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Dr. R. Janardhana

Cardiologist, Bangalore

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Dr. R. Janardhana Cardiologist, Bangalore
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. R. Janardhana
Dr. R. Janardhana is an experienced Cardiologist in Vijayanagar, Bangalore. You can visit him at Dr. R. Janardhana in Vijayanagar, Bangalore. Book an appointment online with Dr. R. Janardhana and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Cardiologists in India. You will find Cardiologists with more than 36 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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#2933/E, East off Chord Road, 2nd Stage, Vijaya Nagar, Bangalore Get Directions
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My mom facing some pain in his left heart sometimes it's come in night. I really don't know what should I do?

MBBS
General Physician, Mumbai
My mom facing some pain in his left heart sometimes it's come in night. I really don't know what should I do?
For pain take tablet paracetamol 650 mg with rantac and get her self examined for vital parameters of her body
1 person found this helpful
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I am a bp patient. My bp level is 170/100. Doctor prescribed pinom 40 h in the morning and revelol Xl 50 at night. But on google search it is found that hydrochlorothiazide is a sulpha allergy drug. I am a sulfa allergy patient. Shall I continue h combination or stop. Your advice please. But my doctor says that I can continue. It is a different combination. I am confused .waiting for your reply.

MBBS, DMRD, MD - Radio Diagnosis, FIIM(Ayurved), D.SC, Post Doctoral Fellowship of Institute of Indian Medicine, Ph.D
Non-Invasive Conservative Cardiac Care Specialist, Ahmednagar
I am a bp patient. My bp level is 170/100. Doctor prescribed pinom 40 h in the morning and revelol Xl 50 at night. Bu...
Dear You are a learned person. If known allergic please, I advise change your medicines. Again consult and insist your doctor. Vm.
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I am 33 year old, I am suffering from hypertension from last 11 years in this period of time I have intake different types of pills currently I am taking revolve 50mg but I think this pills are not acting or they are not performing, please advise and also let me know if there is any permanent cure for this diseases. Regards

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
At the age 22 you are patient of bp? please start to boost your energy & immune system first otherwise day will come that you will get tired with medicine dosages keep your mind cool, is best for you instead to suggest further medicine do savasana take rest from busy schedule proper diet best wishes.
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Sir, My father is a heart patient CAG was done on 28/01/16 which showed TVD (Mid LAD 95%, LCX - Major OM - 90%, RCA (Distal) - Ostiproximal PDA - 70-80%. Is surgery is highly necessary or it would be cured by ayurvedic medicine. Now he is taking a juice of ingredients of Lemon juice, Garlic juice, Jinger juice, Honey & Apple cardiac vinegar. Can he use Blood circulatory machine of TINE Brand.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Sir, My father is a heart patient CAG was done on 28/01/16 which showed TVD (Mid LAD 95%, LCX - Major OM - 90%, RCA (...
Successful surgery has been done and he needs aftercare ,so that another blockage does not happen.He can continue with ginger,vinegar,garlic,lemon juice but make sure about blood thinners as most of these also make the blood clear and thin.
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I want to gain wait and and blood pressure is always low, thats why I feel very lazy plzzz suggest me what I do.

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
I want to gain wait and and blood pressure is always low, thats why I feel very lazy plzzz suggest me what I do.
To gain weight you should eat more calories than you burn. Plus not only you have to eat calorie dense food but you have to keep in mind that what you are eating is healthy too. In the process of weight gain you do not want to put weight in an uneven manner and look unhealthy rather than looking bright and healthy. 1. Start with changing your lifestly. Start working out if you are not active. The biggest myth that prevails now a days is that thin people do not need to work out. This is wrong. When you challenge your body, it is forced to grow. But this growth can only be possible if you are eating enough food to let the body absorb and grow in size and muscles. 2. Eat Healthy – Stop drinking and smoking too much if you are indulged in it. Limit your intake of junk food, pepsi, sugary stuff etc. Do not at all starve yourself. Make it a habit to eat something healthy every 3 hours. This means you have to eat 6 small meals in a day. Your Daily food intake should ideally consist of – a. Have plenty of nuts, dry fuits and seeds. Almonds, walnuts, sunflower seeds, pumpkin seeds, figs, dates and raisins. They are full of healthy fats needed by a human body. b. Good amount of fruits and vegetables – Bananas, apples, pomegranate, green leafy vegetables. Fruits and vegetables helps in absorption of food in the body and together, completes your daily nutrition need. c. If you are a non- vegetarian - Eat eggs, chicken etc. d. Eat whole grains – Try to have multi grains spread throughout the day. Wheat, brown rice, oats, bajra, daliya etc should be taken in multiple meals in a day. e. Eat Sprouts – Chana and moong which are full of protein and nutrients. f. You can supplement your diet with good quality multi-vitamin capsules. If you are lacking in protein, you can buy a high quality whey protein and have it with banana shake twice a day. g. You can take natural food items like wheat grass which is full of essential nutrients which helps in weight gain. Try to be patient while you are on the process of weight gain. Results take time to show. Just follow the regimen of weight gain religiously and you will soon start seeing the results.
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What should one do if she has high blood sugar accompanied with high blood pressure? Please tell me.

MBBS
General Physician, Mumbai
What should one do if she has high blood sugar accompanied with high blood pressure? Please tell me.
We need to control sugar levels and BP reading with medication exercise and following a diabetic diet
2 people found this helpful
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I have high cholesterol that is 265 n my age is 22! And have high bp of 150 I feel v uncomfortable I have smoking habit no acholol n any other! Only smoking Wat should I do?

M.Ch. CVTS
Cardiologist, Ahmedabad
I have high cholesterol that is 265 n my age is 22! And have high bp of 150 I feel v uncomfortable I have smoking hab...
There are various dangers of smoking. 1) Worsening of lung function over a period of time leading to COPD. 2) Increased of lung cancer and other cancers like oral cancer, laryngeal CA. Etc 3) Increased rate of atherosclerosis and it's related complications like stroke (लकवा) and heart attack. These risks start decreasing the day you stop smoking. Repeat test after stoping smoking. For cholesterol stop high fat diet like butter ghee and start exercising. That should be enough.
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There is some pain in my right side chest as I have gone through plural tapping. I am taking medicine since 1 month and there is some pain while breathing deeply. Please suggest what to do as I am TB patient.

MBBS, M.S, M. Ch, F.I.A.C.S
Cardiologist, Chennai
There is some pain in my right side chest as I have gone through plural tapping. I am taking medicine since 1 month a...
O. K tapping for pleural effusion. Rule out t. B and find the cause for fluid collection. Pain will disappear take tremadol.
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I am 34 years old and suffering from abnormal sugar levels. Most of the times pasting levels are 60-110. But post lunch levels are 150-200. I am not taking any medicine. I feel week and fainting frequently. If I delay lunch half an hour I get sweating and shivering. Once I checked at evening around 5 or 6 pm my sugar levels erre around 70. When I visited doctor he told no problem.

BHMS
Homeopath, Sindhudurg
Nutrition is very important in managing diabetes. Not only what you eat, but how much you eat and when you eat influences your blood sugar. Meals should be at regular times with planned snacks. They should be low fat, high fiber foods with a limited amount of simple carbohydrates. Homoeopathc treatment is effective for controlling sugar levels.
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Patient is 66 years on ventilator Kidney is not functioning and dialysis is on Heart is not pumping blood and heart function is at 10% Is it advisable to do bypass surgery on such a patient.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Patient is 66 years on ventilator Kidney is not functioning and dialysis is on
Heart is not pumping blood and heart f...
no absolutely not ...till serum kidney function tests are normal...as it would be a very very dangerous situation
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Blood-Sugar Control

BHMS, Diploma in Diet and Nutrition
Homeopath, Lucknow
Blood-Sugar Control

Your Take-charge Tool Kit

Blood-sugar control

Complications of diabetes, such as cardiovascular problems, poor vision, kidney disease, and nerve damage, were once thought to be inevitable no matter how hard you tried to manage erratic swings in blood sugar the core problem of diabetes. But that thinking is no longer acceptable. Several major studies from around the world have shown that if you bring blood sugar into a normal range with drugs, insulin,  diet  exercise, or some combination of these ,you can cut your risk of complication by anywhere from one  third to three quarters. If you’re diagnosed before you develop complications’ it’s possible

To sidestep diabetes-related health problems completely sometime with lifestyle changes alone. Meanwhile, technoleogy for monitoring your own blood sugar continues to improve and  is now remarkably convenient and relatively pain-free.

Lifestyle

Diet and exercise are powerful tools for lowering blood sugar so powerful, in fact, insulin. And using these “power” tools is easier than ever before. Recent research into how foods affect blood sugar has shown that your diet need not be as restrictive as experts once believed. It can include virtually any food you like, as long as you watch your calorie intake. On the exercise side, it turns out that your workouts don’t have to be as vigorous as once thought. Even short health.

Drugs

Earlier generations of diabetes medications have been bolstered by a growing roster of newer drugs that tackle the disease in a variety of ways. In many cases, you can combine these drugs to take advantage of their different modes of operation. The fact that there are also several varieties of insulin (which regulates the body’s use of blood sugar) gives you more flexibility in finding a regimen that matches your lifestyle.

Do you Have Diabetes?

Its human nature not to look for problems if they haven’t already found you which explains why between one third and one half of people with diabetes don’t know they have it.

According to the American College of Endocrinology, half of all people who finally go to their doctor to be tested have already developed some degree of complications. How can you recognize when diabetes is at your door? There are three fundamental ways.

Figure your risk factors.

The first thing to look at is whether any element of your background makes you more likely than the general population to develop diabetes.  Among the most important factors to evaluate are:

 

Family history

If anyone in your immediate family a parent, sibling, or grandparent has had diabetes, you have a higher chance of developing the disease yourself. The extent of the risk depends on the type of diabetes and how closely related you are to the person who has it (the risk is highest among identical twins).

Ethnic group

The most common type of diabetes (called type 2) is most prevalent in African Americans, Hispanic Americans, Native  Americans, and Asian Americans. The other major form is most prevalent in Caucasians, especially those with backgrounds in northern European regions, such as Scandinavia.

Weight

Being overweight significantly raises your risk of developing type 2 diabetes. That makes it one of the most important risk factors because it’s one you can control.

Age

Type 1 usually occurs in children or teens (it’s rarely diagnosed after age 30). Type 2 generally develops after age 40, although it’s becoming more common in younger people.

Keep a sharp eye for symptoms

While the signs of diabetes can be subtle at first, they’re not impossible to pick up on. The longer diabetes progressed, the more likely symptoms are to become obvious and troublesome. The hallmarks of diabetes are:

  • Excessive thirst

 

  • Increased appetite

 

 

 

  • Blurred vision

 

  • Frequent infections

 

 

 

Get tested

Tests for diabetes are easy they involve nothing more painful than a finger prick to draw a drop of your blood (although some tests require that you prepare by fasting ahead of time). It’s best to see a doctor for a full evaluation if your want to nail down your diagnosis: blood screenings at health fairs or malls provide less accurate results than those your doctor can give you. If your results fall short of a diagnosis but your background suggest you’re at risk, schedule a return visit at least every year to make sure nothing’ changed.

What you can expect

When you’re diagnosed with diabetes, your doctor will need to cover a lot ground in a short time. In fact. In fact, he’ll want to know virtually everything about you: eating patterns, weight history, blood pressure, medications you’re taking, whether you smoke or drink, how satisfying you find sex, how many kids you’ve had, any family history of heart disease, and any treatment you’ve received for other problems, including endocrine and eating disorders. If you’re a woman, you’ll woman, you’ll even be asked about your children’s development. Your doctor isn’t prying. All of this information has a bearing on your condition and the management program you’ll eventually follow.

Your doctor will also want to do a thorough physical exam, including a cardiac workup that may involve an electrocardiogram (which records the heart’s electrical activity) and a careful look at your mouth, feet, eye, abdomen, skin, and thyroid gland. You’ll have a battery of tests, including a blood-lipid test for cholesterol (among other things) and at least two different blood-sugar tests one that shows what your blood sugar is right now and the other, what it has averaged for the past two to three month.

Where Do you Stand?

Your doctor looks at a lot of variables when deciding how to treat your diabetes, but he’ll  pay special attention to one in particular: your blood-sugar readings. If your blood sugar is sky-high in your initial assessment, you may go straight to drug and insulin therapy until your numbers are brought down. If you have type 2 diabetes, once your blood sugar has stabilized and you begin making lifestyle changes, you may be able to go off insulin and other medications.

One of the numbers your doctor will zero in on is your fasting blood-glucose level, a key test of blood sugar. While other tests also need to be considered and each case must be managed individually, you can roughly anticipate your options depending on what your fasting blood-glucose levels are (numbers are expressed as milligrams per deciliter). As a general guideline:

  • If fasting blood glucose is between 110 mg/dl and 125 mg/dl, you have prediabetes (also known as impaired glucose tolerance), a condition in which elevated blood sugar levels significantly raise the risk of developing diabetes. You’ll be advised to start eating a healthier diet and to get more exercise, but you’re unlikely to get a prescription for drugs or insulin.

 

  • If fasting blood glucose is 126 mg/dl to around 140 or 150 mg/dl. You have full-blown diabetes, but you’ll probably still be able to control your blood sugar with diet and exercise, depending on your condition and results from other tests.

 

  • Once fasting blood glucose exceeds 150 mg/dl and ranges to 200 mg/dl, it’s likely you’ll need drugs in addition to diet and exercise. You may also need occasional doses of insulin for better control at certain times of the day (after meals, for example) when blood sugar tends to be higher.

 

  • When fasting  blood glucose goes above 200, you may need drugs or 24-hour insulin coverage-possibly both along with lifestyle changes.

 

FASTING BLOOD-GLUCOSE LEVELS AND LIKELY TREATMENT

Prediabetes             -            110-125                -                      Diet Exercise

Diabetes                   -            126-140                -                      Diet Exercise

Diabetes                   -            150-200                -     Diet Exercise Drugs occasional insulin

Diabetes                   -             200+                     -    Diet Exercise Drugs or 24-hour insulin coverage

type diabetes
2 people found this helpful

I am getting heartburn or something burning in my chest when I have spicy food even little spicy also. What is the reason for that. Please suggest some solution.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am getting heartburn or something burning in my chest when I have spicy food even little spicy also. What is the re...
Take pranacharya aceno capsule 1-1 twice a day. And avipattikar churna 1-1 gm with warm water. Take pranacharya udar bhaskar kshar churna twice a day with warm water. Take fresh butter milk empty stomach. Avoid tea. Coffee.spicy food. Junk food.
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My lipid profile is as below Cholesterol 164Triglycerides 202 Cholesterol HDL 23 Direct LDL Cholesterol 101 LDL/HDL ratio 4.4 Chol/HDL ratio 7.1 LDL/HDL ratio. 4.4 Very low density lipoprotein 40.4 suggest

MD - Medicine, MBBS
Cardiologist, Panchkula
Only concern in your case is a low HDL level. We have very limited option to raise HDL. Some oof these arre as below 1. Regular exercise at least 40 minutes per day. 2. Regularly take 5 almonds and 1 walnut daily. 3. Use flax seeds daily. 4. If you are non vegetarian you can use fatty fish at least thrice a week.
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Hi I am 27 years old male. I got an heart attack in dec 2014. Now I want to know about precautions which I have to taken

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Diet modification to reduce cholesterol and fat intake, quit smoking, start an exercise regimen, treat any coexisting medical condition, take medications regularly as advised by your cardiologist.
3 people found this helpful
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Good evening, I've been suffering from thyroid for 10 years, it is increasing day to day, at present am taking 150 4 days 250 3 days, could you please give suggest a good doctor in hyderabad?

BHMS
Homeopath, Faridabad
Good evening, I've been suffering from thyroid for 10 years, it is increasing day to day, at present am taking 150 4 ...
Hi. If you are suffering from chronic and high grade thyroid dysfunction or autoimmune thyroid disease, in all these cases whether you take allopathic or homoeopathic or any other mode of treatment, it would maintain your thyroid function. Do practice yoga along with these medicines. Yoga-Poses: Kalapbhati: This is a very effective form of pranayama. Sit down on the floor in a comfortable cross-legged position. Take a deep breath & then exhale quickly, while making a sound. Always remember while doing Kapalbhati – you have to forcefully and quickly exhale, but slowly and deeply inhale. Continue doing this for 10 times & then release. Ujjayi Pranayam: Sit down on the floor in a cross-legged straight position. Inhale slowly and deeply by both the nostrils. Try to make a hissing sound while you are sucking in the air. After that, stretch your inhale time for a while & then exhale as much as you can without giving any kind of pressure to your other body parts. This type of pranayama is very effective for those suffering from bronchitis, asthma & thyroid. Yoga Nidra (Corpse Pose) also works well in both hypo and hyperthyroidism in reducing stress and calming down. Foods to be avoided in Hypothyroidism: hypothyroidism causes skin to become dry. Once it is controlled with tsh levels becoming normal, most symptoms will disappear. Carrots and beet root are fine, can be eaten. Only cabbage, cauliflower, broccoli, radish, mustard, peanuts, soy beans and soy containing products and coffee need to be avoided.
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My total cholesterol is 206 mg/dl Hdl is 41 mg/dl Ldl is 116 mg/dl Triglyceride is 242 mg/dl Shud I start taking medication sir? I had high cholesterol earlier. I had taken tonact tg and cholesterol was drops but I stopped medication and now it's high again!

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
My total cholesterol is 206 mg/dl Hdl is 41 mg/dl Ldl is 116 mg/dl Triglyceride is 242 mg/dl Shud I start taking medi...
One this cholesterol is just borderline high and it definitely doesn't require medication at this stage. 2) You should just focus on lifestyle measure like - daily exercise for 40 mins like brisk walking, a healthy heart diet (take aa detailed diet consultation with a dietician), quit smoking and drinking, and lower day to day stress in life. These precautions should be taken for life.
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What is the symptoms of heart disease like asthma and heart attack. During heart attack what can I do?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
What is the symptoms of heart disease like asthma and heart attack. During heart attack what can I do?
At 20 , a heart attack ? Asthma is breathlessness and so is heart attack and we have to co relate other clinical symptoms to ask for investigations. For your knowledge , if anyone you feel is in doubt of a heart attack , give him/ her a soluble aspirin and rush to hospital.
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Hi. I m 36yrs old female n having high blood pressure from last two year. Taking pills also named lose -H but no improvement please give me proper suggestion.

MD - Consultant Physician
Cardiologist, Kolkata
Hi. I m 36yrs old female n having high blood pressure from last two year. Taking pills also named lose -H but no impr...
Only medicine may not help. you are to follow the following: diet, more vegetables & For ladies needs to see that there is no Gynocological problem
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