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Dr. Julius Punnen

Cardiologist, Chennai

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Dr. Julius Punnen Cardiologist, Chennai
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Personal Statement

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. Julius Punnen
Dr. Julius Punnen is a popular Cardiologist in sholinganallur, Chennai. You can consult Dr. Julius Punnen at Global Hospital And Health City in sholinganallur, Chennai. You can book an instant appointment online with Dr. Julius Punnen on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 25 years of experience on Lybrate.com. You can find Cardiologists online in Chennai 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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Global Hospital And Health City

#439, Medavakkam Road, Cheran Nagar, Sholinganallur, Perumbakkam. Landmark: Near HCl & Near Shollinznumur Junction, ChennaiChennai Get Directions
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Global Hospital

439, Cheran Nagar, Chennai, Tamil Nadu 600100Chennai Get Directions
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Dear Sir my father age is 70. He is having High Blood pressure since 10 years and he is taking Tenoric 25mg morning and night. His Blood pressure is in control. My father is having pain in my calf muscles of both legs when he wakes up in the morning. What could be the reason and what's the cure. Whether this is related to B. P?

Clinical Cardiology, MD - Consultant Physician
Cardiologist, Surat
Dear Sir my father age is 70. He is having High Blood pressure since 10 years and he is taking Tenoric 25mg morning a...
Hi. This is definitely not related to bp or the bp medicines that he is taking presently. Most commonly this is related to dehydration. And this is very common in hot summer seasons like this one. So my advice is to take plenty of fluids orally, have fruits and fruit juices and avoid the hot sun. He should be fine with this. Take care.
1 person found this helpful
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I am male age 66 years.I am Having under gone engioplastic in 2012. I am having diabetic & hypertension. Under medical treatment. My recent test is Hemoglobin: 12.3 ,cholesterol: 120, HDL :26, LDL: 54, Triglycerides: 198. My question how can I increase HDL & LDL?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am male age 66 years.I am Having under gone engioplastic in 2012. I am having diabetic & hypertension. Under medica...
HDL is good cholesterol as you know Take a spoon of good fat like Desi Ghee or pure butter and a katori of assorted nuts like almonds, cashews, walnuts, Peanuts and roasted chane Reduce intake of processed and packaged foods Eat lots of seasonal vegetables and fruits and light digestible foods only. By reducing bad cholesterol LDH through transfats, good cholesterol levels go up. Take care.
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I am suffering from heart stroke, is it normal for my age? It only occurs once in 2 months.

MBBS
General Physician, Mumbai
I am suffering from heart stroke, is it normal for my age? It only occurs once in 2 months.
Get your vital parameters of the body checked from a nearby doctor and follow up with findings and Take tablet folvite 5mg once a day and tablet vitaminD (60000iu) once a week for six months
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My uncle now undergone angeoplasty.How can we prevent further blockage? Doctor I want to know about the food diet.

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
Breakfast: 1 medium sized mixed fruit platter 1 large glass of fresh fruit juice OR 1 glass of blackberry iced tea Snack: 1 small serving of carrot sticks with a yogurt dip 1 serving of potato in corn chowder (without cream or fat) Lunch: 1 large serving of tossed salad Baked fish chops Garlic Mashed Potatoes Snack: Yogurt berry parfait (use light yogurt) OR Minestrone Soup (without cream) Dinner: 1 medium serving of beans and rice 1 small serving of home made carrot-raisin bread Methods of preparation also play an important part in a diet plan after a coronary angioplasty. Baking, grilling, roasting, and steaming are a lot healthier as compared to frying. If you must fry your food, use minimal amounts of oil, and use healthier cooking oils like olive oil.
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I am taking one teaspoonful of cinnamon powder+3times honey on empty stomach. I am 69 year old and I am taking this as a precaution for cholesterol and heart related possibilities. Are there any side effects of this and can I continue this for an extended period?

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
I have not heard of this in my lifetime for cholesterol! Try eating lots of garlic. If you cant have it get it homeopathically allium sativum,(biochemic) nat phos. Avoid all types of fats and red meat. Requires detailed questioning so as to ascertain your personality and to treat you symptomatically. Treatment is available, safe and without side effects in biochemic system of medication. Consult me in private.
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Chest Pain - What Causes It?

Clinical Cardiology, MD - Consultant Physician
Cardiologist, Surat
Chest Pain - What Causes It?

In addition to pumping blood to various organs, the heart also has its own blood supply, through which it receives its oxygen and nutrient supply. In patients with coronary artery disease and atherosclerosis, there is a narrowing of the blood vessels which reduces the amount of blood flow to the target organs, including the heart.

When this happens in the heart, there is chest pain due to overexertion of the heart muscles. There could be two patterns to this chest pain. With regular exertion like exercise, there would be chest pain, and most patients are familiar with this pattern.

This is known as angina pectoris or stable angina. In some people or in some instances, chest pain occurs which is sudden and not of a predictable pattern. It could be related to extreme exertion or stress. This is known as unstable angina and can lead to heart attack and be life-threatening.

Stable angina or angina pectoris has a stable, predictable pattern which most patients get familiar with over a period of time and learn to manage. Read on to know more about the signs and symptoms and management techniques.

Signs and symptoms: Stable angina usually occurs after a round of physical exertion. The patient feels a feeling of tightness in the chest which feels like the chest being squeezed. The pain can gradually spread to the shoulder, arms and even the neck. The pain can also be induced by eating, exposure to cold, emotional stress. It lasts for about 15 minutes and is relieved by rest and sublingual nitroglycerin. The pain intensity does not change with position or coughing. In addition, the patient may also experience shortness of breath, fatigue, profuse sweating, nausea, and dizziness.

The patient may be able to detect signs on further testing including ECG, echocardiography and stress testing. Features like cardiomegaly, altered ejection fraction would be detected based on the severity of the disease.

Treatment: Immediate treatment to relieve the pain includes resting and sublingual nitroglycerin. On an ongoing basis, the treatment would include 3 approaches – lifestyle changes, medications, and surgery.

  1. Lifestyle changes: Regular exercise, smoking cessation, reduced fat intake, reduced alcohol consumption, weight loss, and stress management are some lifestyle changes to be made to improve symptoms.
  2. Medications: A number of medications would be used depending on patient’s symptoms. Aspirin to prevent clotting, medications to control blood pressure and cholesterol and diabetes.
  3. Surgery: In patients with advanced coronary artery disease, revascularization methods may be required, which includes angioplasty and coronary bypass.

In a person with known risk factors, it is advisable to have regular checkups so that the disease progression can be controlled and symptoms managed with minimal intervention.

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

4798 people found this helpful

My bp is 190/115 taking targit am 40/5 mg since 8 days kindly suggest will it bring my bp to normal.

DM Cardiology
Cardiologist, Delhi
Dear, targit am is a good medicine, it should bring down the bp. But if it fails to control then let me know. I would adjust the dose accordingly. Dr. Nishith chandra, md, dm, fscai, director interventional cardiology, fortis escorts heart institute, new delhi
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I am 23 year old male how to control our blood pressure And I have headache from morn And I had take medicine also. But my headache is not going then control headache what should I do now.

MBBS
General Physician, Cuttack
I am 23 year old male how to control our blood pressure
And I have headache from morn
And I had take medicine also. B...
1. Do regular aerobic exercise like brisk walk for 30 minutes every day 2. Reduce your weight if overweight 3. Reduce salt intake 4. Drink plenty of water 5. Take bland diet, avoid spicy, oily, junk saturated fat and cholesterol rich diet. Take plenty of green leafy vegetables, fruits, 6. Stop smoking and consumption of alcohol, tobacco, 7. Avoid stress, anxiety, physical and mental exertion 8. Do yoga, meditation, and deep breathing exercise 9. Monitor your bp regularly and consult physician for treatment 10. Have adequate sleep for 7-8 hours daily.
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Hello Sir/madam I have severe problem with left chest pain, breathing problem and left hand numbness. I made test related to cardiac 2d echo, tmt and related to lungs all reports are normal. I made MRI scan got report as diffuse bulge noted at c3-c4, c5-c6. Does my problems related to cervical or do I need to go for any alternate test. Can you please suggest me?

DNB Cardiology, MD - Medicine, FACC-Fellowship American college of Cardiology, FESC- Fellowship ESC, FSCAI- Fellowship SCAI
Cardiologist, Mohali
Hello Sir/madam
I have severe problem with left chest pain, breathing problem and left hand numbness. I made test rel...
Probably due to cervical, but may be vit b12 and vit d deficiency. Get both tested. If problem then rectify it. Thanks.
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I experienced nocturnal syndrome 3 times in last 2 weeks. Is it a disease? Will it cause premature ejaculation&infertility?

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
I experienced nocturnal syndrome 3 times in last 2 weeks.
Is it a disease?
Will it cause premature ejaculation&infert...
Hello, Nocturnal emission can be due to an upset stomach or indulging into porn etc. If the problem is not frequent and bot recurring in a set time interval,nothing to worry. Just improve your dietary habits and sleep timings. But if the problem is persistent,it's better to start medications.
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