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Dr. P.L. Tiwari

Cardiologist, Mumbai

Dr. P.L. Tiwari Cardiologist, Mumbai
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. P.L. Tiwari
Dr. P.L. Tiwari is an experienced Cardiologist in Mumbai, Mumbai. You can meet Dr. P.L. Tiwari personally at Bombay Hospital & Medical Research Centre in Mumbai, Mumbai. Save your time and book an appointment online with Dr. P.L. Tiwari 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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#117, Marine Lines. Landmark: Next To Liberty Cinema, MumbaiMumbai Get Directions
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Coronary Artery Disease: Causes and Treatment

DHMS
Homeopath, Mumbai
Coronary Artery Disease: Causes and Treatment

Coronary artery disease is characterized by accumulation of plaque in the coronary artery that chokes blood supply to the heart. This plaque buildup usually starts with cholesterol accumulation and gradually other particles such as calcium and lipoproteins get deposited as well. Over time, the plaque accumulates, making the blood vessels narrow and choking the supply of blood. In some cases, if the plaque ruptures, it may lead to formation of blood clots resulting in stroke.

The symptoms of coronary artery disease are:

  1. Breathing difficulties: This disorder may lead to shortness of breath as the blood pumping mechanism of the heart is impaired; this usually results in fatigue and exertion. It is advised to avoid advanced cardio exercises such as the high intensity interval training.
  2. Chest pain: Stress related activities may cause intense pressure or tightness in your chest, resulting in pain in the middle or left portion of your chest. If you discontinue the activity, the pain would usually subside. In some cases, you may feel the pain in the arm and the neck.
  3. Heart attack: If the level of plaque accumulation is excessive, then it may result in a heart attack. It is characterized by breathing difficulties, pain, tightness in the chest and sweating. You may also experience pain in the neck and the jaw.

The causes of coronary artery disease are:

  1. Smoking and alcohol consumption
  2. Leading a sedentary lifestyle ups the risk of coronary artery disease
  3. Hypertension
  4. High cholesterol levels in the body
  5. Blood sugar problems

Treatment:

  1. Get your blood pressure under control: If you suffer from high blood pressure, then it is recommended to get it under control to prevent coronary artery disease.
  2. Quit smoking: If you are a habitual smoker, then it is time to nip the habit in the bud. Smoking is known to constrict blood vessels as it is a vasoconstrictor.
  3. Eat healthy: Eat a well balanced diet consisting of vegetables and fruits so that your body receives the essential nutrients to function well.
  4. Beat stress: You need to control your stress levels through exercise or meditation. Take time off work and do activities that make you happy.
3501 people found this helpful

Hi I am 38 years old my cholesterol is 158 triglycerides 101 HDL 34 direct LDL 115 HDL ratio 4.7 LDL/HDL 3.4 very low density lipoprotein 20.20 I am a diabetes.

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
Hi I am 38 years old my cholesterol is 158 triglycerides 101 HDL 34 direct LDL 115 HDL ratio 4.7 LDL/HDL 3.4 very low...
Your lipid profile is niormal followw the following instructions 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 water.
3 people found this helpful
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I bloat I lot after having meal. Gas is formed that spins my head. Burning in chest. Anxiety. Bp shoots. Uneasiness.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
I bloat I lot after having meal. Gas is formed that spins my head. Burning in chest. Anxiety. Bp shoots. Uneasiness.
Dear lybrate user, **the food but ginger is well accepted as a traditional cure for indigestion. Ginger as a food ingredient or in a strong ginger tea helps in causing stimulation of saliva, bile juices and gastric juices while all these play important roles in digestion. Drinking ginger tea is certainly much more beneficially to get rid of gas and indigestion problems than coffee and soda.
2 people found this helpful
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I am 24 Males 20 days back I feel lot of heet in body chest pain I taken doctor checkup he said Gastric and given tablets and Gastracid liquid now I am using Pantop D before Breakfast and Before Dinner and after that I am taking Gastracid Liquid daily I Feel Some Chest heaviness and Slight Chest pain Can you please suggest to re leaf from this problem.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am 24 Males 20 days back I feel lot of heet in body chest pain I taken doctor checkup he said Gastric and given tab...
Take pranacharya aceno syrup 2-2 tsf twice a day....take pranacharya aceno capsule 1-1 twice a day....and avipattikar churna 1-1 gm with warm water..take pranacharya udar bhaskar kshar churna twice a day with warm water..take fresh butter milk empty stomach...avoid tea...coffee...spicy food...junk food...
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My cholesterols lipid profile level is june 15 total cholestrol ldl hdl triglycerides vldl total cholestrol/ hdl cholestrol ratio. Total cholestrol ldl hdl triglycerides vldl total cholestrol/ hdl cholestrol ratio. 208 101 35 392 78.4 6 kindly suggest me treatment to reduce it. My edge is 54.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
My cholesterols lipid profile level is june 15 total cholestrol
ldl
hdl
triglycerides
vldl
total cholestrol/ hdl chol...
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,. Take anti cholesterol medicines . cap. ecosprin gold-20 at night.
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Dear sir I have blood pressure and I take english medicine atenolol 50mg daily morning after breakfast please give a home medicine equal to english medicine and way to reduce blood pressure.

BAMS, MD Ayurveda
Sexologist, Lonavala
Dear sir
I have blood pressure and I take english medicine atenolol 50mg daily morning after breakfast please give a ...
The best remedy i can recommend you is as follows Natural home remedy using watermelon seeds and cuscus powder: 1. Take 1 tsp of dried watermelon seeds 2. Add 1 tsp of cuscus powder 3. Crush the mixture 4. Have this once in the morning and the evening 5. Consume for 3-4 weeks This will help with your concern.
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I am 47 yrs old woman. Height 5.7" weight 78kg. My blood cholesterol & SGOT- SGPT is quite high. Serum Cholesterol - 282mg/dl HDL - 37 LDL - 216 VLDL - 29 Serum Triglycerides - 145 Total Lipid - 709mg/dl SGOT - 67 units/l SGPT - 80 units/l I was prescribed Turbovas 20mg and Evion 400 bplease advice.

MD - Medicine, MBBS
Cardiologist, Panchkula
Reasson of your raised SGOT ana Sgpt has to be found and treated.Reasons could be-- 1. Fatty liver 2. Alcoholic liver disease 3. Hepatitis 4. Many drugs like pain killers,statins and many more. So treatment willdepend upon the cause.
10 people found this helpful
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I m having chest pain since last 15 days. I consult doctor he told to take X-ray and ECG, everything is normal. Pain is during morning time when I wake up. Not only morning but every time when I sleep flat. It's mostly in centre and right side.

MBBS, cc USG
General Physician, Gurgaon
I m having chest pain since last 15 days. I consult doctor he told to take X-ray and ECG, everything is normal. Pain ...
You may be having chest pain due to 1.acidity. 2. severe anxiety 3. muscular problem Local application of Volini gel 1% twice a day for 2-3 day Consult Physician/me for Further Management
2 people found this helpful
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I want to ask. That sometimes there is little bit of pain on left side of my chest inside. Do it occur due to my smoking?

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
I want to ask. That sometimes there is little bit of pain on left side of my chest inside. Do it occur due to my smok...
May be it is due to smoking. Especially if it is aggravated by deep breathing. Cigarette smoke is very notorious in causing inflammation in the lungs which can in turn lead to chest pains. Also, cigarette smokers have more acidity than non smokers.
1 person found this helpful
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I am 53 years old. I am suffering from periferial vascular disease. Due to which I feel severe pain in my left leg while walking only. Angiography done by doctor in which left illeca artery totly blocked. Please suggest me.

MD - Paediatrics
Pediatrician, Ranchi
The condition is called intermittent claudication due to obstruction of major vessel. First of all surgical intervention will be needed to relieve the block. Long term medication (blood thinning agent like warfarin) may be needed thereafter. I would be better able to help you out if you give me detail history with the reports. Regards.
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My father is suffering from a heart attack sir. Would you please tell me the reason of heart attack?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
My father is suffering from a heart attack sir. Would you please tell me the reason of heart attack?
Stress, smoking, uncontrolled diabetes, high levels of blood cholesterol, sedentary lifestyle, genes, thyroid disease, exposed to pollution, low levels of oxygen in air and taking everything to heart.
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Namaste ji Mujhe chest me left side garam ya thanda jo bhi khaata hoon wo lagta hai Aisa lagta hai jaise garam ya thanda milk ya tea mere left side me ja raha hai Or mujhe pet me bhi problem hai pet saaf nahi hota ot bhaaripan lagta hai Or kabhi kabhi saans lene me diffculty hai Ye problem karib 10 month se hai Main kya karu bahut presaan hu.

MBBS
General Physician, Mumbai
Namaste ji
Mujhe chest me left side garam ya thanda jo bhi khaata hoon wo lagta hai Aisa lagta hai jaise garam ya tha...
I will suggest you to Avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet and Take tablet Pan-D before breakfast on empty stomach for three months and always to take a gap of a week before starting it again only if necessary and get an upper giscopy done and follow up with reports.
2 people found this helpful
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My mother gone through a open heart surgery advise me how many month should she take rest.

DHMS (Diploma in Homeopathic Medicine and Surgery)
General Physician,
My mother gone through a open heart surgery advise me how many month should she take rest.
Up to the she feels comfortable to walks and upstairs if she has not dyspnea. Then after little work is required.
1 person found this helpful

I having chest pain from 2 days, when I bend my self down it start more pain fell, pain at left side of chest.

MBBS
General Physician, Mumbai
I having chest pain from 2 days, when I bend my self down it start more pain fell, pain at left side of chest.
Dear lybrateuser, -take adequate rest for 2-3 days, stop exercise & weight training if you are doing -do hot water fomentation three times a day -apply an over the counter pain relief gel three times a day -take an over the counter analgesic if pain is more, get your bp checked up before starting any vigourous exercise routine.
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C.S.C, D.C.H, M.B.B.S
General Physician,
3 diet changes to help lower cholesterol levels
************************************************************
If you have high cholesterol (a total cholesterol level of 240 milligrams per deciliter of blood or above), taking steps to lower it can greatly reduce your chances of having a heart attack. For every 10% drop in your cholesterol level, your heart attack risk falls by 20% to 30%.
Choose healthy fats. Avoid saturated fats, which increase unhealthy LDL levels and steer clear of trans fats, which both raise LDL and lower protective HDL. Instead, substitute healthier unsaturated fats found in fish, nuts, and vegetable oils.
Go with whole grains. Whole–grain breads, pastas, and cereals help prevent a blood sugar roller coaster and make you feel full longer. Many of these foods contain fiber, which can help lower LDL levels.
Make other healthy choices. Eat more fruits and vegetables. Ideally, substitute these for processed foods and sweets. Choose fat–free milk instead of whole milk. Opt for low–fat yogurt and pick brands that are not loaded with sugar.
5 people found this helpful

I have getting headache everyday and some sorts of pain during breathing deeply in my chest.

MBBS
General Physician, Cuttack
I have getting headache everyday and some sorts of pain during breathing deeply in my chest.
If you have recurrent attack of headache1. It could be a tension headache due to anxiety/stress, depression inadequate sleep, low bp/high bp, migraine, prolonged use of cell phone/computer, chronic anaemia, refractive error, chronic sinusitis, organic brain lesion 2. Avoid stress, physical and mental exertion, have adequate sound sleep for 7-8 hours daily in the night 3. Go for regular exercise 4. Practice yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 5. Check for refractive error, sinusitis hemoglobin, bp 6. Avoid prolonged use of cell phone/computer 7. Consult neurologist to rule out other causes of headache, if required take a ct scan of head to exclude any brain lesion 8. If it is migraine you have to take migraine prophylactic drug after consulting neurologist 9. Consult me for further advice.
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I am 45 years old, I have no bp and sugar, artries blocked and vascular surgery was done at right thy and he kept a valve. After three months it was got infection. Then with our friends reference I taken one more doctcr appintement, he immidatly removed that valve and now my health is ok. Iam using ecosprin 150, gabatin, trental400, pletoz 100. I am somking due to some mental pressures. Any problem raises to me, gave a advice if I stop taking medicines. Other suggest better medicine.

MD - Medicine, MBBS
Cardiologist, Panchkula
It is not clear from your question if the blockage was in the arteries or veins. And what kind of valve was put in. Smoking is very dangerous for this type of problems. So immediately give up smoking. As for as medicines are concerned one can comment only after knowing the details of the treatment.
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I have chest pain after 7 days that pain is middle in the chest? what should I do?

MBBS, cc USG
General Physician, Gurgaon
I have chest pain after 7 days that pain is middle in the 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 consult Physician for Further Management
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Plz suggest a diet to my father ,although open heart bye pass surgery is happen 4 year before in the year 2012. Although few month before I completed my father regular checkup. All the report is good. Bt some time liver problem happen. And one important thing is. My father also suffer by hept-B.so please suggest a proper diet. Thank you.

MBBS
General Physician, Mumbai
Plz suggest a diet to my father ,although open heart bye pass surgery is happen 4 year before in the year 2012. Altho...
Dear Lybrateuser, - Your father should have more of fibre in his diet, fruits, vegetables, whole grains, beans, legumes, sprouts, low fat milk & milk products, 2-3 eggs a week, lean meats like seafood, chicken - should avoid fried, spicy, processed, fast food, also restrict tea, coffee to 1-2 cups a day, no alcohol & smoking - have 8-10 glasses of water for proper digestion & to wash toxins away - also can have a handful of mixed nuts a day, use olive, canola, sun or saff flower oil for cooking (2-3 teaspoon a day).
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