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Dr. C P Roy

Cardiologist, Delhi

1000 at clinic
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Dr. C P Roy Cardiologist, Delhi
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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. C P Roy
Dr. C P Roy is an experienced Cardiologist in Saket, Delhi. You can visit him at Max Super Specialty Hospital-Saket in Saket, Delhi. You can book an instant appointment online with Dr. C P Roy on Lybrate.com.

Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 29 years of experience on Lybrate.com. You can find Cardiologists online in Delhi 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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Max Super Specialty Hospital-Saket

#2, Press Enclave Road, Saket. Landmark: Near Malviya Nagar Metro Station & Hauz Rani Bus Stop, Select City Walk Mall, DelhiDelhi Get Directions
1000 at clinic
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Approach to Ramadan Fasting In Patients with Heart Diseases

PGDCC (Cardiology ), CCEBDM (Diabetes), CCGDM (Gestational Diabetes), CCMTD (Thyroid), MBBS
Cardiologist, Udaipur
Approach to Ramadan Fasting In Patients with Heart Diseases

Holy month ramadan is auspicious for worldwide muslims and most of them starts fasting early in the morning up to the sunset in the evening during this entire month.

Heart disease patients tend to fast during ramadan but they have many questions:

1. Cardiac patients can fast?

The holy Quran exempts sick people from fasting. Fasting is allowed only for stable heart disease patient and it's strictly the discretion of the treating cardiologist.

Common types of cardiac conditions as follows:

A. Patients who had heart attack or recent stenting or open heart surgery

Many studies comparing ramadan with other months in cardiac patients shows there is no significant differences in the incidence of heart attack or typical cardiac chest pain during ramadan. Patients with recent acute heart attack, heart attack equivalent chest pain with high cardiac enzymes, recent stenting, recent open heart surgery should strictly avoid fasting.

B. Patients with low pumping of heart i. E, reduced ejection fraction 

Low pumping of the heart is one of the common cause of frequent hospitalisations among cardiac patients. Many studies done in the middle east shows there was no significant difference in the number of hospitalizations for patients with low heart pumping during ramadan. Its almost similar to other months without fasting. But in this category certain groups of patients cannot fast especially patients with difficulty in breathing, associated swelling of legs, associated cough and sudden increase in weight.

C. Patients with high blood pressure.

Most of the high blood pressure patients on controlled medications can fast during ramadan as it will not affect the blood pressure readings and it was proved in many studies. Certain group of patients with resistant blood pressure who requires multiple drugs for controlling should consult treating doctors before ramadan for appropriate dose adjustments. If dose adjustment is not possible then for such patients it is advisable to abstain from fasting to avoid cardiac and other complications.

2. How to take their cardiac drugs during this month?

Stomach ulcer and related complications are common during ramadan. Hence drugs which can cause gastric irritation (like aspirin) should be taken as per the advice of treating doctor. Before ramadan you should consult your doctor and make sure regarding the dose and timing. Medications like water pill (lasix)to be avoided during fasting.

3. Lifestyle during ramadan

Avoid over eating while breaking the fast

Avoid exercise after a large meal

Stop smoking

4. Can cardiac patients do hajj pilgrimage?

Cardiac patients who is certified as stable and fit by the treating cardiologist can go for hajj

Full medical workup is mandatory before hajj.

Patients with recent acute heart attack, heart attack equivalent chest pain with high cardiac enzymes, recent stenting, recent open heart surgery are unfit for hajj.

Take home messages-:

A. Consult your doctor before ramadan regarding your health condition and dose adjustments if required.

B. Comply to medication

C. High risk patients should avoid fasting

D. Unfit cardiac patients should not try hajj pilgrimage.

53 people found this helpful

Hello sir, My uncle has met with brain stroke 3 years back. As of now he is gud but his left hand is just like we keep the hand when fractured and his fingers are closed just we close our fingers. Nerves are clumsy and are not free to move. His ring finger makes all fingers to be close. His fist is always closed due to tight fix of nerves. Is there any injection to free up nerves so that he can easily open and close his hands.

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist, Secunderabad
Dear, although I am not a neurologist, I would like to still answer your question. Your uncle has suffered from brain stroke, which means part of the brain tissue controlling movements of his right side of the body is affected/damaged. This happens when blood supply to that area is blocked for some reason, say blockade in artery supplying that part. Subsequent recovery depends upon restoration of that blood flow, and how quickly its restored. After initial stage recovery in such cases takes a long time. Continued treatment with physiotherapy is required to bring back some functions. But some residual weakness may remain. Best of luck.
1 person found this helpful
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I am suffering from dry cough from past 2 weeks and I have chest pain whenever I cough hard. Can you suggest me what should I do?

MBBS
Pulmonologist,
I am suffering from dry cough from past 2 weeks and I have chest pain whenever I cough hard. Can you suggest me what ...
Get a good cough suppressant syrup and one antibiotic. Do warm water gargle regularly in the evening.
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I am having pain in my chest. It is like pinching near my heart and sometimes pain in my chest. The pain is of few seconds.

MBBS
General Physician, Cuttack
I am having pain in my chest. It is like pinching near my heart and sometimes pain in my chest. The pain is of few se...
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.
1 person found this helpful
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Having BP 150/90. Taking Amlodac 5 mg once daily. Now seems this medicine is not working. Any alternative? Or any advice?

DHMS (Hons.)
Homeopath, Patna
Having BP 150/90. Taking Amlodac 5 mg once daily. Now seems this medicine is not working.
Any alternative? Or any adv...
Hello, You need to follow certain natural norms to lower down your BP apart from medication. Go for a walk in the morning to regulate blood circulation to combat your BP. Go for meditation to reduce stress in order to condition the heart and regularising your digesrive system aswell. Tk, plenty of water to hydrate your body. Your diet be easily digestible on time to avoid gastric disorder that triggers BP & raised heart rate. All sorts of anti hypertensive medication be monitored. You can take homoeopathic medicine, being gentle,  rapid & safe in administration. Avoid, additional salt,  junkfood,  alcohol & nicotine. Tk, care.
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I have been swimming for some days. I am having a chest pain. Please tell me how to get out of it.

MBBS
General Physician, Cuttack
I have been swimming for some days. I am having a chest pain. Please tell me how to get out of it.
It could be due to muscular pain 1. Take one tablet of crocin pain relief as and when required up to a maximum of three tablets daily after food 2. Apply volini gel twice daily 3. Give hot fomentation by heat pack/hot water bag 4. Take adequate rest.
1 person found this helpful
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As per lipid My total cholesterol is 231 hdl 45 and ldl 166 kindly suggest medicine and dosage to reduce ldl.

BHMS
Homeopath, Delhi
As per lipid My total cholesterol is 231 hdl 45 and ldl 166 kindly suggest medicine and dosage to reduce ldl.
Hello, you can take homoeopathic medicine Alliun Sativa Q ( 10 drops in half cup of water) thrice a day for a week and update. Avoid fried food Drink lot of water
4 people found this helpful
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Home Remedy Tips: Tulsi

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
Home Remedy Tips: Tulsi:

Many India household grow Tulsi or Basil Plant as traditional practice.
Apart from being worshipped, it’s also used in a variety of cures.

How to use:

Skin Diseases: Tulsi leaf juice taken internally and applied externally

Cold & stomach upset: Leaf paste with milk

Guard against Malaria: A decoction of 15-20 leaves taken along with pepper powder

Fever & Chest Pain: Twenty leaves crushed and mixed in 2 cup water, boiled to 1 cup; add to this 15 gm mishri and two teaspoon honey. Take two table spoons 4 times a day

Headache: Mix 10-15 leaves with four cloves and a little dry ginger, Grind and apply on forehead.

Longevity, rejuvenation: 7 Leaves eaten along with water every morning on an empty stomach continuously for 108 Days

The Plucking Ritual

The Indian civilization believes, as scientists have proved, that plant also has a sense of feel.
While plucking flowers or leaves, violence should be avoided. One should only pluck the required amount of leaves. No leaves are to be plucked after sunset and its best to water a plant before doing so.

45 people found this helpful
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