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Dr. Srinivasan

Cardiologist, Chennai

500 at clinic
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Dr. Srinivasan Cardiologist, Chennai
500 at clinic
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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. Srinivasan
Dr. Srinivasan is a popular Cardiologist in Nandanam, Chennai. You can consult Dr. Srinivasan at Vijai Nursing Home in Nandanam, Chennai. You can book an instant appointment online with Dr. Srinivasan on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 26 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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Vijai Nursing Home

No. 39, West Road, West CIT Nagar,Nandanam. Landmark:Back Side of Alpha School, ChennaiChennai Get Directions
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I am 35 year Male having Blood Pressure. Right now I did monthly check and found my results cholesterol, 254 and TSH third Generation 70 which is very high. I am right now taking Stamlo5 and Rexipra 10. What should I take for Thyroid and Cholesterol.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 35 year Male having Blood Pressure. Right now I did monthly check and found my results cholesterol, 254 and TSH ...
Mr. lybrate-user, Thanks for the query. For increased cholesterol you may have to look at your diet along with taking some drug for reducing it. Similarly TSH 70 mU/L is too high. Looking at your height& weight you have a BMI of 33.95 kgs/M2, showing an excess of over 30 kgs. This needs to be reduced which will help in controlling the lipids. Presence of hypothyroidism also adds to weight gain. You will also have to exercise daily for over 1 hour. There is no mention of BP reading as well as other lipids like TGL, LDL which are also very important. In this communication we are supposed to give only general guidelines, no prescriptions are allowed. So my suggestion is it is better if you come in a private conversation, then I will be able to give specific guidelines. Thanks.
3 people found this helpful
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I am 32 years old male. I am suffering from high cholesterol 700. What should I do or not.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 32 years old male. I am suffering from high cholesterol 700. What should I do or not.
For control high b. P./ t. G. And high/ bad cholesterol eat as whole grain foods, green veg. Juice, plenty of water at least 8 glass of water in a day. Avoid high cholesterol foods, oily, fatty, junk, fast foods, foods from out sided, sweat foods. Go for walk daily, do yoga, cycling, any good exercise i. E cycling, avoid stress, try to take good sleep at night. Checkup your body by blood tests and physical examination at regular time.
4 people found this helpful
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I am a diabetic and hypertensive. Using tablets for diabetes for 15 years. My sugar levels in recent days are fluctuating. No change in food habits and daily routine.

Advanced Aesthetics
Ayurveda, Gulbarga
I am a diabetic and hypertensive. Using tablets for diabetes for 15 years. My sugar levels in recent days are fluctua...
The effectiveness of Ayurvedic medicine in treating diabetes is well documented. The efficacy of herbs widely recommended in Ayurvedic texts for normalizing the blood sugar level has been validated in several clinical trials. In Ayurveda, diabetes mellitus is known as Madhu meha. Owing to the adverse effect of high blood sugar on nearly every vital organ of the body, diabetes is referred to as ?maharoga? or the major disease in Ayurveda.Ayurvedic medicine for diabetes contain herbs that help to lower the blood sugar level by regulating metabolism of carbohydrates, regulating sugar absorption, stimulating insulin secretion and improving sensitivity to the hormone insulin. Gymnema Sylvestre (Gurmar) Gymnema sylvestre is an effective hypoglycemic component in Ayurvedic medicines for diabetes. The common name of the herb is Gurmar, which means the sugar crusher. The efficacy of Gymnema sylvestre leaves in reducing the blood sugar level has been demonstrated in experimental and clinical studies. Treatment with the herb helps to lower the fasting blood sugar level. By assisting regeneration of the residual pancreatic beta cells, it reduces dependence on insulin medications. Coccinia Indica Coccinia indica is a powerful anti-diabetic agent. By regulating breakdown of starch, it helps to prevent sudden surge of blood sugar after consuming carbohydrates. It could also protect the vital organs from the adverse effect of high blood sugar level.
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Sir I have done my lipid profile from lal path lab ,in which my triglycerides is 207. Please advice what should i do?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Sir I have done my lipid profile from lal path lab ,in which my triglycerides is 207. Please advice what should i do?
You strictly start brisk walking, avoid oil gheee and butter. Eat salad green vegetables salad and low glycemic index fruits. Use missi toti with out ghee over it. Then follow after 3 month. If not controlled take tab. Fibrate.
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Can high blood pressure be cured without taking medicines. I have a bp of 150/90 and I am currently taking 1 revelol xl 25 per day medicine prescribed by my doctor. I just want to stop the medicines bcoz I am taking all this stuff from a year and now I am fed up from all this and I think it will have side effects in the long run too. So I just want to stop medicines and normalise the bp by myself through life style changes. Can this be possible?

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
Can high blood pressure be cured without taking medicines. I have a bp of 150/90 and I am currently taking 1 revelol ...
1) At your age first line of management is lifestyle modifications and diet changes - Reduce stress, quit smoking (in case you smoke), avoid caffeine and alcohol. Start wating a healthy diet, with less of salty food like sauces, chips, fast food etec, Exercise daily for 40-45 mins. 2) Also get a proper evaluation for the underlying cause of BP with a Echo, Ecg, Renal function test and consult a cardiologist.
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He had renal stones and he was operated he is also an hypertensive patient and now he is more interested in taking salt saying that he is having normal bp now and could you suggest him the dietary schedule of hypertensive patient? And how to prevent recurrence of renal calculi.

BAMS
Ayurveda, Ambala
He had renal stones and he was operated he is also an hypertensive patient and now he is more interested in taking sa...
You should follow these very important and simple things to prevent stone formation & to get sure treatment of kidney stones: 1. First take a lot of fluid daily. The more you drink water and fluid, the less amount of deposit accumulate in kidney. So you have to make your kidneys healthy just only by drinking 2-3 liters (10-12 glasses) of water. 2. Stones are mainly formed of calcium and oxalate. So take very low quantity of milk, cheese, cream and dairy products. 3. Do not take strawberry, plum, spinach and tomatoes. These fruits and vegetables are rich in oxalate. So avoid them to prevent from kidney stones. 3. Stop taking supplementary vitamin d and calcium medication. 4. Avoid animal protein diet- eggs, red meat, fish in diet. 5. Take less amount of salt, pickle and western foods. They have high amount of sodium. So avoid it. 6. Urinary infection are also one of the cause of stone. So take proper antibiotic treatment of urinary infection on time. Even when you feelburning sensation or pain during urination, don't avoid it. Take medication as soon as possible. I hope you follow them in your life andstay healthy. 7. You can take gokshur tablets of himalaya for 3 months. It definitely get relief from kidney stones.
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My right side lung is paining from 4 days and problem in breathing and right side shoulder paining and right hand paining. Please Dr. Diagnosis my problem.

BPTh/BPT, B.PT
Physiotherapist, Mumbai
Can you give a little history on how it started as of now rich the right chest area and let me know if it hurts to touch.
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I feel little bit of uneasiness in left chest portion my age is 36 years what need to be done.

MD, MBBS
General Physician, Noida
I feel little bit of uneasiness in left chest portion my age is 36 years what need to be done.
If along with uneasiness in left chest, you feel pain in left hand, particularly on inner side and inner 2 and half fingers (little finger, ring finger and lower half of middle finger) you may have heart problem (coronary artery disease) and you need to get investigate by tread-meal test. Usually uneasiness is due to muscular aches or gastric problems but as males are subjected to lot of stress, tension and competition and lack protective estrogen, they become prone to coronary artery diseases after 40 years (though now a days it is occurring in genetically susceptible young adults too), you should get yourself checked by a cardiologist or you may undergo comprehensive cardiac health check-up available in most of hospitals now a days specially on Sundays for a nominal discounted coat ranging from Rs3000-6000/- which includes full blood check-up, diabetic profile, liver function tests, kidney function tests, pulmonary function tests, treadmill test, echo cardiogram, ultrasound of abdomen, chest x-ray, rectal examination, examination and consultation by a surgeon, consultation by a cardiologist and consultation with dietician.
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Hi. My mom is high B.P patient. But suddenly one day she fainted. And when checked, her b.p was low. It is first time this happened. After dat we checked her b.p regularly. It kept on fluctuating alternative days. What can be the reason behind this?

B.Sc.- Food & Nutrition, M.Sc- Food Science & Nutrition, NET (LS)
Dietitian/Nutritionist, Kolkata
Hi. My mom is high B.P patient. But suddenly one day she fainted. And when checked, her b.p was low. It is first time...
Improper diet & long gaps between meals, less water intake, irregular intake of medication can be the reasons. Make sure she has small frequent meals (2-3 hrs interval), take medicine daily & has 3 litres water daily. Cut down on salt intake, she can have dab water daily & 2-3 whole fruits, plenty of vegetables.
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I am 36 years old . My left side chest is paining (like heart attack) since 1 year. All reports of heart field (tmt, ecg,ecco) are normal . What should I do?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 36 years old .
My left side chest is paining (like heart attack) since 1 year.
All reports of heart field (tmt, ...
Good to know that reports for heart are normal. May be you have stomach problems like acidity due to wrong eating. Take regularly some warm liquids whih are nourishing and less of fatty and oily foods which cause bulk to stomach. You can have clear soups, green tea, diluted toned milk, warm water with honey and lemon juice. Any of thses every 2 hours to wash acid in stomach. Seasonal vegetables & fruits as per constitution. Less of oils and spices but no bland food either. Black pepper and cinnamon is good for heart. Take minumum salt and sugar despite bp and blood sugar being normal.
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I am 48 yrs and reduced 10 kg wt by exercises in last 3 months. Everything is fine including my lft kft blood urine thyroid tests but my bp is constantly 105/155-160. Why so. Does exercises have some correlation with this increased bp.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Thyroid gland affects nearly every organ in the body. Many nutritional factors play a role in optimizing thyroid function. However, both nutrient deficiencies and excesses can trigger or exacerbate symptoms. Working in collaboration with a both a physician and a registered dietitian is essential to determine nutritional status for optimal thyroid health. Improper thyroid function causes undesired weight changes, significant cardiovascular risks, and symptoms such as fatigue, mood changes, and gastrointestinal upset, which can hinder the development of healthful behaviors. I focus on setting realistic goals for healthy changes and regular exercise when counseling clients. There many potential nutrient deficiencies and interactions with medications and supplements. Hence diligent care is to be taken while designing a holistic treatment plan. I being a both a registered dietitian and doctor have been successfully helping patients with their problems through a holistic approach using customized therapeutic diet and medications. Do reply back for private consultation.
1 person found this helpful
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Have this pressure crushing tightness raw bruised feeling in lower chest at both sides of chest at the side causing extreme light headed low energy.

International Academy of Classical Homeopathy, BHMS
Homeopath,
Have this pressure crushing tightness raw bruised feeling in lower chest at both sides of chest at the side causing e...
take thyroidin 12c 3tims day for 30 days cactus 12c 3tims day fro 20 days aconit 30 3tims day for 10 days cratagus mother tinc raulf ser 12c 4tims day
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At midnight suddenly realised faster heart beats. With dry tongue and often thirst. What are possible reasons behind all these? Is it a heart related issue?

PGD Maternal Child Health, MBBS
General Physician, Akola
At midnight suddenly realised faster heart beats. With dry tongue and often thirst. What are possible reasons behind ...
Heart rate varies with the demand of oxygen in the body so when we exercise it gets increased and when we take rest it is at its base level. Generally there is no such reason for the heart to increase its rate at rest but the autonomic nervous system of the body which regulates heart beat may do so if its sympathetic component is stimulated due to some emotional overdrive like fear, nervousness, nightmares etc. The effect is dryness of mouth, increased rate of heart beats etc. If there is no other relevant symptom like chest pain, breathing distress etc, then should not be anything to worry else get a thorough check up to be assured.
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I am 49 year old male my triglyceride is 350 total cholesterol is normal hdl ldl vldl is normal limit I am on tab. Atorvastatin 10 mg od. And olsertan 20 mg. Od. Bp 130/80.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 49 year old male my triglyceride is 350 total cholesterol is normal hdl ldl vldl is normal limit I am on tab. At...
Hello dear 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 .
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Emphysema - Know The Life Expectancy and Stages!

MD, MBBS
Pulmonologist, Delhi
Emphysema - Know The Life Expectancy and Stages!

If you are facing difficulties in breathing, especially in the process of exhaling, you are suffering from emphysema. Emphysema is a condition in which the air sacs of the lungs are damaged and enlarged, causing breathlessness. It occurs as a result of several triggers, smoking being the most common one. Emphysema is a type of chronic obstructive pulmonary disease. People with this condition struggle to exhale, which implies that there is some obstruction in the air flow. This disease has no permanent cure but by quitting smoking, you can stop it from getting worse.

Stages
The progression and severity of emphysema occurs with the staging systems. The staging of the condition can help in developing a prognosis.

The Gold emphysema staging system
Gold is a major emphysema staging system created by a group known as the Global Initiative for Chronic Obstructive Lung Disease. The amount of air a patient can exhale forcefully in one second is determined during this stage. It is also referred to as the forced expiratory volume or FEV1.

The staging is as follows:

  • Stage 1: Mild emphysema (FEV1 greater than 80% of normal)
  • Stage 2: Moderate emphysema (FEV less than 80%, but more than 50% normal)
  • Stage 3: Severe emphysema (FEV lesser than 50%, but more than 30% normal)
  • Stage 4: Extremely severe emphysema. (FEV lesser than 30% of normal or lesser than 50% normal, with low levels of oxygen in the blood.

The BODE emphysema staging system
The condition affects several abilities. The BODE index, an acronym for BMI (body mass index), obstruction, dyspnea (breathlessness), exercise capacity (health index) is another staging system for emphysema in which the emphysema’s impact on several areas of life are measured. They include the following:

  1. Body mass index (B)
  2. Airflow limitation or obstruction (O), which is measured by pulmonary function tests
  3. Breathless or dyspnea (D), which is assessed thoroughly via a questionnaire
  4. Exercise capacity (E), which is measured to check how long a person with emphysema can walk in a span of six minutes

Life expectancy
The prognosis of emphysema is impossible to be determined in any person individually. The staging system helps to identify the severity of the condition, but the future cannot be predicted. Not many studies have been undertaken for the determination of the effects of emphysema on life expectancy. The best research that has been carried out included around 100 people, which is very less. The condition varies largely among people, even if they are in the same stage.

The statistics available on emphysema are not reliable enough for individuals who wish to know their life expectancy. It is considered that if a patient falls in a higher stage, his/her long-term life expectancy is less. If you wish to discuss about any specific problem, you can consult a Pulmonologist.

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Hi I am taking 2 times a day exiten plus but today i am not feeling uneasy and breathing problem and low immune is this anxiety or I have to consult a neurologist or heart doctor.

MBBS
General Physician,
Hi, Thanks for your question. I do understand your pain and discomfort. 1) Check your vital sign (BP, PULSE,RR rate, TEmp)record it. 2) Do full blood count with differential 3) Take Iron injection 2 times per weekly with 100 ml saline if HB% is low. 4) Do an ECG to ruled out any heart problem present. Treatment will be as per report, I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks.
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Hello doctor I am 23 years old. My, weight 64, height 5.3 feet, my HLD 61.3 mg/dl (moderate risk) and LLD 149 mg/dl (borderline high. How much calories should I burn doily to reduce my cholesterol level. Suggest me some treatment. Thanks.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hello doctor
I am  23 years old.
My, weight 64, height 5.3 feet, my HLD 61.3 mg/dl (moderate risk) and LLD 149 mg/dl ...
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. Welcome in lybrate.
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I have chest pain and I contacted to a doctor and he tested my ECG and echo test. My ECG test and echo test are normal, then which disease may I have?

MBBS
General Physician, Mumbai
I have chest pain and I contacted to a doctor and he tested my ECG and echo test. My ECG test and echo test are norma...
Dear Lybrateuser, - At your age your chest pain could be due to acidity, anxiety or sedentary habit - avoid spicy, fried & junk foods, restrict intake of tea/ coffee to 1-2 cups per day, also avoid alcohol & tobacco if you take - do not skip meals, have meals on time, chew your food well, have 4-5 small meals rather than three large meals, do not lye down for about an hour after meals, have dinner 2-3 hrs before bedtime - have 7-8 glasses of water for proper digestion - do regular exercise, play games, also do yoga, deep breathing & meditation for 10-15 min daily morning - take syrup Gelucil, 2 teaspoonful three times a day half an hour after meals.
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