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Dr. Aniruddh Trivedi

Cardiologist, Mumbai

1250 at clinic
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Dr. Aniruddh Trivedi Cardiologist, Mumbai
1250 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Aniruddh Trivedi
Dr. Aniruddh Trivedi is a renowned Cardiologist in Mumbai, Mumbai. He is currently practising at Raheja Hospitals in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Aniruddh Trivedi on Lybrate.com.

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Raheja Hospitals

Raheja Rugnalaya Marg,Mahim. Landmark: Near Police Quarters Colony, MumbaiMumbai Get Directions
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I frequently keep suffering from cold and now currently pain in my chest left side. Suggest me some medicine.

MBBS, MBA (Healthcare)
General Physician, Delhi
I frequently keep suffering from cold and now currently pain in my chest left side. Suggest me some medicine.
take sinarest one tab at night for 3 days. honitus 2 tsf 2 times a day. do gargle. take steam. inform if not ok.
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My Aunty Aged 45 years A week Ago she got Heart Attack & they did Angiogram & said 3 blood vessels blocked Each Valve Above 95% & they said They can't place stents and they said By Pass Surgery Is a Must we consulted other hospitals too they too said By Pass is Must. I heard that while doing By Pass is there any Risk of Death as she got Diabetes as we are scared in 3 or 4 days they will do By Pass Surgery please Assist me in this.

MBBS
General Physician, Mumbai
My Aunty Aged 45 years A week Ago she got Heart Attack & they did Angiogram & said 3 blood vessels blocked Each Valve...
Dear lybrateuser, - Since she has more than 90% block in the major blood vessels it has to be corrected by bypass surgery as advised by the cardiologists as it is a life saving measure - do not worry as in good hands it is a safe procedure & the blood supply would become proper & adequate for the heart function as well as the whole body after the surgery.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Alcohol and the Heart
Doctors have struggled for several years now over whether to tell their patients about the potential cardiac benefits of alcohol. Over 60 clinical studies have suggested that light to moderate alcohol consumption (the equivalent of one or two 1 � oz. drinks of alcohol per day) can increase HDL cholesterol levels (the ?good? cholesterol,) can reduce the incidence of myocardial infarction (heart attack), and may have other cardiovascular benefits.
However, excessive alcohol consumption reliably causes a number of severe and often fatal medical problems, not to mention the destructive social pathologies associated with alcoholism itself.
For all these reasons, a special advisory panel of the American Heart Association issued a formal statement urging doctors not to recommend alcohol to their non-drinking patients as a means of reducing the risk of heart disease. This makes perfect sense. If doctors were seen to be encouraging alcohol, that would not only be politically incorrect, but might also lead to a significant increase in alcohol-related medical and social problems. Still, the apparent cardiac benefits of alcohol creates something of a dilemma for doctors.
The Evidence in Favor of Alcohol
Numerous prospective studies now suggest that people who engage in light to moderate alcohol consumption have a substantially reduced risk of coronary artery disease (CAD) - by as much as 40 - 70% - compared to those who drink either no alcohol, or those who drink more heavily.
And in a large meta-analysis that included over 80 observational studies, those with light to moderate alcohol intake had a 25% reduction in death from cardiovascular causes.
People who engage in light alcohol consumption appear to have a significantly reduced risk of developing heart failure.
Light to moderate alcohol consumption may help to prevent type II diabetes and metabolic syndrome. And in people who have diabetes, it may help to protect against CAD.
Up to two drinks per day may help to protect against stroke.
How Can Alcohol Protect the Heart?
Theories as to how light to moderate alcohol consumption can benefit cardiovascular health include the following:
Alcohol increases HDL cholesterol levels
Alcohol has antioxidant activity
Alcohol increases insulin sensitivity
Alcohol may help prevent abnormal blood clotting
Alcohol in low doses has anti-inflammatory properties
While it is widely believed that red wine may have special protective properties (largely stemming from the antioxidant properties of red grapes), in fact the overall data strongly suggests that it is the alcohol itself that is cardioprotective in small doses - regardless of the particular type of alcoholic beverage consumed.
The Evidence Against Alcohol
It is noteworthy that in all the studies assessing the effect of alcohol on the heart, women who consumed more than two drinks a day, and men who consumed more than three, had a substantial increase in overall cardiovascular mortality, including sudden death. Furthermore, several studies show that binge drinking (abstaining for several days, but drinking heavily on the days when alcohol is consumed) is associated with a substantially increased risk of CAD and of cardiovascular death.
In addition, drinking large amounts of alcohol is a well-recognized cause of cardiomyopathy and heart failure. People who have more than two drinks per day have a significantly increased risk of developing hypertension. And consuming more than two drinks per day appears to significantly increase the risk of stroke.
Both heavy drinking and binge drinking increase the risk of atrial fibrillation.
The Bottom Line
It appears quite evident that the relationship between alcohol and cardiac risk follows a "J-shaped" curve. Cardiac risk is lower when low to moderate alcohol is consumed than if either no alcohol is consumed, or if higher amounts of alcohol are consumed.
The problem for professional bodies and guideline-writers, obviously, is that many, many people find it difficult or impossible to limit their alcohol to one or two drinks per day. If guidelines actively promoted light alcohol consumption for the population, there is every reason to believe that the overall result would be a negative one, rather than a positive one. So, despite all the evidence regarding the cardiovascular benefits of light alcohol consumption, you should not hold your breath waiting for guidelines (or your doctor) to recommend such a thing.
14 people found this helpful

I have a chest pain since 2 weeks. And that pain occurs sometimes not every time. I felt that pain when I twisted my hand, turned around or lied down. I did not know what is the reason and should I consult with the ent doctor or a general physician. I thought that pain occurs when my chest got pressure.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
I have a chest pain since 2 weeks. And that pain occurs sometimes not every time. I felt that pain when I twisted my ...
Bhujang Asana – Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily.
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He is a patient of hypertension since 5 yrs. He doesn't has proper diet. What should be his diet so as to avoid any other heart disease and also lower down his bp up to normal.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
He is a patient of hypertension since 5 yrs. He doesn't has proper diet. What should be his diet so as to avoid any o...
Hypertension Diet Drugs do not remove the cause, nor do they cure the condition. All drugs against hypertension without exception, are toxic and have distressing side-effects. The fast way to cure hypertension is to eliminate the poisons from the system, which cause it. Persons with high blood pressure should always follow a well-balanced routine of proper diet, exercise and rest. Meat and eggs cause blood pressure to rise more than any other food. The pressure is lowered and blood clotting diminished by taking a diet with a higher fruit content, lower protein and non-flesh diet. A natural diet consisting of fresh fruits and vegetables, instead of a traditional diet, is helpful in getting rid of the poisons from the body. A hypertension patient should start the process of healing by living on an all¬ fruit diet for at least a week, and take fruits at five-hourly intervals, thrice a day. He should take juicy fruits such as oranges, apples, pears, mangoes, guavas, pineapples and grapes. Milk may be taken after a week of a diet of fruits only. The milk should be fresh and boiled only once. The patient can be permitted cereals in the diet after two weeks. Vegetables are also good for a patient of hypertension. They should preferably be taken raw. If they are cooked, it could be ensured that their natural goodness is not destroyed in the process of cooking. Vegetables like cucumber, carrot, tomato, onion, radish, cabbage and spinach are best taken in their raw form. They may be cut into small pieces and sprinkled with a little salt and the juice of a lemon added to them so as to make them more palatable. The intake of salt should be restricted; in any case it should not be taken more than four grams or half a teaspoon per day. Baking powder containing sodium carbonate should also be avoided. Garlic is regarded as one of the most effective remedies to lower blood pressure. The pressure and tension are reduced because it has the power to ease the spasm of the small arteries. Garlic also slows the pulse and modifies the heart rhythm besides relieving the symptoms of dizziness Numbness shortness of breath and the formation of gas within the digestive tract. The average dosage •should be two to three capsules a day to make a dent in the blood pressure. There I an important relation between dietary calcium and potassium and hypertension. It is found that people who take potassium rich diets have a low incidence of hypertension even it they do not control their salt-intake. They have also found that people with hypertension do not seem to get much calcium in the form of dairy products. The two essentia1 nutrients seem to' help the body throw off excess sodium and are involved in important functions which control the working of the vascular system. Potassium is found in abundance in fruits and vegetables and calcium in dairy products. The patient of hypertension should follow a plan of a well-balanced diet in which the constituents of food should be approximately in the following proportion: carbohydrate twenty per cent protein ten to fifteen percent fat five per cent and fruits and vegetables sixty to sixty-five per cent. In this plan one main meal should be based on raw foods while the second main meal may consist of cooked foods. Meals should be taken slowly and in a relaxed atmosphere. Food should be well masticated as the process of digestion begins in the mouth. The dinner should not normally be taken late.
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10 Tips To Prevent Heart Disease And Stroke

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
10 Tips To Prevent Heart Disease And Stroke

1. Take responsibility for your health.

Cardiovascular disease is the major cause of death in america, accounting for 34 percent of deaths, many suddenly and almost all of them premature. This is down from 40 percent just four decades ago, mainly due to treatment of common risk factors. If you have diabetes, your risk increases dramatically. The best prevention against heart disease and stroke is to understand the risks and treatment options. The greatest risk is ignorance or misinformation. The first step is to take responsibility for your health.

2. Know your risks.

The most influential risk factor for cardiovascular disease is age – the older you are, the greater your risk. The second is your genetic make-up. Although everyone is excited by the scientific progress in genomics research, conclusive gene tests are still in their infancy. But, as I tell our medical students, “a good family history is a poor man’s gene test.” we have long known that if your parents, grandparents, or other relatives were afflicted with or died of heart disease, diabetes or stroke, your risk is much greater.

3. Don’t smoke or expose yourself to second-hand smoke.

The evidence is overwhelming that cigarette smoking and second-hand exposure to smoke increases the risks of heart disease, lung disease, peripheral vascular disease and stroke.

4. Maintain a healthy blood pressure.

High blood pressure, called hypertension, is known as “the silent killer” as it goes without symptoms in most individuals. High blood pressure causes wear and tear of the delicate inner lining of your blood vessels. The higher your blood pressure (bp) the greater your risk. The risk begins to increase from a pressure of 115/70 mmhg and doubles for each 10 mmhg increase in systolic (the larger number) and 5 mmhg increase in the diastolic (the smaller number). Heredity and increasing age raise the risks. Measuring blood pressures at home reflects more accurately your risk than having the blood pressure taken at a physician’s office. It is worth the investment to get a cuffmeter.

It is best not to rely only on the readings at your doctor’s office as some individuals suffer from “white coat” hypertension – their bp is up only when they are at the doctor’s office. Others have “masked” hypertension – higher when not in the doctor’s office. Prognosis is best related to home bp. But for home blood pressure readings, you should not use finger or wrist units – only regular upper arm units.

5. Monitor your cholesterol (blood lipids).

Abnormal or high blood lipids (fats) are a major contributor to cardiovascular disease. Your blood lipids include the ldl (bad cholesterol; remember as “lousy cholesterol”), hdl (good cholesterol; remember as “healthy cholesterol”) and triglycerides. The lower your ldl and the higher your hdl, the better your prognosis. The amount of cholesterol in your blood is determined mainly by three factors: the amount produced by the liver (this is largely genetic), the amount absorbed from the intestinal tract (some from what you eat, but a lot more from cholesterol produced by the liver and excreted into the digestive tract) and, finally, age – your cholesterol increases with age. If you are at risk, medication is almost always necessary to lower the ldl or to raise your hdl. The ideal ratio of total cholesterol divided by hdl cholesterol is 3.0. If higher, you might need diet as therapy. The problem with diet is that, in general, it can only decrease total blood cholesterol by about 10 percent. If you have a strong family history or elevated lp (a) (a rare abnormal cholesterol that increases the risk), drug therapy is usually needed.

6. Limit your calories.

Fad diets do not work. If any of them did, we all would be on that one, wouldn’t we? the obesity rate in americans is alarming, contributing to a near epidemic of diabetes, which is a cardiovascular disease. If you have diabetes, your risk is the same as someone who already had a heart attack. Obesity is caused by consuming more calories than your body burns. Abdominal obesity is the major risk. Portion sizes and the amount of sugars in the american diet have dramatically increased over the past few decades. At the same time, the daily amount of exercise has been decreasing. It is good advice to “drink slim” (water, tea, coffee). Use portion control before you start eating and push away from the table before you are “full.”

7. Make exercise a daily habit.

The lack of exercise is contributing to the obesity epidemic in americans. Studies indicate that walking two miles a day is optimal for overall health, and those two miles of walking do not have to be done all at once. Exercise does more than burn calories; it also activates genes that are beneficial to health in other ways. Plus, exercise is one of the best treatments for depression and anxiety. However, exercise alone cannot control or reduce your weight – you must also modify your diet.

8. Pick your pills wisely.

There is a great interest in alternative medicine and understandably so, because patients want to be empowered to take responsibility for their own health. However, many take alternative medicines because of the way they are marketed. The mere fact that a substance is “natural” does not prove its health benefit. After all, nobody in their right mind would take arsenic simply because it is “natural.” it is important to know that research data are often lacking for alternative medications, supplements and vitamins, none of which are regulated by the U.S. Food and drug administration (fda).

Do we ever prescribe alternative medicines? on occasion we do! the major risk with many alternative medications is that the patient thinks they are doing something to improve health, when in fact they are not. Although some vitamins have been shown to possibly help some conditions, to date none have been shown to decrease the risk of cardiovascular disease. There are some rare exceptions, such as fish oils and niacin (vitamin b). It is also important to note that high doses of some vitamins may interfere or counteract the beneficial effects of some prescription drugs.

9. Reduce stress.

Stress contributes to cardiovascular disease and, if severe, can cause a heart attack or sudden death. There are plenty of options that help reduce stress, such as regular exercise, adequate sleep, striving for a good marriage, laughing, volunteering or attending religious services. Watching tv generally does not relieve, but can aggravate stress. Also, try to avoid situations and people who make you anxious or angry.

10. Stay informed: science changes constantly.

The only constant is change. This is especially true in medicine as new techniques and new insights develop constantly. Do not believe every piece of “scientific information” you find in the media or advertisements. An overwhelming number of research studies that make it into scientific publications are poorly designed or yield data that are not representative, E.G, due to a lack of a sufficient number of participants. Keep in mind that many studies are financed or sponsored by individuals or companies with a vested interest in gaining favorable results. The situation can be especially confusing when scientific studies yield different or even contradicting results, and this happens quite often.

4 people found this helpful

I am 21 years old. My echo, lipid profile and tmt are normal, but I have been done 12 ecg. And they are abnormal. Aisa kis wajah se hai.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 21 years old. My echo, lipid profile and tmt are normal, but I have been done 12 ecg. And they are abnormal. Ais...
When sophisticated tests are normal, why do you bother about a basic test like ecg which shows different rates at 12 places. I will not suggest you to go for a 13th test.
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I get these aches near heart after I do gym. Is it something serious. Do I have a heart problem.?

DM - Cardiology, MD - Internal Medicine, MBBS
Cardiologist, Delhi
I get these aches near heart after I do gym. Is it something serious. Do I have a heart problem.?
Doesn't look like heart problem . Normally muscle aches can be there . Try tab crocin / consult once with a doc so that he can see you physically
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At what age a persons heart become weak and gets heart attack. please tell us how to get rid of those heart attacks.

C.S.C, D.C.H, M.B.B.S
General Physician,
At what age a persons heart become weak and gets heart attack. please tell us how to get rid of those heart attacks.
Heart attack does not come due to weakness and it is due to the block in blood vessels of the heart.YOu have to avoid fatty foods smoking and lead a healthy lifestyle
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I am 21 years old male, I have been smoking since last four years. Now I have pain in my chest regularly. Please help me what to do?

MBBS
General Physician, Cuttack
I am 21 years old male, I have been smoking since last four years. Now I have pain in my chest regularly. Please help...
Avoid smoking. Take x ray chest. Get youself physically examined by physician/pulmonologist and follow the advice and treatment.
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I am 28 years old men suffering from lower tibia pain" pain in both leg" doctor suggests zerodol sp and pan 40 but I don't want pain killer, I want to cure this from the root. My all reports are normal what to do?

MBBS
General Physician, Mumbai
I am 28 years old men suffering from lower tibia pain" pain in both leg" doctor suggests zerodol sp and pan 40 but I ...
Dear lybrateuser, -apply ice compress on the part which pains, can apply any pain relieving gel 3-4 times a day, give rest to the limb if pain is more after walking, apply shin splint while walking -consult orthopedician for exact diagnosis & medication.
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Is there any side effects if we change brand of Hypertension tablets with same molecular formulae.

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
Is there any side effects if we change brand of Hypertension tablets with same molecular formulae.
No there are no side effects and you can change the brand of the same molecule of antihypertensive medication anytime. You need to understand about high blood pressure.  Normal range of blood pressure is between 90/60 to 140/90, anything above or below is is abnormal. Many factors can affect blood pressure, including: 1) The amount of water and salt you have in your body 2) The condition of your kidneys, nervous system, or blood vessels 3) Your hormone levels 4) your lifestyle - smoking, drinking, exercise  You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up. High blood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death. DASH stands for Dietary Approaches to Stop Hypertension. DASH lowers high blood pressure and improves levels of cholesterol. This reduces your risk of getting heart disease. The DASH Diet Emphasizes vegetables, fruits, and fat-free or low-fat dairy products. Includes whole grains, fish, poultry, beans, seeds, nuts, and vegetable oils. Limits sodium, sweets, sugary beverages, and red meats. Along with DASH, other lifestyle changes can help lower your blood pressure. They include staying at a healthy weight, exercising, and not smoking. My advice to you would be 1) Keep a BP daily record for at least one week 2) Basic tests should be one to rule out cardiac / kidney issues 3) unless any recent evaluation has been done I would advice these test ECG ECHO Lipid Profile TSH KFT  Renal doppler  Get back to me with a detailed history and  old / new records for a better individualized advice.
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I have pain in my chest what should I do for relif please tell me which medicine should I take.

MBBS, cc USG
General Physician, Gurgaon
I have pain in my chest what should I do for relif please tell me which medicine should I take.
Hello, CHEST PAIN in your case may be due to 1.acidity. 2. severe anxiety 3. muscular problem A. You can take Tablet Pantocid 40 mg (if no drug allergy) one tablet before food for 3 days B. Local application of Volini gel 1% twice a day for 2-3 day you should go for BP check along with Base line ECG and review with report I am giving you some health tips to avoid acidity 1.Take small frequent meal kindly take 5-6 small meal in whole day 2.Take 6-8 glass of water in a day 4. Moderate physical activity regularly 5.avoid excessive tea, coffee 6. Do Not postpone Breakfast consult Physician for Further Management
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For last 2 days while getting up in the morning I feeling dizziness and could not even stand up. This happen 1st time with me. I checked my BP was 91/134. Can you suggest for the same?

MBBS
General Physician, Cuttack
For last 2 days while getting up in the morning I feeling dizziness and could not even stand up. This happen 1st time...
Your Bp is slightly high. You need further investigations like ECG, Lipid profile,Blood sugar Blood urea, creatinine after consulting physician
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I have a problem of hair fall and chest pain suddenly so I want to know what is the actual problem.

C.S.C, D.C.H, M.B.B.S
General Physician,
I have a problem of hair fall and chest pain suddenly so I want to know what is the actual problem.
Chest pain and due to sprain or other noncardiac causes and regarding hair fall. In general, you lose about 50-100 strands of hair each day, but the loss is not visible as new hair grow in their place. However, if you lose more than a 100 strands in a day and more than 200 strands on the day you shampoo, you may be suffering from what is known as excessive hair fall. Certain factors or reasons may cause you to lose hair at an alarming rate, which are, 1. Thyroid problems Your thyroid is responsible for your body’s overall functioning. The hormones (primarily T4 and T3), which it produces help in regulating metabolic activities. Problems with your thyroid gland can cause your hormone levels to rise or fall to unhealthy levels, which can result in hair fall. You can improve the functioning of your thyroid gland through a diet rich in calcium, iodine, magnesium, protein and Vitamins A, B and C. 2. Scalp infections-Infections of the scalp can also be one of the factors that may cause your hair to fall at an alarming rate. Of the different scalp infections, the ringworm scalp infection is the most common. Although this fungal infection can occur in any part of your body, when it develops on your scalp, you end up losing clumps of hair. Alongside the use of anti-fungal medications, even anti-fungal shampoos and creams can provide you with respite from the problem. 3. Poor diet, Gorging on unhealthy foods or going on a crash diet can result in the lack of essential nutrients in your body, which are required to maintain healthy hair. Furthermore, since hair is made of protein, having a balanced diet consisting of proteins and vitamin- rich foods is a must. 4. Stress gives rise to certain conditions such as alopecia areata, telogen effluvium (hair loss caused post-pregnancy or surgery) and trichotillomania (an impulsive need to pull your hair out), which can cause you to lose significant amount of hair. To avert a hair loss crisis caused by stress, make it a point to do some simple stress-reducing exercises, such as meditation or breathing exercises. 5. Using hair styling products like hair colours and straighteners can cause you to experience hair fall problems. Your hair not only becomes dull and dry due to their use, but also becomes weak and brittle, leading to a gradual loss of hair. Regular oiling and use of homemade hair masks are some of the ways you can try to counter the negative effects of these hair styling products. 6. The drugs that are used in the treatment of cancer not only destroy the fast-growing cancer cells, but also the healthy blood cells in your body. For this reason, consuming foods that possess cancer-fighting properties (like oatmeal, tomato, almonds, garlic etc) is a sure-shot way of fighting the disease as well as averting any side-effects that may arise because of the treatment. 7. Alopecia areata. Lastly, hair fall can also be caused by alopecia areata, which is a kind of hair loss that takes place when your body’s immune system erroneously attacks your hair follicles, and prevents growth of new hair. 8. Genetics. The origin of your severe hair fall or baldness can be traced back to your ancestors. So, your genes can be a factor behind your hair fall problem. If this is the cause, your body then becomes unable to produce new hair. Apart from the changes that you can make in your lifestyle to address the causes of your hair fall, there are also techniques out there that you can employ to permanently treat your problem, such as platelet rich plasma, mesotherapy, stem cell therapy, ozone activated platelet rich plasma & hair transplant.
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Why do I feel pressure in my chest while laying down on my back and riding a bike? It is more towards the right side. I have acid reflux and I am quite anxious and have been suffering from throat mucus for a long time which according to my doctors is due to allergy and reflux! What can be the cause?

MBBS, M.D - General Medicne , Diplomate of N.B - Cardiology , DM - Cardiology
Cardiologist, Mumbai
Why do I feel pressure in my chest while laying down on my back and riding a bike? It is more towards the right side....
Do a stress test to see if its cardiac. If test is negative then it may be due to acidity or muscle ache.
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I feel little bit of uneasiness in left chest portion my age is 36 years what need to be done.

MD, MBBS
General Physician, Noida
I feel little bit of uneasiness in left chest portion my age is 36 years what need to be done.
If along with uneasiness in left chest, you feel pain in left hand, particularly on inner side and inner 2 and half fingers (little finger, ring finger and lower half of middle finger) you may have heart problem (coronary artery disease) and you need to get investigate by tread-meal test. Usually uneasiness is due to muscular aches or gastric problems but as males are subjected to lot of stress, tension and competition and lack protective estrogen, they become prone to coronary artery diseases after 40 years (though now a days it is occurring in genetically susceptible young adults too), you should get yourself checked by a cardiologist or you may undergo comprehensive cardiac health check-up available in most of hospitals now a days specially on Sundays for a nominal discounted coat ranging from Rs3000-6000/- which includes full blood check-up, diabetic profile, liver function tests, kidney function tests, pulmonary function tests, treadmill test, echo cardiogram, ultrasound of abdomen, chest x-ray, rectal examination, examination and consultation by a surgeon, consultation by a cardiologist and consultation with dietician.
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