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Dr. Siva Kumar Pandian

Cardiologist, Chennai

Dr. Siva Kumar Pandian Cardiologist, Chennai
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Siva Kumar Pandian
Dr. Siva Kumar Pandian is an experienced Cardiologist in Mogappair, Chennai. You can consult Dr. Siva Kumar Pandian at Madras Medical Mission in Mogappair, Chennai. You can book an instant appointment online with Dr. Siva Kumar Pandian 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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I open my shop early in the morning and till late night then my job is very hectic then I have high blood pressure and sugar. Please help me to reduce my weight and have good physical shape of my body.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I open my shop early in the morning and till late night then my job is very hectic then I have high blood pressure an...
Best way to reduce fat is exercise and diet control....take pranacharya medohar rasayn twice a day....medohar guggul 2-2 twice a day....and pranacharya slim capsule 1-1 twice a day...avoid junk food...oily food...fermented food..alcohol consumption..sugar....milk products and sweets....take oats and cereals more..and do pranayama early in the morning and walk for atleast 45 minutes a day...and do exercises....dont sleep immediately after taking meal...
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Recently I did health check-up and my triglycerides is 337. What should I do to control it?

MBBS
General Physician, Mumbai
Recently I did health check-up and my triglycerides is 337. What should I do to control it?
Dear lybrateuser, - You can reduce your tryglycerides by following dietary restrictions & a regular exercise regimen - have more of fibre that is fruits, vegetatables, beans, sprouts, nuts - reduce intake of trans & saturated fats, can have healthy fats that is omega 3's, omega6 like in walnuts, flax seeds, salmon, mackeral, tuna, olive oil, canola oil - do regular exercise like walking, brisk walking for thirty minutes five days in a week - also reduce weight & check blood sugar.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Omega-3 in fish:Eating fish helps your heart

The omega-3 fatty acids in fish are good for your heart. Find out why the heart-healthy benefits of eating fish usually outweigh any risks.

If you're worried about heart disease, eating one to two servings of fish a week could reduce your risk of dying of a heart attack.

For many years, the American Heart Association has recommended that people eat fish rich in omega-3 fatty acids at least twice a week. Doctors have long believed that the unsaturated fats in fish, called omega-3 fatty acids, are the nutrients that reduce the risk of dying of heart disease. However, more recent research suggests that other nutrients in fish or a combination of omega-3 fatty acids and other nutrients in fish may actually be responsible for the health benefits from fish.

Some people are concerned that mercury or other contaminants in fish may outweigh its heart-healthy benefits. However, when it comes to a healthier heart, the benefits of eating fish usually outweigh the possible risks of exposure to contaminants. Find out how to balance these concerns with adding a healthy amount of fish to your diet.

What are omega-3 fatty acids, and why are they good for your heart?

Fish contain unsaturated fatty acids, which, when substituted for saturated fatty acids such as those in meat, may lower your cholesterol. But the main beneficial nutrient appears to be omega-3 fatty acids in fatty fish. Omega-3 fatty acids are a type of unsaturated fatty acid that may reduce inflammation throughout the body. Inflammation in the body can damage your blood vessels and lead to heart disease.

Omega-3 fatty acids may decrease triglycerides, lower blood pressure, reduce blood clotting, decrease stroke and heart failure risk, reduce irregular heartbeats, and in children may improve learning ability. Eating at least one to two servings a week of fish, particularly fish that's rich in omega-3 fatty acids, appears to reduce the risk of heart disease, particularly sudden cardiac death.

Does it matter what kind of fish you eat?

Fatty fish, such as salmon, lake trout, herring, sardines and tuna, contain the most omega-3 fatty acids and therefore the most benefit, but many types of seafood contain small amounts of omega-3 fatty acids.

Are there any kinds of fish you should avoid?

Some fish, such as tilapia and catfish, don't appear to be as heart healthy because they contain higher levels of unhealthy fatty acids. Keep in mind that any fish can be unhealthy depending on how it's prepared. For example, broiling or baking fish is a healthier option than is deep-frying.

Some researchers are concerned about eating fish produced on farms as opposed to wild-caught fish. Researchers think antibiotics, pesticides and other chemicals used in raising farmed fish may cause harmful effects to people who eat the fish.

How much fish should you eat?

For adults, at least two servings of omega-3-rich fish a week are recommended. A serving size is 3.5 ounces (99 grams), or about the size of a deck of cards. Women who are pregnant or plan to become pregnant and young children should limit the amount of fish they eat because they're most susceptible to the potential effects of toxins in fish.

The risk of getting too much mercury or other contaminants from fish is generally outweighed by the health benefits that omega-3 fatty acids have. The main types of toxins in fish are mercury, dioxins and polychlorinated biphenyls (PCBs). The amount of toxins depends on the type of fish and where it's caught.

Mercury occurs naturally in small amounts in the environment. But industrial pollution can produce mercury that accumulates in lakes, rivers and oceans, which turns up in the food fish eat. When fish eat this food, mercury builds up in the bodies of the fish.

Large fish that are higher in the food chain ? such as shark, tilefish, swordfish and king mackerel ? tend to have higher levels of mercury than do smaller fish. Larger fish eat the smaller fish, gaining higher concentrations of the toxin. The longer a fish lives, the larger it grows and the more mercury it can collect.

Pay attention to the type of fish you eat, how much you eat and other information such as state advisories. Each state issues advisories regarding the safe amount of locally caught fish that can be consumed.

Should anyone avoid eating fish because of the concerns over mercury or other contaminants?

If you eat enough fish containing mercury, the toxin can accumulate in your body. It can take as long as a year or more for your body to remove these toxins. Mercury is particularly harmful to the development of the brain and nervous system of unborn children and young children. For most adults, however, it's unlikely that mercury would cause any health concerns.

Still, the Food and Drug Administration (FDA) and the Environmental Protection Agency (EPA) recommend that these groups limit the amount of fish they eat:

Women who are pregnant or trying to become pregnant
Breast-feeding mothers
Young children
Pregnant women, breast-feeding mothers and children can still get the heart-healthy benefits of fish by eating fish that's typically low in mercury, such as salmon, and limiting the amount they eat to:

No more than 12 ounces (340 grams) of fish in total a week
No more than 6 ounces (170 grams) of canned tuna a week
No amount of any fish that's typically high in mercury (shark, swordfish, king mackerel and tilefish)
Are there any other concerns related to eating fish?

Several recent studies have linked high levels of omega-3 fatty acids in the blood to an increased risk of prostate cancer. But, these studies weren't conclusive, and more research needs to be done to confirm this link. Talk with your doctor about what this potential risk might mean to you.

Can you get the same heart-health benefits by eating other foods that contain omega-3 fatty acids, or by taking omega-3 fatty acid supplements?

Eating fish rich in omega-3 fatty acids and other nutrients appears to provide more heart-healthy benefits than does using supplements. Other non fish food options that do contain some omega-3 fatty acids include flaxseed, flaxseed oil, walnuts, canola oil, soybeans and soybean oil. However, similar to supplements, the evidence of heart-healthy benefits from eating these foods isn't as strong as it is from eating fish.
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What all cares should be given to a patient after bypass surgery? And how long it takes to cure the internal parts?

C.S.C, D.C.H, M.B.B.S
General Physician,
What all cares should be given to a patient after bypass surgery? And how long it takes to cure the internal parts?
He can take minum activity for personal needs and should have normal diet and other medicines as advised.
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I am suffering from dry cough for the last 2weeks and I have chest pain whenever I cough hard. Can you suggest what should be done?

MBBS
General Physician, Chandigarh
I am suffering from dry cough for the last 2weeks and I have chest pain whenever I cough hard. Can you suggest what s...
Take honitus cough syrup three times a day saline gargles several times a day and steam inhalation regularly everyday till you recover.
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Respected sir/dr, my Dr. has changed my bp medicine losar 25 mg which I am taking since 15 years to rest 20 mg though my bp is stabilized at 140/80, and surprisingly all readings are normal; kindly counsel since I am very much disturbed mentally regards and thanks in advance.

Cardiologist, Faridabad
Respected sir/dr, my Dr. has changed my bp medicine losar 25 mg which I am taking since 15 years to rest 20 mg though...
As ur no is settled u can continue ur newer medications Dnt take tension as its lifelong process be happy it will decrease ur medicines as well as keep u healthy Avoid extra salt Eat fresh fruits n take very less non veg n oily items
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I am diabetic, I am feeling generalized weakness my BP is 135/90. Can I take multivitamin tablet? Please suggest good multivitamin for me.

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 am diabetic, I am feeling generalized weakness my BP is 135/90. Can I take multivitamin tablet? Please suggest good...
Dear The bet vitamins for anyone is fresh fruits and daily green vegetables in diet. Reduce spicy, stale, fried and improve your gut health to absorb best natural vitamins. Regards.
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I am 29 years old. Have high blood pressure. How to lower my blood pressure .please suggest me.

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 am 29 years old. Have high blood pressure. How to lower my blood pressure .please suggest me.
Dear lybrate-user, You are young and should monitor all your health issues with a properly planned nutritious diet, exercise and life style. Begin Yoga and pranayama. With proper planning, at your age, BP can come under good control without medication and you can lead a normal happy life. Foods that will help: Green leafy vegs; Dahi/ curd/butter milk BEFORE food; pomegranate, beet, honey. Resist taking packaged foods of any kind and fried foods. Regards.
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Cholesterol. Hdl or ldl is good? my ldl rate is 4.6 mmol /l, normal range (0-3.87) checked in ksa hdl 0.81 mmol /l normal <1.04 normal range total cholesterol is 6.48 mmol /l normal. (1.3-5.2), I need to take any medical treatment?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Cholesterol. Hdl or ldl is good? my ldl rate is 4.6 mmol /l, normal range (0-3.87) checked in ksa hdl 0.81 mmol /l no...
High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. GARLIC,. Cod liver oil. Take anti cholesterol medicines . Cap. Ecosprin gold-10 at night daily.
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I'm 22 years old. I recently had shortness of breath and palpitations. I went to the doctor and he told my bp was normal and prescribed me rabeprazole twice a day. I took it once and feel a bit better now. Is my treatment going right? And I'm taking minocycline for acne. Can I take it along with rabeprazole?

MBBS, MD - MD- Skin & VD
Dermatologist, Ahmedabad
I'm 22 years old. I recently had shortness of breath and palpitations. I went to the doctor and he told my bp was nor...
Yes it is right. Bp is normal, breathlessness could be due to improper food/ dehydration/ exertion etc.
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My father has insufficient vision in his eyes, when consult with doctor, he said blood bleed in his eye nerves. He is having sugar and bp.

FICO, DNB Ophtalmology
Ophthalmologist, Gandhinagar
My father has insufficient vision in his eyes, when consult with doctor, he said blood bleed in his eye nerves. He is...
Hello lybrate-user. Sorry about your father's eye problem. Diabetes and blood pressure are disorders of the blood vessels. They tend to affect most of the organs in the body including the eyes. In the eye, diabetes/ blood pressure may lead to bursting of blood vessels and subsequent bleeding into the eye. This would in turn reduce the vision of the eye. In some cases, it could be improved by surgery or injection in the eye whereas in other cases, it would be irreversible. Thus, the best guide would be a retina specialist. Take the opinion and follow the advice given by the retina specialist. Feel free to contact me for further assistance. Hope my suggestions helped you. Take care-
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I have pain in my chest so what should I do in this condition pls reply fast I need a doctor?

MBBS
General Physician, Cuttack
I have pain in my chest so what should I do in this condition pls reply fast I need a doctor?
1.For your age pain chest could be due to anxiety, stress,Physical and mental strain, hyper acidity or muscle pull 2. Avoid stress and strain 3.Do regular exercise, Yoga, Meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress 4 Avoid Alcohol, smoking and tobacco consumption. 5. Take bland diet, avoid spicy, oily, fatty and junk food 6..Take paracetamol 500mg one tablet sos after food up to a maximum of three tablets daily, at the time of chest pain.7. Drink plenty of water and take rest .8.if you have recurrent attack of chest pain take ECG and consult cardiologist
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My 4 years son attained a dinner party yesterday. He is vomiting everything 4 hrs after eating anything. I am giving ondem 7.5ml today in the night and give food after 30mnt of medication. But again he vomit everything after 2 hrs of giving food. Within these 14hrs he vomited 4 times. I am afraid. Please help me any experienced pediatric doctor.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My 4 years son attained a dinner party yesterday. He is vomiting everything 4 hrs after eating anything. I am giving ...
Give him a spoon of domstal syrup, do not give water or ors for half an hour till medicine gets absorbed, give him semisolid fat free food like custurd or curds or diluted toned milk or parle g biscuits. Start simple antibiotic like septran syrup 1 spoon twice daily along with metrogyl syrup 1 spoon twice daily for 3 days, lots of ors and juices but no solids or fats or maida like noodles. Pasta, white bread etc. Total rest. Repeat domstal after 12 hours if nausea persists.
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Hi I am 35 years old suffering with pcod and weight gain my cholesterol level has also increased please suggest me food which I should eat or lifestyle changes so that I can lead a healthy life. I am having severe hair fall also. I have problem of fatty liver also.

MBBS
General Physician, Bangalore
Hi I am 35 years old suffering with pcod and weight gain my cholesterol level has also increased please suggest me fo...
You should eat in moderation which should mainly include healthy food. Exercise for at least 30 minutes to 1 hour every day. For a diet chart, consult me.
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I am 25 years old and I am suffer problem of cervical and hypertension. What can I do now please tell me?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am 25 years old and I am suffer problem of cervical and hypertension. What can I do now please tell me?
For cervical do take ift and laser therapy for pain relief for 12 days followed by strengthening exercise from neuro physiotherapist and for hypertension do consult general physician and take appropriate therapy best wishes.
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Sir, How to reduce blood pressure within few day? Aways my blood pressure is 120/78. But while checking by doctor than bp showing 150/ 100 and also my heart beat also.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Sir,
How to reduce blood pressure within few day? Aways my blood pressure is 120/78. But while checking by doctor tha...
it may be white coat hypertension...i.e . bp ups during physician visit but normal at home........don't start antihypertensive medications as of now.... do self monitoring of blood pressure at home at different times of day and then report it to doctor,,,if there are no symptoms then no need to take medicines ..just reduce salt intake in ur diet
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My wife 35 year age, suffering from chest pain, echo test reports says mildly reduced LV global function and trivia mitral regurgitation.

MBBS, cc USG
General Physician, Gurgaon
My wife 35 year age, suffering from chest pain, echo test reports says mildly reduced LV global function and trivia m...
Hello, Kindly tell me Ejection fraction mentioned in ECHO And Tell me If she is having symptom other than Chest pain like chest discomfort/ heaviness Breathing difficulty esp on exertion palpitation fatigue Consult me/ cardiologist for further management
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I am suffering from hypertension. Kind ly suggest me diet to control my BP. What test's should I do to know my current status for my health.

BHMS
Homeopath, Faridabad
I am suffering from hypertension. Kind ly suggest me diet to control my BP. What test's should I do to know my curren...
Hi, Take Rauvolfia 1x, 2 tabs daily morning empty stomach. Drink plenty of liquids and cut down your fat, salt and sugar intake. go for a morning walk daily at least for 30 minutes. Take a sound sleep and try to avoid anger. Home remedies to Control high BP:-1. Bananas are one fruit that people with high blood pressure can eat regularly to control it. Bananas are a rich source of potassium, which lessens the effect of sodium.So, try to eat one or two bananas daily. Along with bananas, you can try dried apricots, raisins, orange juice, spinach, baked sweet potatoes. 2. Eat one or two crushed garlic cloves daily. You can simply crush them with your hands. Crushing garlic cloves creates hydrogen sulfide, a compound that promotes good blood flow, removes gas and reduces the pressure on the heart.If you do not like eating raw garlic or if it causes a burning sensation, then take it along with a cup of milk. You can also mix five or six drops of garlic juice in four teaspoons of water and take it twice a day. **Check your lipid profile also.**
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I have 5'3 height and 82 kg and I am female. What should be my ideal weight? I have pain in left chest since last four days. It started when I want to cry too loud but I couldn't and after sometime I cried a lot before four days because of some personal reason. What should I do?

MBBS
General Physician, Mumbai
I have 5'3 height and 82 kg and I am female. What should be my ideal weight? I have pain in left chest since last fou...
your weight should not be more than 60 kg. you should try and loose 20 kg by dieting and exercises to stay away from lifestyle associated diseases. Get a resting ecg to rule out cardiac nature of chest pain. do 45 min brisk walk daily eat low fat, low carbohydrate, predominantly proteins diet. use plenty of salads,non sweet fruits,and green vegetables. avoid junk food and fast food. drink plenty of water.
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