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Dr. Manoj Mishra

Cardiologist, Mumbai

500 at clinic
Dr. Manoj Mishra Cardiologist, Mumbai
500 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Manoj Mishra
Dr. Manoj Mishra is an experienced Cardiologist in Senapati Bapat Marg, Mumbai. You can visit him at Lifespan Diabetes Clinic - Lower Parel in Senapati Bapat Marg, Mumbai. Save your time and book an appointment online with Dr. Manoj Mishra on Lybrate.com.

Find numerous Cardiologists in India from the comfort of your home on Lybrate.com. You will find Cardiologists with more than 41 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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Hindi

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A 103/104, Prathamesh Building, Raghuvanshi Mill Compound, Senapati Bapat Marg, Lower Parel(W), Landmark: Near Phoenix Mills Compound, MumbaiMumbai Get Directions
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I consult with many doctors but none of the doctors resolves my problem which is CHEST PAIN will you send the solution of my problem with some medicine?

MBBS
General Physician, Mumbai
I consult with many doctors but none of the doctors resolves my problem which is CHEST PAIN will you send the solutio...
Chest pain can be due to muscular pain or pleural or cardiac in origin and for pain take tablet paracetamol 650 mg.
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I have pain in my chest since 2-3 months I have shown to doctor he said according to reports low calcium and vitamin D.

PGDHHM, MBBS
General Physician, Delhi
I have pain in my chest since 2-3 months I have shown to doctor he said according to reports low calcium and vitamin D.
U need calcium suppliments. And vit d supplimentation too. Take vitamin d rich food eg fish, codliver oil, meat liver, egg yolk. Vitamin d is also naturally made by your body when you expose your skin to the sunlight for 30 min everyday. Hope this helps u. If required, consult.
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Hi madam, my wife is 28 weeks pregnant, she had high blood pressure due to that we admitted in boring hospital , doctors are saying due to high bp a sufficient blood is not passing to the baby, they are saying baby is weak due to less amount of blood , we have to deliver the baby now only or else it will be problem for both mother and baby, even though if we deliver we can't save baby , I don't know what to do, pls suggest me I want to save both baby and the mother pls reply me soon pls pls.

MBBS, PG Diploma In Clinical Cosmetology (PGDCC)
Cardiologist, Purba
Hi madam, my wife is 28 weeks pregnant, she had high blood pressure due to that we admitted in boring hospital , doct...
If severe high bp it is dangerous for mother and baby the doctors do the best to save and if proper facilities not avilable locally take her to a good hospital with better facility with neonatal care where the premature baby can be taken care of.
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I am 24 years girl. Suddenly my heart beats in creases and feel very fear. As in something is going wrong. Please suggest advice for such sytoms.

MBBS
General Physician, Mumbai
I am 24 years girl. Suddenly my heart beats in creases and feel very fear. As in something is going wrong. Please sug...
Dear lybrateuser, -you seem to have anxiety which leads to increase in heartbeat & feeling of fear -to lessen it you should do execise like walking, jogging, cycling, swimming daily for 20-30 min, aiso do yoga & meditation to calm your mind & build your confidence, do for at least 10-15 min, try deep breathing exercise for 5 min -have a nutritious diet as per your daily calorie requirement -sleep peacefully for 7-8 hrs in the night, keep sleeping & awake hours fixed, do not sleep for long in the daytime as it makes difficult to fall asleep during night -be active, follow a hobby, socialize with friends, talk with family & friends to remove your fear.
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My wife is 42 years old. She has a mechanical MVR surgery done in 2006. 13 days ago she had a Left MCA Brain stroke. ICA, MCA block. Now she is completely fine. She is taking warf still her previous surgery. What PT INR range should we kept? We confused. Thanks.

DNB Cardiology, MD - General Medicine, MBBS
Cardiologist, Mumbai
Hello, for mechanical mitral valve replacement the recommended inr is 3. Adding low dose aspirin 75 mg or so to warfarin is another way forward, however there is a slight chance of increased bleeding, though all studies have found benefit more than the risk, particularly for your wife as she is young. Regards
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This is general question? I am going to study bsc cardiac technology I want to know is this a good course Will you explain it briefly ? What are we going to study about heart or ECG.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
This is general question?
I am going to study bsc cardiac technology I want to know is this a good course Will you ex...
Cardiac technology involves not only just ecg but helping the doctors in ct cardiac scan, echo cardiovascular scans, doing basic blood tests and lots more with advanced technology.
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Hi, I want to say my stomach so big and my cholesterol so high. Please tell me how to control this?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi, I want to say my stomach so big and my cholesterol so high. Please tell me how to control this?
Hello dear High triglycerides and cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress,take plenty of water in day time. And 1 glass of water before bed at night. use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. Garlic,. Cod liver oil. Take anti cholesterol medicines .
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My creatinine level is 1.4,Which are the foods that I should completely avoid, please mention by name if you can. My age is 56. I am an indian. I am on medication for BP and cholesterol (olmatec20 and atorav10 mg) and also omnic OCA's 0.4 for prostate. Can I take ragi ie millet. Thank you.

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
My creatinine level is 1.4,Which are the foods that I should completely avoid, please mention by name if you can. My ...
Dear I don't suggest medicines for cholesterol. This is made in liver as per body needs. Don't disturb natural ways of body. Food doesn't alter blood cholesterol. Now creatinine level. Thus is slightly raised. Drink plenty of water so your urine is water coloured. Do this for 3 days. Repeat creatinine. If normal Be happy. Other wise call me. I will suggest you simple Ayurvedic remedy to correct this.
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Screening for Prehypertension

MD - General Medicine, MBBS
General Physician, Karimnagar
Screening for Prehypertension

Guidelines for vary from time to time, but generally accepted classification of hypertension ( JNC7)is

Average of two or more properly measured readings at each of two or more visits after an initial screen:

Normal                  < 120 mm Hg SBP             AND   DBP < 90 mm Hg

Prehypertension    120 -139 mm Hg SBP     OR      DBP 80 to 89 mm Hg

Stage 1 HTN            140 -159 mm Hg SBP     OR      DBP 90 to 99 mm Hg

Stage 2 HTN            >/= 160 mm of Hg SBP   OR     DBP >/= 100 mm Hg.

Prevalence of prehypertension among adults in United States is approximately 37 percent.

Study done by Yadhav S et al showed prevalence of prehypetension was 32.3 percent in India with highest  36% among 30-39 yrs age group, indicates that awareness is necessary for regular blood pressure check up.

People diagnosed with hypertension represents “tip  of an iceberg”.

Many patients get to know about their raised blood pressures at the time of diagnosis, heart attack, stroke or kidney disease( end organ failures) which would have been preventable  if treated at an early stage.

Why hypertension should be diagnosed and treated ?

Hypertension currently causes  2/3rd s of all strokes and half of all cases of ischemic heart disease.

Reduction in high blood pressure leads to large reduction in stroke, heart failure, renal failure, aortic dissection, coronary events and death.

Prehypertension: It is an entity where SBP >120 -139 mm Hg or DBP 80-89 mm Hg.

Multiple epidemiological studies demonstrated increased cardiovascular risk in patients with prehypertension.People with prehypertension have increased risk of progression to sustained hypertension, the prevalence of hypertension increases from approximately 10 percent at age of 30 yrs to as high as 90 percent after age of 65 yrs.

Framinham hypertension risk prediction score, may help identification of prehypertensive patients who are at gretest risk for pregression to hypertension. Risk calculator includes variables like age, sex, family history of hypertension, body mass index and smoking.  Most important predictors of these were higher baseline blood pressure and older age.

Screening for hypertension: optimal interval for screening is not known.

2007 USPSTF( United States Preventive Services Task Force) guidelines recommend

Screening every    two years for persons with SBP <120 mm Hg and DBP < 80 mm Hg     

                                 Yearly for persons with SBP 120-139 mm Hg or a DBP 80 -89 mm Hg

How to manage Prehypertension:

TROPHY stydy( TRial Of preventing Hypertension)  results showed that there is no role for pharmacotherapy in prehypertension except in special conditions like diabetes, chronic kidney disease etc.

Treatment:As per JNC 7 reccomendations patients with prehypertension who do not have diabetes, chronic kidney disease , end organ damage , or clinical evidence of cardiovascular disease are generally treated with non pharmacological therapies.

Major non pharmacological therapies that aid to decrease blood pressure are: 

Weight reduction:  Maintain normal body weight ( BMI 18.5 to 24.9 kg/m2)  this can reduce BP by 5 to 20 mm hg per 10kg weight loss.

Adopt DASH eating plan : (DASH- Dietary Approach To Stop Hypertension) consists of fruits, vegetables, legumes, low-fat dairy products with reduced saturated and total fat.This can reduce BP by 8 to 14 mm Hg.

Dietary sodium Restriction: Reduce dietary sodium intake to no more than 100meq/day(2.4 gm sodium or 6 gm of sodium chloride). This can reduce BP by 2 to 8 mm Hg.

Physical activity: Engage in a regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce BP by 4 to 9 mm Hg.

Moderation of alcohol: Limit consumption of alcohol to no more than 2 drinks per day in most men and no more than 1 drink in women and lighter weight persons. This can reduce BP by 2 to 4 mm Hg.

1 person found this helpful

What to do if my heartbeat is high like about 200?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
What to do if my heartbeat is high like about 200?
It's too much. Get checked for tachycardia by possible sa node hyperactivity. In the meantime take arjuna capsules 1 bd with mukta pishti 250 mg bd.
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I am suffering from fever for the last 2 week And I have chest pain whenever I cough hard. Can you suggest me what should be done?

MBBS
General Physician, Cuttack
I am suffering from fever for the last 2 week
And I have chest pain whenever I cough hard.
Can you suggest me what sh...
1.Do blood examination like ESR, CBC, Widal/ Typhidot test, Blood for mp/malaria antigen and Dengue antigen(NS1) test, urine Re/Me, X ray chest after consulting doctor 2.Consult physician for further advice and treatment
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Hello doctors, my age is 31. My BP is 150/100. What are the preventive measures to take in order to avoid or delay hypertension. Also I have thyroid problem.

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
Hello doctors, my age is 31. My BP is 150/100. What are the preventive measures to take in order to avoid or delay hy...
Exercise daily for 45 minutes a day brisk walk daily at a speed not less then 5.1 km /hr daily for 15 minutes eat low salt food add fibres to you diet reduce your weight don't take ghee or butter use saffola or olive oil instead. Take low fat food avoid dairy produ1. No alcohol 2. Reduce body wt 3. No smoking/ tobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more watercts.
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I am having pain in the middle of the chest area and in the heart area. Actually the pain is shifting from middle area to left side. When he takes the tablet (tryptomer, as prescribed) the pain shifts from left area to middle. Please suggest.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am having pain in the middle of the chest area and in the heart area. Actually the pain is shifting from middle are...
You are suffering from side effects of tryptomer- vague pain in heart area and may be others like weight gain, nausea, mood changes, constipation etc. It is an antidepressant and you cannot wean off suddenly. Take help of doctors or kind relatives and friends, there are other ways to cope with depression minus heavy medicines and all of them carry serious side effects like suicidal thoughts. You can get routine heart check ups done, once you give up medicines to get perfect reports, if worried now, get ecg, halter & blood tested for sugar & an x ray of chest. Get back here with reports.
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Hi sir. Am 28 years old male. One or another problem I been facing since 5 years. I has chest pain and operated for ASD in 2014 and operated for sinus problem on 2015. In between this faced problem in working more and standing for even 20 to 30 minutes.. Dr. suggested for cod liver tablets I took those. And problem had reduced temporarily. I was unable to stand for more time, unable to work more due to tiredness. I masturbate 3 or 4 times in a week and Since 5 years I have been suffering from seasonal allergy for which I recently started homeopathy medicine. But recently since one month I have been suffering from erectile dysfunction. before that I was good enough on bed. I worried lot as my marriage is near. It erects but not like before and fail to becomes harden. I have feelings and urge of sex but it is not hardening and size of penis wen it erects also become small compare to one months ago's erected size. On recommendations of homeopathy Doctor I stopped masturbating since 10 days. I had chest pain 20 days ago. I went to Dr. and checked with ECG, TMT, Echo, sugar test, blood urea test, cholesterol test and digital x ray test. Dr. you r perfectly all right.. I sleep 7 to 8 hours in a day. Reasonable workload. No more tension.. Please suggest me to gain previous situation.

MD - GENERAL PHYSICIAN
Integrated Medicine Specialist, Bangalore
Hi sir. Am 28 years old male. One or another problem I been facing since 5 years.
I has chest pain and operated for A...
Hi, this is a normal situation that you need not worry about. You cannot expect your body to remain as young as it was during adolescence. This has mostly happened due to anxiety surrounding the performance and marriage. Keep your mind clear and focused, and drink 1 glass of milk daily to prevent this problem and you will surely do well. Take care.
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My blood pressure is 60/100. Is it normal? What are the diets that will be helpful to bring it to normal.

BAMS
Ayurveda, Ambala
My blood pressure is 60/100. Is it normal? What are the diets that will be helpful to bring it to normal.
For Recovering from low BP follow these best methods : • Anaemia is a cause of low BP so check your hemoglobin level (Hb ) if this is low so eat green leafy vegetables , beetroot and fruits like pomegranate. • Eat an apple daily it maintain your BP normal . • Take your meal daily do not skip meal . • Drink 8 - 9 glass of water daily . Hydrate your body well with drinking proper amount of water because dehydration is also cause fall of BP. • When you feel that your BP is low then take 2 teaspoons of Glucon D and add a pinch of salt mix it in one glass of water and drink it. You can repeat it after 2 hours . This will maintain electrolyte balance and your BP . You can drink a cup of tea . • Drink a glass of milk daily . It maintain your stamina. • Take a multivitamin capsule daily for 15 days . • Eat a teaspoon of gulkand daily and maintain your blood sugar level . • Do long breathing pranayams daily and do not take stress .
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PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Chandraprabha Vati – Benefits, Dosage, Ingredients And Side Effects

Chandraprabha Vati is a tablet, used in Ayurvedic treatment of diabetes, diseases of urinary track, and many other disease conditions. It is widely used in Ayurvedic practice, across India.

Chandraprabha Vati uses:

It is used in Ayurvedic treatment of urinary tract infection, difficulty in urination, urinary calculi.

It helps to relieve constipation, bloating, abdominal colic pain, low back pain.

It is useful in treating cold, cough, rhinitis, bronchitis, asthma and such other respiratory diseases.

It is used to treat eczema, dermatitis, pruritis and allergic skin conditions.

It is useful to treat piles, liver, spleen diseases, anaemia and fistula.

It helps to relieve teeth problems like caries, eye infections.

It is used to treat semen defects and gynaecological problems.

It helps to relieve indigestion, improves strength, it is a natural aphrodisiac and anti aging Ayurvedic medicine.

Effect on Tridosha – balances Vata, Pitta and Kapha.

Chandraprabha Vati dosage: (500 mg tablet) – 1 – 2 tablets 1 – 2 times a day, before or after food or as directed by Ayurvedic doctor.

Chandraprabha Vati side effects:
People with high BP should take this medicine only under medical care, since this medicine contains salt as ingredient.

Over-dosage may cause slight burning sensation in abdomen.
8 people found this helpful

Sir I want to ask that how can we manage our fitness. Now my age is 22 years & my cholesterol is high.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Navi Mumbai
Sir I want to ask that how can we manage our fitness. Now my age is 22 years & my cholesterol is high.
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.dont drink water after meal drink at the time of meal sip by sip up to 150 ml 4.avoid late night sleep
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My daughter is 17 has PCOD. She feels lethargic at times, low blood pressure and pain in stomach is it because of this only?

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
My daughter is 17 has PCOD. She feels lethargic at times, low blood pressure and pain in stomach is it because of thi...
give her pep talk these are common symptoms. give spasmo proxyvon one tab sos only when too much pain.consult me for more.she has some depression also.take calm pose sos when worried and lack of sleep only consult in private
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I am having chest pain from past 2 days. Is it compulsory to see a doctor? My age is 22.

MBBS, cc USG
General Physician, Noida
I am having chest pain from past 2 days. Is it compulsory to see a doctor?
My age is 22.
Hello, CHEST PAIN in your case may be due to 1.acidity. 2. severe anxiety 3. muscular problem Is history of any trauma / breathing difficulty also is pain only at one point? is burning chest also + i need to take detail history for further management consult Physician/me for further management
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C.S.C, D.C.H, M.B.B.S
General Physician,
Heart disease start in the YOUNG AGE

Autopsy studies of young people who died in accidents have shown that by the late teens, the heart blockages, the kind of lesions that cause heart attacks and strokes are in the process of developing.

The best opportunity to prevent heart disease is to look at children and adolescents and start the preventive process early. More than a third of children and adolescents are overweight or obese.

The first signs that men are at higher risk of heart disease than women appear during the adolescent years despite the fact that boys lose fat and gain muscle in adolescence, while girls add body fat.

Between the ages of 11 and 19, levels of triglycerides, a type of blood fat associated with cardiovascular disease, increases in the boys and drops in the girls. Levels of HDL cholesterol, the "good" kind that helps keep arteries clear, go down in boys but rise in girls.

Blood pressure increases in both, but significantly more in boys. Insulin resistance, a marker of cardiovascular risk, which is lower in boys at age 11, rises until the age of 19 years.

Any protection that the young women have for cardiovascular protection can be wiped out by obesity; hence, obesity in girls at any cost should be handled on priority.
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