin advance one tablet sos after food up to a maximum of three tablets per day at the time of chest pain 10. If you have recurrent attack of chest pain check your bp, take ecg, x ray chest and consult physician for advice and treatment.
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I am 49 years old I had taken my lipid profile test my LDL level is 55 below normal level is it alarming or normal? othe test like HDL 38; VLDL 30; triglycerides 152, total cholesterol 123; cholesterol/HDL ratio 3.2- kindly reply with your opinion. thanks. I am diabetic sugar level fasting 97, post: 136.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 49 years old I had taken my lipid profile test my LDL level is 55 below normal level is it alarming or normal? o...
High cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, take omega-3 fatty meal or cap., take .green veg., whole grain.garlic,. Take anti cholesterol medicines .
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Tips for Keeping Healthy Heart

Mbbs
General Physician, Jammu
Tips for Keeping Healthy Heart

The cases of heart disease are on the continuous rise in this century, lack of physical activities, unhealthy food and sedentary lifestyle is making the country at risk of heart disease. Although it could be avoided easily but due to ignorance we do not give our health the importance it deserve uand end up having a disease and the number of diseases keep on increasing every few years. Here are some health advises to keep your body healthy and away from heart diseases.

What are the symptoms of heart disease?
The following symptoms may arise when someone is having a heart disease.

  • Shortness of breath
  • Fainting
  • Palpitations
  • Fatigue

 What are the causes of heart disease?

The main reason for heart disease is the shortness of blood and oxygen supply to the heart and your diet and lack of physical activity plays a huge role in heart diseases.
 

Other causes of heart disease include:

  • High cholesterol
  • High blood pressure
  • Obesity
  • Smoking
  • Lack of physical activity

Now what can I do for for my problem?
The basic formula for prevention and treatment of heart disease is strategically redesigning the way you eat, live and think. You have to be health oriented; your aim should be minimizing the risk factors of heart disease.
The following tips might be handy.

Things to avoid:

  • Do not use high concentration of sodium in the diet.
  • Avoid excessive sugar and salt
  • Stress
  • Alcohol and smoking
  • Avoid oily food and fats

Things to do:

  • Find an inspiration: It is hard to change your life, to change what you have been doing for many years. Seek motivation to stay fit and healthy, it could be the picture of your little child, your family, your career etc.
  • Organic diet: try to keep your diet based around fresh, organic produce. Stay away from packaged fruits as long as possible. Fruits and vegetables having a high concentration of dietary fiber keep you healthy and light.
  • Exercise: A habit of regular exercise keeps you fit and your body muscles toned. The aim of exercise should be to stay fit rather than getting a six pack abs or beefing up. You will look good when you are fit.
  • Staying active: There is a lot of difference between staying active and exercising. You might be doing the exercise for half an hour and staying lazy for the rest of the day. Instead of sitting the whole day, try to walk, stand and move as much as possible. Learn to play an outdoor sport and play regularly.
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My BP is 86/130. Using TelvasAm since January 2015. Is it requires to move to other drugs. If yes, which will be better.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My BP is 86/130. Using TelvasAm since January 2015. Is it requires to move to other drugs. If yes, which will be better.
In ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause...take sarpgandha vati twice a day...yogendra ras...akik bhasm works very good in case of hypertension....avoid salty diet...oily food...lower your stress...do pranayama early morning....
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I am 25 yeas old I am suffering light lower left chest pain in some time it's qure automatically it's anything wrong please help me.

MBBS
General Physician,
I am 25 yeas old I am suffering light lower left chest pain in some time it's qure automatically it's anything wrong ...
It may be acidity. You need treatment for that along with diet controls. Otherwise a ecg will have to be done.
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My friend of 24 years have consumed 30 tablets of "Atorva 10 mg" tablets. What will now happen to him? What measures should be adopted to bring him back to normal? PLEASE HELP DOCTOR.

C.S.C, D.C.H, M.B.B.S
General Physician,
My friend of 24 years have consumed 30 tablets of "Atorva 10 mg" tablets. What will now happen to him? What measures ...
No fatal effect will be there and he may vomit these tablets. If it is less than one hour a stomach wash canbe tried in a hospital.
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I have chest pain and Breathing difficulty from around 40 days. CXR: Normal ECHO: Normal While taking the mentioned medication there is some relief but If I discontinue even a single dose problem is coming. Kindly tell me possible root cause of this and also prescribe medicines.

MBBS, MD - Community Medicine(P.G.T)
General Physician, Kolkata
I have chest pain and Breathing difficulty from around 40 days.
CXR: Normal
ECHO: Normal
While taking the mentioned m...
Look ,dear, you have been on Antidepressant-Anxiolytic. Before assuming that your symptoms are psychogenic, I would like to know if there is any member in your family who suffer from Asthma or if you had any episodes of asthma in your childhood.
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Sir, mujhe 2 nov. 2014 ko heart attack hua tha aur mere ek stent dala hai mujhe boold sugar hai fasting 190 rahti hai. Bataiye mai kiya karu.

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
Both dm and cardiac problems are related to each other. As in dm metabolic disturbances causes your cholesterol increment with long standing many years of dm causes loss of sensation we called it as diabetic neuropathy. To prevent all such complications is not possible with single allopathy medicine. Also u should start some ayurvedic medicine we have quality medicine contact if possible. Also you must start some yogasanas with pranayama.
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I have blood pressure low since 6 months and take homeopathy treatment. My B. P. Now control now a days but I tired soon as I work little what can I do?

MBBS
General Physician, Faridabad
I have blood pressure low since 6 months and take homeopathy treatment. 
My B. P. Now control now a days but I tired ...
Take protein diet, green vegetable diet, dal, paneer, cheese, fruits, eggs etc, it will help you, welcome for further help.
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Dear Sir, Some one refer use coconut oil for food and cooking does it helps to reduce weight. Its true or not. And it helps for sugar patient and high blood pressure patients.

fellowship in diabetes, Professional Training in Mind Body Medicine, MS, MBBS
Bariatrician, Ahmedabad
Dear Sir,
Some one refer use coconut oil for food and cooking does it helps to reduce weight. Its true or not. And it...
Use of coconut oil is certainly good for fat loss in many people. But making such single change in your diet is not the effective way to tackling weight issue. Most people who are fat are made to feel that it is because you lack will power, you are lethargic and a weak person. But that is definitely not true. It is your your hormones which have made you fat and keeping you fat. Unless we make correct diagnosis and and create a diet and lifestyle plan to correct that hormonal abnormalities you will not be able to lose weight for long term. Avoid all junk food and all sweet food. Low fat diet does not work for majority of people. Eat wholesome nutritious food full of fibers, good quality fat like ghee and coconut etc. Don't focus on calories but on nutritional density and diversity. Simultaneously working on exercise and diet will surely help. Best rate to lose weight is 1/2 kg per week. If that happens, it is least likely to go high again in future. You do not have to do rigorous exercise to lose weight but start with something small. Let us say 8 minute workout. Pick one which you like and can do. Trying to lose weight in very short time will need some form of crash diet. Even if you lose weight doing this kind of crash diet, you will get it all back within no time and all the gain will be mainly fat. Not good for your health. Be gentle and patient with yourself. Demonstrate commitment in your persistent efforts. Make comprehensive change in diet, exercise, sleep and stress in your routine. This is called lifestyle medicine. If you can not do it on your own, find some lifestyle medicine expert who can help you in this over extended period of time.
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Approach to Ramadan Fasting In Patients with Heart Diseases

PGDCC (Cardiology ), CCEBDM (Diabetes), CCGDM (Gestational Diabetes), CCMTD (Thyroid), MBBS
Cardiologist, Udaipur
Approach to Ramadan Fasting In Patients with Heart Diseases

Holy month ramadan is auspicious for worldwide muslims and most of them starts fasting early in the morning up to the sunset in the evening during this entire month.

Heart disease patients tend to fast during ramadan but they have many questions:

1. Cardiac patients can fast?

The holy Quran exempts sick people from fasting. Fasting is allowed only for stable heart disease patient and it's strictly the discretion of the treating cardiologist.

Common types of cardiac conditions as follows:

A. Patients who had heart attack or recent stenting or open heart surgery

Many studies comparing ramadan with other months in cardiac patients shows there is no significant differences in the incidence of heart attack or typical cardiac chest pain during ramadan. Patients with recent acute heart attack, heart attack equivalent chest pain with high cardiac enzymes, recent stenting, recent open heart surgery should strictly avoid fasting.

B. Patients with low pumping of heart i. E, reduced ejection fraction 

Low pumping of the heart is one of the common cause of frequent hospitalisations among cardiac patients. Many studies done in the middle east shows there was no significant difference in the number of hospitalizations for patients with low heart pumping during ramadan. Its almost similar to other months without fasting. But in this category certain groups of patients cannot fast especially patients with difficulty in breathing, associated swelling of legs, associated cough and sudden increase in weight.

C. Patients with high blood pressure.

Most of the high blood pressure patients on controlled medications can fast during ramadan as it will not affect the blood pressure readings and it was proved in many studies. Certain group of patients with resistant blood pressure who requires multiple drugs for controlling should consult treating doctors before ramadan for appropriate dose adjustments. If dose adjustment is not possible then for such patients it is advisable to abstain from fasting to avoid cardiac and other complications.

2. How to take their cardiac drugs during this month?

Stomach ulcer and related complications are common during ramadan. Hence drugs which can cause gastric irritation (like aspirin) should be taken as per the advice of treating doctor. Before ramadan you should consult your doctor and make sure regarding the dose and timing. Medications like water pill (lasix)to be avoided during fasting.

3. Lifestyle during ramadan

Avoid over eating while breaking the fast

Avoid exercise after a large meal

Stop smoking

4. Can cardiac patients do hajj pilgrimage?

Cardiac patients who is certified as stable and fit by the treating cardiologist can go for hajj

Full medical workup is mandatory before hajj.

Patients with recent acute heart attack, heart attack equivalent chest pain with high cardiac enzymes, recent stenting, recent open heart surgery are unfit for hajj.

Take home messages-:

A. Consult your doctor before ramadan regarding your health condition and dose adjustments if required.

B. Comply to medication

C. High risk patients should avoid fasting

D. Unfit cardiac patients should not try hajj pilgrimage.

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I am 62 years old male no diabetic. Tenormin 25 & stamlo 5 take for BP. No drink. No smoking Last 3 day when I eat spicy my mouth burn. Please suggest medicine.

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
I am 62 years old male no diabetic. Tenormin 25 & stamlo 5 take for BP. No drink. No smoking
Last 3 day when I eat sp...
Apply ghee or butter with food. consume butter milk with food daily. take food with much amount of fiber, mouth burn due to thinning of mucus in mouth. and spicy food. take ghee or butter before food.
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Sir. 31 years male. TC 245. Hdl 38. Ldl 164. Triglycerides 160 on jan 2016. Now TC 159. Hdl 46 ldl 84 triglycerides 96 vldl 29 uric acid 8.60 lipoprotein a 46.50.how can I mange lipoprotein a. Lipoprotein is dangerous??

MBBS
General Physician, Mumbai
Sir. 31 years male. TC 245. Hdl 38. Ldl 164. Triglycerides 160 on jan 2016. Now TC 159. Hdl 46 ldl 84 triglycerides 9...
It's better to start medicine Atorvastatin 10mg once a day for a minimum of one year and do aerobics exercise and eat a low fat content in your diet And yes high levels of lipoprotein A is dangerous and can cause stroke or myocardial infarction even at a young age
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I am 31 male. I have lower back discomfort sometimes. Got MRI Spine, it shows very slight lumbar root nerve compression. Now mostly at night while trying to sleep, I get pulsing, twitching from knee till thighs and sometimes till chest which cause suffocation. That pulsing/twitching lasts for 5 mins or so and then vanishes.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I am 31 male. I have lower back discomfort sometimes. Got MRI Spine, it shows very slight lumbar root nerve compressi...
Postural correction- sit tall, walk tall. Extension exercises x 15 times x twice daily. Apply hot fomentation twice daily. Avoid bending in front.
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Sir. I am a 32 years old male. I have been suffering from white coat hypertension what should I do?

DRCH, BHMS
Homeopath, Bareilly
Sir. I am a 32 years old male. I have been suffering from white coat hypertension what should I do?
White coat hypertension is due to anxiety. It occurs when any one goes to measure his bp and bp rises only because of tension by seeing doctors, hospital etc. Nothing to do just relax your self. Do meditation daily.
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