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Dr. Lal Mandakini

Cardiologist, Mumbai

500 at clinic
Dr. Lal Mandakini Cardiologist, Mumbai
500 at clinic
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Lal Mandakini
Dr. Lal Mandakini is one of the best Cardiologists in Andheri East, Mumbai. She is currently practising at Mandakini Lal Clinic in Andheri East, Mumbai. Book an appointment online with Dr. Lal Mandakini and consult privately on

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Mandakini Lal Clinic

Shop No. 15, Building No. 29 Takshila Building , Mahakali Caves Road Andheri East Landmark:-Near Holy Spirit Hospital, MumbaiMumbai Get Directions
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What are the symptoms of heart attack, medicines that are to be kept for an immediate treatment?

MBBS, MD - General Medicine
General Physician, Hyderabad
Heart attack symptoms are chest pain like squeezing type or heaviness in chest, pain radiating to light&right hand, neck,epigastric region &back. Risk factors, family history, smoking alcohol, diabetes, hypertension.
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He is very fat any diabetic. How to prevent the diabetic and burn his cholesterol without effecting his present body.

General Physician, Cuttack
1. Do regular exercise 2. Reduce weight 3. Control diet, restricted salt intake 4. Patient should take a) high protein, low carbohydrate diet, b) should take 6-7 small meals rather than 3 big meals, c) avoid sweets, sugar, fried food, fast food like pizza/burger/cookies, d) maida biscuits. Oily, fatty, excess calorie, saturated fat and cholesterol rich diet, e) take high fiber diet like whole grain rice, multigrain chapati/bread, green leafy vegetables/fruits 5. Adhere to a strict diabetic diet by consulting dietitian 6. Monitor your fasting, pp blood sugar 3 monthly and hba1c six monthly 7. Consult diabetologist/physician for advice and treatment
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I am Debiatic patient. I am suffering from chest pain and upper part of back pain. I consulted with Doctor and told that debiatic patient suffer and it is normal. Please advice me what type of medication I have to do.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), diploma in anorectal disease
Ayurveda, Kolhapur
Hi yes it is common symptoms but don't ignore as it may convert in to major things. But don't worry ayurvedic medicines work very well in such conditions. Arjun churna 50 gm+ pushkarmool churn 30 gm mix it each other. Take 2 spoon of mixture add 2 cup of water boil it and reduce it to 1/2 cup. Consume this kadha two times in day. Triphala churn a 2 spoon with water every night for bowel clearance. These are for three months you will definitely relives pains and side effect of diabetics.
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Dear sir, I'm not speak English properly I'm asking you hindi , 13 July subah 10 baje ko heart attack aya jiske bad hum unhe najdiki hospital research center m admit karya jaha ki doctor ne bola ki inhe heart attack aya h inhe icu m admit karna hoga doctor ne bola ki treatment se sahi ho jayega , jab 14 July subah 10 baje patient se mila milkul aram tha maine bat v ki to bole m achchha hu , phir 1 baje 2nd attack a gaya jiske bad unhe ventilator m rakha gaya jiske bad unhe 4 baje hos a gaya doctor se mile to bole ki inka angioplasty karna padega wo v operation k samya ye agar jinda rh jayenge to theek h to phir ye theek ho jayega , rat 10 baje inhe operation room m le gaye jiske bad rat 12 baje wapas icu m la rhe the , doctor ne patient se bole kaka ye log Kon h patient jabab diya ki ye mere 3 bete h aur 1 mere bhatije h itna sunne ke bat doctor khush ho gaye bole yar log operation ke bad 24 hours behosh rahate h lekin ye bol rahe h , doctor ne bole ki ye ab sahi ho jayege , 15 July ko 10 baje sabhi log unse bat ki to sabhi se bat kiye , lekin 5 baje 3 attack a gaya jiske bad unhe hos nhi aya aur Hume unhe khi achchhe hospital me le Jane k mauka nhi mila jisse unka heart transplant ya by pass surgery ho sake , rat 12 baje death ho gaya , Kya reason tha ki bar bar heart attack a rha tha. Please bataye

PG Diploma in Clinical Research, Diploma in Acupuncture, MBBS, College Of Physicians & Surgeons
General Physician, Mumbai
Heart attack ke pahle 72 hrs, complications bahut aate hai, bar bar attack aana, kabhi heart failure hona yo heart eka ek bandh hona. God give you strength to you & your family to bear this loss. God bless you.
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Hi some time my heart starts paining please advice it is gas or some other problem which test I should get it done my age is 40.Please tell.

Homeopath, Faridabad
Hi, Pain in the region where the heart is located is not necessary originates from heart itself, other than that the cause can be bony in origin or muscular or can be due to gastric reason, need to rule out the cause by under going different investigations. The whole body checkup covers both the bio-medical profiles and cardiac status. Cardiac status examination investigates about heart & its related issues. The bio-chemical profile investigates about Mammography for Women, Dental & ENT check-ups, Eye check-ups, Lipid profile and Blood sugar. An individual’s detailed assessment is obtained through whole body check-ups, which is very much essential for the persons above 40. • Biochemical Parameters - FBS, PPPBS, Blood Urea, HbA1c, S. Uric Acid, S. Creatinine • Haemogram - Hemoglobin, MCHC, PVC, RBC, MCV, Total Differential Count/WBC, ESR, MCH, Platelet count. • General Tests - RH Typing and Blood grouping, Urine Routine, Resting ECG, Stool routine test, X-ray-Chest, Pap smear (for Women) AND Abdomen Ultrasonogram (Screening only) • Lipid Profile - Total Cholesterol, LDL Cholesterol, HDL Cholesterol, Triglycerides, HDL Ratio/ Total Cholesterol. * PSA for Men * Mammogram for Women • Pulmonary Function test • Cardiac Stress Analysis (TMT/CSA) • Echocardiography HbsAg S. Calcium and Phosphorous • S. Electrolytes • Liver Function Test - Albumin, Globulin, Total Protein, A/G ratio, Alkaline Phosphatase, SGOT, SGPT, Gamma GT, Bilirubin (Total & Direct ) Dental, Eye and ENT Consults Cardiologist Consultation Medical Summary, Clinical Examination, and advice by Internal Medicine Consultant Gynecologist Consultation and physical examination (Women) General Surgery Consultation and physical examination (For Men) Lifestyle Management (i.e risk factor management, Nutrition & diet counselling.
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I'm suffering from hyper acidity I tried omaze but it's not working yesterday I had severe heart pain I thought it is heart attack the pain is so severe please some one help me out I'm suffering dis pbrlm from 4 months sleep less nights help me out.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Stop ppi group amaze as it carries lots of side effects like multi organ failure, memory loss & disorientation - if taken like saunf over a period of time. You are only 22 & you can modify your eating habits. Less of oils & spices & more of seasonal fruits and vegetables but no juices as fiber acts like cotton which absorbs the acid. Get cardiac tests done, if normal, your anxiety will get relieved. Ecg, echo followed by stress test, blood for sugar & total lipids. You are overweight also. Reduce weight @ 5 kgs/month only by diet & exercise-take help from some learned person. Get an ultrasound of abdomen done to rule out stones. Get back here with reports for more guidance.
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Hi doc I am getting little bit pain on chest when I press with fingers can I what is problem?

General Physician, Cuttack
1.It could be a muscular pain 2. Take one tablet of paracetamol sos after food upto a maximum of three tablets daily 3. Drink plenty of water 4. Apply Hot fomentation and Volini gel 5. Consult for further advice
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Abdominal aortic aneurysm (AAA) screening is a way of detecting a dangerous swelling (aneurysm) of the aorta – the main blood vessel that runs from the heart, down through the abdomen to the rest of the body?

DM - Cardiology, MD - General Medicine
Cardiologist, Indore
Yes that is true! Shud be done in age >65 years with risk factors like cigarette smoking and cardiac risk factors Regards.
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I have high blood pressure. What will be the main cause for that. And my age is 24.

Homeopath, Mumbai
It can be due to many reason, can be hereditary, if not than it can be due to stress, rake salt in less quantity and do not take any kind if stress.
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I had suffering by hypertension since 2013. For it I took medicine asomex 5 mg daily once one year after that my doctor had changed medicine and prescribed olmesartan 20 mg daily once but when I had operated for c6- c7 spinal surgery in January 2015. After that my blood pressure becomes normal and medicine had stopped according to doctor advice. Sometimes it increases to 145/95 or near about it. What is the reason for such fluctuations?

General Physician, Gurgaon
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What Happens When the Electrical Activity of Your Heart Changes?

Sr. Fellowship in Electrophysiology & Pacing, M.R.C.P.(U.K.), DM - Cardiology, MD - General Medicine, MBBS
Cardiologist, Delhi
What Happens When the Electrical Activity of Your Heart Changes?

The heart's electrical conduction system plays a very important role in cardiovascular functioning. Also known as the atrioventricular (AV) conduction system, it regulates and controls the timing of the heartbeat.

How does the heart's electrical conduction system work?

There is a collection of electrical cells in the upper right atrium of the heart known as the sinoatrial (SA) node which acts as a natural pacemaker and generates electrical signals. These signals travel through specialized electrical pathways and stimulate the muscular walls of the heart to contract in a rhythmic manner. This gives rise to the heartbeat that pulses at a specific frequency every minute.

What is the effect of fluctuations in electrical activity on the heart?

The standard heart rate in human being ranges from 60 to 100 beats per minute. It slows down when a person sleeps and speeds up when one experiences physical or emotional heightening. These fluctuations are triggered by the brain or other systems of the body and signal the SA node to generate charges more rapidly or slowly. This leads to spikes and drops in the heart rate, depending on the nature of the situation.

What happens when there is dysfunction in the heart's electrical activity?

When the heart's electrical conduction system does not function properly, it leads to the occurrence of a condition known as arrhythmia or abnormal heart rhythm. This happens when electrical impulses are generated in an irregular manner and causes tachycardia (rapid heartbeats) or bradycardia (slow heartbeats) which takes place in jarring infrequent tempos.

What causes fluctuations in the heart's electrical activity?

There are various kinds of triggers that cause the heart rate to fluctuate. The exact nature of fluctuation also depends on the type of trigger. A few everyday examples of these causes are as follows:

  • Exercise and strenuous physical activity increases electrical activity as the heart is required to beat faster so as to increase the supply of blood and oxygen to the muscles.
  • Sleep and rest reduce heart rate as the body is not needed to exert itself.
  • Release of adrenaline into the bloodstream causes the heart rate to spike up.


Related Tip: How Does Ayurveda Help Heart Patients?

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I have been experiencing a slightly high blood pressure since last 6 months. 100/150 is the range. Please suggest me some treatment and lifestyle changes so that I can regain normal bp level without the help of medicine.

BAMS, MD Ayurveda
Sexologist, Lonavala
You can go for following remedy it will help you 1. Crush 4-5 Indian gooseberries 2. Place the paste on a sieve 3. Press the paste to extract the juice 4. Take 2 tsp of this juice 5. Add 1 tsp of honey 6. Mix well 7. Drink every morning Causes: • Obesity • High salt intake • Alcohol consumption • Mental or physical stress This will help with your concern
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My mother always saying that ,she has a pain in chest starting from one area and spreading in chest .when we consulted m.b.b.s doctors they said no problem .then what is the problem to her. She is a house wife and her daily activities cooking, washing and bringing water.

Homeopath, Sagar
Dear Give your mother following homoeopathic medicines 1- Pulsatilla 200 2- Spigilia 200 3- Asterius Ruben200 each five drops three times a day with some water consult me after 15 days if needed.
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I have some pain near the outer part of my right chest. It has swelled and it has become very hard and it is painful.

General Physician, Mumbai
Dear lybrateuser, - Your problem could be due to bony or soft tissue disorder - apply hot fomentation three times a day on the affected area - apply pain relief gel, lightly on the affected area three times a day - take pain relief tablet after meals if pain is more - do not bend, lift weight or exercise till pain & swelling subsides - do x- ray chest to find out exact cause, consult a doctor.
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I am 27 yrs old. Having chest pain at left side with pain in left hand and shoulder. Also heavy head and shaking in whole body with mild breathing problem from last 2 months. Dr. Did ecg twice, blood test n chest x Ray all are normal. Still have pain even now. Could you please assist me? Thanks.

MBBS, DNB (Pediatrics)
Pediatrician, Kolkata
Thus looks like a cardiac cause of your pain. I woluld like to see the ecg personally before commenting. If needed, we can get an echocardiography done.
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My husband age 48 years is suffering from triple vessel disease which type of surgery he has to do please advise.

DHMS (Hons.)
Homeopath, Patna
Hello, lybrate-user, He is obeased by 15 kg, approx,he should go to reduce his weight first. Triple vessels disease is caused due to pressure on coronary- arteries due to narrowness ,obstructing free blood supply to heart muscle resulting deficiency of Oxygen due to blockage. Cardio- surgeon will assess the level of blockage of each coronary arteries (out of three) & accordingly blockage be removed transplanting stent in the arteries to allow free blood supply to heart muscles to maintain oxygen supply to nourish d heart walls. An open heart surgery may take place in major blockage in all the arteries, or a minor blockage may be removed through angioplasty without opening the heart. He should reduce cholesterol from the blood being the main cause of blockage. Tk care.
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Sir one month ago my heart palpitations are high. Doc suggested echo and ecg. Both are normal. But certain I have chest pain and suffocation. Is this anxiety, stress depression or something else. Chest pain occurs only I think negative about my life. What I do sir to overcome stress?

MD Psychiatry, MBBS
Psychiatrist, Mohali
Dear Mr. lybrate-user, The symptoms that you have mentioned can definitely occur as a result of anxiety or depression. Considering the fact that your Echo and ECG are normal, anxiety /depression seems to be the most likely cause. You should seek a psychiatric consultation to undergo complete evaluation. Accordingly treatment can be initiated in form of medications or psychotherapy. Start doing relaxation exercises in a regular basis like meditation or deep breathing. I do hope that you are able to overcome your symptoms soon. Best wishes.
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Are there things I can do at home or in my life to reduce my cholesterol? And How often do I need to get my cholesterol level checked?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
By blood test lipid profile you can checkup your blood cholesterol for find out how much level of cholesterol in blood cause harmful to your heart. It may block your arteries and cause death.
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Though I have reduced my wt from 87 to 80, but my bp is fluctuating in nature. What kind of precautions I should take up? please suggest the natural way to control bp and reduce wt scientifically?

Homeopath, Faridabad
Hello, Few lifestyle changes can help you in controlling and preventing the high blood pressure, even if you're taking blood pressure medication. Eat healthy foods. Consume more fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Eat less saturated fat and trans fat. Decrease the salt in your diet. So, avoid eating processed foods, such as canned soups or frozen dinners which contains extra salt in it. Keeping a healthy weight, or losing weight if you're overweight or obese, can help you control your high blood pressure and lower your risk of related health problems. Increase physical activity which can help lowering your blood pressure, manage stress, reduce your risk of several health problems. Get indulged in regular exercising (if your doctor allows you). Limit alcohol. Even if you're healthy, alcohol can raise your blood pressure. If you choose to drink alcohol, do so in moderation. Don't smoke. Tobacco injures blood vessel walls and speeds up the process of hardening of the arteries. Reduce stress as much as possible. Practice healthy coping techniques, such as muscle relaxation, deep breathing or meditation. Getting regular physical activity and plenty of sleep can help, too. Monitor your blood pressure at home. Medication: Take homoeopathic medicine - Schwabe’s Essentia Aurea/ thrice daily which is a cardio-tonic which helps in maintaining blood pressure, improves muscle tone of the heart and narrowing of blood vessels.
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