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Dr. Raman Puri

Cardiologist, Delhi

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Dr. Raman Puri Cardiologist, Delhi
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Raman Puri
Dr. Raman Puri is a trusted Cardiologist in Bapa Nagar, Delhi. You can visit him at Manav Medicare Centre in Bapa Nagar, Delhi. Book an appointment online with Dr. Raman Puri 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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My father is having a problem of blood pressure please give the solution to control blood pressure in the body so that he can work freely. Blood pressure is because of hypertension & anger my dad have both the problem.

DM - Cardiology, MD - Medicine, MBBS
Cardiologist, Gurgaon
My father is having a problem of blood pressure please give the solution to control blood pressure in the body so tha...
Lifestyle modification - normalize weight,stop smoking, physical exercise, salt restricted diet,mental relaxation etc,If these measures fail then next step would be to start medicines. Also one needs to rule out secondary hypertension
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In my body triglycerides are high. How these are developed high and what to do next please advice.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
In my body triglycerides are high. How these are developed high and what to do next please advice.
Hello dear High 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, use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. garlic,. Take anti cholesterol medicines .
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High Blood Pressure: Does It Lead To Diabetes?

MBBS, MD, FAIIDR
Diabetologist, Vadodara
High Blood Pressure: Does It Lead To Diabetes?

What is High Blood Pressure?

High blood pressure or hypertension is a condition caused when the force of the blood against the arterial walls exceeds drastically than what it normally is. A blood pressure reading exceeding 140/90 over a prolonged period of time is considered to be ‘high blood pressure’ or diagnosed as ‘hypertension’.

What is Diabetes?

Diabetes is characterized by extremely high levels of blood glucose (blood sugar) in the body, either due to the insufficient secretion of insulin by the pancreas or reduced sensitivity of the body to insulin. This makes your body unable to break down the sugars. At first glance, these two conditions seem completely unrelated, but, according to certain studies, the two conditions do have similar outcomes and could be inter-dependent.

The Connect-

According to the American Diabetes Association, the combination of hypertension and type 2 diabetes is particularly lethal and can significantly raise a person's risk of having a heart attack or stroke. Having type 2 diabetes and high blood pressure also increases your chances of developing other diabetes-related diseases, such as kidney disease, and retinopathy (eye blood vessels), which may cause blindness. There is substantial overlap between diabetes and hypertension, reflecting substantial overlap in their etiology and disease mechanisms. Genetic structure, Obesity, inflammation, oxidative stress, and insulin resistance are thought to be the common pathways. A prospective cohort study in the United States reported that type 2 diabetes mellitus was almost 2.5 times as likely to develop in subjects with hypertension as in subjects with normal blood pressure.

In the Hong Kong Cardiovascular Risk Factor Prevalence Study, only 42% of people with diabetes had normal blood pressure and only 56% of people with hypertension had normal glucose tolerance. There are many minor lifestyle changes that can lower your blood pressure and blood sugar. A brisk walk for 30 to 40 minutes every day, or any aerobic activity can make your heart healthier. In addition to lowering blood pressure and blood sugar, physical activity can strengthen the heart muscle and may reduce arterial stiffness. You may need minor modifications in your diet like, cutting out sugar salt, high-fat meats etc. You can take several servings of vegetables, low-fat dairy products, leans meats and fish or meat substitutes, fruits, whole (not processed) foods, whole-grain pastas, breads, and brown rice etc. While some people can improve their type 2 diabetes and hypertension with lifestyle changes, most require medication.

Depending on their overall health, some people may need more than one medication to reduce their risk. Consult your doctor to choose best possible medicines for your diabetes and / or blood pressure control. If you wish to discuss about any specific problem, you can consult a doctor.

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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.
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My name is jawed and i am having gastric problem and left side chest burning I have e consulted cardiologist many times he told me that due to anxiety my heart beat increases and 2d echo and ecg are normal 4 cardiologist I have consulted and told me to go to psychiatrist what should I do I fear daily and have palpitations more often.

MBBS, DNB (General Medicine)
General Physician, Delhi
My name is jawed and i am having gastric problem and left side chest burning I have e consulted cardiologist many tim...
I do not agree with your cardiologist that you should go to a psychiatrist. I believe that palpitations are to be addressed as a problem even when no pathological reason related to heart has been found. If you're having palpitations it basically means that you have an undue awareness of your heart beat. Lot of these problems have to do with stress undoubtably. But leaving them to be tackled only as stress may have its own shortcomings. I would advise you to 1st cut down on intake of caffeine which we take in the form of tea coffee and cola drinks. Also ensure that you are taking a good nights sleep. Keeping yourself involved in stress bustingactivities would also ensure the relief of anxiety which causes increase in heart rate. Hope this helps you. Regards.
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. I'm a hypothyroid patient and started taking 50mcg of thyroxine, I feel like burden on my heart. Pulse rate is always is above 90 even in rest position sometimes it is reaching 120b/min Could you please advise?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
. I'm a hypothyroid patient and started taking 50mcg of thyroxine, I feel like burden on my heart. Pulse rate is alwa...
in hypothyroidism heart beat may be increases suddenly . do not worry about that it is only for while . Take diet for hypothyroidism:- high-carbohydrate foods such as potatoes, rice, pasta and bread, Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, Avoid few foods in hypothroidism i.e. caffeine products tea,coffee, tabcco, alcohol / wine , kale, broccoli, spinach, mustard green, cabbage, turnip, millet, cassava, linseeds, pine nuts, soy products as soy milk, tofu, soybeans, soy souce, also avoid stress. Take Some Relax during work. Proper follow up you can feel better and reduce weight also. send your reports of thyroid profile for best help. welcome in lybrate.
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I am 48 years old. L have T3 Total 1.3 T4 Total 6.72 & TSH 16.60. What will be the recommended dosage of eltroxin. Presently I am taking amlopres 5. Cholesterol Total 129 Triglycerides 120. HDL cholesterol 35 VLDL Cholesterol 13 Non HDL cholesterol 94 Hb 13.1.Glucose Fasting 84. Urea 23. creatinine 0.74 Uric Acid 5.60.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I am 48 years old. L have T3 Total 1.3 T4 Total 6.72 & TSH 16.60. What will be the recommended dosage of eltroxin. Pr...
Mr. lybrate-user, Thanks for the query. When one is on treatment with adequate dosage of Levothyroxine, TSH is maintained around 3 to 4 mU/L. At that level all symptoms are in check. What is the dosage advised? Your lipids look fine. Thanks.
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I am 27 years old female and mother of two. Usually I have joint pains and chest pain regularly. What should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I am 27 years old female and mother of two. Usually I have joint pains and chest pain regularly. What should I do?
Your joint pains--- *you can use mustard oil for massage which is good in winter season for relieving pain. Eucalyptus oil is also good homoeopathy has a good treatment for this without adverse effects. Take bryonia 200---twice daily morning and evening and give feedback after 7 days
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Can my mother drink coconut water, but 3 months later a heart operation was done.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Can my mother drink coconut water, but 3 months later a heart operation was done.
Coconut water is not harmful to heart patients. It is a rich source of minerals including potassium that counters the bad effects of sodium chloride, our common salt that leads to water retention and some swellings all around the body.
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