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Dr. Manoj Gerela

Cardiologist, Mumbai

600 at clinic
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Dr. Manoj Gerela Cardiologist, Mumbai
600 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Manoj Gerela
Dr. Manoj Gerela is a trusted Cardiologist in Mulund East, Mumbai. He is currently associated with Good Health Clinic in Mulund East, Mumbai. Save your time and book an appointment online with Dr. Manoj Gerela on Lybrate.com.

Find numerous Cardiologists in India from the comfort of your home on Lybrate.com. You will find Cardiologists with more than 28 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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Good Health Clinic

Shop No 4, Rajlaxmi Apts, Navghar RD, Mulund East, Landmark: Opp Mulund Gymkhana, MumbaiMumbai Get Directions
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I have started suffering from high blood pressure. Any remedial action, like dietary restrictions, etc. I am a diabetic also.

Cardiologist, Faridabad
I have started suffering from high blood pressure. Any remedial action, like dietary restrictions, etc. I am a diabet...
As you are diabetic I shud take care of your bp In future it be harmful Start taking aceinhibiter like telma 40 in morning if bp not controlled then let me know I will alter the dose.
1 person found this helpful
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Types And Treatment Of Angina Pain!

MBBS, MD - Medicine, DM - Cardiology
Cardiologist, Delhi
Types And Treatment Of Angina Pain!

Angina or angina pectoris is the pain, discomfort or tightness in the chest that occurs when the blood flow to the heart muscle cells is not enough to meet its energy needs. It is not a disease itself but rather a symptom of the coronary heart disease.

What are the different types of angina?

1. Stable angina: It is the commonest form of angina. It can be triggered by stress or physical activity and usually only lasts a few minutes.

2. Unstable angina: It happens when you're resting or aren't very active. The pain is strong and long lasting, and may keep recurring. It may be a signal of an impending heart attack.

3. Variant angina: This might take place when you're asleep or at rest. This sudden tightening or narrowing of the heart's arteries causes a lot of pain.

How u know what your are experiencing is an angina pain?

You might be having angina pain if you suffer from one or more of these symptoms:

- Chest pain
- Heartburn
- Breathlessness
- Nausea
- Dizziness
- Restlessness
- Fatigue
- Pain in your arm, neck, jaw and back
- Numbness or loss of feeling in your arms, shoulders or wrists

Immediate Relief from Angina

If previously advised by a certified doctor, patients can take antiplatelet medicines which are blood thinners and prevent unstable angina. Final treatments include angioplasty (repair of a blocked blood vessel through surgery), insertion of a coronary artery stent (a tube that is used to treat weakened arteries) or a heart bypass surgery for serious complications. If you wish to discuss about any specific problem, you can consult a Cardiologist.

3340 people found this helpful

I am 28 years old I am suffering with hypertension of 140/94 and I have heavy body pains and cheat pain how to remove natural suggest me.

MBBS, MS (Gen. Surgery), M.Ch - Cardio Thoracic and Vascular Surgery, DNB (CTS)
Cardiologist, Noida
I am 28 years old I am suffering with hypertension of 140/94 and I have heavy body pains and cheat pain how to remove...
don't take extra salt in your diet . do yoga and brisk walking atleast 45 minute per day . try to learn relaxing technique and meditation. if over weight. include green vegetable and fruits in your diet at least 50% of your diet portion should be of salads and fruits
10 people found this helpful
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My problem is that my body structure is little bit different as it should be my chest looks like a female chest my waist is also like a girl. I feel very depressed what should I do please tell.

MBBS
General Physician, Mumbai
My problem is that my body structure is little bit different as it should be my chest looks like a female chest my wa...
Dear lybrateuser, -the appearance & structure of your body is controlled by the hormones in your body which lead to the changes which you have mentioned. -do regular exercises like pushups which strengthen your chest muscles & do exercises like crunches, situps which can help reduce your waist size, also do brisk walking, jogging or swimming for overall fitness & loss of weight. -have less of fried, junk food, more of fruits, veg whole grains, so that your weight is maintained.
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My mom is 41 years old, she has problem in breathing associated with chest pain for 1 week now and swelling on the left lower limb (no pain). What is her problem?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
My mom is 41 years old, she has problem in breathing associated with chest pain for 1 week now  and swelling on the l...
Swelling in one leg can be dvt which can produce pulmonary embolism causing chest pain and breathlessness. Better consult a good pulmonologist/resp. Phy.
2 people found this helpful
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Options to Angioplasty - A Scientific Understanding!

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
Options to Angioplasty - A Scientific Understanding!

When a person suffers from the typical symptoms of heart weakness that includes breathlessness, weakness, sudden sweating, discomfort while doing minor exertions, chest pain, pain radiating along the arms, back, neck and shoulders and other symptoms, the Doctor will ask for investigations to study the heart.

The Heart is a muscular organ in the chest and like any other muscle in the body, it has its own unique blood vessel network that does the function of supplying nutrition to the heart muscles. Like any network, the Cardiac blood supply also begins with major vessels that branch off into minor and then very small blood vessels. It is these very small blood vessels that actually reach the muscle fiber to give nutrition.

When this is a problem with the free flowing blood to reach the muscle cells, the strength of the heart muscles reduces and the overall heart functioning is in trouble. Until now, it was commonly believed that cholesterol deposits make blockages in the blood vessels that cut off nutrition supply causing the heart to go into disease stage. Today, extensive research has proved that there are many reasons for hampered blood supply to heart muscles, and plaque formation (blockages caused by cholesterol deposits) need not be the reason for heart attacks entirely. Blood vessel disease called Atherosclerosis is the root cause.

In modern times, if the patient consults a cardiologist, the first line of investigation prescribed is the Angiography. This procedure requires the patient to be admitted to the hospital. Under anesthesia, the Doctor will make a cut/incision in a major blood vessel of the thigh joint or the arm. He will then insert a tube called catheter into the blood vessel and guide it through the major arteries till it reaches the important position from where the blood vessels that supply nutritious blood to the heart muscles is reached. At this position, a dye is pushed into the blood flow and a series of specialized X-rays are taken that will show the blood vessels.

In these images, it is the Doctor’s expertise that will identify positions where the blood flow is reduced, or disturbed. The dye has a short life span and is able to show flow dynamics only up to the secondary blood vessel network. The Doctor will determine which part of the heart blood vessels are affected based on these images, the length of the plaque, position and kind of blockage and derive the damage to heart, based on these anatomical visuals. The catheter is then removed; the blood vessel opening stemmed and the patient has to remain immobile in the hospital till the blood vessel improves. The Doctor will prescribe a list of medication that includes beta blockers, aspirins, statin and antibiotics.

Very often, if the Doctor decides, he will suggest the next procedure of Angioplasty immediately. This procedure involves pushing a mini wireframe tube called ‘stent’ or an inflatable balloon through the same catheter to the area of blockage. This balloon or stent is guided to the area of the blockage and mechanically expanded to push aside the plaque to help the blood flow resume. There are different kinds of balloon and stent procedures.

None of these procedures “removes” the blockage plaque. The procedure helps to resume blood flow in the major arteries only. 

No invasive therapy is safe and there is a lot of reports backed by Research Data from very reputed global authoritative organizations that highlight the unnecessary number of angio procedures being done as well as the side effects of these procedures within few months. (Many Stent Procedures Unnecessary” Heart Drugs Just as Good at Preventing Heart Attacks, Death in Some People, Study Shows By Charlene Laino: March 26, 2007 (New Orleans).

Can blockage affect a person after having angiography?

It is important for the patient and patient’s family to understand that the blockage formation process in the body does not reverse with an angioplasty or even a Bypass procedure. The patient suffers from the same kind of symptoms as earlier when new blockages form in different sections of the coronary network or very often, when a deposit / scar forms within the stent itself leading to hampered blood flow. This ‘reformation of blockages’ is referred to as restenosis. This is the greatest problem registered in current studies of patients after angio and bypass and this is seen within few weeks to after 10 to 14 months of the procedure.

The reformation of blockages or further formation of new sites with blockages depends on the individual patients health condition. Patients who are Diabetic, High BP, on certain kind of long term medication, obese, with bad lifestyle; all have the additional threat of secondary attacks.

Restenosis cannot be prevented with another stent or bypass procedure. The procedure only once again’ mechanically opens the blockage or in CABG, creates a bypass around the blocked blood vessel.

How can restenosis be prevented?

The only and best way to avoid restenosis is to make major changes in diet, exercise, weight management, stress management. It is also very important to be under the right kind of medication that will support the natural process done by the Liver and blood to reduce and wash out inflammation (that causes maximum problems in natural blood flow), repair blood vessels, reduce and remove existing blockages and scar tissue within blood vessels, add strength to the heart muscles.

Ayurveda has many proved medication combinations that include Arjuna (improves Heart muscle condition) Draksha (powerful anti-oxidant and liver repair) Dadimba (Pomegranate is known to participate in repair of blood vessels and rebuild damaged vessels called Angiogenesis), Ashwagandha (Cardio-protective) and Colostrum (powerful immunity modulator, participate in muscular and nerve repair, Angiogenesis Growth Factor, Endothelial growth Factor, Nerve growth factor, PDGF, natural Vitamins and Minerals).

These treatments are now available in select Ayurvedic treatment centres and are also being proved with clinical pre and post investigations to support their success.

These new studies and treatments options should be searched out by the patient and his/her family to understand the reason of blockages, the possible need and safety of invasive procedures, the option to medicine based treatments before undertaking any invasive procedure. Remember, it is scientific research that has clearly proclaimed that less than 30 -20% of all the angio’s performed are necessary or have lasting effect on their own.

3306 people found this helpful

I'm 24 years old. My stomach doesn't work properly. When I take some food, I feel burden on my heart. How does I digest my food?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
I'm 24 years old. My stomach doesn't work properly. When I take some food, I feel burden on my heart. How does I dige...
First of all you should follow some basic thing 1. Avoid=hot and cold at time 2. Less the sugar as much as possible if you want to eat sweet take juggery which is black 3. Do not drink water after meal drink at the time of meal sip by sip up to 150 ml 4. Avoid late night sleep 5. Panchamrut parpati 1 tab before lunch and dinner 6. Audumbaravleha 2 tsp before lunch and dinner.
13 people found this helpful
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My father have chest pain past 2 days. But. Till now no pain relif So what should I do?

MBBS
General Physician, Mumbai
My father have chest pain past 2 days.
But. Till now no pain relif
So what should I do?
For pain take tablet paracetamol 650 mg and Get his vital parameters of the body checked from a nearby doctor and revert back with findings
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Cornflakes can be taken in evening snacks for diabetic, hypertension and early CKD patient? If not what is the most suitable evening snacks for the patient on low protein diet?

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
Cornflakes can be taken in evening snacks for diabetic, hypertension and early CKD patient? If not what is the most s...
Hye. Food planning will depend on the amount of proteins that you need for the day. To decide the proteins, other nutrients many parameters need to be considered. This requires personalised planning. You don't want to end up eating low amounts of protein too. Cornflakes is not low protein, neither is it low sodium or potassium as well. You might want to skip packaged foods.
3 people found this helpful
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My heart beat rate is 94 per min should I consult a doctor immediately or I should do physical exercise regularly. Please help me on this.

LCPS, BAM&S
General Physician, Pune
My heart beat rate is 94 per min should I consult a doctor immediately or I should do physical exercise regularly. Pl...
It's safer to consult doctor and explore cause of your tachycardia I.e. fast beats. For tachycardia, yogasans help better than gym exercises. Practise shavasan and pranayam. Moderate exercise is also good.
7 people found this helpful
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Heart Disease Myths

C.S.C, D.C.H, M.B.B.S
General Physician,
Heart Disease Myths
=================
Myth No. 1: It is ok to have a high blood pressure in elderly.

Blood pressure tends to rise with age, but it does not mean that this rise is normal. It happens because with age, the arterial walls become stiff and this stiffness cannot be called as a normal stiffness. Stiff arteries make the heart to pump harder. Blood pounding against the artery walls, damages them over time. The overworked heart muscles become less effective and pumps even harder to meet the body demand for blood. This further damages the arteries and invites fats into the artery walls. This results in lipid deposition, formation of blockage and future heart attack and paralysis.

So the fact is, irrespective of age, keep your diastolic blood pressure below 80 and systolic below 120. Start treatment if the blood pressure is more than 140/90.

Myth No. 2: The risk of heart disease can be lowered with vitamins and supplements.

It’s a myth that vitamin C, E and β carotenes lower heart attack risk. The American Heart Association has stated that there is no scientific evidence that these supplements prevent or treat heart diseases. The fact is eat a wide variety of nutritious food which includes all 6 tastes and 7 colors and get natural vitamins and supplements.

Myth No. 3: Women do not suffer from heart disease.

The fact is whether you are a man or a woman, you are at risk, if you do not follow the lifestyle. Heart disease is the leading cause of death in women over age 65. Today more woman get heart disease than combine cancer in them.

Myth No. 4: Heart patients should not eat fat at all.

It is true that you should eat a diet low in saturated fat and zero in trans fats but other fats like unsaturated fats in vegetable oil are beneficial. In fact eating fish high in omega-3 fatty acids twice a week can lower the risk of heart disease.
37 people found this helpful

Hi doc, I have recently entered into 30 years and sometime I feel heaviness in my chest. This issue is since very long. I consulted one doctor as well but nothing came out in Ecg test. I feel muscle contraction. Can you suggest any health test which I should undergo.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
Hi doc,
I have recently entered into 30 years and sometime I feel heaviness in my chest.
This issue is since very lon...
Doing ECG alone does not rule out heart disease. A detailed history dietary ,medical, job, stress,family history as well as characterization of pain needed to be evaluated before giving proper advice .What lab tests were done .No mention about that There is no use of putting a band aid temporary fix. You have to go to the root cause and treat it. Take a consult for specific advice.
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I met an accident on jan 15 and had chest injury. Causing haemothorex. I was admired in aiims trauma and icd was inserted. They released us on 20 the jan saying every thing is OK. But again I have pleural fluid in my chest on both right and left side. What to do now.

MBBS
General Physician,
I met an accident on jan 15 and had chest injury. Causing haemothorex. I was admired in aiims trauma and icd was inse...
This must be due to lung and pleural infection postoperatively. Due to which the collection fluid in the pleural cavity. You should consult your treating surgeon or physician. For the same.

I feel slight stiffness on the left side of my chest every time I smoke for 5 to 7 min. Wht can be the reason?

MD - PHYSCIAN
General Physician, Delhi
I feel slight stiffness on the left side of my chest every time I smoke for 5 to 7 min. Wht can be the reason?
Smoking can lead to inflammatory changes in arteries, also increases the risk of cardiovascular disease like atherosclerosis. Kindly do an ecg, chest x-ray, pft also see doctor in person.
1 person found this helpful
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My dates are not stopng continuously from 2 months. And I am a hrt patent and I had two heart sugary. So what should I do?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My dates are not stopng continuously from 2 months. And I am a hrt patent and I had two heart sugary. So what should ...
1) you are heading for menopause 2) medicines given to heart patients are blood thinners which increase the cycle & bleeding 3) if you approach a nearby doctor, the tendency is to give hormones to stop bleeding, but bleeding becomes worse on rebound. 4) most of women suffer from silent bp, means a borderline bp & take no medicines for it, increase pressure in blood vessels make bleeding worse. My advice is 1) get an ultrasound done to rule out fibroids or any other cause 2) take evecare, himalaya syrup spoon three times a day 4) stop hormones if taken and stay miles away because they are a stimulus for cycle and around menopause the hormone levels decline 5) ask your heart doctor if you can avoid blood thinners for few months (take haldi instead) 6) avoid everything in food given after delivery diet like ajwain, heeng, jeera, non veg ginger, garlic, dates and chyavanprash type of tonics 7) take lots of calcium in natural form like milk, curds, cottage cheese, fruits and vegetables 8) lots of vitamin c in oranges or plain lemon water as much as you can 9) vitamin c & calcium gives strength to fragile blood vessels. Get back here with ultrasound report & progress after a month, I have not suggested a biopsy test as it may lead to more bleeding.
1 person found this helpful
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The 6 Things that Make You Prone to Heart Diseases the Most

MBBS, MD - Medicine, DNB Cardiology
Cardiologist, Delhi
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6 Things that make you prone to heart diseases the most

Every year almost 2 lakh people opt for heart surgeries in India; and as of 2015 there were about 30 million people in the country suffered from heart diseases. There are several factors that increase the threat of heart diseases, among which some can be controlled and some can't. On one hand, where factors like being a man, old age, being a woman in the post-menopausal phase of life, and a family history of heart diseases are beyond your control; other risks can be minimized by making some lifestyle changes. 

Although natural processes like ageing, which narrow down your arteries and weaken the heart muscles increase the risk of heart diseases here are 7 factors, which dramatically increase your chances of getting heart diseases, while you are still young.

1. Genetic Factors: 
If someone in your family is already suffering or has suffered from a heart disease, especially at a young age, it increases your probability of getting a cardiovascular disease.

2. High Levels of Cholesterol in the Blood:
Chances of formation of plaque on the inner walls of the arteries increase with increasing levels of bad (LDL) cholesterol in the blood. This may be a major cause of the heart disease, atherosclerosis, which happens due to accumulation of fatty substances inside the arteries. 

3. Smoking:
Smoking causes constriction of your blood vessels and may damage their inner lining due to the effect of nicotine on them. This can put you at high risk of developing atherosclerosis. Moreover, studies suggest that people who smoke are twice as prone to heart attacks in comparison to non-smokers.

4. Hypertension:
If your blood pressure level is usually above normal, it can give rise to thickened arteries, which, in turn, can reduce the passage for the flow of blood through the vessels. This damages your heart health to a large extent and makes you prone to heart diseases.

5. Diabetes:
Uncontrolled diabetes increases your chances of getting a heart attack, especially because diabetes almost goes hand in hand with diabetes and obesity, which are risk factors of heart diseases.

6. Stress:
If you fail to keep your levels of stress and anger in check, they may have a damaging effect on your arteries. This can make way for strokes and heart attacks in the future.

'Consult'.

4262 people found this helpful

Hi I am 31 Years old and from yesterday I have some problem in my heart (left side) its like burning sensation and some time its like pinching sensation, could you please tel me what could be the reason on this, I am bit nerves.

MBBS
General Physician, Cuttack
Hi I am 31 Years old and from yesterday I have some problem in my heart (left side) its like burning sensation and so...
It could be due to hyper acidity 1. Take bland diet, Avoid foods which cause acidity like spicy, oily, fatty and junk foods, onion, garlic, citrus fruit like orange grape, lemon, tomato, cucumber, raddish, vinegar, pickle etc 2. Have proper Breakfast, Don’t skip or postpone your meal, Take home made food, Avoid food and water from outside, 3. Eat food slowly, don’t rush, take smaller meals at frequent intervals like 5-6 meals per day, and don't overeat. Limit fluid intake during meal4. Drink plenty of water (8-10 glass daily). Take your meal regularly and timely. Avoid fasting, Don’t skip your breakfast. 5. Stop smoking, consumption of alcohol and tobacco, excess tea or coffee, carbonated drinks if you are having,6. Avoid stress, have adequate rest, sleep for 7-8 hours daily in night, go for regular exercise, practice yoga/meditation 7. Take one tablet of pan40 in the morning before breakfast daily for few days. 8.Consult physician for further advice.
1 person found this helpful
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My cousin have severe chest pain and when he consulted a doctor he diagnosed and asked to take a echo cardio gram. And when the echo cardio gram results says that there was a left ventricle diastolic dysfunction. Actually what it means. Can yo explain this.

MBBS, MBA (Healthcare)
General Physician, Delhi
My cousin have severe chest pain and when he consulted a doctor he diagnosed and asked to take a echo cardio gram. An...
it indicates that filling of blood in left ventricle is less. and ejrction fraction ie pumping is low.
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Hyperuricemia

MD - Internal Medicine, CCMD(Diabetology), PG Course in Diabetology
Diabetologist, Dehradun
Diabetics should check their blood uric acid level because increase in uric acid in blood can interfere your control of blood sugar and blood pressure both besides other consequences on health.
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