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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 37 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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Sir/mam I have pcos with diabetes 2 Dr. advice me to take medication mychrochill folic acid dronis 30 for pcos and glycomet for sugar control and pcos for 3 month one month complete now my sugar level normal but I have light vaginal spot I suspected this side effects due to dronis 30 is this any problem can I get pregnant during this problem.

Mbbs,, MS OBGY
Gynaecologist, Pune
Sir/mam I have pcos with diabetes 2 Dr. advice me to take medication mychrochill folic acid dronis 30 for pcos and gl...
As you are on dronis. This will supress your hormones. Don't miss the dose otherwise spotting happens. You will not become pregnant till you are on dronis once proper supression achieves you can try for pregnancy under your doctors advise.
2 people found this helpful
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I am a BP patient and in summer I m unable to control some time blud coming from my nose. What is the best routine I should follow.

BHMS
Homeopath, Faridabad
I am a BP patient and in summer I m unable to control some time blud coming from my nose. What is the best routine I ...
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.
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Dear sir. Muzhe march 2015 mei half body phralisis (left side) ho gya tha. Mere heart mai pain rehta hai aur half body mai pain aur khichaav bhi. Please muzhe medicine bats digiaee.

MBBS
General Physician, Mumbai
Dear sir. Muzhe march 2015 mei half body phralisis (left side) ho gya tha. Mere heart mai pain rehta hai aur half bod...
Apart from taking symptomatic and ongoing treatment take Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
1 person found this helpful
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My mom suffering with heart problem and she has a 8 blocked so what I do Send me advice.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My mom suffering with heart problem and she has a 8 blocked so what I do
Send me advice.
8 blocks cannot be corrected by stents, she needs a bypass surgery, do not fear surgery, technology is advanced and survival rate is high, so is quality of life after surgery.
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Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
REGULAR PRACTICE OF SLOW AND DEEP BREATHING WILL DECREASE YOUR BLOOD PRESSURE.
1 person found this helpful

Hai my age is 24. I did my lipid profile text there is any problem please checkLIPID PROFILE TESTTEST NAMEFINDINGS 1TOTAL CHOLESTEROL132 MG/DL 2TRIGLYCERIDES105MG/DL 3HDL CHOLESTEROL48 MG/DL 4LDL CHOLESTEROL63 MG/DL 5VLDL CHOLESTEROL21 MG/DL TCH/HDL RATIO2.8 Is there any problem please suggest me.

Clinical Cardiology, MD - Consultant Physician
Cardiologist, Surat
Hai my age is 24. I did my lipid profile text there is any problem please checkLIPID PROFILE TESTTEST NAMEFINDINGS
1T...
Hi. Your test is perfectly allright. But at this age, why did you do your lipid profile test. If you at anytime gets querries about your health, first consult a doctor and let him decide what test are to be done. Or else you land-up doing non benefiting tests. Take care.
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Hi. I am 38 years old female. I am having pain in left side of my chest mostly above breast on and off. What could be the reason. I have done all blood tests. My BP, sugar and cholesterol is normal. My doctor says its psychological.. Can it be psychological.

DM - Cardiology
Cardiologist, Kollam
Hi. I am 38 years old female. I am having pain in left side of my chest mostly above breast on and off. What could be...
Hi, ladies of your age are less likely to have ischemic heart disease, especially when there are no risk factors. The pain could be muscular or arising from the joints of your chest wall, a condition called costochondritis. You can have some pain killer ointments and avoid lifting weights with left hand.
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Cardiomyopathy - Know More!

Multi Speciality
Cardiologist, Delhi
Cardiomyopathy - Know More!

Cardiomyopathy by literal translation means disease of the muscles of the heart. As we all know, the heart is the most powerful muscular organ, which pumps out blood to various parts of the body. It expands and contracts nonstop and performs its functions. There are 3 types of cardiomyopathy:

  1. Dilated: Where the muscles are dilated and blood flow is not sufficient to the rest of the body. Onset can be with age or in people who have prior heart conditions.
  2. Hypertrophic: The heart muscles are enlarged either due to some disease condition or due to extra load on the heart. This is most often seen as a congenital condition.
  3. Restrictive: There is reduced amount of contraction, leading to inadequate or improper blood flow. The heart muscles lose their elasticity and become rigid. People often develop this condition in advanced age.

Symptoms: This is not a condition that can be diagnosed with a set of symptoms. It is also not easily diagnosed in the early stages. Only as the condition worsens, symptoms begin to show up and then medical attention may be sought and diagnosis can be done. Symptoms include:

  1. Shortness of breath
  2. Irregular heartbeat
  3. Lightheadedness
  4. Chest pain
  5. Fluid accumulation in the feet, ankles, and then the lower half of the legs
  6. Fluid accumulation in the stomach
  7. Inability to lie down, because of constant cough

Risk Factors: The following increases the chances of developing cardiomyopathy

  1. Family history
  2. Smoking
  3. Poor food habits
  4. Lack of exercise
  5. Prolonged heart conditions like valve diseases or congenital problems
  6. Long term diabetes and high blood pressure
  7. Excessive smoking
  8. Excessive alcohol consumption
  9. Obesity
  10. Thyroid disorders

Complications: While cardiomyopathy per se is not a problem, it can lead to various complications not just in the heart but the overall body.

  1. Heart failure: A cumulative effect of cardiomyopathy is the heart failure. The heart’s ability to pump out blood to the distant organs is reduced. Sudden, massive cardiac failure could even lead to death.
  2. Blood clots: The sluggish blood flow increases the chances of forming blood clots. People diagnosed with cardiomyopathy may need to be on a small dose of blood thinners for a lifetime.
  3. Valvular stenosis: The muscles of the heart and the valves work in synchrony, and so weakened muscles put pressure on the heart valves, leading to their narrowing.

Treatment: This includes a change of lifestyle, including exercise and dietary changes, medications, and in severe cases surgery. Advanced cases may require a heart transplant. Most cases are managed with medications and lifestyle changes though. Controlling blood pressure is very important to ensure proper heart muscle functioning.

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Hello sir I am feeling little pain while pressing on my left side of chest upon the nipple exactly. N nowhere else can you pls tell me weather it's rips pain or something else.

MBBS, cc USG
General Physician, Gurgaon
Hello sir I am feeling little pain while pressing on my left side of chest upon the nipple exactly. N nowhere else ca...
This seems to be due to muscular pain or may be costocondritis or may be any infection Is there history of trauma Is pain increases by taking breath in? Is pain at one point? is surrounding skin is red/ inflamed Local application of Volini gel 1% twice a day for 2-3 day consult Physician for further Management
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My mom is 53 years old, her total cholesterol is- 229 mg% hdl cholesterol -direct is 33 mg%, ldl cholesterol -direct is 329mg%. Please suggest the treatment.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My mom is 53 years old, her total cholesterol is- 229 mg%
hdl cholesterol -direct is 33 mg%, ldl cholesterol -direct ...
Hello dear High triglycerides and 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. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. Garlic,. Cod liver oil. Take anti cholesterol medicines .
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I have high blood pressure, and my sugar is also high. What can be the treatment to control it.

CME Course in Diabetes for Family Physicians, Certificate in Child Health , BHMS
Homeopath, Gurgaon
I have high blood pressure, and my sugar is also high. What can be the treatment to control it.
If your BP and blood sugar are on the border-line or marginally high,you can take homoeopathic medicines.
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Sir I am (29, recently my blood pressure raised to 160/100 on 17/02/2016 and I consulted cardiology doctor and gone through tests like 2d echo, x-ray, lipid profile and reports and I am taking (telma-am 45mg tab for bp) are normal in range and after two days I have balance problem, unsteadiness and tinnitus (ringing inthe left ear continuously) and I also consulted Ent doctor and doctor advised to take AUDIOLOGY TEST AND I HAD A 10% OF HEARING LOSS IN THE LEFT EAR AND THE ENT DOCTOR advised to take Hrct scan temporal bones and the report is below. Observation: High resolution CT scan of Temporal Bones was studied. Bilateral maxillary polyps. Adenoidal thickening noted. Mild prominence of tympanic membrane on left side. Partially pneumatized right mastoid. BOTH SIDES: EXTERNAL AUDITORY CANAL: Normal. MIDDLE EAR: Epitympanic recess, hypotympanic recess, Tegmen tympani, Tegmental air cells, bony part of Auditory tube, Malleus/ Head, Incus are normal. INTERNAL EAR: Cochlea, vestibule, semi circular canals, jugular canals, carotid canals, facial nerve canals and IAC are normal. PETROUS APEX: Normal. AND THE DOCTOR SUGGESTED TO TAKE (1. SHELCAL 500MG TABLET 2. OTOFLOUR20MG FOR 1 MONTH) AND MY BALANCE PROBLEM NOT YET CURED, PLEASE SUGGEST ME HOW TO CURE MY unsteadiness AND TINNITUS PROBLEM AND ALSO SUGGEST ME TO WHICH DOCTOR I SHOULD CONSULT AND ALSO TELL ME WHAT IS THE PROBLEM IN THIS REPORT. PLEASE GIVE ME THE SOLUTION TO SOLVE MY HEALTH PROBLEM.

DORL, MBBS
ENT Specialist, Faridabad
Sir I am    (29, recently my blood pressure raised to 160/100 on 17/02/2016 and I consulted cardiology doctor and gon...
It takes time as what treatment you are taking is right till now as per your test reports, tinnitus and vertigo is very common these days in any age group due to excess of noise exposure and damage to inner ear, humming sound, whistling and giddiness are the problems which are getting in people are very common these days, these get complicated when they are not taken care of at proper time whistling or buzzing in the ear is getting commoner these days in people of all ages. Most common causes is wax or any object in the ear, after getting your ears clean these gets over. But if ears are already clean than this is worrisome. Common causes which are responsible are high cholesterol diet, alcohol, smoking, loud noises, cervical spondylosis, trauma (self or inflicted) over the ears. If this is the situation than report to your ent doctor immediately tinnitus is basically due to hampered blood supply to ears due to which ears start dying. As this process starts a person starts hearing noises. When a person starts hearing noises then it is already late diagnosis as these noises gets heard by someone when they are of 40 db intensity, below that threshold these noises are not heard. So it is already to late and the damage has become permanent. Problem with these noises are that we can control at what level person goes to his specialist otherwise these noises keep on increasing and can give you headache frustration and depression.
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I am 63 years old. My BP is in the range of 140/85 to 150/90. My BMI is 26.2. Is it normal or treatment is required.

MBBS, D.P.H
General Physician, Gurgaon
I am 63 years old. My BP is in the range of 140/85 to 150/90. My BMI is 26.2. Is it normal or treatment is required.
Mr. lybrate-user ,YOUR BP IS AT BORDERLINE AND FLUCTUATING, AS PER AGE TAKE FOLLOWING ACTION 1. INVESTIGATION OF LIPID PROFILE AFTER 10 HOUR FASTING. 2. REGULAR CHECK YOUR BP IN MORNING A D EVENING AND CONSULT ON LINE BY TEXT CHAT ON LINE FOR ONWARD MANAGEMENT 3. TAKE LESS SUGAR, SALT, REFINED carbohydrates 4. TAKE HIGH FIBROUS MEAL LIKE WHOLE WHEAT, BROWN RICE, OAT MEAL ,LEGUMES BEANS, SPROUT ETC. 5. GREEN LEAFY VEGETABLES LIKE SPINACH, CAULIFLOWER, BROCCOLI ETC. 6. HIGH FIBROUS FRUITS LIKE PAPAYA, BERRIES, APPEL, CITRUS ETC. 7.AVOID OILY SPICY AND PROCESSED FOOD 8. NO SMOKING NO ALCOHOL, NO TOBACCO 9. MORNING WALK FOR 35 MINUTES 10 MILD EXERCISE, MEDITATION FOR 30 MINUTES.
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Sir, I am 32 years old male. My bp is normal and blood sugar level is also normal. I was passing happy married life but now I have performance related stress. I can't keep my erection more than 2 min. After taking manforce I can keep my erection up to 4 hours but view side effects I am not really interested for these medicine. Sir please guide.

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
Sir, I am 32 years old male. My bp is normal and blood sugar level is also normal. I was passing happy married life b...
Hello, not to worry, we care 2 gms of ashwaganha powder mix with 1 tsp of cow's ghee to be taken twice a day apply almond oil on external male genital organ to strenghte the local nerve stay healthy.
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I am suffering from blood pressure my b. P is very low almost 40 and 80 so please I request you suggest me how to maintain my bP thanks.

BAMS
Ayurveda, Ambala
I am suffering from blood pressure my b. P is very low almost 40 and 80 so please I request you suggest me how to mai...
For Recovering from low BP follow these best methods: • Anaemia is a cause of low BP so check your hemoglobin level (Hb) if this is low so eat green leafy vegetables, beetroot and fruits like pomegranate. • Eat an apple daily it maintain your BP normal. • Take your meal daily do not skip meal. • Drink 8 - 9 glass of water daily. Hydrate your body well with drinking proper amount of water because dehydration is also cause fall of BP. • When you feel that your BP is low then take 2 teaspoons of Glucon D and add a pinch of salt mix it in one glass of water and drink it. You can repeat it after 2 hours. This will maintain electrolyte balance and your BP. You can drink a cup of tea. • Drink a glass of milk daily. It maintain your stamina. • Take a multivitamin capsule daily for 15 days. • Eat a teaspoon of gulkand daily and maintain your blood sugar level. • Do long breathing pranayams daily and do not take stress.
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Hi, My name Gurmeet. I have a problem as increasing of heart beat in case when some one shout on me or when I do interact with unknown person. Please advice me, what is it? and how can I get recovery from it. Thanks.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hi,
My name Gurmeet. I have a problem as increasing of heart beat in case when some one shout on me or when I do inte...
Heart palpitations are a feeling that your heart is beating too hard or too fast, skipping a beat, or fluttering. You may notice heart palpitations in your chest, throat, or neck. Heart palpitations can be bothersome or frightening. They usually aren't serious or harmful, though, and often go away on their own. Most of the time, they're related to stress and anxiety or to consumption of stimulants such as caffeine, nicotine, or alcohol. Palpitations also often occur during pregnancy. According to my knowledge you are suffering from LACK of SELF CONFIDENCE and it is usual in this case that heart palpate at a faster rate when to interact with an unknown person .So for this I will advise you to go for counselling sessions along with homoeopathic treatment recommended by me for better results.
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I wanted to know if someone's BP gets high on regular basis. What can be the reason behind it?

BAMS
Ayurveda, Ambala
I wanted to know if someone's BP gets high on regular basis. What can be the reason behind it?
Causes of High BP are - * High salt intake * Excess consumption of Alcohol , coffee * Obesity ( overweight ) * Lack of Exercise ( sedentary lifestyle ) * Due to lack of sleep . * Due to Anxiety
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Tonight I suddenly arise from a bad dream. But when my heart beat very slow till one minutes. And also many time when some thing do suddenly my heart beat going slow not growing up fast. So is this any problem. TMT, Echo cardiograph, and lipid profile are normal. But in ECG first degree av block (PR 228). And after how many different I can do these tests again. Thank you.

Ph. D - Cardiology, FACC, DM - Cardiology, FRCP, MD - Medicine
Cardiologist, Kanpur
Tonight I suddenly arise from a bad dream. But when my heart beat very slow till one minutes. And also many time when...
You need to get a holter monitoring test done and if it confirms slowwing of hear rate and developing of complete hear block you will need to get a pacemaker installed.
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I am 40 years old working women having diabetes, blood pressure and is suffering from hasimoto thyroiditis, where my hair is falling day by day heavily, eyesight is going blur, heart palpitates, can you suggest me good food intake for these type of problems.

MD - Clinica Biodicity, MBBS
Cardiologist, Delhi
I am 40 years old working women having diabetes, blood pressure and is suffering from hasimoto thyroiditis, where my ...
Dear lybrate-user, firstly I hope you have consulted a doctor who is already treating you for your above ailments. Medication in all these cases is very important along with a regular checkup. Diet is apart of your treatment. Low salt, medium carbohydrate high fiber is important as you are a diabetic please avoid sugary products and fats. Regular exercise and ideal weight is the need of your body along with proper minerals and vitamins which you can get through (salads, vegetables, and other supplements).
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