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Dr. R.Prem Sekar

MBBS, MRCP, FRCP

Cardiologist, Chennai

30 Years Experience
Dr. R.Prem Sekar MBBS, MRCP, FRCP Cardiologist, Chennai
30 Years Experience
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. R.Prem Sekar
Dr. R.Prem Sekar is a renowned Cardiologist in Alwarpet, Chennai. He has over 30 years of experience as a Cardiologist. He has completed MBBS, MRCP, FRCP . He is currently practising at Interventional Paediatric Cardiologist in Alwarpet, Chennai. Book an appointment online with Dr. R.Prem Sekar on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 30 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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Specialty
Education
MBBS - Stanley Medical College and Hospital, Chennai, - 1987
MRCP - Royal College of Surgeons, Ireland, - 1995
FRCP - Royal College of Physicians & Surgeons of Glasgow, - 2009
Languages spoken
English
Professional Memberships
Indian Academy of Paediatrics (IAP)

Location

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Kauvery Hospital, No 81, Ttk Road, Alwarpet. Landmark: Near Life Style Building, ChennaiChennai Get Directions
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I have two questions 1. How often should I test my blood sugar, and what should I do if it is too high or too low? 2. If I'm overweight, how many pounds do I have to lose to make a difference in my health?

Vaidya Visharad
Ayurveda, Narnaul
I have two questions
1. How often should I test my blood sugar, and what should I do if it is too high or too low?
2....
Please write your age and height. Use some home remedies. Dinner whole grain bread or chapattis, steamed vegetables. Do regular exercise like brisk walking (at least), running, swimming etc. Avoid sedentary and lazy lifestyle.
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How to reduce obesity, bp and sugar and what are the diets need to be followed? Please. Share.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
How to reduce obesity, bp and sugar and what are the diets need to be followed?
Please. Share.
1. Lose extra pounds and watch your waistline Blood pressure often increases as weight increases. Being overweight also can cause disrupted breathing while you sleep (sleep apnea), which further raises your blood pressure. Weight loss is one of the most effective lifestyle changes for controlling blood pressure. Losing just 4.5 kilograms can help reduce your blood pressure. Besides shedding weight, you generally should also keep an eye on your waistline. Carrying too much weight around your waist can put you at greater risk of high blood pressure. In general: • Men are at risk if their waist measurement is greater than 40 inches (102 centimeters). • Women are at risk if their waist measurement is greater than 35 inches (89 centimeters). These numbers vary among ethnic groups. Ask your doctor about a healthy waist measurement for you. 2. Exercise regularly Regular physical activity — at least 30 minutes most days of the week — can lower your blood pressure by 4 to 9 millimeters of mercury (mm Hg). It's important to be consistent because if you stop exercising, your blood pressure can rise again. If you have slightly high blood pressure (prehypertension), exercise can help you avoid developing full-blown hypertension. If you already have hypertension, regular physical activity can bring your blood pressure down to safer levels. The best types of exercise for lowering blood pressure include walking, jogging, cycling, swimming or dancing. Strength training also can help reduce blood pressure. Talk to your doctor about developing an exercise program. 3. Eat a healthy diet Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol can lower your blood pressure by up to 14 mm Hg. It isn't easy to change your eating habits, but with these tips, you can adopt a healthy diet: • Keep a food diary. Writing down what you eat, even for just a week, can shed surprising light on your true eating habits. Monitor what you eat, how much, when and why. • Consider boosting potassium. Potassium can lessen the effects of sodium on blood pressure. The best source of potassium is food, such as fruits and vegetables, rather than supplements. Talk to your doctor about the potassium level that's best for you. • Be a smart shopper. Read food labels when you shop and stick to your healthy-eating plan when you're dining out, too. 4. Reduce sodium in your diet Even a small reduction in the sodium in your diet can reduce blood pressure by 2 to 8 mm Hg. The effect of sodium intake on blood pressure varies among groups of people. In general, limit sodium to less than 2,300 milligrams (mg) a day or less. However, a lower sodium intake — 1,500 mg a day or less — is appropriate for people with greater salt sensitivity, including: Anyone age 51 or older Anyone diagnosed with high blood pressure, diabetes or chronic kidney disease To decrease sodium in your diet, consider these tips: • Read food labels. If possible, choose low-sodium alternatives of the foods and beverages you normally buy. • Eat fewer processed foods. Only a small amount of sodium occurs naturally in foods. Most sodium is added during processing. • Don't add salt. Just 1 level teaspoon of salt has 2,300 mg of sodium. Use herbs or spices to add flavor to your food. • Ease into it. If you don't feel you can drastically reduce the sodium in your diet suddenly, cut back gradually. Your palate will adjust over time. 5. Limit the amount of alcohol you drink Alcohol can be both good and bad for your health. In small amounts, it can potentially lower your blood pressure by 2 to 4 mm Hg. But that protective effect is lost if you drink too much alcohol — generally more than one drink a day for women and for men older than age 65, or more than two a day for men age 65 and younger. One drink equals 12 ounces of beer, five ounces of wine or 1.5 ounces of 80-proof liquor. Drinking more than moderate amounts of alcohol can actually raise blood pressure by several points. It can also reduce the effectiveness of blood pressure medications.
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My husband is 44years old. Last year he diagnosed with diabetes, Though it is in control and he is on medication. He is having normal weight and suffering from high BP for last 5years. Kindly guide me how to reduce and keep on check, the adverse effect of both disease on other body organs like kidneys, eyes.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
My husband is 44years old. Last year he diagnosed with diabetes, Though it is in control and he is on medication. He ...
First get his kidney levels checked,since high BP is an indication of underlying kidney problem.there are medications to control,besides look out for hidden salt in processed,bakery and ready made foods. Take adequate water and ample rest to bring down the BP naturally.
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I am 34yrs old with 240 Cholesterol (which has gone from 67 last year to 200 and now 240). I am 5 feet tall, 45Kg, desist oily/rich food. How can I reduce my cholesterol levels?

MD - Medicine, MBBS
Cardiologist, Panchkula
Exercise regularly. Get you lipid profile rechecked. If the cholestrol is high and there is family history of high cholestrol,heart attack or stroke then it must be treated.
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FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Heart healthy food

Cut processed food consumption to a minimum and increase that of freshly cooked food. Reduce salt intake as much as possible. Increase the percentage of fruits and vegetables in your diet. Chold back on binge eating and king sized portions explore low fat low calorie options switch to skimmed milk and make fried snacks a rare indulgence
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My mother age 45 (taking treatment for hyper thyroid and b.p) is having urticaria,(itching) and she took levocetirizine 5 mg ,it worked very well, so how much dose and for how much duration she has to take it for complete cure safely, pls answer.

MD - Physicion
General Physician, Delhi
My mother age 45 (taking treatment for hyper thyroid and b.p) is having urticaria,(itching) and she took levocetirizi...
Urticaria is type of allergic condition with no permanent cure. You have to stop the trigger factor.
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Hey, I had lost my chest shape, how could I get back In shape. Is there any medicine which is helpful for me. Please suggest me.

MBBS
General Physician, Ahmednagar
Hey, I had lost my chest shape, how could I get back In shape. Is there any medicine which is helpful for me. Please ...
For a male like chest you have to develop muscles by exercise and healthy diet. There is no medicine.
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I have pain in my back and chest from 7 days. It becomes too much in midnight. What are the solutions of back and chest pain?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have pain in my back and chest from 7 days. It becomes too much in midnight. What are the solutions of back and che...
Do Take Breathing Exercises and take UST and laser Therapy for 12 days followed by strengthening exercise From Neuro physiotherapist Best Wishes
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Sir, I am suffering from chest heart pain and and also I have tasted many tastes like eco and ECG but result is getting normal said cardiologist. But its paining lot what can I do sir.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Sir, I am suffering from chest heart pain and and also I have tasted many tastes like eco and ECG but result is getti...
Everyday do exercise in early morning before 8 am for half hour and get sweated a lot. This is the only solution for it.
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Hello sir I am rajkumar I am 45 yrs old man n I have suffering from high blood pressure problem so what should I do.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hello sir I am rajkumar I am 45 yrs old man n I have suffering from high blood pressure problem so what should I do.
Homoeopathic medicine BEEPEE AID PLUS Drop ( BAKSON) Drink 20 drops in 20 ml fresh water twice daily for 15 days.
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I have test my thyroid. This report came. What does it means. T3- 103.99. { 60.0 - 181.0 } T4 - 7.50 { 4.5 - 10.9} TSH 3rd generation - 0.132 low {0.55 - 4.78}.

MD - General Medicine
General Physician, Delhi
I have test my thyroid. This report came. What does it means.
T3- 103.99. { 60.0 - 181.0 }
T4 - 7.50 { 4.5 - 10.9}
TS...
This report is not specific. You are clearly not hypothyroid but report is not that clearly depicts hyperthyroidism so better get it repeated after two weeks empty stomach with morning sample of blood. Your symptoms are more important to categorize whether you have any thyroid problem or not.
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My father is of 50. He was suffered from major heart attack on 18 april. Then angiography was done and 2 veins blockage came 90 % and 60 %. Before standing or surgery he suffered from tubercular meningitis, Pott's spine and sepsis. Now following medicine is going on : R cinex 450 / 300 Combutol 1000 mg PZA 750 Pyri 10 Deplatt A 75 Avas 20 Cardace 1.25 Meconerv forte Is this medicine ok? Can we do ayurvedic treatment to remove blockage of veins? What can be done to remove the blockage ? Which should not effect adversely, keeping in mind all the diseases.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My father is of 50. He was suffered from major heart attack on 18 april. Then angiography was done and 2 veins blocka...
Please follow anti tubercular treatment as scheduled. But all of anti tb medicines are toxic to liver specially r cinex, therefore need to do liver function tests every month or earlier if some changes like loss of appetite / jaundice symptoms felt. We advise liver toxic food like fats & other heavy medicines known to be toxic to liver and kidneys. Atovas is used to lower cholesterol but fats are not given to patients on treatment for tb, emphasis is on high carbs & more simple proteins. There is no need to give this medicine which is toxic to liver. He is being given ace inhibitor to bring down bp-this medicine can lead to cough confusing symptoms of tb. Change to safer beta blockers after consulting with your doctors. Regarding medicines to dissolve blockages, our system has not much to offer for old blockages, be careful about interactions with ayurvedic medicines also. I can suggest simple things which may help dissolve blockages & help the liver also. Juice of pomegranate, spoon of honey + juice of a lemon in warm water on empty stomach, apple cider vinegar plus honey. Avoid all fats except good fats like a spoon of pure ghee only plus a katori of assorted nuts to get much needed protein plus good fats. He must be on bed rest, get some physiotherapic advice to improve the blood circulation otherwise get massage done on entire body. If person is not eating bad fats, the levels of lipids remain within limits and there is no need for medicines to lower cholesterol. Give him high protein diet like simple things like toned milk, curd, chhachh, boiled eggs, clear fat free soups of vegetables and pulses. Get back here for more guidance with latest reports of liver function tests, cbc & total lipid profile. Good luck. Continue giving multivitamin in the list of medicines above.
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My child is 16 days old. And she has 3 holes in heart. Size 3,5,7 mm. So now what I have to do?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My child is 16 days old. And she has 3 holes in heart. Size 3,5,7 mm. So now what I have to do?
Some holes do get okay as baby grows. You need a specialist who will evaluate the symptoms like blueness on skin, body temperature along with other symptoms suggesting need for an operation. Good luck.
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High ldl and triglycides in my lipid profile report. which medicine to prefer since i avoid fried things and walk for about 45 min daily.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
High ldl and triglycides in my lipid profile report. which medicine to prefer since i avoid fried things and walk for...
you should be avoid bad habits . Avoid stress. Some Relax during work. Drink more water, high-carbohydrate foods such as potatoes, rice, pasta and bread. You can take Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Tests every 3 to 6 months. ts ,fatty meal/oily foods/junk/fast foods/alcohol/smoking/noo-veg. take whole grain meal/oats/dalia/green veg./fruits/juice/ use garlic . you can take also cap. ecosprin gold-10 at night. and consult cardiologist.
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I ak facing a heart problems. Have undergone bypass surgery which the best way to remain fit.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I ak facing a heart problems. Have undergone bypass surgery which the best way to remain fit.
after bypass surgery the person feels like a normal after about 3 months. eat well and reduce bad fats and sugars and salt despite BP and blood sugar levels under control. no smoking or exposure to pollution. fresh oxygen through plants . simple exercise like walking and take your medicines in time good luck.
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Whenever I think of some diseases the same symptoms come in my body. I become really worried about my health and also my heart stars beating fast. It started when I read some of the article related to disease online.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
Whenever I think of some diseases the same symptoms come in my body. I become really worried about my health and also...
Helllo please do not panic google or health article are there to help your understanding about a particular disease. These things cannot diagnose a disease so do not trust google etc consult a doctor whenever you feel any problem in your body.
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Suffering from chest pain. Doctor says is just due to over working. How to cure it?

MBBS
General Physician, Cuttack
Suffering from chest pain. Doctor says is just due to over working. How to cure it?
Chest pain causes 1. Heart disease 2. Stress, anxiety 3. Lack of exercise 4. Sedentary life style 5. Obesity (over weight) 6. Smoking, tobacco and alcohol consumption 7. Excess oily, fatty, cholesterol rich diet, junk food 8. Hyperacidity, musculr pain 9. Heredity and genetic factor prevention follow the advice given below 1. Avoid stress and strain 2. Do regular exercise, yoga, meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress 3 avoid alcohol, smoking and tobacco consumption. 4. Take bland diet, avoid spicy, oily, fatty and junk food 5. Take paracetamol 500mg one tablet sos after food up to a maximum of three tablets daily, at the time of chest pain 6. Drink plenty of water and take rest. 7. If you have recurrent attack of chest pain take ecg and consult cardiologist.
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I am from delhi. Kindly let me know precautions needed to keep heart healthy. Also list test required to be done ?

MBBS
General Physician, Ahmedabad
I am from delhi. Kindly let me know precautions needed to keep heart healthy. Also list test required to be done ?
What is your age? basic test is ecg, serum lipid profile. Eat less oil. Spicy. Junk/fried food. Do regular exercise. Ask privately for more details with your bp/sugar reports.
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