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Dr. Jitender Fotedar

MBBS

Cardiologist, Gurgaon

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Dr. Jitender Fotedar MBBS Cardiologist, Gurgaon
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Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Jitender Fotedar
Dr. Jitender Fotedar is one of the best Cardiologists in Sector-38, Gurgaon. He is a MBBS . You can visit him at Medanta-The Medicity in Sector-38, Gurgaon. You can book an instant appointment online with Dr. Jitender Fotedar on Lybrate.com.

Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 34 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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Medanta-The Medicity

Rajeev Chowk, Gurgaon Sector-38. Landmark: Near Cafe Coffee Day, GurgaonGurgaon Get Directions
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Medanta Hospital

CH Baktawar Singh Road Landmark : Near Rajiv ChowkGurgaon Get Directions
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I have continuous pain in head, doc asked it might be due to high uric acid or high blood pressure, which I have. Suggest what to di.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have continuous pain in head,
 doc asked it might be due to high uric acid or high blood pressure, which I have. Su...
first you do few test for find out causes for headache. i.e. cbc,ct scan of head, lipid profile,kft,lft,urin r/m.. till then you can take analgesic bd after meal.
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i am suffering from abnormal heart rhythm problem. what should i do to get this normal? please advice

DNB Cardiology, MD - General Medicine, MBBS
Cardiologist, Mumbai
There are many different types of heart rhythm disturbance and the treatment depends on the type of rhythm disturbance. A ecg and sometimes 24 hr holter monitoring may be required to exactly derive the type of rhythm disturbance. So if you can enlighten me more about the symptoms and can send the ecg, I can help you with the further plan and treatment. Also I reassure you that in most cases a simple medication should take care of the problem.
20 people found this helpful
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After sitting for studies almost 4 hours daily, sometimes I feel pain at my chest. Is it serious?

MBBS, cc USG
General Physician, Gurgaon
After sitting for studies almost 4 hours daily, sometimes I feel pain at my chest.
Is it serious?
Hello, CHEST PAIN in your case may be due to 1.acidity. 2. severe anxiety 3. muscular problem A. You can take Tablet Pantocid 40 mg (if no drug allergy) one tablet before food for 3 days B. Local application of Volini gel 1% twice a day for 2-3 day you should go for BP check along with Base line ECG and review with report I am giving you some health tips to avoid acidity 1.Take small frequent meal kindly take 5-6 small meal in whole day 2.Take 6-8 glass of water in a day 4. Moderate physical activity regularly 5.avoid excessive tea, coffee 6. Do Not postpone Breakfast consult Physician for Further Management
17 people found this helpful
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Sir when I am in hurry or tense I suffocate and my bp goes high 150/100. Sympthoms are like hard attack. I am taking onbixin 12.5, cardimol cp and flunexol tablet. I have hyper acidity also. When I think I goes in deep and can not out from my thinking. I am 32 years old. And have 76 kg weight. I want to leave that tablets and as per Dr. I have panic disorder. Please help.

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
Yes its panic disorder and its obvious that you are either having extremely stressful life or you have tendency to be stressed up for slightest cause. Please learn stress management and homoeopathic medicine and counselling will help.
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I have high blood pressure and and anxiety crisis due to which my doctor has prescribed amlodac and paxidep 25 .I am under this medication for over 2 years .Is it safe ?

MD - Psychiatry, MBBS
Psychiatrist, Delhi
It is safe but if it is first episode of anxiety disorder then i think paxidep should have been tapered down.
1 person found this helpful
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Hi, my husband, who is of 33 years old, is suffering with gastrouble. When we consulted a doctor, we came to know that he has fatty liver and high cholestrol levels. Could you please tell me what all precautions can take to control the same? also please explain the diet which we can follow? thanks in advance.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Try eatng lots of garlic. If you cant have it get it homeopathically allium sativum,(biochemic) nat phos. Avoid all types of fats and red meat. Requires detailed questioning so as to ascertain your personality and to treat you symptomatically. Treatment is available, safe and without side effects in biochemic system of medication. Consult me in private.
1 person found this helpful
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I have problem of high blood pressure what precautions should be taken by me while taking food.

BHMS
Homeopath, Faridabad
I have problem of high blood pressure what precautions should be taken by me while taking food.
Hello, Few lifestyle changes can help you in controlling and preventing the high blood pressure, even if you're taking blood pressure medication. Eat healthy foods. Consume more fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Eat less saturated fat and trans fat. Decrease the salt in your diet. So, avoid eating processed foods, such as canned soups or frozen dinners which contains extra salt in it. Keeping a healthy weight, or losing weight if you're overweight or obese, can help you control your high blood pressure and lower your risk of related health problems. Increase physical activity which can help lowering your blood pressure, manage stress, reduce your risk of several health problems. Get indulged in regular exercising (if your doctor allows you). Limit alcohol. Even if you're healthy, alcohol can raise your blood pressure. If you choose to drink alcohol, do so in moderation. Don't smoke. Tobacco injures blood vessel walls and speeds up the process of hardening of the arteries. Reduce stress as much as possible. Practice healthy coping techniques, such as muscle relaxation, deep breathing or meditation. Getting regular physical activity and plenty of sleep can help, too. Monitor your blood pressure at home. Medication: Take Schwabe’s Essentia Aurea/ thrice daily which is a cardio-tonic which helps in maintaining blood pressure, improves muscle tone of the heart and narrowing of blood vessels.
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Sir I have stomach pain problem near heart is this is heart problem or something else.

PGD IN ULTRAASONOGRAPHY, Non invasive cardiology course, MD - Medicine, MBBS
General Physician, Narnaul
Sir I have stomach pain problem near heart is this is heart problem or something else.
Dear Lybrate user, it may be due to acidity .heart at this is very rare if not relived by antacids Adv, urine ex complete.
1 person found this helpful
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Overweight and Obesity-Related Health Problems

Master Of Physiotheraphy
Physiotherapist, Ghaziabad
Overweight and Obesity-Related Health Problems
Coronary Heart Disease : As your body mass index rises, so does your risk for coronary heart disease (CHD). This can narrow or block the coronary arteries and reduce blood flow to the heart muscle. Obesity also can lead to heart failure.
High Blood Pressure : Blood pressure is the force of blood pushing against the walls of the arteries as the heart pumps blood. If this pressure rises and stays high over time, it can damage the body in many ways.
Stroke : An area of plaque can rupture, causing a blood clot to form. If the clot is close to your brain, it can block the flow of blood and oxygen to your brain and cause a stroke. The risk of having a stroke rises as BMI increases.
Type 2 Diabetes
Diabetes is a disease in which the body's blood glucose, or blood sugar, level is too high. In type 2 diabetes, the body's cells don't use insulin properly. At first, the body reacts by making more insulin. Over time, however, the body can't make enough insulin to control its blood sugar level. Diabetes is a leading cause of early death, CHD, stroke, kidney disease, and blindness. Most people who have type 2 diabetes are overweight.
Abnormal Blood Fats : If you're overweight or obese, you're at increased risk of having abnormal levels of blood fats. These include high levels of triglycerides and LDL ("bad") cholesterol and low levels of HDL ("good") cholesterol. Abnormal levels of these blood fats are a risk factor for CHD.
Metabolic Syndrome : A diagnosis of metabolic syndrome is made if you have at least three of the following risk factors:
• A large waistline. This is called abdominal obesity or "having an apple shape." Having extra fat in the waist area is a greater risk factor for CHD than having extra fat in other parts of the body, such as on the hips.
• A higher than normal triglyceride level (or you're on medicine to treat high triglycerides).
• A lower than normal HDL cholesterol level (or you're on medicine to treat low HDL cholesterol).
• Higher than normal blood pressure (or you're on medicine to treat high blood pressure).
• Higher than normal fasting blood sugar (or you're on medicine to treat diabetes).
Cancer : Being overweight or obese raises your risk for colon, breast, endometrial, and gallbladder cancers.
Osteoarthritis : Osteoarthritis is a common joint problem of the knees, hips, and lower back. The condition occurs if the tissue that protects the joints wears away. Extra weight can put more pressure and wear on joints, causing pain.
Sleep Apnea : Sleep apnea is a common disorder in which you have one or more pauses in breathing or shallow breaths while you sleep. A person who has sleep apnea may have more fat stored around the neck. This can narrow the airway, making it hard to breathe.
Obesity Hypoventilation Syndrome : Obesity hypoventilation syndrome (OHS) is a breathing disorder that affects some obese people. In OHS, poor breathing results in too much carbon dioxide (hypoventilation) and too little oxygen in the blood (hypoxemia). OHS can lead to serious health problems and may even cause death.
Reproductive Problems: Obesity can cause menstrual issues and infertility in women & low sperm count in male.
Gallstones : Gallstones They're mostly made of cholesterol. Gallstones can cause stomach or back pain. People who are overweight or obese are at increased risk of having gallstones. Also, being overweight may result in an enlarged gallbladder that doesn't work well.
Treatment or precautions to avoid Obesity:
1. Diets : to promote weight loss are generally divided into four categories: low-fat, low-carbohydrate, low-calorie, and very low calorie
2. Exercise : muscles consume energy derived from both fat and glycogen. Due to the large size of leg muscles, walking, running, and cycling, increase muscle mass in Gym are the most effective means of exercise to reduce body fat.

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.

1 person found this helpful

Doctor. Mere slowly slowly heart ki tarf pain ho rha he morning se. Kya me chkup karau.

Diploma in Hospital Administration, Post Graduate Diploma in Healthcare Management (P.G.D.H.M), Diploma in Herbal Beauty Therapy & Cosmotology, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mumbai
Doctor. Mere slowly slowly heart ki tarf pain ho rha he morning se. Kya me chkup karau.
Hello lybrate-user, If this problem is stressing you out, there is no harm in getting the general checkup done.
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I want to lose weight naturally. My cholesterol level is high and my blood pressure is also high sometime.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
I want to lose weight naturally. My cholesterol level is high and my blood pressure is also high sometime.
Go for regular exercise and restrict your calorie intake. Find a good dietician and gym /yoga instructor. They will help you to reach your goal naturally. If there is no change in 3 months, then you can consult with me for further advice and medicines.
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My cholesterol ranges from 180 to 220. I am 57 years old. TLC 9000, DLC 55/43, LDL 105, HDL 45, Hb 15.3, sugar fasting 94.

Diploma in Cardiology
Cardiologist, Bhopal
My cholesterol ranges from 180 to 220. I am 57 years old. TLC 9000, DLC 55/43, LDL 105, HDL 45, Hb 15.3, sugar fastin...
Adopt a active life (walk atleast 30 min everyday) decrease ghee paneer and non veg in diet include frsh fruit vegs and nuts.
8 people found this helpful
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I have pain in chest left side last 3 or 4 days please guide what can I do please told me.

MBBS, cc USG
General Physician, Gurgaon
I have pain in chest left side last 3 or 4 days please guide what can I do please told me.
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
1 person found this helpful
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My mother chest pain. But ECG check OK. But chest area more heat & back pain. Feel un easy. Not in normal. Doctor says better angiogram test. More acidity issue. Also. Kindly at kind of treatment need.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My mother chest pain. But ECG check OK. But chest area more heat & back pain. Feel un easy. Not in normal. Doctor say...
Your doctor is right, get angiogram to rule out blockages in blood vessels supplying blood to heart muscles.
1 person found this helpful
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I have low bp n hemoglobin is also 8.7 I have also migraine problem? My age is 26. Pls give suggestion n pls tell what medicine I have to take to cure all?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Hemoglobin of 8.7 in a male suggests anemia. Consult a physician to rule out causes of anemia before you start any treatment. Migraine is common in your age group but is more common in females than males. Treatment includes - medicines to control acute attacks of headache - treatment for prevention of future attacks - treatment of associated symptoms of anxiety, stress, calcium deficiency, sleep problems etc treatments are decided after a thorough history of complaints. Consult online for further queries and assistance take care.
1 person found this helpful
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I have high level of cholesterol. Especially LDL. Pls reply with a diet & natural remedy without medicines for fighting cholesterol.

BHMS,NDDY
Homeopath, Jaipur
I have high level of cholesterol. Especially LDL. Pls reply with a diet & natural remedy without medicines for fighti...
Mr. Francis you avoide junk food take a garlic slice daily in morning empty stomach with lukewarm water.
5 people found this helpful
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Hi, I wanted to know what medicine can I get to cure acidity . I get chest burns .

BHMS
Homeopath,
Hi, I wanted to know what medicine can I get to cure acidity . I get chest burns .
Dear Lybrate User, You need to take Homoeopathic NUX VOM 1000, 5 drops, thrice daily, in empty stomach. You can also try Homoeopathic Liver Tonic LIV-T (SBL company). Take 20 ml of the aforesaid liver tonic, thrice daily, after meals. Try to drink as much water as you can drink daily. Try to get an uninterrupted sleep of minimum 8 hours
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My BP is always 150/95. All reports r normal. Vellore cmc doctors prescribed 2 medicines for this. Bt there is no change.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My BP is always 150/95. All reports r normal. Vellore cmc doctors prescribed 2 medicines for this. Bt there is no cha...
In ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause..Mix 1 teaspoon of onion juice with an equal amount of honey. Take once a day for 1 week. Upon noticing improvement, continue for several more days....take sarpgandha vati twice a day...yogendra ras...akik bhasm works very good in case of hypertension....avoid salty diet...oily food...lower your stress...do pranayama early morning.....
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