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Dr. Dwarkanath Kulkarni

Cardiologist, Mumbai

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Dr. Dwarkanath Kulkarni Cardiologist, Mumbai
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Dwarkanath Kulkarni
Dr. Dwarkanath Kulkarni is a renowned Cardiologist in Mumbai, Mumbai. He is currently associated with Bombay Hospital & Medical Research Centre in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Dwarkanath Kulkarni on Lybrate.com.

Find numerous Cardiologists in India from the comfort of your home on Lybrate.com. You will find Cardiologists with more than 35 years of experience on Lybrate.com. You can find Cardiologists online in Mumbai 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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English
Hindi

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Bombay Hospital & Medical Research Centre

#117, Marine Lines. Landmark: Next To Liberty Cinema, MumbaiMumbai Get Directions
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For the past 2 months, I have been experiencing irregular breathing patterns especially at rest. When paying no attention to my breathing, it will start will a period of apnea, followed by deep inspiration (as if body is getting insufficient oxygen). But often the deep inspiration does not give any relieve. Salbutamol MDI does not provide relieve. Could it be linked to a lack of sleep? And should I be concerned?

MD (Physician), MD (Pulmonology)
Pulmonologist, Bareilly
Dear lybrate-user, you have not mentioned any History of Past disease or Family History of Cardiac or Chest disease, therefore it may be just a passing phenomenon. But in case you are concerned, then please visit a Pulmonologist and get your PFT Test done. Pulmonary Function Test (PFT) will disclose any hidden disease of Lungs. Meanwhile try getting Good Sleep, Proper Diet and Exercise for good health.
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3 Types Of Stroke You Should Know!

DNB NEUROSURGERY, M.B.B.S.
Neurosurgeon, Durgapur
3 Types Of Stroke You Should Know!

A stroke may be called a brain attack. It may happen to any person at any time. A stroke occurs when there is a vascular event in the brain causing a blockage of blood vessels or a rupture of vessels causing hemorrhage. The brain cells are starved of food and oxygen or are assaulted by a barrage of harmful agents released as a result of hemorrhage, suffering reversible or irreversible damage. Dead or disabled brain cells result in brain dysfunction due to which patients may lose control over parts of the body or lose the capacity to speak, think or remember. 

Strokes can be mild to severe and require immediate medical attention. Stroke requires advanced care and a stroke patient is ideally treated by a multidisciplinary team of experts. At various stages of treatment, the attention of doctors specializing in Neurology, Neurosurgery, Critical Care, Medicine, Radiology and Physical Medicine may be required. Besides, good nursing care and physiotherapy are essential for better recovery from stroke. 

Types of Stroke- 

  1. Ischemic Stroke: This kind of stroke occurs when there is a blockage in a blood vessel, which supplies blood to the brain. The commonly seen underlying causes are atherosclerosis (which is a condition where fatty deposits occur in the walls of the blood vessels) or embolism (blood clot formed elsewhere reaches the brain circulation and blocks a smaller blood vessel). Other rarer causes of ischemic stroke are trauma, hypotension, vasospasm, etc.. 
  2. Hemorrhagic Stroke: This type of stroke occurs when a blood vessel ruptures into the brain. This can be caused by high blood pressure, weakened vessel wall due to atherosclerosis, or vascular malformations like aneurysms, AVM, or cavernomas. 
  3. Transient Ischemic Attack: This type of stroke is also known as a mini-stroke. The blockage caused is temporary or transient in nature, and may happen repeatedly. 

Treatment of Stroke: 

A. General Treatment: Most cases require supportive management to prevent the secondary complications of stroke, so that the patient gets adequate time for the brain tissue to recover functions. Medicines are administered to control brain pressure, prevent convulsions and aid brain tissue recovery. Paralysis of muscles, difficulty in eating, drinking, breathing, controlling urine etc. make the patient highly dependent. Physiotherapy is essential for good recovery of impaired functions. It is essential for family and friends to encourage the patient and involve themselves in supportive care to prevent depression from setting in and for robust rehabilitation. 

B. Specific Treatment of Ischemic Stroke 

  1. Tissue Plasminogen Activator: This is one of the best ways to treat ischemic strokes presenting early. This medicine is given to the patient intravenously. It dissolves the blood clot and improves blood flow to the area of the brain which is affected. The medicine should be given within three to four hours after stroke symptoms appear. 
  2. Endovascular procedure: This is again useful only if the patient reaches early. This is a process by which the blood clot is removed using a catheter, which gets inserted into the area of the blocked blood vessel. It helps in restoring blood flow to that area. 
  3. Decompressive craniectomy: Large ischemic strokes cause a rise of brain pressure which may cause death. To reduce brain pressure, decompressive craniectomy surgery may be required if medicines alone are not effective. 

In this, a large part of the skull on one side or in the front may be removed to allow space for a swelling brain and relieve intracranial pressure. 

C. Specific Treatment of Hemorrhagic stroke 

  1. Surgical treatment: Different modes of neurosurgery may be undertaken to remove blood clots, repair vascular malformations and for relieving pressure within the skull. The need for surgery depends on the cause, location and volume of hemorrhage besides other factors. It is an important decision, and the family needs to consult with the neurosurgeon and understand the implications thoroughly before agreeing or disagreeing for treatment. 
  2. Endovascular coiling or embolisation: Act as standalone treatment or as an additional aid to surgery especially in vascular malformations like aneurysms or AVMs.
3267 people found this helpful

Sir my Blood pressure is always high not mentsin the normal BP 120/80. It always 140+ and 90+, I am facing some mental illness due to this problem. Headache always. And breathing problems is also there. I am facing several problem regarding this. Mentally pressure is also there. Which type of medical I can used without side effect. No any other effect on body. Without side effect. Kindly provide me some suitable medicine without side effect.

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Sir my Blood pressure  is always high not mentsin the normal BP 120/80. It always 140+ and 90+, I am facing some ment...
In ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause...take sarpgandha vati twice a day...yogendra ras...akik bhasm works very good in case of hypertension....avoid salty diet...oily food...lower your stress...do pranayama early morning...
2 people found this helpful
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I have a desk job, weight 70, age 30 plus ,from last three months I am suffering from low bp. headache cholesterol is also raised for that I am taking jupiros 10, and I am also taking lactic acid bacillus and pro biotech tablet, for ibs problem can I take them along with jupiros 10.

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
I have a desk job, weight 70, age 30 plus ,from last three months I am suffering from low bp. headache cholesterol is...
You have desk job but world protocol advocates atleast walking 10000 steps per day. Yoga ,meditation can help you. Avoid junk, fried,chinese food, chuttneys,small frequent meals 4 to 5 times per day. Chew properly, not hastily without talking. Which canhelp in IBS also. Jupiros 10 can be taken along with other medicines. Consult for long term relief.
1 person found this helpful
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Respected Doctor many time I feel fearness and heavy heart beat ,My BP 140/90, ECG is OK , What may be the problem. Please suggest for any test for confirm that my heart is OK or give other necessary advice, Dr. Sony give advice for stress test ,it mean TMT and it is OK and sufficient.

M.B;B.S, P.G.(FAMILY MEDICINE), D.O.H.
General Physician, Hyderabad
FEAR is not a disease, it is a behavioral problem / psychological your heart is ok what is the cause for your fear, for what you fear
3 people found this helpful

I have lost my weight and I want to gain at least 10 kg how to gain it naturally I have cholesterol problem too.

MBBS
General Physician, Mumbai
I have lost my weight and I want to gain at least 10 kg how to gain it naturally I have cholesterol problem too.
For increasing your weight Few diet tips - Not to eat fried food items and Can eat All green vegetables, moong , chana , Dal , rice etc And to apply ghee over chappati and don’t apply oil over chappati And to drink milk mixed with turmeric powder twice a day And If possible eat eggs on alternate days And If possible in breakfast eat atleast one bajra ka rotla And Eat seasonal fruit
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Age 70 he has got stent in 2014 and is taking heat medicines for blood thinning and cholesterol control. Recently he faced ulcer bleeding two weeks before and now he is in recovery. But suddenly the serum creatinine is high (1.8) and hb 8.9 only. potassium level is normal. When we checked creatinine at the time of discharging and during hospitalization the creatinine was normal and 1.1 only. What is the cause for this raised creatinine? What kind of home remedies can be followed for reducing the level? Which fruits and vegetables, food are compatible for both ulcer and high creatinine? This level can be reversed? Within a month why this much difference in the level? He used to take urad and moong dal mix with milk. Also Channa dal as a snack and beetroot juice often. This mix causes this issue? Or medicines created this high creatinine?

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology
Cardiologist, Delhi
Age 70 he has got stent in 2014 and is taking heat medicines for blood thinning and cholesterol control. Recently he ...
Elderly people may have subclinical kidney damage which becomes overt with any associated disease like ulcer bleeding. Crt 1.8 is moderately high. We need supportive care for heart and blood pressure. Hope he has no active bleed. No angina. If so the levels will gradually come down on standard treatment but you need to monitor kidney parameters from time to time. Maintain heart healthy diet. Youay also have a consultation and basic workup with nephrologist.
1 person found this helpful
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I am 60. I suffer from certain heart ailments including the high blood pressure. For the last two months. I am gripped with anxiety and wrong thoughts keep disturbing me. Also if myself loosing trust on me. Does Ayurvedia provides effective medication.

MBBS
General Physician, Mumbai
I am 60. I suffer from certain heart ailments including the high blood pressure. For the last two months. I am grippe...
Apart from taking symptomatic treatment I will suggest you to take tablet folvite twice a day for two weeks and revert back with your findings
8 people found this helpful
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My wife is 45 years old her BP is remained low 100/65. As I know its hereditary problem. She is not taking any kind medicine. There is no other problem she had. Please advise.

BHMS
Homeopath, Faridabad
My wife is 45 years old her BP is remained low 100/65. As I know its hereditary problem. She is not taking any kind m...
Hello, this is good that she doesn't has any problem but there is need to take one medicine only named Angioton. 15 drops with water once daily.
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