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Dr. S K Siwang

MBBS

Cardiologist, Gurgaon

300 at clinic
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Dr. S K Siwang MBBS Cardiologist, Gurgaon
300 at clinic
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Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. S K Siwang
Dr. S K Siwang is a renowned Cardiologist in Sohna, Gurgaon. He is a qualified MBBS . You can consult Dr. S K Siwang at EKTA HOSPITAL in Sohna, Gurgaon. You can book an instant appointment online with Dr. S K Siwang on Lybrate.com.

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MBBS - - -

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EKTA HOSPITAL

Multi Specialty & Trauma Centre, Main Sohna Gurgaon Road,Badshahpur. Landmark:-Near Radha Krishan Temple, GurgaonGurgaon Get Directions
300 at clinic
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EKTA HOSPITAL

Multi Specialty & Trauma Centre, Main Sohna Gurgaon Road,Badshahpur. Landmark:-Near Radha Krishan TempleGurgaon Get Directions
300 at clinic
...more
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What Are Blockages in Heart Arteries

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Gurgaon
What Are Blockages in Heart Arteries

Blockage in heart is a common term used for narrowing of coronary arteries. Coronary arteries are vessels, which supply blood and thus oxygen and food to continuously working heart muscles. Heart muscles, which are not tired working from the birth till death, however, cannot sustain long without blood supply.

A reduction in blood supply gives rise to ischemia of heart muscles commonly manifested as chest discomfort or angina. A sudden complete shutdown of blood supply leads to heart attack leading to permanent damage to heart (if blood flow not reestablished promptly).

But what causes these arteries to block? Deposition of LDL cholesterol (low density cholesterol) in inner surface of coronary arteries is the primary reason of these blockages. LDL a normal component of blood (upto certain limit) starts depositing in arteries as early as 10 years of age!

Deposition of billions of LDL molecules over several years on inner surface of arteries gives rise to visible narrowings in these arteries. Flow ahead of these narrowings is reduced in proportion to the narrowing. At a level of 70 % narrowing the flow is reduced to give ischemia (and angina) during exercise. Gradually increasing degree of narrowing reduces the exercise needed for ischemia and angina; a narrowing of more than 90 % can give symptoms at rest. A sudden clot formation at any of these stages can block the flow suddenly giving a heart attack.

If LDL is a normal component of blood, why it is deposited in the arteries at first place?
LDL above a certain limit in blood starts depositing in the arteries. Diabetes, Hypertension, smoking, less exercise and genetics makes it more sticky thus making narrowing faster. This is why these risk elements need to be properly attended for prevention from heart disease. For treatment medicines are important for stopping the progression of narrowings; angioplasty is a method of fast resolution of blockage; and bypass surgery is the method of creating a whole new blood supply for the affected part of the heart.

4964 people found this helpful

Sir, my age is 41 years my b.P reading is around 130/90 frequently while checking in digital bp monitor checked in my home can I use any medicins?

MD - Medicine, MBBS
Cardiologist, Panchkula
BP upto 140/90 is considered normal.As your diastolic BP is 90 it is at the upper limit of normal.At he moment you do not need any medications but take the precaution as outlined below-- 1.Reduce weight if overweight. 2. Reduce salt intake. 3.Reduce fatty food. 4.Exercise regularly. 5.Avoid smoking. 6.Avoid excess of alcohol. 7avoid stress. 8.Get your lipid profile kidney function test done.
2 people found this helpful
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I am 26 years old male, non smoker, non alcoholic and eat healthy. Sometimes I get a pain like sensation as if something getting compressed in centre of my chest. What may be the reason?

BHMS
Homeopath, Secunderabad
I am 26 years old male, non smoker, non alcoholic and eat healthy. Sometimes I get a pain like sensation as if someth...
There can be different possibilities which needs to be ruled out. It may be gastric in origin or simply muscular pain. Or it can also be due to cardiac or respiratory causes. Most of the times such pains subside without any medications. So approach a doctor if it does not subside on its own and let the doctor check you.
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Sir after a month I should take a part in cross country that 1600 meter in 5: 40 minute sir I will struggle and practice everyday one problem created that is my heart beat is much faster and I can stop running sir please suggests the capsule, tablets that should control my heart beat n breathing problem n I can run faster n faster n will achieve my aims.

Fellowship in Paediatric Cardiac Surgery, M. Ch. (CVTS), MS, MBBS
Cardiologist, Bangalore
Sir after a month I should take a part in cross country that 1600 meter in 5: 40 minute sir I will struggle and pract...
Hi, I can not run like you! good effort rohit! actually your heart is helping you by beating faster. I suggest you slow down when the heart rate goes above 120 per minute. Then start again. With daily practice you will acheive your aims. Dont take any medicines. It would be good if you get a stress echo done to see your heart function. It will help you understand how your heart is helping you run fast and also to make sure you have no problem that will prevent you from reaching your aims.
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Dear sir/madam I am having a very peculiar pain below the neck from past one year. That pain sometimes radiates in the chest region and lower back. Before a year when I realised about the pain I use to do heat therapy at home .it use to pain during bathing and walking. I use to have shortness of breath. My bp suddenly rose one day and I had to consult the doc. The doc did not understand the problem. Later I consulted homeopath and general physician but they told me to consult a neurologist. My ECG report and spine x ray report was normal. But bp was 200 which came down after I took medication. I do not have any bp problem. Few months later the bp problem was gone and suddenly my mouth and left part got numb as if I had a paralytic attack this happened twice but that too stopped. Now at present whenever I eat food I get pain exactly below left shoulder. This pain retains till partially food gets digested and till gas comes out. For this I take dabur pain hara from past several months. It gives me relief from gas and the pain too. I get unbearable pain sometimes. After eating my wife massages that area below left shoulder resulting in burping and finally pain comes down. Besides whenever I get depressed or frightened I get severe pain in that area. Honestly speaking I live in a very small town where neurologists are not available. And most important thing is that I am going through financial crisis and currently cannot afford the consultation and treatment charges. I am not able to understand what problem am I facing exactly. Please help me find a solution in the best possible way. I will be very grateful to you ever after. I am suffering from past one year. I hope you understand my problem.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
Dear sir/madam
I am having a very peculiar pain below the neck from past one year. That pain sometimes radiates in th...
Sir, you need to consult a cardiologist, you will require Echo and an angiogram, because your symptoms suggest that you probably have a blockage. Also the weakness you have mentioned is called a TIA, it is a stroke which has luckily resolved spontaneously. This can be very dangerous, so kindly consult a cardiologist and a Neurologist ASAP so that you can be put on medical therapy. None of this can be treated without investigations, so even though you have mentioned your financial issues, for your safety you take consultations with a cardiologist and neurologist in person.
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I am 25 year old male. My blood pressure is very low it's range is 70-90. Please tell me medicine. I am feel very tired.

BHMS
Homeopath, Ahmednagar
Lybrate-user there are no medicines required for low bp. You should drink lots of water daily and that is what is needed.
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Cardiomyopathy - What Is It And Its Type!

MBBS, MS (Gen. Surgery), M.Ch - Cardio Thoracic & Vascular Surgery, DNB (CTS)
Cardiologist, Noida
Cardiomyopathy - What Is It And Its Type!

Cardiomyopathy includes diseases involving the heart muscle. These diseases have various causes, types, symptoms and modes of treatment.

The heart muscle gets enlarged, thick or rigid. In several cases, the heart muscle tissue is replaced with a scar tissue. As this condition worsens, the heart gets weaker and the ability to pump blood is disrupted, which can cause heart failure or irregular beating of the heart. The weakened state of the heart can lead to valvar diseases.

The different types of cardiomyopathy are:

  • Hypertrophic CardiomyopathyThis is a common form and affects people of all ages. Men and women are affected equally. This condition arises due to the enlargement and thickening of the heart muscle. The ventricles, the septum and the lower heart chamber usually thicken, which causes obstruction in pumping of blood by the heart. This disease also causes stiffness in the ventricles, and cellular changes in the tissue.
  • Dilated CardiomyopathyThis form of cardiomyopathy develops due to the enlargement and weakening of the ventricles. The issue arises from the left ventricle and develops over time. It may even affect the right ventricle. More effort is put in by the heart muscles for pumping blood and slowly the heart is unable to pump blood effectively. This condition may lead to heart failure, valve diseases or blood clots in the heart.
  • Restrictive CardiomyopathyThis disease occurs due to the stiffening of the ventricles, without thickening of the walls of the heart. The ventricles are not allowed to relax and do not receive a sufficient volume of blood supply. This condition causes heart failure and valvar problems over time.
  • Arrhythmogenic Right Ventricular Dysplasia: This rare form of cardiomyopathy occurs when fat or fibrous tissues replace the muscle tissue of the right ventricle. This causes arrhythmias and disruption in the electrical signals of the heart. It generally affects teens and may cause cardiac arrest in athletes.
  • Unclassified Cardiomyopathy: Some types of cardiomyopathy of this category include left ventricular non compaction where the ventricles develop trabeculations. Takotsubo cardiomyopathy is another disease where immense stress causes failure of the heart muscles.

Treatment: Many cases of cardiomyopathy come and go away on their own. Treatment for other cases depends on the severity and symptoms. The major treatment methods are:
Lifestyle changes meant for a healthier heart.

Modes of surgery for treatment of cardiomyopathy include:

Implant devices such as Cardiac resynchronization therapy (CRT) device, Implantable cardioverter defibrillator (ICD), Left ventricular assist device and pacemakers are fitted into the heart for better performance.

Cardiomyopathy can be of many different types, each arising from different situations and conditions. The mode of treatment depends on the severity of the complication or on the basis of symptoms. In case you have a concern or query you can always consult an expert & get answers to your questions!

2104 people found this helpful

I Regularly work on my laptop for 4-5 Hours on bed late night. Now I am suffering from chest pain regularly what should I do.

MBBS
General Physician, Mumbai
I Regularly work on my laptop for 4-5 Hours on bed late night. Now I am suffering from chest pain regularly what shou...
For pain take tablet paracetamol 650 mg with rantac and exercise regularly and see to it that you maintain a correct posture of sitting in a chair and using your laptop on a table
6 people found this helpful
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I have no problem but some time rapid heart beats that happens just for 2 second twice or thrice in a day on weekly and feel weakness sometimes when I do not take proper diet, I am working person. Last year I had miscarriage as well.

MBBS
General Physician, Mumbai
I have no problem but some time rapid heart beats that happens just for 2 second twice or thrice in a day on weekly a...
Dear lybrateuser, -Your problem may be due to weakness because of improper dietary habits -do not skip breakfast , even if you do not have much time have a fruit & milk with supplement protein powder or whole grain cereal it will provide you energy for the whole day, try to have meals on time , include more of fruits & vegetables especially green leafy vegetables, non-veg , fish, chicken if you take, nuts -have sufficient fluids 7-8 glasses per day for proper hydration as even mild dehydration causes weakness & lethargy -get investigated for blood cbc, tsh, t3, t4 & sugar levels & consult a doctor.
1 person found this helpful
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Treating Chest Congestion With Ayurveda

MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS), PGDEMS, DNHE, DYA
Ayurveda, Mumbai
Treating Chest Congestion With Ayurveda

Ayurveda is an ancient life science that originated in India. It recognises herbs as medicines and Yogic postures as well as lifestyle changes as the supporting factors in its medicinal field. It is called a life science because the basic mode of treatment is done by tweaking one's lifestyle in order to reach the root cause of the ailment, which will be cleared from one's life gradually. Congestion is recognised as the accumulation of too much mucus and fluid in your lungs and is usually born due to an imbalance of the Vata Dosha, as per Ayurveda. This congestion can happen in the nasal or respiratory passages.

Let us find out what else Ayurveda says about congestion:

  • Symptoms: The symptoms of congestion include a tickling sensation at the back of the throat as well as the nasal passages, depending on the exact area of the congestion. Also, severe headaches and wheezing along with laboured breathing and tightening of the chest can point at the presence of congestion. In very severe cases, the patient may also complain of blood discharge while coughing, high fever, rashes on the skin, neck stiffness and other such conditions. 
  • Causes: There are various causes of congestion. While infection, allergy and cold are some of the most common conditions that may cause congestion, it has also been seen that congestion may arise as a symptom of a more serious ailment. Asthma is one such respiratory ailment that causes swelling in the airways, which can give rise to congestion. Also, inflammation of the bronchial tube lining can cause this condition where a greenish discharge happens due to the viral nature of the condition. Pneumonia and tuberculosis are also ailments, which can cause severe and painful congestion. 
  • Remedies: As per Ayurveda, there are many remedies that can help in treating this condition. One can drink herbal tea all day as the anti-oxidants will help in flushing out all those toxins that are causing a painful build-up of mucus and fluids inside. Also, one can use essential oils like eucalyptus oil for inhalation, steaming and even massages. One must take care not to let this oil touch the hair as greying might happen. Yoga and aromatherapy can also be practiced so as to do away with congestion. Also, the patient can add a pinch of salt to a glass of warm water in order to do a saline water gargle which will eventually clear the air passages.

Taking care of one's diet is one of the most important parts of any treatment in Ayurveda. Ingesting warm liquids like milk and warm food can help in loosening and removing the mucus build up.

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