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Dr. Dhiren R Shah

Cardiologist, Mumbai

1500 at clinic
Dr. Dhiren R Shah Cardiologist, Mumbai
1500 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.
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Dr. Dhiren R Shah is a renowned Cardiologist in Mumbai, Mumbai. You can meet Dr. Dhiren R Shah personally at Pradeep Polyclinic in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Dhiren R Shah on Lybrate.com.

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Pradeep Polyclinic

Shop No 73, August Kranti Marg, Gowalia Tank Road, Near Hotel Chicken Centre, Kemps Corner, Cumballa Hill, Landmark: Opposite To Worden Chemist, MumbaiMumbai Get Directions
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I am 66 years old. Received heart attack taking medicine as per heart specialist, but I cant digest food properly, why.

MBBS
General Physician, Cuttack
1.Take Vitazyme syrup 2tsf twice daily after food 2. Take bland diet, dont take heavy meals 3. Take smaller meals and increase the frequency of meals 4. Take one tablet of Pan 40 in the morning before breakfast 5. Go for regular walk
11 people found this helpful
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Dear sir/madam, my mother suffering from high blood pressure & thyroid problem so could you tell me the proper health diet for her & some healthy tips as well.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Avoid excess salt in diet take 8-10 glass water daily avoid fried and spicy food and coffee take a nutritious diet and a early morning walk start doing kapal bhati pranayam daily for 15 minutes. To start with do for 3-5 minutes nd slowly increase upto 15 minutes. The procedure for doing this asana is o sit in a comfortable crossed leg posture, sukasana (using padmasana or vajrasanais the best) and keep your back straight. Rest your hands on the knees using gyana mudra or chin mudra. O inhale deeply trough your nose, this will expand you abdomen. O exhale using a great force so that your abdominal muscles contract to the maximum o these exhalations are similar to your breath outs, but they should be forceful o make sure while exhaling, the air should be pushed out of your lungs by contracting the diaphragm o after exhalation again do inhalation, but this time with out any effort. To do this just relax your lungs, they will automatically expand and fill with air o one cycle of kapalabhati pranayama include one deep inhalation, then forceful exhalation and an effortless inhalation. O a learner can practice up to three rounds, each with 15 exhalations. Small breaks between each round are allowed.
5 people found this helpful
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Stroke - Debunking Myths About it

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Srinagar
Stroke - Debunking Myths About it

Strokes occur when blood to the brain gets interrupted or reduced. When this occurs, brain cells begin to die as they don't get enough nutrients and oxygen. Such life-threatening episodes can strike you anytime.

Many myths surround this medical condition:

Myth 1: Women don't suffer from strokes

The opposite is true. It is women who suffer strokes more often than men. This is because women tend to live longer than men whose longevity gets affected by heart disease. Since they live longer than men, they tend to be more vulnerable to strokes.

Myth 2: Strokes aren't easy to recognise

Strokes can be easily diagnosed through the face, arm, Speech and Time test (FAST). If you suffer from slurred speech, facial droop or numbness on one side of the body, you're said to suffer from a stroke.

Myth 3: Strokes are a form of heart attack

Although strokes and heart attacks are closely related, they are not the same. In strokes, blood supply to the brain gets interrupted; on the other hand, in heart attacks, blood supply to the heart gets severely affected.

Myth 4: Only older people suffer from strokes

This isn't true young people can experience strokes as well. About a quarter of stroke cases are reported by people aged 65 and below. More importantly, irrespective of the age group, the warning signs are the same; it is only in response that differences can be found between younger and older people.

Myth 5: Strokes can't be prevented

Through changes in your lifestyle, strokes can easily be prevented. You can reduce your chances of getting a stroke by having a balanced diet, exercising, keeping an optimum body weight and limiting alcohol consumption as well as quitting smoking. Moreover, up to 80% stroke cases can be prevented by leading a healthy lifestyle. If you wish to discuss about any specific problem, you can consult a neurologist.

2111 people found this helpful

My father is suffering from heart and protest disease. Doctor has advice for CABG for heart. And for frequent urinate that is protest problem they had advice for surgery. please suggest me which operation will be good to do first?

Cardiologist, Chennai
As your father has been advised cabg, he should under go it first, followed by surgery for prostate.
293 people found this helpful
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Sir, To drink plenty of warm water is harmful for heart, kidneys or lungs? How much maximum water should intake in 24 hours. Thanks.

MD - Homeopathy, BHMS
Homeopath, Kolkata
Hello, No drinking of warm water is not harmful for heart, kidney and lungs. According to your height and age your body weight should under 70 kg. You should take about 6% water of your body weight. As much as possible you should take drinkable warm water alongwith 5/6 Fresh one seeded garlic root which will increase your metabolic rate and reduce the body weight. This will help you to prevent the possibilities of future heart ProblemAlso don't take any Junk food, Clod water, fatty oil. If you follow this, I am sure that you will call me after two months if there has no any medical problem. If you have any medical problem then You should go through proper Characterized Homeopathic case recording for your individualized treatment else your problem will persist.
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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 i.e.play 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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My heart is too weak as compared to my friend in same age. I consuming lots of food including Staple food as Rice, dal & mix curry regularly & also Junk foods, fruit & salad too. Hence, why my health doesn't getting healthy? What's the reason behind it? I following guidelines of doctor also. What can I do? Please help me doctor.

C.S.C, D.C.H, M.B.B.S
General Physician,
Follow this diet strictly a diet chart timing foods to eat calories early morning lukewarm water with lemon 1 glass 0 tea without sugar + 2 biscuits 90 breakfast 2 rotis + 1/2 cup paneer curry 330 or brown bread upma 1 plate + milk 1 cup 300 mid-morning1 banana/1/2 cup melon/20 grapes 50 lunchbrown rice 1 cup (195 gm) + mixed vegetables 1/2 cup + salad 1 bowl + raita 1 small bowl 345 evening butter milk 1 cup 35 dinner 2 rotis + vegetable soup 1 bowl + salad 1 bowl 370 total 1220/1190 cal.
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I sometimes feel palpitations anytime of the day. It's very severe when it happens. What should I do?

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
Medicine german reckeweg gelsimium 200, 4-5 drops orally, single dose morn, empty stomach mixed fruit juice daily evening.
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I have blood pressure problems at least one months which medicine is best suitable to remove the diseases?

Diploma in Cardiology
Cardiologist, Kathua
Your age is only 17 yrs. First of all evaluate the cause of your high bp. Do your ecg, cbc, thyoid profile, lfts, usg whole abdomen. Then get back to me. Do morning - evening bp charting till investigations done. Go for meditation, morning walk, avoid fat / fried diet.
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Screening for Prehypertension

MD - General Medicine, MBBS
General Physician, Karimnagar
Screening for Prehypertension

Guidelines for vary from time to time, but generally accepted classification of hypertension ( JNC7)is

Average of two or more properly measured readings at each of two or more visits after an initial screen:

Normal                  < 120 mm Hg SBP             AND   DBP < 90 mm Hg

Prehypertension    120 -139 mm Hg SBP     OR      DBP 80 to 89 mm Hg

Stage 1 HTN            140 -159 mm Hg SBP     OR      DBP 90 to 99 mm Hg

Stage 2 HTN            >/= 160 mm of Hg SBP   OR     DBP >/= 100 mm Hg.

Prevalence of prehypertension among adults in United States is approximately 37 percent.

Study done by Yadhav S et al showed prevalence of prehypetension was 32.3 percent in India with highest  36% among 30-39 yrs age group, indicates that awareness is necessary for regular blood pressure check up.

People diagnosed with hypertension represents “tip  of an iceberg”.

Many patients get to know about their raised blood pressures at the time of diagnosis, heart attack, stroke or kidney disease( end organ failures) which would have been preventable  if treated at an early stage.

Why hypertension should be diagnosed and treated ?

Hypertension currently causes  2/3rd s of all strokes and half of all cases of ischemic heart disease.

Reduction in high blood pressure leads to large reduction in stroke, heart failure, renal failure, aortic dissection, coronary events and death.

Prehypertension: It is an entity where SBP >120 -139 mm Hg or DBP 80-89 mm Hg.

Multiple epidemiological studies demonstrated increased cardiovascular risk in patients with prehypertension.People with prehypertension have increased risk of progression to sustained hypertension, the prevalence of hypertension increases from approximately 10 percent at age of 30 yrs to as high as 90 percent after age of 65 yrs.

Framinham hypertension risk prediction score, may help identification of prehypertensive patients who are at gretest risk for pregression to hypertension. Risk calculator includes variables like age, sex, family history of hypertension, body mass index and smoking.  Most important predictors of these were higher baseline blood pressure and older age.

Screening for hypertension: optimal interval for screening is not known.

2007 USPSTF( United States Preventive Services Task Force) guidelines recommend

Screening every    two years for persons with SBP <120 mm Hg and DBP < 80 mm Hg     

                                 Yearly for persons with SBP 120-139 mm Hg or a DBP 80 -89 mm Hg

How to manage Prehypertension:

TROPHY stydy( TRial Of preventing Hypertension)  results showed that there is no role for pharmacotherapy in prehypertension except in special conditions like diabetes, chronic kidney disease etc.

Treatment:As per JNC 7 reccomendations patients with prehypertension who do not have diabetes, chronic kidney disease , end organ damage , or clinical evidence of cardiovascular disease are generally treated with non pharmacological therapies.

Major non pharmacological therapies that aid to decrease blood pressure are: 

Weight reduction:  Maintain normal body weight ( BMI 18.5 to 24.9 kg/m2)  this can reduce BP by 5 to 20 mm hg per 10kg weight loss.

Adopt DASH eating plan : (DASH- Dietary Approach To Stop Hypertension) consists of fruits, vegetables, legumes, low-fat dairy products with reduced saturated and total fat.This can reduce BP by 8 to 14 mm Hg.

Dietary sodium Restriction: Reduce dietary sodium intake to no more than 100meq/day(2.4 gm sodium or 6 gm of sodium chloride). This can reduce BP by 2 to 8 mm Hg.

Physical activity: Engage in a regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce BP by 4 to 9 mm Hg.

Moderation of alcohol: Limit consumption of alcohol to no more than 2 drinks per day in most men and no more than 1 drink in women and lighter weight persons. This can reduce BP by 2 to 4 mm Hg.

1 person found this helpful

I am 32 male, weight: 105, height: 6ft, having high bp, and also taking metmorphin for blood gulucose control, problem: having many boils with puss in head.

PDDM, MHA, MBBS
General Physician, Nashik
This is a fungal infection and this has occurred because your sugar level is not well controlled. Kindly consult further with your bsl reports. Dr. Surbhi agrawal consultant physician and diabetologist
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Hi, I am 29 year old, I have bp 140/100. Kindly suggest how I will control this without medicine, I am also following diet.

BAMS
Ayurveda, Ambala
Dear, To control & maintan BP normal these are best methods to follow:.• Do physical exercise like jogging, running or brisk walk for atleast 20-30 minutes. • 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. • 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. You can consult me privately for more medicine treatment and doubts.
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I am suffering from high bp problem. And I also feeling tired always. What can I do for getting energetic.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
High BP can lead to fatigue. It is better for you to also do a complete blood count to check anemic state. Once a better information is there on your health state, your medications can be planned which will be more effective and helpful. Do remember, the first trigger of BP increase is bad diet, no exercise and stress. So it is essential that along with some medication, you begin to improve your lifestyle for any lasting relief and to ensure the matter does not develop into any further problem. At your age, it is possible t keep it under check and not depend on medications all life. But it is in your hands to do this dedicatly.
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Im butchireddy im suffering with breathing problem. Sometimes it blocks my heart upto burp coming. It comes on night also totally it holds my breath. In that time im very hard to take breathe. So please fwd how to rectify thus.

DNB Cardiology, MD - General Medicine, MBBS
Cardiologist, Mumbai
Hello lybrate-user, the symptoms you have described characteristically fits into gerd, which stands for gastroeaophageal reflux disease. Here the stomach acid when you lie flat or after heavy meals reflux back into the food pipe which may cause nausea, burping, breathlessness, feeling of acidic taste in the throat. This deserves a detailed discussion with your doctor. However some important measured you can take is. 1) avoid spicy, oily preserved food. No chocolates, aerated drinks, tea, coffee 2) avoid heavy meals and sleeping immediately after meals at least for one and half hours 3) raise head end of your bed by a already 10-12 inch s. Try using two pillows to sleep 4) take a medicine like sompraz d 40 mg 15 mins before breakfast for 2 weeks at least. Let me know how you feel in 2- 3 days after starting medication and we may evaluate it furthur as I believe that the cause of your breathing issue is because of the stomach.
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My blood pressure is very much unstable while I am normally working. What is the reason behind these problems.

MD - Alternate Medicine, BHMS
Homeopath, Surat
You need to reduce your stress for it. Blood pressure fluctuates only under stress. So please try to control by yoga and meditation. And also try to have very simple food, avoid outside junk food.
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I have been undergone angioplasty in august 2006 .now I do not have any problem but I also undergone c t angiography in 2014 which shows 45 to 50 blockage in arteries but I am taking medicines regularly. Pls advise me what should I do now to keep heart healthy.

MBBS
General Physician, Jalgaon
Please Wake up early go for morning walk in greenery daily with relaxed mind, Take a break, when you feel distressed while walking It will improve your circulation Take salads and fruits more Take plenty of water daily Take vegetables juices and soups more Take Tab Abana by Himalaya 11 regularly Continue your current medicine.
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I am 32 year since a week I am feeling my heart beats run fast when I take rest Please let me what to do Thank you.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Reduce tea coffee, spicy foods. yoga , meditation destress. No relief holter monitoring to know cause
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High Blood Pressure - All You Need To Know About It!

Non Invasive Services
Cardiologist, Mohali
High Blood Pressure - All You Need To Know About It!

The heart is a muscular organ that pumps blood to the entire body through a network of arteries and veins. This network contains big vessels which branch out further to supply blood to the distant organs. There is, therefore, some pressure that the heart and thereby the vessels need to exert to push the blood through these vessels. This is known as blood pressure, and normal pressure levels range from 90-140(systolic)/60-90(diastolic) mm of Hg. However, due to various reasons, this pressure could be more, which is one of the first signs of heart disease.

Causes of increased blood pressure: 

  1. Thickening of the blood vessels. With age, the elastic blood vessels naturally turn rigid and less elastic, so there is more pressure required to push blood. It is natural for people over 55 years of age to have higher readings of blood pressure. This is known as primary hypertension (HTN).
  2. Narrowed blood vessels. This happens due to cholesterol accumulation along the walls of the blood vessels. Faulty dietary habits along with sedentary lifestyle have increased the incidence of hypertension due to this condition, known as atherosclerosis. Critical atherosclerotic narrowing of renal arteries lead to renovascular HTN that is one of the commonest of secondary HTN. 

Other Causes of secondary hypertension are: 

  1. Kidney problems
  2. Thyroid hormone disorders 
  3. Congenital heart defects 
  4. Chronic alcohol abuse 
  5. Adrenal gland tumours 
  6. Chronic use of medications like birth control pills, pain killers, etc. 

Unidentified and uncontrolled hypertension can be silent and can lead to more severe conditions like heart attack and stroke. India is fast becoming the new hypertension capital of the world. Some of the common risk factors are: 

  1. Age 
  2. Family history 
  3. Being obese or overweight 
  4. Sedentary lifestyle
  5. Smoking 
  6. Alcohol consumption 
  7. Excessive salt intake 
  8. Stress levels 
  9. Ethnic background 

Symptoms: 

  1. Hypertension can go undetected for years together, but if there are risk factors like diabetes and high cholesterol, it is advisable to periodically monitor blood pressure. 
  2. Headaches, nosebleeds, and shortness of breath should not be ignored. These can be the first warning signs of hypertension, and if detected early, preventive measures can be taken. 
  3. If there are co-morbid risk factors, it is advisable to constantly keep a check on BP readings. 

Management: 

This includes a combination of diet and lifestyle modifications. 

  1. Quit smoking and alcohol: Of the many wonders quitting smoking can do, reducing BP readings is just one. The improvement would be almost instantaneous. Quit or else reduce alcohol and see dramatic improvements. 
  2. Weight management: Through a combination of diet and exercise, ensure that weight is brought under control. Set a target BMI (Below 26 kg/m2) and work towards it religiously. 
  3. Diet: Reduce salt, increase potassium, increase vitamin D, eat a heart-healthy diet, and see the hypertension readings improve. Please find attached and reviewed copy for health tip for posting. If you wish to discuss about any specific problem, you can consult a cardiologist.
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Symptoms of heart attack and how to prevent of this disease please suggest immediately and what should we eat.

MBBS
General Physician, Mumbai
Pain in left side of chest with pain radiating to the left arm with irregular heartbeat and sweating is a typical symptom of heart attack and for preventing it eat low fat content in your diet and exercise regularly.
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