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Dr. M Srinivas Rao  - Cardiologist, Hyderabad

Dr. M Srinivas Rao

Cardiologist, Hyderabad

500 at clinic
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Dr. M Srinivas Rao Cardiologist, Hyderabad
500 at clinic
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. M Srinivas Rao
Dr. M Srinivas Rao is a trusted Cardiologist in Nampally, Hyderabad. You can consult Dr. M Srinivas Rao at Care Hospital - Nampally in Nampally, Hyderabad. You can book an instant appointment online with Dr. M Srinivas Rao on Lybrate.com.

Lybrate.com has a nexus of the most experienced Cardiologists in India. You will find Cardiologists with more than 36 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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Care Hospital - Nampally

#5-4-199, Exhibition Grounds Road, Nampally. Landmark: Opposite Gandhi Bhavan, HyderabadHyderabad Get Directions
500 at clinic
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Aditya Hospital

Ground Floor, 4-1-16, Boggulkunta,, Tilak Road, Landmark: Beside Enrollment Office, HyderabadHyderabad Get Directions
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While writing my hand shakes, the situation becomes worse when somebody ask me to write and see what I am writing, the heartbeat also increases and I starts feeling nervousness. Pl advice treatment.

MBBS
General Physician, Trivandrum
While writing my hand shakes, the situation becomes worse when somebody ask me to write and see what I am writing, th...
1. Sleep well and regular. Irregular sleep can have some serious consequences. It affects both our physical health and also contributes to anxiety and stress. Anxiety as such also leads to disruptions in sleep. When feeling anxious, always try to get a full 7 to 9 hours of uninterrupted sleep and it can work wonders to improve your condition. 2. Always keep smiling. Take a quick break in between your hectic work to get some laughs with your friends. Laughter can reduce depression and anxiety and has proven benefits. 3. Tidy up your living space or workspace. Keep your things clean and clutter-free. That helps us think clear and thus reducing levels of anxiety. 4. Say thank you often. Expressing your thanks for something helps reduce anxiety. 5. Eat smart. Eating more of foods which are rich in vitamin B and omega-3 fatty acids and also healthy whole grain carbs. Vitamin B contributes to good mental health. While omega 3 fatty acids help with both depression and anxiety. Whole grain foods boost serotonin and helps us remain poised. Eating high-sugar content food and processed foods can increase levels of anxiety. 6. Learn to breathe well and relax. Short, shallow breaths arise when you are tensed. So consciously breathing deeply, plus increasing the duration and depth of breathing helps relax the body and mind to a great extent. 7. Meditate. Meditation has so many positive effects on stress, mood, and anxiety. Club meditation with positive thinking to improve your general well-being and overall health. Yoga is also very effective to take off stress from the body and mind by deep relaxation and breathing techniques. 8. Chill and be silent. Reduce the noise and clutter talk that contributes to anxiety. Find time for yourself and be alone to muse upon your own matters without anyone disturbing you. 9. Worry. Yes, we can cause ourselves to freak out, but only for a certain amount of time. When something weighs heavily on your mind, or you believe something terrible is most definitely going to occur, commit to only creating that worry for 20 minutes. Think of all the possible outcomes of the scenario, figure out some game plans, and then quit thinking about it after 20 minutes go by. Have a friend call after the allotted time has passed to avoid the temptation of going over the time limit. Or schedule some of that playtime right afterward. 10. Plan for the future but do not worry about it. Make time tables and to-do lists so that you will not be worried about finishing stuff and so that you can increase your productivity. 11. Be positive. When you feel anxious, train your mind to think and feel positive and give reinforcement to yourself that you can handle any situation. This will significantly reduce your stress and anxiety symptoms. 12. Smell relaxing stuff. Go out to your garden. Smell a fresh rose. Take a deep breathe and allow the relaxation to course through your whole body. You can also use relaxing aroma therapy and use it indoors. 13. Go out and spend time with your friends and family. Spend time with your pets Social support reduces anxiety and stress to such a great extent that it is almost always bearable. So next time you get on your nerves, go out with your friends, chat with them, watch a movie, spend some time watching the waves in the beach with your partner, talk to your siblings. If you have tried all these and still have problems, please consult me for prescription medication.
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Dengue Vaxia

MBBS,CCA,DCA,AASECT,FPA,AAD,F.H.R.SM.I.M.S
General Physician, Gorakhpur
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

15 people found this helpful

I am 38 years old. My cholesterol levels are high. What is the treatment in ayurveda should I get it down and what should I eat and drink. Pls give advice.

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
I am 38 years old. My cholesterol levels are high. What is the treatment in ayurveda should I get it down and what sh...
High levels of cholesterol in the blood can increase your risk of heart disease. Your cholesterol levels tend to rise as you get older. There are usually no signs or symptoms that you have high blood cholesterol, but it can be detected with a blood test. You are likely to have high cholesterol if members of your family have it, if you are overweight or if you eat a lot of fatty foods. You can lower your cholesterol by exercising more and eating more fruits and vegetables. You also may need to take medicine to lower your cholesterol. High LDL high cholesterol put you on a higher risk of atherosclerotic diseases and heart attacks especially if you have other is factors including hypertension diabetes or a history of smoking so I would advise you to start taking statins which are cholesterol medications the dose of which depends upon your cholesterol levels also you need to start changing your dietary habits and include a regular physical exercise at least 45 minutes a day 5 days a week into your schedule nonetheless you have to stop taking fatty and junk food good luck.
7 people found this helpful
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Hi. I'm 26 and I want to know about body tremors. I have low blood pressure and sometimes my hands tremble so much but during the past one year I've also experienced body tremor. When I ask my relatives they semi to not see it. But inside I can feel my body is not stable at all. Especially in the morning when I wake up I experience tremor. Pls enlighten.

BHMS
Homeopath, Bangalore
Hi. I'm 26 and I want to know about body tremors. I have low blood pressure and sometimes my hands tremble so much bu...
U don't have to wry too much,,this is normal as body tries to adjust with bp v experience this state..just try following advise even then if u face tremors then meet nearby doctor.. Advice: Take extra salt in ur diet,take small frequent meals like every 2 hrly some cut fruits or salads or some sweets,dont keep give a gap of more than 3 hrs in ur meals,,take lots of watr if u don't lije plain water take juices 1 fruit juice per day n thrice in a week lemon juice with extra salt n take homoeopathic medicine Kali carb 0/ 30 potency 4Pills 4Times 4days...n give a gap of 1 week again repeat 4days take 5 courses in Same way..
2 people found this helpful
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My heart beat function below 72 that is 62. I am also bp patient. Pls tell me any problem.

Certificate in Basic Course on Diabetes Management, CCEBDM Certificate in Diabetes, MBBS
General Physician, Pune
My heart beat function below 72 that is 62. I am also bp patient. Pls tell me any problem.
Try to find out from your doctor whether BP tablets you are taking is cause. Change may be necessary. Otherwise go for a check up by a Consulting Physician to find out exact cause and if any steps are to be taken Anyway paulse rate is not too low.
1 person found this helpful
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Cardiovascular Health - 4 Ways To Maintain It!

MD - Anatomy, MBBS
General Physician, Gurgaon
Cardiovascular Health - 4 Ways To Maintain It!

Following a healthy lifestyle that is armed with a well-regulated diet is the most important aspect of combating your cardio-vascular disease. If you think that it is going to be very difficult to achieve, then you will be happy to know that the reality is quite the opposite. You can achieve your goals by following short and simple steps that would help you to reap long-term benefits for protecting your cardio-vascular health.

Try to use the calories consumed: It is very important to know how many calories you are consuming in a span of 24 hours.The calorie and nutritional informationgiven given on the food levels are normally based on the 2000 calorie diet. But it is crucial to know that your individual calorie requirement is dependent on numerous factors, including your age, gender as well as level of physical activities. When you are aiming to restrict your weight gain, it is recommended not to eat more than you can use up in a day along with increasing the intensity and amount of physical activity so that it matches the amount of physical activity. You must try to incorporate either 75 minutes of hard training or 150 minutes of moderate exercise in a span of seven days in order to boost healthy weight loss.

Consume a wide array of nutritious items from all food groups: Though you may believe that you are eating a sufficient amount of foods, your body may not be receiving an optimum amount of nutrients it needs for proper functioning. Foods that are considered rich in nutrients must contain sufficient amounts of protein, minerals, whole grains and other variants of nutrients with low calorie content. These foods not only aid in reduction of weight but also trigger lowering of blood pressure and and cholesterol levels.

Eat right: You must aim to incorporate fresh fruits and vegetables in your diet besides whole grains, dairy products with low fat contents, legumes and nuts. It is important to stay away from red meat, trans fat, artificially sweetened beverages and sodium. Experts also suggest consuming less of food that has poor nutrient content in order to protect your heart.

Avoid smoking and alcohol: Simply exercising and eating a healthy diet is important, but you should not eliminate the adverse effects of smoking and alcohol consumption, which not only cast an impact on the health of your heart but also cause a variety of cardiovascular and pulmonary diseases. The medications and remedial measures vary greatly among individuals and thus, it is crucial to speak with a doctor for receiving personalized treatments. If you wish to discuss about any specific problem, you can consult a general physician.

4147 people found this helpful

I am having continuous stomach pain from last 2 years, blood in stool sometimes, chest pain in early morning, cold legs, heavy bleeding and pain during periods started these symptoms by this year, I've taken a lots of treatment but the disease is not cured still please help.

DHMS (Hons.)
Homeopath, Patna
I am having continuous stomach pain from last 2 years, blood in stool sometimes, chest pain in early morning, cold le...
Hello, Lybrate user, You are under weight & suffering from dysmenorrhea.* Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body. * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving Oxygen volume in blood in order, to establish your smooth flow, improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. * Tk, Apple, carrots,cheese, milk,banana, papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. * Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 200-6 pills, thrice. @ Colocynth 20-6 pills, thrice. * Ensure, sound sleep in d night for at least 7 hrs. * Avoid, caffiene,junkfood, dust,smoke, exertion > Your feedback will highly b appreciated for further, follow up. Tk,care.
1 person found this helpful
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How to cure heart disease? i want to make my heart healthy always so what should i do ? please tell me

PDDM, MHA, MBBS
General Physician, Nashik
How to cure heart disease? i want to make my heart healthy always so what should i do ? please tell me
You must exercise daily for at least 30 minutes, maintain your ideal body weight, follow a good diet, sleep properly, drink water throughout the day to keep your body hydrated, avoid alcohol and stop smoking if you do. Kindly mention your cardiac work up reports and revert.
2 people found this helpful
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My father went to a function in the night and he started sweating suddenly and he took two doses of sorbitrate (isosorbide dinitrate) and in a minute he fainted. He was rushed to hospital and the ECG reports were normal. We are not able to understand the causes of sudden sweetness and faintness.

LCPS, BAM&S
Integrated Medicine Specialist, Pune
My father went to a function in the night and he started sweating suddenly and he took two doses of sorbitrate (isoso...
Normal ecg doesn't rule out heart disease. Real test is coronary angiography. I strongly feel that there is coronary ischemia. Please see a good cardiologist, get admitted, get checked thoroughly. Always take heart complaints very seriously, we which you are doing. Now take it to logical end.
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I am 42 male .triglycerides. .228 Hdl. 38.5 Vldl. 45.6 Ldl. 88.9 Total cholesterol. 173 Vit b12. 196 Vit d3. 26.8 Please suggest.

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
I am 42 male .triglycerides. .228
Hdl. 38.5
Vldl. 45.6
Ldl. 88.9
Total cholesterol. 173
Vit b12. 196
Vit d3. 26.8
Ple...
Values of less than 200 pg/mL are a possible sign of a vitamin B12 deficiency. ... Older adults with vitamin B12 levels between 200 and 500 pg/mL may also have symptoms. Deficiency should be confirmed by checking the level of a substance in the blood called methylmalonic acid. A high level indicates a true B12 deficiency.<. You have to take supplements and control triglycerides also
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