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Dr. P.L. Tiwari

Cardiologist, Mumbai

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Dr. P.L. Tiwari Cardiologist, Mumbai
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Personal Statement

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 33 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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English
Hindi

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Bombay Hospital & Medical Research Centre

#117, Marine Lines. Landmark: Next To Liberty Cinema, MumbaiMumbai Get Directions
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I am currently 24 years of age. I felt palpitation in 2014. So doctor did ECG and reports came out normal. My palpitation problem did not subside and in 2015 again an ECG; Echo and holter was done but reports were normal. Now in 2016 I suffer from mild chest pain in left side. The pain lasts for maximum of a minute. The pain happens in 5-6 times a day. What should I do now? Please help me.

MBBS
General Physician, Ahmednagar
I am currently 24 years of age. I felt palpitation in 2014. So doctor did ECG and reports came out normal. My palpita...
Your symptoms are due to worry, anxiety and stress. Anxiety disorders are partly genetic but may also be due to drug use, including alcohol, caffeine, and benzodiazepines (which are often prescribed to treat anxiety), as well as withdrawal from drugs of abuse. Diet: it is always important to watch your diet. You are what you eat. Eat what your body needs, reduce refined foods, processed foods and increase the amount of whole grains and fruits and vegetables. Eating small frequent meals goes a long way. Reduce intake of saturated fats; include more lean meats. Choose grilling and steaming over frying and roasting. Recommended foods - Healthy carbohydrates, Fiber-rich foods, Heart-healthy fish and Good fats. Foods to avoid - Saturated fats, Trans fats, Cholesterol and Sodium Exercise: Every week, make sure about 2 hours is dedicated to physical activity. This could include any exercise of your choice, brisk walking, swimming, cycling, aerobics, hiking, jogging, skipping, gymnastics, or playing games like football or basketball. While in most cases, the person can do these on their own, in some people, supervision may be required. Watch your weight: controlling weight to a desirable level of BMI of 18 and 23 is very important. Obesity is one of the predisposing factors for diabetes heart diseases, and reducing weight controls the onset of diabetes and helps the progression of symptoms in diabetics. Smoking: Another risk factor for diabetes onset, palpitation, sleeplessness. Quitting is the best option. If not feasible, reducing smoking and gradually quitting should be aimed at. Not just diabetes, the effects on overall health will be evident almost immediately after quitting. Stress management: there is no getting away from stress. Everybody has their stresses but the trick is to manage it well. Whether it is music or meditation or medication or counselling, make sure stress levels are managed. This also helps prevent complications like heart disease and stroke and promotes well-being.
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I am not a patient. My father have problem of blood pressure, can you do something for his problem.

BAMS
Ayurveda, Ambala
I am not a patient. My father have problem of blood pressure, can you do something for his problem.
To control & maintain BP normal these are best methods to follow:.• Do physical exercise like jogging, running or brisk walk for atleast 20-30 minutes. • Maintain your cholesterol level to normal & eat least amount of butter, cream or fatty things. • Eat less amount of pickle, salt and fast food as they contain high sodium levels. • Avoid drinking alcohol and smoking. • Take less amount of caffine containing coffee, tea or cold drinks because caffine causes increase BP. • Drink 8 to 10 glass of water daily • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams (Anulom- Vilom, Bhramari) daily for 10 - 15 minutes. It will reduce your stress level in your body. • Eat healthy diet such as green leafy vegetables, fruits. • Take 5 ml of GULAB Jal added in a glass of water daily once a day.
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Signs Your Kid is Suffering from Congenital Heart Disease!

Clinical Cardiology, MD - Consultant Physician
Cardiologist, Surat
Signs Your Kid is Suffering from Congenital Heart Disease!

Most families refer to their newborn baby as their 'bundle of joy'. The news of a child being born brings immense joy to the entire family. However, due to various reasons, a child could be born with some medical abnormalities, which would be known as congenital abnormalities.

If your child has a congenital heart defect, it means that your child was born with a problem in the structure of his or her heart. Some congenital heart defects in children are simple and don't need treatment. Other congenital heart defects in children are more complex and may require several surgeries performed over a period of several years.

There are several different types of heart defects that can be congenital. These usually manifest themselves either immediately after birth or in the early years of life. In some cases, the abnormality could be detected on prenatal ultrasounds. In others, it may not be and the family could be caught off guard about the condition. This causes a lot of stress, both for the child, who does not receive regular postnatal care and for the parents immediately after the delivery process.

If the baby has the following symptoms within the first few hours of life, there could be a serious underlying condition, which requires medical attention. The presence and severity of the symptoms would depend on the actual abnormality.

  1. The skin is pale gray or blue in color due to excessive venous flow in the system
  2. Excessive sweating
  3. The child is exerting to breathe regularly
  4. Rapid breathing causes added load on the heart accompanied by a grunting noise
  5. Flared nostrils i.e. the baby attempts to take in more oxygen with each breath causes flared nostrils
  6. Swollen legs, eyes, and abdomen: Fluid retention in the legs and abdomen is quite common, and this could be characteristic of newborns with congenital heart disease
  7. Shortness of breath, even during feeding
  8. Clubbed fingernails
  9. Lethargy and low energy, even with feeding, therefore very poor feeding pattern
  10. Chest pain, which may cause the newborn to cry incessantly
  11. Low weight gain, as they feed less

In some children, symptoms manifest only during the teenage years or early adulthood. These conditions are not very severe and the symptoms include:

  1. Swelling of the hands, feet, and ankles due to fluid accumulation
  2. Lowered energy levels, leading to easy fatigue
  3. Shortness of breath with even minimal physical activity
  4. Inability to exercise
  5. Developmental delays and changes in growth milestones
  6. Recurrent respiratory tract infections including sinus infections, bronchitis, and pneumonia
  7. Endocarditis
  8. Pulmonary hypertension
  9. Heart failure, where the heart is not able to effectively function and pump blood to all parts of the body.

Some or more of these symptoms should trigger a warning to get the child tested for congenital heart disease. While some would just require a monitoring until severe symptoms develop, severe conditions like holes, abnormal valves, narrowed arteries, and blood vessel abnormalities might require immediate intervention. Serious congenital heart defects are often diagnosed before or soon after your child is born. If you notice that your baby has any of the signs or symptoms above, call your child's doctor.

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

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Hi Doctor, Often I get nervous and afraid while interacting with group of people. I keep on thinking what I will say in front of some group of people. It is disturbing me a lot. It looks like I am suffering from social anxiety. sometime I even feel pain in my chest. Doctor, please suggest me how to treat this. Thanks a lot.

Masters in Clinical Psychology
Psychologist, Lucknow
Hi Doctor,
Often I get nervous and afraid while interacting with group of people. I keep on thinking what I will say ...
Hi, you need medication as well as psychotherapy for this. Practice mindfulness: The primary goal of mindful breathing is simply a calm, nonjudging awareness, allowing thoughts and feelings to come and go without getting caught up in them. Sit comfortably, with your eyes closed and your spine reasonably straight. Bring your attention to your breathing. Imagine that you have a balloon in your tummy. Every time you breathe in, the balloon inflates. Each time you breathe out, the balloon deflates. Notice the sensations in your abdomen as the balloon inflates and deflates. Your abdomen rising with the in-breath, and falling with the out-breath. Thoughts will come into your mind, and that’s okay, because that’s just what the human mind does. Simply notice those thoughts, then bring your attention back to your breathing. Likewise, you can notice sounds, physical feelings, and emotions, and again, just bring your attention back to your breathing. You don’t have to follow those thoughts or feelings, don’t judge yourself for having them, or analyse them in any way. It’s okay for the thoughts to be there. Just notice those thoughts, and let them drift on by, bringing your attention back to your breathing. Whenever you notice that your attention has drifted off and is becoming caught up in thoughts or feelings, simply note that the attention has drifted, and then gently bring the attention back to your breathing. It's okay and natural for thoughts to enter into your awareness, and for your attention to follow them. No matter how many times this happens, just keep bringing your attention back to your breathing.
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I had my bypass surgery in november 2014 for all four arteries. I still have sometime numbness and pain in my chest. It it normal and how long this will continue ?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
This is normal and it will improve with time but I will certainly recommend you a homoeo medicine to take along with and i think it will surely help you in long term tonicard ( sbl ) 20 drops twice daily in 20 ml fresh water for 1 year and report me thereafter.
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I am suffering from some financial problems. Due to this when I am tensed I am loosing my energy like my blood pressure goes down resulting fainting or my anger goes night causing a big quarrel. For this I am taking some medication from my family doctor." censpram plus" tabs. If I am not using it my health gets disturbed. How my months r year I need to take these pills. Is there any remedy for my depression.

DRCH, BHMS
Homeopath, Bareilly
I am suffering from some financial problems. Due to this when I am tensed I am loosing my energy like my blood pressu...
Psychotherapy helps a lot in depression. You should strengthen your mind to get out from this situation and also to get rid off medication. Do meditation daily for mental strength. Taking stress will not solve your problem, but will affect your health. Take homeopathic medicine brynoia 30, 4 dose daily and kali phos 6x, 4 pills 4 times daily.
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