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Dr. Drsantoshsingh.Thapa@outlook.Com

Cardiologist, Goa

at clinic
Dr. Drsantoshsingh.Thapa@outlook.Com Cardiologist, Goa
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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.
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My age is 23 yrs. When I measure my blood pressure it is 155/90 most of time. But I have no symptoms of high BP like headache etc. What should I do.

BHMS
Homeopath
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My age is 23 yrs. When I measure my blood pressure it is 155/90 most of time. But I have no symptoms of high BP like ...
Hello, Few lifestyle changes can help you in controlling and preventing the high blood pressure, even if you're taking blood pressure medication. Eat healthy foods. Consume more fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Eat less saturated fat and trans fat. Decrease the salt in your diet. So, avoid eating processed foods, such as canned soups or frozen dinners which contains extra salt in it. Keeping a healthy weight, or losing weight if you're overweight or obese, can help you control your high blood pressure and lower your risk of related health problems. Increase physical activity which can help lowering your blood pressure, manage stress, reduce your risk of several health problems. Get indulged in regular exercising (if your doctor allows you). Limit alcohol. Even if you're healthy, alcohol can raise your blood pressure. If you choose to drink alcohol, do so in moderation. Don't smoke. Tobacco injures blood vessel walls and speeds up the process of hardening of the arteries. Reduce stress as much as possible. Practice healthy coping techniques, such as muscle relaxation, deep breathing or meditation. Getting regular physical activity and plenty of sleep can help, too. Monitor your blood pressure at home. Medication: Take Schwabe’s Essentia Aurea/ thrice daily which is a cardio-tonic which helps in maintaining blood pressure, improves muscle tone of the heart and narrowing of blood vessels.

I am 67 my uric acid is high 8.13 and cholesterol 34.6 Pl suggest me medicine to cure. I have pain in right side of waist it creates problem in walking.

MBBS
General Physician
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I am 67 my uric acid is high 8.13 and cholesterol 34.6 Pl suggest me medicine to cure. I have pain in right side of w...
Normal level are 2.4-6 mg/dl in male and in female and 3.4-7 mg/dl. High uric acid can cause gout, arthritis, kidney stone) 1. Avoid protein rich diets like mutton, egg, fish, sea food (sardines)/prawn 2. Avoid pulses, lentill, mushrooms, green leafy vegetablles like broccoli, cauli flower, cabbage, spinach, beans, peas 3. Take fruits like apple, banana, orange, black cherry, lime etc 4. Drink plenty of water (8-10 glass) daily 5. Avoid alcohol and caffeinated drinks, excess sweets cakes/cookies 6. Reduce weight if overweight

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
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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 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.

I am 22 year. I am suffering from problem of heart's valve. So what should I do for this problem?

PGDMCH, MBA( CHA) , MBBS
General Physician
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I am 22 year. I am suffering from problem of heart's valve. So what should I do for this problem?
Dear lybrateuser, if the valve of heart is damaged then better to get it replaced. Pl consult a cardiologist and if valve replacement is recommended then get it done.

I feel some pain on my chest middle portion and slight left side. When I stretch my chest then realize the pain mainly. I smoke daily only 2/3 ciggarates. And also bad habit of sleeping oppositely (chest is on the down side). What I do sir?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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I feel some pain on my chest middle portion and slight left side. When I stretch my chest then realize the pain mainl...
Homoeopathic medicine Ranunculus Bulbosus 30 ( SBL) Drink 2 drops direct on tongue 3 times daily for 10 days------------------- MAG PHOS 6X ( SBL) Chew 4 tab every 3-4 hrly depending upon severity of pain. Report after 10 days

I am 20 years old. I am having little pain in left side of chest. It pains when I touch that area. What is the reason behind it?

MBBS, MD - Community Medicine
General Physician
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I am 20 years old. I am having little pain in left side of chest. It pains when I touch that area. What is the reason...
It may be localised pain due to some boil or related local lesion if it pains on touch. Surgeon would more appropriate doctor for you, in this case.

My father has 90% blockage in one vein. It is detected by angiography done 3 days ago. Now I am in doubt that which process should we adopt angioplasty or bypass. And second thing what are merit or demerit in both.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician
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My father has 90% blockage in one vein. It is detected by angiography done 3 days ago. Now I am in doubt that which p...
One blockage can be cleared by baloon therapy(angiography) Merits are that there is no need to do heart surgery + it serves as a warning for rest of life to take care of heart by eating well , exercise and taking stress in your stride with no negative feelings. Good Luck. Bypass surgery should be done if there are Diffuse Blockages all over the heart / blockages are more than 2 , because getting fitted with more stent is not beneficial in the long run compared to one time heart surgery , Aftercare after 2 months is same in both.

What to do to maintain our body? What should do to been smart health? What to do for heart patient? If poison goes on our body what to do to stop it? How to be well healthy ?

MD - Medicine, MBBS
General Physician
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What to do to maintain our body?
What should do to been smart health?
What to do for heart patient?
If poison goes on...
taking a healthy diet ,workouts(jogging,running,exercises,games.swiming,cycling etc according to indiviisual choice),Aproper routine of sleep &wakeup etc..to protect ourself from heart diseases avoid junk food.

Im trying in navy .i can not run quickly because of my fat, I want to lose weight and having a pain in my chest while running. Please help me to lose weight .i go nearly 10 days for my physical test .please help me to lose weight, im not bothered about the method ,i only consider my target (weight lose. So please suggest me quickly.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist
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Im trying in navy .i can not run quickly because of my fat, I want to lose weight and having a pain in my chest while...
to lose weight rapidly ,you will have to take water therapy with extreme calorie reduction. do it under proper guidance of a nutrition expert. for any further queries ,feel free to ask me through lybrate.

My mother suffered from a major heart attack last weak. Doctor gave her rs. 5000/- injection and by night she was well. All her test came back to normal after that. 2d echo says her heart is working 50%. How much %age does a normal persons heart work? What are the chances of heart surgery? Doctor has suggested to conduct angiography after a week but within 3 weeks.

MBBS
General Physician
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My mother suffered from a major heart attack last weak. Doctor gave her rs. 5000/- injection and by night she was wel...
Dear lybrateuser, -the normal ejection fraction of heart is 55-65% -go as per the cardiologists advice as whether to do surgery or not will depend on the angiography result also -till then she should follow a heart healthy diet with more of fruits & vegetables including green leafy & seasonal ones, wholegrains, low fat dairy products, nuts - almonds, walnuts, pistachios, cashews, peanuts, flax seeds. -mild exercise like walking if she can.

My triglycerides is 280, can you suggest to reduce the same?

Diploma in Family Medicine, Fellowship in Diabetology, Diploma in Diabetology, FCCP, MBBS
General Physician
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1. Eat fat free diet. 2. Avoid all fries. 3, non - veg in limited amounts only fish and chicken -no fries. 4. Eat plenty of fruits and vegetables. 5. Tab atorvastatin (10mg) night -1 -one hour before dinner for 3months - then check your lipid profile.

I am a long term patient suffering from hypertension. I am on 8 mg of atacand and 30 mg of nifedipine. Recently I found that I have occurrents of palpitation, and was referred to TTSH. I was asked to wear a monitoring device for a day. Thereafter I was told that nothing significant was found. As my own monitoring of my BP showed that at the end of each day, my BP was above 150/90, my doctor increased the Nifedipine dosage to 60 mg. (30 mg in the morning and 30 mg in the evening) However, my BP readings drop to just above 100/60. I feel dizzy at times. So I revert back to 8 mg atacand and 30 mg nifedipine. Am I doing the right thing.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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I am a long term patient suffering from hypertension. I am on 8 mg of atacand and 30 mg of nifedipine. Recently I fou...
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...

Dr i'm 55 yes aged women having borderline sugar and cholesterol. Please suggest me a regular diet chart. I'm a vegetarian.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist
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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.

Sir I am 31 yrs. There is Palpitations as if I am geeting Heart Attack.

Fellowship in Advanced Coronary Intervention, DM - Cardiology, MD - Internal Medicine, MBBS
Cardiologist
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Palpitations can be due to a thousand reasons including heart attacks. Get yourself evaluated, before lightning strikes

I have a pain in my chest and I have problem in breathing. Sometimes I also has a head pain. Please give me prescription.

MBBS
General Physician
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I have a pain in my chest and I have problem in breathing. Sometimes I also has a head pain. Please give me prescript...
For pain take tablet paracetamol 650 mg and Get your vital parameters of the body checked from a nearby doctor and revert back with findings

I look fat but I have no energy. Even climbing 10 15 stairs my heartbeat increases rapidly, I can literally feel the heartbeat. My wrist area and ankles are very thin compare to my body. I look sick even though I don't have any illness. I feel weak though. I have sunken eye darkcircles. Need diet and consultation for the same.

MBBS
General Physician
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I look fat but I have no energy. Even climbing 10 15 stairs my heartbeat increases rapidly, I can literally feel the ...
Take resource powder 2tsf with milk twice daily and cap rabemacdsr once daily morning cap trinerve - lc one at bed time.

My heart is paining when I sleep in left side. But when I move same time move right hand side then pain has gone. Help me. This problem is facing approx 6 months.

BHMS
Homeopath
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My heart is paining when I sleep in left side. But when I move same time move right hand side then pain has gone. Hel...
It may b a gastric pain take lemonade. Wid black salt. Take light food and drink 3 litres water daily.

I am 44 years old my blood report detail.(1. Serum tsh: 5.41.(2. Serum cholesterol-total: 215.(3. Triglycerides: 159.(4. Serum hdl-direct: 40. Serum ldl-direct: 153. please advise precautions and medicines. Thank you sir/madam.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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I am 44 years old my blood report detail.(1. Serum tsh: 5.41.(2. Serum cholesterol-total: 215.(3. Triglycerides: 159....
eat low fat diet,low salty food,or low sodium intake , take whole grain foods,oats meal,plenty of water, 1 glass of water at night before bed. do not take stress and alcohol intake. you should be take medicines for your disease..tab. thyronorm 50 mcg before meal in morning daily. tab. ecosprin 75mg at night. tab. atorvas-10 mg at night.

Palpitations - Everything You Need to Know

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist
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What is Palpitation?
Palpitation is a feeling of awareness of your own heart beat. It is usually described as heart rate being either too fast (racing), too slow or a sensation of missing a beat.

Types of palpitations?
Normal (Benign)
- These palpitations occur as a response to physical or mental stress like exercise, fever, pain, fear, anxiety etc.
- They are harmless and settle on their own once the precipitating factors disappear. They do not require any medical treatment.

Abnormal
- These palpitations occur due to some underlying abnormality in either the structure of heart or the beating of heart.
- These can be dangerous and at times life threatening. They may or may not settle on their own and require some medical treatment.

Warning signs that suggest palpitations are abnormal?
Palpitations are abnormal, if they are associated with chest heaviness, chest pain, uneasiness, sweating, weakness, giddiness, feeling of black out, fainting, nausea, vomiting, seizures. Palpitations are more likely to be abnormal in people who have some existing heart disease and these patients should report to their doctor at the earliest.

What to do during palpitations?
1. Stay calm.
2. Call for help. If u are alone avoid driving, use a taxi or auto, go to your nearest hospital/doctor and try to get an ECG during the palpitations. If you are helping someone having palpitations, if they faint, call for help, start CPR if they remain unresponsive and take them to the nearest hospital.

Which doctor can treat palpitations?
Doctors who specialise in the treatment of palpitations are called Electrophysiologists. They specialise in heart rhythm and are capable of performing a variety of complex tests to identify and treat different types of palpitations.

Which investigations are used to diagnose palpitations?
ECG: Taken during palpitations and when the patient is normal is a very helpful tool.
Holter: Externally applied recorder, which continuously records heart rhythm for 24 hrs.
ELR: Extended loop recorder, is like holter, but it records rhythm for longer durations.
ILR: Internal loop recorder is attached within the body for recording rhythm for long duration.
EPS: Electrophysiology study, is the most sure shot test to diagnose, identify and treat
Palpitations.

What is EPS?
EPS stands for Electrophysiology study. By this test a trained Electrophysiologist studies the conduction and formation system of heart beat, to understand the source, cause and type of palpitation. It is a simple and safe procedure of 2 to 3 hours and can be done as a day care procedure (by admitting the patient for a few hours in hospital, with discharge on same day).

It requires fasting for 4 hrs, some standard blood investigations and is done with local anaesthesia and if required it can be combined with treatment like ablation in the same sitting.In the procedure Electrophysiologist take catheters into your heart to study and stimulate the palpitations and understand them. Once found they can use various techniques to stop the palpitations, the techniques are called Ablation.

What are the treatment options available for palpitations?
There are many options depending upon the nature of palpitations and condition of the patient:
- Drug therapy
- Cardioversion where either a drug or electric shock is given to stop palpitations immediately.

Ablations using many sophisticated computer softwares
Device Therapy like ICD (Internal cardiac defibrillator)
Combination of all the above therapies.

Your Electrophysiologist and you as a team can make a choice about the options that will be best for you.
Palpitations - Everything You Need to Know

Sir I am 30 years old male. Last three days I am chest pain in left side and left hand pain & shoulder pain. Yesterday I hv done ECG . But ECG is normal. But still little chest pain and heaviness in left side . My bp is 118/72. What I hv to do.

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda
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Sir I am 30 years old male.
Last three days I am chest pain in left side and left hand pain & shoulder pain. Yesterda...
Try to avoid heavy, spicy, oily, fried meals - do walking exercises daily. Sometimes gas gets trapped in abdomen and resembles heart problems. If ecg - bp and other issues are normal then probablitiy of gas is more prompt.
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