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Dr. G Surender

MBBS

Cardiologist, Mumbai

0 - 600 at clinic
Dr. G Surender MBBS Cardiologist, Mumbai
0 - 600 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. G Surender
Dr. G Surender is a trusted Cardiologist in Ghatkopar West, Mumbai. He has completed MBBS . You can consult Dr. G Surender at Satyam Hospital in Ghatkopar West, Mumbai. Book an appointment online with Dr. G Surender and consult privately on Lybrate.com.

Find numerous Cardiologists in India from the comfort of your home on Lybrate.com. You will find Cardiologists with more than 26 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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MBBS - - -

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2nd Floor, C-Wing, Bhaveshwar Plaza, Lbs Marg, Ghatkopar West, Landmark: Opp Shreyas Cinema, MumbaiMumbai Get Directions
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2nd Floor, C-Wing, Bhaveshwar Plaza, Lbs Marg, Ghatkopar West, Landmark: Opp Shreyas Cinema.Mumbai Get Directions
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I am sugger bp patient from 3 years. My sugar level is 105/ 130.

DBCM (AM) General Physician
Alternative Medicine,
Having diabetes makes high blood pressure and other heart and circulation problems more likely, because diabetes damages arteries and makes them targets for hardening (atherosclerosis). Atherosclerosis can cause high blood pressure, which if not treated, can lead to blood vessel damage, stroke, heart failure, heart attack, or kidney failure. You can consult me in private for detailed treatment which is available in biochemic system of medicine depending upon symptomatically. Eatng lots of garlic. If you cant have it get it homeopathically allium sativum (biochemic) nat phos 30x, avoid all types of fats and red meat. Treatment is available, safe and without side effects in biochemic system of medication. Consult me in private.
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I am diabetic, erectile dysfunction, high blood pressure. What should i do?

DBCM (AM) General Physician
Alternative Medicine,
I am diabetic, erectile dysfunction, high blood pressure. What should i do?
We have homeopathic and biochemic medicines for same as gymnema and syzium. Eat lots of garlic. If you cant have it get it homeopathically allium sativum,(biochemic) nat phos, avoid all types of fats and red meat. Requires detailed questioning so as to ascertain your personality and to treat you symptomatically. Treatment is available, safe and without side effects in biochemic system of medication. Consult me in private.
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My heart beat is very fast. In 1 minute its Pulse rate 92 or 98 and some time my heart is pain. Please ask me what I do?

MBBS
General Physician, Faridabad
My heart beat is very fast. In 1 minute its Pulse rate 92 or 98 and some time my heart is pain. Please ask me what I do?
Palpitations are the sensation of your heart beating and are common. Most cases are harmless. They usually only last for a short time and can be accompanied by other symptoms such as breathlessness, dizziness, chest tightness and a feeling of anxiety. Palpitations that are severe or don't settle quickly may need urgent medical attention. The most common causes are mentioned below.
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I have some problems with my bodybuilding now that I am heart so much with my body please do something ?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I have some problems with my bodybuilding now that I am heart so much with my body please do something ?
May be you are over doing it -both exercise and wrong food as supplements. Get proper guidance from an educated trainer. For heart get only basic tests done-ecg, echo, stress test, blood tests for sugar and total lipids. Get bp checked also. Get back here with reports & remember no steroids for bodybuilding.
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How can i reduce my weight and my foot pain without any medicines and how can i reduce my cholesterol?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
How can i reduce my weight and my foot pain without any medicines and how can i reduce my cholesterol?
put your foot in hot water for a while for pain in foot.and You can control cholesterol / hdl / ldl/t.g. and obesity by using following flax oil, omega-3 fatty meal or cap., take . green veg., whole grain foods, spicy foods, Use GARLIC in foods daily ,. Cod liver oil. Low sugar foods, low calories foods. Change own life style . do meditation,yoga, Go walk daily in morning and evening, do any one physically activity daily i.e. play any game., Avoid fast foods, oily foods, alcohol,smoking, fatty foods, non-veg., avoid stress, take plenty of water in day time. one important that is take 1 glass of water before bed at night. Because it protect from heart fail during sleep at night. welcome in lybrate
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I am suffering from dry cough for the last 2 weeks I have chest pain whenever I cough hard please suggested to me.

MBBS
General Physician, Cuttack
I am suffering from dry cough for the last 2 weeks I have chest pain whenever I cough hard please suggested to me.
1. Do warm saline gurgling 3-4 times daily 2. Take viscodyne d syrup 2tsf thrice daily 3. You may have to take antibiotic along with it and carry out investigations like blood and xray chest after consulting physician, if no relief4. Avoid smoking if you smoke 5. Consult me for further advice.
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My brother ef is 30 percentage and creatinine is 1.4. His bp is constantly 110 140 that range. He is under medication. Please suggest some changes or ideas or anything for his improvement.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
My brother ef is 30 percentage and creatinine is 1.4. His bp is constantly 110 140 that range. He is under medication...
Creat upto 1.4 is considered normal. But you need to be careful about the protein intake as excess might increase the creat inine level. Focus on quality proteins from milk or egg white and measure the salt added to the food. This is very important because there are hidden sources of sodium in our daily foods. Keep a watch on fluid intake as ef is low. Give him small frequent nutrient dense foods throughout the day.
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I am 48 years old, suffering from cholesterol and high BP since two years, taking proper medicine with routine check up on quarterly basis, diet and life style is completely restricted as required, BP and cholesterol is under control, I have two queries 1. I would like to discontinue alopathic medicine, pls suggest alternate ayurvedic medicine 2. In my latest check up, blood urea percentage count 56%, pls let me know the normal percentage, and suggest how can I reduce the same.

BEMS, BNYS, MD (E), BNYS
Homeopath, Kapurthala
I am 48 years old, suffering from cholesterol and high BP since two years, taking proper medicine with routine check ...
Raulfia serpq gloninum 3x lycopus vir q anacardium q 10 drops x tds in 1/2 cup warm water choleterolenum 3x 2 tab x tds globules of bary carb200 baryta mur200 aur mur200 aur mur nat 200 4 globules chew after intake of drops 1-2 glass full hot water with methae 10-12 pc empty stomach.
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My mom is 56 years n she has knee joint problem from last 5 years. Consulted various orthopedic surgeon. The gap is reduced in the knee joint is what everyone says. She is having too much pain. Tried everything from oil massage to painkillers. Can anyone advise me what is the best solution to reduce her pain permanently. She has high blood pressure problem. It is control by medicines.

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)
Orthopedist, Trichy
My mom is 56 years n she has knee joint problem from last 5 years. Consulted various orthopedic surgeon. The gap is r...
If the arthritis is worse then knee replacement will be the last option. See an ortho surgeon in your town and he will be able to discuss the pros and cons of surgery.
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Hi All, Today is worlds kidney day here in UAE. I got free health checkup my report is. 1. Male 2.27 years. 3. BP: 103/ 66 4. Height: 152 CM 5: Weight: 42.5KG 6: HGT: 4.3 They said your are totally healthy only you are underweight and they said no need to gain weight but I want to gain weight minimum 4 kg more. Is it possible? And how? Pls help. Thanks.

BHMS
Homeopath, Delhi
Hi All, Today is worlds kidney day here in UAE.
I got free health checkup my report is.
1. Male 2.27 years. 3. BP: 10...
Hello, you can take homoeopathic medicine alfalfa tonic (sbl) (1tbs) twice a day for 15 days and revert. *avoid fried and spicy food *avoid stress and anger. *take a sound sleep. *take milk twice a day *include fruits, vegetables in your diet. *take small meals.
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My triglyceride and uric acid levels tend to remain high. Had a breakdown in 2009. Since then taking atorvastatinas a daily medicine and uric acid medicines are not frequently taken. After long, since then. Lipid profile is showing higher uric acid levels of 7 and quite low levels of HDL, LDL and Triglycerides 122. What should I do now to upgrade these needed levels and lower uric acid levels?

MBBS, DFM, FID, CERTIFICATE COURSE IN EVIDENCE BASED DIABETES MANAGEMENT, Certificate Course in Management of Thyroid Disorders, Advanced Certificate Course in Prevention and Management of Diabetes and Cardiovascular Disease, M.MED
General Physician, Hyderabad
My triglyceride and uric acid levels tend to remain high. Had a breakdown in 2009. Since then taking atorvastatinas a...
No need medicines tips for increased uric acid levels and gout watch your weight. Try to lose weight slowly. Eat fresh fruit, vegetables, whole wheat products and some pulses (high in purine) every day. Enjoy low-fat milk and dairy products daily. Keep an eye on the purine content of food. Avoid offal, shellfish and crustaceans and tinned fish such as sardines in oil. Eat no more than 100g of meat, sausages, fish and poultry a day. Drink alcohol only occasionally, as it affects the elimination of uric acid. Eat low-fat food. The consumption of high-fat foods encourages weight gain. Drink at least two litres of low-calorie fluids a day. Recommended fluids are water, tea and fruit juice.
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I am 30 and for the past 2 days I have been getting a strange problem wherein the left hand side of my chest just below my left breast I get severe pain specially at night when the pain comes I cannot breathe properly .I don't smoke Please suggest.

MD PULMONARY, DTCD
Pulmonologist, Faridabad
I am 30 and for the past 2 days I have been getting a strange problem wherein the left hand side of my chest just bel...
Pain is only in night and not related to exertion. You have not mentioned duration of pain ad how it is relived. Can be due to GERD. Light and early dinner. Avoid spicy and fatty food. No relief need ECG, xray chest and upper GI endoscopy
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I am 40 years old men last week I have done a lipid profile test that found s. Total cholesterol 219 mg/dl, s. Triglycerides 257 mg/dl and s. Ldl cholesterol 124.6 mg/dl, please suggest how to control choleserol my doctor suggested to start tablet - rosulip daily one. And suggest to take a stress test. I request the respected doctors please advise.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 40 years old men last week I have done a lipid profile test that found s. Total cholesterol 219 mg/dl, s. Trigly...
High 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. Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, take green veg., whole grain.garlic,. Take anti cholesterol medicines .
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Hi sir, I am17year old. I have some problem in my chest for some time. And I want to loss m fate pls tell me about some thigh. Thank you.

MBBS
General Physician,
Hi sir, I am17year old. I have some problem in my chest for some time. And I want to loss m fate pls tell me about so...
you may be having chronic bronchitis or pharyngitis do regular warm saline gargle. have homemade freshly prepared lemon juice which is rich in vitamin C thereby increasing your body autoimmune system which prevents infection.
1 person found this helpful

I'm using BP tablets regularly but I want to stop taking tablets, is any health problem happens in future?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I'm using BP tablets regularly but I want to stop taking tablets, is any health problem happens in future?
Myself is a homoeopathic physician and my advise is that you cannot top these medicines immediately as your BP can shoot up causing some serious health problems.I will advise you to takee helpof an alternative light medicines,let it be homoeopathic mediccine side by side while slowly decreassing the allopathic dose.But before this I want to know that since wwhen are you taking medicines for BP and what are your effort till now to control your weight as your weight will be a big problem in controlling BP.
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

13 people found this helpful

Mild Heart pain.While brisk walking initially pain high and it lessens slowly. ECG and TMT test are normal

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, , congrats ur heart is working better for u! yes ur now 40+, issue directly doesn't go to heart it travels from stomach to heart so drop your habit of tobacco/smoke/ alcohol/ full stomach diet/ stretch your time up to 3-4 hrs to go for bed after dinner make effort for yoga/exercise have lots of buttermilk warm n add cumin seeds/powder/hing/Ajwayan/curry leaves get fit soon.
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I am 32 week pregnant and on my legs so much ankle swelling. My all tests are normal like BP, thyroid, urine etc. What can I do for relief by this ankle swelling.

C.S.C, D.C.H, M.B.B.S
General Physician,
I am 32 week pregnant and on my legs so much ankle swelling. My all tests are normal like BP, thyroid, urine etc. Wha...
If all tests are normal no need to worry and this swelling seen in many women is due to poor venous return as the uterus enlarges and avoid long time standing
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I will getting sometimes palpitation and sudden weakness and B.P-130/90 and i have already took EPS/RFA so i request you your valuable suggestions

B.H.M.S, M.D in Homoeopathy
Homeopath, Anand
The B.P. Reading is not an issue. Moreover, palpitations may occur at times. If your palpitations are occurring frequently and is bothersome to you, you may consult the cardiologist. Else occasional palpitations are not to be much worried.
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What is the cause of high bp?

DM Cardiology
Cardiologist,
High blood pressure: secondary hypertension what is secondary hypertension? high blood pressure caused by a disease or another known medical problem is called secondary hypertension. Most cases of secondary hypertension are caused by kidney or hormonal problems. Normal blood pressures average 120/80 (" 120 over 80") but can rise and fall with exercise or rest. The pressures are measured in millimeters of mercury, with the upper number (120) being the pressure at the end of the heartbeat (systolic pressure). The lower number (80) is the pressure at the beginning of the heartbeat (diastolic pressure). If repeated checks of your blood pressure show that it is higher than 140/90, you have hypertension. If your blood pressure is between 120/80 and 140/90, you may need treatment for high blood pressure if you have other health problems, such as diabetes. How does it occur? many medical conditions, diseases, and medicines can cause secondary hypertension, including? narrowing of the arteries in the kidneys? narrowing of the aorta, a large blood vessel that supplies blood to the lower body? several types of kidney disease? excess secretion of a hormone called aldosterone from the adrenal gland? tumor of the adrenal gland? cushing's syndrome, a disorder in which there is too much corticosteroid hormone in the blood? medicines such as estrogen and oral contraceptives? abuse of drugs such as amphetamines, alcohol, or diet pills? pregnancy. What are the symptoms? high blood pressure may not cause any symptoms. Even secondary hypertension may have few symptoms. Symptoms are usually general and may include? headaches? dizziness? fatigue? restlessness and sleeplessness? nosebleeds? palpitations or an awareness of your heartbeat? general feeling of ill health? the need to urinate often? round or" moon" face, excess body and facial hair, and weight gain if the high blood pressure is caused by cushing's syndrome. How is it diagnosed? your health care provider will ask about your symptoms and will do a physical exam. Blood tests, chest x-rays, and an electrocardiogram may be done. Your provider will want to measure your blood pressure on three different days when you are relaxed and not in a hurry and have not had alcohol for 72 hours. Your medical history is an important part of diagnosis. Your health care provider will ask about your personal and family history of high blood pressure and heart or kidney disease. How is it treated? secondary hypertension is treated by treating the condition causing the high blood pressure. For example, if you have high blood pressure caused by cushing's syndrome, treatment for cushing's will lower your blood pressure. Your health care provider may recommend additional treatments to lower your blood pressure, such as diuretics or other medicines that reduce blood pressure. How long will the effects last? if the cause can be diagnosed and treated, your blood pressure should improve. If you are taking medicine to reduce your blood pressure and your underlying condition is treated, you may be able to cut down or stop taking the blood pressure medicine. How can I take care of myself? always follow your health care provider's instructions for taking medicines. Don't take less medicine or stop taking medicine without talking to your provider first. It can be dangerous to suddenly stop taking blood pressure medicine. Also, do not increase your dosage of any medicine without first talking with your provider? check your blood pressure (or have it checked) as often as your health care provider advises. Keep a chart of the readings? don't smoke? reduce the salt in your diet according to your health care provider's advice? with your provider's approval, start an exercise program that you can do regularly (such as biking or walking)? lose weight if you need to? limit the amount of alcohol you drink? try to reduce the stress in your life or learn how to deal better with situations that make you feel anxious? see your health care provider as often as he or she recommends. What can be done to help prevent secondary hypertension? most of the conditions that cause secondary hypertension cannot be prevented. However, regular checkups can help detect many conditions before they become serious, including those that can result in high blood pressure.
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