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Dr. Ramesh Rajasekar

Cardiologist, Chennai

Dr. Ramesh Rajasekar Cardiologist, Chennai
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Ramesh Rajasekar
Dr. Ramesh Rajasekar is a renowned Cardiologist in Poonamallee, Chennai. He is currently associated with K.J.Hospital-Research & Postgraduate Center in Poonamallee, Chennai. You can book an instant appointment online with Dr. Ramesh Rajasekar 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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# New182, Old#-927, Poonamalee High Road, Landmark: Land Mark: Near Dasaprakash Hotel, ChennaiChennai Get Directions
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I am 60 year old diabetic, my fasting level is 140 blood pressure is 160/90 problem in legs nerves. Kft is ok.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
Oh are you obese? You might be having diabetic neuropathy. Homoeopathy works very well for it. Call 9730111107 for treatment.
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Increased risk of heart diseases. Some of those risk factors cannot be modified (non-modifiable) and are not under our control while there are others that you can modify (modifiable) to prevent heart diseases. While you cannot do much about non-modifiable risk factors (like age and family history) you can reduce your chances of heart disease by working on the modifiable risk factors.

MBBS, MD - Community Medicine, diploma clinical cardiology
Cardiologist, Jaipur
Increased risk of heart diseases. Some of those risk factors cannot be modified (non-modifiable) and are not under ou...
Yes dear you can definitely. In short practising these things can help you in stay healthy 1. Positive thinking and stress free life 2. Healthy eating 3. Daily walking. 4. Avoid smoking 5. Reduce alcohol intake. 6. Regular health check up to know if there is something going wrong inside so can be treated early before developing any serious complications.
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I am 60 year man i have BP High from last 24 year & sugar high since 2000. Please advise

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
Go for Holistic Healing Treatment Please Require to study in deep so ask in personal Question if wish
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My 1 year 8 months baby is suffering from Ventricular septal defect with perimembranous extension. Gradient of 30 mmhg. Doctor has advised for open heart surgery. I want to know that open heart surgery is must in this case or not and if yes then how many days are needed in the hospital for the treatment of heart surgery?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My 1 year 8 months baby is suffering from Ventricular septal defect with perimembranous extension. Gradient of 30 mmh...
Yes it is a must surgery , post operative time depends upon the recovery , and your treating doctor knows best as to when to send less than 2 years old baby home
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I am suffering from chest pain I went to hospital he done ECG echo tmt lipid and thyroid rbs all are normal these are done since September but when I climb steps and jagging I am feeling chest tightness and heart beats faster that time dyspnea coming what can I do can I go again tests I have spondilightis and which many days cardiac checkups are verifing.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am suffering from chest pain I went to hospital he done ECG echo tmt lipid and thyroid rbs all are normal these are...
You had a cardiac arrest & gastric ulcer in the past and both are related to stress and wrong eating habits and you are only 30. Spondilitis is also bothering you but good news for you is that all cardiac reports are normal now. Take a second opinion and get tested again if you have breathless and tightness of chest, get lungs examined by doing a spirometry test, may be it is a respiratory problem due to pollution/ smoking.
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My mom's who is 41 year old, bp has raised to 130/90 for last one week. She has a very bad head ache too. Does it a symptom of hypertension. If so how can the bp brought to normal? Is taking bp tablet is the only option?

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
My mom's who is 41 year old, bp has raised to 130/90 for last one week. She has a very bad head ache too. Does it a s...
B.p 130/90 at age of 41 cannot cause headache ,its prehypertensive stage ,medicines are given in prehypertensive phase only when bp does not return to normal even after 3 months of life style modification Brisk walking is advised 45 minutes of strenous exercise per day is to be done Add fibres to her diet Avoid fatty and high salt food Target bp is 130/80 for her Medicines are required only if we fail to achieve target 3minths post life style modification.
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How to normalise blood pressure to normal rate when it decreases down, Also name some health diet taken to improve blood pressure?

MD(AM)
Alternative Medicine Specialist, Delhi
How to normalise blood pressure to normal rate when it decreases down, Also name some health diet taken to improve bl...
Dear lybrate user, in order to normalize low blood pressure take a hand full of raisins (kishmish) and put them in a bowl of water in the night, every next morning chew these resins on by one and drink the remaining water at the end. Continue it at least for forty days, go to bed early and get up early, go for a morning walk, take your dinner at least two hours before going to bed. Avoid lascivious thoughts literature and media. And don't forget to give your feedback about this post.
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Hi, My wife suffering from low BP. She fell ill often. Her body, especially stomach will get swell and easily get tension and some times she fell down. Please advise her.

MBBS
General Physician, Mumbai
Eat nutritious food and have adequate fluid intake and take physical rest and we have to do few investigation after clinical examination and can take ors solution
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I am type 2 diabetic from last 5 years, I am vegetarian using Duphil 2/500 tab. Daily my sugar levels remain near 200 (+ - 15) after all precautions, tell me how to maintain normal levels. I regularly suffer from pain and cramps in my legs, and unstable Bp.

BHMS
Homeopath,
I am type 2 diabetic from last 5 years, I am vegetarian using Duphil 2/500 tab. Daily my sugar levels remain near 200...
Dear lybrate user, one of the major nutritional substance required for human body is carbohydrate. We take carbohydrate in the form of rice, wheat, sugar etc. The complex molecules of carbohydrate are broken down into simple glucose molecules during digestion & released in the blood stream to be absorbed by the muscle cells. Insulin hormone plays a vital role in the absorption of the glucose molecules by the muscle cells. In abnormal conditions, either due to less production of insulin or due to resistance to insulin, the process of absorption of glucose by the muscles comes to a stand still. The glucose molecules remains in the bloodstream which results in the increase in the blood sugar level. This abnormal condition is clinically known as diabetes mellitus. Once a patient is diagnosed with diabetes he has to take regular medicine to keep his blood sugar level within normal limits. Take homoeopathic mother tincture gymnemna sylvestra q, 30 drops, thrice daily, after meals, in a cup of water. Also you need to walk at least 1 hour daily without any interval. Also you need to take a low carbohydrate rich diet. Avoid rice, sweet dishes, fruits, cold drinks, fast foods, alcoholic beverages, potato etc.
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Weakening of Blood Vessels - Understanding the Types!

MBBS, MS - General Surgery, Fellowship in Vascular Surgery, Ted Rogers Fellowship
Vascular Surgeon, Delhi
Weakening of Blood Vessels - Understanding the Types!

What is Aortic aneurysm?
The heart is the most important muscle in your body, and its primary job is to pump the blood across. The aorta is the largest blood vessel of the human body and is used by the heart to push the blood along. The Aorta is also one of the strongest vessels, but in some cases, due to the wear and tear condition the walls can weaken and bulge in what is called an aortic aneurysm. This can cause a rupture of the vessels as a result of which, blood gets leaked into the body.

Types of Aortic aneurysm:
There are two known types of aortic aneurysms. One of which is located in the chest and is known as the thoracic aortic aneurysm, and the one which forms in the abdomen is called an abdominal aortic aneurysm.

Thoracic aortic aneurysm
There are many causes of the Thoracic aortic aneurysm. Genes play a significant role in increasing the chances. The other factors can include high blood pressure, high cholesterol, infections and blockages in the arteries. Sometimes a traumatic injury due to an accident can also lead to the condition. The biggest disadvantage of the disease is that the symptoms do not occur in the early stages and only in their chronic stages they appear. Some of the symptoms include chest or back pain, difficulty in breathing, shortness of a breath and persistent cough. Diagnosis can be made by an X-ray, CT scan, and ultrasound. Medications can help to an extent in relieving the pain and symptoms but however, in some extreme cases surgery is required. During the surgery, a synthetic tube replaces the damaged artery- as a result of which the blood gets channelled without any hindrances.

Abdominal aortic aneurysm
In the case of an abdominal aortic aneurysm, the aorta that passes through your abdomen gets damaged. As in the event of the Thoracic aortic aneurysm, there are no visible symptoms initially. Symptoms if they appear can include a deep back pain and persistent pain the side of the abdomen. Dizziness and weightlessness can also be other factors. Once again as in the case of the Thoracic aortic aneurysm, high blood pressure and cholesterol levels can be the risk factors. The problem also gets aggravated when the person is a frequent smoker and drinker. The diagnosis can happen through an X-ray, CT scan or an ultrasound. Once diagnosed, medications can heal the symptoms to an extent. Routine checkups are usually done to check the condition. In the cases where the bulge is bigger, surgeries are done to relieve the damaged part.

As with many cases, a good lifestyle change and healthy habits can keep many of the conditions in check. The same goes for an aortic aneurysm too. If you wish to discuss about any specific problem, you can consult a doctor.

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Doctor sir there is a pain in my chest which is very hard. So what should I do in this situation. Answer me quick.

MBBS
General Physician, Cuttack
Doctor sir there is a pain in my chest which is very hard. So what should I do in this situation. Answer me quick.
1. For your age pain chest could be due to anxiety, stress, depression, 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. Takecrocin advance 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, x ray chest and consult physician for advice and treatment.
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Im 21 years old and I got my blood pressure checked 2 times and it showed 130 over 90 the doctor scares me saying that I shouldn't walk at all or I might get a heart attack. I sometimes have a bit of heart pain but it confuses me. Can my blood pressure be totally cured after a while if I follow certain medications and life style changes yes or no?

MBBB, MD - General Medicine, DM - Cardiology
Cardiologist, Delhi
Im 21 years old and I got my blood pressure checked 2 times and it showed 130 over 90 the doctor scares me saying tha...
No need to worry so much. Regular exercises, low salt will help you lower your bp. Smoking is to be avoided. No reason for you to et a heart attack! Get your bp taken regularly. No drugs at present.
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I am 48 year male residing in coimbatore my blood TGL level is 215 and other cholesterol levels are normal, what medication or treatment is required for bringing TGL to normal.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 48 year male residing in coimbatore my blood TGL level is 215 and other cholesterol levels are normal, what medi...
hi.. You can control cholesterol / hdl / ldl/t.g. and obesity by using following flax oil, omega-3 fatty meal or cap., take . green veg., whole grain foods, spicy foods, Use GARLIC in foods daily ,. Cod liver oil. Low sugar foods, low calories foods. Change own life style . do meditation,yoga, Go walk daily in morning and evening, do any one physically activity daily i.e. play any game., Avoid fast foods, oily foods, alcohol,smoking, fatty foods, non-veg., avoid stress, take plenty of water in day time. These are helful also reduced obesity. one important that is take 1 glass of water before bed at night. Because it protect from heart fail during sleep at night. you can take tab. atorvas 10 mg at night after meal. Welcome in lybrate.
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My aunt is 76 years old. creatinine 1.7 bun is 23. BP high since 5 years. Swaĺlon foot.

DNB (General Medicine), PG A@E, Certificate in Diabetology, FICM, MBBS
General Physician, Kottayam
My aunt is 76 years old. creatinine 1.7 bun is 23. BP high since 5 years. Swaĺlon foot.
Ya your aunt is having a problem with kidney function you can do a urine routine and 24 hour urine albumin and follow up control bp to abt 140,/90 avoid unnesseary dx namely aurvedic and nsaid etc.
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Sir, my elder brother age of 45, last 1 month I felt very much weak. But I have not given off in my duty. When I have gone to medicine doctor, he as given some taste and declare my two kidney has gone damage. I have no symptom like this. I want to give my report. DATA--HEART RATE 74BPM, PR INTERVAL 162 MS, QRS DURATION 70 MS, QT INTERVAL 348 MS, QTC INTERVAL 387MS AXIS-- P WAVE 59 degree, QRS WAVE 70 degree, T WAVE 48 Degree, IMPRESSION: SINUS RHYTHM. NORMAL ECG. CALCIUM BLOOD 8.0 mg/dl, PHOSPHORUS-INORGANIC, BLOOD, GEL SERUM 5.0 mg/dl, UREA BLOOD- 127 mg/dl, CREATINE, BLOOD 7.5 mg/dl KIDNEYS- Both the kidneys are normal in shape, size (Rt kidney 8.07 cm x 3.61 cm.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Sir, my elder brother age of 45, last 1 month I felt very much weak. But I have not given off in my duty. When I have...
Good to know that your kidneys are normal in size and shape & ecg report is also normal. Remember, there is a difference between picture of an organ and its functioning, kidneys'appear' to be normal but are not functioning properly as blood urea & creatinine are very high. Kidneys are like a filter of body that retains the useful products like proteins, carbohydrates, vitamins & minerals. Urea and creatinine are by products of metabolism and are excreted in some amounts, but if filter called kidneys, start to fail, the levels of urea and creatinine start rising in blood and this is an indication of kidney failure. You may need blood dialysis/ abdominal dialysis depending upon various factors, as decided by your treating doctor, so that chronic kidney disease does not become worse. Do consult a renal specialist without delay & remember ckd (chronic kidney disease) can have an effect on an otherwise healthy heart.
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Sleep Deprivation Can Cause High Blood Pressure

C.S.C, D.C.H, M.B.B.S
General Physician,
Sleep Deprivation Can Cause High Blood Pressure
Is Sleep Linked to Hypertension?

The link between sleep and hypertension is well-known. Studies have examined the effects of sleep deprivation on healthy volunteers and have examined the sleep patterns of people with hypertension, producing data that suggest adequate sleep may reduce risk. good cardiovascular health. Data from several studies show that people who sleep less than six hours each night are 20% more likely to develop high blood pressure.
One night of inadequate sleep in patients with hypertension has been shown to result in elevated blood pressure throughout the next day.

Average sleep times have declined

Our modern society runs 24 hours a day, and many of us curtail sleep time to keep up. From an average sleep duration of 8 to 9 hours in 1960, our national sleep duration has dropped to 6.9 to 7 hours. Many people try to get by on five to six hours of sleep nightly, a habit that may be contributing to serious long-term health conditions.

What happens when you sleep?

Sleep is restorative, most people agree. We usually don’t question why, but the fact is that the circadian rhythms of sleep regulate our nervous system and the hypothalamic-pituitary-adrenal axis, two critical body systems that keep our bodies in healthy balance. During sleep, normal people should experience a drop in blood pressure of about 15 points, on average. This reduces the work of your heart.

The Autonomic Nervous System and “Fight or Flight” Response

Sleep regulates the autonomic nervous system, that part of the nervous system that modulates the “fight or flight response.” This evolutionary response causes changes in many bodily functions that at one time were useful to provide an edge against predators.A constant state of preparedness from inappropriate activation of this response results in harmful stress on the body.

When the sympathetic nervous system is stimulated, blood vessels are constricted to deliver blood to vital organs like the brain and heart, increasing blood pressure. The “fight or flight” response is also associated with changes in glucose metabolism and an increased risk of insulin-resistant diabetes.

Cortisol, Adrenaline, and the Hypothalamic-Pituitary Axis

The primary hormones regulated by the pituitary and hypothalamus during sleep are adrenaline and cortisol, released by the adrenal gland. Adrenaline is a potent hormone that has a direct effect on blood pressure, mediated by constriction of the arteries. When your adrenaline levels remain high during the night, it can result in sustained hypertension.

Cortisol is a “stress hormone” that is highest in the morning and reaches a nadir between midnight and four AM. Lack of sleep can result in significant disruption of the cycle, subjecting your body to unnecessary stress responses and fatigue that are as damaging to your health as poor diet or lack of exercise.

When you awaken in the morning, your body typically experiences a 50% rise in cortisol level as your body prepares for the stress of a new day. Studies show that waking up early in the morning increases the cortisol response, an effect that is pronounced in people who are facing chronic stress and worry. Cortisol levels usually decline throughout the day, but in people who suffer from sleep loss, cortisol levels increase in the early evening, preventing natural recovery from the day and preparation for a restful night. In addition to lowered immunity, impaired glucose tolerance, and increased craving for carbohydrates, sleep deprivation is associated with elevated estrogen levels, decreased alertness, and poor concentration.

Sleep and Thyroid Hormone

Sleep loss also increases the amount of thyroid hormone in people who are not getting enough rest. People with elevated thyroid hormone have both increased blood pressure and cardiac output, putting unneeded stress on the heart.

Sleep, Obesity, and Hypertension

Sleep deprivation increases appetite by disturbing the regulation of leptin and ghrelin, two hormones that modulate appetite. Sleep deprivation alters your body’s ability to regulate the need for calories, resulting in over-eating and obesity, also linked to increased risk of hypertension.

Caffeine and Hypertension

Many of us use caffeine to remain alert when we haven’t slept well, a habit that causes dramatic increases in blood pressure. The mechanism for elevation of blood pressure after drinking a caffeinated beverage is not completely understood. Some researchers think caffeine may stimulate the adrenal gland to release adrenaline, a hormone with direct effects on blood pressure. It may block hormones that keep the arteries relaxed.

Obstructive Sleep Apnea

People who have obstructive sleep apnea (OSA) have multiple episodes during the night in which they stop and restart breathing. This disorder usually affects middle-age to older adults, but it can occur in patients of any age, particularly people who are overweight. People with OSA typically have high blood pressure, particularly on awakening, when their blood pressure should be at its lowest point. Symptoms of OSA include daytime sleepiness, loud snoring, morning headache, and difficulty concentrating during the day. They may be observed gasping suddenly during the night before returning to sleep.

Are You Getting Enough Sleep?

Sleep is critical for maintenance of your health. If you work shifts or curtail your sleep to accomplish multiple tasks, you are at risk for hypertension that can be difficult to treat. Measure your blood pressure in the morning. It should be at its lowest level and if it’s elevated, you should see your doctor in addition to consideration of lifestyle changes to prevent progression of medical problems associated with hypertension and sleeplessness. If you have symptoms of obstructive sleep apnea, there are effective treatments available.
CONtact me Privately for any advice
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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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When I am traveling in the bus I'm getting worried and my blood pressure is high.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
When I am traveling in the bus I'm getting worried and my blood pressure is high.
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...
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Sir I have stomach pain from one week it comes only when iam go for urine or bathroom at that time only I suffer from this pain I also consult doctor he said that this is heat problem so whats this problem please answer me.

MBBS
General Physician, Faridabad
Sir I have stomach pain from one week it comes only when iam go for urine or bathroom at that time only I suffer from...
Take tab flagyl 400 three times a day and tab rantac 150 morning empty stomach and before dinner for 5 days. Take tab meftal spas when you have stomachache. It will help. Thank you.
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