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Dr. Prafulla

Cardiologist, Mumbai

600 at clinic
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Dr. Prafulla Cardiologist, Mumbai
600 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Prafulla
Dr. Prafulla is a renowned Cardiologist in Dadar West, Mumbai. You can meet Dr. Prafulla personally at Shushrusha Hospital in Dadar West, Mumbai. Save your time and book an appointment online with Dr. Prafulla on Lybrate.com.

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Hindi

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Shushrusha Hospital

Street No 698-B, Ranade Road, Dadar West, Landmark : Nera Shivaji Park, MumbaiMumbai Get Directions
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Please advice for diet in diabetic hypothyroid hypertensive CKD patient with post angioplasty status?

C.S.C, D.C.H, M.B.B.S
General Physician,
Please advice for diet in diabetic hypothyroid hypertensive CKD patient with post angioplasty status?
FOOD ITEMAmountPROTEIN (gm)CALORIE (Kcal) EARLY MORNING Fenugreek seeds with 1 cup of water--- Tea (without sugar)1 cup435 Marie Biscuits2156 Breakfast Stuffed methi/palak /lauki paratha2 small7200 Curd50 gm (1 cup)330 OR Egg white / Paneer Bhurji1 medium bowl6130 Plain roti (no oil)2 small3150 OR Vegetable poha/upama/oats/daliya1 soup bowl4.5230 MID MORNING Apple /guava/orange1-40 LUNCH Salad (10 mins before lunch)1 Medium bowl130 Capsicum + gobhi veg1 medium bowl185 Dal1 soup bowl6130 Phulka (no ghee)26175 EVENING Milk / green tea / herbal tea / lemon water1 cup235 Roasted chana + Muri1 cup585 DINNER Salad (10 mins before dinner)Phulka (no ghee24.5150 Lauki veg1 cup285 Curd1 cup330 LATE NIGHT Skim Milk (no sugar)1 glass4120 Total-49.51286 Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. It is a difficult task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (Self-Monitoring of Blood glucose – SMBG). Though difficult, this can be done by a glucometer and keep a record. Get an idea of Fasting sugar (FBS) and 2 hours after food (PPBS), & HbA1C (inform me) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ Insulin will be needed. There are different diet plans of varying calories for each person depending on his activity & life style. For diabetes, hypertension (high BP) and many long-term illness control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touch personally.
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veins of hole body are stretching BP is high in upwards it is 170 and lower 100 any special opinion.

MBBS
General Physician, Cuttack
veins of hole body are stretching BP is high in upwards it is 170 and lower 100 any special opinion.
1. Do regular aerobic exercise like brisk walk for 30 minutes every day 2. Reduce your weight if overweight 3. Reduce salt intake 4. Drink plenty of water 5. Take bland diet, avoid spicy, oily, junk saturated fat and cholesterol rich diet. Take plenty of green leafy vegetables, fruits, 6. Avoid stress, anxiety, physical and mental exertion 7. Do yoga, meditation, and deep breathing exercise 8. Monitor your bp regularly and consult physician for treatment 9. Have adequate sleep for 7-8 hours daily.
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My heart is beating too fast. Yesterday,I have low B.P.Just small amount of work due heart beating rapidly. After few min, it gets normal.

MBBS
General Physician, Mumbai
My heart is beating too fast. Yesterday,I have low B.P.Just small amount of work due heart beating rapidly. After few...
Dear Lybrateuser, - Your problem could be due to anxiety, stress or weakness -have a well balanced diet with more of fruits & vegetables, also have protein foods like egg, milk & milk products like yogurt, cheese, cottage cheese, butter milk, healthy fats like in fish, olive oil, avocado, mixed nuts such as almonds, walnuts, pista, cashews, peanuts - do regular exercise like walking, jogging, swimming, do yoga, meditation & deep breathing for 5-10 min daily in the morning - have 8-10glasses of water for proper hydration - get blood hb%, thyroid hormone & blood sugar, ECG checked & consult a doctor if not much improvement.
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I am suffering from pain in my lower legs. Blood test shows less of vitamin D and excess of Uric acid and LDL cholesterol. Although I have started medicines yet I do not know exact reason of it. I am 70 year old retired person with 153 cm height and 90 kg wt.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am suffering from pain in my lower legs. Blood test shows less of vitamin D and excess of Uric acid and LDL cholest...
Mr. lybrate-user, Looking at your weight and height it is clear that you have grade 1 obesity with a BMI of 30.5 kgs/M2. Your ideal body weight should be closer to 65 kgs, hence, carrying an extra weight of 25 kgs. This itself can be a major reason for various problems. Plus if uric acid is hige (above 7 mg/100 ml), then that to may contribute to joint pains. You may have avoid high purine containing foods like red meat, organ meats, certain fishes like sardines, salmon, scallops, herrings, haddock and mushrooms and mussels. Also alcohol and aerated drinks need to be avoided. Thanks.
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Recently I faced chest pain, however all the reports are normal. Less blood and low bp. Can I take paya soup now?

MBBS
General Physician, Mumbai
Recently I faced chest pain, however all the reports are normal. Less blood and low bp. Can I take paya soup now?
Dear Lybrateuser, -Your chest pain could be due to acidity -have meals on time, do not skip meals, chew your food well, avoid spicy, fried & junk food, too much tea/coffee -sprinkle a pinch of salt on your meals & have 8-10 glasses of water to bring up your BP, also do regular exercise to keep fit -have more of green leafy vegetables, non-veg, fruits, eggs to raise your hemoglobin & blood count, you can take paya soup.
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I always feel sensation on my left side and low blood pressure. What should i do?

MBBS, PGDCC
Cardiologist, Delhi
Hi, Drink lot of water. Do some basic tests like CBC, S. Electrolyte, Vit D3 & Vit B12. Deficiency of any of these could cause such problems. Thanks.
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I am 38 yrs old male, recently my triglyceride has come high (477) rest of the blood test ok though liver is found fatty gr ii. Can I reduce it using exercise, diet and omega supplements?

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I am 38 yrs old male, recently my triglyceride has come high (477) rest of the blood test ok though liver is found fa...
Hello dear High 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 .
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Hlw I have problem in my chest. My chest is paining nd there is cough inside the chest. I also suffering from fever. There is also a problem with me that I am gaining my weight day by day how I loose my weight.

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist,
Hlw I have problem in my chest. My chest is paining nd there is cough inside the chest. I also suffering from fever. ...
1. Burn Fats And Calories 2. Healthy Diet to Lose Weight 3. Leave Carbonated Beverages 4. Eating vegetables to lose weight 5. Eating fruits to lose weight 6. Avoid snacks to lose weigh 7. Stop eating sugar lose weight fast 8. Reduce sodium lose weight 9. Herbal Tea to lose weight
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From 4 years I been an smoker till now sandenlly I feel so pain heart side. How could be it quit it smoking habit.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
From 4 years I been an smoker till now sandenlly I feel so pain heart side. How could be it quit it smoking habit.
Stop smoking asap, as it is pollution levels in the environment are high and all of us in delhi/mumbai are inhaling 8-10 cigarettes a day ruining our lungs and hearts, low levels of oxygen in circulating blood can trigger a heart attack, you should quit smoking through will power for your sake and for sake of your loved ones. You have pain on the heart side, remember all pains are not due to heart, if there are no other symptoms, try a painkiller like meftal, if it is a muscular pain, it will give you relief, but heart pain is sharp shooting and does not get corrected by painkillers. Do give a feedback.
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Dear sir/mam, I m 21years old and and my weight is only 45kg I i was used many weight gaining supplement but its works only up to the time of taking supplement and when I leave the supplement my weight getting lose fast and I m not able to purchase high rated supplement. So, please suggest me for gain weight permanently. I m very worried about my weight. Thank you.

BAMS
Ayurveda, Ambala
Dear sir/mam, I m 21years old and and my weight is only 45kg I i was used many weight gaining supplement but its work...
Follow these best methods to easily gain weight and get a healthy body - 1. To gain weight, your digestion should work properly for proper digestion - take 10 gms powder of carom seeds (ajwain, 10 gm powder of cumin (jeera), 10 gm of rock salt. Mix them well and take 1/2 teaspoon (3-5 gm) of mixture daily after meal. 2. Take a diet rich with proteins and fats. You should take high calorie food that increase your muscle mass and induce growth in bones. Follow the diet chart in your daily life to fastly gain weight * in morning, take a glass of milk added with 2 teaspoons of protein powder with breakfast. * in lunch time, take 1 bowl of curd or 100 gm of cheese, a bowl of vegetable, with chapattis. * in evening, take 1 glass of milk (300 ml) with 2 bananas. * in night, take a bowl of careals (daal, a bowl of salad with chapattis. 3. In morning, get up early and take awalk for 10-15 minutes and exercise light weight exercises for at least 30 minutes at home or gym. 4. For proper weight, proper sleep is very important. So you should sleep for 6-8 hours daily. 5. Avoid smoking & alcohol drinkg completely. 6. You can try protein powders like milk powder, soya protein for weight gain by taking 1 tea spoon added in milk once a day. 7. You can take shatavaryadi churn (powder) of baidyanath company 1/2 teaspoon with milk once a day for fastly gain weight. I assure you that you definitely gain weight fastly by following them. Be healthy
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My blood pressure is getting high unusually. I take Losar-H, but even this medicine is not helping me.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
My blood pressure is getting high unusually.
I take Losar-H, but even this medicine is not helping me.
Hello Lybrate user according to ayurveda, Hypertension is referred to as Rakta Capa Vriddhi and it sees the vitiation of vata and pitta doshas as the main cause. Home Remedy- Mix 1 teaspoon of onion juice with an equal amount of honey. Take once a day for 1 week. Upon noticing improvement, continue for several more days. Treatment- 1-take sarpgandha vati twice a day. 2-yogendra ras. Akik bhasm works very good in case of hypertension. 3-Take pranacharya no tens capsule twice a day Diet-avoid salty diet. Oily food. Lower your stress. Do pranayama early morning.
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I am 56 years male having b. P 160/120 (hyper tension) and sugar 100-140. Taking tablets for 14 years. Presently I am feel tired of continuing my job. What is your advise?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 56 years male having b. P 160/120 (hyper tension) and sugar 100-140. Taking tablets for 14 years. Presently I am...
Since you have both essential hypertension and t2dm, this itself can make you feel tired, unless both conditions are in control. Your bp is high, it should ideally be 130/80. You have not mentioned hba1c level which tell about long term control of blood sugars. I also want to know medications taken and amount of exercise that you are doing. Your bmi is 27.14kg/m2 which is high (normal 23kg/m2). Plus do you use tobacco in any form and alcohol also. Please give this information which will help me advise you better.
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After accident chest pain and backpain started odd and even time and facing breathing problem.

MBBS
General Physician,
After accident chest pain and backpain started odd and even time and facing breathing problem.
You should take an xray chest and lumber region to exclude any lumber sondylitis. Any chest in jury due to accident. Do not self mrdicate. Consult a surgeon.

Symptoms Difference in fit and heart attack how we find whether its fit or an attack.

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
Symptoms Difference in fit and heart attack how we find whether its fit or an attack.
Fits cause spasm of the various muscles and frothing from mouth and upturning of eyeballs.. Heart attack causes severe pain in chest or neck or left arm with profuse sweating and palpitations ,ghabrahat....the pt is responsive in initial few hours of attack but unlikely in fits
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I noticed pain on the right side of the chest but its not typically in the chest rather somewhere in the bone when pressed little hard. Is that a matter of concern? Which specialist should I consult- a gynecologist or a physician to examine it first?

MBBS
General Physician, Mumbai
I noticed pain on the right side of the chest but its not typically in the chest rather somewhere in the bone when pr...
Dear Lybrate user, -Your chest pain is due to bony problem -do not exert, bend, lift heavy weight till it reduces -apply over the counter pain killer gel 3-4 times a day -do hot fomentation on affected area -get x-ray chest done, consult a physician.
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Hi, want to know what types of precautions should I take for my father who is having high blood pressure.

BAMS
Ayurveda, Ambala
Hi, want to know what types of precautions should I take for my father who is having high blood pressure.
To control & maintain Blood pressure to 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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My mom having body pains for last 15 months. Consulted more doctors but no use. All doctors told. It's low blood circulation. Somebody says its blood platelets counting is low. So we consult govt hospital in kurnool ap state. After that problem solved almost platelet count is 1.5 lakh. So happy. But pains are not recovered. Daily she facing problem with pains. We r very poor. I'm a student. And my father also old age .he don't know anything. I'm feeling so sad. What's best way to recover my mom from the pains. Help me.

MBBS, MD - Psychiatry
Psychiatrist, Faridabad
My mom having body pains for last 15 months. Consulted more doctors but no use. All doctors told. It's low blood circ...
Dear lybrate-user, Pains of long duration have there connection with brain. So you need to consult psychiatrist for the same. I can not start medicine without seeing patient. I am sure that after treatment your mother will get 70-80% improvement. All d best!
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I'm a high bp patient with high pulse rate issues, recently did my routine blood test ,total cholesterol was 183 (less than 200 is normal) which is normal bt ldl cholesterol was 123 and non hdl was 141 is it normal? Sgot was 25 (normal) bt sgpt was 73 (30-65 is normal)

MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology, Interventional Cardiology and Cardiac Electrophysiology
Cardiologist, Delhi
I'm a high bp patient with high pulse rate issues, recently did my routine blood test ,total cholesterol was 183 (les...
Lipid is ok SGPT is on higher side, repeat it after 2 weeks and if stil high get a gastroenterologist opinion.
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What to do if you see somebody getting a heart attack in front of your eyes? What should be done ?

MD - Consultant Physician, MBBS
Cardiologist, Ludhiana
Make him rest / lye down, Give him Asprin, Clopidogrel and a Statin if available. Call for an ambulance / or get other vehicle to take him to hospital. Call the hospital emergency where you are taking him to be ready for the emergency. Inform close relatives of the patient.
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