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Dr. Stephen

M.D.PHYSICIAN, PG Diploma In Clinical Cardiology (PGDCC)

Cardiologist, hyderabad

16 Years Experience  ·  250 at clinic
Dr. Stephen M.D.PHYSICIAN, PG Diploma In Clinical Cardiology (PGDCC) Cardiologist, hyderabad
16 Years Experience  ·  250 at clinic
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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. Stephen
He has had many happy patients in his 16 years of journey as a Cardiologist. He has completed M.D.PHYSICIAN, PG Diploma In Clinical Cardiology (PGDCC) . Save your time and book an appointment online with Dr. Stephen on has a number of highly qualified Cardiologists in India. You will find Cardiologists with more than 44 years of experience on Find the best Cardiologists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.


M.D.PHYSICIAN - Yerevan state medical university,Armenia. - 2001
PG Diploma In Clinical Cardiology (PGDCC) - MEDICITI HOSPITAL (IGNOU) - 2015
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I am a 47 years female with hypothyroidism (Since 10 years), diabetes (since 3 years) and hypertension. hypothyroidism is due to hashimoto where antibodies are present and presently taking Selenium supplement to reduce antibodies. Taking Eltroxin 125 mcg daily as thyroid replacement. My Diabetes is as such well controlled, my last HbA1c was 6.3% which has increased from 6.1% and I found that my PPBS stays higher especially after breakfast. It goes beyond 200 mg/dl. Sometimes even around 290! I have discovered that same thing if I eat in lunch, PPBS is less around 140-150 or sometimes even less than 120 mg/dl. PPBS after dinner is between the two ranges. I.e. Around 160-180. My main question is whether it is advisable to eliminate wheat and rice completely from the diet to reduce PPBS levels? It is difficult to do that since it is our staple diet and is contained in all items. I am taking Metformin 1 g morning and evening and skip taking Metformin when I avoid dinner. I am also taking Diabecon DS tablet which is shown to reduce FBS and PPBS levels considerably because I confirmed it by stopping it for about 10 days, though I was taking Metformin, my FBS and PPBS levels shoots up like anything. Once I started taking Diabecon DS again, both FBS and PPBS levels reduced considerably. My last fasting insulin was 9.93 and fasting glucose 100 mg/dl gave 1.33 as Insulin resistance and 90% Beta cell function by Homa 2 calculator as found on internet which is widely used to measure IR. Now, people who advocate Low Carbohydrate High Fat diet on diabetes forum, says residual circulating insulin should be reduced for which you need to lower your carbohydrate intake. I was told that fasting insulin should be <5 and if Blood sugar control is difficult with this value, it can be <7 but not more than that as more insulin causes more fat storage and ultimately pancreas are whipped to secrete insulin by some drugs. I was taking Glycomet GP-1 forte once in the morning but was getting hypoglycemia since 6 months due to glimepiride in it which was increasing insulin levels, so stopped taking it and now not getting any hype episodes. It is known from various research sites on internet that Gymnema extract (Meshashringi, Gurmar) is very effective in reducing FBS and PPBS levels, but increase insulin levels. So, is it advisable to take Gymnema extract (Ayurvedic medicine) which helps a lot in reducing FBS and PPBS levels? I am taking Arkamin for hypertension once in the morning. So, my question is, is it necessary to reduce carbohydrate intake to 20% which comes to around 100g of carbs each day? People say, since we diabetics cannot process carbs efficiently, we need to reduce it's consumption to around 100g or less for good diabetic control. What should be ideal PPBS level after meals? And What should be fasting insulin level?

Diabetologist, Hyderabad
U be on simple metformin 1gm twice daily start exercise for half an hour which your not doing just changing tab and using as you like upon your logical decision is wrong only exercise and weight loss can help you :)
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My age is 23. Height 6 ft. Weight 76 kg. From 1 year I used to have numbness and tingling in whole body. Bone and muscle pain in whole body. High bp 150/100. Excessive hair growth. My testicle isze is reduced so much .they are now 2 cm each in length and thin like almonds. I too have abdominal pain .no gastric problem. And left half head pain from backside. .my neck xray shows C2 and C3 segmentation in complete. And vitamin b12 is 185 ng/ml. reference range is 180 to 900. Where is the problem. My tingling is increasing day by day. I feel very unusual due to tingling.

Homeopath, Raebareli
Perhaps your high blood pressure and hormonal imbalance and cervical vertebral incomplete segmentation are the problems. You need a proper treatment for some months/year to get rid of your complaints. Please maintain a normal blood pressure by doing morning walks/exercises/taking low fat diet/complete avoidance of non-veg items. Continue treatment.
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I am suffering from dry cough for the last 2 weeks and I have chest pain whenever I hard can you suggest what should be done?

DHMS (Hons.)
Homeopath, Patna
Hi, dear lybrate user, * drink, lukewarm water. * gargle with hot saline water, twice a day. * avoid, dust, smoke, alcohol, smoking, junk food. *homoeo-medicine* @ bryonia alb 30-6 pill, thrice a day. @ justicia 30-6 pills, thrice a day. Report in a wk.
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I am 34 years of age and overweight. And I have high triglyceride 188 seen in the lipid profile test. cholesterol levels are normal. I have prescribed fenofibrate 200 mg once a day. Please guide me that 200 mg is necessary or 160 mg per day can be taken instead of 200 mg.

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
Hi have noted all your details, A triglyceride level of less then 300 mg/dl needs not to be treated with fenofibrinates. Asian population have high levels of triglycerides due to our genetics.In case you want to start medication ,start with low dose of statin like atorvastatin, they effect triglycerides also, and are safer then fenofibrinates. 45 min of strenous exercise should be done every day, 30 minutes of walk at speed not less then 5.1 km/hr should be done daily avoid ghee butter peanut oil, instead take olive oil or saffola. Add fibres to you diet avoid paneer cheese ,red meat and egg yolk change will take atleast 3 month repeat lipid after 3 months.
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Help sir I am lavish I am 30 yrs old man n I have suffering from high blood pressure problem so what should ibdo.

Homeopath, Faridabad
Hello, Lifestyle changes can help you control and prevent high blood pressure, even if you're taking blood pressure medication. Eat healthy foods. Consume more fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Eat less saturated fat and trans fat. Decrease the salt in your diet. So, avoid eating processed foods, such as canned soups or frozen dinners which contains extra salt in it. Keeping a healthy weight, or losing weight if you're overweight or obese, can help you control your high blood pressure and lower your risk of related health problems. Increase physical activity which can help lowering your blood pressure, manage stress, reduce your risk of several health problems. Get indulged in regular exercising (if your doctor allows you). Limit alcohol. Even if you're healthy, alcohol can raise your blood pressure. If you choose to drink alcohol, do so in moderation. Don't smoke. Tobacco injures blood vessel walls and speeds up the process of hardening of the arteries. Reduce stress as much as possible. Practice healthy coping techniques, such as muscle relaxation, deep breathing or meditation. Getting regular physical activity and plenty of sleep can help, too. Monitor your blood pressure at home. Medication: Take 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.
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Hi I am 35 years old woman. I am having problem of chest pain. I do MRI lipid profile BNP test every thing is normal. But my chest is paining and from last week my left hand and leg also paining. I want to know that if every report is normal so can I have heart problems if all test is normal.

General Physician, Ahmedabad
U may have muscular pain/cervical spondylitis. Get x-ray of cervical spine_ap/lateral done. Revert Cardiac pain is less likely.
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I am 40 years male, since 5 months, my Blood Pressure is more than normal. Its around 130-90 (/- 3) since then. Checking almost daily. What can be done? Already reduced the salt intake. Should I need to consult doctor and which specialist should I consult?

BHMS, MD - Homeopathy
Homeopath, Gurgaon
130/90 is not too bad at 40. Good that you reduced salt. Exercise regularly. Drink plenty of water, cut down on oily food. Monitor once in 3 days. You can consult a general physician if you want.
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I am suffering from gas problem I have chest pain, pain in my back of bottom of my head , throat pain and shivering of hand and legs.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Pharmacy
Ayurveda, Mumbai
Please tell me your age? get your x ray of cervical spine done. Follow a bland diet for few days. Take following treatment. Mahavaatvidhvansa 2-2-2 mahayograaj guggul 2-2-2 ashwagandha capsules 2-2 syrup gasex 2-2-2 maharasnadi kadha 2spoons twice a day with equal quantity of warm water. Take all the treatment for 6 months. You qill definitely become alright.
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Very often when I sleep at night I often get slight pain near chest. Is it muscular pain or any sort of heart disease.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
At 22, it can be muscle pain , take any pain killer like Meftal , if pain vanishes , it is not heart pain.Routine painkillers are ineffective for heart pains.
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I am pregnant and this is my 16th week. I hav low bp. Will ths be a problem later. What should I do to control it.

General Physician, Trichy
Low blood pressure will definitely have an effect on the growing fetus. It s important to maintain your vitals properly. Eat healthy food, frequently once in 3 hours, drink plenty of water nd add the amount of salt in your diet. This might help you in improving your pressure.
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I am having dizziness when moving sideways and downwards and also walking. I tested vemp hearing test for this. But the result shows normal but Dr. says BPVV ad for which he has prescribed Telma 80 AM for BP and also hid ride prolomate ad Ava's 10 for cholesterol but I have same problem in day today life now I suggested to take vertin 16 mg for giddiness let me know wheather it is curable and how long I will have take medicines, I felt side effect in my stomach please help me I am aged 65 years and weight 113 kg and sugar is 254 after food.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Cholesterol level should be measured at least once every five years in everyone over age 20. The screening test that is usually performed is a blood test called a lipid profile. Experts recommend that men ages 35 and older and women ages 45 and older be more frequently screened for lipid disorders. The lipoprotein profile includes: Total cholesetrol LDL (low-density lipoprotein CHOLESETROL also called "bad"CHOLESTETROL HDL (high-density lipoprotein cholesterol, also called "good" cholesterol) TRIGLYCERIDES (fats carried in the BLOOD from the food we eat. Excess calories, alcohol, or sugar in the body are converted into TRIGLYCERIDES and stored in fat cells throughout the body. High triglycerides and 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. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. GARLIC,. Cod liver oil. Take anti cholesterol medicines . Cap. Ecosprin gold-10 at night daily. continue diabetic medicines.
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I am feeling dizziness and faintness. Also I feel sometime that my heart is pumping in my brain.

CLINICAL CARDIOLOGY, MD - Consultant Physician
Cardiologist, Surat
Hi. You need to check your bp and pulse rate from your family doctor. Specially check while you are getting the sensation of heart pumping in your brain. Take care.
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I have taken first aid class at our company. I would like know the correct first aid for heart attack patients.

PGD IN ULTRAASONOGRAPHY, Non invasive cardiology course, MD - Medicine, MBBS
General Physician, Narnaul
If a person is having chest pain, even if there’s a chance that he might not be suffering from a heart attack, he deserves the benefit of doubt. The first step is to help the patient relax. Loosen their clothes and open the windows. Next pop a tablet of aspirin into their mouth. Don’t give it to them with water. Ask them to chew it instead. If that’s not possible crush the tablet in a little water and give it to them. Another medicine you can use is sorbitrate. Place the tablet under the patient’s tongue. You can give up to three sorbitrates in five minutes. Both aspirin and sorbitrate have anti-coagulant properties and help dissolve blood clots. However DO NOT GIVE sorbitrate to people who have low blood pressure or/and are sweating profusely.’ Apart from that, you shouldn’t let them lie down flat. Ask them to either recline on a sofa or sit upright. Another thing you can do is ask them to cough out. This helps force air into their lungs. Also, a heart attack victim should be taken to the hospital as soon as possible — at least within one hour (also known as the ‘golden hour’). Since, during a heart attack, a person’s heart stops pumping blood it can damage the person’s organs. Like a stroke, a heart attack has a golden period during which recovery is faster. Quick tips for heart attack patients Never neglect a person with chest pain Make the person sit in a slightly reclined position Move the person to a more ventilated area Administer aspirin or sorbitrate If person is sweating profusely or pulse is low do not administer sorbitrate Ask the person to cough Seek immediate medical attention A person suffering from a heart attack should receive medical care within one hour.
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I have bp 160 counts after delivery. I got baby by cesarean. What to do normal bp?

Ayurveda, Ambala
Dear, To control & maintan BP normal these are best methods to follow:. • Maintain your cholesterol level to normal & eat least amount of butter, cream or fatty things. • Eat less amount of pickle, salt and fast food as they contain high sodium levels. • Avoid drinking alcohol and smoking. • Take less amount of caffine containing coffee, tea or cold drinks because caffine causes increase BP. • Drink 8 to 10 glass of water daily • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams (Anulom- Vilom, Bhramari) daily for 10 - 15 minutes. It will reduce your stress level in your body. * Do physical exercise daily for 20 minutes such as jogging or brisk walk. • Eat healthy diet such as green leafy vegetables, fruits. • Take 5 ml of GULAB Jal added in a glass of water daily once a day.
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hello I have heart pain after eat heavy meals nd fast food. I have used steroids few month back then I have heart pain my triglycerides 376 total is 192 hdl is 38 ldl is 88.

MD - Consultant Physician
General Physician, Jharsuguda
you have steroid induced gastritis. avoid steroids and for the time being take sucrafil 5 ml 3 Times daily before food for 5 DAYS.
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What is ayurvedic medicine for portal hypertension? Having edema, fluctuating BP diastolic always go high. gastric issues are also frequent. Need to know medicine for same. presently taking, punarvana mandir, chandraprabha vati, 2 3 more medicines unable to remember names.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hello Lybrate user according to ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause. Home Remedy- Mix 1 teaspoon of onion juice with an equal amount of honey. Take once a day for 1 week. Upon noticing improvement, continue for several more days. Treatment- 1-take sarpgandha vati twice a day. 2-yogendra ras. Akik bhasm works very good in case of hypertension. 3-Take pranacharya no tens capsule twice a day Diet-avoid salty diet. Oily food. Lower your stress. Do pranayama early morning.
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I am 39 year old and my chest pain slowly slowly last two week so what I should do?

General Physician, Cuttack
1.For your age pain chest could be due to anxiety, stress,Physical and mental strain 2. Avoid stress and strain 3.Do regular exercise, Yoga, Meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress 4 Avoid Alcohol, smoking and tobacco consumption. 5.Take paracetamol 500mg one tablet sos after food up to a maximum of three tablets daily, at the time of chest pain .6. Drink plenty of water and take rest. 7.if you have recurrent attack of chest pain take ECG and consult cardiologist.
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I'm 35 year old woman hun mera weight 88 h maine weight loose k liye vadik amrit ayurvadik davai mangvai thi usse khane se mera BP 90/50 low ho gya kya Ayurveda davai k bhi side effect hote h.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bhopal
basically Ayurvedic dawai k side effects nhi hote h BT ye depend Marta h ki aap Jo medicine le the h usko dose,diet etc par weight loss karne wali medicine metabolic reaction PR effect krti h consult me
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I am suffering from dry cough for the last 2 weeks I have chest pain whenever I cough hard. Can you suggest what should be done?

General Physician, Mumbai
Dear lybrateuser, - Avoid exposure to cold weather, smoke & dust, also avoid cold fluids - do steam inhalation twice a day - do warm salt water gargles three times a day - take tab Sinarest, 1 tab three times a day after meals with water or milk - take syrup chericof, 2 teaspoonful three times a day - have 7-8 glasses of water three times a day for proper hydration.
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