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Dr. Juvale N I

Cardiologist, Mumbai

Dr. Juvale N I Cardiologist, Mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Juvale N I
Dr. Juvale N I is a popular Cardiologist in Mumbai, Mumbai. You can consult Dr. Juvale N I at Jaslok Hospital & Research Centre in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Juvale N I 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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Jaslok Hospital & Research Centre

#15 - Dr. Deshmukh Marg, Road No - 2, 2nd Floor, Pedder Road. Landmark: Near Safiya College, MumbaiMumbai Get Directions
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

1.Am getting pain in near wrist joint during radial deviation. 2.During tension am getting pain in chest region. Can you please suggest a solution for my problems. Thank You.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
1.Am getting pain in near wrist joint during radial deviation. 2.During tension am getting pain in chest region. Can ...
You should take Acupressure therapy and take Biochemic Nat phos 200x, 4 tab each thrice a day with warm water and take it 5 days than consult private online.
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Dear sir, before 2 days my health was not well today I have check my bp i. E. 180/90 suggest what to do ?

MBBS, DNB, Diploma Dyslipidemia, CCEBDM, CCMTD
General Physician, Gurgaon
Dear sir, before 2 days my health was not well today I have check my bp i. E. 180/90 suggest what to do ?
Dear user with the limited amount of information provided it appears that you are suffering from high blood pressure. But just from a single reading it will not be justice to label you as hypertensive. I will suggest if you can get your bp checked again after resting for 20-30 min. If still high we will need some blood test for further evaluation. Hope this solves your query. Any more then feel free to revert.
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What is the main cause of slow heart rate of below 45bpm. I am a patient of bradycardia since 20 years .doctors are advising me for e p study. Sir please Guide me as my age is 54.

MBBS
General Physician, Mumbai
What is the main cause of slow heart rate of below 45bpm. I am a patient of bradycardia since 20 years .doctors are a...
Dear lybrateuser, - The heart rate is controlled by the electrical activity of the heart originating from the SA node & travelling through other parts of the heart - any abnormality or disorder in the conducting system can lead to slow heart rate or sinus bradycardia - follow the advise of your doctor as after finding the cause the further management of the problem will be possible, so do not worry go ahead as advised & you will benefit from it.
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I am fell very chest pain during some days. What is this reason can you sloov this.

MBBS
General Physician, Cuttack
I am fell very chest pain during some days. What is this reason can you sloov this.
) chest pain causes 1. Heart disease 2. Stress, anxiety 3. Lack of exercise 4. Sedentary life style 5. Obesity (over weight) 6. Smoking, tobacco and alcohol consumption, excess tea/coffee 7. Excess oily, fatty, cholesterol rich diet, junk food 8. Hyperacidity, musculr pain 9. Heredity and genetic factor prevention follow the advice given below 1. Avoid stress and strain 2. Do regular exercise, yoga, meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress 3 avoid alcohol, smoking and tobacco consumptio, excess tea/coffee. 4. Take bland diet, avoid spicy, oily, fatty and junk food 5. Take paracetamol 500 mg one tablet sos after food up to a maximum of three tablets daily, at the time of chest pain 6. Drink plenty of water and take rest. 7. If you have recurrent attack of chest pain take ecg and consult cardiologist.
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I have high bp and high sugar problem for last 10 years I am 70 years old my weight is 80 kg.

M.Sc - Dietitics / Nutrition, Diploma in Food & Nutrition & Diabetic Educator , B.Sc. - Home Science
Dietitian/Nutritionist, Delhi
I have high bp and high sugar problem for last 10 years I am 70 years old my weight is 80 kg.
Avoid extra salt. Take green leafy vegetables. Avoid potatoes, white rice, white bread, pumpkin, aarbi. Do walk daily. Take flax seeds early morning.
4 people found this helpful
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I am 64 years and diabetic. My sugar level is under control due to intake of insulin. I have knee problems. I find it very difficult to ascend or descend stair cases. Is this problem due to me being diabetic. I have no cholesterol or bp problems. I do have ed problem. Please suggest as to what I should do. Thanks

Critical Care Training, MD - Internal Medicine, MBBS
General Physician, Delhi
As u told you are 64 years old, age related degenerative changes occurs in joints and diabetic patients are affected faster. You might be having osteoarthritis age related. Get your calcium & vitamin d levels done also and of severe knee problem, I would like to examine u and refer to orthopedic surgeon if necessary.
1 person found this helpful
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Main jab vi thora sa kam karta hoon ya fer thora jor se bat karne se ya thora walk karne se mare ko saans lene taklif hota hain aur mera heart beat bar jata hai. Bahut pasina vi hota hain. please suggest what can I do.

MBBS
General Physician, Mumbai
Main jab vi thora sa kam karta hoon ya fer thora jor se bat karne se ya thora walk karne se mare ko saans lene taklif...
Dear lybrateuser, -your tiredness & breathlessness are due to your weight & sedentary life if you are not exercising regularly -to reduce weight eat more of fibrous foods like fruits, vegetables, beans, wholegrains, sprouts, legumes, pulses, restrict dairy products, non-veg, fried, processed & junk food -do regular exercise like brisk walking, jogging, start slowly & increase time by 10-15 min every week along with the pace, if you feel tired then take a break & again start, do mild weight lifting as it provides exercise to the heart & helps it to pump blood more efficiently into the body, do it in a gym under a trainers guidance -do deep breathing exercise & yoga 10-15 min daily in the morning -get investigations, blood cbc, for sugar, cholesterol, ecg, & consult a doctor with results. -
1 person found this helpful
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Approach to Ramadan Fasting In Patients with Heart Diseases

PGDCC (Cardiology ), CCEBDM (Diabetes), CCGDM (Gestational Diabetes), CCMTD (Thyroid), MBBS
Cardiologist, Udaipur
Approach to Ramadan Fasting In Patients with Heart Diseases

Holy month ramadan is auspicious for worldwide muslims and most of them starts fasting early in the morning up to the sunset in the evening during this entire month.

Heart disease patients tend to fast during ramadan but they have many questions:

1. Cardiac patients can fast?

The holy Quran exempts sick people from fasting. Fasting is allowed only for stable heart disease patient and it's strictly the discretion of the treating cardiologist.

Common types of cardiac conditions as follows:

A. Patients who had heart attack or recent stenting or open heart surgery

Many studies comparing ramadan with other months in cardiac patients shows there is no significant differences in the incidence of heart attack or typical cardiac chest pain during ramadan. Patients with recent acute heart attack, heart attack equivalent chest pain with high cardiac enzymes, recent stenting, recent open heart surgery should strictly avoid fasting.

B. Patients with low pumping of heart i. E, reduced ejection fraction 

Low pumping of the heart is one of the common cause of frequent hospitalisations among cardiac patients. Many studies done in the middle east shows there was no significant difference in the number of hospitalizations for patients with low heart pumping during ramadan. Its almost similar to other months without fasting. But in this category certain groups of patients cannot fast especially patients with difficulty in breathing, associated swelling of legs, associated cough and sudden increase in weight.

C. Patients with high blood pressure.

Most of the high blood pressure patients on controlled medications can fast during ramadan as it will not affect the blood pressure readings and it was proved in many studies. Certain group of patients with resistant blood pressure who requires multiple drugs for controlling should consult treating doctors before ramadan for appropriate dose adjustments. If dose adjustment is not possible then for such patients it is advisable to abstain from fasting to avoid cardiac and other complications.

2. How to take their cardiac drugs during this month?

Stomach ulcer and related complications are common during ramadan. Hence drugs which can cause gastric irritation (like aspirin) should be taken as per the advice of treating doctor. Before ramadan you should consult your doctor and make sure regarding the dose and timing. Medications like water pill (lasix)to be avoided during fasting.

3. Lifestyle during ramadan

Avoid over eating while breaking the fast

Avoid exercise after a large meal

Stop smoking

4. Can cardiac patients do hajj pilgrimage?

Cardiac patients who is certified as stable and fit by the treating cardiologist can go for hajj

Full medical workup is mandatory before hajj.

Patients with recent acute heart attack, heart attack equivalent chest pain with high cardiac enzymes, recent stenting, recent open heart surgery are unfit for hajj.

Take home messages-:

A. Consult your doctor before ramadan regarding your health condition and dose adjustments if required.

B. Comply to medication

C. High risk patients should avoid fasting

D. Unfit cardiac patients should not try hajj pilgrimage.

53 people found this helpful

I am 19 years old boy. Sometimes my leftside chest became paining like electric. My weitght is 50kg and height is 5 foot 11 inches. What should I do?

MBBS
General Physician, Delhi
Chest pain is due to different causes can be muscular can be due to dyspepsia can be a cardiac cause but cardiac cause is of less importance at your age I personally feel it be a muscular cause but do get an ecg done to rule out any thing.
1 person found this helpful
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My mother aged 68 have gallstone. She has vitamin d deficiency and undergone open heart surgery 9 months back. Is there any chance of increasing gallstone because of shakcal hd tablet or any other vitamin d tablet.

PGDMCH, MBA( CHA) , MBBS
General Physician, Gurgaon
My mother aged 68 have gallstone. She has vitamin d deficiency and undergone open heart surgery 9 months back. Is the...
Dear Lybrateuser, A good source of Vit D is the Sunlight specially at the time of rising sun and next 2 hrs. If your mother manages to sit under sunlight 15-2o mins every day then it willbe helpful but it has to be a direct exposure of the skin. Vit D spplements within limits will not cause gallstones.
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My BP readings (including Basal BP readings) early in the morning tends to be high (ie, 173/104, 160/96, 153/110, 182/101. Etc), but gradually decreases as the day go by (ie 154/87, 146/83, 135/80, 140/88. Etc), I am a regular taker of medicines without fail. I am suffering from DM-2, Hypertension and have CAD too. I have observed this tendency since I have a BP monitor by which I used to measure my BP readings at random. Can any doctors clarify the reasons for this so that I can take appropriate measures please.

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
My BP readings (including Basal BP readings) early in the morning tends to be high (ie, 173/104, 160/96, 153/110, 182...
Hi Your blood pressure is maintained by hormones like cortisol and aldosterone secreted by adrenal gland located on top of kidney The level of cortisol is highest during the morning hours in body hence b.p is higher in the morning My suggestion is take longer acting antihypertensives at night so that they can prevent fluctuation of bp till breakfast time And take short acting one in afternoon or breakfast time Thanks.

Sometimes I have pain in left chest. It is just for a while. Also it pain near breastbone. Also pain in back side. I feel very fear of that. It gets palpation rapidly. When I bring ecg it is normal. I can't understand why this happen? I also done cholesterol test which is normal. Cpkmb test is also normal. I can't understand what to do. I have done X ray which is also normal. Tingling in food carrying track.

MBBS
General Physician, Mumbai
Sometimes I have pain in left chest. It is just for a while. Also it pain near breastbone. Also pain in back side. I ...
Dear Lybrateuser, - Your pain could be due to acidity, anxiety or sedentary habits, as your basic investigations are normal it is unlikely of cardiac origin - avoid spicy, fried, sour & junk food, also restrict intake of tea, coffee to 1-2 cups per day, avoid alcohol & tobacco if you take - chew your food well, do not skip meals, have meals on time, have 4-5 small meals including snacks rather than three large meals, have dinner 2-3 hrs before bedtime - have 7-8 glasses of water for proper hydration - take tab Pan-40, 1 tab daily morning half an hour before breakfast - do regular exercise like walking, jogging, swimming, playing games for 20-30 min, also include yoga & deep breathing for 5-10 min daily morning to relax your mind & to keep your body fit.
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I keep on gaining weight. It increased more than 20 Kgs in the last 3 years. With increased weight I feel lethargic, my libido have decreased, my cholesterol levels have gone up and my BP also remains high. Please advice.

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
I keep on gaining weight. It increased more than 20 Kgs in the last 3 years. With increased weight I feel lethargic, ...
Hi try to loose weight 45 minutes of strenous exercise should be done every day 30 minutes of brisk walking to be done avoid oily spicy food fatty foods should not be taken no ghee butter cream ,use saffla or olive oil. Eat lot of fibres in your diet eat vegetables in your diet do not take egg yolk or red meat.

I have pain in my chest for a long time. Ecg is ok doctor proposed this due to gas, but when I drink water it feels from left side of my chest. It feel like that somebody had put water from inside. Also have cough problem when I had my lunch and dinner, when I woke up in the morning, my mouth has some unusual taste like I never brushed.

MBBS
General Physician, Jalgaon
I have pain in my chest for a long time. Ecg is ok doctor proposed this due to gas, but when I drink water it feels f...
Please Wake up early go for morning walk in greenery daily Do yogasanas and pranayam daily Avoid oily spicy and fast food Avoid overeating Keep 2 hrs gap between dinner and sleep Take salads and fruits more Take Cap wokride 15 1 Tab gasex by Himalaya 2....2 Re Consult me on Lybrate after 15 days.
1 person found this helpful
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What is blood pressure? What is high blood pressure (hypertension)? What is low blood pressure (hypotension)? How can we control on blood pressure? What is the main causes of blood pressure? Which parts mainly effected by blood pressure problem?

C.S.C, D.C.H, M.B.B.S
General Physician,
What is blood pressure? What is high blood pressure (hypertension)? What is low blood pressure (hypotension)? How can...
Your blood pressure rises with each heartbeat and falls when your heart relaxes between beats. While BP can change from minute to minute with changes in posture, exercise, stress or sleep, it should normally be less than 120/80 mm Hg (less than 120 systolic AND less than 80 diastolic) for an adult age 20 or over.Typically more attention is given to the top number (the systolic blood pressure) as a major risk factor for cardiovascular disease for people over 50 years old. In most people, systolic blood pressure rises steadily with age due to increasing stiffness of large arteries, long-term build-up of plaque, and increased incidence of cardiac and vascular disease.
3 people found this helpful
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Im 37 yr male having angina have done TMT it was ve, angiography found myocardial bridge. Since 2 years im suffering from chest pain. In 24 hr I have to carry this pain 20hrs.

MBBS
General Physician, Mumbai
Im 37 yr male having angina have done TMT it was  ve,  angiography found myocardial bridge. Since 2 years im sufferin...
Apart from taking symptomatic treatment take Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
1 person found this helpful
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What are the precautions to be taken when low bp. What food have to be taken when low bp.

PDDM, MHA, MBBS
General Physician, Nashik
When dealing with low blood pressure, it is usually suggested to increase your salt and fluid intake. Before increasing your salt consumption, do check with your doctor. Also, cut down on alcoholic beverages and high-carbohydrate foods such as bread, rice, pasta, and potatoes.
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How can I reduce cholestrol level my age is about 28 but cholestrol is 300 amd blood presure is 95-160 so what should I do and mu all lipid profile is normal and ecg also normal heart work properly.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
How can I reduce cholestrol level my age is about 28 but cholestrol is 300 amd blood presure is 95-160 so what should...
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 omega-3 fatty meal or cap., take .green veg., whole grain.garlic,. Take anti cholesterol medicines .
4 people found this helpful
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I am having gas problem. Cholesterol is increased. The rating of cholesterol is 612. I think that my heart is going to fail.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am having gas problem. Cholesterol is increased. The rating of cholesterol is 612. I think that my heart is going t...
Get total lipid profile done besides basic cardiac tests. High cholesterol can run in families due to genetic factors. Reduce oily food and take more seasonal vegetables and fruits. Lemon juice + spoon of honey with warm water, taken on empty stomach every morning helps bring down cholesterol.
1 person found this helpful
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