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Dr. Abhay Thakre

MBBS

Cardiologist, Gurgaon

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Dr. Abhay Thakre MBBS Cardiologist, Gurgaon
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Abhay Thakre
Dr. Abhay Thakre is one of the best Cardiologists in Sector-51, Gurgaon. He is a qualified MBBS . You can consult Dr. Abhay Thakre at Artemis Medicare Services Pvt. Ltd in Sector-51, Gurgaon. You can book an instant appointment online with Dr. Abhay Thakre on Lybrate.com.

Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 43 years of experience on Lybrate.com. You can find Cardiologists online in Gurgaon 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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MBBS - - -

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Artemis Medicare Services Pvt. Ltd

Sector 51, Gurgaon, Haryana. Land Mark : Near Unitic Siber Park, GurgaonGurgaon Get Directions
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Artemis Hospital

Sector 51 Landmark : Near Unitech Cyber Park.Gurgaon Get Directions
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I am young boy. I have very chest pain to one week ago can you tail me what is this reason and sloov my problem.

I am young boy. I have very chest pain to one week ago can you tail me what is this reason and sloov my problem.
Kindly get an ecg done and consult a cardiologist. Gastric acid excess can also cause pain and burning sensation near the heart because of oesophageal irritation by the excess acid. You can try gelusil syrup or pantocid tabs if the pain is mild and no spread to the left shoulder. During the time you visit a cardiologist.
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My question is sometime I am feeling chest pain. And I thought thats heart attack. I am just 26. Please guide me.

BHMS
Homeopath, Faridabad
My question is sometime I am feeling chest pain. And I thought thats heart attack. I am just 26. Please guide me.
Hi. Common heart attack signs and symptoms include: Pressure, tightness, pain, or a squeezing or aching sensation in your chest or arms that may spread to your neck, jaw or back. Nausea, indigestion, heartburn or abdominal pain. Shortness of breath. Cold sweat. Fatigue. Lightheadedness or sudden dizziness. There could be other causes of chest pain at your age - may be related to bones/ muscles/ oesophagus/ lungs/ nerves. Need to rule out the cause first! Get thorogh check up done.
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I am 24 year old lady, my blood test report shows testosterone level 80.68, Hb - 11.3, iron level - 48.6,vitamin b12 level - 211, cholesterol level - 224, LDL cholesterol 145 .EOSinophil level 9.2. And written as hypocromia ,what it is? How to reduce cholesterol level?

Bsc Food & Nutrition, Msc Food & Nutrition
Dietitian/Nutritionist, Delhi
I am 24 year old lady, my blood test report shows testosterone level 80.68, Hb - 11.3, iron level - 48.6,vitamin b12 ...
Hi lybrate-user As per your height your weight is on the higher side. You need to lose minimum 15-20 kg. The cholesterol levels would come down once you reduce your weight and fat mass. Start exercising regularly and take good control of your diet. High levels of testosterone can also lead to infertility and are commonly seen in polycystic ovarian syndrome (PCOS). So get an ultrasound done to confirm for PCOS. For increasing your Hb Foods rich in iron include: Poultry like chicken and eggs Seafood. Beans. Dark green leafy vegetables, such as spinach. Dried fruit, such as raisins and apricots. Iron-fortified cereals, breads Watermelon Rice Flakes Watermelon seeds To improve your absorption of iron, eat it along with a good source of vitamin C -- such as orange juice, anal juice, guava,broccoli, or strawberries. If you have trouble getting enough iron from food sources, you may need an iron supplement Vitamin B12: Methylcobal 500 mcg twice a day for 2 months Reduce stress, have 8-10 glasses of water, exercise regularly, eat healthy and sleep for minimum 6-7 hours. All these will help you lower down your weight and eventually your cholesterol.
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Hi am 37, am feeling lethargic from morning till evening always. Blood sugar level normal. Cholesterol 183.

MBBS
General Physician, Cuttack
Hi am 37, am feeling lethargic from morning till evening always. Blood sugar level normal. Cholesterol 183.
1.Check your Hemoglobin, Bp. 2. Avoid stress, anxiety,severe physical and mental exertion 3. Take adequate rest and sleep for 7-8 hours daily to remain healthy 4. Have good nourishing diet, plenty of green leafy vegetables, fruits etc 5.Drink plenty of water(8-10 glass daily) 6. Take one capsule of Revital daily after breakfast 6. consult me for further advice
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I am a 60 years old male. All my medical tests are normal but the Blood Pressure varies from 110/65 (in the morning, after exercise) to 165/100 till the night time. I do not know what to do. The doctors say different things and are divided about taking medicine for blood pressure.

PHD, MD
Ayurveda, Udupi
I am a 60 years old male. All my medical tests are normal but the Blood Pressure varies from 110/65 (in the morning, ...
Some time variations occurs due to overconscientious self measurement. If not change your diet and reduce weight upto 70kg by reducing night food quantity. Avoid excessive salt, pickles, day sleep etc. Randomly meet doctor for assessment when ever in a state of joy. If bp is always more than 150/90 then start simple herbal medicine like tab serpina (himalaya) 1/2 at night and monitor bp after 10days.
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I am 26 year old, married, and have a child. I feel pain sometimes in my chest, and have pain in my left shoulder sweating also. What is that ?

DNB (Respiratory diseases), MBBS
Allergist/Immunologist, Nagpur
Could be anything. Have a chest xray done and send the report. Answer few questions, 1. Is pain pricking type, 2. Is the tingling sensation in hand fingers.
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I am getting chest pain regularly since last six months? What should I do to get free from the problem?

MBBS, cc USG
General Physician, Gurgaon
I am getting chest pain regularly since last six months? What should I do to get free from the problem?
You may be having chest pain due to 1.acidity. 2. severe anxiety 3. muscular problem Local application of Volini gel 1% twice a day for 2-3 day Consult Physician/me for Further Management
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If chest pain is going on for two to three months is it less likely to be serious.

MBBS
General Physician, Cuttack
If chest pain is going on for two to three months is it less likely to be serious.
Chest pain causes 1. Heart disease 2. Stress, anxiety 3. Lack of exercise 4. Sedentary life style 5. Obesity (over weight) 6. Smoking, tobacco and alcohol consumption, excess tea/coffee 7. Excess oily, fatty, cholesterol rich diet, junk food 8. Hyperacidity, musculr pain 9. Heredity and genetic factor prevention follow the advice given below 1. Avoid stress and strain 2. Do regular exercise, yoga, meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress 3 avoid alcohol, smoking and tobacco consumptio, excess tea/coffee. 4. Take bland diet, avoid spicy, oily, fatty and junk food 5. Take paracetamol 500 mg one tablet sos after food up to a maximum of three tablets daily, at the time of chest pain 6. Drink plenty of water and take rest. 7. If you have recurrent attack of chest pain take ecg and consult cardiologist.
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One doctor told me that, if weight is lost due to chronic anxiety or stress, both LDL and hdl will fall. So my mind forces me to take anxiety or stress to reduce LDL cholesterol. I'm underweight, my weight is losing. But many doctors say that if weight is lost due to anxiety, hdl will decrease and LDL will increase.

MBBS, DMRD, MD - Radio Diagnosis, FIIM(Ayurved), D.SC, Post Doctoral Fellowship of Institute of Indian Medicine, Ph.D
Non-Invasive Conservative Cardiac Care Specialist, Ahmednagar
One doctor told me that, if weight is lost due to chronic anxiety or stress, both LDL and hdl will fall. So my mind f...
Dear Relax Please don't play with these figures. Cholesterol is made in body as per needs. Food does not alter this. Remove all mis conceptions. Eat well. Exercise well. Enjoy good health. Remember stress can harm you badly. Be happy.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Can High Cholesterol Lead To Diabetes?
=================================

When was the last time you checked your cholesterol levels?
Are you one of the many who do not get a regular health check up unless a medical condition necessitates it?
Well, if you are, you may be putting you are jeopardising your own health. This is because some diseases do not have overt physical signs or symptoms to warn you in time. One such condition is high cholesterol.
High cholesterol implies high level of bad LDL cholesterol in your body. It does not cause any physical symptoms. So, you are less likely to identify it till you get yourself tested for it.
Having high LDL cholesterol puts at risk for developing many other ailments. It is basically a silent killer disease.
What are the complications of high LDL cholesterol?
Well, high amounts of LDL cholesterol in your arteries can result in a number of complications. This happens because the plaque deposits inside your arteries and narrows them down. It makes less amount of blood to pass through these blocked arteries which may cause:
-Strokes
-Heart attack
-High blood pressure
-Chest pain or angina
-Chronic kidney disease
Can high cholesterol cause diabetes?
Diabetes is often associated with high cholesterol condition. High LDL cholesterol does not cause diabetes. In fact it’s the diabetes or insulin resistance that hikes up bad cholesterol in your body. High levels of insulin in your blood increase triglycerides and cholesterol.
High cholesterol happens when the sugar sticks onto the low density lipoprotein and it stays in our bloodstream for longer. These sticky plaques are very hard to remove and block your arteries. This leads to even greater damage from LDL cholesterol in comparison to LDL cholesterol without diabetes.
People with diabetes are more prone to high cholesterol. This is because diabetes lowers your good cholesterol known as HDL or high density lipoprotein and increases triglycerides as well as bad LDL cholesterol levels. This gets really dangerous for your health as it hikes your risk for getting a heart attack or a stroke. So, though diabetes and high cholesterol are inter-related, high cholesterol is the effect of diabetes.
If you are diabetic or pre diabetic, make sure your blood sugar levels are under check. It will prevent the further complication of having high cholesterol levels.
How to manage high cholesterol?
-The best way to manage high cholesterol is by taking appropriate medicines and improving your lifestyle by consuming a healthy diet full of fibre and nutrients and exercising daily.
-Keeping your blood sugar levels in check will also prevent LDL cholesterol levels from rising.
-Elevate good HDL cholesterol levels. Your bad cholesterol and triglycerides will automatically come down.
Consult and follow your doctor’s advice diligently.ASK ME PRIVATELY
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C.S.C, D.C.H, M.B.B.S
General Physician,
Consuming artificial sweeteners can cause heart disease
Consumption of non-caloric, artificially sweetened beverages is associated with an increased risk for chronic lifestyle diseases according to Susan E. Swithers, PhD, a professor of behavioral neuroscience at Purdue University in West Lafayette, Indiana, published online July 10 in Trends in Endocrinology & Metabolism.

Frequent consumers of these sugar substitutes may be at increased risk of excessive weight gain, metabolic syndrome, type 2 diabetes, hypertension and cardiovascular disease.

This risk is independent of baseline body mass indexes.

Another earlier study found that children of normal weight who consume artificially sweetened beverages may have decreased weight gain compared with those who consume sweetened beverages.

In another study, overweight and obese adults who substituted water or artificially sweetened beverages for sweetened beverages had no greater weight loss at 6 months than an attention control group.

Artificially sweetened beverages intake was not associated with improved fasting glucose, but water intake was

I am suffering from dry cough for last 6 month and I have chest pain whenever I cough hard and my voice is so hard. Can you suggest what should be done.

BAMS
Ayurveda, Bangalore
I am suffering from dry cough for last 6 month and I have chest pain whenever I cough hard and my voice is so hard. C...
Hi, Take 1 tsf of Yastimadhu churna with honey thrice daily for 8 -10 days and Swasatone Lehya 1 tsf followed by milk twice daily. Khadiradi Vati 1 tab. Can be chewed 3 – 4 times a day to get relief from throat irritation.
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Screening for Prehypertension

MD - General Medicine, MBBS
General Physician, Karimnagar
Screening for Prehypertension

Guidelines for vary from time to time, but generally accepted classification of hypertension ( JNC7)is

Average of two or more properly measured readings at each of two or more visits after an initial screen:

Normal                  < 120 mm Hg SBP             AND   DBP < 90 mm Hg

Prehypertension    120 -139 mm Hg SBP     OR      DBP 80 to 89 mm Hg

Stage 1 HTN            140 -159 mm Hg SBP     OR      DBP 90 to 99 mm Hg

Stage 2 HTN            >/= 160 mm of Hg SBP   OR     DBP >/= 100 mm Hg.

Prevalence of prehypertension among adults in United States is approximately 37 percent.

Study done by Yadhav S et al showed prevalence of prehypetension was 32.3 percent in India with highest  36% among 30-39 yrs age group, indicates that awareness is necessary for regular blood pressure check up.

People diagnosed with hypertension represents “tip  of an iceberg”.

Many patients get to know about their raised blood pressures at the time of diagnosis, heart attack, stroke or kidney disease( end organ failures) which would have been preventable  if treated at an early stage.

Why hypertension should be diagnosed and treated ?

Hypertension currently causes  2/3rd s of all strokes and half of all cases of ischemic heart disease.

Reduction in high blood pressure leads to large reduction in stroke, heart failure, renal failure, aortic dissection, coronary events and death.

Prehypertension: It is an entity where SBP >120 -139 mm Hg or DBP 80-89 mm Hg.

Multiple epidemiological studies demonstrated increased cardiovascular risk in patients with prehypertension.People with prehypertension have increased risk of progression to sustained hypertension, the prevalence of hypertension increases from approximately 10 percent at age of 30 yrs to as high as 90 percent after age of 65 yrs.

Framinham hypertension risk prediction score, may help identification of prehypertensive patients who are at gretest risk for pregression to hypertension. Risk calculator includes variables like age, sex, family history of hypertension, body mass index and smoking.  Most important predictors of these were higher baseline blood pressure and older age.

Screening for hypertension: optimal interval for screening is not known.

2007 USPSTF( United States Preventive Services Task Force) guidelines recommend

Screening every    two years for persons with SBP <120 mm Hg and DBP < 80 mm Hg     

                                 Yearly for persons with SBP 120-139 mm Hg or a DBP 80 -89 mm Hg

How to manage Prehypertension:

TROPHY stydy( TRial Of preventing Hypertension)  results showed that there is no role for pharmacotherapy in prehypertension except in special conditions like diabetes, chronic kidney disease etc.

Treatment:As per JNC 7 reccomendations patients with prehypertension who do not have diabetes, chronic kidney disease , end organ damage , or clinical evidence of cardiovascular disease are generally treated with non pharmacological therapies.

Major non pharmacological therapies that aid to decrease blood pressure are: 

Weight reduction:  Maintain normal body weight ( BMI 18.5 to 24.9 kg/m2)  this can reduce BP by 5 to 20 mm hg per 10kg weight loss.

Adopt DASH eating plan : (DASH- Dietary Approach To Stop Hypertension) consists of fruits, vegetables, legumes, low-fat dairy products with reduced saturated and total fat.This can reduce BP by 8 to 14 mm Hg.

Dietary sodium Restriction: Reduce dietary sodium intake to no more than 100meq/day(2.4 gm sodium or 6 gm of sodium chloride). This can reduce BP by 2 to 8 mm Hg.

Physical activity: Engage in a regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce BP by 4 to 9 mm Hg.

Moderation of alcohol: Limit consumption of alcohol to no more than 2 drinks per day in most men and no more than 1 drink in women and lighter weight persons. This can reduce BP by 2 to 4 mm Hg.

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MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
Manage Blood Pressure (Hypertension) : Natural way

Hypertension or high blood pressure, as it is more commonly known, is regarded as the silent killer.
It is a disease of modern age. The fast pace of life and the mental and physical pressures caused by industrial and metropolitan environments give rise to psychological tensions. Worry and mental tension increase the adrenaline in the blood stream and this; turn causes the pressure of blood to rise.
The most important causes of hypertension are stress and faulty style of living. Hardening of the arteries, obesity, diabetes, and severe constipation also lead hypertension. Other causes of high blood pressure are excessive intake of pain-killer, tablets, salt, food allergy, and eating a high-fat, low fiber diet and processed foods, deficient in essential nutrients.
Drugs do not remove a cause, nor do they cure the condition. All drugs against hypertension without some are toxic and have distressing side-effects.

Treatment by Natural way:
Diet is primary important, like vegetable like cucumber, carrot, tomato, onion, radish, cabbage and spinach are best taken in row form.
The intake of salt should be restricted; in any case it should not be taken more then four grams or half a teaspoon per day. Baking powder, contain sodium carbonate should also be avoided.
Juice?s & fruit?s , butter milk , coconut water , soya /cow milk , steam vegetable?s , salad , sprouts mung , vegetable soup , simple Diet are good for HB , considering Diet is your medicine as promoted by Naturopathic
Meditation, asana like pavanmuktasana, uttanpadasan and shavasana , Yoga, regular exercise, proper sleep, cool mind, enjoy some of time for your choice game, entertainment, book reading, swimming etc are also help to reduce HB
Vitamin C , Zinc , garlic , onion , fiber food , calcium are essential in HB

Ignatia, acid phose, baryata carb, conium, belladonna, sepia and carbo veg are some of the homoeopathic remedy to control HB, but keep in mind that your food n correct life style is your best medicine

Avoid : Meats ,sugar , white flour , common salt , tea , coffee , pickles , fried food , bakery products etc,
Caution: HB should not be taken lightly
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In Lipid Profile (Basic) report, following is my test report result. Please help to understand pros & cons and precautions need to be take. Total Cholesterol - 169 Triglycerides - 225 HDL Cholesterol - 39 VLDL Cholesterol - 45 LDL Cholesterol - 85 Total / HDL Cholesterol Ratio - 4.3.

BHMS, MD - Homeopathy
Homeopath, Delhi
In Lipid Profile (Basic) report, following is my test report result. Please help to understand pros & cons and precau...
Hi you should start taking a diet less in oil and saturated fats. Avocado oil carries the monounsaturated fat that protects heart by reducing LDL cholesterol levels and hence can be used in cooking. Add oatmeal and high fiber foods in your diet like beans, apples, barley, pears etc. Non vegetarians can turn towards having fish as fish contains omega 3 that has many benefits for heart. Even, walnuts, almonds and other nuts can improve blood cholesterol.
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Good morning Dr. While checking BP at any of the hospital or clinical institutions, it shoots to 166/98 with pulse higher than 100bpm. But in normal position, like at my home it shows as 124/78 with pulse rate less than 80. I can feel the sudden increase in heart rate while entering a hospital for myself / dear ones. Four years back one doctor prescribed telmisartan 40 mg OD for the same. I have taken the same for almost 6 months. Then discontinued because the BP reading was same during my hospital visits. During the month of March 17, gone for Ambulatory BP apparatus test. In that test average was 122/74. The higher limit (186/96) occurred once during the test (when my ECG done ). Is there any requirement to take any medicine Dr?

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
Good morning Dr. While checking BP at any of the hospital or clinical institutions, it shoots to 166/98 with pulse hi...
Hi Your problem is well explained by the last answer so I'll add some patient education points Normal range of blood pressure is between 90/60 to 140/90, anything above or below is is abnormal. Many factors can affect blood pressure, including: 1) The amount of water and salt you have in your body 2) The condition of your kidneys, nervous system, or blood vessels 3) Your hormone levels You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up. High blood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death. DASH stands for Dietary Approaches to Stop Hypertension. It is an eating plan that is based on research studies sponsored by the National Heart, Lung, and Blood Institute (NHLBI). These studies showed that DASH lowers high blood pressure and improves levels of cholesterol. This reduces your risk of getting heart disease. The DASH Diet Emphasizes vegetables, fruits, and fat-free or low-fat dairy products. Includes whole grains, fish, poultry, beans, seeds, nuts, and vegetable oils. Limits sodium, sweets, sugary beverages, and red meats. Along with DASH, other lifestyle changes can help lower your blood pressure. They include staying at a healthy weight, exercising, and not smoking. I read your query, by the information I have in hand my advice to you would be 1) Keep a BP daily record for at least one week 2) Basic tests should be one to rule out cardiac / kidney issues 3) unless any recent evaluation has been done I would advice these test ECG ECHO Lipid Profile TSH KFT  Renal doppler 
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My 55yrs old uncle complaint dyspnoea he is operated 6 month back AVR (valve transplant) he is on acitrom& on hypertensive. Now what should be done?

PDDM, MHA, MBBS
General Physician, Nashik
My 55yrs old uncle complaint dyspnoea he is operated 6 month back AVR (valve transplant) he is on acitrom& on hyperte...
Reduce salt intake, make sure his blood pressure remains under control. Also make sure he takes his medicine properly and on time.
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Sometimes I'm feeling chest pain and it moves from chest to back of my body and it hurts while breathing.

MBBS
General Physician, Navi Mumbai
Sometimes I'm feeling chest pain and it moves from chest to back of my body and it hurts while breathing.
Never ignore chest pain. You have to get one ECG done so that you can rule out any heart related problems.
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Hi friend is 25 he is suffering from edema and facial abnormalities and his bp is normal and heart rate is also normal can you please suggest a solution.

MBBS
General Physician, Cuttack
Hi friend is 25 he is suffering from edema and facial abnormalities and his bp is normal and heart rate is also norma...
1.Get his urine tested for albumin and blood for hemoglobin. 2.He may be having anemia or kidney problem. 3.consult physician with reeport.
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