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Dr. Raj Pal Singh

Cardiologist, Bangalore

450 at clinic
Dr. Raj Pal Singh Cardiologist, Bangalore
450 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Raj Pal Singh
Dr. Raj Pal Singh is an experienced Cardiologist in Banashankari, Bangalore. You can visit him at Meenakshi Hospitals in Banashankari, Bangalore. Book an appointment online with Dr. Raj Pal Singh on

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Meenakshi Hospitals

#979,1st Stage, 50 Feet Road, Banashankari. Landmark: Opposite P.E.S. CollegeBangalore Get Directions
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Difference Between Chest Pain & Heart Attack

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Play video

Here are some differences between chest pain and heart attack

4014 people found this helpful

My mom is 52 years old, having problem of thyroid, recently she went to lab for various test, found that TSH- 8.6,lipid profile-cholesterol -278.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- raised tsh (thyroid gland stimulating hormone) level suggests that the body is deficient of thyroid hormones (t3 & t4) at present and the gland is working more and more to compensate this deficiency. This will lead to thyroid disease if not treated properly. >associated raised in cholesterol suggests of slow metabolism. >ayurveda take on both these condition is that your mother is having deficiency of blood (improper quality rather quantity) and not taking diet in order to neutralize this effect. >follow these tips and treatment- 1) start lohasava 2 tsp twice daily with arogyawardhini vati 1 tab twice. Use (chew) shivagutika 1 tab twice & mahayograj guggulu 1 tab twice. 2) avoid sleeping in day time. 3) practice pawanmuktasana and kapalbhati pranayam in the morning. 4) avoid spicy and non-veg diet along with these changes.
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Hi Team, From the last month, my chest is paining, when I move my body, when I take breathe, I don't know what happened exactly. Please advise.

General Physician, Mumbai
Dear lybrateuser, - Your problem could be due to muscular or bony problem as pain is on movement - do not exert, bend, lift weight or exercise till pain subsides - do hot fomentation three times a day - apply pain killer gel three times a day - take a pain killer tablet if pain is more - do x- ray chest if pain does not improve & consult a doctor.
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Sir mera july 2014 mein by pass opration hua tha. Mere dono per se nus lee gayee thee lakin abhi tak mere left leg me per ke pass bhaut dard wa sujan rahtee ha kya karoo.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Please take rhus tox - 200 / 5 drops in little water thrice a day for two days only. Revert and back after one week with feedback.
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I am having cold but it feels that it freezes in my head. Whenever I drink or eat something cold, or citrus it strikes. At that time I even can't lower my head as It feel like headache. I can't even drink cold water in summers. Hot water steam with vicks gives some relief but don't cure it. What should I do to cure it permanently. As I don't want to take any high mg medicines?

BHMS, Master of Science in Pharmaceutical Medicine
Hello, please take homoeopathic sugar pills of dulcamara 30 and cina 30 potency morning evening (empty stomach) respectively for a week. This medicine is available in globule form in nearest homoeopathic pharmacy. Thank you.
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Sir my age is 23. I think I have anxiety disorder, I feel fear all the time, and my heartbeat is always fast, I do not know why I am feeling fear nd oll anxiety feelings. May be fear of sex and oll but I m. Always in tension and my heart beat is always beat fast whenever I feel fear or. anxiety. please help.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Uncontrolled anxiety with physical symptoms like raised heartbeat needs complete evaluation. You may have an anxiety disorder with accompanying metabolic problems leading to raised heart rates. You might need some investigations to rule out the possible anomalies.
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Triglycerides level of my wife is 425 mg/dl, she has family history of heart decease how her Triglycerides level can be reduced?

General Physician, Delhi
Eat healthy low fat 6-8 servings of fruits and vegetables daily. She needs medications for lowering the triglycerides too. Exercise daily for 45 min at least. Hope this helps u
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Hi it's about my friend who hs chest pain since 2-3 days so pls help, and how can she avoid it my friend is 15.

General Physician, Warangal
chest pain will be of many types..if she is having in the middle of chest aftet taking food it would be the pain related to indigestion which occurs like a burning heart and it is relieved with antacids..avoid eating spicy foods and pickles..if the pain is lefty and radiating towards bavk jaw neck etc then go and take an ecg test
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Dear Sir/madam, my wife is suffering with little chest pain from yesterday. She has also leg pain

Homeopath, Delhi
Hi lybrate user. Chest pain can be due to gas or acidity also. Give her sauf (fennel) and water boiled together. Give her light food. Note for any other symptoms. If it still persists or becomes severe then consult a doctor. Take care.
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I am 65 years old and suffered a Heart Attack 3 years back. I am on medication for the same (Ecosprin 75, Novastat - CV 10/75, Nebicard 2.5, Ativan 2 mg along with Pantocid once a day. Due to Acid Reflux problem, ecosprin 75 was stopped9 since last one year), and was advised to undergo Endoscopy test. I had undergone the test and diagnosed with Lax Cardia. I have been prescribed with Pantocid 40 twice a day since then. I have read in your Advisory tips, as well as advices from other doctors that prolonged use of PPI is very harmful. But, in my case I have to take it continuously. What should I do?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
You are right , prolonged use of PPI does carry risk(s). use kitchen remedies like ginger,garlic,ajwain,jeera,heeng,flax seed ground well. modify eating habits. take warm water in the form of green tea/clear soups/diluted milk/normal tea /plain warm water every 2 hours so that acid does not get collected and is washed further with warm nourishing liquids. continue other medicines given after heart attack. aspirin is a blood thinner and is not the only reason for acidity or stomach ulcers as feared. diet is more important than PPI prevention for acidity symptoms.
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Screening for Prehypertension

MD - General Medicine, MBBS
General Physician, Karimnagar
Screening for Prehypertension

Guidelines for vary from time to time, but generally accepted classification of hypertension ( JNC7)is

Average of two or more properly measured readings at each of two or more visits after an initial screen:

Normal                  < 120 mm Hg SBP             AND   DBP < 90 mm Hg

Prehypertension    120 -139 mm Hg SBP     OR      DBP 80 to 89 mm Hg

Stage 1 HTN            140 -159 mm Hg SBP     OR      DBP 90 to 99 mm Hg

Stage 2 HTN            >/= 160 mm of Hg SBP   OR     DBP >/= 100 mm Hg.

Prevalence of prehypertension among adults in United States is approximately 37 percent.

Study done by Yadhav S et al showed prevalence of prehypetension was 32.3 percent in India with highest  36% among 30-39 yrs age group, indicates that awareness is necessary for regular blood pressure check up.

People diagnosed with hypertension represents “tip  of an iceberg”.

Many patients get to know about their raised blood pressures at the time of diagnosis, heart attack, stroke or kidney disease( end organ failures) which would have been preventable  if treated at an early stage.

Why hypertension should be diagnosed and treated ?

Hypertension currently causes  2/3rd s of all strokes and half of all cases of ischemic heart disease.

Reduction in high blood pressure leads to large reduction in stroke, heart failure, renal failure, aortic dissection, coronary events and death.

Prehypertension: It is an entity where SBP >120 -139 mm Hg or DBP 80-89 mm Hg.

Multiple epidemiological studies demonstrated increased cardiovascular risk in patients with prehypertension.People with prehypertension have increased risk of progression to sustained hypertension, the prevalence of hypertension increases from approximately 10 percent at age of 30 yrs to as high as 90 percent after age of 65 yrs.

Framinham hypertension risk prediction score, may help identification of prehypertensive patients who are at gretest risk for pregression to hypertension. Risk calculator includes variables like age, sex, family history of hypertension, body mass index and smoking.  Most important predictors of these were higher baseline blood pressure and older age.

Screening for hypertension: optimal interval for screening is not known.

2007 USPSTF( United States Preventive Services Task Force) guidelines recommend

Screening every    two years for persons with SBP <120 mm Hg and DBP < 80 mm Hg     

                                 Yearly for persons with SBP 120-139 mm Hg or a DBP 80 -89 mm Hg

How to manage Prehypertension:

TROPHY stydy( TRial Of preventing Hypertension)  results showed that there is no role for pharmacotherapy in prehypertension except in special conditions like diabetes, chronic kidney disease etc.

Treatment:As per JNC 7 reccomendations patients with prehypertension who do not have diabetes, chronic kidney disease , end organ damage , or clinical evidence of cardiovascular disease are generally treated with non pharmacological therapies.

Major non pharmacological therapies that aid to decrease blood pressure are: 

Weight reduction:  Maintain normal body weight ( BMI 18.5 to 24.9 kg/m2)  this can reduce BP by 5 to 20 mm hg per 10kg weight loss.

Adopt DASH eating plan : (DASH- Dietary Approach To Stop Hypertension) consists of fruits, vegetables, legumes, low-fat dairy products with reduced saturated and total fat.This can reduce BP by 8 to 14 mm Hg.

Dietary sodium Restriction: Reduce dietary sodium intake to no more than 100meq/day(2.4 gm sodium or 6 gm of sodium chloride). This can reduce BP by 2 to 8 mm Hg.

Physical activity: Engage in a regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce BP by 4 to 9 mm Hg.

Moderation of alcohol: Limit consumption of alcohol to no more than 2 drinks per day in most men and no more than 1 drink in women and lighter weight persons. This can reduce BP by 2 to 4 mm Hg.

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I was operated for angioplasty on 2-12-15.60% stenosis in lf. circumflex. Treatment given is. disprin-150 mg, prasovas-10 mg, prolomet-12.5 mg, atorlip- 40 mg. In addition to glycomet gp1 bd for diabetes. Pl. Guide me for course of treatment and exercise to be done.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
You are taking right treatment, keep sugar levels in normal range, exercise moderately , simple walks are best but due to outside high pollution levels , some people do exercise on cycle at home because pollution is as bad as smoking 10 cigarettes/day.
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My husband is having severe pain in his left knee. He is 61 yrs old with 80kg wait. Suggest medicine he has bp also.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Some common home care techniques for knee pain that control inflammation and help to break the inflammatory cycle are protection, rest, ice, compression, and elevation do reply back for private consultation. And detailed treatment plan.
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Hello sir Mere chest m kabhi kabhi bahut dard hota h Rat me achanak jagane pr hi hota h. Sir iska upay bataye.

MD - Forensic Medicine/Forensic Medicine & Toxicology
General Physician, Pondicherry
Ye acchi baat nehi he. Ho sakta he he ki ye heart related problem. Isiliye apke bp, blood sugare pehle check karna padega. Test results lakar consult kariye, saaf pata chal jayega. Ho sakta he ye ek simple gastric problem bhi ho.
1 person found this helpful
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I have some major blood problem problem and and I am getting faint daily 2-3 times. What should I do?

DHMS (Hons.)
Homeopath, Patna
Hello, You have not clearly,mentioned the problem of yours what is the following patho-report: # RBC/WBC Syncope, causes due to insufficient supply of Oxygen to brain. it indicates the cardiac problem, first- please clear your problem to begin the treatment, successfully. However, to Start with, take homoeo-medicine* @ Azadirachata Q-5 drops with 1/4 cup of water x 3 , Report soon.
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Hey! My parents are suffering through high blood pressure my father is 48 YO and my mom is 45. What all general precautions can be taken to prevent the increase in bp? What type of foods should they avoid?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
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 pranayama early morning....
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I am 30 years old. I have done all checkup kft lft tmt eco citi scan but I am not able to control my bp. whenever I got little bit tensed or little bit happy it increased by 150/100 and specially after having food. Whenever it occurs I always feel thickness in my chest left side and got worried. Pls suggest me wht should I do because I done all.

Dear lybrate user, take homoeopathic mother tincture rauwolfia q, 30 drops, thrice daily, after meals, in a cup of water for your problem of high blood pressure. Also avoid mutton, beef, chicken, ghee, butter etc. Kindly remember that medication to control high blood pressure will affect your sexual performance & it will diminish your sexual power.
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What are severe side effects of propranolol hydrochloride on heart? I took the medicine non stop for 2 months. I took it for migraine pain. The dosage was 2 times a day daily. The medicine concentration was 40 mg.

MBBS, MD - Psychiatry
Psychiatrist, Mumbai
Dear Lybrate user...Propranolol is a beta blocker and is commonly used for migraine prophylaxis. Its recommended dose for migraine prophylaxis can be as high as 120 to 160 mg per day. Its normal action on heart is to decrease the heart rate, but at a dose of 80 mg it is less likely to cause a significant damage. Rest differs from patient to patient and the clinical decision has to be individualized. Take care
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Sir/mam my father has chest pain from last 2month we check it there is no T. B. Show in any reports. Sans b bht jaldi ful jata hai.

Homeopath, Sindhudurg
Homoeopathic treatment bio combination no 2- 4 pills 3 times anti tart 200 -4 pills 3 times for. 4 days and revert back.
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Hi I have cholesterol. Tremor in hand, gas, eye irritation, can not look in bright light, sound in ear.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Too much cholesterol in the blood can lead to cardiovascular disease. What you eat has a direct impact on your cholesterol level. In fact, a diet rich in fiber and other cholesterol-lowering foods may help lower cholesterol as much as statin medication for some people. Working with a registered dietitian and doctor is the key to develop and maintain a successful health program to manage it. I will inform you on how to make diet, lifestyle changes, make you understand instructions for taking medication because it won't work if you don't take it as directed. Consult privately for a holistic dietary therapy to solve your problems.
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