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Dr. Keerthi

Cardiologist, Karwar

100 at clinic
Dr. Keerthi Cardiologist, Karwar
100 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Keerthi
Dr. Keerthi is an experienced Cardiologist in Sankriwada, Karwar. You can visit her at Karwar heart centre in Sankriwada, Karwar. You can book an instant appointment online with Dr. Keerthi on Lybrate.com.

Lybrate.com has a number of highly qualified Cardiologists in India. You will find Cardiologists with more than 42 years of experience on Lybrate.com. You can find Cardiologists online in Karwar 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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Kajubag. Main roadKarwar Get Directions
100 at clinic
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C.S.C, D.C.H, M.B.B.S
General Physician,
HIGH BLOOD PRESSURE-HYPERTENSION FACTS
==========================================
Some people with hypertension may react with alarm when they check their blood pressure at home or at the drugstore and the reading is elevated. It's not unusual for people with an isolated finding of elevated blood pressure to show up at the local Emergency Department with sudden concern, but in many cases, the real concern is not a single high reading, but the cumulative effect of persistent uncontrolled hypertension.
Hypertension is a risk factor for many negative health outcomes, including heart failure, coronary artery disease, stroke, kidney disease, peripheral artery disease and hypertensive retinopathy, a disease of the eye. Hypertension is also associated with type 2 diabetes mellitus, which is why the United States Preventive Services Task Force has issued a recommendation for diabetic screening in people with high blood pressure. Good control of blood pressure results in a rapid reduction of risk for cardiovascular disease.

Hypertensive heart disease results from changes in both the structure of the heart and blood vessels and their function as the body adapts to abnormally high blood pressure. If you can imagine the heart as a pump operating against a fluid circuit, picture the increased work of that pump if pressure within the circuit is increased.Some of the changes caused by persistent high blood pressure can be partially reversed with treatment using ACE inhibitor medications.

Hypertension results in wear and tear of vital organs and vessels as a result of mechanical stress.

Blood vessels have mechanisms to regulate blood flow throughout the body, and when high blood pressure occurs, the blood vessels constrict in initial response. Eventually, the walls of the blood vessels thicken and tissue damage occurs, resulting in hardening of the vessel walls.

Hypertensive disease of the eye is known as hypertensive retinopathy. In the retina of the eye, changes in the blood vessels eventually result in disruption of the integrity of the vessel, and blood or fatty acids may leak onto the delicate retinal tissue. This results in permanent vision change, and it's very preventable.

Complications of stroke can be due to hemorrhage of the blood vessels that supply the brain, or, more frequently, can result from poor blood flow through arteries damaged by persistent high blood pressure. Approximately 85% of strokes are ischemic, or due to poor blood flow. Another manifestation of hypertensive disease that affects the brain is hypertensive encephalopathy. This condition refers to a change in mental status, frequently accompanied by headache and nausea, that results from swelling in the brain caused by alterations in blood flow at very high blood pressure. This condition is associated with malignant hypertension, or hypertensive emergency.

Persistent high blood pressure is one of the leading causes of chronic kidney disease, frequently requiring dialysis. Blood is filtered through the kidneys, and when the small blood vessels of the kidney are damaged by chronic uncontrolled hypertension, the body becomes unable to filter waste. People with kidney damage eventually spend hours hooked to dialysis machines that can remove waste products from their bloodstream, or they may require a kidney transplant. In either case, prevention of the complication is preferable and less complex.

Unfortunately, it is easy to underestimate the cumulative effects of high blood pressure, since the damage is asymptomatic initially. It's important to recognize the inevitable consequences of ignoring persistent high blood pressure. If you have high blood pressure, it's important to realize the silent damage occurring over time if your blood pressure is not adequately treated. If you have a high blood pressure reading, you should repeat measurement on two more occasions. If your blood pressure remains above the level your doctor has suggested, it is essential to follow up. There are many excellent and affordable medications available for treatment of hypertension. Some people require a combination of drugs to maintain control. Whatever the case, the inconvenience of treatment is far exceeded by the benefits to your health over a lifetime.
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Hello Doctor, after a family problem, i was spending nights sleeplessly, due to wich my digestion system got disturbed, and now it resulted in disturbed BP. Some times it shoots up to 90/150 & some times it reduces to 70/100. Kindly advice me what process & precautions to follow.

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
Dear, first you be calm and relax. If you take tension or not, matter will resolve its own time so first you be happy presently. These are the signs of stress, you do 6 days art of living workshop in that sudarshan kriya is amazing breathing technique by which your all problem will resolved. Good luck.
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What are the guidelines for the treatment of isolated hypertriglyceridemia (TG >350)? Does this condition has a significant risk for CAD? Please reply. Thanks in advance.

MBBS
General Physician, Cuttack
What are the guidelines for the treatment of isolated hypertriglyceridemia (TG >350)? Does this condition has a signi...
Triglyceride is a form of cholesterol and hypertriglyceridemia has to be treated with medicine. It is a risk factor for heart disease. Consult physician for treatment
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I am 57 year old. Suffering from type ii diabetes for 10 year. Now sugar level is normal for 2 months. But my BP was 179/105. On investigation s. creatinine is 2.4 and blood urea 71. After medication by MD physician BP came down and liver profile and s. electrolyte is normal. But blood urea and s. Creatinine is same. What I should do. What precaution in diet to be taken. BP is 128/87 today.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 57 year old. Suffering from type ii diabetes for 10 year. Now sugar level is normal for 2 months. But my BP was ...
to reduce creatinine and urea, you will have to consume more of vegetarian diet. Avoid high protein foods like mutton and chicken and fishes. Also avoid strenuous physical activity. Consume green tea, reduce intake of high fat cheese and other milk products. These measures may be helpful in reducing creatinine and to extent urea. For hypertension it is better to use ace inhibitors or arbs, which have a beneficial effect on kidneys.
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I am 37 year old male. My weight is 56kg. I have bp problem but down side of bp is higher normly. I do not use any kind Nasha. Whats problem?

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
I am 37 year old male. My weight is 56kg. I have bp problem but down side of bp is higher normly. I do not use any ki...
Hi, I advise you to get yourself checked by a competent cardiologist. He/ she may require you to undergo certain diagnostics with respect to kidney function, liver function, cardiac side etc all and refer you appropriately to specialists in the above-mentioned areas for understanding the secondary underlying cause, if any. Simultaneously, you will have to check your dietary habits, especially cut down on salt, and other greesy/ oily & fatty foods. Ensure that you streamline your lifestyle, with adequate room for relaxation and de-stressing. See how you can streamline your occupational aspect as well to reduce stress at work. This shall systemically help you normalize your bp, unless there is a secondary cause behind. At the same time, any transient fluctuations in bp owing to stress/ anxiety or dietary factors could be arrested as well. Hope this helps. Take care and all the very best.
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Sir, my age is 41 years my b.P reading is around 130/90 frequently while checking in digital bp monitor checked in my home can I use any medicins?

MD - Medicine, MBBS
Cardiologist, Panchkula
BP upto 140/90 is considered normal.As your diastolic BP is 90 it is at the upper limit of normal.At he moment you do not need any medications but take the precaution as outlined below-- 1.Reduce weight if overweight. 2. Reduce salt intake. 3.Reduce fatty food. 4.Exercise regularly. 5.Avoid smoking. 6.Avoid excess of alcohol. 7avoid stress. 8.Get your lipid profile kidney function test done.
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I'm 20 years old girl, I'm having a pain on my left chest and sometimes I even spit blood. So what shall I do?

MBBS
General Physician, Mumbai
I'm 20 years old girl, I'm having a pain on my left chest and sometimes I even spit blood. So what shall I do?
For pain take tablet paracetamol 650 mg and Get your vital parameters of the body checked from a nearby doctor and revert back with findings
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I am a 60 years man with high diabetes n blood pressure. I was taking insulin. For the last 2yrs recently I checked myself at lifespan n the doctor advised to stop taking insulin. They did a risc test n informed that my pancrease produces 75% insulin. What should I do?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
What is the present treatment? if on oral anti diabetic drugs sugar is well controlled then continue those. It is possible that beta cells might have got revived after insulin treatment for some time.
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I am suffering from cough from last three weeks I also have a pain in chest I am suffering very bad please suggest me what should I done?

DRCH, BHMS
Homeopath, Bareilly
I am suffering from cough from last three weeks I also have a pain in chest I am suffering very bad please suggest me...
Gargle with lukewarm water with little salt added in it two times. Drink lukewarm water, take homeopathic apo-tuss drop, 15 drop in half cup of water three times daily and give the feed back after one week.
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I am 20 years old, I do running, but sometimes in morning when I start running after few seconds I feel pain near heart while running, then I stop running and take a break, after the break m able to run 3-4 kms, why I feel pain in starting of running sometimes?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I am 20 years old, I do running, but sometimes in morning when I start running after few seconds I feel pain near hea...
You have to warm up before running fast. Go slowly for about 15 minutes before going for speed running.
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I am 46 years male and have back pain and chest bone pains for last 2 months and feeling weak also what should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me a photograph of the affected part. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.
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I am 39 yrs old with left bundle branch block, sinus tachycardia & high blood pressure. My Dr. Has prescribed me medicine on triolmesar 40mg, turbovas 10 mg once daily. Last 2d echo report state that: aortic root diameter: 2.7 cm aortic valve opening: 1.7cm left atrial dimension: 3.9cm left ventricular ed: 5.3cm left ventricular es: 3.9cm intrventricular septal thickness: ed: 0.9cm es: 1.3cm left vent pw thickness: ed: 0.9cm es: 1.3 cm lv ejection fraction: 60% max velocity aortic valve: 178 cms/sec mitral valve: 81/120 cms/sec pulmonary value: 130cms/sec. Please suggest whether lbbb is dangerous, as at present no breathing problem has arise to me except in high latitude once.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
Hi, what issue lead you to consult heart dr, great you did the base line things, leave these thing on your heart consultant. What you targeted your goals in near n long future n what you added in terms of healthier life style. If your willing to take your health head on n in your hands consider authentic ayurveda to support you as whole not only your heart as its vat disorder n could be better dealt with ayurveda no need to drop your heart consultants medicines after some days your heart Dr. Will appreciate the thing you followed.
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While most qualities given are as expected, what is surprising that cholesterol is HIGHER in cow milk than buffalo milk. Could you please clarify, whether it is HDL or LDL which is higher?

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
While most qualities given are as expected, what is surprising that cholesterol is HIGHER in cow milk than buffalo mi...
Hi, thank you for your query. Foods do not contain hdl or ldl. It's the former in which the fats are converted in the body. Cow's milk has saturated fats, but it's short chain and medium chained fatty acids that are easy to digest and are not converted to unhealthy fats in the body. Also omega 3, 6, 9 fatty acids are in the right proportion. This makes cow's milk a good option even though it has saturated fats, of course as long as it's not adulterated.
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Sir I am 24 year old boy with 83 kg weight and 180 cm height my blood pressure is always around 140-150 by 70-80. Sir please tell what should I do to control it? I sleep every day for about 8-9 hours do exercise even though it is high. In my family my parents & grand have the hypertension?

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
In this small age you have BP with overweight issue require proper treatment may consult on private Question in the meantime start with PHYTOLACCA BERRY TAB FOR WEIGHT MANAGEMENT - 3-TAB - 4 TIMES IN DAY Available in Homoeopathic Pharmacy
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What is the solution for anxiety. And mood swing or fear of death always. Can weak heart become a strong heart.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
What is the solution for anxiety. And mood swing or fear of death always. Can weak heart become a strong heart.
Yes a weak heart can become strong through will power, exercise, fruitful hard work that gives good results, good diet and this is the solution to anxiety. Remember the adage-my heart is strong because I have the power of truth.
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I have suffering from spine ,shoulder and neck pain about 2 years also back pain and knee pain body pain, piles. During work on computer and driving a car, I feel weakness and unwell, dizziness and very body & back pain. Recently my Blood Test report- High sensitivity c reactive protein 6.27 mg/L Iron 44.3 ug/dl Hdl cholesterol direct 34 mg/dl Ldl cholesterol direct 70 mg/dl Triglycerides 204 mg/dl Vldl cholesterol 40.8 mg/dl Aspartate aminotransferase sgot 41.8 U/l Testosterone 226 ng/dl 25 oh vitamin D total 12.61 ng/ml Average blood glucose 125 mg/dl Total RBC 6.26 eosinophil 8.8 Please suggest me.

BPT
Physiotherapist, Delhi
I have suffering from spine ,shoulder and neck pain about 2 years also back pain and knee pain body pain, piles. Duri...
- deficiency of vit d reflects in your reports. - do hot water fermentation for joints before going to sleep - kindly fix your appointment with physio to increase muscle strength and joint improvement. - along you can also take accupunture / homeo/ aryurved for long term use as all these therapies do not have any side effects and taking 2 therapies will fasten your recovery.
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I have cholesterol 262, hdl-46, triglycerides-284, ldl-159, vldl-57. I am male, 29 yrs is the cholesterol very high? should I go in for some medication? how can I reduce? other details: height 5: 10, weight 81.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have cholesterol 262, hdl-46, triglycerides-284, ldl-159, vldl-57.
I am male, 29 yrs
is the cholesterol very high?
...
yes your cholesterol is very high with ldl,vldl, you should be take medicines for it. tab. ecosprin 150 mg tab. atrovas 10 mg at night after meal. take low fat/oily food, alcohol intake ,avoid non-veg., take green veg., whole grain food.
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