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Dr. M.K Saxena

MBBS

Cardiologist, Delhi

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Dr. M.K Saxena MBBS Cardiologist, Delhi
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Personal Statement

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. M.K Saxena
Dr. M.K Saxena is an experienced Cardiologist in Apex Citi Hospital, Delhi. He is a MBBS. You can meet Dr. M.K Saxena personally at Apex Citi Hospital in Apex Citi Hospital, Delhi. Book an appointment online with Dr. M.K Saxena and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 32 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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D-440, West Vinod Nagar, Hanuman Road, Landmark: Near Nazzir Hotel, DelhiDelhi Get Directions
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D-440, West Vinod Nagar, Hanuman Road, Landmark: Near Nazzir Hotel.Delhi Get Directions
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My mother has diabetes and blood pressure problem also. She is continuously suffering from fever now a days in evening. But the fever gets off within 1 to 2 hours. She has swelling in the legs too. She is a school teacher too so she has to work whole day therefore she gets a little time to take rest. So please suggest me some valuable suggestions for her. Thanks.

Diploma in Diet and Nutrition, B.Pharma
Dietitian/Nutritionist
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My mother has diabetes and blood pressure problem also. She is continuously suffering from fever now a days in evenin...
Hi SACHIN you can give her protein rich diet in dinner, if she loses some weight her swelling will go away. I can help her to lose weight
1 person found this helpful

I am suffering from low blood pressure I am 21 year old what to do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Take ashwgandha tablet 1 tab twice daily for 10 days with milk.. take lemon water or ors when feeling low...follow up after 10 days.
1 person found this helpful

Before 5 years my blood pressure was found 100/180 and i was advised to take Betacard H and Telday 40 everyday in the morning after breakfast. Since then my blood pressure is 100/130 and no variations even for a single day. When can i stop taking the tablets.

MD - Consultant Physician, MBBS
Cardiologist
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If your blood pressure is 130/100 you should not stop blood pressure medicines , instead you should change or increase medicines to lower it furthur.

I have done CABG heart surgery on 15th of July Now I have pain near soothes and I am not able to breath properly.

MD- INTERNAL MEDICINE, MBBS
General Physician
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I have done CABG heart surgery on 15th of July Now I have pain near soothes and I am not able to breath properly.
It is a normal phenomenon after a bypass surgery. Give hot fomentation, take a tablet of crocin, apply volini spray & prform your light duties. You will recover fast, don't worry.
1 person found this helpful

Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician
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Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions
Dengue Vaxia
9 people found this helpful

Dr. I am 26 year old male my cholesterol is very high to control it what should I do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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Dr. I am 26 year old male my cholesterol is very high to control it what should I do?
Even if you have years of unhealthy eating under your belt, making a few changes in your diet can reduce cholesterol and improve your heart health. Choose healthier fats. Saturated fats, found primarily in red meat and dairy products, raise your total cholesterol and low-density lipoprotein (LDL) cholesterol, the "bad" cholesterol. As a rule, you should get less than 7 percent of your daily calories from saturated fat. Choose leaner cuts of meat, low-fat dairy and monounsaturated fats — found in olive and canola oils — for healthier options. Eliminate trans fats. Trans fats affect cholesterol levels by increasing the "bad" cholesterol and lowering the "good" cholesterol. This bad combination increases the risk of heart attacks. Trans fats can be found in fried foods and many commercial products, such as cookies, crackers and snack cakes. But don't rely on packages that are labeled "trans fat-free." In the United States, if a food contains less than 0.5 grams of trans fat in a serving, it can be labeled "trans fat-free." Even small amounts of trans fat can add up if you eat foods that contain small amounts of trans fat. Read the ingredient list, and avoid foods with partially hydrogenated oils. Eat foods rich in omega-3 fatty acids. Omega-3 fatty acids don't affect LDL cholesterol. They have other heart benefits, such as helping to increase high-density lipoprotein (HDL, or "good") cholesterol, reducing your triglycerides, a type of fat in your blood, and reducing blood pressure. Some types of fish — such as salmon, mackerel and herring — are rich in omega-3 fatty acids. Other good sources of omega-3 fatty acids include walnuts, almonds and ground flaxseeds. Increase soluble fiber. There are two types of fiber — soluble and insoluble. Both have heart-health benefits, but soluble fiber also helps lower your LDL levels. You can add soluble fiber to your diet by eating oats and oat bran, fruits, beans, lentils, and vegetables. Add whey protein. Whey protein is one of two proteins in dairy products — the other is casein. Whey protein may account for many of the health benefits attributed to dairy. Studies have shown that whey protein given as a supplement lowers both LDL and total cholesterol. You can find whey protein powders in health food stores and some grocery stores. Follow the package directions for how to use them.

I am 52years male. I cough very much with white mucous. I have pain on the sides of my chest (ribs)

BHMS
Homeopath
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I am 52years male. I cough very much with white mucous. I have pain on the sides of my chest (ribs)
Hello, you can take homoeopathic medicines 1. Kali bichrom 30 (4 drops in little water) thrice a day for 3 days. 2. Kof aid syrup (bakson's) (1tbs) thrice a day with lukewarm water for 3 days and revert. Keep a gap of 15 - 20 minutes in both the medicines.
2 people found this helpful

I am a male Sr Citizen aged 73 years having BP and Diabetes taking prescribed medicines for some time. I am experiencing ringing sound in my ears/head intermittently during day and night. I am told it is known as TINNITUS. What is the remedy for this condition Sir?

MS - ENT
Ear-Nose-Throat (ENT) Specialist
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I am a male Sr Citizen aged 73 years having BP and Diabetes taking prescribed medicines for some time. I am experienc...
Tinnitus is a common problem usually associated with deafness. It is of two types, subjective and objective. In objective tinnitus you can find out the cause of tinnitus while in subjective it is difficult to find the cause. Treatment consisit of reassurance and certain vasodilator and vitamin treatment. In objective tinnitus you may require surgery if cause is confirmed by all mod of diagnosis including ct scan.

What will be the best practices to have cholesterol free health. What all foods need to avoid for this.

DNB Cardiology, MD - General Medicine, MBBS
Cardiologist
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What will be the best practices to have cholesterol free health. What all foods need to avoid for this.
Hello, for healthy diet we need to cut down fat and pure carbohydrates from your diet. No fried and preserved food, no chips, farsan, pickles, ghee, red meat (mutton), egg yellow in your diet. Limit dairy products cut down upon oils used to cook food or shift to better oils like olive more of fresh fruits, vegetables, some nuts like walnut / almond, if you take fish, fatty fish like salmon 2-3 serving per week in your diet. Smaller meals as compared to 2 meals we usually take. Aerobic exercise 30-45 mins a day per week. Other supplement like, cod fish oil capsule, krill oil, garlic, flax seeds are good supplements rich in anti oxidants and improve your lipids profile.
1 person found this helpful

Hi. I am suffering from pain in the rib cage bones. Mainly the back lower last bones are paining. Sometimes chest bone pains severely. Can you please tell me what can be the problem. Thanks in advance.

MBBS, MD - Internal Medicine
Internal Medicine Specialist
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Hi.  I am suffering from pain in the rib cage bones. Mainly the back lower last bones are paining. Sometimes chest bo...
hi. there are many causes of chest pain. heart problems, high B.P., acidity, any injury in chest/ ribs. infection in lungs, for pain take tab. dolo 650 mg sos after meal for pain. take syp. diagene 15 ml before meal or sos when acidity occurs. inhale steam if breathing problems or cough occurs. to confirm do few CHECKUP B.P., cbc. blood sugar, x-ray chest P.A. view, avoid high cholesterol foods/oily foods. junk foods. after tests consult again to physician. welcome in lybrate.
1 person found this helpful

How to control low blood pressure? Please help me.

Diploma in Diabetology, Master of Hospital Administration, MBBS
General Physician
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When dealing with low blood pressure, it is usually suggested to increase your salt and fluid intake. Before increasing your salt consumption, do check with your doctor. Also, cut down on alcoholic beverages and high-carbohydrate foods such as bread, rice, pasta, and potatoes.

I am suffering with pain a little bit for 2 or 3 minutes in heart why? What should I do for this. One day I contact a person ayurvedic doctor he said there a walls problem in the heart What should I do.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician
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I am suffering with pain a little bit for 2 or 3 minutes in heart why?
What should I do for this.
One day I contact a...
You should not accept diagnosis from any doctor minus proof, specially if the diagnosis is as scary as problem in the walls of heart. Get yourself examined for heart, ecg, echo. If reports are normal, at 32 you can use prevention, so as not to suffer a heart disease in future.
4 people found this helpful

Hi, I am from bengal. I want to consult a cardiologist for my mother feels tired after a bit of work, or when she goes upstairs. Sometimes she feels pain in her chest. She had vitamin d deficiency earlier. She has high pressure, but now it is under control with medication. Is it a case of angiogram?

MBBS
General Physician
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Hi, I am from bengal. I want to consult a cardiologist for my mother feels tired after a bit of work, or when she goe...
Dear Lybrateuset, - Since your mother has hypertension & now she feels tired after normal activity, work & climbing stairs it is better to consult a cardiologist as she will require cardiac investigations & evaluation of functioning & state of blood vessels supplying the heart which may include an angiogram.
2 people found this helpful

I have fever (37.5) and my heart beat rate is also above 100, between 100 -110, I also have a headache.

Diploma in Cardiology
Cardiologist
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I have fever (37.5) and my heart beat rate is also above 100, between 100 -110, I also have a headache.
Hi lybrate-user have paracetamol 650 mg sos take plenty of water complete bed rest for a day or two if still fever persists then evaluate the fever.
185 people found this helpful

I have a problem of cough last 1 year. And feel bp problem. Please tell me some suggestion.

MBBS
General Physician
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I have a problem of cough last 1 year. And feel bp problem. Please tell me some suggestion.
Take syr honey tus 1tsf tds, 1tab sinarest before bed, steam inhalation. Saline gargles, it will help you. Get x-ray chest done, back with report. Thank you.

At age 28, when I randomly went for a health check up. I was bit surprised and shocked. My BP was on a higher side. 160+ / 84+ Doctor advised me for a detailed investigation/diagnosis of it frm a specialty hospital. My question here is what are the reason to have such BP at dis age ? I don't have any major health issues till now. What do I need to control this from now on ? What diet should I follow and what do I need to overcome this ? Please advise.

B.Sc.- Food & Nutrition, M.Sc- Food Science & Nutrition, NET (LS)
Dietitian/Nutritionist
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At age 28, when I randomly went for a health check up. I was bit surprised and shocked. My BP was on a higher side. 1...
It might be hereditary if your parents or grandparents were hypertensive. It may also be caused by smoking/ obesity/ high intake of salt & processed foods/stress. 1. have 1 coconut water daily (without cream) 2. Replace your salt with rock salt & tata salt lite 3. Avoid table salt, processed & ready to eat, canned foods 4. Restrict egg intake to 2 times a week 5. Cut down salt in cooking, use flavour enhancers like lemon, vinegar, herbs, spices, condiments 6. Do some sort of exercise daily (brisk walk/ yoga) & be physically active 7. Have a positive attitude & reduce stress via meditation
4 people found this helpful

Sir, mera sarir bahut weak. Mera pressure 100. Kon si medicine use karna, please batao. Can I take ELIXIR NEOGADINE syrup. Please mujhe batao. Me konsi medicine use karu.

PG Dip (Dietetics n Applied nutrition), Msc.in Nutrition n dietetics, Post graduate Certificate (Diabetes Education)
Dietitian/Nutritionist
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Sir, mera sarir bahut weak. Mera pressure 100. Kon si medicine use karna, please batao. Can I take ELIXIR NEOGADINE s...
Hello! only a qualified expert can help to solve any of our problem without any complication. And medication or pills or supplement for weight gain is not at all a good solution for any one. One might lose or gain weight for that particular period but once you stop supplement many complication can take place. So I must advice go for small n frequent healthy meals with some activity. You can take good quality protein in your diet. Like- milk n products, egg, chicken, dal & products. N visit a dietitian. It will help. The 1st thing you need to take care of is good quality protein, complex carbohydrate n good quality fat. N what you are taking before n after work out is also matter.

Which is the best medicine for low blood pressure.

MD - Internal Medicine, MBBS
Endocrinologist
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Drink more water, less alcohol. high-carbohydrate foods such as potatoes, rice, pasta and bread. cap. zevit once a day.

How tp be in shape without going gym? I have heart problems too. Please help me doctor. Im waiting for your reply.

MBBS
General Physician
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How tp be in shape without going gym? I have heart problems too.
Please help me doctor. Im waiting for your reply.
Just follow basic aerobics exercise which you are comfortable doing it and eat low fat content in your diet.
3 people found this helpful

I am working professional, I am a 32 year old male and have a chest pain for last 3 months. What should I do?

MD - Consultant Physician
Cardiologist
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I am working professional, I am a 32 year old male and have a chest pain for last 3 months. What should I do?
Chest pain may be muscular or neurogenic or sometimes hyper acidity. Take analgesic with antacid for 3-4 days. You will be ok. But avoid fry, fatty, fast foods.
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