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Dr. Pradeep Nayar

Cardiologist, Chennai

250 - 300 at clinic
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Dr. Pradeep Nayar Cardiologist, Chennai
250 - 300 at clinic
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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. Pradeep Nayar
Dr. Pradeep Nayar is an experienced Cardiologist in Poonamallee High Road, Chennai. He is currently associated with The Guest Hospital in Poonamallee High Road, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Pradeep Nayar on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 33 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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The Guest Hospital

372 Poonamallee High Road, Kilpauk, Land Mark: Near Ega Cinema Hall, ChennaiChennai Get Directions
300 at clinic
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TOSH Hospitals

72, Ormes Rd, Kilpauk. Landmark:Opp.Mammy Daddy Bus Stop&Near to PSI Pain School, ChennaiChennai Get Directions
250 at clinic
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Chettinad Hospital

Rajiv Gandhi Salai, Landmark: Near Hindustan College, KanchipuramKanchipuram Get Directions
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Hi. Recently, I got an extreme panic attack. Like sharp fear and pain in chest and light numbness in face and hands. This left me exhausted for 1 whole day. Actually from past 1 year I am suffering from severe anxiety, fear and depression. I am getting treatment from past 5 months. First 3 months I used to take betacap 40 and nexito 10 mg. And from past 1 and half month I am taking prothiaden 25 instead of nexito. I used to feel anxious and fearful sometimes but never got a panic attack this extreme that to in middle of my treatment. Is something wrong with my treatment? Is anxiety disorder curable? Please help I'm depressed.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Hi. Recently, I got an extreme panic attack. Like sharp fear and pain in chest and light numbness in face and hands. ...
Hi there ~ Panic Attacks and Panic Disorder Symptoms, Causes, and Treatment Panic Disorder: Symptoms, Causes, Prevention, and Treatment A panic attack is a sudden surge of overwhelming anxiety and fear. Your heart pounds and you can’t breathe. You may even feel like you’re dying or going crazy. Left untreated, panic attacks can lead to panic disorder and other problems. They may even cause you to withdraw from normal activities. But panic attacks can be cured and the sooner you seek help, the better. With treatment, you can reduce or eliminate the symptoms of panic and regain control of your life. Understanding panic attacks In many cases, panic attacks strike out of the blue, without any warning. Often, there is no clear reason for the attack. They may even occur when you’re relaxed or asleep. A panic attack may be a one-time occurrence, but many people experience repeat episodes. Recurrent panic attacks are often triggered by a specific situation, such as crossing a bridge or speaking in public—especially if that situation has caused a panic attack before. Usually, the panic-inducing situation is one in which you feel endangered and unable to escape. You may experience one or more panic attacks, yet be otherwise perfectly happy and healthy. Or your panic attacks may occur as part of another disorder, such as panic disorder, social phobia, or depression. Regardless of the cause, panic attacks are treatable. There are many effective treatments and coping strategies you can use to deal with the symptoms. Signs and symptoms of a panic attack Panic attacks often strike when you’re away from home, but they can happen anywhere and at any time. You may have one while you’re in a store shopping, walking down the street, driving in your car, or sitting on the couch at home. The signs and symptoms of a panic attack develop abruptly and usually reach their peak within 10 minutes. Most panic attacks end within 20 to 30 minutes, and they rarely last more than an hour. A full-blown panic attack includes a combination of the following signs and symptoms: Shortness of breath or hyperventilation Heart palpitations or a racing heart Chest pain or discomfort Trembling or shaking Choking feeling Feeling unreal or detached from your surroundings Sweating Nausea or upset stomach Feeling dizzy, light-headed, or faint Numbness or tingling sensations Hot or cold flashes Fear of dying, losing control, or going crazy Is it a heart attack or a panic attack? Most of the symptoms of a panic attack are physical, and many times these symptoms are so severe that people think they’re having a heart attack. In fact, many people suffering from panic attacks make repeated trips to the doctor or the emergency room in an attempt to get treatment for what they believe is a life-threatening medical problem. While it’s important to rule out possible medical causes of symptoms such as chest pain, heart palpitations, or difficulty breathing, it’s often panic that is overlooked as a potential cause—not the other way around. Signs and symptoms of panic disorder Many people experience panic attacks without further episodes or complications. There is little reason to worry if you’ve had just one or two panic attacks. However, some people who’ve experienced panic attacks go on to develop panic disorder. Panic disorder is characterized by repeated panic attacks, combined with major changes in behavior or persistent anxiety over having further attacks. Signs and symptoms of panic disorder You may be suffering from panic disorder if you: Experience frequent, unexpected panic attacks that aren’t tied to a specific situation Worry a lot about having another panic attack Are behaving differently because of the panic attacks, such as avoiding places where you’ve previously panicked While a single panic attack may only last a few minutes, the effects of the experience can leave a lasting imprint. If you have panic disorder, the recurrent panic attacks take an emotional toll. The memory of the intense fear and terror that you felt during the attacks can negatively impact your self-confidence and cause serious disruption to your everyday life. Eventually, this leads to the following panic disorder symptoms: Anticipatory anxiety – Instead of feeling relaxed and like yourself in between panic attacks, you feel anxious and tense. This anxiety stems from a fear of having future panic attacks. This “fear of fear” is present most of the time, and can be extremely disabling. Phobic avoidance – You begin to avoid certain situations or environments. This avoidance may be based on the belief that the situation you’re avoiding caused a previous panic attack. Or you may avoid places where escape would be difficult or help would be unavailable if you had a panic attack. Taken to its extreme, phobic avoidance becomes agoraphobia. Panic disorder with agoraphobia Agoraphobia was traditionally thought to involve a fear of public places and open spaces. However, it is now believed that agoraphobia develops as a complication of panic attacks. With agoraphobia, you’re afraid of having a panic attack in a situation where escape would be difficult or embarrassing. You may also be afraid of having a panic attack where you wouldn’t be able to get help. Because of these fears, you start avoiding more and more situations. For example, you might begin to avoid crowded places such as shopping malls or sports arenas. You might also avoid cars, airplanes, subways, and other forms of travel. In more severe cases, you might only feel safe at home. Situations or activities you may avoid if you have agoraphobia: Being far away from home Going anywhere without the company of a" safe" person Physical exertion (because of the belief that it could trigger a panic attack) Going to places where escape is not readily available (e. G. Restaurants, theaters, stores, public transportation) Driving Places where it would be embarrassing to have a panic attack, such as a social gathering Eating or drinking anything that could possibly provoke panic (such as alcohol, caffeine, or certain foods or medications) Adapted from: American Academy of Family Physicians Although agoraphobia can develop at any point, it usually appears within a year of your first recurrent panic attacks. Causes of panic attacks and panic disorder Although the exact causes of panic attacks and panic disorder are unclear, the tendency to have panic attacks runs in families. There also appears to be a connection with major life transitions such as graduating from college and entering the workplace, getting married, and having a baby. Severe stress, such as the death of a loved one, divorce, or job loss can also trigger a panic attack. Panic attacks can also be caused by medical conditions and other physical causes. If you’re suffering from symptoms of panic, it’s important to see a doctor to rule out the following possibilities: Mitral valve prolapse, a minor cardiac problem that occurs when one of the heart’s valves doesn't close correctly. Hyperthyroidism (overactive thyroid gland) Hypoglycemia (low blood sugar) Stimulant use (amphetamines, cocaine, caffeine) Medication withdrawal Treatment for panic attacks and panic disorder Panic attacks and panic disorder are treatable conditions. They can usually be treated successfully with self-help strategies or a series of therapy sessions. Cognitive Behavioral Therapy Cognitive behavioral therapy is generally viewed as the most effective form of treatment for panic attacks, panic disorder, and agoraphobia. Cognitive behavioral therapy focuses on the thinking patterns and behaviors that are sustaining or triggering the panic attacks. It helps you look at your fears in a more realistic light. For example, if you had a panic attack while driving, what is the worst thing that would really happen? While you might have to pull over to the side of the road, you are not likely to crash your car or have a heart attack. Once you learn that nothing truly disastrous is going to happen, the experience of panic becomes less terrifying. Exposure therapy for panic attacks and panic disorder In exposure therapy for panic disorder, you are exposed to the physical sensations of panic in a safe and controlled environment, giving you the opportunity to learn healthier ways of coping. You may be asked to hyperventilate, shake your head from side to side, or hold your breath. These different exercises cause sensations similar to the symptoms of panic. With each exposure, you become less afraid of these internal bodily sensations and feel a greater sense of control over your panic. If you have agoraphobia, exposure to the situations you fear and avoid is also included in treatment. As in exposure therapy for specific phobias, you face the feared situation until the panic begins to go away. Through this experience, you learn that the situation isn’t harmful and that you have control over your emotions. Medication treatment for panic attacks and panic disorder Medication can be used to temporarily control or reduce some of the symptoms of panic disorder. However, it doesn't treat or resolve the problem. Medication can be useful in severe cases, but it should not be the only treatment pursued. Medication is most effective when combined with other treatments, such as therapy and lifestyle changes, that address the underlying causes of panic disorder. The medications used for panic attacks and panic disorder include: Antidepressants. It takes several weeks before they begin to work, so you have to take them continuously, not just during a panic attack. Benzodiazepines. These are anti-anxiety drugs that act very quickly (usually within 30 minutes to an hour). Taking them during a panic attack provides rapid relief of symptoms. However, benzodiazepines are highly addictive and have serious withdrawal symptoms, so they should be used with caution. Self-help tips for panic attacks and panic disorder When it comes to panic attacks, professional treatment and therapy can make a big difference. But there are many things you can do to help yourself, too: Learn about panic. Simply knowing more about panic can go a long way towards relieving your distress. So read up on anxiety, panic disorder, and the fight-or-flight response experienced during a panic attack. You’ll learn that the sensations and feelings you have when you panic are normal and that you aren’t going crazy. Avoid smoking and caffeine. Smoking and caffeine can provoke panic attacks in people who are susceptible. As a result, it’s wise to avoid cigarettes, coffee, and other caffeinated beverages. Also be careful with medications that contain stimulants, such as diet pills and non-drowsy cold medications. Learn how to control your breathing. Hyperventilation brings on many sensations (such as lightheadedness and tightness of the chest) that occur during a panic attack. Deep breathing, on the other hand, can relieve the symptoms of panic. By learning to control your breathing, you develop a coping skill that you can use to calm yourself down when you begin to feel anxious. If you know how to control your breathing, you are also less likely to create the very sensations that you are afraid of. Practice relaxation techniques. When practiced regularly, activities such as yoga, meditation, and progressive muscle relaxation strengthen the body’s relaxation response—the opposite of the stress response involved in anxiety and panic. And not only do these relaxation practices promote relaxation, but they also increase feelings of joy and equanimity. So make time for them in your daily routine.
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पिछले ५ वरसों से बहुत कठोर कब्ज़ की समस्या है, उपाय बताएं, bp और शुगर की दवाई ले रहा हूँ.

BAMS
Ayurveda, Bangalore
पिछले ५ वरसों से बहुत कठोर कब्ज़ की समस्या है, उपाय बताएं, bp और शुगर की दवाई ले रहा हूँ.
Hi, Please follow these home remedies to cure constipation: - Eat a big bowl of papaya daily before or after food. - Soak dry fig in water overnight and eat it in the morning everyday. - Add 2tsf of lemon juice and a pinch of salt to a glass of hot water and drink it on empty stomach in the morning. - Eat one medium sized raw potato along with its peel daily. - Include lot of vegeables like cucumber, carrot, onion,beetroot, ladies finger,radish, snakegourd, beans, etc, both cooked and raw , in your diet. - Add 1tsf of pure ghee to a glass of hot milk and drink it at bed time.
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Tip to deal with Low Blood Pressure

MD(EH)/AM/Accupressure
Acupressurist, Chandigarh
Tip to deal with Low Blood Pressure

Tip to deal with Low Blood Pressure

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I am suffering from dry cough and I have chest pain. Can you suggest me what should do.

BHMS
Homeopath, Faridabad
I am suffering from dry cough and I have chest pain. Can you suggest me what should do.
Hello. Take homoeopathic medicine - Schwabe's Alpha-Coff and Glyzyrrhiza Glabra 1x - both thrice a day daily for 4 days. Management: - Avoid cold drinks and fried food, take healthy food. -Avoid exposure to Air-conditioner or cold air (wrap a warm stole or muffler around neck). -Avoid excessive or rough use of your voice/ shouting. -Gargle with warm water and salt 3 times a day and take steam-inhalation once before going to bed. Home Remedies for Cough: -Stir some into some hot tea for comforting cough relief. You can also eat a spoonful of honey before bed to help calm coughs. -Warm saltwater gargles help moisturize your throat, which can quiet coughs. -Drink peppermint tea to help relieve coughs.
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Hello doctor, my dad has 50 years, he is an diabetic & bp patient recently we found my dad's one of the kidney in small in size but we don't know about its working or not and another one having 5 mm water babble and his serum 1.7 sugar 150 bp 90/110 so my dad getting problem was to-much sweetening and getting high temper & feeling very hungry so can you give best guidance to me.

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
Let's go step by step. First tell me since how. Many years he is hypertensive and diabetic? which medicines is he taking for same? last 2 months blood pressure readings and sugar status? hba1c report? serum creatinine is 1.7? it might be due to long standing diabetes. Get done fundus examination by ophthalmologist also to see effect of diabetes on eyes and check urine albumin level too. Revert back with all these and I will advise you what to do to slow progression of this kidney involvement in diabetes and tune up his medications.
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I'm 28. I have high bp 135 /88. Seems I have hight bp. Should I use medicine from now or can I control it naturally?

BHMS
Homeopath, Howrah
I'm 28. I have high bp 135 /88. Seems I have hight bp. Should I use medicine from now or can I control it naturally?
It is slight on higher side, it may cause breathlessness, tiredness after walking, going upstairs. If you didn't developed any problem then try to control it naturally like reducing salt, oily fatty food etc. But I would advise to once consult doctor and get your lipid profile (cholesterol) done along with short course of medicine.
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My father had a heart attack when he was pretty young. Should I be worried about having one?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
My father had a heart attack when he was pretty young. Should I be worried about having one?
Family history is an important risk factors for heart attack ..but u can avoid it altogether by maintaining healthy routine of exercise daily and maintaining ideal body weight
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Hi Doctor, I want to consult with you my mother's problem. My mom suffering from headache problem in which her head got very severe pain, face got swelled, she vomited, blood pressure became low and sometimes the pain is unbearable and she started crying. This is from last 10-12 years. We are done with CT-SCAN and everything found normal. Please help. Hope for the best. Thank you.

Doctor of Medicine
General Physician, Surat
Hi Doctor,
I want to consult with you my mother's problem. My mom suffering from headache problem in which her head g...
Hi lybrate-user thank for choosing lybrate as long as the headache is concern of your mother and ct imaging study, if it is unremarkable and nothing bad happened within this last 10 to 12 years then headache is not due to any pathology but this could be tension headache and it need to be treated in that way only" charity begins at home" so better spend some more time with her, she might be in need to some moral support and it is advisable to see the psychiatrist too, hope this would helps.
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I am 35 years old diabetic and suffer frm high blood pressure but now a dayz m facing problems in my married life as I am unable to have proper erections it is killing my self confidence, I am already on medication for blood pressure telista ch40 and for blood sugar glycomet gp2.

B.A.M.S., M.D.(A.M), EX-M.R.C.G.P., EX-M.R.S.H., EX-M.S.I.E.C.U.S, EX-M.S.S.S.S.
Sexologist, Mumbai
I am 35 years old diabetic and suffer frm high blood pressure but now a dayz m facing problems in my married life as ...
For better erection: Have good sleep, do exercise & yoga daily for 1 hour. Take hot milk 1 glass morning & evening. Avoid spicy. Chilli.nd fried food Take CP SHILAJIT tb. Manmath ras. Nd tb. Sidh makardhwaj bati. One each morning & evening for 3 months. Wd hot milk. See d results or otherwise consult a sexologist personally.
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Hi I have heard that during heart attack one need to take aspirin, I want to buy one for me for emergency. Is this recommended. If yes, what should ask to chemist?

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi I have heard that during heart attack one need to take aspirin, I want to buy one for me for emergency. Is this re...
Yes as an emergency treatment it is advised... Just ask for ecosprin 150 mg.. But it is not for daily use as it has many side effects including gastric ulcers.. Instead think of getting homoeopathic treatment in advance to prevent heart attack and live healthy life.
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I am a 39 years old diabetic patient since last 9 years and now my high pressure is 150/90 and also I am taking medicine tazloc- 20 last 3 months. So tell me what I do to control my high pressure ?

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
I am a 39 years old diabetic patient since last 9 years and now my high pressure is 150/90 and also I am taking medic...
Having diabetes makes high blood pressure and other heart and circulation problems more likely, because diabetes damages arteries and makes them targets for hardening (atherosclerosis). Atherosclerosis can cause high blood pressure, which if not treated, can lead to blood vessel damage, stroke, heart failure, heart attack, or kidney failure.Diabetics can avail special benefits of walking by adjusting their walk time according to their blood sugar levels. For those individuals who have higher post-prandial (after meal) blood sugar levels, it is advisable to walk for 10 ? 15 minutes after every meal. While those who have higher fasting blood sugar levels, it is advisable to walk during late evenings. This helps in controlling the overnight hepatic output of blood glucose.This particular benefit of walking is not only for diabetics but also for those who want to cut down the risk of developing diabetes or for those who fall in the high-risk category because of genes/medical problems. A study conducted by the School of Public Health University of Pittsburgh discovered that walking for 30 minutes a day cuts diabetes risk for both overweight and normal weight men and women. You can consult me in private for detailed treatment which is available in Biochemic system of medicine depending upon symptomatically. Eatng lots of garlic. If you cant have it get it homeopathically Allium sativum (Biochemic) Nat phos 30x, avoid all types of fats and red meat
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I had 2 blocks in the heart I did non surgical treatment and I am fine but of late as I walk my tongue starts itching slightly and sometimes in my neck I get slightly choked is it because of the blocks again.

MBBS
General Physician, Mumbai
I had 2 blocks in the heart I did non surgical treatment and I am fine but of late as I walk my tongue starts itching...
Dear lybrate user, -your uneasiness while walking could be due to problem in throat or allergy -do warm salt water gargles if there is irritation in throat, also less water intake can cause dryness & irritation -also get yourself investigated as to be sure it is not due to recurrent blockage & consult doctor.
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My dad's kidney is leaking protein abnormal. He had high blood pressure and diabetes also. After doctors concern he is taking steroids as a drug for cure. All the doctors are saying that there is no cure for this except steroids. Doctors also saying that steroids is not good for health. Now please suggest me what to do for complete cure. I don't wanna loose my dad. please help me. Its a humble request. please do something.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My dad's kidney is leaking protein abnormal. He had high blood pressure and diabetes also. After doctors concern he i...
high blood pressure combined with diabetes going on for a number of years are invariably dangerous to the kidney. These conditions lead to a chronic kidney damage then to chronic kidney failure. The treatment options are limited. Most important thing is to have strict sugar and bp control. Because if these diseases are ot fully controlled then damage is progressive, can cause complete failure. So make sure that his sugar levels and bp are as normal as possible. Reduce excess salt and protein intake. Drugs like nsaids (pain killers) should be avoided. If need be dialysis should be used to help kidney functioning.
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I am 51 yr old male having fbs avg 150 even Iam regularly using Gluconorm G1 in the morning. And I have hypothyrodectomy and cholesterol in the border level. Triglyceride is in anavarage of 300.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 51 yr old male having fbs avg 150 even Iam regularly using Gluconorm G1 in the morning. And I have hypothyrodect...
according to your reports you can take cap. ecosprin gold -10 at night. for 30 day. and continue medicines for diabetes. avoid fast foods /oily meal,alcohol,smoking, go for walk daily.
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My wife is 47 years female. She is complaining about the right side of her chest becoming heavy at times. Some time later the chest becomes normal. She is physically fit and has normal blood pressure.

MBBS, M.D.(Gen.Medicine)
General Physician, Chennai
My wife is 47 years female. She is complaining about the right side of her chest becoming heavy at times. Some time l...
If the chest discomfort occurs after food intake, then Acid Reflux into esophagus should be considered, especially if it is relieved after taking water. Acid suppressants can help. Oily food to be avoided. The other possibility is stress causing chest discomfort.
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Hi, I am 39 years old Male, my question is how to improve the vitamin D and reduce total Cholesterol. As per the report: 1.Total Cholesterol: 244. 2. 25-OH Vitamin D (total: 11.98.

BHMS
Homeopath,
Hi,
I am 39 years old Male, my question is how to improve the vitamin D and reduce total Cholesterol. As per the repo...
Dear Lybrate User, Cholesterol is naturally produced inside the body of every living animal. Human beings are no exception to that. But when we take mutton, chicken, yellow part of a boiled egg, ghee, butter etc we intake cholesterol from external source. This extra cholesterol from external sources increase the total cholesterol content of human body. You should always keep your cholesterol level within normal limits as high cholesterol serves as a precursor to various cardiac diseases. Avoid the aforesaid food. Walk at least 1 hour in a day without any interval. Also you can take Homoeopathic Mother Tincture FUCUS VESICULOSUS Q, 30 drops, thrice daily, after meals, in a cup of water
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I am suffering from difficulty in chest area as if something filled there. I did ECG and other tests related to heart's function and everything is fine. What should I do?

MBBS, DNB (General Medicine)
General Physician, Hyderabad
I am suffering from difficulty in chest area as if something filled there. I did ECG and other tests related to heart...
Hello lybrate-user, it is probably due to gastritis, please avoid heavy meals or inappropriate timings for meals, and there are varied reasons for this condition, please contact me in private so that I can be of help to you, thank you.
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I have a problem of high blood pressure. And I don't want to take medicine. So please suggest me ways to reduce BP.

M.Ch - Cardio Thoracic and Vascular Surgery
Cardiologist,
I have a problem of high blood pressure. And I don't want to take medicine. So please suggest me ways to reduce BP.
U need to follow strict dietary restrictions in the form of low salt diet, low fat and high fibre diet. Eat fruits and salads. Maintain good healthy lifestyle, do regular exercise for at least an hour twice a day in the form of brisk walking. If it still remains on the higher side you need to start medicines for bp. Tc.
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Common causes of chest pain

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist, Secunderabad
Common causes of chest pain
Some of the common causes of chest pain.
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