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Dr. Shashikant

Cardiologist, Hyderabad

400 at clinic
Dr. Shashikant Cardiologist, Hyderabad
400 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Shashikant
Dr. Shashikant is one of the best Cardiologists in Secunderabad, Hyderabad. You can visit him/her at Yashoda Hospital, Secunderabad in Secunderabad, Hyderabad. Save your time and book an appointment online with Dr. Shashikant on Lybrate.com.

Lybrate.com has top trusted Cardiologists from across India. You will find Cardiologists with more than 27 years of experience on Lybrate.com. You can find Cardiologists online in Hyderabad 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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Yashoda Hospital, Secunderabad

Yashoda hospitalSecunderabad ,near to cloth tower, HyderabadHyderabad Get Directions
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My wife is 28 years old woman and has a low BP and her hemoglobin is just 9.4 what can her do.

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
Hi dear noted all your details the condition your wife is suffering from is called ORTHOSTATIC hypotension Orthostatic hypotension — also called postural hypotension — is a form of low blood pressure that happens when you stand up from sitting or lying down. It can be because of anemia also, try to correct the cause of her rectal bleeding I would suggest her drinking enough fluids, such as water; drinking little to no alcohol; avoiding walking during hot weather; elevating the head of your bed; and standing up slowly. Compression stockings and garments or abdominal binders may help reduce the pooling of blood in your legs and reduce the symptoms of orthostatic hypotension. Try to find out the cause of rectal bleed and treat the anaemia thanks.
2 people found this helpful

Sir/ madam My wife having chest pain and also back pain at left side from few days and also problem in breathing then we consulted the doctor her ECG, chest x-ray and 2d echo. ECG is normal and doctor said x-ray showed increase size of heart then he suggested 2d echo then he said results of echo is EARLY DIASTOLIC DYSFUNCTION PRESENT. She take medicine but no relief in pain. Please any cardiologist suggest me what we do and also suggest medicine for pain. Her BP is normal 120/80 every time. Doctor says consulate to destroy but the pain is occurring in chest and going through left arm We already had done CT CORONARY ANGIOGRAPHY the result is zero calcium Please suggest.

MBBS, M.D.(Gen.Medicine)
General Physician, Chennai
I presume your wife is of similar age like you, in her twenties. At this age structural heart disease causing chest pain is highly unlikely. Most likely it should be anxiety or stress related. Check with a psychiatrist regarding this. One structural heart disease that can cause similar symptom in this age is Mitral Valve Prolapse Syndrome but that should be picked up by 2D Echo.
1 person found this helpful
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I am a 35 yrs old male and I have chest pain suddenly some times. I cont do any work that time please give me the suggestion or medicine.

MBBS
General Physician, Cuttack
It could be due to stress or anxiety. Take one tablet of paracetamol500mg SOS afterfood,drink plenty of water and take rest. If chest pain is recurrent take ECG and consult doctor
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How to Prevent Heart Attack?

DM Cardiology
Cardiologist, Delhi
Play video

Ways to reduce the risk of Heart Attack

3415 people found this helpful

Im having chest pain for last 3 days. Thought it may be acidity. Took antacids and pain killer but no effect. What should I do? please help.

MBBS,DNB
General Physician, Kolkata
How can you take pain killers if you expect acidity. Stop these fancy treatments and immediately see a doctor. You may have pleuritis, pneumonitis, pancreatitis, costochondritis, oesophagitis and yes acidity.
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Chest pain. The first thing you may think of is heart attack. Certainly chest pain is not something to ignore. But you should know that it has many possible causes.

PGDMCH, MBA( CHA) , MBBS
General Physician, Gurgaon
Dear Lybrateuser, There are many causes of chest pain like acidity, chest infection etc to be decided by the doctor but a sudden stabbing pain which had not occured earlier should be treated as emergency.
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I hav an incomplete right bundle branch block! Is this a serious issue? Is any possible treatment needed for this?

MBBS, PGDCC
Cardiologist, Delhi
Hi, Right bundle branch block can be normally found in around 90% of peoples. Get a 2D Echo done to rule out any possible abnormality. If it is normal than their is nothing to worry. Follow up with me after 2D Echo report. Thanks.
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I have test done today n my cholesterol level is 218 n triglycerides is 207. Ldl 147 n hdl 65. Pls advise me. Is this bad for my heart?

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
Hi 1) take 10 ml of fresh lemon juice, ginger juice and 1 tsf of jaggery along with 60 ml of water early in the morning on empty stomach and after meals, do this for 30 days, it gives you good result, yes it is bad to health of heart so try to reduce these values. Thanks.
3 people found this helpful
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My mom age is 46 year old and she is having heart issue, so cardiologist doctor suggested norpace 100 mg medicine, but its not available please suggest what should I do

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have limited material about your mothers heart issue, but u can try tonicard drops ( sbl ) 20 drops 3 times a day in 20 ml fresh water. Take for 3 months nd report me
3 people found this helpful
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.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

14 people found this helpful

There many mobile app to check heart beat. Is these app are reliable? And accurate?

MBBS, M.S, M. Ch, F.I.A.C.S
Cardiologist, Chennai
No. I wouldn't recommend learn to to place your fingers on wrist to check your pulse. You know the exact heart beat. Stop smoking. Exercise plenty. Vegetables and fruit.
170 people found this helpful
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What should I do in my heart pain and what medicine I should take and how it will be wirk.

PGDCC, MD(Chest), PG Dip.Clin.Cardiology
Pulmonologist, Ghaziabad
It is chest pain and not the heart pain but you may be correct, get your ecg and x ray done after a doctor's consultation. Heart pain will increase on any kind of exertion and mostly radiate (spread) to arm or jaw etc. Sweating profusely and sinking feeling are common with heart pain. You cannot tell with a finger where it is (heart pain)?-dr maithili mohan tripathi md, pgdcc.
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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.

I am a 54 years old working woman, I am suffering from high blood pressure for the last 10 years, lately I have developed thyroid. What should be the line of treatment.?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
continue medicines for high B.P. IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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Sir I feel dizziness and some sounds inside my head it always ringing in my ear and my heartbeat is also raising high. What should I do.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
At 24, get eyes tested and get basic tests for heart like an ecg, halter & lipid profile + blood sugar. No smoking or exposure to pollution and eat heart friendly diet only. 24 is the age to be cautious about heart related problems.
1 person found this helpful
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I am feeling hyper tension ,some times increased BP ,anxiety . I have done all the test in MAX SAKET but nothing was found in MRI,Ultrasound

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Your tests came back negative and therefore Your increased Blood pressure, surely could be due to your anxiety. That is also natural. Anxiety, in any kind is supposed to hike your BP by around 30 mmgg. You need to answer your anxiety problem first. For that you should diagnose your type of anxiety with a psychologist, get psychotherapy treatment.
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C.S.C, D.C.H, M.B.B.S
General Physician,
CONTROLLING HYPERTENSION

A high-salt diet may increase the risk of developing gastric and duodenal ulcers. High concentrations of salt in the stomach can induce gene activity in the ulcer-causing Helicobacter pylori bacterium that causes it to become more virulent. Bacterial cells exposed to increased salt exhibit striking morphological changes. Cells become elongated and form long chains.

Salt restriction also reduces the diastolic blood pressure by 2-8 mmHg,
According to a WHO report, reducing salt intake would be a cost-effective way to reduce the risk of developing high blood pressure directly and reducing the risk of heart attack and stroke indirectly. The report recommends people to reduce consumption of sodium to less than 2 gm per day for each person. Common salt is chemically called sodium chloride (NaCl). About 2.5 gm of table salt contains one gm of sodium.

According to a report published from the All India Institute of Medical Sciences in the year 2000, the average intake of salt in India is 10 gm per day for each person. This would amount to about 4 gm of sodium. The current recommendations suggest reducing this consumption by half.

A research study conducted by researchers at Harvard Medical School and published in the British Medical Journal, found that reducing salt intake by 25% reduced the risk of developing heart disease by 25% and reduced the chance of death from heart disease by 20%.

In 2002, WHO estimated that about 62% of strokes and about 50% of heart attacks globally were attributable to high blood pressure.

Adding a pinch of salt to milk will keep it fresh longer is a common Internet tip for the population but traditional Ayurveda teaching goes against it. As per Charaka Samhita, too much of pipalli, alkali and salt are bad for the health. Ayurveda totally prohibits taking salt with the milk.
4 people found this helpful

Sometime my heart beat rate is around 90 per minute even when I am resting. I also feel little hardness near my heart. Is there anything wrong or it is normal?

CLINICAL CARDIOLOGY, MD - Consultant Physician
Cardiologist, Surat
Hi. Heart rate can very well fluctyate from 60 to 100 beats per minute. Anything within the range us normal. Take care.
7 people found this helpful
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Dear team, rajeshbhaibis having hyper tension problem, he is having business with stock market, please top him to released his hypertension problem.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
In ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause...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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