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Dr. P.S Gautam

MBBS

Cardiologist, Hyderabad

300 at clinic
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Dr. P.S Gautam MBBS Cardiologist, Hyderabad
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. P.S Gautam
Dr. P.S Gautam is an experienced Cardiologist in Bowenpally, Hyderabad. He is a qualified MBBS . He is currently practising at BBR Hospital in Bowenpally, Hyderabad. Save your time and book an appointment online with Dr. P.S Gautam on Lybrate.com.

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BBR Hospital

7-4-194, Ferozguda, Vani Nagar, Bowenpally,Balanagar. Lanmdark: BHL, HyderabadHyderabad Get Directions
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Sri Sri Holistic Hospitals

#1-2-49/13B, Nizampet Rd, Kukatpally, Hyderabad Landmark : Nagarjuna Homes.Hyderabad Get Directions
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How Homeopathy Helps Manage Heart Disorders?

BHMS, OCRT KOLKATA
Homeopath, Asansol
How Homeopathy Helps Manage Heart Disorders?

 Heart failure, sometimes known as congestive heart failure, occurs when your heart muscle doesn't pump blood as well as it should. Certain conditions, such as narrowed arteries in your heart (coronary artery disease) or high blood pressure, gradually leave your heart too weak or stiff to fill and pump efficiently.

Not all conditions that lead to heart failure can be reversed, but treatments can improve the signs and symptoms of heart failure and help you live longer. Lifestyle changes — such as exercising, reducing salt in your diet, managing stress and losing weight — can improve your quality of life.

One way to prevent heart failure is to control conditions that cause heart failure, such as coronary artery disease, high blood pressure, diabetes or obesity

Causes-- heart failure often develops after other conditions have damaged or weakened your heart. However, the heart doesn't need to be weakened to cause heart failure. It can also occur if the heart becomes too stiff.

  • In heart failure, the main pumping chambers of your heart (the ventricles) may become stiff and not fill properly between beats. In some cases of heart failure, your heart muscle may become damaged and weakened, and the ventricles stretch (dilate) to the point that the heart can't pump blood efficiently throughout your body. Over time, the heart can no longer keep up with the normal demands placed on it to pump blood to the rest of your body
  • An ejection fraction is an important measurement of how well your heart is pumping and is used to help classify heart failure and guide treatment. In a healthy heart, the ejection fraction is 50 percent or higher — meaning that more than half of the blood that fills the ventricle is pumped out with each beat. But heart failure can occur even with a normal ejection fraction. This happens if the heart muscle becomes stiff from conditions such as high blood pressure.
  • The term" congestive heart failure" comes from blood backing up into — or congesting — the liver, abdomen, lower extremities and lungs. However, not all heart failure is congestive. You might have shortness of breath or weakness due to heart failure and not have any fluid building up.
  • Heart failure can involve the left side (left ventricle), right side (right ventricle) or both sides of your heart. Generally, heart failure begins with the left side, specifically the left ventricle — your heart's main pumping chamber.

Type of heart failure

1. Left-sided heart failure

Fluid may back up in your lungs, causing shortness of breath.

2. Right-sided heart failure

Fluid may back up into your abdomen, legs and feet, causing swelling.

3. Systolic heart failure

The left ventricle can't contract vigorously, indicating a pumping problem.

4. nbDiastolic heart failure

(also called heart failure with preserved ejection fraction)

The left ventricle can't relax or fill fully, indicating a filling problem.

Any of the following conditions can damage or weaken your heart and can cause heart failure. Some of these can be present without your knowing it:

  • Coronary artery disease and heart attack. Coronary artery disease is the most common form of heart disease and the most common cause of heart failure. Over time, arteries that supply blood to your heart muscle narrow from a buildup of fatty deposits — a process called atherosclerosis. The buildup of plaques can cause reduced blood flow to your heart.
  • A heart attack occurs if plaques formed by the fatty deposits in your arteries rupture. This causes a blood clot to form, which may block blood flow to an area of the heart muscle, weakening the heart's pumping ability and often leaving permanent damage. If the damage is significant, it can lead to a weakened heart muscle.
  • High blood pressure (hypertension). Blood pressure is the force of blood pumped by your heart through your arteries. If your blood pressure is high, your heart has to work harder than it should to circulate blood throughout your body.
  • Over time, the heart muscle may become thicker to compensate for the extra work it must perform. Eventually, your heart muscle may become either too stiff or too weak to effectively pump blood.
  • Faulty heart valves. The valves of your heart keep blood flowing in the proper direction through the heart. A damaged valve — due to a heart defect, coronary artery disease or heart infection — forces your heart to work harder to keep blood flowing as it should.
  • Over time, this extra work can weaken your heart. Faulty heart valves, however, can be fixed or replaced if found in time.
  • Damage to the heart muscle (cardiomyopathy). Heart muscle damage (cardiomyopathy) can have many causes, including several diseases, infections, alcohol abuse and the toxic effect of drugs, such as cocaine or some drugs used for chemotherapy.
  • Myocarditis. Myocarditis is an inflammation of the heart muscle. It's most commonly caused by a virus and can lead to left-sided heart failure.
  • Heart defects you're born with (congenital heart defects. If your heart and its chambers or valves haven't formed correctly, the healthy parts of your heart have to work harder to pump blood through your heart, which, in turn, may lead to heart failure.
  • Abnormal heart rhythms (heart arrhythmias). Abnormal heart rhythms may cause your heart to beat too fast, which creates extra work for your heart. Over time, your heart may weaken, leading to heart failure. A slow heartbeat may prevent your heart from getting enough blood out to the body and may also lead to heart failure.
  • Other diseases. Chronic diseases — such as diabetes, hiv, hyperthyroidism, hypothyroidism, or a buildup of iron (hemochromatosis) or protein (amyloidosis) —also may contribute to heart failure.

Causes of acute heart failure include viruses that attack the heart muscle, severe infections, allergic reactions, blood clots in the lungs, the use of certain medications or any illness that affects the whole body.

Symptoms

Heart failure can be ongoing (chronic), or your condition may start suddenly (acute).

Heart failure signs and symptoms may include:

  • Shortness of breath (dyspnea) when you exert yourself or when you lie down
  • Fatigue and weakness
  • Swelling (edema) in your legs, ankles and feet
  • Rapid or irregular heartbeat
  • Reduced ability to exercise
  • Persistent cough or wheezing with white or pink blood-tinged phlegm
  • Increased need to urinate at night
  • Swelling of your abdomen (ascites)
  • Sudden weight gain from fluid retention
  • Lack of appetite and nausea
  • Difficulty concentrating or decreased alertness
  • Sudden, severe shortness of breath and coughing up pink, foamy mucus
  • Chest pain if your heart failure is caused by a heart attack


Risk factors--- a single risk factor may be enough to cause heart failure, but a combination of factors also increases your risk.

Risk factors include:

  • High blood pressure. Your heart works harder than it has to if your blood pressure is high.
  • Coronary artery disease. Narrowed arteries may limit your heart's supply of oxygen-rich blood, resulting in weakened heart muscle.
  • Heart attack. Damage to your heart muscle from a heart attack may mean your heart can no longer pump as well as it should.
  • Diabetes. Having diabetes increases your risk of high blood pressure and coronary artery disease.
  • Some diabetes medications. The diabetes drugs rosiglitazone (avandia) and pioglitazone (actos) have been found to increase the risk of heart failure in some people. Don't stop taking these medications on your own, though. If you're taking them, discuss with your doctor whether you need to make any changes
  • Certain medications. Some medications may lead to heart failure or heart problems. Medications that may increase the risk of heart problems include nonsteroidal anti-inflammatory drugs (nsaids); certain anesthesia medications; some antiarrhythmic medications; certain medications used to treat high blood pressure, cancer, blood conditions, neurological conditions, psychiatric conditions, lung conditions, urological conditions, inflammatory conditions and infections; and other prescription and over-the-counter medications.
  • Don't stop taking any medications on your own. If you have questions about medications you're taking, discuss with your doctor whether he or she recommends any changes.
  • Sleep apnea. The inability to breathe properly while you sleep at night results in low blood oxygen levels and increased risk of abnormal heart rhythms. Both of these problems can weaken the heart.
  • Congenital heart defects. Some people who develop heart failure were born with structural heart defects.
  • Valvular heart disease. People with valvular heart disease have a higher risk of heart failure.
  • Viruses. A viral infection may have damaged your heart muscle.
  • Alcohol use. Drinking too much alcohol can weaken heart muscle and lead to heart failure.
  • Tobacco use. Using tobacco can increase your risk of heart failure.
  • Obesity. People who are obese have a higher risk of developing heart failure.
  • Irregular heartbeats. These abnormal rhythms, especially if they are very frequent and fast, can weaken the heart muscle and cause heart failure.


Complications-- if you have heart failure, your outlook depends on the cause and the severity, your overall health, and other factors such as your age. Complications can include:

  • Kidney damage or failure. Heart failure can reduce the blood flow to your kidneys, which can eventually cause kidney failure if left untreated. Kidney damage from heart failure can require dialysis for treatment.
  • Heart valve problems. The valves of your heart, which keep blood flowing in the proper direction through your heart, may not function properly if your heart is enlarged or if the pressure in your heart is very high due to heart failure.
  • Heart rhythm problems. Heart rhythm problems (arrhythmias) can be a potential complication of heart failure.
  • Liver damage. Heart failure can lead to a buildup of fluid that puts too much pressure on the liver. This fluid backup can lead to scarring, which makes it more difficult for your liver to function properly.

Homoeopathic remedies

Homoeopathy today is a rapidly growing system and is being practiced all over the world. Its strength lies in its evident effectiveness as it takes a holistic approach towards the sick individual through promotion of inner balance at mental, emotional, spiritual and physical levels. When heart failure is concerned there are many effective medicines are available in homoeopathy, but the selection depends upon the individuality of the patient, considering the mental and physical symptoms.

  • Aurum metallicum 30---heart failure after valvular lesions. Hear feels loose on walking. Sensations as if heart stopped beating for two or three seconds, immediately followed by tumultuous rebound with sinking at the epigastrium. Oppression at the heart. Pulse rapid, feeble and irregular. Blood pressure high.
  • Digitalis purpurea 3x—digitalis is an excellent remedy for heart failure with irregular heart beat. Sensation as if heart would stop beating if moved, must hold the breath and keep still. Pulse full, irregular, very slow and weak, intermitting every third, fifth, or seventh beat. Weak heart. The least movement causes violent palpitations. Frequent stitches in heart.
  • Strophanthus his. Q----strophanthus is best for heart failure with edema of legs. Heart’s action weak, rapid, irregular, due to muscular debility and insufficiency. Pulse rapid, alternating with slow, weak, small irregular.
  • Laurocerasus 30—laurocerasus is best for heart failure with pain in the region of heart. There is clutching at heart and palpitations. Pulse weak, variable, slow or irregular. Urine, retained, suppressed involuntary with palpitations and suffocations and fainting.
  • Crataegus oxy. Q---crataegus is considered a heart tonic. Heart muscles seem flabby, worn out. Heart weakness with oppression, stitches and insomnia. Extreme dyspnea on least exertion without much increase of pulse. Heart dilated, first sound weak. Incompetent valves, valvular murmurs.
  • Cardus marianus q---cardus marianus is effective for heart failure with liver complaints. Pain pressure and stitches in the region of the heart, oppression on deep breathing.
  • Naja tripudians 30—naja is best for heart failure with weakness and valvular disorders. Visible palpitations. Damaged heart after infectious diseases.
  • Nux vomica 30—nux vomica is an excellent remedy for heart failure seen in alcoholics. Hear feels tired, palpitation on lying down. Usually constipated with ineffectual desire. 

Non evasive method of getting your heart bolckage checked for perfect results ? Please do not suggest angiography.

MD - Medicine, MBBS
Cardiologist, Panchkula
Non invasive method for checking blockage in the heart is CT- Angio. And the accuracy of this procedure is more than 95%.This is a CT scan like any other cotrast CT scan.
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I am suffering from dry cough for last two weeks and I have chest pain whenever I cough hard. Can you suggest what should be done.

BHMS, PGDPC
Homeopath, Nashik
I am suffering from dry cough for last two weeks and I have chest pain whenever I cough hard. Can you suggest what sh...
Take homeopathic medicine for best results. 1) Antim tart. 30. 4pills. At morning. 2) Bryonia 30. 4pills at night. For 7 days.
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My wife age is 50 above suffering from diabetic BP knee pains My age 58 suffering from digesting problems please give me suggestions.

Diploma in Nutrition
Dietitian/Nutritionist, Secunderabad
My wife age is 50 above suffering from diabetic BP knee pains My age 58 suffering from digesting problems please give...
Hello , hope you are doing good, for your wife diabetes, pls follow the medication prescribed by the doctor. Along with medication, add protein, fiber, multivitamin and omega-3 supplements to your diet which helps her to full fill the nutrition gap in her diet and then slowly reduce the diabetes. Also omega-3 helps to control bp. For knee joint pains, we have a best nutrition which helps to recover the degenerative knee points, she can fully recover from knee join pains. I can help you with best medication for you and your problem. Have a nice day. You can consult me privately.
4 people found this helpful
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Many times I felt a small pain on left side of my chest. What should I do for it?

MD - Consultant Physician
Cardiologist, Kolkata
Many times I felt a small pain on left side of my chest. What should I do for it?
Male pt at the age 17 not requiree to be alarming, likely due to muscular or trauma oneurogenic or indigestion. Please take care of these.

Lifestyle choices in controlling blood pressure

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
• Try lifestyle management for up to 6 months. It can alone control the high blood pressure if initial BP is <160/100 mmHg.

• Lifestyle interventions have effects similar to single drug therapy.

• Combinations of two (or more) lifestyle modifications can achieve even better results.

• Maintain normal body weight. A reduction of 5–20 mmHg of BP can be achieved for every 10 kg weight loss.

• Consume a diet rich in fruits, vegetables and low fat dairy products with a reduced content of saturated and total fat. It can reduce a blood pressure of 8–14 mmHg.

• Reduce dietary sodium intake to no more than 100 mmol per day (2.4 g sodium or 6 g sodium chloride). It can alone reduce blood pressure by 2–8 mmHg.

• Do regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). It can alone reduce blood pressure by 4–9 mmHg.

• Limit consumption of alcohol to no more than 2 drinks (1 oz or 30 mL ethanol; e.g., 24 oz beer, 10 oz wine, or 3 oz 80–proof whiskey) per day in most men and to no more than 1 drink per day in women and lighter weight persons. It can alone reduce blood pressure by 2–4 mmHg.

I have delivered a baby and still my blood pressure is high constantly I am already taking gravidol twice a day but still its not coming down so which drug would be proper for feeding mothers like me.

BHMS
Homeopath, Faridabad
I have delivered a baby and still my blood pressure is high constantly I am already taking gravidol twice a day but s...
Hi, You can take homoeopathic medicine - 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. It's very safe for pregnant females as well as lactating females.
1 person found this helpful
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Tips For Keeping Blood Pressure Normal

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Tips For Keeping Blood Pressure Normal

Tips for keeping normal blood pressure

Exercise. One reason exercise is so effective at controlling blood pressure is because it stimulates your body to release a substance called nitric acid. Nitric acid causes blood vessels to open up, which reduces blood pressure. Exercise also helps to strengthen your heart muscle, reduce stress, and aid weight loss.

Lose excess weight. There's no getting around the fact that blood pressure goes up as the pounds pile on. Being overweight increases your risk for heart disease and diabetes, too. Losing even 10 pounds can start to make your blood pressure go back down.

Eat healthily. Eating the right type of diet can lower your risk for high blood pressure or help you return to normal blood pressure. Clinical studies show that a diet high in fruits, vegetables, low-fat dairy, whole grains, poultry, fish, and nuts really works. You also need to avoid fats, red meat, and excess sugar.

Shake the salt habit. Your body only needs about 500 milligrams of salt a day, but if you are like the average american you may be consuming up to 9, 000 mg a day. Studies show that high salt leads to high blood pressure. Current recommendations are to limit salt intake to 2, 400 mg per day, the equivalent of about one teaspoon.

Put the brakes on smoking and drinking. These are two other bad habits to avoid if you want to keep a normal blood pressure. Alcohol raises blood pressure and adds empty calories. A safe amount of alcohol is only one drink a day for women and two for men. Smoking is not safe in any amount. Nicotine causes blood vessels to constrict and that raises blood pressure. Quitting will also lower your risk of cancer and heart disease.
The only way to know if you have high blood pressure or normal blood pressure is to have a blood pressure reading done by a trained healthcare provider. The american heart association recommends a blood pressure reading at least once every two years. If you have had a recent blood pressure reading and you have normal blood pressure, don't take it for granted. Remember hypertension is a common and sometimes silent killer. Push yourself away from the computer, turn off the television, get active, eat your fruits and vegetables, and kick any bad habits.

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I am feeling some dizziness and some chest rib pain so I want know what can be the problem?

MBBS
General Physician, Cuttack
I am feeling some dizziness and some chest rib pain so I want know what can be the problem?
Dizziness could be due to a) stress, anxiety, inadequate sleep, late night sleeping, excess physical and mental exertion, b) inner ear disease. C) alcohol, sudden drop in bp (like sudden standing), d) heart disease (atrial fibrillation/atherosclerosis), decrease blood volume, heat stroke, dehydration, e) neurological condition, anaemia, hypoglycemia, f) ear infection, brain tumor treatment 1. Treatment of underlying cause 2. Drink plenty of water (8-10glass daily) 3. Take adequate rest, avoid physical and mental exertion 4. Have regular meal, avoid stress and anxiety/ inadequate sleep sound (sleep for 7-8 hours in the night)/ late night 5. Stand up slowly from sitting/lying position. Check your hemoglobin, bp 6. Avoid caffeine, tobacco, alcohol 7. Consult neurologist for further advice and treatment.
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My aunt suffering from heart problem. When environment is cold. She suddenly increases her bp. Give a tip for this.

M. B. B. S. M. S,. M. Ch.FRCS
Cardiologist, Chennai
My aunt suffering from heart problem. When environment is cold. She suddenly increases her bp. Give a tip for this.
Warm clothing to cover the chest during winter is recommended. Plenty of vegetable and fruits. Exercise like walking. Salt less than 2g/ day. Check blood glucose. Take medicines regularly. Meditation is good.
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