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Dr. Paresh R. Pai

Cardiologist, Mumbai

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Dr. Paresh R. Pai 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. Paresh R. Pai
Dr. Paresh R. Pai is a renowned Cardiologist in Mumbai, Mumbai. You can meet Dr. Paresh R. Pai personally at Bombay Hospital & Medical Research Centre in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Paresh R. Pai 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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Bombay Hospital & Medical Research Centre

#117, Marine Lines. Landmark: Next To Liberty Cinema, MumbaiMumbai Get Directions
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My cholesterol level is too high. Triglyceride is 399. Non Hdl cholesterol is 201. SGPT is 47.

MBBS, MD - Internal Medicine, DM - Cardiology, Cardiac Device Specialist (CCDS - Physician )
Cardiologist, Delhi
My cholesterol level is too high. Triglyceride is 399. Non Hdl cholesterol is 201. SGPT is 47.
You should begin with lifestyle changes first. 1) Start daily 30 mins of exercise like brisk walking. 2) Healthy diet (seek detailed diet consultation for healthy heart diet) 3) Quit smoking and drinking 4) Loose weight if you are overweight 5) If 6 weeks after these precautions cholesterol levels are still deranged you may need low dose cholesterol.
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Hii Doctors, I have recently checked my BP, it was 157 it is not good but I have no any problem, so what is the symptom of BP, and how can I control it.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
Hii Doctors, I have recently checked my BP, it was 157 it is not good but I have no any problem, so what is the sympt...
BP can be asymptomatic .Symptoms can occur if it is very high like headache giddiness. You can control and reverse your bp to nomal with diet and lifestyle changes Cut down salt exercise daily eat plant based foods Cut down oil and all processed foods cook your own food. Sleep at least 8 hrs Do meditation, yoga etc. If you want complete reversal of blood pressure take a consult.
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I am suffering from heart pain while I am in sleep so please give the suggestion regarding heart stroke I am so scared about that.

MD Microbiology
General Physician,
I am suffering from heart pain while I am in sleep so please give the suggestion regarding heart stroke I am so scare...
Hi. Please get your cardiac status checked. If you are above 35 years of age. Chest pain is not to be ignored.
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She is suffering for viral fever last one week. I get consulted to 3 doctors but still suffering please tell me what should I have to do. One more thing to she also have blood pressure.

MBBS
General Physician, Cuttack
She is suffering for viral fever last one week. I get consulted to 3 doctors but still suffering please tell me what ...
1.Take paracetamol 500mg, one tablet sos upto a maximum of three tablets daily after food 2.Drink plenty of water 3.Take rest 4. If no relief do blood examination like CBC, Widal/ Typhidot test, Blood for mp and Dengue antigen(NS1) test after consulting doctor 5.Consult for further advice
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Hello Dr. I am 36 years old and 115 kg weight. In recent medical tests my triglycerides is high and also my TSH is 15.5 and T3, T4 is normal. B.p- 140/90, vitamin D deficiency, fbs-105, ppbs-141, HDL- 43, LDL-144, S cholesterol - 204. I have started doing exercise. But diet also important. So, please help in the proper diet and I am fond of non veg and what all precautions shall I take.

MBBS
General Physician, Mumbai
Hello Dr. I am 36 years old and 115 kg weight. In recent medical tests my triglycerides is high and also my TSH is 15...
Dear Lybrateuser, - To reduce your weight you have to have more of fibrous foods like fruits & vegetables, beans, legumes, whole grains, peas, nuts, seeds - to reduce triglycerides have more of fibrous foods, do regular exercise, reduce weight, avoid alcohol & smoking, reduce carbohydrates in diet - avoid fried, processed, junk food, chew your food well, do not skip meals, have meals on time, have 4-5 small meals rather than three large meals, have dinner 2-3 hrs before bedtime - reduce nonveg take one portion a day as it has more of saturated fats which will increase cholesterol & triglyceride levels - do regular exercises like walking, jogging, swimming, cycling for 30-40 min, do moderate weight lifting at least twice a week, also do yoga for 10-15 min every morning, it will help reduce weight. -
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My mother is 64 year old from last one week she is facing breathing problem along with high bp, sugar and obesity after consulting doctor and her xray report doc said there water in her lungs and heart has grown broader. Please help me out is things going correct?

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
My mother is 64 year old from last one week she is facing breathing problem along with high bp, sugar and obesity aft...
maha laxmi vilas ras 125 mg twice a day yogendra ras 125 mg twice a day sitopiladi avleh 5 gm twice a day
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Cardiomyopathy: Types and Treatment

MBBS, PG Diploma In Clinical Cosmetology (PGDCC)
Cardiologist, Purba
Cardiomyopathy: Types and Treatment

Cardiomyopathy includes diseases involving the heart muscle. These diseases have various causes, types, symptoms and modes of treatment.

The heart muscle gets enlarged, thick or rigid. In several cases, the heart muscle tissue is replaced with a scar tissue. As this condition worsens, the heart gets weaker and the ability to pump blood is disrupted, which can cause heart failure or irregular beating of the heart. The weakened state of the heart can lead to valvar diseases.

The different types of cardiomyopathy are:

  • Hypertrophic CardiomyopathyThis is a common form and affects people of all ages. Men and women are affected equally. This condition arises due to the enlargement and thickening of the heart muscle. The ventricles, the septum and the lower heart chamber usually thicken, which causes obstruction in pumping of blood by the heart. This disease also causes stiffness in the ventricles, and cellular changes in the tissue.
  • Dilated CardiomyopathyThis form of cardiomyopathy develops due to the enlargement and weakening of the ventricles. The issue arises from the left ventricle and develops over time. It may even affect the right ventricle. More effort is put in by the heart muscles for pumping blood and slowly the heart is unable to pump blood effectively. This condition may lead to heart failure, valve diseases or blood clots in the heart.
  • Restrictive CardiomyopathyThis disease occurs due to the stiffening of the ventricles, without thickening of the walls of the heart. The ventricles are not allowed to relax and do not receive a sufficient volume of blood supply. This condition causes heart failure and valvar problems over time.
  • Arrhythmogenic Right Ventricular Dysplasia: This rare form of cardiomyopathy occurs when fat or fibrous tissues replace the muscle tissue of the right ventricle. This causes arrhythmias and disruption in the electrical signals of the heart. It generally affects teens and may cause cardiac arrest in athletes.
  • Unclassified Cardiomyopathy: Some types of cardiomyopathy of this category include left ventricular non compaction where the ventricles develop trabeculations. Takotsubo cardiomyopathy is another disease where immense stress causes failure of the heart muscles.

Treatment: Many cases of cardiomyopathy come and go away on their own. Treatment for other cases depends on the severity and symptoms. The major treatment methods are:
Lifestyle changes meant for a healthier heart.

Modes of surgery for treatment of cardiomyopathy include:

Implant devices such as Cardiac resynchronization therapy (CRT) device, Implantable cardioverter defibrillator (ICD), Left ventricular assist device and pacemakers are fitted into the heart for better performance.

Cardiomyopathy can be of many different types, each arising from different situations and conditions. The mode of treatment depends on the severity of the complication or on the basis of symptoms.

High Cholesterol - 6 Ayurvedic Remedies That Can Help You Lower It!

Non-invasive Cardiology
Cardiologist, Thane
High Cholesterol - 6 Ayurvedic Remedies That Can Help You  Lower It!

Cholesterol is a type of fatty acid that is produced by the liver. The body uses cholesterol to perform various activities such as synthesizing of hormones, bile acid and vitamin D. Ayurveda views it as an important component of the body in terms of lubrication. The Ayurvedic approach of balancing cholesterol is not only to curb the cholesterol amount, but also to strictly control diet so that the secretion of cholesterol can be curtailed. Here are a few Ayurvedic hat-tips that can help to lower cholesterol and restore normal body function of the body:

  1. Medicago satina: They are better known as Alfalfa and is famous for their ability to deal with artery-related diseases. They are capable of clearing arteries that are congested with cholesterol. They can be consumed daily as a whole or by mixing them in juice.
  2. Arjuna: Arjuna is yet another powerful Ayurvedic herb that is mighty powerful in dealing with cardiac conditions such as heart blockages, heart attacks etc. The bark of the Arjuna tree can be taken and consumed in the form of powder. They have the capability to dissolve cholesterol and prevent heart blockages. This should be consumed earlier in the morning, before breakfast with lukewarm water.
  3. Coriander: Coriander is considered to be one of the best herbal diuretic agents. It can revitalize the kidneys and help them perform better in terms of excretion of waste. The kidney, therefore, can flush the excess cholesterol from the body. Coriander can be consumed along with food on a daily basis.
  4. Garlic: Garlic again has been known to mankind for centuries and is extremely beneficial for people suffering from high cholesterol. Two cloves of garlic on a daily basis can completely neutralize the effect of high cholesterol in the blood. Apart from freeing up arteries, garlic has multiple other health benefits.
  5. Guggulu: This herb is one of the popular herbs among ayurvedic practitioners for treating high blood pressure and high cholesterol in the blood. They contain guggulsterones, which is known to be an active blocker of bad cholesterol in the blood. Consumption of 25 mg of this substance can make a person totally free from high cholesterol. They can be taken after any meals.
  6. Holy basil or tulsi: Holy basil is another popular and traditional Indian hub that is extensively used by ayurvedic practitioners to treat high cholesterol in the bloodstream. They can eliminate excess cholesterol through the kidneys. It is used for preparing multiple medicines. It is a proven medicinal herb that is very efficient in dealing with excess cholesterol in the blood. They have the ability to disintegrate cholesterol from the body. 2-3 leaves of tulsi can be consumed on a daily basis. If you wish to discuss about any specific problem, you can consult an ayurveda.
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I am 29 years old Male, Suffering with hypertension (170/120), hyperkalemia (6.1), diabetes (7.9% Blood Sugar) ,cholesterol, elevated bilirubin and unejaculated bilirubin and with High RBC and Low MCH, MCV Values. My Doctors are saying I am completely fine and just use Medicines for few days. I just want to confirm whether these complications are safe or I am in danger position.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I am 29 years old Male, Suffering with hypertension (170/120), hyperkalemia (6.1), diabetes (7.9% Blood Sugar) ,chole...
These reports and vitals are not normal to me. And you need serious treatment. All allopathic medicine are just temporary solution. And have many complications. Better take Homoeopathic treatment. One Medicine for all complaints and no side effects. You can consult me through Lybrate.
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Hi doctor, I am 37 years female. My cholesterol is on borderline. And I have been detected with Hypothyroid. Though the doctor has not given any medicine for cholesterol. Saying walk, avoid oily stuff, eat good, you can control it. For thyroid given one tab daily to have empty stomach for one month and check back. I want to know what can eat seeing both .paneer. Potatoes,citrus things or no? I'd be oblige if you tell me in detail what to eat and what not seeing my problem.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hi doctor, I am 37 years female. My cholesterol is on borderline. And I have been detected with Hypothyroid. Though t...
lybrate-user, Thanks for the query. When a person develops hypothyroidism and if it is not detected, then it may show up as dyslipidemia, where lipids get disturbed. In this situation treating hypothyroidism and bringing it under control will invariably correct lipids also. There is no separate treatment needed. Most important is to bring down TSH around 3 to 4 mU/L with adequate dose of thyroxine. Plus follow the instructions given by your doctor. I hope your doubt is clarified. Thanks.
2 people found this helpful
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I am a 55 year old men and have bp from last 20 years and also have back pain from 10 years. Please advise me.

Diploma - Diploma - OLO - Rhino-Laryngology
Acupuncturist, Indore
For back pain and bp should learn acupressure to treat it permanently n to avoid use of drugs you can use coconut oil n garlic clove heated one apply on pain area for bp correct your lifestyle n diet don't use salt use black salt only raw onion will help you, avoid stress also.
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I often feel not. And my Bp is low with headache also I cannot sleep properly so I have developed excessive fatigue.

BHMS
Homeopath, Bangalore
Hello improve ur dietary habits,take small frequent meals every 2 hrly once,take little extra salt for 1 week.. n lots of liquids like fruit juices etc.. Take homoeopathic medicine ALFALFA tincture 5drops morning in half a cup of water for 1 month.. n keep a check on bp..Headache is due to ur poor dietary habits...Eat properly n on time..take care..
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Hello, I am 37 years pretty healthy man with no bad habits except being not active, recently my blood pressure has shot up to 140/100 I am worried a lot. What should I do to get the BP down please suggest what to do & what not to do. I am confused.

BHMS
Homeopath, Raebareli
Hello, I am 37 years pretty healthy man with no bad habits except being not active, recently my blood pressure has sh...
Please focus to reduce your weight Do morning walking/brisk walking/treadmill for at least 60 minutes daily Limit your food intake to 4 times daily Cut down fat/fried/ghee items/food from outside Do this for 4 weeks and you need not to take medicine for blood pressure
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Hello doctor my self raju bai. I am 50years old women. I have high blood pressure problem for last two months what should I do.

BHMS
Homeopath, Faridabad
Hello doctor my self raju bai. I am 50years old women. I have high blood pressure problem for last two months what sh...
Hello, Lifestyle changes can help you control and prevent high blood pressure, even if you're taking blood pressure medication. Eat healthy foods. Consume more fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Eat less saturated fat and trans fat. Decrease the salt in your diet. So, avoid eating processed foods, such as canned soups or frozen dinners which contains extra salt in it. Keeping a healthy weight, or losing weight if you're overweight or obese, can help you control your high blood pressure and lower your risk of related health problems. Increase physical activity which can help lowering your blood pressure, manage stress, reduce your risk of several health problems. Get indulged in regular exercising (if your doctor allows you). Limit alcohol. Even if you're healthy, alcohol can raise your blood pressure. If you choose to drink alcohol, do so in moderation. Don't smoke. Tobacco injures blood vessel walls and speeds up the process of hardening of the arteries. Reduce stress as much as possible. Practice healthy coping techniques, such as muscle relaxation, deep breathing or meditation. Getting regular physical activity and plenty of sleep can help, too. Monitor your blood pressure at home. Medication: Take Schwabe’s Essentia Aurea/ thrice daily which is a cardio-tonic which helps in maintaining blood pressure, improves muscle tone of the heart and narrowing of blood vessels.
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I am 31 years old and have tendency for high bp 136/101. please suggest any remedy. I am male guy with this tendency.

BHMS
Homeopath,
I am 31 years old and have tendency for high bp 136/101. please suggest any remedy. I am male guy with this tendency.
Dear lybrate user, take homoeopathic mother tincture rauwolfia q, 30 drops, thrice daily, after meals, in a cup of water for your problem of high blood pressure. Also avoid mutton, beef, chicken, ghee, butter etc. Kindly remember that medication to control high blood pressure will affect your sexual performance & it will diminish your sexual power.
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I am 42 years old, I am taking bp medicine but still my bp is continues 150/50. Wht to do?

Diploma in Cardiology, Diploma in Diabetology, MD
Cardiologist, Coimbatore
I am 42 years old,  I am taking bp medicine but still my bp is continues 150/50. Wht to do?
Bp tablets alone wont bring down ur BP. U need lifestyle modification like regular exercise, strict diet, reduce anxiety stress , tension aling with BP tablets to keep ur BP under control. Contact me for more details
13 people found this helpful
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I'm suffering from cold kindly give me solution as possible as fast and its comes to chest pain also.

BHMS
Homeopath, Thane
I'm suffering from cold kindly give me solution as possible as fast and its comes to chest pain also.
Hi, kali bich 200 4pills to be sucked thrice a day for 15 days spongia tosta 30 4pills thrice aday for 15 days.
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High Cholesterol Level - Can It Cause Carotid Disease?

MCh, MBBS, MRCS (UK)
Neurosurgeon, Chennai
High Cholesterol Level - Can It Cause Carotid Disease?

Carotid artery disease occurs when an oily, waxy substance called plaque builds up inside the carotid arteries. These are arteries that supply oxygenated blood to your brain, face, scalp, and neck.
Carotid artery disease is very serious as it can cause a brain stroke. It, in fact, starts with damage to the inner layer of the carotid artery. To stem this damage your body starts a healing process and this leads to a build up of plaque at the point where the artery is damaged.

When this plaque ruptures, platelets are rushed in and these create an obstruction to the flow of blood to the brain. When the blood supply to the brain is cut off, which happens in carotid disease, the brain cells begin to die causing a stroke. This neural death impairs the parts of the body that these brain cells control. So, you can get paralyzed, become speech or vision impaired, have long –term effects like paralysis or even die due to a stroke.

Causes of carotid disease

  1. Smoking
  2. High cholesterol levels
  3. High blood pressure
  4. High levels of sugar in the blood due to diabetes

What’s even more worrisome is that carotid artery disease may not cause any signs or symptoms until the carotid arteries are severely narrowed or blocked. And what usually happens is that a stroke becomes the first sign of the disease.

How scary is that?
So, the next question that comes to the mind is - Can this condition be cured? Let’s learn more about management and prevention of the same-

Prevention
Lifestyle changes are key. Since hypertension, uncontrolled diabetes, sedentary lifestyles and imbibing too much fat are all risk factors, taking care of them minimizes the risk of carotid disease and strokes. Heart healthy lifestyle changes that include moderate exercise are a great way to prevent carotid disease.

Treatments
Treatments for carotid artery disease include:

Medicines: Sometimes lifestyle changes do not stem the rot. You need medicinal help. Doctors usually prescribe statin medications to control your cholesterol levels. These lower the bad cholesterol that can narrow your carotid arteries and cause brain strokes and damage. Statins are usually prescribed for people who have:

  • Heart disease
  • Those who’ve had a stroke
  • Diabetes
  • High LDL or bad cholesterol levels

Medicines like Aspirin and Clopidogrel to prevent blood clots are the mainstay treatment if you suffer from carotid disease. They prevent platelets from clumping together inside your carotid arteries and forming blood clots. Apart from these, your doctor may also medicate you for conditions that can damage your carotid arteries and cause strokes. These medicines are for lowering your BP, blood sugar levels, preventing the formation of blood clots anywhere in your body including inside your heart, and preventing and reducing inflammation.

Medical Procedures
These are used to open narrowed or blocked carotid arteries.
The two common procedures are:
Carotid endarterectomy: It’s mainly for people whose carotid arteries are blocked 50 percent or more. In this, the inner lining of the carotid artery that is blocking blood flow is removed.
Carotid artery angioplasty and stenting: Here, doctors use a procedure called angioplasty to widen the blocked carotid arteries and restore blood flow to the brain. A stent is inserted into your carotid artery to broaden the lumen.

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

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Not making pressure in latrine take water more and more to do it please give me advice having gas trouble in chest headache and burning in chest not able to sit let gas come to chest and hurts so much my life is like hell if there is somebody please help me.

MD - Consultant Physician
Cardiologist, Kolkata
Not making pressure in latrine take water more and more to do it  please give me advice having gas trouble in chest h...
Take 3 teaspoonful of esopgul every night problem will be solved. More roughage in meal like vegetable plenty may help.
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