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Dr. Lalwani Jaiprakash

Cardiologist, Mumbai

Dr. Lalwani Jaiprakash 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. Lalwani Jaiprakash
Dr. Lalwani Jaiprakash is a renowned Cardiologist in Borivali East, Mumbai. You can meet Dr. Lalwani Jaiprakash personally at Narendra Hospital in Borivali East, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Lalwani Jaiprakash on

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Ground Floor, Seeta Mahal Building, 5th Kasturba Road, Borivali East. Landmark: Behind Golden Restaurant, MumbaiMumbai Get Directions
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I have recently checked my lipids and I got total cholesterol 242 and hdl 33 and I am suffering high blood pressure from 1 year please let me know what to do. A and blood glucose is 109 fasting.

MBBS, DMRD, MD - Radio Diagnosis, FIIM(Ayurved), D.SC, Post Doctoral Fellowship of Institute of Indian Medicine, Ph.D
Non-Invasive Conservative Cardiac Care Specialist, Ahmednagar
Dear Cholesterol is made in liver as per needs. Food does not alter this. Light exercise pranayam yoga, beet root in diet will help you to maintain good health. Vm.
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I feel heart vein tightness .& little bit dizziness in mind for a long time 2-3 years already. What is the reason of that tightness & how to recover it although I do some simple exercise thrice a week too. Please.

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
Please check if you are suffering from acidity and gas. This is one reason for heartburn which is almost like your current symptom. Drink plenty of water and eat your food slowly. Chew it properly. Add lots of fresh vegetables, sprouts, greens and raws to your diet to ensure your strength is good. Only exercise does not help if you cannot supplement with fresh, wholesome foods. Hope you are not eating packaged proteins or food supplements. In the long run, they are not good for health. A 2D Echo is an investigation that will give a report on your heart function.
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Hello. My self pregnant from two months. I have high bp from last 4 years and have on medication. But becoz m pregnant so doctor lowers my bp medicine depin return 20 bt my bp never comes below 140/ 80. My doctor alsi prescribes me duphaston 10 mg. I have searched on net and got that it increases high bp sometimes. I am confused and taking the medicine and feeling worried to ask my doctor also if he will disappoint with my asking. Duphaston medicine is for protection. Please advice.

MD - Obstetrtics & Gynaecology, MBBS
What you are suffering is called hypertension. And it needs medicines because the body's bp needs to be regulated or else it will cause damage to the vital organs like brain, kidneys etc. Now that you are pregnant, the medicines must be continued, as they were. There is no need to reduce medicines unless you have symptoms related to it. As the medicines are reduced, the bp is remaining high, and not coming below 140/80. In a pregnant woman with hypertension usually there are chances of abortion, and intrauterine bleeding etc. Along with seizures (fits). Usually in pregnancy, the woman's blood volume rises and this happens from 5-7 month. During this period there is a chance of developing hypertension which is now called pregnancy induced hypertension. Since you already have high bp, if your bp increases after 20 weeks it will need special care of the fetal nourishment and growth must be monitored. Depin is safe in pregnancy and there are other drugs too which can be given. Talk to your doctor and ask the gynec about the reduced dose. If required take a second opinion. Usually in patients having previous abortions, progesterone is given to protect the pregnancy and prevent abortion. There are many types of progesterone. Natural micronised progesterone, injectable progesterone, and some synthetic progesterone. Duphaston falls in progesterone category. It is not known to cause high blood pressure but it has water retaining properties which may have alerted you. But you can talk about it to your gynec and doctor may change duphaston to other progesterones.
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Hi. My legs were broken few days ago. After that my weight gone up from 90kg to 100kg. I'm a hypertension patient. For that I take regular medicines. But i'm tensed from my increasing weight. I was in gym earlier. That time my physics was good. But now its gone worst. I need a perfect diet chart so I can loose my weight.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
Hello Mr. lybrate-user kumar WEIGHT LOSS DIET Things to be followed 1.No salt intake after 7: 30 am 2.No aerated drinks. Even Liquor too. 3.Restrict mango and banana. 4.Restrict potato and rice. 5.No artificial juices. 6.Half an hour aerobic exercise daily. Joining a gym for workout will be a better option. 7.20 mins of breathing exercise (pranayam). 8.Avoid Rajmah, Channa, Peas, Mushroom, Gobi, Pumpkin, Leafy vegetables, Capsicum, Paneer, Cheese, Curd, Non Veg, Maida related items (like Bread, bun, pizza, burger etc), Deep fried and spicy food, Sweets, Sugar, carbohydrate rich fruits like apple, Sapota, Banana etc. 9.Avoid rice intake in the morning and strictly in the night. 10.Avoid intake of refrigerated food in the morning, prepared previous night. 11.Intake of food should be on time without skipping even a single meal. 12.Maintain min two hours of gap between dinner intake and sleep. 13.Consume minimum eight glasses of water a day. 14.“Early to bed and early to raise” should be strictly followed. Sleeping Late night should be strictly avoided. 15.Have fruits only in the noon time. Avoid fruits consumption in the night (occasionally can be taken before dinner). 16.Stop intake of milk during bed time. 17.Bathing should be before food intake only. 18.Tea, milk intake should be twice a day preferably morning and evening. Coffee intake should be strictly avoided. DIET PLAN FOR Week 1 6: 30 am (as soon as you wake up) – 2 glasses of methi seeds water (soak 1tsp of methi seeds in 2 glasses of water. Strain out the methi seeds and drink the water. Helps a lot in water retention and bloating) 7: 30 am – ginger tea/ green tea. 9: 00 am – One bowl Papaya or 200 ml Mongdal gruel with little jaggery. 11: 30 am – four cucumber slices/raw raddish 1: 30 pm – A small plate of salad before starting the meal. The fibers in the salad fills you up which in turn prevents false hunger that makes you overeat. 1dry chapati with 1 bowl of dal, with one bowl rice, rasam, 1 glass buttermilk. 5: 00 pm – 1cup of milk or tea with 2 biscuits (just marie, no other biscuits) 8: 30 pm –A small plate of salad before starting the meal. 2 or 3 dry chapati with vegetable curry or dal. When this week ends, you can see reduction in weight up to 1.8 kilos. U lose the max in this week because you lose all the water weight and the bloating as well. The further weeks you are surely going to lose weight but it won’t be this much. Week 2 6: 30 am (as soon as you wake up) – 2 glasses of tulsi leave water (soak 5 tulsi leaves in 2 glasses of water. Strain out the leaves and drink the water.) 7: 30 am – ginger tea/ green tea. 9: 00 am – 1 bowl of veg salad or Semi liquid gruel (lightly salted and flavored with pepper, Jeera, Ginger, Garlic, coriander, pudina) prepared out of broken barley. 11: 30 am – Small bowl papaya without peeling skin. 1: 30 pm – A small plate of salad before starting the meal. 1dry chappati with 1 bowl of dal, with one bowl rice, rasam, 1 glass buttermilk. Or Only 3 dry Chappatis with veg curry and 1 glass buttermilk. 5: 00 pm – 1cup of Coffee/milk/ tea with 2 marie biscuits only. 8: 30 pm –A small plate of salad before starting the meal. 2 or 3 dry chappati with vegetable curry or dal, 1 cup ginger flavored buttermilk. This week you can lose up to 0.9 kgs Week 3 6: 30 am – 10 ml of Karela, amla juice with 1 glass of luke warm water. 7: 30 am – ginger tea/ green tea. 9: 00 am – salted and flavoured Green gram gruel or Rava gruel semi liquid consistency 200 ml. 11: 30 am – four cucumber slices. 1: 30 pm –one bowl allowed veg or fruit salad, 2 chappati and vegetable dal. 5: 00 pm – 1cup of milk/ ginger tea, green tea or 1bowl popcorn (air popped popcorns without the butter) 8: 30 pm –1 bowl broken wheat with rasam or dal, 1 cup buttermilk. Week 4 6: 30 am – Triphala ras 10 ml with 1 glass warm water. 7: 30 am – ginger tea/ green tea. 9: 00 am – 1 glass Broken wheat gruel 11: 30 am – one bowl veg salad. 1: 30 pm – 1 bowl broken wheat with rasam, 1 cup buttermilk. 5: 00 pm – 1cup of milk/ ginger tea/ green tea 8: 30 pm – 2 dry chappati with 1 bowl vegetable or Dalia kichdi, and 1 cup buttermilk. By the end of the month you will definitely be losing 2-4 kgs Repeat the same diet for 4 months.
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I am 23 years old well built person. During chest X ray, I am diagnosed as cardiac megaly. Apparently there are no symptoms of enlarged heart. Is it okay at this age. Pls guide me.

Diploma in Cardiology
General Physician, Kolkata
Its not at all okay, get one echocardiography done to see the internal apparatus, if the echo report is normal then it is either idiopathic or congenital, in that case also you have to be careful about d c m (dilated cardiomyopathy)
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Knowing Coronary Artery Disease - Symptoms and Causes

Sr. Fellowship in Electrophysiology & Pacing, M.R.C.P.(U.K.), DM - Cardiology, MD - General Medicine, MBBS
Cardiologist, Delhi
Knowing Coronary Artery Disease - Symptoms and Causes

Coronary Artery Disease - Symptoms and Causes

Coronary artery disease is the disease in which the major blood vessels (coronary arteries) that supply blood, nutrients and oxygen to your heart get damaged or disease stricken. It is mostly caused due to the coronary artery getting plagued or inflamed. The consequent reduction in blood flow to the heart causes the various symptoms of coronary artery disease like angina (chest pain), short breath etc.


Here is a list of a few symptoms that help in identification of the coronary artery disease.

1. Angina - Pressure or tightness may be felt in or near the area of the chest that results in pain. It is mostly felt in the middle or left side of the chest.

2. Shortness of breath - Another symptom of coronary artery disease is short breath, fatigue and a feeling of exertion.

3. Heart attack - Complete blockage of the coronary artery results in a heart attack that is a prominent symptom of coronary artery disease. A person may feel heavy pressure in the chest, pain in the shoulder or arm, sweating etc. prior to getting a heart attack.


Coronary artery disease occurs when damage or injury is done to the inner layer of the coronary artery. This damage causes plaque, which are deposits made of fat, cholesterol and other cellular waste materials to accumulate near the damaged area of the artery. This process is known as atherosclerosis.

The various causes that result in coronary artery damage are listed below.

- Smoking
- High blood pressure
- Diabetes
- High cholesterol
- Obesity
- High stress
- Physical inactivity

Related Tip: Heart failure - Treatment with pacemakers and implications?

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I have a problem of bad cholesterol. How should I tackle it. Please help. Thank you.

Dear Mr. Lybrate-user. Cholesterol is produced in every animal body including human. However, when we take non-veg dishes cholesterol from outer sources enter our system which in turn increases the total level of cholesterol in our system. Kindly avoid mutton, beef, yolk of the egg, ghee, butter. Try to walk for at least 1 hour daily. Also you can talk homoeopathic mother tincture fucus ves q, 30 drops, thrice daily, in a cup of water to decrease your cholesterol.
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Hi Sometime I got my heartbeat beating fast from routine while m sleeping please advice me.

General Physician, Mumbai
It seems to be a normal finding but Get your vital parameters of the body checked from a nearby doctor and revert back with findings
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I am 23 years old male, and I have chest pain for last 2 months what should I do?

MD - Microbiology
General Physician, Bangalore
Hi. Have you got any tests done. Pls do a echo test. The chest pain can be due to many causes. Needs to be tested.
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I am 24 male I quit smoking when I felt aches in mah chest when I breath in or out now just want to know what should I take to relief from aches and to repair my lungs normal.

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
Hi firstly as you were a smoker a ache in cardiac area can not be just neglecte by suggesting life styles modification. A smoker is 10 times more prone to cardiac disease then a normal person. So I would suggest you to do atleast few basic tests of cardiology like ECG. A ecg should be done at the earliest, and if its normal, you can ffolow the above mentioned advice.

I am 56 years old male. No diabetes, slight bp 140/90; taking no medicines. For a couple of weeks I have a jaw pain & ache @ molar and other teeth. Jaw opening restricted. Slight throbbing sensation. Physically active. Can you help?

M.D.S, B.D.S.
Dentist, Katihar
It might be never related problem I guess. Visit to some dental college and ask advice in the oral surgery department with some senior faculty member. Take yr mother with u. Than u.
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Hi, I am 29 years old male and have height 5'10" and weight 98 kg. From last 7 years I had lot of hair loss slowly and developed some dark spot on the sides of forehead with dark circles too. At present I lost too many hair so I decided to visit a dermatologist a month ago. He prescribed me a densuex serum, androanagen tablet and canthex tablet and also asked me to get a few blood tests. After blood test I got to know that my insulin levels of both fasting and pp are high (i. E. 44.33 fasting, 120 pp), blood sugar fasting is high (i. E. 110 fasting), total cholesterol and ldeal cholesterol are high (i. E. 215 & 157), hscrp is high (ie. 3.14) and vitamin d3 is low (i. E. 7.16). The dermatologist has given me an injection for vitamin d3. I just wanted to ask, wheath I should see another physician for my other raised levels of insulin, blood sugar, hscrp and cholesterol. Also please tell me the side effects of medicines I am taking. Regards.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
Too much cholesterol in the blood can lead to cardiovascular disease.What you eat has a direct impact on your cholesterol level. In fact, a diet rich in fiber and other cholesterol-lowering foods may help lower cholesterol as much as statin medication for some people. Working with a registered dietitian and doctor is the key to develop and maintain a successful health program to manage it. I will inform you on how to make diet , lifestyle changes , make you understand instructions for taking medication because it won't work if you don't take it as directed. Consult privately for a holistic dietary therapy to solve your problems
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I have blocked stomach since 3 days. I have pain in my chest. I have eaten food but it not coming out of excretory system. I have eaten Ayurvedic medicine but it only reduce pain .I have fever around stomach not in head.

General Physician, Mumbai
Dear Lybrateuser, - Your problem is due to constipation - increase fibre intake in your diet, have more vegetables (5-6) servings per day, fruits (2-3) per day, beans, sprouts lentils, wholegrains - drink 8-10 glasses of water for proper digestion & removal of toxins from the body - do regular exercises like brisk walking, jogging, cycling, swimming for 20-30 min, do yoga, deep breathing for proper digestion - take liq Cremaffin, 1 table spoonful after dinner at night - if fever is there then take tab paracetamol 1 tab three times a day.
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Occasionally suddenly my heartbeat starts beating at a fast pace and it becomes instantly normal when lying down? What can be the reason for this?

Graduate of Ayurvedic Medicine and Surgery (GAMS)
Ayurveda, Delhi
Heart relies on electrical impulses to keep it beating at a steady pace. Problems with this electrical system can cause abnormal heart rhythms, or arrhythmia. Distended abdomen with gas, constipation, over exertion, alcohol, caffeine, lack of rest may b the triggering factors. We have sure n shot treatments in Ayurveda to treat such problems. Try Ginger and Mint tea twice a day with lemon. Avoid outside and spicy foods. Join Yoga classes.
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I have high diabetics and high pressure and I feel head dizzy. So what should I do. Sir?

Homeopath, Lucknow
There can be dizziness due to high blood pressure. Please control upon your diabetes and bp by simple diet management, like eating fat free and less oily diet with less salt and sugar in diet. Take less stress and try to not think over the things. And let them go.
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What is doctor's perception of Telmisartan drug that is available in the market? 2. Is Azilsartan - a drug launched six months ago better than Telmisartan.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Dear in hypertension all drugs are equal. Dear the drug which decreases b.p. Is the best. Both telmi and azilsartan can be effective accordingly.
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I want to know how to care my heart by excessive and medicines because heart attacked is most popular desires of world.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
1. Schedule a Yearly Checkup Your heart is in your hands. Each year on your birthday, schedule a checkup to have your blood pressure, cholesterol and glucose levels checked, and ask your doctor to help you reach or maintain a healthy weight 2. Get Physical Step, march or jog in place for at least 15 minutes a day while watching your favorite TV shows. Increase your activity by five minutes each week until you're getting a minimum of 30 minutes most days of the week. 3. Drink More Water Take a water bottle with you wherever you go. It'll keep you hydrated and the bottle's weight will strengthen your arms. 4. Eat Healthy Keep packages of unhealthy food hidden. Put raw veggies and fruits in front in the refrigerator and healthy snacks in the front of the pantry, so that's what you see first. If you grab healthy foods for a minimum of 21 times, healthy choices will become a habit. 5. Control Cholesterol Eating foods high in saturated fat, trans fat or cholesterol can lead to high blood cholesterol. To help keep your cholesterol levels down, eat foods low in saturated fat and trans fat, such as lean chicken or turkey (roasted or baked, with skin removed), fruits and veggies, low-fat or fat-free dairy products and whole grains. 6. Cut Down on Salt To help lower high blood pressure, watch your salt intake. It may be disguised in food labels as sodium alginate, sodium sulfite, sodium caseinate, disodium phosphate, sodium benzoate, sodium hydroxide, monosodium glutamate (MSG), or sodium citrate. 7. Quit Smoking Try this four-step way to kick your habit: • On Day 1, cut the number of cigarettes you smoke by half • On Day 3, cut the number of cigarettes you smoke in half again • And on Day 5, cut your smoking in half again • On your Quit Day... quit! 8. Maintain a Healthy Weight Excess weight increases your risk of heart disease, stroke and diabetes. To achieve steady, painless weight loss, take it easy. Each day, if you eat 200-300 calories less than you would normally consume, and exercise at least 30 minutes on most or all days of the week, you'll get closer to your goal and be able to achieve weight loss that's steady and painless. 9. Stay Positive If you get off your exercise schedule, have a cigarette, or eat a fattening meal, immediately get back on track toward re-establishing a healthy lifestyle. 10. Give Yourself Credit To maintain momentum with exercising, losing weight, or quitting smoking, keep track of your achievements and reward yourself by doing something you enjoy.
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I want to know various side effects of Prolomet AM 50 tablet I am taking for BP since last six years, and how to avoid those effects. Thanks and Regards.

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
The side effects are usually given on the strip or bottle of medicines you purchase. Commonly Palpitations, Abdominal pain, Chest pain, Dizziness, Drowsiness, Fainting, Fatigue, Flushing, Headache, Lightheadedness, Limb swelling, Stomach upset are the registered detrimental side effects. These can appear immediately or after few years, depending on the tolerance levels of the patient consuming them. The best way to avoid these is to change lifestyle to bring a health condition where the need of such medicines can be totally avoided. Although at 50 age, it may take more effort and time, it is still possible to reduce dependency on any medicines or to fine natural, ayurvedic options that work well for you.
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What is the impact of High Blood pressure 110/220? What precautions should be taken?

MBBS, M.S, M. Ch, F.I.A.C.S
Cardiologist, Chennai
Stroke, blindness, heart failure. Heart attack low salt diet less than 2g/day. Take medicines regularly check blood glucose. Take plenty of vegetables and fruits. Exercise exercise exercise walking. Meditation.
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I am 40 yrs. Old female. I have been under medication for hypothyroidism from past five years. Even though my total cholesterol level is normal I have bit higher level of trygleceroids. I. E. 260. Do I need medication? My weight is 65 kg. And ht. Is 166 cm.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
Hypothyroid leads to a slight increase in Triglycerides, your levels are not high enough to start any medications yet. you have not mentioned your LDL levels. so make sure your TSH is within normal range. Secondly diet, exercise and lifestyle patters have a major correlation with Cholesterol levels, It is important that you modify your diet to a low fat, low sugar diet (take a detailed diet consult for that) and begin with exercise, start gradually increase to 45 mins per dayof brisk walking or yoga, quit alcohol if u take. these are standard recommendations asper American and European guidelines accepted by India cardiac society also, so kindly do not pay heed to anyone who suggests to you that diet has no role to play in cholesterol management.
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