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Dr. Pradeep Muley  - Vascular Surgeon, Delhi

Dr. Pradeep Muley

MBBS, MD - Radio Diagnosis/Radiology

Vascular Surgeon, Delhi

30 Years Experience  ·  800 at clinic
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Dr. Pradeep Muley MBBS, MD - Radio Diagnosis/Radiology Vascular Surgeon, Delhi
30 Years Experience  ·  800 at clinic
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Personal Statement

Dr. Pradeep Kumar Muley is a Radiologist in Saket, Delhi and has an experience of 28 years in this field. Dr. Pradeep Kumar Muley practices at Max Super Speciality Hospital in Saket, Delh......more
Dr. Pradeep Kumar Muley is a Radiologist in Saket, Delhi and has an experience of 28 years in this field. Dr. Pradeep Kumar Muley practices at Max Super Speciality Hospital in Saket, Delhi and Fortis Hospital in Vasant Kunj, Delhi. He completed MBBS from Devi Ahilya Vishwa Vidhyalaya, Indore, M.P. in 1988 and MD - Radio Diagnosis/Radiology from Devi Ahilya Vishwa Vidhyalaya, Indore, M.P. in 1991. He is a member of Delhi Medical Council and Medical Council of India (MCI). Some of the services provided by the doctor are: Contrast Radiography, Vascular image, Interventional Neuroradiology, Panoramic radiology and Angiography Radial Approach etc.
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Education
MBBS - Devi Ahilya Vishwa Vidhyalaya, Indore, M.P. - 1988
MD - Radio Diagnosis/Radiology - Devi Ahilya Vishwa Vidhyalaya, Indore, M.P - 1991
Professional Memberships
Delhi Medical Council
Medical Council of India (MCI)

Location

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Fortis Flt. Lt. Rajan Dhall Hospital - Vasant Kunj

Sector B, Pocket 1, Aruna Asaf Ali Marg,Vasant Kunj New Delhi, Delhi - 110070Delhi Get Directions
800 at clinic
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Coronary Heart Disease And Sugar Or Carb Relation

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma In Panchkarma
Ayurveda, Jhalawar
Coronary Heart Disease And Sugar Or Carb Relation

The primary cause of coronary heart disease (which causes a heart attack) is inflammation of the coronary arteries (the arteries which carry oxygenated blood to your heart). Before I move on to explain what is inflammation, let’s see what is atherosclerosis.

  • Atherosclerosis is an inflammatory response initiated by damage to the innermost layer (known as the endothelium) of the arteries, which faces the bloodstream.
  • Atherosclerosis is a disease which causes narrowing of the walls of the arteries which is characterized by plaque build up. This plaque build up inside the arteries results in blockage of the blood flow or sometimes formation of blood clots. This plaque blood clots can result in partial or complete blockage of blood flow. When all this happens inside the coronary arteries, it is called coronary heart disease which is the main danger as it can lead to a heart attack.
  • As we see here that the underlying cause of blockage is the plaque build up. Let us see how this plaque is built up:
  • Once damage occurs to the inner layer of the coronary artery, the body’s natural repair mechanism takes over. This mechanism begins with circulating levels of low- density lipoproteins (ldls) into the damaged area. Let me stress that this occurs whether a person has high or low ldl-cholesterol!
  • Once ldls move into the damaged area of the endothelium, there is an inflammation response initiated by the body (inflammation response is a protective response of the body). This attracts the immune cells to the damaged site. This, in turn, produces growth factors, which cause muscle cells to multiply and invade the damaged area of the blood vessel. Eventually, the conundrum of ldl, immune cells, muscle cells and debris from the initial damage form “plaque.”

So as we see above, the primary cause of plaque build up is inflammation of arteries, and this plaque formation can happen, whether a person has low or high ldl levels, we are getting closer to the point of understanding that it’s not the cholesterol, but inflammation that is the primary cause of the blockage, which causes heart attack.

Now the question is what causes inflammation in the body?

  • Inflammation is not just restricted to the arteries, but every cell of the body, and the prime cause of this is sugar is inflammatory. Imagine spilling sugar syrup on your keyboard and see what happens. Inside the body also, sugar does similar things. People with chronically high sugar levels (type-2 diabetics or even pre-diabetics) are suffering from inflammatory stress in the body. That is why injuries or wounds in diabetics take longer time to heal and surgeries become critical!
  • And when I talk about sugar here, it is not only the refined sugar in the diet but also the excess intake of all carbohydrates in the body, which leads to chronically elevated blood sugar and insulin levels in the body.
  • So a person (specially a sedentary person) having predominantly excess carbohydrates and sugar in the body, even if taking a diet low in fats, is still at a greater risk of heart disease even though his saturated fat intake is low. That is why a type-2 diabetic is at a greater risk of having a heart attack. This is due to inflammation of arteries. And since this inflammation is not only limited to arteries but every cell of the body, often these people suffer from lethargy and low and energy levels due to inflammation in the intestinal cells, which restricts proper absorption of vital nutrients like vitamins, minerals in the body and the hormones get affected leading to lethargy.
  • This inflammation or damage to arterial walls can be caused by a few other factors as well like:
  • High intake of omega-6 fats (like vegetable oils, soybean oil etc) high intake of alcohol, smoking, high free radical damageincreased cortisol (ie stress) lack of vitamin c and other anti-oxidants.

Blood tests

  • If you really want to know the true health status of your cardio-vascular system that a mere lipid profile will not give you the true picture. A couple of blood tests that need to be added are:
  • Hba1c (glycated hemoglobin): hba1c test is an indicator of how well the sugar levels are controlled in the body in the span of 3 months. The excess sugar molecules bind with hemoglobin and the resultant molecule is called glycated haemoglobin. The life span of this molecule is 3 months. The normal value of hba1c is 6. Anything more than that means the sugar levels are chronically elevated beyond normal in the last 3 months.
  • C-reactive protein: this test indicates the level of inflammation in the body. This substance is produced by the liver which increases in the presence of inflammation in the body.
2 people found this helpful

I am suffering from dvt and now it seen varicose and also ulcer in my foot Can I go for surgery I need an advise for this.

MBBS, DNB (VASCULAR SURGERY), DNB (General Surgery)
Vascular Surgeon, Pondicherry
I am suffering from dvt and now it seen varicose and also ulcer in my foot Can I go for surgery I need an advise for ...
Dear Mr. lybrate-user, You need to be evaluated in person and also get certain scans done to check the effects and venous mapping of your Dvt affected limb. Then the vascular surgeon will decide if you need deep vein or superficial vein therapy to heal your ulcer. Best wishes.
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My brother gets acute pain around his left ankle and some pain around his right ankle when he walks for about 15 minutes. The pain subsides on resting for 5-10 minutes. There is no pain when resting. Our doctor advised a blood circulation test to check if it's a case of peripheral artery disease. The test was carried out in his right leg only and blood circulation was found to be normal. Does this mean that blood circulation in his left leg would also be OK given that the test was carried only on his right leg?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
My brother gets acute pain around his left ankle and some pain around his right ankle when he walks for about 15 minu...
It doesn't mean to be like that, do check both limbs for the same is advisable for pain do take ust and laser therapy for 12 days followed by strengthening exercise from neuro physiotherapist do apply hot and cold water fomentation for thrice a day for 7 days regularly best wishes.
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Hello sir / madam my grandma went into a angioplasty surgery so please suggest me further diet and daily routine. In the sense on food habit and exercise etc.

MBBS
General Physician, Faridabad
•try to lose weight if you are above your ideal body.this should be a gradual process,so avoid any fat diets or quick weight loss methods. •quality of fat is more important than quantity. along with reducing the quantity emphasize on omega 3 fats in the diet;this can be done in the form of adding flaxseeds and fish. •avoid consumption of margarine,oily or fried foods, red meat,sweet preparations like cakes,pastries, margarine and carbonated drinks. •foods high in magnesium helps to protect heart, include foods such as broccoli, potatoes,spinach, and wheat germ. •include at least 8-9 servings of fresh fruits and vegetables in a day’s diet and 1 serving of green leafy vegetable daily. •avoid taking any kind of stress or strain may it be physical or psychological. **small frequent meal: • diet with small frequent meals,to avoid any strain on the heart • diet rich in mufa and pufa,and low in sfa • a diet plan low in sodium content. • a high fibre diet is recommended.
1 person found this helpful
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Hi sir, i m 25 years old, female having varicose vein. And cvi on both leg. With out surgery suggest any other option. Please.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Lybrate user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly.* Without surgery conservative measures - elastocrepe bandages, exercises.therapeutic measures laser ablation * Still further precise management guidelines would be possible if provide the detailed report of Doppler in private consultation. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards take care.
1 person found this helpful
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I am having varicocele right grade 1.As of now I am getting little bit pain in right leg. And am also having urine in thick yellow color. Is that problems are for varicocele.

MBBS
General Physician, Cuttack
I am having varicocele right grade 1.As of now I am getting little bit pain in right leg. And am also having urine in...
Yellow colour urine is not due to varicocele. It could be due to inadequate intake of water/ jaundice 1. Drink plenty of water (8-10 glasses) daily 2. If yellow colour still persists, get your blood examined for lft and consult doctor with report to rule out jaundice.
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I am 23 years old. I have been married for 3 years. I did’t get pregnant yet. I used to gain more but not over weight I never took birth control pills I only take vitamin d pills for now. I have flat feet. I don’t smoke or drink alcohol. I exercise regularly but lately I don’t from my mild pain and scared to make them worse. So I just walk. I eat a healthy diet. Before three years I had pain on my right leg that would hurt so much. So I found that I have a small green vein behind my right knee with a little spider veins. So I started to exercise regularly and elevate my legs and then the pain went away but it will come back if I work a lot. I did’t know I’m suppose to wear compression stockings. But lately the pain on my legs won’t go away and my veins are more than before and behind my left knee too. The pain was behind my knees and a little bit on my calves but the pain on my right leg was more and it won’t go away like before. Even if I rest ,the pain behind my knee won’t go away lately. I can take the pain it’s not that severe. I also lately noticed my veins on my feet, ankle,shin and near my wrist are showing more I discovered that it might be from the reticular veins that I have. I have some spider veins and green veins behind my knees. So I went to the doctor and did an ultra sound to see if my situation is not dangerous. The doctor told me I can take pills to get rid of the pain and do sclerotherapy to let the veins not spread. What I want to ask you is if I do sclerotherapy procedure would this pain go away and the veins that are showing in my feet and shin more go away? Would this needle help the blood flow and make my veins less visible on my feet, shin,ankle and around my wrist? Are the reticular veins the reason for those bulging veins? They scare me. Thank you.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Knee Pain: As arthritis is very common that you get generally bilaterally. Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. Simple Knee ExerciesSpecific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. Leg PainIf you have leg pain then you have to rule out the casues for having leg pain. First of all check your weight and your haemoglobin levels, as Anaemia always leads to the symptoms of being tired and also having leg pain though there are no issues with the knee joint or back pain. If not if the pain radiates down the back of thigh and legs then it might be due to sciatica. Kindly consult the nearby physiotherapist. Hope you recover soon from the leg pain.
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Sir, I am DVT patient prescribed MIOT Hospital Tab. Warf 5 mg now is doing long time walking slightly pain and ulcer start please permanently clear solution is required.

MBBS, DNB (General Surgery), Membership of the Royal College of Surgeons (MRCS)
General Surgeon, Faridabad
Sir,
I am DVT patient prescribed MIOT Hospital Tab. Warf 5 mg now is doing long time walking slightly pain and ulcer ...
You have not mentioned since when you have DVT and you are having warf. However if you are having pain and ulcer, you need to have an venous doppler ultrasound of both the legs done. This will show the current status of DVT and any varicose veins. Also compression stockings are usually recommended to be worn after early period of DVT settles. If you have leg swellings, keep your leg elevated at night by raising foot end of bed. Inform me if you have any further queries.
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My aunt have a problem of varicose problem backside of knee .nerves are appeared reddish colour and the tongue turning black colour is it is problem of that pls help.

MBBS
General Physician, Cuttack
1. Do regular exercise, reduce weight if over weight, 2.Avoid tight cothing, 3.Avoid prolonged standing/sitting 3. Keep the leg elevated while sleeping, sitting 4.consult surgeon for further advice Treatment 1.Compression stocking If no relief 2.sclerotherapy, 3.Laser surgery or vein stripping. 4. Consult a good surgeon for treatment.
1 person found this helpful
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I am 38 year old Uric acid level is 7.48 Vein pain from last 6 month TG -335. so, what to do?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Avoid protein diets,bad habits , fast food/fat/oily,salty foods. Coffee, smoking, alcohol intake. Non-veg., take whole grain,oats,green veg.,plenty of water in day time, 1 glass of water at night before bed. Take tab. Zyloric 100 mg once a day. Tab. Bencid 500 mg once a day. cap.ecosprin gold-10 mg at night for T.G.
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