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Dr. Rudrappa

Cardiologist, Chennai

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Dr. Rudrappa Cardiologist, Chennai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Rudrappa
Dr. Rudrappa is a renowned Cardiologist in Purasaivakkam, Chennai. You can visit him/her at Narayana Hospital in Purasaivakkam, Chennai. You can book an instant appointment online with Dr. Rudrappa on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 40 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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Narayana Hospital

No 18, Tana Street, Purasavakkam. Landmark: Near To Church, ChennaiChennai Get Directions
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I am 50 years old high bp regularly taken medicine what should I do. & another thing is that my wife's last week test shows that her sugar level high about 300 m/g what should I do.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
I am a registered dietitian , certified diabetes educator and a doctor(General Physician) who will help you in your diabetes problem. You need to provide me your daily food intake details .There are many lifestyle and dietary guidelines that can be followed : take high fiber prescribed diet. Get more physical activity by prescription from a registered dietitian Maintain a healthy body weight Eat a balanced diet which includes whole grains and excludes all refined products like maida as prescribed by a registered dietitian , If you're overweight, diabetes prevention may hinge on weight loss. Every pound you lose can improve your health, and you may be surprised by how much. Participants in one large study who lost a modest amount of weight around 7 percent of initial body weight and exercised regularly reduced the risk of developing diabetes by almost 60 percent. I being a registered dietitian and doctor have been successfully helping patients with their diabetes problem. I will also prescribe medicines that will speed up the time to achieve your weight management goals. Do reply back for private consultation.
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I m suffering stomachache and chest pain from last few months, whenever I eat something spicy. Please need some guidance that is I m suffering from any severe diseases or this is common.

MBBS
General Physician, Cuttack
I m suffering stomachache and chest pain from last few months, whenever I eat something spicy. Please need some guida...
It could be due to hyperacidity 1. Take bland diet, Avoid foods which cause acidity like spicy, oily, fatty and junk foods, onion, garlic, citrus fruit like orange grape, lemon, tomato, cucumber, raddish, vinegar, pickle etc 2. Have proper Breakfast, Don’t skip or postpone your meal, Take home made food, Avoid food and water from outside, 3. Eat food slowly, don’t rush, take smaller meals at frequent intervals like 5-6 meals per day, and don't overeat. Limit fluid intake during meal4. Drink plenty of water (8-10 glass daily). Take your meal regularly and timely. Avoid fasting, Don’t skip your breakfast. 5. Stop smoking, consumption of alcohol and tobacco, excess tea or coffee, carbonated drinks if you are having,6. Avoid stress, have adequate rest, sleep for 7-8 hours daily in night, go for regular exercise, practice yoga/meditation 7. Take one tablet of pan40 in the morning before breakfast daily for few days. 8. Consult me for further advice.
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Pain In my chest left side. What is the reason. And what is solutions for this. please suggested me. Thanks.

MBBS, cc USG
General Physician, Gurgaon
Pain In my chest left side. What is the reason. And what is solutions for this. please suggested me. Thanks.
Hello, chest pain in your case may be due to 1. Acidity. 2. Severe anxiety 3. Muscular problem a. You can take tablet pantocid 40 mg one tablet before food for 3 days b. Local application of volini gel 1% twice a day for 2-3 day you should go for bp check along with base line ecg and review with report I am giving you some health tips to avoid acidity 1. Take small frequent meal kindly take 5-6 small meal in whole day 2. Take 6-8 glass of water in a day 4. Moderate physical activity regularly 5. Avoid excessive tea, coffee 6. Do not postpone breakfast consult physician for further management.
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How To Treat Pulmonary Hypertension?

DTCD (TDD), C-HIV
Pulmonologist, Pune
How To Treat Pulmonary Hypertension?

Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.

There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.

Common Treatments for pulmonary hypertension:

Medications:

  1. Blood vessel dilators (vasodilators): Vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (Flolan, Veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (IV) catheter via a small pump that you wear in a pack on your belt or shoulder.
  2. Ventavis: Another form of the drug, iloprost (Ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.
  3. Treprostinil (Tyvaso, Remodulin, Orenitram): It is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.
  4. Endothelin receptor antagonists: These medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.
  5. Sildenafil and tadalafil: Sildenafil (Revatio, Viagra) and tadalafil (Cialis, Adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.
  6. High-dose calcium channel blockers: These drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (Norvasc), diltiazem (Cardizem, Tiazac, others) and nifedipine (Procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.
  7. Soluble guanylate cyclase (SGC) stimulator: Soluble guanylate cyclase (SGC) stimulators (Adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.
  8. Anticoagulants: Your doctor is likely to prescribe the anticoagulant warfarin (Coumadin, Jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.
  9. Digoxin: Digoxin (Lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.
  10. Diuretics: Commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.
  11. Oxygen: Your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.

Surgeries:

  1. Atrial Septostomy: If medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.
  2. Lung Transplantation: In some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.

Reducing Complications:

  1. The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail
  2. Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying. If you wish to discuss about any specific problem, you can consult a Pulmonologist.
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MD PULMONARY, DTCD
Pulmonologist, Faridabad
STABLE CORONARY ARTERY DISEASE
Life style changes including exercise versus angioplasty- stenting, events like heart attack,stroke and death were less in patients treated with life style changes and more in patients treated with angioplasty-stenting.

Hai, I'm Sathish I have a pair when I press near my heart and its paining when I bend or move So tell me the reason why its paining and also how to control it.

MBBS
General Physician, Cuttack
Hai, I'm Sathish I have a pair when I press near my heart and its paining when I bend or move So tell me the reason w...
It could be a muscular pain 1. Take one tablet of crocin pain relief sos after food upto a maximum of 3 tablets daily 2. Apply volini gel twice daily 3. Give warm compress locally 4. Take rest 5. If no relief, take xray chest and consult physician, for advice and treatment.
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I am 20½ years old. I want to join Indian army. But my stamina of running is v. Low . When I am starting running my heart beat going v fast and getting the problem in respiration. Sir/Mam I wants to maintained my running stamina as hard.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 20½ years old. I want to join Indian army. But my stamina of running is v. Low . When I am starting running my h...
Keep practicing and do take a simple high protein diet like milk, curds & boiled eggs (if you eat) clear soups minus cream -both veg & non veg, carbs & little good fats like desi ghee and butter + a katori of assorted nuts to get ggod fats and proteins. Eat seasonal vegetables & fruits according to your constitution but no juices. Drink lots of water and ors, lemon + spoon of honey with warm water if taken on empty stomach every morning does help get rid of bad fats from blood and bad fats in blood is one of the reasons of low stamina. Take multivitamin becosule or polybion capsule one a day _ shelcal 500 mg for calcium & vitamin d for strong bones. Do deworming by taking a tablet of bandy plus so that the food eaten by you is utilized well. Take a course of metrogyl 200 mg twice daily with food for 3 days -this is again to cleanse your food pipe. Do write back after a month. As a proof for reassurance you can get basic heart tests done- ecg, halter, blood for sugar, cbc & total lipids, get back here with reports if anything is faulty, otherwise carry on with your practice.
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I observed and feel last few days chest pain upper right, when I take rest in my bed or seat then I feel, recently I check ecg it's normal but cholesterol is 218.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
I observed and feel last few days chest pain upper right, when I take rest in my bed or seat then I feel, recently I ...
Dear lybrate-user, Cholesterol at 218 is absolutely fine. It does not require any medication. You have to keep healthy lifestyle, proper exercise, diet, stress free life to stay healthy. The pain in your chest is likely to be anatomical. Do some shoulder, arm, neck rotation, extension and strengthening exercises gently. It should solve the problem regards.
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Hello sir mere left breast mein pain hota toh iska ilaj kya mene heart specialist ko aur ladies doctor ke pass bhi medicine aur davaiya chalu par breast mein kuch haddi jaisa lagne laga hai ganth ki tarah wo haddi/ganth dard hota hai tabhi ati fir jati hai plzzz ans me. Qki mujhe bhot pain hota blood pressure bhi bhadhta iske karn.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hello sir  mere left breast mein pain hota toh iska ilaj kya mene heart specialist ko aur ladies doctor ke pass bhi m...
Gaanth means a lump or a nodule. You need to be investigated by mammography or ultrasound of breast and fine needle biopsy of the gaanth, the nodules. Get blood tested for anemia and infection and sugar. Bp can be controlled by medicine but do get checked for nodules in breast and get back here with reports. You will get more guidance.
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I have 280 cholesterol. I am 30 and I used to have beer and red meat once or twice a week. Please suggest tips to control cholesterol.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I have 280 cholesterol. I am 30 and I used to have beer and red meat once or twice a week. Please suggest tips to con...
Hi for reduced weight you should work out as per you consume calories and it will take time just continue work out. Take following remedies for loosing weight 1.arogya vardhini vati 2 tab before lunch and dinner 2. Abhayarishta 4 tsp before lunch nad dinner 3. Morning break fast=mung dal green soup 1 boul and if feel hunger have pomegranate or apple 4.lunch 2 chaati + fruit vegetable + if you like rice 1 bowl and dal + barley soup 5. Evening 4-5 pm have some milk with sunth or any fruit you like 6. Dinner barley soup 2 bowl and one fruit follow this diet you will get reduced weight.
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Whenever I go to market specially in summer season I feel like fainting and when I check my blood pressure it shows below the normal parameter. I want to know how to overcome from this problem.

BHMS
Homeopath, Faridabad
Whenever I go to market specially in summer season I feel like fainting and when I check my blood pressure it shows b...
Hi, Blood pressure is the force of blood pushing against the walls of the arteries as the heart pumps out blood. Hypotension is generally considered if systolic blood pressure less than 90 millimeters of mercury (mm Hg) or diastolic less than 60 mm Hg. However, in practice, blood pressure is considered too low only if noticeable symptoms are present. Causes: Low blood pressure can be caused by low blood volume, hormonal changes, widening of blood vessels, medicine side effects, anemia, heart problems or endocrine problems. Management: Meditation, yoga, or other mental-physiological disciplines may reduce hypotensive effects. Taking enough of sleep and rest. Treatment: The treatment for hypotension depends on its cause. Chronic hypotension rarely exists as more than a symptom. Asymptomatic hypotension in healthy people usually does not require treatment. Adding electrolytes to a diet can relieve symptoms of mild hypotension. A morning dose of caffeine can also be effective. In mild cases, where the patient is still responsive, laying the person in dorsal decubitus (lying on the back) position and lifting the legs increases venous return, thus making more blood available to critical organs in the chest and head. Take homoeopathic medicine - Schwabe’s Angioton/ 3 times a day for 1 month.
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I am suffering from dry cough for the last two weeks and I have chest pain whenever I cough hard. Can you suggest what should be done?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am suffering from dry cough for the last two weeks and I have chest pain whenever I cough hard. Can you suggest wha...
Take pranacharya kasantak syrup 2-2 tsf in hot water twice a day...Take sitopaladi..praval and tankan bhasm churna with honey 3-4 times a day...take ginger black pepper and basil leaves tea.. ..gargle with hot water(salted) avoid milk...cold drinks....take hot water steam.......
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I'm 25 years female. In my cholesterol report before few years showed that, total cholesterol - 123mg, LDL - 67, HDL - 37, triglycerides- 60. Although I'm over weight, with lower cholesterol. What should I do now? I'm confused. Please help me doc.

Diploma in Cardiology
Cardiologist, Kathua
I'm 25 years female. In my cholesterol report before few years showed that, total cholesterol - 123mg, LDL - 67, HDL ...
Lybrate-user here you submitted your weight 50 kg with height of 167 cm. You r not overweighted. Just relax. Enjoy the life.
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How can I cure high blood pressure, sugar and high cholesterol levels simultaneously? what should i do ?

LCPS, BAM&S
Ayurveda, Pune
How can I cure high blood pressure, sugar and high cholesterol levels simultaneously? what should i do ?
This is a typical high stress disease pattern. If you exercise, walk or jog for 60 m. , do yogasans, control diet, you can overcome all the three problems. See a good physician who can advise correctly.
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I have joint crepitus from near about 3 4 years, I consulted wid orthopedics, he tells me it is normal, you should increase milk intake, I take milk two times a day, my calcium level is 8.5 ,recently I was diagnosed wid tuberculosis nd cystitis but now I recover by these conditions wid homeopathy, but now I am suffering by knee pain, and I also have neck pain.

MD (Hom)
Homeopath, Bangalore
I have joint crepitus from near about 3 4 years, I consulted wid orthopedics, he tells me it is normal, you should in...
Dear Mandeep, Your knee pain due to weakness, have more intake of Badami and fresh fruits daily 200 grams, and do regular walking for an hour, For neck pain do regular neck exercises and keep thin pillows under the head
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How to get 5 cm chest expecting for police job. Any exercise or food. And I have 83 cm chest how to get 86 cm in 2months. Hight.21 years old male, 5.5 hight.

MBBS, cc USG
General Physician, Gurgaon
How to get 5 cm chest expecting for police job. Any exercise or food. And I have 83 cm chest how to get 86 cm in 2mon...
For this consult good gym trainer and take protein rich food I am giving you few examples of protein rich food from vegetarian sources spouts all dals milk soybean wheat lentils peanut butter hemp seed almonds sunflower seeds cheese.
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My mother's age 70 years. She is admit in heart hospital complaint with left hand pain and serum creatinine increase by 2.80.she is weak and sugar pressure patient. Sugar 180 and pressure 140/68. She is in ICU. Her angiography report 3 heart weasels block. Doctor said bypass. So what to do further? Operation? Cardiologist help me.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My mother's age 70 years. She is admit in heart hospital complaint with left hand pain and serum creatinine increase ...
Trust your doctor and get bypass surgery done. I am sure your team of doctors will take every care about anesthesia and blood loss during the surgery but one cannot give up on hope at age 70 . having to live with 3 vessels blocks.Left hand pain indicates unstable angina. good luck.
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I am male 23 years old. I lift too heavy in the gym. Pichle 2 hafton se meri mid chest me boht pain ho rahi hai. Maine apna blood pressure check karvaya vo normal hai. Sbb kehh rahe hai ki thand lgg gaye hai but muje ye dard ek din gym se ghar aakr shuru hui hai. Please medicine and solution batayen I am in too much pain.

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
I am male 23 years old. I lift too heavy in the gym. Pichle 2 hafton se meri mid chest me boht pain ho rahi hai. Main...
: hello you pain in chest I not a cardiac pain its because of sprain in the musles of chest wall (musclar pain ),heavy weight lifting and gym some time causes injury to muscles you have to take non steroidal anti infammatory drugs for 5 to 6 days and you would be perfectly fine I can write a prescription to you only in private consults so you can contact me in private consult do not worry NSAID therapy for 5 days will make everything fine as off now do not do gym till you get my prescription and give rest to your upper chest and shoulder muscles.

Hello, I have low BP problem and weakness in body. I could stand long time this face last two month. So please advise me where should I go check-up cardiology and medicine doctor.

MBBS, D.Card(PGDCC)
Cardiologist, Greater Noida
Dear Surender First of all.in most of the pt who are considerd themselve as of low BP are actually do not have especially in young age without any risk factor for heart disesse. Either they feel low or vague generalise weakness or they just measure their BP as below 120/80 & they attribute it bcz of low bp which is not true. Considering a low BP means less then 100/ 60 along with weakness. Even this number is arbitrary as many person may have bp lower than it & still feels normal. So my suggestion to go a cardiologist to seek whether this bp is really low or you just feel like it.
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