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Dr. Nel Kotari

MBBS

Cardiologist, Mumbai

650 at clinic
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Dr. Nel Kotari MBBS Cardiologist, Mumbai
650 at clinic
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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. Nel Kotari
Dr. Nel Kotari is a renowned Cardiologist in Bandra East, Mumbai. He is a MBBS . He is currently associated with Guru Nanak Hospital in Bandra East, Mumbai. Save your time and book an appointment online with Dr. Nel Kotari on Lybrate.com.

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MBBS - - -

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Guru Nanak Hospital

#S/341, MIG Colony, Kala Nagar, Bandra East,Landmark: Near Chetna College, MumbaiMumbai Get Directions
650 at clinic
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Guru Nanak Hospital

#S/341, MIG Colony, Kala Nagar Landmark : Near Chetna College.Mumbai Get Directions
650 at clinic
...more
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Panic Attack - Ways It Can Be Treated!

Ph.D Psychology, M.Phil - Psychology
Psychologist, Jaipur
Panic Attack - Ways It Can Be Treated!

A panic attack is something which can hit a person like a sack of bricks and can really affect him or her. While a lot of people around the world do happen to suffer as a result of panic attacks, not many of them know what they could do to make it end soon and to get back to normal. So, wouldn’t it be a pretty good idea to learn a little about what can be done to control a panic attack?

Symptoms
One of the most common signs of a panic attack is a hike in the rate of intake of air and an increase in the pulse rate of the person at the same time. In addition to this, the person’s palms get sweaty and clammy. A lot of people who experience panic attacks also feel the need to either vomit or defecate when they have one, neither of which can be said to be a pleasant feeling. Dizziness and a feeling of numbness are also quite common symptoms indicating a panic attack.

Causes
The reason why a person usually has a panic attack in the first place is because he or she feels that the degree of control possessed over a certain situation is not to the level that would seem to be comfortable. What is interesting when it comes to panic attacks is the fact that the more a person panics in a specific situation, the more the panic attacks are going to occur in that sort of situation or ones that are similar. For example, if a person is worried prior to a race and runs away from it instead of running the race itself, it registers in the mind as something worth being scared about. Facing up to the fear has great value. Apart from the anxiety factor, certain medicines and physical ailments also sometimes result in panic attacks.

Tips to end a panic attack
1. Hyperventilation is common and a deep breath goes a long way.
2. An alternative to hyperventilation would be to hold one’s breath. The duration for which this should be done is about 10 to 15 seconds. Doing this just a few times greatly helps in returning to normal.
3. A person doesn’t really think when in the middle of a panic attack. Making the effort to do any mental exercise such as backward counting in sets of 3 from 100 helps. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

What should we do in we have high BP? And also tell me why sugar is not to eaten by a person how have diabetes.

MD-Homepathy
Homeopath, Mumbai
What should we do in we have high BP? And also tell me why sugar is not to eaten by a person how have diabetes.
Hello lybrate-user, a) a sound clinical evaluation often suffices to trace the cause of hypertension in younger age group. Younger men with high blood pressure typically have high diastolic pressure while older men have high systolic pressure. In young men, the diastolic pressure rises because the heart is pumping harder. Often these are patients whose blood pressure would respond to weight management and other lifestyle changes, but they're less likely to seek treatment. Few lifestyle modifications like weight reduction, dash (dietary approaches to stop hypertension) eating plan. Lower salt intake. Aerobic physical activity. Moderation of alcohol consumption. B) diabetes is a metabolic disease in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. When you have diabetes, your blood sugar (glucose) levels may be consistently high. Over time, this can damage your body and lead to many other problems. Glucose is precious fuel for all the cells in your body when it's present at normal levels. But it can behave like a slow-acting poison. High sugar levels slowly erode the ability of cells in your pancreas to make insulin. The organ overcompensates and insulin levels stay too high. Over time, the pancreas is permanently damaged. High levels of blood sugar can cause changes that lead to a hardening of the blood vessels, what doctors call atherosclerosis.
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I am 41 years old. Having blood sugar 160/260, bp 150/100, having lots of stress in office work and family life.

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
I am 41 years old. Having blood sugar 160/260, bp 150/100, having lots of stress in office work and family life.
Hi there ~ first things first. You need your blood sugars under control, and this is a priority. You need to get yourself to a diabetologist and consult them to check if you need changes in your medications. I strongly believe that you do. Next off, you need to control your blood pressure and hypertension along with uncontrolled diabetes is the cause of many medical emergencies like stroke, heart attack, etc, stress is the result of or the causative factor in many cases for the medical conditions that you are experiencing. I believe that you may need to consult with a psychiatrist after your medical problems are solved to see if you need any medications or therapeutic measures like relaxation techniques and yoga pranayama dhyana meditation and mindfulness to overcome stress. Hope this helps. Take care and have a lovely day!
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One month child have a problem in heart, child has problem in breathing, Dr. Said" dil main surakh hain" operation karna hoga within two weeks but other Dr. Said operation karna hoga but after one or two years because child's age is one month. Please advise me main kya karu?

MBBS
General Physician, Ahmedabad
Actually,dil me surakh,means child may be having Ventricular Septal Defect.Now the size of defect,characteristic of defect and cardiac complication particularly cardiomegaly and high pressure in Pulmonary artery are important factors to take decision of operation.If condition is worsening then better to take chance of early operation.
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I did ecg last monday and there was st changes with abnormality. So cardiologist suggested me to do stress test. So on wednesday I did and was able to walk for 12 minutes and 26 seconds. And seeing the reports Dr. said it was nonspecific changes. It may be due to anxiety and fear. Last month I did cholesterol it was 211 with ldl and triglycerides on higher side. And on monday I did cholesterol test again it was 251 and this time triglyceride was higher and ldl too. And pressure is 140/80 when measured by Dr. I am taking met xl 12.5.so can this medicine increase your cholesterol levels. And are they any risk of heart problem?

MBBS
General Physician, Mumbai
I did ecg last monday and there was st changes with abnormality. So cardiologist suggested me to do stress test. So o...
Metxl is not responsible for increase in cholestrol levels and ldl cholesterol is the main culprit for you to have symptoms suggestive of angina and I will suggest you to do exercise regularly and eat a low fat content in your diet and few tips on diet say no to maida items like toast, khaari, naan, white bread. Can drink tea but without sugar say no to buffalo milk and can drink cows milk can eat brown bread can eat sprout's can eat green vegetables, can eat chappati, bajra ka rotla can eat one katori of rice twice a day with dal to avoid farsan food items can eat fruits say no to coconut water and follow up with finding after six months.
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5 Warning Symptoms That Your Heart Gives & You Shouldn't Ignore!

MBBS, PG Diploma In Clinical Cosmetology (PGDCC)
Cardiologist, Purba
5 Warning Symptoms That Your Heart Gives & You Shouldn't Ignore!

Your heart gives you warning signs before the onset of a major problem. You may not even know that you are at risk of one or more heart diseases if you fail to notice these small signs that your heart sends out. Even a minor symptom, like chest pain, can indicate that your heart may be in trouble. While there could be many causal factors for a heart condition, here some symptoms, which are possible indications of a heart disease and should not be ignored in any case.

1. Chest pain or discomfort - This symptom is the most common one, which indicates that your heart is not healthy. It usually comes in the form of a pain, pressure or tightness in the chest and may happen due to a blocked artery. This may be an early warning sign of a heart attack and you should seek professional advice before it turns into a major problem.

2. Excessive sweatingIf you often sweat without any valid reason, it might be a sign to be concerned for. The sweating experienced will feel more like the one that arises due to stress rather than common perspiration experienced due to any vigorous physical activity.

3. Difficulty in breathing - Shortness of breath is an indication that you are at high risk of getting a heart attack. The symptom includes having difficulty in breathing and feels similar to the panting experienced after a long run.

4. Nausea and frequent stomach problems - If you experience nausea, heartburn, indigestion or abdominal pain frequently, it may be the result of an unhealthy heart. Of course, these signs may be due to other diseases as well, but if you experience any of the other symptoms of heart problems too, it's highly probable that your heart is in trouble.

5. Exhaustion - If you fall into the high-risk zone of being a potential heart patient, you may feel exhausted after doing some simple chores, which didn't tire you earlier. Common examples may be climbing the stairs or carrying something from your doorstep inside the house to name a few.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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I have gone through lipid profile test since my BP was high (160/110), it reflected that my triglycerides are very high (225). Which are the things I need to do to reduce triglycerides? And which food or habits I should avoid? And pls also suggest my food which will burn my triglycerides.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
I have gone through lipid profile test since my BP was high (160/110), it reflected that my triglycerides are very hi...
Your blood pressure is very high. Control that first, cut down on your salt / processed food intake. Do regular walk/ exercise and lose weight. Check your bp regularly. If continuously high, then you masy need to take medicines. Many of the same things you do to improve your overall health can dramatically lower your triglycerides. Lifestyle changes—such as modifying your diet and losing weight—can potentially cut your triglyceride levels in half. 1. Lose weight. If you’re overweight, losing 5 to 10 percent of your body weight—just 10 to 20 pounds for someone who weighs 200 pounds—will reduce your triglycerides by about 20 percent. 2. Cut the sugar. Individuals whose added sugar intake is less than 10 percent of daily calories have the lowest triglyceride levels. 3. Stock up on fiber. Instead of consuming sugar and other refined carbohydrates, focus on more fiber-rich foods, such as vegetables, fruits and whole grains. 4. Limit fructose. Studies have found that consuming too much fructose—a type of sugar—leads to high triglycerides. High-fructose corn syrup is a major source of fructose. Even the fructose that's found naturally in fruit can increase triglycerides, so if you have high triglycerides you should watch the types of fruit you eat. Dried fruits, such as raisins and dates, have the most fructose, whereas peaches, can notaloupe, grapefruit, strawberries and bananas are relatively low in fructose. 5. Eat a moderately low-fat diet. Replacing your regular dairy products with those marked" low-fat" may help lower your triglyceride levels. 6. Watch the type of fat you eat. Cut back on saturated fats, which are found in red meat, poultry fat, butter, cheese, milk, and coconut and palm oils, and keep trans fats, found in shortening and stick margarine, to a minimum. Replace trans fats with healthier polyunsaturated and monounsaturated fats. Examples of polyunsaturated fats include safflower, corn and soybean oils. Examples of monounsaturated fats include mustard, canola and olive oils. Although unsaturated fats are better for you in terms of cholesterol and triglyceride counts, they're high in calories, so go gentle on the amount you cook with or you may gain weight. 7. Add omega-3 fatty acids. Fatty fish such as salmon, herring, sardines, lake trout and tuna are abundant in omega-3 fatty acids—a type of fat that is actually good for you. To reap the benefits, the AHA recommends that you eat fatty fish at least twice a week. If you already have high triglycerides, you can take omega-3 capsules. For vegetarian ones, there is flaxseed, walnut and almonds. 8. Exercise. If you have high triglycerides, getting at least 30 minutes of moderate-intensity physical activity most days of the week may lower your triglyceride levels. Exercise is also an important part of keeping your weight under control. 9. Limit alcohol. Some studies have linked even small amounts of alcohol to modest increases in triglycerides. 10. Take triglyceride-lowering drugs. If your triglycerides are very high (500 mg/dL or above), your doctor might recommend a medication shown to lower triglycerides, such as fibrates, niacin, omega-3s or statins. But lowering triglycerides with medication alone has never been shown to reduce the risk of heart attack or stroke, so be sure to watch your diet and continue exercising as well.
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I am 34 yr old and I feel some light pain in my chest so please tell me which test I do.

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I am 34 yr old and I feel some light pain in my chest so please tell me which test I do.
Chest pain may be 1) cardiac 2) respiratory 3) muscular 4) gastric and many more. So I wud like to advice chest xray ecg usg abdomen serum uric acid lipid profile.
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My mother is suffering from heart attack and all the 4 arteries are blocked with 70%,80%,80%,90% so what is the solution. Is only surgery is the solution for this?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My mother is suffering from heart attack and all the 4 arteries are blocked with 70%,80%,80%,90% so what is the solut...
Yes bypass surgery is the only solution, it sounds scary but go to a good hospital and mortality rate is less than 1%, one gets a new life after surgery which lasts for years of healthy life provided care is taken. Good luck.
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How can we manage Blood Pressure? And when the problems of blood pressure started?

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
How can we manage Blood Pressure? And when the problems of blood pressure started?
give full details and BP levels.take less salt papad and pickles.consult for more information and advice privately
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