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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 38 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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C.S.C, D.C.H, M.B.B.S
General Physician,
Can Stress Cause High Blood Pressure?


Domestic chores, travelling, work pressure- keeping up to everyone’s demands everyday is undoubtedly exhausting. There are times in our lives when we feel we can’t manage our lives anymore. We find ourselves stuck in a web of anxiousness, irritability and forgetfulness that affects us negatively. Such times of stress have more or less become another extension of our daily existence. And, it definitely is slowly but steadily affecting our health.
Stress and High Blood Pressure
Stress is linked with high blood pressure. And with high BP, all other diseases like heart failure, kidney failure, and stroke are associated.
During times of stress, our blood pressure increases. Also, our heart rate shoots up very quickly. Our body produces certain hormones because of which our BP increases. These hormones also cause heart to beat faster and blood vessels to narrow down. This might seem like a temporary phase. But overtime the behavioral patterns linked to stress impacts our blood pressure levels negatively. It is believed that reaction to stress makes blood thicker and more viscous. This may in turn lead to blood clots.
Stress is the root cause of unhealthy and self destructive behavior. Common habits that people do to deal with stress include over eating, eating wrong kinds of foods, consuming alcohol, smoking, taking drugs, etc. One tends to neglect one’s health at times avoiding medications and all these factors contribute to hypertension — thus stress has an indirect effect on hypertension.
Generally, there are two kinds of Stress – Acute & Chronic.
Acute Stress
Acute stress is when you are experiencing a very high level of stress for a short period of time. This usually happens due to a specific situation. At times of stress there is release of steroid hormones and the stress hormone Cortisol. These hormones cause increased heart rate and decreased blood vessel diameter which leads to increased blood pressure.
Chronic Stress
Chronic stress is the grinding stress that wears people down and stays for a long period of time. It can contribute to long term problems for the heart and blood vessels. When the stress response system is activated, this automatically affects other systems like increasing blood pressure, blood sugar levels and decreases immune response. The consistent and ongoing increase in heart rate, and the elevated levels of stress hormones and of blood pressure takes a toll on your health. This long-term ongoing stress thus increases the risk for hypertension, heart attack or stroke.
Stress Management to Reduce Hypertension
Repeated acute stress and persistent chronic stress are both conditions that need to be tackled and treated well in time. At times when you lose yourself completely in the heat of a stressful moment, unknowingly you are creating so much damage to yourself. During such instances take deep breaths, and just sit and first sort out in your head the cause of the outburst. Speak to someone you can trust and let the negative voice in you die down before you presume your work.
The first step to stress management begins with training your mind to take control of the situation and not become a victim of your own negative thoughts and emotions. With proper professional therapy and self-help tools you can lessen the negative effects of your daily pressure

How can I quit smoking at the earliest. I've also read that quitting it suddenly can fetch heart freeze and other heart related issues. Is that correct? Please help me quit smoking. Tq.

PDDM, MHA, MBBS
General Physician, Nashik
How can I quit smoking at the earliest. I've also read that quitting it suddenly can fetch heart freeze and other hea...
1. Start your stop smoking plan with =? s t a r t? s- set a date for quitting smoking. Choose a date within next two weeks, so that you have enough time to prepare without losing your motivation to quit t- tell your family, friends and co-workers that you want to quit so that they can give support and encouragement a-anticipate and plan for the challenge you will face while quitting like crave for cigarettes and nicotine withdrawal symptoms r- remove cigarettes, lighter, ash tray, matches etc from home, car or work place t- talk to your doctor about getting help to quit and to deal with nicotine withdrawal symptoms 2. Distract yourself to keep your mind off smoking like concentrate on some work, watching tv, playing games, reading books/magazines, listen to music, cross word puzzle or playing online games etc 3. Remind yourself why you want to quit. Focus on your reasons for quitting like health benefits, improved appearance, financial effect and enhancement of self esteem 4. Get out of tempting situations like someone smoking close by 5. Reward yourself- reinforce your victories whenever you triumph over a craving. Give yourself a reward to keep yourself motivated 6. Find an oral substitute like mint, nicotine lozenges, nicotine patch, chewing gums etc 7. Keep your hands busy like squeezing balls, handling pencils, paper clips to satisfy the need for tactile stimulation 8. Brush your teeth-the just brushed clean feeling can motivate you to get rid of craving 9. Slowly drink a large cold glass of water to help the craving pass and keep you hydrated. It also minimizes the symptoms of nicotine withdrawal 10. Go for regular exercise, play some games 11. Practice yoga, meditation and deep breathing exercise to calm your mind, control emotion and relive stress 12. Avoid stress, anxiety, depression, excess work load, severe physical and mental exertion.
1 person found this helpful
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I am having frequent chest pain during breathing? Left portion is suffering a lot, I just smoke 1 cigrt daily and some biri, is it affecting?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I am having frequent chest pain during breathing? Left portion is suffering a lot, I just smoke 1 cigrt daily and som...
Dear user. I can understand. It is always better to consult a doctor and get your ECG done because I don;'t want you to take risk. Tobacco is addictive. Cigarette also contains 4000+ carcinogenic chemicals other than nicotine. Smoking can affect your mouth, throat, lungs, heart, stomach and brain in many ways. Cancer is one among the potential diseases smoking can cause. The best method is to leave it and continue with your will power. There are other methods like Nicotine Replacement therapy and pharmacotherapy combined. Nicotine chewing gums too help as an alternative for cigarettes. But still you will need will power. You may consult a physician or deaddiction therapist or a rehabilitation facility for further advice. You can also opt for online deaddiction therapy. Take care.
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As per my scanning report taken 6 weeks there is no fetal heart rate. Doctor advised to go for abortion. Is it true that heart beat starts before 3 months. My friends heart beat start only after 3 months. I'm confused whether to wait or go for abortion.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
As per my scanning report taken 6 weeks there is no fetal heart rate. Doctor advised to go for abortion. Is it true t...
No abortion yet. Be very clear about it, get ultrasound repeated from a standard place at 8 weeks. It is positive for heartbeat at 8 weeks for sure, if not it's called blighted ovum syndrome. If you have no symptoms like spotting, pain lower abdomen, just relax and pray till 8 weeks when you will get to see heart beat for sure. Good luck and do share the good news with all of us here on the forum.
4 people found this helpful
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I am 18 year old male and have many type of acne like -1. Black headed acne on my forehead, chicks, and some on chest. 2. White headed acne on my chicks and neck. 3. Sometime pustules are also appear on my chick and chest. I am not able to tolerate that acne any more I am so much tired from it since almost 1 year. Please help me for curing my face and other part from acne.

MD - Dermatology , Venereology & Leprosy
Dermatologist, Visakhapatnam
I am 18 year old male and have many type of acne like -1. Black headed acne on my forehead, chicks, and some on chest...
Pimples are due to hormonal changes, pollution, excess sweating on face, application of cosmetics, Wash ur face 4 times daily with Face washes meant for acne Stop applying any creams on face Except pimples ointment Take dr. Prescribed tablets depending on severity Avoid junk foods Avoid milk foods Getting pimples in teenage is normal for any person But not taking treatment modifies ur face with lot of problems like marks and scars To correct these problems it needs peels, dermaroller and lasers
3 people found this helpful

Hi I have a problem with me I once had some tension and went to doctor he said it would be a heart problem and asked to check up I gone through all check at last it was all normal after that I suddenly get lot of fear on my mind and I checked the symptoms on net it says anxiety can any one suggest how to over come from this.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Hi I have a problem with me I once had some tension and went to doctor he said it would be a heart problem and asked ...
Inability to overcome anxiety on a daily basis even with best of efforts to relax counts for an anxiety disorder. this needs management with a combination of the right medications and behaviour therapies for anxiety and stress management. Consult online for any further queries and managemnt
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Potato and High Blood Pressure

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Potato and High Blood Pressure

Eating potato in baked, boiled, mashed or crisp 4-5 servings a week can increase the risk of developing high blood pressure.

9 people found this helpful

Dear Sir / Madam I have high blood pressure, I am having maintenance tablet now, I want to stop this tablet, can you suggest me ayurvedic medicine.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Dear Sir / Madam I have high blood pressure, I am having maintenance tablet now, I want to stop this tablet, can you ...
In ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause. Mix 1 teaspoon of onion juice with an equal amount of honey. Take once a day for 1 week. Upon noticing improvement, continue for several more days. 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.
2 people found this helpful
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Pain Management

MD - Physical Medicine & Rehabilitation
Pain Management Specialist, Delhi
Pain Management

Diagnose root cause of your pain at an early stage because improperly diagnose & treated pain can create lot of problems in future.

6 people found this helpful

In army pst exam, they are asking about chest expansion should be 5 cm. But I afraid my chest expansion less than that. How to get 5 cm chest expansion? Give me some suggestions pls.

PGD Maternal Child Health, MBBS
General Physician, Akola
In army pst exam, they are asking about chest expansion should be 5 cm. But I afraid my chest expansion less than tha...
Your lungs can have about 6 liters of air in them while you ordinarily take in only 3 to 3.5 liters only. Practice deep inhalations and gradual exhalations like they do in Pranayam. Deep breathing opens up the idle rooms or air spaces in the lungs so that you can inhale more air inside. That will enable larger chest expansion after some time.
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I am 22 years old man. I was in a relation with a grl who deceived me jus 2 months ago. Now I am experiencing short term heart pain. I want to know cause of it? What should I do?

MD - Consultant Physician
General Physician, Jharsuguda
I am 22 years old man. I was in a relation with a grl who deceived me jus 2 months ago. Now I am experiencing short t...
It is probably not due to heart issues. It is probably due to psychological break down. Wait 4 sometime. It will be getting healed.
1 person found this helpful
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My mom underwent an angiography yesterday, which result in 100% blockage in LAD and 90% in RC. Doctors suggest angioplasty. On 23 april we have my brother's marriage, so can we go for angioplasty after 15 days. Please suggest. Thanks.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My mom underwent an angiography yesterday, which result in 100% blockage in LAD and 90% in RC. Doctors suggest angiop...
No you should not wait for heart attack to start with so much of blockages, she is free from symptoms now, get angioplasty done and feel free from the dangers of having to live with blocks in major blood vessels of heart.
5 people found this helpful
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I am a student. Am 23 years old. At 28th december doctor found my pressure high 150/100. At that time when Dr. was checking my pressure I realized that my heart is pounding so quickly, I think its a panic. Doctor told me its a very dangerous, and I have got tensed. Now in my home when am checking my blood pressure its showing 122/76,122/80. After few days I went to the doctor and he found my pressure dat much high and I observed at that time my heart is running so quickly. I can not even made myself relax during the check and its showing high. Am totally fit before 28th december. Is it ok or there is any kind of problem. Now am to much tensed. please help me. Thank you.

MBBS, MD, MEDICINE
Cardiologist, Chandigarh
I am a student. Am 23 years old. At 28th december doctor found my pressure high 150/100. At that time when Dr. was ch...
Don't worry, it's called as white coat hypertension, tend to increase during reading by a doctor. Do you have family history of high bp, smoking, any giddiness or fainting, chest tightness etc. You monitor your blood pressure thrice a day for week and get back with the readings. Also till have low salt diet. After seeing the readings we can get some tests done. Also try to check the readings with another bp apparatus.
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I am 37 years old man and im having high blood pressure ever since last 6 months. I have done many home remedies but nothing is working. Please suggest something that can help me.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 37 years old man and im having high blood pressure ever since last 6 months. I have done many home remedies but ...
In ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause. Mix 1 teaspoon of onion juice with an equal amount of honey. Take once a day for 1 week. Upon noticing improvement, continue for several more days. 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.
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Hello I am 27 years old I am suffering from lack of sleep. My sleep time is 12 am to 9 am but I am not able to get proper sleep. Feel insomnia. I am shifting my side whole night and even not feeling comfortable and sleepy. This is second time happening. First time I wasn't able to sept for more than 20 nights and days as well. My heart rates also increase some times at night. No pain nothing but m feeling my heart is having pressure or something like that. I do 2 hours of gym workout. please help.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hello I am 27 years old I am suffering from lack of sleep. My sleep time is 12 am to 9 am but I am not able to get pr...
If you do 2 hours of Gymn, you require a good diet along with Rest, an Overtired Body is always restless and sleep deprived. Please do not take any sleeping tablets. Try taking a warm glass of milk+honey at bedtime + listen to some soothing music ,Avoid aggressive TV programmes and do read some motivational books like autobiographies. Give us a positive feed back after 2 weeks trial.
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My mom has psvt she is 58 years old recently she has gone under ecg after checking ecg doctors says ican see a blockage can any one advice can ecg predict blockage as he insist for angiography. In the eco report heart size is big as per doctor and they insist for rfablade and angio can anyone please suggest what to do.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
My mom has psvt she is 58 years old recently she has gone under ecg after checking ecg doctors says ican see a blocka...
ECG can give condition of functioning of the heart. It does not give a direct reference to the presence of blockages, although, sever disturbance in ECG can indicate blockage kind of disease. 2D Echo reports will be required to see if damage is so extensive that angioplasty is required. Rotablade may not be the best option for treatment. Angiography is an invasive, extensive visual study of the condition of blood vessels supplying nutrition to the heart, the treatment that follows would be implanting a stent or ballooning. There are other options that are non invasive and medicine based. If you can take a private consultation with our doctors, we will be able to help you better.
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I am 61 yers old I have heart provlem my Dr. Advice me cabg surgery as soon as possible but I have money problem. I want to know price or pakage amount & where?

DM Cardiology
Cardiologist, Delhi
Dear , I would advise you to contact aiims, new delhi or narayan hrudyalaya, bangalore, for cabg, if you have a monetary problem. Otherwise at escorts heart institute, new delhi, it would cost approx 3 lakhs rs.
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Greetings Recently my dad went to a doctor and doctor said BP is high 210/110. Doctor told to take some test. After one week of medicine now BP is 170/80. After seeing reports doctor said there is a problem to kidney. I want to take a second opinion on this. I will send all the reports and please suggest me what is wrong and how to cure those.

ND, MD - Alternate Medicine
Alternative Medicine Specialist, Mumbai
Greetings Recently my dad went to a doctor and doctor said BP is high 210/110. Doctor told to take some test. After o...
YES, your doctor adviced you rightly. KIDNEY is the main cause to spread damage to the HEART. All Heart related damages, need to be corrected from the KIDNEYs first. We could recommand you some supplements to start with and COLLOIDAL SILVER WATER & KANGEN WATER. In 2 months time all his reports should be normal.
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How to cure high blood pressure? She is taking Stamlo 5 mg tablet and she was taking Stamlo 2.5 mg. I want to know does she has to take blood pressure tablet for lifetime or there is any other process or what should she take now?

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
How to cure high blood pressure? She is taking Stamlo 5 mg tablet and she was taking Stamlo 2.5 mg. I want to know do...
Blood pressure is a fluctuating problem. It can change from time to time and with age. Multiple factors have a role in this. Some can be modified, others can just be managed through medications. Factors that can be modified are exercise levels and food we eat. Exercise daily for 40-45 mins, avoid caffeine, smoking and salt rich food like chips, pickles, papad, chutneys etc if even after 6-8 weeks of these precautions BP is still high, you will need to take medications too, and these medications can be required for lifetime and doses may vary from time to time, so you should remain in follow up of a cardiologist.
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Hello I am 59 year old my bp is high near 200 and also pain in chest what should I do?

M.B.B.S., Diploma in Family Medicine, Fellowship in Diabetes (Liverpool), Advanced Clinical Course in Cardiology (USA), Certified Diabetologist from USA, CCEBDM, MD - Consultant Physician
General Physician, Hooghly
You should take medicines for your bp or need to increase present dose of medicines. For chest pain, do an immediate ecg. You may send me private message for further clarification. Dr. S. Modak, m. D.
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