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Dr. Anil Nandamuri

Cardiologist, Hyderabad

Dr. Anil Nandamuri Cardiologist, Hyderabad
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Anil Nandamuri
Dr. Anil Nandamuri is a popular Cardiologist in Gachibowli, Hyderabad. You can meet Dr. Anil Nandamuri personally at Himagiri Hospitals in Gachibowli, Hyderabad. You can book an instant appointment online with Dr. Anil Nandamuri on Lybrate.com.

Lybrate.com has a nexus of the most experienced Cardiologists in India. You will find Cardiologists with more than 40 years of experience on Lybrate.com. Find the best Cardiologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Stadium Main Road, Gachibowli. Landmark: Beside Petrol Bunk, HyderabadHyderabad Get Directions
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My triglycerides level is 300 and other ldl cholesterol is normal what should I do and which medicine suitable for me reply sir please.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My triglycerides level is 300 and other ldl cholesterol is normal what should I do and which medicine suitable for me...
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. Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, take green veg., whole grain.garlic,. Take anti cholesterol medicines .
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Dear sir I have cold cough and headache, also I have fever chest pain so which medicine I take please tell.

BHMS
Homeopath, Thane
Dear sir I have cold cough and headache, also I have fever chest pain so which medicine I take please tell.
Hi, cold is always followed by cough. And if cold settles in the sinuses then it leads to headache and fever. For this take spongia tosta 200 4pills to be taken thrice a day. Kali bich 200.4pills thrice a day for 15 days avoid fried food, curd, pickles, citrus fruits oranges, sweet lime, green skin bananas, pineapple. Till your problem is not solved.
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Recently my father undergone with bypass surgery and now he is frustrated as he has to wake up for urinating several times at night, he is diabetic and age is 63. Please suggest is it liked with post bypass surgery issues or and medicine ?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Excessive urination can be due to high sugar levels but as I am not having any latest reports of your father, I think may be before and during surgery, sometimes catheterisation leads to urine infection. Just get him examined for routine urine test.
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I am a student. I have quite thin arms compared to my physique and my chest is also not broad. I want my hands to be a bit fatter and chest to be broader. please help. I am also scared that I may have klinefelter syndrome.

MBBS
General Physician, Mumbai
I am a student. I have quite thin arms compared to my physique and my chest is also not broad. I want my hands to be ...
Dear Lybrateuser, -To increase your muscle mass you have to have a well balanced diet with more of proteins & do regular exercises -have protein rich foods like eggs, milk, cheese, yogurt, sea food, chicken, meats, beans, soya products, sprouts, tofu, legumes, peas, nuts like almonds, walnuts, pistachios, peanuts -do jogging, swimming, for 30 min, do moderate weight lifting at least 2-3 times a week, do push ups & chin ups to develop pectorals, give adequate rest to the part after exercise for 1-2 days -have 8-10 glasses of water per day -get check up done by a doctor to rule out klinefilter syndrome.
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I am 44 years of age male, having done airotic valve replacement and mitral valve repair on 2012. Though my medical report is ok but feeling uneasyness, tired, and palpitation sometimes. How can I lead better life than that?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Please take adonis v. - q / 10 drops in little water thrice a day for one week. Revert back after one week with feedback.
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Guidance for CAD, Heart Patients undergoing CABG

MBBS
General Physician, Delhi
Guidance for CAD, Heart Patients undergoing CABG

What is CABG?

CABG or Coronary Artery Bypass Grafting is a surgery done to improve blood flow to the heart. In most instances there is a fatty plaque (CAD or Coronary Artery Disease) in the vessels of heart which reduces the blood flow required for normal function. The plaque may grow or harden with time and reduces oxygen-rich blood reaching the heart. Lowering of the amount of oxygen reaching the heart may result in Chest Pain - called Angina. The plaque may even rupture and form clots on its surface. The clot formed may mostly or even completely block the blood flow - leading to Heart Attack or Myocardial Infarction.

In CABG, a normal vein or artery from the patient's body is connected to the blocked coronary artery. Thereby bypassing the obstructing plaque and creates a new path along which blood can now reach the heart.

What are other options for Treatment of CAD?

Other than CABG options for treatment of CAD include - Lifestyle changes, Medications, PCI or Balloon Angioplasty.

PCI is a nonsurgical option where the blocked artery can be opened and generally a stent is placed at the point of blockage to keep the blood flowing.

Goals of CABG

CABG is done to achieve the following

1. Reduce the symptoms (Chest Pain, Breathlessness etc)
2. Improve quality of Life and helps to resume a more active Lifestyle
3. Improved pumping action of the heart
4. Reduce chances of Heart Attack
5. Improve chances of survival

Who needs CABG?

CABG is a surgical treatment for CAD.

Your doctor may recommend CABG if other treatments have not worked or he judges it good in his clinical opinion.

Decision will be based on factors such as -

1. Severity, Location and number of blockages
2. Response to other treatments
3. Your quality of Life and severity of symptoms
4. Other Medical conditions that you might have
5. Your Age and Medical History

Medical Tests that may be required to determine the need are -

1. ECG
2. Echocardiography
3. Coronary Angiography

THE SURGERY

Outlook


CABG is a relatively safe Surgery. The safety of the procedure will depend on your age, existing heart function, and experience of the Doctor.

What to expect before

You will need to undergo a few tests to prepare you for CABG such as - Blood tests, Chest X-Ray, ECG, Echocardiography or maybe Coronary Angiography. Doctors that perform CABG are Cardiothoracic Surgeons.

Things to ask your Doctor at this Stage -

1. What you can eat or drink
2. What activities are you allowed to do (e.g. smoking)
3. What medicines to take (Share all the medicines that you are taking for any other conditions)
4. As the outlook for surgery is heavily dependent on the number of procedures a Doctor has performed - it will be a good idea to get information about his clinical experience.

If you have already undergone all the tests - surgery may be done on the same or a day after the admission.

What to expect after

You will require admission into ICU typically for 1 or 2 days, to monitor your progress better after the surgery. You will be given oxygen therapy while hospitalized. You may also be asked to wear Compression Stockings while your movement is limited.

After you leave ICU you will require admission in the hospital for about 4 - 6 days.

Recovery at Home

Things to ask your doctor before leaving the hospital.

1. How to care for incision wounds and stitches.
2. How to identify signs of infection
3. How to identify conditions for which you need to call the Doctor right away.
4. When to make follow-up appointments

Common side effects of CABG wear off within 4 - 6 weeks but may include.

1. Discomfort in area from where the vein was taken
2. Itching and swelling at incision wounds
3. Fatigue, Loss of Sleep, Loss of Appetite
4. Constipation

Full recovery from CABG takes 6 - 12 weeks.

Your doctor will advise you when you can resume specific activities. If your work is not too demanding physically, it is common to return to work after 6 weeks. You can resume sexual activities after 4 weeks and drive after 4 - 8 weeks.

Ongoing Care

At you follow up visits you will require to undergo tests such as ECG, Echocardiography etc. to see how much your heart has improved. CABG is not a cure for CAD. A complete Treatment will always involve Lifestyle changes, Reducing weight, Medications, and Cardiac Rehabilitation Exercises. Your doctor will prepare a treatment plan for you including these things. Be sure to pay attention to them as religiously as your Surgery.

3 people found this helpful

I'm 31 years old and some time like once in a month I get pain in left side in chest. Whenever I breath it increases with deep breath. Since my gall bladder is removed due to stone, I don't eat much oily food n fast food. Cholesterol test concluded I have balanced level of it, then this pain states what! please guide.

MS general surgery, DNB (Surgical gastroenterology), Fellowship in Liver transplantation
Hepatologist, Delhi
I'm 31 years old and some time like once in a month I get pain in left side in chest. Whenever I breath it increases ...
i don't find any logic in dietary restrictions after cholecystectomy. normal diet is the recommendation
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My uncle is diagnosed as AWMI .and the Cag reports says that my uncle has a triple vessel disease .should we go for CABG or angioplasty.

BAMS
Ayurveda, Bangalore
My uncle is diagnosed as AWMI .and the Cag reports says that my uncle has a triple vessel disease .should we go for C...
Hi, Triple vessel disease means there are 3 blocks in 3 major blood vessels. Therefore, CABG is the adviced treatment.
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I work as an Accountant, overnight I can't sleep properly & feel Tired at Day. Some task or things of my work runs in my mind at night, and I have to wake up daily for bowl movement at 6 am in the morning, Further I Get Small -Small Dry Cough (Khansi) when I eat Something or when I talk, I do not Feel Any Chest Pain Or Burn, this Problem is from 1 Year. Kindly Suggest some solutions.

MBBS
General Physician, Cuttack
I work as an Accountant, overnight I can't sleep properly & feel Tired at Day. Some task or things of my work runs in...
1. You may be having anxiety or stress. Avoid stress. 2. You need 7-8 hours of sound sleep to remain healthy. 3. Go for regular exercise, Take part in games and sports, 4. Do yoga, meditation and deep breathing exercise like pranayama to calm your mind, control your emotion, relieve anxiety and improve concentration. 5. Adhere to a specific sleep time and regular schedule 6. Take light dinner. 7. Avoid taking tea/coffee at bed time. Have a glass of warm milk at bed time. 8. Don’t go to sleep immediately after dinner. Take a small walk after dinner and if possible take hot water bath before sleep. Read a light magazine or interesting book before going to bed 9. Avoid late night. 10. Don’t sleep in day time 11. Don’t take sleeping pill 12. If no relief consult doctor.
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I'm suffering from pain in my side chest part. I applied moov sprays and also took painkiller tabs but still pain is there. What to do for complete relief.

MBBS
General Physician, Chandigarh
I'm suffering from pain in my side chest part. I applied moov sprays and also took painkiller tabs but still pain is ...
Unless we know the cause of your pain it is difficult to suggest anything the better thing is consult a physician and heat clinically examined
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I am 29 year male my chalstrol 241 and uric acid 5. 9 is it risky for me please suggest which food avoid and which food take I am alcholist any madicine for control uric acid and chalstrol

BAMS
General Physician, Delhi
Take 2 cap lipitab twice daily it will take care of both, review reports with thyroid profile & click private portal
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I am 22 years old and I have a problem of low blood pressure how to increase higher please suggest me sir.

BAMS
Ayurveda, Bangalore
Hi, Follow these tips to increase your blood pressure: 1. Increase intake of salt by adding salt to curds rice and taking pickles along with curds rice. 2. Drink plenty of fluids like Nimbu pani, tender coconut, water, buttermilk, fresh fruit juices,etc. 3.Drink hot coffee or tea when you feel dizzy. 4. Take sound sleep for 7-8 hours at night. 5. Avoid standing for too long hours. 6. Do yoga and meditation which helps to relieve mental stress and control emotions. 7. Avoid anxiety, stress and depression. 8. Perform regular exercises. 9. Consume lots of fresh green leafy vegatables, fruits, sprouts, high protein diet, etc. 10. Check your Hb% and BP with your family doctor and take their advise for further management.
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My age is 30.I have more emotionally attach with my husband so when he hurt me at that time i m totally being negative.And i feel that i m so alone and my mind become so stressful at that time i think about suicide or want to go very far from my family.So i want to know is there a problem in my mind? I have BP problem also.And i m under treatment.

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, MD - Psychiatry, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist, Bangalore
Continue treatment for BP. Try to stabilize your mood with exercise/ meditation/ prayers at home/ walking with your husband. Try to figure out with your husband as to why he is hurting you. No point in getting stressful or running away. Face it and be prepared for the worse. You cannot change anyone as you did not cause it/ you cant control it/ and you cant cure it/ only you change your attitude find some hobbies when lonely.
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I have persistent numbness in both hand and feet since 5 days. I have done my full body checkup. All report is normal. Bp is 140/90. Dr. prescribe me trineurosol hp inj. Afer taking 3 inh no improvement is seen. What should I do.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I have persistent numbness in both hand and feet since 5 days. I have done my full body checkup. All report is normal...
You have borderline high bp, reduce salt but I am not suggesting a salt free food. Avoid tinned foods as salt is a preservative. Avoid other packed foods also like chips, namkeem, street foods. Use minimum oils for cooking. Eat lots of seasonal vegetables and fruits. Reduce stress by exercise and yoga and meditation. Take a tablet of safe betablocker like metoprolol 25 mg twice daily. Get back here with progress reports only after observations, after 2 weeks. Get back here with reports. You will get more guidance from any of us here on the forum.
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I am 25 years old from visakhapatnam. 6 six years back I am affected with tuberculosis and use medicines (cavitor-fd) for six months after that it is cured. Now, from one month I suffered with pain on left side upper part of my chest. And in x-ray it is shown that some clumsy material formed on chest and in reports they mentioned as "need clinical correlation" What can I do? Is it TB again?

Fellowship InThoracic Surgery Onco surgery, DNB (General Surgery), MBBS
General Surgeon, Delhi
I am 25 years old from visakhapatnam. 6 six years back I am affected with tuberculosis and use medicines (cavitor-fd)...
Cannot be for sure. Can be reactivation/fungal ball in previously formed cavity or some different problem all together. Regards
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I was diagnosed with mitral valve prolapse and regurgitation 6 months ago. I was prescribed beta blockers. And I was referred to psychiatrist also and he had prescribed me venlafaxine and valproate and clonazepam. I am still on these medicines still having pain in right chest, shivering, headache, giddiness, upset mind. My B 12 level is 1880. My weight was 52 at that time and no W its 70.

MBBS
General Physician, Jalgaon
I was diagnosed with mitral valve prolapse and regurgitation 6 months ago. I was prescribed beta blockers. And I was ...
Please do yoga and meditation with help of near by yoga teacher. Please take some natural medicine along with your current medicine so that drugs can be reduced with positive health
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I have lipid profile issues; cholesterol and SGOT high. They are under control with medication, levels are 177 and 41.4 respectively. I take Atorvastatin 10 g, ecosprin 75 g, fenofibrate and a multi vitamin - all one daily for past 16 yrs. For the past 3 years I suspect that my memory is weakening. I forget names, events and belongings on a daily basis. Both parents suffered Dementia in their late 70s. Please advise, my age is 66.

M.Sc - Psychology
Psychologist, Kolkata
I have lipid profile issues; cholesterol and SGOT high. They are under control with medication, levels are 177 and 41...
Thanks for the information. Some loss of memory is accetable when we age. Daily brisk walking, meditation and deep breathing exercises are very useful for good functioning of brain. You can also solve some puzzles that come in newspapers or magazines. Playing chess with a friend is a helpful strategy. Keeping a calendar near your bedside with important events marked is helpful. You can also start maintaing diary and write notes of all your activity.
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How To Live After A Heart Attack

DM Cardiology
Cardiologist, Delhi
How To Live After A Heart Attack

A heart attack makes you rethink and get a double take on life. Once you survive it, you tend to realize how close your brush with death has been and how important your lifestyle choices can be. Most people go on to live a productive life after a heart attack provided they can adhere to making healthy choices. Here's what you can do if you have experienced your first attack and want to change for the better:

  1. Start at the hospital: A person usually stays in the hospital for 3 days after an attack to monitor their condition. This duration increases if you have complications that involve procedures like a bypass surgery. Your first significant change will come in the form of your medication routine. Your existing dosage may be adjusted and you'll possibly be prescribed newer medicines that will treat and control your symptoms. You'll not only need to know the names of all your medicines, but when you have to take them. It's best you know exactly why you are taking each one of them, if there are other more economic alternatives since this may last a lifetime and what side effects they may have.
  2. Maintaining your mental health: Once bitten, twice shy applies for heart attack victims too. Not only do they live in a constant worry about another attack, every small symptom like a harmless muscle pull can trigger the fear factor. You also get into the "heart patient" dependent mode based on how much help you need to recover. Check for support groups and other heart attack survivors in your locality to see how they are coping. Read more about your recovery and try to keep a positive frame of mind.
  3. Go to a cardiac rehab: Many hospitals have a rehabilitation program that you can participate in as an outpatient or you can go to a clinic that specializes in it. Such programs help speed up your recovery. It is run by people who will hand hold you in bringing positive changes in your life to protect and strengthen your heart. You'll learn activities that positively improve heart functions and reduce your chances of developing complications or dying from heart disease. You'll also get benefit from exercises that'll be taught by a certified exercise specialist.
  4. Make a change in your lifestyle: Quit smoking that is an obvious one. You'll now have to lead a more active lifestyle with daily exercise. You'll also need to actively manage your diabetes and obesity. None of these changes can happen in a day. In fact, behavioral scientists suggest that you need to practice a new activity continuously for twenty one days for it to become a habit.
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I have chest congestion from last three days and chest pain also. What should I do? I have allergies from dust and fish also? Please suggestions.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
I have chest congestion from last three days and chest pain also. What should I do? I have allergies from dust and fi...
You can take chest nut - 30 / 5 drops in little water thrice a day for two weeks revert back after two weeks with feedback.
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Hi, I am 53 years old and having BP for last 10 years and Diabetic for last 6 yrs. Currently my fasting is 297/ PP is 402, and HBA1c is 10.2, Last almost 3 years my sugar has gone up drastically I am taking Azulix 2 MF thrice a day and Pinorm 20 in morning and cilaheart 10 at night with clopitab cv 10. Please advice how I can can notrol my sugar properly.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi,
I am 53 years old and having BP for last 10 years and Diabetic for last 6 yrs. Currently my fasting is 297/ PP is...
Mr. Lybrate-user, your diabetes is totally uncontrolled, which really bad. As it can lead to a series of lonterm complications in relation with eye (retinopathy), kidney (nephropathy), peripheral neuropathy, problems with blood supply to lower limbs and coronary artery disease. You need to make special effort to bring sugar levels rapidly under control. You may need to shift to insulin injections right away, because looking at blood sugar levels it appears your beta cell reserve is almost nil. So taking oral drugs is not going to give any more benefit. Plus usual treatment guideline says when hba1c% goes beyond 8 to 9 % it essential to use insulin injections. By not doing so you are inviting serious complications.
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