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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.

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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 cycling for about half an hour in morning beside using in day also for 5/10 minutes. Do I require any other exercise for controlling BP (i have) and avoiding risk of diabetes.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am cycling for about half an hour in morning beside using in day also for 5/10 minutes.
Do I require any other exer...
Mr. Lybrate-user, usually a minimum of 30 minutes a day of physical activity is recommended to keep fit and prevent adding additional weight. So the amount of exercise being done by you (cycling) appears to be good enough. But still if you walk for another 20 minutes a day, that will add to keep fit as well as remain free from diabetes. Thanks for the question.
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What is the meaning in higher LDH serum in LFT value is 396 it should be 122-146 what to do?

MD - Ayurveda
Ayurveda, Kolhapur
What is the meaning in higher LDH serum in LFT value is 396 it should be 122-146 what to do?
It means bad cholesterol in your body is higher and it may causes heart blockages, atherosclerosis so you need panchakarma treatment so Consult personally.
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My age is 47 years, I am working as Prof. In Operation Management in a Management College, My BP continuously remaining high despite consuming the medicine. Please advice some to reduce it. I consume the medicine named: Telma-80.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
My age is 47 years, I am working as Prof. In Operation Management in a Management College, My BP continuously remaini...
You have not mentioned your BP range and duration nor any other associated co-morbidities. It will be better if you get yourself evaluated in detail with blood test like lipid profile, RFT, LFT along with Echo and get your medications reviewed. Also quit smoking if you do, decrease your Tea and Caffeine intake, and avoid taking extra salt (the smount needed to cook food is normal) or salt rich food like papad, sauces, bhujia, pickles etc and exercise daily for 30-40 mins like brisk walking or yoga.
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I have high systolic bp 158/72 and irregular heart beat feeling discomfort it occurs only sometimes Please suggest me some medication. My age is just 21 yr.

BHMS
Homeopath, Mumbai
I have high systolic bp 158/72 and irregular heart beat feeling discomfort it occurs only sometimes Please suggest me...
Eat healthy diet. Avoid spicy oily n fatty food. Follow law sodium diet. Avoid stress and anxiety. For medication gve me full detail about u.
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Occasional Feeble pain in bottom left side of chest and top of left arm which vanishes if breathing rate is increased. Age 42 years male.

MD - Medicine, MBBS
Cardiologist, Panchkula
Pain bottom life side of chest is generally not due to heart. But as you also have pain top of left arm so heart disease must be excluded by investigations.
1 person found this helpful
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I am feeling palpitations whenever I try to sleep in afternoon after having meals. I had a ECG few days back which is absolutely NORMAL. If anyone can help?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am feeling palpitations whenever I try to sleep in afternoon after having meals. I had a ECG few days back which is...
at 20 , there can be other reasons for palpitations ,besides heart which seems normal as ECG shows. you have written heart conditions under medical conditions.please clarify. you are overweight. excess weight is putting more load on heart. reduce weight the healthy way without putting too many restrictions on diet. no sugar and sweets and fats. more proteins like diluted toned milk , boiled egg, katori of nuts-these are fulfilling, nourishing and one does not feel hungry again and again. reduce salt to bare minimum, eat seasonal vegetables and fruits and salads. eat one meal a day-simple daal-roti-rice-chapati. walking is best exercise. reduce @ 5 kg/month get tested after losing weight by 15 kgs.
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I am 34 year male and I am suffering from low b. P. What should I do? Please help me.

MBBS, MD - Community Medicine
General Physician, Jaipur
1. Eat a diet higher in salt. 2. Drink lots of nonalcoholic fluids/ especially salty drink e. G. Salty lassi, salty lemon water, et. C. 3. Limit alcoholic beverages. 4. Drink more fluids during hot weather and while sick with a viral illness, such as a cold or the flu. 5. Get regular exercise to promote blood flow. 6. Be careful when rising from lying down or sitting. To help improve circulation, pump your feet and ankles a few times before standing up. Then proceed slowly. When getting out of bed, sit upright on the edge of the bed for a few minutes before standing. 7. Elevate the head of your bed at night by placing bricks or blocks under the head of bed. 8. Avoid heavy lifting. 9. Avoid straining while on the toilet. 10. Avoid prolonged exposure to hot water, such as hot showers and spas. If you get dizzy, sit down. It may be helpful to keep a chair or stool in the shower in case you need to sit; to help prevent injury, use a nonslip chair or stool designed for use in showers and bath tubs. 11. To avoid problems with low blood pressure and lessen episodes of dizziness after meals, try eating smaller, more frequent meals. Cut back on carbohydrates. Rest after eating. Avoid taking drugs to lower blood pressure before meals. 12. If needed, use elastic support (compression) stockings that cover the calf and thigh. These may help restrict blood flow to the legs, thus keeping more blood in the upper body.
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Please clarify "sleeping on your left side" Should one sleep on the left shoulder, facing on your left, with the heart heart down? Or should one sleep on the right shoulder, facing right, keeping the heart up.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Please clarify "sleeping on your left side"
Should one sleep on the left shoulder, facing on your left, with the hear...
Neck exercises. Neck stretching. Postural correction. Shoulder shrugs. Take frequent breaks at work. Core strengthening exercises. Use cervical pillow. Use back support. Self massage the back of neck.
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Hi from last month I will take a x-ray report. After I got the remark: Obliteration of both costophrenic Angel may suggestive pleural reaction/thickening. I want to know what is this.

MBBS
General Physician, Cuttack
Hi from last month I will take a x-ray report. After I got the remark: Obliteration of both costophrenic Angel may su...
It could be due to pleuricy. It has got several causes like tuberculosis etc.Do blood test like CBC,ESR,DC,TC,Mantoux test etc. Consult chest physician for advice and treatment
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Sir my father is 53years of old, suffering from severe global hypokinesia &severe lv dysfunction ef 28% then how will we proceed in this condition?

MD - Internal Medicine
General Physician, Bangalore
Hi thanks for posting your query. Well I would advise him to get angiogram and if required angioplasty. He also needs to be started with antiplatelet medications like clopilet-a. Also ask your cardiologist about dual chamber pacing which can improve his condition.
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Dear Sir, age 30 My blood pressure is low from 1 year, more acidity problem from long time, erectile dysfunction, neck pain, chest pain and same back pain, my head some time heat and cold, my memory is being weak. So please I request you give the best suggestion about to the medicine.

BAMS
Ayurveda, Ambala
Dear Sir, age 30 My blood pressure is low from 1 year, more acidity problem from long time, erectile dysfunction, nec...
To treat low BP follow these methods: • Anaemia is a cause of low BP so check your hemoglobin level (Hb) if this is low so eat green leafy vegetables, beetroot and fruits like pomegranate. • Eat an apple daily it maintain your BP normal. • Take your meal daily do not skip meal. • Drink 8 - 9 glass of water daily. Hydrate your body well with drinking proper amount of water because dehydration is also cause fall of BP. • When you feel that your BP is low then take 2 teaspoons of Glucon D and add a pinch of salt mix it in one glass of water and drink it. You can repeat it after 2 hours. This will maintain electrolyte balance and your BP. You can drink a cup of tea. • Drink a glass of milk daily. It maintain your stamina. • Take a multivitamin capsule daily for 15 days. • Eat a teaspoon of gulkand daily and maintain your blood sugar level. • Do long breathing pranayams daily and do not take stress.
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If low HDL is their then is it harmful? My HDL is 37. So what wll happen to my body. My L DL is 119.

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
If low HDL is their then is it harmful? My HDL is 37. So what wll happen to my body. My L DL is 119.
Hello lybrate user hdl is protective lipoprotein for cardiovascular diseases. Meaning by which having a good hdl level is protective in itself but the reverse is not true. Many people have this misconception that having a low hdl level will harm them in some way. But having a low hdl level means that you have less protection it doesn't mean that you are at risk. Not having protection versus being at risk are two very opposite things. As you pointed out that your ldl level is 119. The optimum level for anybody is less than 100 and in case of diabetics the level should be less than 70. Having a high ldl level is indeed indicative of risk. Ldl is the bad cholesterol, it needs to be curbed. For this purpose either you can make diet adjustments or you can take medicine.
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Dear sir, I got stroke two years ago. One was on 29.04.14 (thalamic infarct) and the other was on 7.10.14 (cerebral infarct). Now, can I term those two as two separate strokes. I do not have hypertension, no cholesterol, nothing of any sort. Doctor has quoted me saying Antithrombin III deficiency. Now, I want to know whether there is any cure as I have fear of recurrence. Kindly guide me.

C.S.C, D.C.H, M.B.B.S
General Physician,
Dear sir, I got stroke two years ago. One was on 29.04.14 (thalamic infarct) and the other was on 7.10.14 (cerebral i...
Antithrombin III (ATIII) is a nonvitamin K-dependent protease that inhibits coagulation by lysing thrombin and factor Xa. Antithrombin III activity is markedly potentiated by heparin, the principal mechanism by which both heparin and low molecular weight heparin result in anticoagulation. Congenital antithrombin III deficiency is an autosomal dominant disorder in which an individual inherits one copy of the SERPINC1 (also called AT3) gene on chromosome 1q25. 1, which encodes antithrombin III. This condition leads to increased risk of venous and arterial thrombosis, with an onset of clinical manifestations typically appearing in young adulthood. This form is most commonly diagnosed during childhood by screening after an affected family member has been identified or after a child has had a thrombotic event. Severe congenital antithrombin III deficiency, in which the individual inherits 2 defective genes, is a rare autosomal recessive condition associated with increased thrombogenesis, typically noted in the neonatal period or early infancy. This condition is rarely compatible with life. Most neonates have heterozygous antithrombin III deficiency. Acquired antithrombin III deficiency is a deficiency of antithrombin primarily due to consumption. It is observed in situations in which activation of the coagulation system is abnormal. Common conditions that result in acquired antithrombin III deficiency include disseminated intravascular coagulation (DIC), microangiopathic hemolytic anemias due to endothelial damage (ie, hemolytic-uremic syndrome), and venoocclusive disease (VOD) in patients undergoing bone marrow transplantation. Replacement of antithrombin in neonates with antithrombin III deficiency to treat lung disease has been studied and found to have no benefit. Antithrombin infusion in otherwise asymptomatic neonates found to be deficient is not recommended. Enoxaparin (Lovenox), a low molecular weight heparin (LMWH), is frequently used to prevent thrombi as well as to prevent thrombi that have already occurred from propagating. In antithrombin III deficiency, the activity of LMWH is not as reliable as in an otherwise healthy person. Careful monitoring of the anti-Xa activity in the patient should be performed. Consider alternative anticoagulation medications (eg, warfarin) because the effectiveness of LMWH is likely reduced. Once a patient with congenital antithrombin III deficiency has developed thrombosis, anticoagulation is more strongly indicated. Replacement with recombinant antithrombin is not indicated for the treatment of thrombi. Warfarin (Coumadin) is the principal anticoagulant used. This vitamin K antagonist is administered at a dose to maintain an international normal ratio (INR) on PT of 1.5-2.5. Initially, therapy with LMWH or standard heparin may be administered to decrease the risk of warfarin-associated thrombosis (warfarin-induced skin necrosis) resulting from the inhibition of protein C production, which may occur before inhibition of the synthesis of vitamin K–dependent procoagulant factors (II, VII, IX, X) is reduced adequately for anticoagulation.
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Back pain and ulcer problem, left hand over pain, I go check doctor in heart problem.

D.A.M.S( A. M.), D.AC/B.E.M.S
Acupressurist, Mumbai
Back pain and ulcer problem, left hand over pain, I go check doctor in heart problem.
Hi, you take Acupressure treatment. Take Biochemic mag phos 6x & Nat.Mur.6x. 4tab each thrice a day with warm water.
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Dear Doctor, I am suffering from high blood pressure and my family doctor prescribed Zilos 25mg tablet. I am using it last 2 years. Now BP is under control. I can continue using this tablet no? Doctor please advise?

DHMS (Hons.)
Homeopath, Patna
Dear Doctor, I am suffering from high blood pressure and my family doctor prescribed Zilos 25mg tablet. I am using it...
Hi, once allopathic medicines r administered, it should b continue without enteruption. However, if you so desire to switch over to homoeopathy, take the following medicines, without breaking the course you r taking at present. It will be withdrawn, gradually. Both medicines will continue, simulteneously, taking a gap of an hr homoeo-care*: @ rauwolfia q @ crategus ox q @ avena sat q @ arjuna q mix all the medicines together, take 10 drops of d mixture with 1/4 cup of water, thrice/ day. # go for a walk in the morning for an hr. # take plenty of water # sit for meditation for 30 mnts # avoid, fried, junk food, ghee, butter etc. # take, apple, orange, garlic, green leafy veg. # skimmed milk is preferable # monitor your bp weekly. # report after 15 days. Take care.
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I unable to proper breakfast and lunch as I started feeling pain chest pain in center. My weight is increased from 80 kg to 95 kg. I am hypothyroidism patient from 20 years my medicine dose increased from 150 mg to 200. My tsh level also increased from 18 to 25. I am unable to wake up properly in morning, suffering from knee pain when using stair's to go 1st floor .feeling pain in shoulders, back neck pain and severe headache from sunlight I am taking medicine for migraine, epilepsy. Please suggest to reduce my weight.

MSc - Food and Applied Nutrition, Ph.D, Aroma Therapist
Dietitian/Nutritionist, Ghaziabad
I unable to proper breakfast and lunch as I started feeling pain chest pain in center. My weight is increased from 80...
lybrate-user Ji. Increase dose with increase in intensity of the problem is temporary solution. There is high acidity in your system. You still need medication. I do not know the content of your meals. More grains, non-vege, fried, hot items may cause uneasiness in chest. Consider good ayurvedacharya.
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I am 28 year old. I have consistently elevated blood pressure over several weeks. Lowest reading was 155/98mmhg. I am overweight and have diabetes and am treated with metformin. Should my drug therapy be initiated for hypertension?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 28 year old. I have consistently elevated blood pressure over several weeks. Lowest reading was 155/98mmhg. I am...
Mr. Lybrate-user, from your description it appears that both diabetes and hypertension are not in control. Bp should ideally be 120 to 130/70 to 80 mm hg. Your bmi is 24.91 kgs/m2, which is marginally high (normal <23 kgs/m2). You have not mentioned anything about blood sugar level and hba1c%. Unless all details are made available, difficult to comment. However, as regards bp you have to initiate treatment immediately. Thanks.
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Sir I have pain in the right side of chest. What can I do. But pain in winter season.

C.S.C, D.C.H, M.B.B.S
General Physician,
Sir I have pain in the right side of chest. What can I do. But pain in winter season.
It can be sprained or acidity and check an ecg anyway. As it is in winter it will be allergic bronchitis.
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