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Dr. Latchumandhas

MBBS

Cardiologist, Chennai

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Dr. Latchumandhas MBBS Cardiologist, Chennai
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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.
More about Dr. Latchumandhas
Dr. Latchumandhas is an experienced Cardiologist in Mogappair, Chennai. Doctor has completed MBBS . Doctor is currently practising at Madras Medical Mission in Mogappair, Chennai. You can book an instant appointment online with Dr. Latchumandhas on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 35 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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MBBS - - -

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Madras Medical Mission

#4-A, Dr. J.Jayalalitha Nagar,Mogappair, ChennaiChennai Get Directions
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Madras Medical Mission Hospital

# 4-A, J J Nagar, Mogappair West, Collector Nagar.Chennai Get Directions
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Pain in chest all of suddenly in left side specially while sleeping and when I wake up.

MBBS
General Physician, Trivandrum
Pain in chest all of suddenly in left side specially while sleeping and when I wake up.
You maybe most probably suffering from gastritis or gastro esophageal reflux disease. You have to avoid spicy and fried foods. Also avoid junk food and fast food. If your problems are worse, you need to take an ecg and take medications.
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I am on medication for hypertension. With one coversyl plus a day, the result is 80/145. I sometimes feel giddiness. I am told it is because of medication. Is there any other way?

MBBS
General Physician, Mumbai
I am on medication for hypertension. With one coversyl plus a day, the result is 80/145. I sometimes feel giddiness. ...
If it is due to medication than you must change the medicine with the help of dr and record your BP at different timings and follow your drs advise
1 person found this helpful
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Hi my father is a heart attack patient he got attacked 2 years ago now wt type of food he will take and he is too heavy weight person .

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Hi my father  is a heart attack patient he got attacked 2 years ago now wt type of food he will take and he is too he...
First ask him to reduce weight by daily exercises... Avoid fried foods and oily foods and fast foods ...take plenty of fruits in diet
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What to do if cholesterol level is 192gm/dl and triglyceride level is 380mg/dl? what are the dangers of high triglyceride level? Please help me.

Fellowship in Cardiology, MD, MBBS
General Physician, Delhi
What to do if cholesterol level is 192gm/dl and triglyceride level is  380mg/dl? what are the dangers of high triglyc...
There are no dangers. Stop scaring yourself first of all. Meet somebody who can advise you on life style modification. Shouldn't be a problem.
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Coronary Heart Disease And Sugar Or Carb Relation

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma In Panchkarma
Ayurveda, Jhalawar
Coronary Heart Disease And Sugar Or Carb Relation

The primary cause of coronary heart disease (which causes a heart attack) is inflammation of the coronary arteries (the arteries which carry oxygenated blood to your heart). Before I move on to explain what is inflammation, let’s see what is atherosclerosis.

  • Atherosclerosis is an inflammatory response initiated by damage to the innermost layer (known as the endothelium) of the arteries, which faces the bloodstream.
  • Atherosclerosis is a disease which causes narrowing of the walls of the arteries which is characterized by plaque build up. This plaque build up inside the arteries results in blockage of the blood flow or sometimes formation of blood clots. This plaque blood clots can result in partial or complete blockage of blood flow. When all this happens inside the coronary arteries, it is called coronary heart disease which is the main danger as it can lead to a heart attack.
  • As we see here that the underlying cause of blockage is the plaque build up. Let us see how this plaque is built up:
  • Once damage occurs to the inner layer of the coronary artery, the body’s natural repair mechanism takes over. This mechanism begins with circulating levels of low- density lipoproteins (ldls) into the damaged area. Let me stress that this occurs whether a person has high or low ldl-cholesterol!
  • Once ldls move into the damaged area of the endothelium, there is an inflammation response initiated by the body (inflammation response is a protective response of the body). This attracts the immune cells to the damaged site. This, in turn, produces growth factors, which cause muscle cells to multiply and invade the damaged area of the blood vessel. Eventually, the conundrum of ldl, immune cells, muscle cells and debris from the initial damage form “plaque.”

So as we see above, the primary cause of plaque build up is inflammation of arteries, and this plaque formation can happen, whether a person has low or high ldl levels, we are getting closer to the point of understanding that it’s not the cholesterol, but inflammation that is the primary cause of the blockage, which causes heart attack.

Now the question is what causes inflammation in the body?

  • Inflammation is not just restricted to the arteries, but every cell of the body, and the prime cause of this is sugar is inflammatory. Imagine spilling sugar syrup on your keyboard and see what happens. Inside the body also, sugar does similar things. People with chronically high sugar levels (type-2 diabetics or even pre-diabetics) are suffering from inflammatory stress in the body. That is why injuries or wounds in diabetics take longer time to heal and surgeries become critical!
  • And when I talk about sugar here, it is not only the refined sugar in the diet but also the excess intake of all carbohydrates in the body, which leads to chronically elevated blood sugar and insulin levels in the body.
  • So a person (specially a sedentary person) having predominantly excess carbohydrates and sugar in the body, even if taking a diet low in fats, is still at a greater risk of heart disease even though his saturated fat intake is low. That is why a type-2 diabetic is at a greater risk of having a heart attack. This is due to inflammation of arteries. And since this inflammation is not only limited to arteries but every cell of the body, often these people suffer from lethargy and low and energy levels due to inflammation in the intestinal cells, which restricts proper absorption of vital nutrients like vitamins, minerals in the body and the hormones get affected leading to lethargy.
  • This inflammation or damage to arterial walls can be caused by a few other factors as well like:
  • High intake of omega-6 fats (like vegetable oils, soybean oil etc) high intake of alcohol, smoking, high free radical damageincreased cortisol (ie stress) lack of vitamin c and other anti-oxidants.

Blood tests

  • If you really want to know the true health status of your cardio-vascular system that a mere lipid profile will not give you the true picture. A couple of blood tests that need to be added are:
  • Hba1c (glycated hemoglobin): hba1c test is an indicator of how well the sugar levels are controlled in the body in the span of 3 months. The excess sugar molecules bind with hemoglobin and the resultant molecule is called glycated haemoglobin. The life span of this molecule is 3 months. The normal value of hba1c is 6. Anything more than that means the sugar levels are chronically elevated beyond normal in the last 3 months.
  • C-reactive protein: this test indicates the level of inflammation in the body. This substance is produced by the liver which increases in the presence of inflammation in the body.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Diagnosis of hypertension in childhood requires repeated BP measurements

Hypertension should be confirmed based on three blood pressure measurements at separate clinical visits.

Normative BP percentiles are based upon data on gender, age, height, and blood pressure measurements from the National Health and Nutrition Examination Survey and other population–based studies.

In a study initial BP measurement was normal (below the 90th percentile), pre–hypertensive (systolic or diastolic BP between the 90th or 95th percentile) and hypertensive (systolic or diastolic BP =95th percentile) in 82, 13, and 5 percent of children.

At follow–up, subsequent hypertensive measurements were observed in only 4 percent of the 10,848 children who had initial hypertensive values. In the cohort, the overall prevalence of hypertension was 0.3 percent.

5 Signs of an Unhealthy Heart

MBBS, MS (Gen. Surgery), M.Ch - Cardio Thoracic and Vascular Surgery, DNB (CTS)
Cardiologist, Noida
5 Signs of an Unhealthy Heart

The heart is a muscular organ that helps to pump blood through the circulatory system by periodic contractions and relaxations. The heart is one of the most important organs of the body so much so that a single cardiac arrest or a heart attack can lead to fatal consequences. Even so, a heart attack is one of the most leading causes of death in the country. But there are some earlier symptoms that could alert you ahead of time. The following are signs of an unhealthy heart:

1. Sexual problems - Erectile dysfunction (ED) is one of the most predictable reasons for cardiovascular conditions. Today, patients who are diagnosed with ED are also considered as cardiovascular patients. This is because the heart is supposedly not able to pump enough blood to the genital area. In case of women, reduced blood flow can hamper arousal and delay orgasms.

2. Snoring and sleep apnea - If one snores loudly enough to prevent their partner's from sleeping or resort to using earplugs, one may be at a risk of having a weak heart. Restricted breathing during sleep is connected with a host of cardiovascular diseases. Sleep apnea, a condition where breathing stops for a brief span of time, is linked with higher cardiovascular risks.

3. Swollen, sore and bleeding gums - Swollen and bleeding gums are not only symptoms of dental conditions but also of cardiovascular difficulties. Medical experts believe poor circulation of blood arises due to underlying heart conditions. Recent studies are focusing on bacteria that are believed to cause gum disease as well as plaque inside the arteries of the heart.

4. Heart Arrhythmia - Irregular heartbeat or heart arrhythmia is a common sign of a weak heart. It is characterized by both fast and slow beating of the heart. Restricted blood flow to the heart strains the electrical signals that maintain the normal beating of the heart. This is one of the common causes of coronary artery diseases.

5. Chest pain - One of the most apparent signs of coronary artery diseases is chest pain. The cause of the sharp, clutching pain in your chest can be build-up of plaque in the arteries, which could lead to fatal consequences.

'Consult'.

Related Tip: 5 Lifestyle Changes Required To Keep Your Heart Healthy

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I checked my diabetics FBS is 260 and PBS is 379 on 25 february. Today I checked my diabetics fbs is 167 and pbs is 215. And also I checked hba1c is 10.1. What is my status and can I able to control without medicine. Past one month without medicine only I reduce the sugar level. Kindly guide me.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
I checked my diabetics FBS is 260 and PBS is 379 on 25 february. Today I checked my diabetics fbs is 167 and pbs is 2...
With diet control blood glucose levels will drop. However, with such high hba1c you will need medicines. The dosage of medicine can come down over time. But at present it is imperil ice that you start treatment.
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Serum triglyceride 411 age 18 can bs the reason for high blood pressure n civire chest pain?

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Yes could be. Try eatng 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.
1 person found this helpful
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I am suffering from dry cough for the last. Two week and I have chest pain whenever I cough hard. Can you suggest what should be done?

MBBS
General Physician, Cuttack
I am suffering from dry cough for the last. Two week and I have chest pain whenever I cough hard. Can you suggest wha...
1. Do warm saline gurgling 3-4 times daily 2. Take viscodyne d syrup 2tsf thrice daily 3. You may have to take antibiotic along with it and carry out investigations including x ray chest after consulting physician, if no relief4. Avoid smoking if you smoke 5. Consult me for further advice.
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I am having gas problem. Cholesterol is increased. The rating of cholesterol is 612. I think that my heart is going to fail.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am having gas problem. Cholesterol is increased. The rating of cholesterol is 612. I think that my heart is going t...
Get total lipid profile done besides basic cardiac tests. High cholesterol can run in families due to genetic factors. Reduce oily food and take more seasonal vegetables and fruits. Lemon juice + spoon of honey with warm water, taken on empty stomach every morning helps bring down cholesterol.
1 person found this helpful
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I'm having an excessive flow of white fluid. I have chest pain and back ache. I don't know if it's because of this white fluid. Can you please tell me the reason for this excessive flow?

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I'm having an excessive flow of white fluid. I have chest pain and back ache. I don't know if it's because of this wh...
There are generally two reasons for leucorrhoea- first is malnutrition and another is infection of any part of reproductive system. Backache and other problems may be due to infection and malnutrition . For diagnosis you should note the body temp. two to three times a day and please note the type of discharge for eg curdy/milky/watery etc.
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Dear sir in my cholesterol profile vldl cholesterol is increase it is 53.8 while normal value is 5-40 so please tell me if there is some serious issue in this or not.

BHMS
Homeopath, Mumbai
Dear sir in my cholesterol profile vldl cholesterol is increase it is 53.8 while normal value is 5-40 so please tell ...
Yes its not gud as cholesterol when increses it open doors for many other problems. Its better you do proper diet control. I think your weight is also high. Try to loss some weight with proper dieting which is healthy diets. Walking, exercise. Which will help you to reduce your levels. Avoid fat totally. U can consult me for the diet if you want.
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Hi I am feeling heaviness on the chest for last 15 days. I got 2 d and stress test done. Both but still feel anxiety. Blood in leg goes drain. Little nunlmbness on cheeks. Plse help.

DM Cardiology
Cardiologist, Delhi
Dear , if your echo and tmt are normal, then the chest heaviness can not be due to heart. Still I would advise you to consult a cardiologist in person.
1 person found this helpful
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I'm suffering from severe ctvs problem my heart is working just 20% my aorta has been expanding doctors refused to undergo operation what's my best treatment now ?

CCP, MBA, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Karnal
I'm suffering from severe ctvs problem my heart is working just 20% my aorta has been expanding doctors refused to un...
It is very important that you undergo hridaya vasti immediately at a good panchakarma centre near u.
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My wife aged 62, diabetic-150-160, for 15 + years, taking glucobay 25 mg x 3, taking vit d+ iron+calcium. Has slight protein release in urine. So taking pressue tab 5 mg and cholesterol as well present problems - just after going to bed, after 3 or 4 hrs, every night without a miss, she experiences pain in the left side leg muscles. So loosing sleep for 3-4 hrs. So to compensate sleeps until 9-10 am. Result the whole house is awake. It was diagonised as" pvd" a scanning was done and it was concluded that the problem was due to poor blood circulation. Guide me to the extent which specialist or treatment to be followed. Patient is suffering for more than 5 years.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My wife aged 62, diabetic-150-160, for 15 + years, taking glucobay 25 mg x 3, taking vit d+ iron+calcium. Has slight ...
You have provided some details about your wife's condition but certain other details are also needed, which I am mentioning. Please let me know her hba1c level and is she taking any thing else for diabetes other than glucobay? because only glucobay does not control sugar level. Furthe what is her lipid profile? and which drug is she taking for that? then which 5 mg tablet she is taking for her high blood pressure? if she has been diagnosed to have pvd which means blood supply to that part of the lower limb is affected. This can be corrected by vascular surgeon and proper blood supply can be restored. That is the best option for her pain relief and getting undisturbed sleep. To get better control of diabetes she may have to take additional treatment.
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I am 37 year old male. I have last one month neck pain. My cholesterol level is 240. Body getting to much pain. Gas trouble also in my body. How can I reduce this pains.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
I am 37 year old male. I have last one month neck pain. My cholesterol level is 240. Body getting to much pain. Gas t...
I think you reduce your cholesterol levels. And you can put collar neck. And take tab. Hifanac p1-0-1 /wk. And apply move spray.
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I am having small pain in right side of my chest from last two days what can be the reasons behind it.

BHMS
Homeopath,
I am having small pain in right side of my chest from last two days what can be the reasons behind it.
Chest pain may be due to cartilage pain, it may be due to muscle spasm due to any over strain, it may be due to lung cause, heart pain may also be there, but heart pain generally doesn't last for so long, soo those are may be the cause, you need to check it up, by proper homoeopathic treatment it is curable, soo you can contact me through Lybrate in private consultation.
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I have high blood pressure 140/90. Have being taking olmesar 20 from past 6 months. 1 per day. Now recently I m noticing a mild chest pain when I climb or jog or get angry. Please advise what should I do.

Dnb Family Medicine
General Physician, Delhi
I have high blood pressure 140/90. Have being taking olmesar 20 from past 6 months. 1 per day.
Now recently I m notic...
Hi if you are a patient of high blood pressure, then you are on the risk side of developing heart problems, so if you are getting chest pain as explained by you, its basically called as exertional chest pain. You should get done one ecg, then stress echo to see any heart problem during exertion. And then consult a cardiologist do not worry, you will be fine, these probs have treatment.
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