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Dr. Narayan Parmanandji Gherwara

Cardiologist, Mumbai

Dr. Narayan Parmanandji Gherwara Cardiologist, Mumbai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Narayan Parmanandji Gherwara
Dr. Narayan Parmanandji Gherwara is a trusted Cardiologist in Kandivali West, Mumbai. He is currently practising at Dr Narayan Parmanandji Gherwara in Kandivali West, Mumbai. Save your time and book an appointment online with Dr. Narayan Parmanandji Gherwara on Lybrate.com.

Find numerous Cardiologists in India from the comfort of your home on Lybrate.com. You will find Cardiologists with more than 25 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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Neelyog Apartment, Ground Floor, M G Cross Road, Road No 4, Opposite Patel Nagar, Kandivali West, MumbaiMumbai Get Directions
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Hi doctor my friend advice me to take fenugreek powder every morning before breakfast in luke warm water to lower down cholesterol so is it realy true but is der vil b any side effect on sexual heath if I drink fenugreek powder water in early morning everyday bcoz of cholesterol.

DHMS (Hons.)
Homeopath, Patna
Hi doctor my friend advice me to take fenugreek powder every morning before breakfast in luke warm water to lower dow...
Hello, you are on d right track but only medication will not suffice your need unless you opt certain natural measure to reduce cholesterol - level. - go for brisk walk in d morning to restore blood circulation to nourish your body and clear blood arteries. - go for meditation to inhale plenty of oxygen to feed heart, cells, tissues, reducing stress & keeping your brain calm. Plenty of water be consume to eliminate toxins &'to hydrate your self go for cycling, swimming, jogging, gardening. Avoid, junk food, caffeine, nicotine, alcohol, fried food, pizza, burgers. Homoeo medicine: @ phyto berryq - 10 drops, thrice, orally, with little water.
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I suffer from diabetes and HBP. After a stressful day, I checked by BP by OMRON HEM-7111 numerous times on my left arm but every time it showed an error, while for anybody else it showed the correct reading. A Then when I tried on my right arm, it showed the reading as 198/108. Why was it so? Please put some light as to what could be the reason.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I suffer from diabetes and HBP. After a stressful day, I checked by BP by OMRON HEM-7111 numerous times on my left ar...
To use these electronic BP machines to get correct reading, one should follow strict rules while using them like 1. Size of Cuff A BP cuff that is too large will give falsely low readings, while an overly small cuff will provide readings that are falsely high The most practical way to quickly and properly size a BP cuff is to pick a cuff that covers two-thirds of the distance between your patient’s elbow and shoulder. 2. Incorrectly position of Patient's bodyA seated upright position provides the most accurate blood pressure, as long as the arm in which the pressure is taken remains at the patient’s side. Patients lying on their side, or in other positions, can pose problems for accurate pressure measurement. To correctly assess BP in a side lying patient, hold the BP cuff extremity at mid heart level while taking the pressure. In seated patients, be certain to leave the arm at the patient’s side. 3. Placed the cuff incorrectly The standard for blood pressure cuff placement is the upper arm using a cuff on bare skin with a stethoscope placed at the elbow fold over the brachial artery.The patient should be sitting, with the arm supported at mid heart level, legs uncrossed, and not talking. 4. Do not be Prejudiced Prejudice for normal readings significantly contributes to inaccuracies in blood pressure measurement. 5. You’re not factoring in electronic units correctly Electronic blood pressure units also called Non Invasive Blood Pressure (NIBP) machines, sense air pressure changes in the cuff caused by blood flowing through the BP cuff extremity. Sensors estimate the Mean Arterial Pressure (MAP) and the patient’s pulse rate. Software in the machine uses these two values to calculate the systolic and diastolic BP. To assure accuracy from electronic units, it is important to verify the displayed pulse with an actual patient pulse. Differences of more than 10 percent will seriously alter the unit’s calculations and produce incorrect systolic and diastolic values on the display screen. So my point to explain all this above 5 points is that these electronics gadgets can only be helpful if we follow strict guidelines as these gadgets are provided strict instructions in their software but we people every time chk our BP in different bodily conditions Blood pressure readings in the right and left arms that differ by a few points aren’t anything to worry about. It’s actually quite normal. A difference of more than 10 points, though, could suggest trouble.In younger people, side-to-side differences in blood pressure can occur when a muscle or something else compresses an artery supplying the arm, or by a structural problem that prevents smooth blood flow through an artery.In older people, it’s usually due to a blockage arising from atherosclerosis, the artery-clogging disease process at the root of most heart attacks, strokes, peripheral artery disease, and other cardiovascular conditions, but the possibility of a damaged BP monitor cannot be ruled out in your case- Here are a few tips to help you start monitoring your blood pressure at home: 1. Avoid caffeine, alcohol, and nicotine during the 30 minutes before you take your reading. 2. Sit quietly for a few minutes with your back supported and your feet on the floor. 3. When making the measurement, rest your arm so your elbow is at the level of your heart. 4. Wrap the cuff over the bare skin of your upper arm. Measure your blood pressure according to the machine’s instructions. Leave the deflated cuff in place, wait a minute, then take a second reading. If the readings are close, average them. If not, take a third reading and average the three. Repeat the procedure in the other arm. 4. If the blood pressure readings in your arms are off by more than 10 or 15 points, mention this at your next doctor visit and ask your doctor or nurse to check both arms.
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Gud morning doctor, I have some burning in my stomach. Some burning at right of my chest.

MBBS, MBA (Healthcare)
General Physician, Delhi
Gud morning doctor,
     I have some burning in my stomach. Some burning at right of my chest.
take aciloc 150 mg 2 times a day for 2 weeks. do ecg, x ray chest pa . inform report. consult physician.
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How to lower the cholesterol level and triglyceride?

MD - Internal Medicine, MBBS
Endocrinologist,
How to lower the cholesterol level and triglyceride?
High 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. Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, take green veg., whole grain.garlic,. Take anti cholesterol medicines .
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I am 35 years old. I have problem of cholesterol. What I have to do?

MD - Internal Medicine, MBBS
Endocrinologist,
I am 35 years old. I have problem of cholesterol. What I have to do?
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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I am 46 yrs old female suffering from hypothyroid frm last 6 yrs I take thyronorm 100 mcg at the same tym I have high bp on which I was suggested numlo at. It was going normal but frm last 6 months i'm putting on weight and hav developed gap in knees too. My tsh levels r normal. My diet is same and my concern is weight please guide me.

B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Hi, an under-functioning thyroid is a hormonal disruption that could be fixed via good eating habits and an active lifestyle. At our clinic we do have several clients come in with a thyroid disorder which we successfully rectify with lifestyle intervention and behavioral modification. This would be a great platform for you to be on as well.
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Hi, I have pain in my chest. What should i do?

MBBS
General Physician,
Hi, I have pain in my chest. What should i do?
Hello, chest pain in your case may be due to 1.acidity. 2. severe anxiety 3. muscular problem A.You can take Tablet Pantocid 40 mg one tablet before food for 3 days B. Local application of Volini gel 1% twice a day for 2-3 day you should go for BP check along with Base line ECG and review with report I am giving you some health tips to avoid acidity 1.Take small frequent meal kindly take 5-6 small meal in whole day 2.Take 6-8 glass of water in a day 4. Moderate physical activity regularly 5.avoid excessive tea, coffee 6. Do Not postpone Breakfast thanks
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Hi Doctor my mom is having bp high every time after taking medicine also what we need to do for control.

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
Hi Doctor my mom is having bp high every time after taking medicine also what we need to do for control.
Dear lybrate-user, It will be proper to take her to the same doctor who prescribed the first medicines. Maybe the medicine dose needs to be adjusted. Make sure she is taking the proper precautions to keep her BP under check with proper exercise, diet and rest. Regards.
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My mother has been suffering from right knee pain from last 5 years. I have visited my doctors and hospitals. There was temporary relief from the knee pain but no permanent solution. She is a high blood pressure and diabetic patient. She takes gluconorm and telma-am daily. Sir, please help me? What should I do now?

MPT - Orthopedic Physiotherapy
Physiotherapist, Jaipur
My mother has been suffering from right knee pain from last 5 years. I have visited my doctors and hospitals. There w...
Main cause of all their problems is increase fat on their body. The ideal weight must be 50 kg. It increase pressure on their knees, heart, blood vessels. So reduce 20 kg weight and you see all problems are gone. For weight reduction use steps: 1. Morning brisk walk at least 2 km. 2. Stop eating fried, non vegetarian, dairy products. 3. Vegetables, fruits, serials, grains use in food. 4. Use hot packs for pain. 5. Gym cycling, breathing exercises.
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Hii, sometimes my left arm occur too much pain is it any heart diseases or its normal Can you tell me about it how and why it's happen.

MBBS
General Physician, Ahmednagar
Hii, sometimes my left arm occur too much pain is it any heart diseases or its normal Can you tell me about it how an...
There are so many causes. It may be due to Joint pain, Muscle pain. Over strain of arm and so on. At your age it unlikely that it is pain related to heart.
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For pre diabetes and ldl cholesterol just pp 206 (6 pts more than normal) and ldl 159 (1pt less upto 160 normal) if I need any medicine or by food exercise walk/standing/fruits/frequency of light food can bring this to normal and maintain. Thanks for your anticipated reply.

MBBS
General Physician, Cuttack
For pre diabetes and ldl cholesterol just pp 206 (6 pts more than normal) and ldl 159 (1pt less upto 160 normal) if I...
Your blood sugar and cholesterol level is in the upper limit of normal. Regular exercise, diet control, weight reduction, avoiding oily and fatty food, restricting carbohydrate and sweets can bring down the sugar and cholesterol level. Repeat the test after some time. If not under control medicine has to be started.
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I have pain in rib cage bone in front for last 2 months. Please tell me probable reason for this and what should I do to get rid of it.

MBBS
General Physician, Delhi
Take tablet brufen sos in acute pain. Get yourself screened up for chest x Ray to rule out costochondritis
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Left hand pains when carry less weight, it increase and light chest pain comes. If don't carry any weight everything is alright. What to do now.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Left hand pains when carry less weight, it increase and light chest pain comes. If don't carry any weight everything ...
Muscular endurance are week due to stiffness ya lack of exercise. If stiff then do stretching or muscle relaxant medicine and after this start strength exercise like gripping exercise.
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I am 47 years female with diabetes, hypertension and hypothyroidism. Have been taking medicines and vitamin/iron supplements for deficiencies. Now I have a question regarding a particular diet. LCHF-Low carbohydrate high fat diet is very popular for diabetics where they adopt 20% carb/20%protein/60% fat since we all diabetics have problem of carbohydrates metabolism. I wish to ask whether 20% carb intake is enough for normal functioning of body? Due to ketosis and ketogenic effect, where body uses ketone instead of glucose in absence of glucose availability due to low carbs, can such diet work long time and effective in lowering blood sugar levels? I have seen people adopting such diets and either use minimal drugs or even without medicines they manage their diabetes with this kind of low carb diet. Pl tell me how to go about it if I wish to manage my diabetes with the help of low or moderate carbs plus how many calories total I should take in a day as a women and with all these medical conditions with an almost sedentary lifestyle. What percentage of carbs intake is an ideal to follow for a diabetic with hypothyroidism if we take 1600 calorie diet? I read that too low carb intake can again damage thyroid.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
I am 47 years female with diabetes, hypertension and hypothyroidism. Have been taking medicines and vitamin/iron supp...
Being a person who manages dozens of different varieties of diabetics daily, I don't believe in such fads. I believe a diabetic should have a sensible diet, regular & moderate exercise, relaxed, stressfree lifestyle, good quality sleep and abstain from tobacco (if possible, from alcohol too). All these "percentage diets" are useless.
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I am using tablet Serolem 50 /5 for BP management but there are two type of medicines in market, one with Ramipril another without Ramipril....what to use and why.

Fellowship in Advanced Coronary Intervention, DM - Cardiology, MD - Internal Medicine, MBBS
Cardiologist, Gurgaon
Seloram is a combination of Ramipril and metoprolol. You can take any brand as long as the salts are same
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I am aged 65 years underwent stent for my coronary block, single vessel. Using all medicines regularly. Playing lawn tennis daily for 2 hours in the morning. Lately I am experiencing mild pain in the chest occasionally. I am working as a professional in a college for 10 hours daily? What should I do to further investigate. My blood reports are normal, including lipid profile.

MBBS
General Physician, Mumbai
I am aged 65  years underwent stent for my coronary block, single vessel. Using all medicines regularly. Playing lawn...
Dear lybrateuser, -it is good to be active & keep yourself busy as you are but in my opinion you should cut down a little on your tennis time as it may be putting a little strain on your heart as tennis is a hectic game, keep sometime for a walk which will cool you down after the game as well as be beneficial to you -spare sometime in the morning for meditation & deep breathing as they help to reduce stress & keep the mind & body relaxed -consult your cardiologist for further investigations, like tmt test, echocardiography, to asses your cardiac status & prescribe requisite treatment.
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Sir meri age 55 years he hai blood pressure 30 sal se he 15 sal pahle neoplastic bhi hui thi or mughe cml bhi he me cardias10 and cancar5 and Leviticus bhi leta hu pichle 6 mahine se penis me hardness aati hi nahi he or aati bhi he to1minit ke liye sex ki bahot man hota he penis me bahot weakness he intercourse bhi kabhi hardness thodi aati he to 1 minit se jyada nahi ho pata please iska bina said infect wala treatment bataiye.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Sir meri age 55 years he hai blood pressure 30 sal se he 15 sal pahle neoplastic bhi hui thi or mughe cml bhi he me c...
Hi, take continue your medicines, avoid salty and spicy and oily meals. Do kegal exercise. Kegal exercise designed to strength your pelvis floor muscles. It helps also in increase size of penis. This can help improved erection quality and indirect enlarge penis. First find your pelvis muscle. While urinating contract pelvis muscle stop the flow of urine hold it for 10 seconds and release urine. Repeat this exercise 3 to 10 time per day. It is best exercise for penis erection dysfunction and enlargement for penis. Kegal exercise is better than viagra. Take ginseng daily better stamina.
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Low BP 70/50 while standing and dizziness and fell down some times while walking. please Advise.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
Low BP 70/50 while standing and dizziness and fell down some times while walking. please Advise.
What you are detailing here is known as postural hypotension - or spontaneous fall in BP with acquisition of upright posture. This condition requires elaborate evaluation and us due to many reasons. You also need to know that some medicines cause postural hypotension and in case you are taking any such medicines- those need to be discontinued.
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5 Tips From a Top Cardiologist To Help Keep You Away From Heart Problems

MD - Medicine, MBBS
Cardiologist, Panchkula
5 Tips From a Top Cardiologist To Help Keep You Away From Heart Problems
Cardiac ailments are extremely common these days and surprisingly, 90 percent of these are completely preventable. Utter neglect, inadequate awareness and an unhealthy lifestyle are the major reasons which lead to the development of various problems of the heart such as heart attacks, stroke, inflammatory heart disease, hypertensive heart disease etc. Here are some top tips to keep your heart healthy and keep all cardiac diseases at bay:

1) Keep your weight in check - Obese/overweight people are at a considerably higher risk of attacks/stroke in comparison to people with a healthy body weight. Try and maintain the correct height-health ratio at all times by including a healthy diet and regular exercise in your daily routine. Also, get a weight check every six months.

2) Kick your smoking habit - People who are regular smokers are most likely to be affected by coronary heart disease. Keep a tab on your smoking habit and if possible, leave it completely. If you are above the age of 45 and are a heavy smoker, you should immediately kick the butt.

3) Bring down salt consumption - According to scientists, a food product is said to have an unhealthy salt content if it contains more than 1.5 gm salt per 100gm. High intake of salt contributes to an unstable blood pressure and thus you should try and avoid processed foods that have a high salt content. Also, try and use minimum salt when you cook food at home.

4) Avoid saturated fat - Excessive consumption of saturated fat is a major cause of cardiovascular diseases. Make little but effective changes in your daily diet and substitute saturated fats with their healthier counterparts. Avoid fried food products, full-fat milk and red meat.

5) Minimize your alcohol consumption - Everyone knows that red wine is good for the heart, but everything in excess is harmful. Moreover, other alcoholic variants such as beer will actually add to your body weight and make you vulnerable to a number of heart problems. Try and limit your alcohol consumption to one drink a day.

Your heart is your lifeline. Take good care of it. If you fave any further questions on heartcare, click on consult privately to ask me.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.
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My mother 50, is a BP patient. Majority time when in duty she have 150-90 and have severe pain in head. Even when calm she have BP near to 140-80. She takes amlodipine as recommended by doctor earlier. Kindly help.

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
My mother 50, is a BP patient. Majority time when in duty she have 150-90 and have severe pain in head. Even when cal...
Your Mother's BP seems to fluctuate with change in mood. So the first thing to do is to make sure she develops healthy habits and some hobby which she enjoys. Maybe knitting, singing, potted plants or a pet animal. Her choice. This will help her relax mentally and support better BP levels. Control her diet strongly. Oily, spicy, chilies and difficult to digest food stuff like cholle, rajma, chana dal, mooli. These will affect BP. So reduce or even stop for few weeks. She will feel the benefit soon. Make sure she sleeps well. In comfortable bed and cool room. Proper sleep is essential for good health. Take her for walks, walking helps the mind relax. Have a good Dusshera. Best wishes.
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