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Dr. Manoj Mashru

Cardiologist, Mumbai

1500 at clinic
Dr. Manoj Mashru Cardiologist, Mumbai
1500 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
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Dr. Manoj Mashru is a trusted Cardiologist in Mumbai, Mumbai. You can visit him at Mashru Cardiac Clinic in Mumbai, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Manoj Mashru on Lybrate.com.

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Mashru Cardiac Clinic

Arya Own Building, 461 SAP Road,Landmark: Near Marvadi School, MumbaiMumbai Get Directions
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I am 19years old male. I am getting chest pain from past few days. I am worried please help me out.

MBBS
General Physician, Mumbai
For pain take tablet paracetamol 650 mg and Get your vital parameters of the body checked from a nearby doctor and revert with findings
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My cholesterol test results in blood are given below serum cholesterole----233.0 mg/dl triglycerides---------------268.0 mg/dl hdl cholesterole----------54.0 mg/dl ldl cholesterole------------125.4 mg/dl vldl cholesterole--------------53.6 md/dl cholesterole hdl ratio-------4.3 ldl/hdl ratio------------------2.3 is it dangerous? can I take any medicine? or just need exercise?

DM - Cardiology, MD - Internal Medicine, MBBS
Cardiologist, Delhi
Try exercise and strict diet control for 8-10 weeks . Repeat lipid profile and then start drug if need be . Medication if started will have to be taken life long
1 person found this helpful
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If your ECG, BP and cholesterol levels are normal can you still have a heart problem ??

MD - Consultant Physician, MBBS
Cardiologist, Ludhiana
Yes, Persons with normal ECG, Blood pressure and Cholesterol can have heart problem. Other tests should be done to rule out heart disease if there is: 1. Shortness of breath : Breathlessness or shortness of breath is commonly encountered in patients with heart disease or heart failure. It is also a warning sign of heart attack. Breathing difficulty while exercising or any other physical exertion may indicate a problem with the heart valves. But it can also be due to inflammation and weakening of the heart muscle (cardiomyopathy) which results in improper contraction. 2. Chest pain: Chest pain (angina) is a classic symptom of heart attack and coronary artery disease (CAD). In some cases, chest pain is associated with inflammation of the tissue covering the heart (pericardium). The type and duration of chest pain is also indicative of the underlying heart disease. Pain may be described as short-term, constant, stabbing or sharp. It can last for a few seconds or for hours together. 3. Swelling of feet: Swelling in the feet and ankles is seen in people with congestive heart failure where the blood pumping capacity of the heart reduces. This affects the kidneys which respond by retaining more fluid in body. The fluid then accumulates in the feet and other parts of the body. 4. Cold sweat: A person who is likely to get a heart attack sooner may start sweating profusely without any physical exertion. Heart failure results in over-activation of the sympathetic nervous system that causes sweating. 5. Tiredness or fatigue: Symptoms of heart disease also vary in men and women. One of the common symptoms of heart failure and heart attack in women is unexplained overall weakness and fatigue. Fatigue is also common in the elderly population or people with diabetes who suffer from heart disease. 6. Irregular pulse rate/palpitations: Strong heart beat or rapid pulse rate is a common complaint of people visiting a cardiologist. Most of the times, palpitations do not result from a heart abnormality but could indicate a heart problem when associated with other symptoms like shortness of breath, weakness and sweating. 7. Pain in the limbs: Apart from chest pain, some people may experience intermittent or constant pain in the shoulder that extends to the entire arm and even the back. 8. Loss of consciousness: Sudden unconsciousness (syncope) is an emergency that requires immediate medical attention. In several cases it is a sign that leads to diagnosis of heart disease.
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I'm diabetic SINCE I WAS 13 YRS OLD. I M 36 NOW. GOT A HEART ATTACK FEW MONTHS BACK and angioplasty WAS DONE. JUST GOT MY HOMOCYSTEINE LEVEL ON ADVISE OF A FRIEND. ITS 36 AGAINST RHE NORMAL VALUE OF BELOW 15. VITAMIN B12 VALUE IS WITH IN RANGE AND HBA1C VALUE IS 8.8 FOR THREE MONTHS AVG. PLEASE advise ON HIGH HOMOCYSTEINE LEVELS AND ITS RISK FACTOR. OR IS IT COMMON IN PATIENTS WHO GOT A ATTACK.

MD - Homeopathy, BHMS
Homeopath, Kolkata
Hello, The information is insufficient, however as you s are suffering from heart diseases, your characterised treatment is required in homoeopathy by providing proper Characterized Homeopathic case recording for individualized treatment else problem will persist. May contact if feel free on abanm@rediffmail.com,as presently, more than 900 heart patients (most of them are post operative) are under my homoepathic treatment who are also taking Modern medicine. They are taking my treatment to reduce the chemical intake, reduce side effects and avoid complications in future.
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I had angioplasty in Feb 2013. One stent in mid LAD to D1. Off late ever since summers started get tired and feel sleepy. Is it because of dehydration or heart issue?

MBBS
General Physician, Jalgaon
Please It is because of electrolyte imbalance in summers Take plenty of water daily Take Electral powder in water regularly during summers.
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Myself kishore I suffered last 3 month pain in chest , I did many check up but all are normal like ECG, Ultrasound, X-ray. After taking high dose injection I relief in my pain. So I want to know about my Disease. Because I am totally confused about my health.

MD, MBBS
Pulmonologist, Delhi
Chest pain can be due to multiple causes and sometimes bone disease related get a thorough check up done for your symptoms.
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I done a chest xray for my dry cough and chest pain .when I breathe in and out my thorat feel empty like it have no air. But chest xray was normal. Echo cardiogram normal. What's the problem.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hello there, for cough, take 2-2 teaspoonful of pranacharya kasantak by mixing it in hot water twice daily. Sitopaladi, praval and tankan bhasm churna taken with honey can also bring relief. Consume this 3 to 4 times a day for relief from dry cough; you can also drink tea with basil leaves or add ginger and black pepper in it. Salted hot water gargling also helps. And stay away from cold drinks and don't take milk when having cough.
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My LDL level as per recent reports is 205. Do I need medication? Also how to reduce cholesterol naturally?

BHMS
Homeopath, Moradabad
take 4 almonds daily take a diet rich in vitamin c like Lemon orangeand fibrous diet it will regulate naturally the Value of cholesterol not so high. take 4 litre water day take walnuts avoid oily and junk food... do for a month...for good results
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I am suffering from high blood pressure & knee pain for the last 15 years, and erection problems for more than 3 years.

MD - General Medicine
Sexologist, Nashik
Most of antihypertensive drugs hamper erection. For detail conversation come to private conversation.
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I have an acidity problem and sometimes it is pain near my chest. What should I do?

MBBS
General Physician, Cuttack
1.Take bland diet, Avoid foods which cause acidity like spicy, oily, fatty and junk foods, onion, garlic, citrus fruit, tomato etc 2..Have proper Breakfast, Don’t skip or postpone your meal, Take home made food, Avoid food and water from outside, 3.Eat smaller meals at frequent intervals like 5-6 meals per day, and don't overeat. 4.Drink plenty of water. 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 if you are having, 7. Avoid stress 8. Take one tablet of pan40 in the morning before breakfast daily for few days.9.Consult me for further advice
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I posted this quesSUBJECT- Regarding transmission of hiv via mosquitoes Res. Sir, I had gone through details given in your ask science. Com site regarding above subject. There are following two versions reg. Mechanical transmission of hiv via mosquitoes in respect of Number of various required to initiate infection- 1. In one answer it is given that usually hiv requires few thousand of various. 2. In other answer reg. Number of mosquitoes required to initiate infection, it is Given that taking average 5 various per mosquito you need 20, 000 mosquito so it Comes as 100, 000 various. So there is variation from 10, 000 to 100, 000. Kindly clarify this with details. Regards A. C. MISHRA Tion early but could not get convincing reply so putting again.

C.S.C, D.C.H, M.B.B.S
General Physician,
There are some important factors which have proven that AIDS is not transmitted by mosquito bite. These factors are: (1) AIDS virus can not replicate inside the mosquito, bed bug, flea, or other blood sucking insect and the lack of replication of HIV in arthropod cells due to lack of T4 antigen on cell surface, and (2) it is unlikely that HIV is transmitted by insects, given the low infectivity of HIV and the short survival of the virus in the mosquito. HIV appears to be much less easily transmitted probably due to lower titres of virus in body fluids. So, on the basis of experimental evidence and probability estimates, it has been concluded that the likelihood of mechanical or biological transmission of HIV by insects is virtually non existent.
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She has been detected with high cholesterol levels and gall bladder stone formation. I want to know about her diet and precautions to be taken..

Diploma in Cardiology
General Physician, Kolkata
Remove the gb stone without delay, later take care of your cholesterol, by diet exercise & medicine.
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In which blood pressure level, we should maintain our body and what temperature level withstand in our body?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
You sshould maintain a bp of 120/80 and body temp. Of 98.4' f and not above these levels in any case in order to remain fit-----------------
1 person found this helpful
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Hi I am affected by death illness I fear in some time the heart attack will come to me like that on that time I can't able to conce. on my studies and also in my work So how do I forget it please help me.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
Hi there How to Stop Worrying Self-Help Strategies for Relief from Anxieties, Worries, and Fears Self-Help for Anxiety Relief Worrying can be helpful when it spurs you to take action and solve a problem. But if you’re preoccupied with “what ifs” and worst-case scenarios, worry becomes a problem. Unrelenting doubts and fears can be paralyzing. They can sap your emotional energy, send your anxiety levels soaring, and interfere with your daily life. But chronic worrying is a mental habit that can be broken. You can train your brain to stay calm and look at life from a more positive perspective. Why is it so hard to stop worrying? No one likes the way constant worrying makes you feel, so why is it so difficult to stop? The answer lies in the beliefs—both negative and positive—you have about worrying. On the negative side, you may believe that your constant worrying is going to spiral completely out of control, drive you crazy, or damage your health. On the positive side, you may believe that your worrying helps you avoid bad things, prepare for the worst, or come up with solutions. You may even believe that worrying shows you’re a caring and conscientious person. Negative beliefs, or worrying about worrying, add to your anxiety and keep it going (much in the same way worrying about getting to sleep often keeps you awake). But positive beliefs about worrying can be even more damaging. It’s tough to break the worry habit if you believe that your worrying protects you. In order to stop worry and anxiety for good, you must give up your belief that worrying serves a positive purpose. Once you realize that worrying is the problem, not the solution, you can regain control of your worried mind. Worry and anxiety self-help tip #1: Create a worry period It’s tough to be productive in your daily life when anxiety and worry are dominating your thoughts. But what can you do? Telling yourself to stop worrying doesn’t work—at least not for long. You can distract yourself for a moment, but you can’t banish anxious thoughts for good. In fact, trying to do so often makes them stronger and more persistent. You can test this out for yourself. Close your eyes and picture a pink elephant. Once you can see itin your mind, stop thinking about it. Whatever you do, for the next 60 seconds, don’t think about pink elephants! How did you do? Did thoughts of pink elephants keep popping in your brain? Why trying to stop anxious thoughts doesn’t work “Thought stopping” backfires because it forces you to pay extra attention to the very thought you want to avoid. You always have to be watching for it, and this very emphasis makes it seem even more important. But that doesn’t mean there’s nothing you can do to control worry. You just need a different approach. This is where the strategy of postponing worrying comes in. Rather than trying to stop or get rid of an anxious thought, give yourself permission to have it, but put off dwelling on it until later. Learn to postpone worrying Create a “worry period.” Choose a set time and place for worrying. It should be the same every day (e.g. In the living room from 5: 00 to 5: 20 p.m.) and early enough that it won’t make you anxious right before bedtime. During your worry period, you’re allowed to worry about whatever’s on your mind. The rest of the day, however, is a worry-free zone. Postpone your worry. If an anxious thought or worry comes into your head during the day, make a brief note of it and then continue about your day. Remind yourself that you’ll have time to think about it later, so there’s no need to worry about it right now. Go over your “worry list” during the worry period. If the thoughts you wrote down are still bothering you, allow yourself to worry about them, but only for the amount of time you’ve specified for your worry period. If they don’t seem important any more, cut your worry period short and enjoy the rest of your day. Postponing worrying is effective because it breaks the habit of dwelling on worries when you’ve got other things to do, yet there’s no struggle to suppress the thought or judge it. You simply save it for later. And as you develop the ability to postpone your anxious thoughts, you’ll start to realize that you have more control than you think. Worry and anxiety self-help tip #2: Ask yourself if the problem is solvable Research shows that while you’re worrying, you temporarily feel less anxious. Running over the problem in your head distracts you from your emotions and makes you feel like you’re getting something accomplished. But worrying and problem solving are two very different things. Problem solving involves evaluating a situation, coming up with concrete steps for dealing with it, and then putting the plan into action. Worrying, on the other hand, rarely leads to solutions. No matter how much time you spend dwelling on worst-case scenarios, you’re no more prepared to deal with them should they actually happen. Distinguish between solvable and unsolvable worries If a worry pops into your head, start by asking yourself whether the problem is something you can actually solve. The following questions can help: Is the problem something you’re currently facing, rather than an imaginary what-if? If the problem is an imaginary what-if, how likely is it to happen? Is your concern realistic? Can you do something about the problem or prepare for it, or is it out of your control? Productive, solvable worries are those you can take action on right away. For example, if you’re worried about your bills, you could call your creditors to see about flexible payment options. Unproductive, unsolvable worries are those for which there is no corresponding action. “What if I get cancer someday?” or “What if my kid gets into an accident?” If the worry is solvable, start brainstorming. Make a list of all the possible solutions you can think of. Try not to get too hung up on finding the perfect solution. Focus on the things you have the power to change, rather than the circumstances or realities beyond your control. After you’ve evaluated your options, make a plan of action. Once you have a plan and start doing something about the problem, you’ll feel much less worried. Dealing with unsolvable worries But what if the worry isn’t something you can solve? If you’re a chronic worrier, the vast majority of your anxious thoughts probably fall in this camp. In such cases, it’s important to tune into your emotions. As previously mentioned, worrying helps you avoid unpleasant emotions. Worrying keeps you in your head, thinking about how to solve problems rather than allowing yourself to feel the underlying emotions. But you can’t worry your emotions away. While you’re worrying, your feelings are temporarily suppressed, but as soon as you stop, they bounce back. And then, you start worrying about your feelings: “What’s wrong with me? I shouldn’t feel this way!” The only way out of this vicious cycle is by learning to embrace your feelings. This may seem scary at first because of negative beliefs you have about emotions. For example, you may believe that you should always be rational and in control, that your feelings should always make sense, or that you shouldn’t feel certain emotions, such as fear or anger. The truth is that emotions—like life—are messy. They don’t always make sense and they’re not always pleasant. But as long as you can accept your feelings as part of being human, you’ll be able to experience them without becoming overwhelmed and learn how to use them to your advantage. The following tips will help you find a better balance between your intellect and your emotions. Worry and anxiety self-help tip #3: Challenge anxious thoughts If you suffer from chronic anxiety and worries, chances are you look at the world in ways that make it seem more dangerous than it really is. For example, you may overestimate the possibility that things will turn out badly, jump immediately to worst-case scenarios, or treat every negative thought as if it were fact. You may also discredit your own ability to handle life’s problems, assuming you’ll fall apart at the first sign of trouble. These irrational, pessimistic attitudes are known as cognitive distortions. Although cognitive distortions aren’t based on reality, they’re not easy to give up. Often, they’re part of a lifelong pattern of thinking that’s become so automatic you’re not even completely aware of it. In order to break these bad thinking habits and stop the worry and anxiety they bring, you must retrain your brain. Start by identifying the frightening thought, being as detailed as possible about what scares or worries you. Then, instead of viewing your thoughts as facts, treat them as hypotheses you’re testing out. As you examine and challenge your worries and fears, you’ll develop a more balanced perspective. Stop worrying by questioning the anxious thought What’s the evidence that the thought is true? That it’s not true? Is there a more positive, realistic way of looking at the situation? What’s the probability that what I’m scared of will actually happen? If the probability is low, what are some more likely outcomes? Is the thought helpful? How will worrying about it help me and how will it hurt me? What would I say to a friend who had this worry? Cognitive Distortions that Add to Anxiety, Worry, and Stress All-or-nothing thinking – Looking at things in black-or-white categories, with no middle ground. “If I fall short of perfection, I’m a total failure.” Overgeneralization – Generalizing from a single negative experience, expecting it to hold true forever. “I didn’t get hired for the job. I’ll never get any job.” The mental filter – Focusing on the negatives while filtering out all the positives. Noticing the one thing that went wrong, rather than all the things that went right. Diminishing the positive – Coming up with reasons why positive events don’t count. “I did well on the presentation, but that was just dumb luck.” Jumping to conclusions – Making negative interpretations without actual evidence. You act like a mind reader, “I can tell she secretly hates me.” Or a fortune teller, “I just know something terrible is going to happen.” Catastrophizing – Expecting the worst-case scenario to happen. “The pilot said we’re in for some turbulence. The plane’s going to crash!” Emotional reasoning – Believing that the way you feel reflects reality. “I feel frightened right now. That must mean I’m in real physical danger.” 'Shoulds’ and ‘should-nots’ – Holding yourself to a strict list of what you should and shouldn’t do and beating yourself up if you break any of the rules Labeling – Labeling yourself based on mistakes and perceived shortcomings. “I’m a failure; an idiot; a loser.” Personalization – Assuming responsibility for things that are outside your control. “It’s my fault my son got in an accident. I should have warned him to drive carefully in the rain.” Worry and anxiety self-help tip #4: Accept uncertainty The inability to tolerate uncertainty plays a huge role in anxiety and worry. Chronic worriers can’t stand doubt or unpredictability. They need to know with 100 percent certainty what’s going to happen. Worrying is seen as a way to predict what the future has in store—a way to prevent unpleasant surprises and control the outcome. The problem is, it doesn’t work. Thinking about all the things that could go wrong doesn’t make life any more predictable. You may feel safer when you’re worrying, but it’s just an illusion. Focusing on worst-case scenarios won’t keep bad things from happening. It will only keep you from enjoying the good things you have in the present. So if you want to stop worrying, start by tackling your need for certainty and immediate answers. Challenging intolerance of uncertainty: The key to anxiety relief Ask yourself the following questions and write down your responses. See if you can come to an understanding of the disadvantages and problems of being intolerant of uncertainty. Is it possible to be certain about everything in life? What are the advantages of requiring certainty, versus the disadvantages? Or, how is needing certainty in life helpful and unhelpful? Do you tend to predict bad things will happen just because they are uncertain? Is this a reasonable thing to do? What is the likelihood of positive or neutral outcomes? Is it possible to live with the small chance that something negative may happen, given its likelihood is very low? Adapted from: Accepting Uncertainty, Centre for Clinical Interventions Worry and anxiety self-help tip # 5: Be aware of how others affect you How you feel is affected by the company you keep, whether you’re aware of it or not. Studies show that emotions are contagious. We quickly “catch” moods from other people—even from strangers who never speak a word (e.g. The terrified woman sitting by you on the plane; the fuming man in the checkout line). The people you spend a lot of time with have an even greater impact on your mental state. Keep a worry diary. You may not be aware of how people or situations are affecting you. Maybe this is the way it’s always been in your family, or you’ve been dealing with the stress so long that it feels normal. Try keeping a worry diary for a week or so. Every time you start to worry, jot down the thought and what triggered it. Over time, you’ll start to see patterns. Spend less time with people who make you anxious. Is there someone in your life who drags you down or always seems to leave you feeling stressed? Think about cutting back on the time you spend with that person or establish healthier relationship boundaries. For example, you might set certain topics off-limits, if you know that talking about them with that person makes you anxious. Choose your confidantes carefully. Know who to talk to about situations that make you anxious. Some people will help you gain perspective, while others will feed into your worries, doubts, and fears. Worry and anxiety self-help tip #6: Practice mindfulness Man meditating Worrying is usually focused on the future—on what might happen and what you’ll do about it. The centuries-old practice of mindfulness can help you break free of your worries by bringing your attention back to the present. In contrast to the previous techniques of challenging your anxious thoughts or postponing them to a worry period, this strategy is based on observing and then letting them go. Together, they can help you identify where your thinking is causing problems, while helping you get in touch with your emotions. Acknowledge and observe your anxious thoughts and feelings. Don’t try to ignore, fight, or control them like you usually would. Instead, simply observe them as if from an outsider’s perspective, without reacting or judging. Let your worries go. Notice that when you don’t try to control the anxious thoughts that pop up, they soon pass, like clouds moving across the sky. It’s only when you engage your worries that you get stuck. Stay focused on the present. Pay attention to the way your body feels, the rhythm of your breathing, your ever-changing emotions, and the thoughts that drift across your mind. If you find yourself getting stuck on a particular thought, bring your attention back to the present moment. Using mindfulness meditation to stay focused on the present is a simple concept, but it takes practice to reap the benefits. At first, you’ll probably find that your mind keeps wandering back to your worries. Try not to get frustrated. Each time you draw your focus back to the present, you’re reinforcing a new mental habit that will help you break free of the negative worry cycle. I hope this helps. Take care
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I have high blood pressure. My age is 21. What should I do know? Is that a serious issue?

BAMS
Ayurveda, Ambala
Dear, To control & maintan BP normal these are best methods to follow : .• Do physical exercise like jogging ,running or brisk walk for atleast 20-30 minutes. • Maintain your cholesterol level to normal & eat least amount of butter ,cream or fatty things. • Eat less amount of pickle , salt and fast food as they contain high sodium levels . • Avoid drinking alcohol and smoking . • Take less amount of caffine containing coffee , tea or cold drinks because caffine causes increase BP . • Drink 8 to 10 glass of water daily • Take 6 to 8 hrs of sleep daily .Do not take too much stress. • Do long breathing pranayams( Anulom- Vilom, Bhramari) daily for 10 - 15 minutes .It will reduce your stress level in your body. • Eat healthy diet such as green leafy vegetables, fruits . • Take 5 ml of GULAB Jal added in a glass of water daily once a day.
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I got head ache from 1 month and its not high slowly, in summer how to manage pls explain of this disease, pls suggest me less dose.

MBBS
General Physician, Mumbai
Take a flow of steam (of plain water only ) over the forehead through a crescent steam inhaler, eight hourly and For headache take tablet paracetamol and Check your eye sight for refractive error and we also have to rule out sinusitis or migrane as the cause of headache after clinical examination
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My systolic blood pressure remains between 127-135. The diastolic is always below 80. I do not drink but have 3-5 cigarettes. I walk for 45 mins everyday and do not have any kind of oily food. Can you suggest what I can do. Also the high systolic is generally during the afternoon. By the evening it is back to normal.

BHMS
Homeopath, Navi Mumbai
Normal blood pressure is different for different age groups. For your age, systolic 135 is quite normal. But we should not take good health for granted. I am indicating towards your habit of smoking. Stop it soon. You deserve healthier life.
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Sir I have high cholesterol. What should I do LIPID PROFILE, BASIC, SERUM (Spectrophotometry, Calculated) Cholesterol Total 287.00 mg/dL <200.00 Triglycerides 386.00 mg/dL <150.00 HDL Cholesterol 46.50 mg/dL >40.00 LDL Cholesterol 173.00 mg/dL <100.00 VLDL Cholesterol 67.50 mg/dL <30.00 Non-HDL Cholesterol 240.50 mg/dL <130.00.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
Cholesterol levels are deranged. You need to start with lifestyle measures. Change your diet (consult a dietician for detailed diet chart) and start exercising, begin gradually and increase to 45 mins of daily brisk walking or yoga. Stop smoking and quit drinking. Repeat lipid profile 6 weeks after these precautions. If they are still high, you will need medications.
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