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Dr. Onkar Tarnekar

Cardiologist, Mumbai

1600 at clinic
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Dr. Onkar Tarnekar Cardiologist, Mumbai
1600 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. Onkar Tarnekar
Dr. Onkar Tarnekar is one of the best Cardiologists in Malad West, Mumbai. You can visit him at Nirman Diagnostic Imaging Centre in Malad West, Mumbai. Save your time and book an appointment online with Dr. Onkar Tarnekar on Lybrate.com.

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Nirman Diagnostic Imaging Centre

1 C/D, Pushpa Chandra Apt, Bhadran Nagar, Malad West. Landmark: Near N.L. High School & Ridhi Vinayak Temple, MumbaiMumbai Get Directions
1600 at clinic
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I am a smoker and I smoke 5 to 6 cigarettes I n a day and there is pain in the center of my chest and when I stretch my chest sometimes the clicking sound came. Can you tell me the reason. I already did my medical check up they said everything is normal.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
I am a smoker and I smoke 5 to 6 cigarettes I n a day and there is pain in the center of my chest and when I stretch ...
Dear lybrate-user, if the medical check up says everything is fine, you have nothing to worry. The pain could be your imagination. Just ignore it.
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I am 55 years old. Last months week I have cholesterol 220. How can I control this?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 55 years old. Last months week I have cholesterol 220. How can I 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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Hi I had a GOLDCAL D3 CAPSULE for Cholecalciferol 60000 IU. And on the next day went for a lipid profile. The results showed abnormal High cholesterol levels. Are the lab results reliable. Also by when the impact of the medicine will be lowered to go to a re-testing for Lipid profile?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hi
I had a GOLDCAL D3 CAPSULE for Cholecalciferol 60000 IU. And on the next day went for a lipid profile. The results...
This d3 capsule are meant to increase the levels of vitamin-d in your blood and are not meant for increasing/decreasing blood cholestrol so if you have high choletrol levels, it is nothing to do with this d3 capsule.
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Hi my big brother age 35 and his bp 150 or 160 and 90/95 And he is taking Amlovas 5 on morning What we should doing.

MBBS
General Physician, Mumbai
Hi my big brother age 35 and his bp 150 or 160 and 90/95 And he is taking Amlovas 5 on morning What we should doing.
Dear Lybrateuser, - Along with medication your brother has to strictly follow lifestyle changes to bring his BP down - diet should contain more of fibrous foods, vegetables including green leafy & seasonal ones, fruits, whole grains like whole wheat, brown rice, oats, barley, low fat milk & milk products, lean meats especially fish like mackeral, tuna, sardines, salmon, soya products, mixed nuts like almonds, walnuts, pista, cashews - restrict salt & salty snacks, saturated & trans fat containg foods - do regular exercise like brisk walking, jogging, swimming, play game for 20-30 min, also do yoga, meditation & deep breathing for 5-10 min daily - destress by reading, listening to music, following a hobby - do regular checkups as advised by your doctor.
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Heart beat increase at any time and forehead vibrate and also vibrate between eyes on the nose.

MD - Ayurveda
Ayurveda, Thane
Heart beat increase at any time and forehead vibrate and also vibrate between eyes on the nose.
Take Liquid Arjunarishta 450 ml. Dose. 20 ml. - 20 ml better to go for thyroid investigation blood for TSH, T3. T4. To roll out Thyroidism.
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My mom is 46 years old. She is having continuous high b. P. Around 180/110. It only gets control when she take medicine. Please suggest, how to do control naturally?

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Try eatng lots of garlic. If you cant have it get it homeopathically allium sativum q,(biochemic) nat phos 30x, kali dichrom, avoid all types of fats and red meat. Treatment is available, safe and without side effects in biochemic system of medication. Consult me in private.
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Pain In my chest left side. What is the reason. And what is solutions for this. please suggested me. Thanks.

MBBS, cc USG
General Physician, Gurgaon
Pain In my chest left side. What is the reason. And what is solutions for this. please suggested me. Thanks.
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 consult physician for further management.
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What Causes High Blood Pressure? 4. What Health Problems Are Associated With High Blood Pressure? And what are the side effects?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
What Causes High Blood Pressure? 4. What Health Problems Are Associated With High Blood Pressure? And what are the si...
There are two types of high blood pressure. 1. Primary (essential) hypertension--For most adults, there's no identifiable cause of high blood pressure. This type of high blood pressure, called primary (essential) hypertension, tends to develop gradually over many years. 2. Secondary hypertension--Some people have high blood pressure caused by an underlying condition. This type of high blood pressure, called secondary hypertension, tends to appear suddenly and cause higher blood pressure than does primary hypertension. Various conditions and medications can lead to secondary hypertension, including: •Obstructive sleep apnea- •Kidney problems •Adrenal gland tumors •Thyroid problems- •Certain defects in blood vessels you're born with (congenital) •Certain medications, such as birth control pills, cold remedies, decongestants, over-the-counter pain relievers and some prescription drugs- •Illegal drugs, such as cocaine and amphetamines •Alcohol abuse or chronic alcohol use High blood pressure has many risk factors, including: 1. Age. The risk of high blood pressure increases as you age. Through early middle age, or about age 45, high blood pressure is more common in men. Women are more likely to develop high blood pressure after age 65. 2. Race. High blood pressure is particularly common among blacks, often developing at an earlier age than it does in whites. Serious complications, such as stroke, heart attack and kidney failure, also are more common in blacks. 3. Family history. High blood pressure tends to run in families.- 4. Being overweight or obese. The more you weigh the more blood you need to supply oxygen and nutrients to your tissues. As the volume of blood circulated through your blood vessels increases, so does the pressure on your artery walls. 5. Not being physically active. People who are inactive tend to have higher heart rates. The higher your heart rate, the harder your heart must work with each contraction and the stronger the force on your arteries. Lack of physical activity also increases the risk of being overweight. 6. Using tobacco. Not only does smoking or chewing tobacco immediately raise your blood pressure temporarily, but the chemicals in tobacco can damage the lining of your artery walls. This can cause your arteries to narrow, increasing your blood pressure. Secondhand smoke also can increase your blood pressure. 7. Too much salt (sodium) in your diet. Too much sodium in your diet can cause your body to retain fluid, which increases blood pressure. 8. Too little potassium in your diet. Potassium helps balance the amount of sodium in your cells. If you don't get enough potassium in your diet or retain enough potassium, you may accumulate too much sodium in your blood. 9. Too little vitamin D in your diet. It's uncertain if having too little vitamin D in your diet can lead to high blood pressure. Vitamin D may affect an enzyme produced by your kidneys that affects your blood pressure. 10. Drinking too much alcohol. Over time, heavy drinking can damage your heart. Having more than two drinks a day for men and more than one drink a day for women may affect your blood pressure. If you drink alcohol, do so in moderation. For healthy adults, that means up to one drink a day for women of all ages and men older than age 65, and up to two drinks a day for men age 65 and younger. One drink equals 360 ML of beer, 100 ML of wine or 45 ML of 80-proof liquor.- 11. Stress. High levels of stress can lead to a temporary increase in blood pressure. If you try to relax by eating more, using tobacco or drinking alcohol, you may only increase problems with high blood pressure. 12. Certain chronic conditions. Certain chronic conditions also may increase your risk of high blood pressure, such as kidney disease, diabetes and sleep apnea. Sometimes pregnancy contributes to high blood pressure, as well. Although high blood pressure is most common in adults, children may be at risk, too. For some children, high blood pressure is caused by problems with the kidneys or heart. But for a growing number of kids, poor lifestyle habits, such as an unhealthy diet, obesity and lack of exercise, contribute to high blood pressure.- COMPLICATIONS The excessive pressure on your artery walls caused by high blood pressure can damage your blood vessels, as well as organs in your body. The higher your blood pressure and the longer it goes uncontrolled, the greater the damage. Uncontrolled high blood pressure can lead to: 1. Heart attack or stroke. High blood pressure can cause hardening and thickening of the arteries (atherosclerosis), which can lead to a heart attack, stroke or other complications. 2. Aneurysm. Increased blood pressure can cause your blood vessels to weaken and bulge, forming an aneurysm. If an aneurysm ruptures, it can be life-threatening. 3. Heart failure. To pump blood against the higher pressure in your vessels, your heart muscle thickens. Eventually, the thickened muscle may have a hard time pumping enough blood to meet your body's needs, which can lead to heart failure. 4. Weakened and narrowed blood vessels in your kidneys. This can prevent these organs from functioning normally. 5. Thickened, narrowed or torn blood vessels in the eyes. This can result in vision loss. 6. Metabolic syndrome. This syndrome is a cluster of disorders of your body's metabolism, including increased waist circumference; high triglycerides; low high-density lipoprotein (HDL) cholesterol, the" good" cholesterol; high blood pressure; and high insulin levels. These conditions make you more likely to develop diabetes, heart disease and stroke. 7. Trouble with memory or understanding. Uncontrolled high blood pressure may also affect your ability to think, remember and learn. Trouble with memory or understanding concepts is more common in people with high blood pressure.
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How To Treat Pulmonary Hypertension?

DTCD (TDD), C-HIV
Pulmonologist, Pune
How To Treat Pulmonary Hypertension?

Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.

There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.

Common Treatments for pulmonary hypertension:

Medications:

  1. Blood vessel dilators (vasodilators): Vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (Flolan, Veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (IV) catheter via a small pump that you wear in a pack on your belt or shoulder.
  2. Ventavis: Another form of the drug, iloprost (Ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.
  3. Treprostinil (Tyvaso, Remodulin, Orenitram): It is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.
  4. Endothelin receptor antagonists: These medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.
  5. Sildenafil and tadalafil: Sildenafil (Revatio, Viagra) and tadalafil (Cialis, Adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.
  6. High-dose calcium channel blockers: These drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (Norvasc), diltiazem (Cardizem, Tiazac, others) and nifedipine (Procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.
  7. Soluble guanylate cyclase (SGC) stimulator: Soluble guanylate cyclase (SGC) stimulators (Adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.
  8. Anticoagulants: Your doctor is likely to prescribe the anticoagulant warfarin (Coumadin, Jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.
  9. Digoxin: Digoxin (Lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.
  10. Diuretics: Commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.
  11. Oxygen: Your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.

Surgeries:

  1. Atrial Septostomy: If medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.
  2. Lung Transplantation: In some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.

Reducing Complications:

  1. The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail
  2. Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying. If you wish to discuss about any specific problem, you can consult a Pulmonologist.
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After every lunch I have back & front chest pain & burn at centre of chest & pain spread toward left upper chest. All heart tests are negative, liver function test also ok, but problem same as same after six month medici an from gastrologist. But is the solution for this.

Advanced Aesthetics
Ayurveda, Gulbarga
After every lunch I have back & front chest pain & burn at centre of chest & pain spread toward left upper chest. All...
use these ayurvedic medicenes for 15days 1. madiphala rasayana 3spoon mix with water 3time a day before food 2. avipattikara churna half spoon mix with 1 glass of water 2times a day after food
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I am suffering from dry cough for the last two weeks and I have chest pain whenever I cough hard can you suggest what should be done.

B.Sc (Bio), DMS (Cal), CMS , FWT, PET, DMLT (Cal), SBHM, Vacc,
Homeopath, Kolkata
I am suffering from dry cough for the last two weeks and I have chest pain whenever I cough hard can you suggest what...
Please you may take the given medicine for your suffering. 1) Cina -200. 2) Teucrium Marrumverum -200. In no 30 globules. To be taken four globules thrice daily before food no 1 and after food no 2 for 15 say and report me the result for next medicine or advise over audio call.
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How to cure high blood pressure? She is taking Stamlo 5 mg tablet and she was taking Stamlo 2.5 mg. I want to know does she has to take blood pressure tablet for lifetime or there is any other process or what should she take now?

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
How to cure high blood pressure? She is taking Stamlo 5 mg tablet and she was taking Stamlo 2.5 mg. I want to know do...
Blood pressure is a fluctuating problem. It can change from time to time and with age. Multiple factors have a role in this. Some can be modified, others can just be managed through medications. Factors that can be modified are exercise levels and food we eat. Exercise daily for 40-45 mins, avoid caffeine, smoking and salt rich food like chips, pickles, papad, chutneys etc if even after 6-8 weeks of these precautions BP is still high, you will need to take medications too, and these medications can be required for lifetime and doses may vary from time to time, so you should remain in follow up of a cardiologist.
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I am 44 years my cholesterol level is high how to reduce cholesterol and weight I am thyroid patient using 100 mg tablet. Please given suggestion how to reduce weight and cholesterol.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 44 years my cholesterol level is high how to reduce cholesterol and weight I am thyroid patient using 100 mg tab...
Take pranacharya medohar rasayn twice a day. Medohar guggul 2-2 twice a day. And pranacharya slim capsule 1-1 twice a day.
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SINCE LAST 4 YEARS HAVING HIGH bp ISSUE,I TAKE TELSARTAN AM ACTIVE 40 AND ECCPSPRIN AV 75 SINCE 4 YEARS..STILL BP STAYS ON THE HIGHER SIDE LIKE 140/90..ADDITIONALLY I HAVE URIC ACID PROBLEM SINCE 10 ODD YEARS..THE LEVEL STAYS BETWEEN 8-10 ALWAYS..NO BLOOD SUGAR YET

MD - Consultant Physician
General Physician, Mumbai
Maybe the dose of antihypertensives needs to be increased or a different class of drugs used or added. The high uric acid levels can also be controlled with either Allopurinol, at doses which are adequate, or with newer drugs which are more effective and safer.
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I have done LIPID PROFILE today. The result are cholesterol 112Mg. LDL 46.2Mg. HDL 29Mg. Triglycerides 184Mg. Also done and Result Uric Acid 4.4Mg. Blood Sugar (Fasting) 76mg. Blood sugar (PP) 100Mg. Hemoglobin 12% Any problem for Heart Decease in Future? And any medicine prescribe for me for control Triglycerides.

BHMS
Homeopath,
I have done LIPID PROFILE today. The result are
cholesterol 112Mg.
LDL 46.2Mg.
HDL 29Mg.
Triglycerides 184Mg.
Also do...
Dear lybrate user, cholesterol is naturally produced inside the body of every living animal. Human beings are no exception to that. But when we take mutton, chicken, yellow part of a boiled egg, ghee, butter etc we intake cholesterol from external source. This extra cholesterol from external sources increase the total cholesterol content of human body. You should always keep your cholesterol level within normal limits as high cholesterol serves as a precursor to various cardiac diseases. Avoid the aforesaid food. Walk at least 1 hour in a day without any interval. Also you can take homoeopathic mother tincture fucus vesiculosus q, 30 drops, thrice daily, after meals, in a cup of water.
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Hi I am 50 years old diabetic, high cholesterol, thyroid, and facing obesity facing sexual problems like lack of libido and erectile dysfunction how to improve testosterone hormone function suggest good ayurvedic medicine.

BHMS,NDDY
Homeopath, Jaipur
Hi I am 50 years old diabetic, high cholesterol, thyroid, and facing obesity facing sexual problems like lack of libi...
Dear u should take homeopathy medicine uranium nitricum 3x it will help you it is homeopathy medicine if u have any questions about your problem you can ask me
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Angina (Chest Pain)

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
Angina (Chest Pain)

Angina is chest pain or discomfort you feel when there is not enough blood flow to your heart muscle. Your heart muscle needs the oxygen that the blood carries. Angina may feel like pressure or a squeezing pain in your chest. It may feel like indigestion. You may also feel pain in your shoulders, arms, neck, jaw, or back.

Angina is a symptom of coronary artery disease (CAD), the most common heart disease. CAD happens when a sticky substance called plaque builds up in the arteries that supply blood to the heart, reducing blood flow.

There are three types of angina:

  • Stable angina is the most common type. It happens when the heart is working harder than usual. Stable angina has a regular pattern. Rest and medicines usually help.
  • Unstable angina is the most dangerous. It does not follow a pattern and can happen without physical exertion. It does not go away with rest or medicine. It is a sign that you could have a heart attack soon.
  • Variant angina is rare. It happens when you are resting. Medicines can help.

Not all chest pain or discomfort is angina. If you have chest pain, you should see your health care provider.

I am 52 years old & I have sweet & slight regular pain on my chest at 11 o'clock 5 cm from left nipple since 3 years.

DM Cardiology
Cardiologist, Delhi
Dear , from the description, it looks like a muscular pain. Still I would advise you to undergo an echo and a tmt, and send me the reports.
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