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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 44 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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#439, Medavakkam Road, Cheran Nagar, Sholinganallur, Perumbakkam. Landmark: Near HCl & Near Shollinznumur Junction, ChennaiChennai Get Directions
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439, Cheran Nagar, Chennai, Tamil Nadu 600100Chennai Get Directions
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My boyfriend has high BP. He is only 22 years old how to control blood pressure without medicine?

BAMS
Ayurveda
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My boyfriend has high BP. He is only 22 years old how to control blood pressure without medicine?
To control or maintan BP normal there are some instructions are given below: •Do not take salt in high amount or try to avoid it because high sodium level increase BP. • Eat less amount of pickle and fast food, fast food contain high sodium. • Avoid drinking alcohol and smoking. • Take less amount of coffee and tea both increase BP. • Drink 8 to 10 glass of water daily • Do exercise daily, running and long walk. • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams daily for 10 - 15 minutes. It will reduce your stress level in your body. • Avoid taking too much fat foods such as butter, cheese, ghee. • Eat healthy diet such as green leafy vegetables, fruits. Eat an apple daily.
5 people found this helpful

I use manforce 50 mg but every time I feel pain in chest n headache after use. Sometimes prob in breathe too. Is there in other tablet which can be helpful before intercourse to increase time without any side effects.

MBBS
General Physician
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I use manforce 50 mg but every time I feel pain in chest n headache after use. Sometimes prob in breathe too. Is ther...
Dear Lybrateuser, -Try to avoid any tablet at your age for intercourse -lead a healthy lifestyle with a well balanced diet & regular exercise for 30-40 min a day, also do kegel exercises to strengthen your pelvic muscles, 2-3 times a day, also yoga & deep breathing are helpful -all tablets have similar side effects & should be avoided so as to prevent any adverse effect on the heart & other organs.
1 person found this helpful

Hello I am 22 years old boy I am taking cilpam plus prescribed by my psychiatrist. A week ago I reduced the dose by half by after some days I am facing problems like breathlessness today I checked my bp at home my bp was 115-70 and pulse rate was 110. Is this dangerous. What should I do please suggest.

cc USG, MBBS
General Physician
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Hello I am 22 years old boy I am taking cilpam plus prescribed by my psychiatrist. A week ago I reduced the dose by h...
Pulse rate is high and seems to be due to severe anxiety along with medication I advise you to do meditation from any spiritual organization like brahma kumaris, these organization provide their services free of cost better to concentrate in some extracurricular activities like music/sports/ yoga/ meditation etc and also you need counselling.
1 person found this helpful

Sir I have bp problem now this tym it has 160/70. Which tblt I should take regularly which have no side effect.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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Sir I have bp problem now this tym it has 160/70. Which tblt I should take regularly which have no side effect.
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...
1 person found this helpful

I am 65 yrs old and have diabities, hypertension. High cholestrole and pain in left shoulder due to cervicle spondylosis. I am taking following medicines as per our cardiologist. Glyciphage sr 500 m/e, clopitorva 10 1capsule in evening, cilamet xl 50 1 tab in evening, cognix plus m/e, tazloc-ct 80 1 tab m,vertin 8mg 1tab in morning.Please suggest

Diploma - Diploma - OLO - Rhino-Laryngology
Acupuncturist
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Taking so much of medicine you shud not take that much of medicine if you really want to get rid of all medicine n bcom healthy you shud simply learn acupressure from me I can teach online also for diabetes use of dalchini in warm water will help for hbp avoid salt intake n use black salt n raw onion.
1 person found this helpful

Hi doc I am getting little bit pain on chest when I press with fingers can I what is problem?

MBBS
General Physician
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Hi doc I am getting little bit pain on chest when I press with fingers can I what is problem?
1.It could be a muscular pain 2. Take one tablet of paracetamol sos after food upto a maximum of three tablets daily 3. Drink plenty of water 4. Apply Hot fomentation and Volini gel 5. Consult for further advice

What are the symptoms of high blood pressure? What should a patient do who have a high blood pressure?

BAMS
Ayurveda
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What are the symptoms of high blood pressure? What should a patient do who have a high blood pressure?
Dear, Hypertension is asymptotic (without symptoms) but in some cases symptoms are seen which are given below: * Headache * Vertigo * Lack of sleep * red eyes * Anger comes easily To control & maintan BP normal these are best methods to follow:.• Do physical exercise like jogging or brisk walk for atleast 20-30 minutes. • Maintain your cholesterol level to normal & eat least amount of butter, cream or fatty things. • Eat less amount of pickle, salt and fast food as they contain high sodium levels. • Avoid drinking alcohol and smoking. • Take less amount of caffine containing coffee, tea or cold drinks because caffine causes increase BP. • Drink 8 to 10 glass of water daily • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams (Anulom- Vilom, Bhramari) daily for 10 - 15 minutes. It will reduce your stress level in your body. • Eat healthy diet such as green leafy vegetables, fruits. • Take 5 ml of GULAB Jal added in a glass of water daily once a day.
2 people found this helpful

Guidance for CAD, Heart Patients undergoing CABG

MBBS
General Physician
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What is CABG?

CABG or Coronary Artery Bypass Grafting is a surgery done to improve blood flow to the heart. In most instances there is a fatty plaque (CAD or Coronary Artery Disease) in the vessels of heart which reduces the blood flow required for normal function. The plaque may grow or harden with time and reduces oxygen-rich blood reaching the heart. Lowering of the amount of oxygen reaching the heart may result in Chest Pain - called Angina. The plaque may even rupture and form clots on its surface. The clot formed may mostly or even completely block the blood flow - leading to Heart Attack or Myocardial Infarction.

In CABG, a normal vein or artery from the patient's body is connected to the blocked coronary artery. Thereby bypassing the obstructing plaque and creates a new path along which blood can now reach the heart.

What are other options for Treatment of CAD?

Other than CABG options for treatment of CAD include - Lifestyle changes, Medications, PCI or Balloon Angioplasty.

PCI is a nonsurgical option where the blocked artery can be opened and generally a stent is placed at the point of blockage to keep the blood flowing.

Goals of CABG

CABG is done to achieve the following

1. Reduce the symptoms (Chest Pain, Breathlessness etc)
2. Improve quality of Life and helps to resume a more active Lifestyle
3. Improved pumping action of the heart
4. Reduce chances of Heart Attack
5. Improve chances of survival

Who needs CABG?

CABG is a surgical treatment for CAD.

Your doctor may recommend CABG if other treatments have not worked or he judges it good in his clinical opinion.

Decision will be based on factors such as -

1. Severity, Location and number of blockages
2. Response to other treatments
3. Your quality of Life and severity of symptoms
4. Other Medical conditions that you might have
5. Your Age and Medical History

Medical Tests that may be required to determine the need are -

1. ECG
2. Echocardiography
3. Coronary Angiography

THE SURGERY

Outlook

CABG is a relatively safe Surgery. The safety of the procedure will depend on your age, existing heart function, and experience of the Doctor.

What to expect before

You will need to undergo a few tests to prepare you for CABG such as - Blood tests, Chest X-Ray, ECG, Echocardiography or maybe Coronary Angiography. Doctors that perform CABG are Cardiothoracic Surgeons.

Things to ask your Doctor at this Stage -

1. What you can eat or drink
2. What activities are you allowed to do (e.g. smoking)
3. What medicines to take (Share all the medicines that you are taking for any other conditions)
4. As the outlook for surgery is heavily dependent on the number of procedures a Doctor has performed - it will be a good idea to get information about his clinical experience.

If you have already undergone all the tests - surgery may be done on the same or a day after the admission.

What to expect after

You will require admission into ICU typically for 1 or 2 days, to monitor your progress better after the surgery. You will be given oxygen therapy while hospitalized. You may also be asked to wear Compression Stockings while your movement is limited.

After you leave ICU you will require admission in the hospital for about 4 - 6 days.

Recovery at Home

Things to ask your doctor before leaving the hospital.

1. How to care for incision wounds and stitches.
2. How to identify signs of infection
3. How to identify conditions for which you need to call the Doctor right away.
4. When to make follow-up appointments

Common side effects of CABG wear off within 4 - 6 weeks but may include.

1. Discomfort in area from where the vein was taken
2. Itching and swelling at incision wounds
3. Fatigue, Loss of Sleep, Loss of Appetite
4. Constipation

Full recovery from CABG takes 6 - 12 weeks.

Your doctor will advise you when you can resume specific activities. If your work is not too demanding physically, it is common to return to work after 6 weeks. You can resume sexual activities after 4 weeks and drive after 4 - 8 weeks.

Ongoing Care

At you follow up visits you will require to undergo tests such as ECG, Echocardiography etc. to see how much your heart has improved. CABG is not a cure for CAD. A complete Treatment will always involve Lifestyle changes, Reducing weight, Medications, and Cardiac Rehabilitation Exercises. Your doctor will prepare a treatment plan for you including these things. Be sure to pay attention to them as religiously as your Surgery.
Guidance for CAD, Heart Patients undergoing CABG
2 people found this helpful

I am scared about heart disease. Because my cholesterol is 229mg. After taking food I am getting pain in my left chest.

C.S.C, D.C.H, M.B.B.S
General Physician
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I am scared about heart disease. Because my cholesterol is 229mg. After taking food I am getting pain in my left chest.
You can try diet control and exercises to reduce cholesterol and need not worry as it may be causing pain.
2 people found this helpful

How to keep my heart healthy?

B.H.M.S., Senior Homeopath Consultant
Homeopath
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How to keep my heart healthy?
You can take Crat. Oxy. Q /10 drops in little water thrice a day for one week. Revert back after one week with feedback.

I have low blood pressure. I used to eat medicine everyday but it does not Work. What should I do.

BAMS
Ayurveda
Ask Free Question
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.

Iam male my age 35 I have blood presure 118/190 what is good medicine for bp.

DBCM (AM) General Physician
Alternative Medicine
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Tonicard (homeo), kali iod (biochemic) treatment is available, safe and without side effects in biochemic system of medication. Consult me in private.

How can we say our heart is healthy. I want to know sir is it heart beat should be 75 approx in 1 minutes and pulse should b 80 to 90. And what should do during heart attack in absents of doctor please reply.

MBBS
General Physician
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How can we say our heart is healthy. I want to know sir is it heart beat should be 75 approx in 1 minutes and pulse s...
If your tread mill test is normal than heart is fine and during attack can give sublingually tablet sorbitrate and ecospirin
7 people found this helpful

I have a minor pain in my chest now and then do I need to worry? On average I smoke 6 cigarettes.

MBBS
General Physician
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I have a minor pain in my chest now and then do I need to worry?
On average I smoke 6 cigarettes.
1.For your age pain chest could be due to anxiety, stress, Physical and mental strain,hyper acidity, muscular problem 2. Avoid stress and strain 3.Do regular exercise, reduce your weight if over weight. 4.Control your diet. Avoid oily/spicy/fried and junk food,high calorie and cholesterol rich diet.Take small frequent meals(5-6 meals/day instead of three heavy meals).If you have hyper acidity take one tablet of pan 40 in the morning before breakfast daily for few days 5.Do Yoga, Meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress. 6.Have sound sleep for 7-8 hours daily. 7.Avoid smoking,alcohol, excess tea/coffee, if you are having 8. Drink plenty of water and take rest 9. Take paracetamol 500mg one tablet sos after food up to a maximum of three tablets per day at the time of chest pain 10.if you have recurrent attack of chest pain check your BP, take ECG and consult cardiologist 11.Consult me for further advice.

I am Vivek From Rajasthan 46 years old please suggest me Medicine for high blood pressure And diabetes.

MBBS
General Physician
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I am Vivek From Rajasthan 46 years old please suggest me Medicine for high blood pressure
And diabetes.
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 exercise9. Monitor your bp regularly and consult physician for treatment.
1 person found this helpful

What are the steps to follow to prevent the heart attack due to the above causes. I have serum cholesterol 232, how I will control it. SerumLDLc 156 direct homogeneous spectrometer.

MBBS
General Physician
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What are the steps to follow to prevent the heart attack due to the above causes. I have serum cholesterol 232, how I...
Causes of heart attack 1. Stress, anxiety 2. Lack of exercise 3. Sedentary life style 4. Obesity (over weight)/hypertension/diabetis/ hyper cholesterolemia 5. Smoking, tobacco and alcohol consumption 6. Excess oily, fatty, cholesterol rich diet, junk food 7. Heredity and genetic factor prevention of heart disease 1. Avoid stress, anxiety 2. Go for regular aerobic exercise like running/jogging/swimming/cycling/brisk walk for 1 hour daily exercise 3. Avoid sedentary life style 4. Control obesity (over weight)/hypertension/diabetis 5. Avoid smoking, tobacco and alcohol consumption 6. Avoid excess oily, fatty, cholesterol rich diet, junk food 7. Have adequate sound sleep for 7-8 hours daily 8. Do yoga, pranayama, deep breathing exercise to calm your mind, control your emotion and relieve stress 9. Lead a healthy and positive living style.

My grandmother bp has increased and reached by 220. Some tips and home remedies plz?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda
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My grandmother bp has increased and reached by 220.
Some tips and home remedies plz?
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...

Sir, My dad is overweight. (85 kg), For him, NUTRISLIM will be best or not for losing weight. He has Blood pressure and cholesterol level.

Md ayurveda
Ayurveda
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Sir, My dad is overweight. (85 kg), For him, NUTRISLIM will be best or not for losing weight. He has Blood pressure a...
Hello lybrate user, - it's better to reduce the weight always naturally, as he is having cholesterol it's better to take a brisk walk daily once or twice - take some natural herbal combination like triphala ras 25 ml with water twice a day - have controled food with veggies and fresh fruit in excess.

What are the symptoms of low blood pressure.

MBBS
General Physician
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dizziness or lightheadedness. unsteadiness. fainting. blurred vision. heartbeats that suddenly become more noticeable (palpitations) confusion. feeling sick (nausea)
1 person found this helpful

I have chest pain and cough over 5 years is there any solution for this. I smoke ciggarates.

Reparenting Technique, BA, BEd
Psychologist
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I have chest pain and cough over 5 years is there any solution for this. I smoke ciggarates.
I hope it is a regular chest pain and cough. But you never know with you smoking and all. You msut visit a doctor and examine teh chest pain to see that you are not developing some cardiac problem. Whatever happens the smoking must stop. It is very bad habit and if these symptoms are connected to the habit, this may hopefully be the last of your smoking. Please do some of the following as you condition improves:Tobacco consumption, either through smoke or other edible forms, is always harmful. The desire to quit is a good starting point. The best way to quit is to know more about the ill-effects of tobacco. The knowledge is astounding and scary. That information itself should help you to want to quit. The tobacco tar in cigarette smoke lines your lung with huge patches that make that portion dysfunctional. Your oxygen carrying capacity is jeopardized, and breathing is impinged. The nicotine in tobacco smoke stimulates the heart beat to raise the blood pressure in no time at all. There are more than 4000 harmful chemicals in cigarette smoke!!! You will need to stop smoking or consuming any tobacco related items with immediate effect. Then you need to identify why you smoke: there is an oral need, the nicotine effect, the psychological effect of covering up some other issue, for style, to impress, etc. You may discover that the reasons may be unimportant at this stage because you have become too addicted and the habit has become compulsive. You should start exercises, gradually increasing it over a period of time. Do deep breathing exercises every time you feel like smoking (try Yoga), and replace the oral urge with some healthy food substitute to satiate the need. You may take hard candy or chewing gum. If the urge is too strong, then use nicotine chewing gum or nicotine patches, for a little while until the smoking drive reduces substantially. You may join Smokers Anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation. Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers for some time i.e. at least for the first 21 days. Above all announce it to everyone that you have quit smoking. Here’s a piece of very good advice: even if you accidentally/willfully take a cigarette, it is not the end of the world – you can start the cessation all over again. Don’t be discouraged because it is not too late even now to reverse all the ill-effects of smoking. As Mark Twain once jocularly said, “giving up smoking is easy; I have done it many times”. You must persevere with the best support until you defeat this addiction. Counseling is very useful in the initial stages and when temptations are at their highest.
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