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Dr. Prasanna Nyayadish

Cardiologist, Mumbai

560 at clinic
Dr. Prasanna Nyayadish Cardiologist, Mumbai
560 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Prasanna Nyayadish
Dr. Prasanna Nyayadish is a renowned Cardiologist in Mumbai, Mumbai. He is currently practising at S.R Mehta Hospital in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Prasanna Nyayadish on Lybrate.com.

Find numerous Cardiologists in India from the comfort of your home on Lybrate.com. You will find Cardiologists with more than 32 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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S.R Mehta Hospital

#96, Road # 31, King's Circle, sion (E). Landmark: Near Gandhi Market, MumbaiMumbai Get Directions
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I suffer from diabetes and HBP. After a stressful day, I checked by BP by OMRON HEM-7111 numerous times on my left arm but every time it showed an error, while for anybody else it showed the correct reading. A Then when I tried on my right arm, it showed the reading as 198/108. Why was it so? Please put some light as to what could be the reason.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
To use these electronic BP machines to get correct reading, one should follow strict rules while using them like 1. Size of Cuff A BP cuff that is too large will give falsely low readings, while an overly small cuff will provide readings that are falsely high The most practical way to quickly and properly size a BP cuff is to pick a cuff that covers two-thirds of the distance between your patient’s elbow and shoulder. 2. Incorrectly position of Patient's bodyA seated upright position provides the most accurate blood pressure, as long as the arm in which the pressure is taken remains at the patient’s side. Patients lying on their side, or in other positions, can pose problems for accurate pressure measurement. To correctly assess BP in a side lying patient, hold the BP cuff extremity at mid heart level while taking the pressure. In seated patients, be certain to leave the arm at the patient’s side. 3. Placed the cuff incorrectly The standard for blood pressure cuff placement is the upper arm using a cuff on bare skin with a stethoscope placed at the elbow fold over the brachial artery.The patient should be sitting, with the arm supported at mid heart level, legs uncrossed, and not talking. 4. Do not be Prejudiced Prejudice for normal readings significantly contributes to inaccuracies in blood pressure measurement. 5. You’re not factoring in electronic units correctly Electronic blood pressure units also called Non Invasive Blood Pressure (NIBP) machines, sense air pressure changes in the cuff caused by blood flowing through the BP cuff extremity. Sensors estimate the Mean Arterial Pressure (MAP) and the patient’s pulse rate. Software in the machine uses these two values to calculate the systolic and diastolic BP. To assure accuracy from electronic units, it is important to verify the displayed pulse with an actual patient pulse. Differences of more than 10 percent will seriously alter the unit’s calculations and produce incorrect systolic and diastolic values on the display screen. So my point to explain all this above 5 points is that these electronics gadgets can only be helpful if we follow strict guidelines as these gadgets are provided strict instructions in their software but we people every time chk our BP in different bodily conditions Blood pressure readings in the right and left arms that differ by a few points aren’t anything to worry about. It’s actually quite normal. A difference of more than 10 points, though, could suggest trouble.In younger people, side-to-side differences in blood pressure can occur when a muscle or something else compresses an artery supplying the arm, or by a structural problem that prevents smooth blood flow through an artery.In older people, it’s usually due to a blockage arising from atherosclerosis, the artery-clogging disease process at the root of most heart attacks, strokes, peripheral artery disease, and other cardiovascular conditions, but the possibility of a damaged BP monitor cannot be ruled out in your case- Here are a few tips to help you start monitoring your blood pressure at home: 1. Avoid caffeine, alcohol, and nicotine during the 30 minutes before you take your reading. 2. Sit quietly for a few minutes with your back supported and your feet on the floor. 3. When making the measurement, rest your arm so your elbow is at the level of your heart. 4. Wrap the cuff over the bare skin of your upper arm. Measure your blood pressure according to the machine’s instructions. Leave the deflated cuff in place, wait a minute, then take a second reading. If the readings are close, average them. If not, take a third reading and average the three. Repeat the procedure in the other arm. 4. If the blood pressure readings in your arms are off by more than 10 or 15 points, mention this at your next doctor visit and ask your doctor or nurse to check both arms.
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doctor i m 47 and weight 117kgs recently my bp cholesyerol sugar crossed border line and started taking pills metronyl 500, losar h, roseday but i m finding very difficult to woke up in the morning. is it because of overweight or my latenight sleep or my regular intake of 2 pegs, or because of bp sugar or bp.

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
Because of all factors you have yourself mentioned.consult if you desire for insomnia eat light at dinner and reduce wt at ideal.
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Rarely I get this sudden pain in the left side of my chest near the heart. It increases when I breathe in but when I stop. I can't feel the pain. This lasts for a max of 5 to 8 seconds.

MBBS
General Physician, Mumbai
Dear lybrateuser, - Your pain could be due to muscular or other soft tissue problem - do not lift weight, bend, exert till pain subsides - do hot fomentation of the affected area twice a day - apply pain relief gel thrice a day, apply lightly, do not rub - take a pain relief tablet if pain is more.
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Know Your Cholesterol: Good Vs Bad

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Know Your Cholesterol: Good Vs Bad
Know Your Cholesterol

Cholesterol is a waxy, fat-like substance that’s found in all cells of the body. The term cholesterol is often directly related to a heart condition. But the truth is that not all types of cholesterols are harmful for your body. It is important that one knows about the different types of cholesterol, having healthy levels of both types of lipoproteins is important, deal with them appropriately and lower the chances of having a stroke or getting a heart disease. Bad cholesterol levels can be high in people irrespective of them being thin, if it is genetic or if they are smokers.

Types of Cholesterol.

The Bad One:

LDL cholesterol sometimes is called “bad” cholesterol. A high LDL level leads to a buildup of cholesterol in your arteries. Lowering your cholesterol may slow down, reduce, or even stop the buildup of plaque in your arteries. It also may reduce the risk of plaque rupturing and causing dangerous blood clots.

The Good One:

HDL cholesterol sometimes is called “good” cholesterol. This is because it carries cholesterol from other parts of your body back to your liver. Your liver removes the cholesterol from your body and is important for the body as it reduces the risk of heart attack, disease and strokes.

Cholesterol count of the body is counted by adding the two types of cholesterols (LDL and HDL) along with body's triglyceride level. Triglycerides are a type of fat found in your blood. Too much of this type of fat may raise the risk of coronary artery disease.

The level of your cholesterol shows the level of risk your body is in, to have a stroke or a heart condition. Other factors which determine the risk are whether the person is a smoker, diabetic, has high blood pressure along with their age, sex and race.

Cholesterol levels are affected by:

1. Genetics: Genetics have a direct effect on your cholesterol level. If the levels have been high in the previous generations, you are automatically at higher risk of this condition.An inherited condition called familial hypercholesterolemia causes very high LDL cholesterol.

2. Age and Weight: Once we cross the age of 20, our cholesterol level starts to rise. Being overweight however is also a high risk factor of increased levels of bad cholesterol in the body as well as developing heart disease.

3. Lifestyle: Less or no exercise is another reason which reduces the good cholesterol in the body, as does being overweight. Regular exercise however reduces LDL and increases HDL in the body. Also a diet rich in saturated fats makes your LDL levels shoot up and puts you to higher risk.

If you would like to consult with me privately, please click on 'Consult'.
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Hi, my age is 19 I smoke daily 3 cigarettes. My chest is paining in the middle while turning left and right. So, what to do ? And how to stop my pain?

MBBS
General Physician, Cuttack
Causes 1. Heart disease 2. Stress, anxiety 3. Lack of exercise 4. Sedentary life style 5. Obesity (over weight) 6. Smoking, tobacco and alcohol consumption, excess tea/coffee 7. Excess oily, fatty, cholesterol rich diet, junk food 8. Hyperacidity, musculr pain 9. Heredity and genetic factor prevention follow the advice given below 1. Avoid stress and strain 2. Do regular exercise, yoga, meditation, deep breathing exercise like pranayama etc. It will calm your mind, control your emotion and relieve stress 3 avoid alcohol, smoking and tobacco consumptio, excess tea/coffee. 4. Take bland diet, avoid spicy, oily, fatty and junk food 5. Take paracetamol 500 mg one tablet sos after food up to a maximum of three tablets daily, at the time of chest pain 6. Drink plenty of water and take rest. 7. If you have recurrent attack of chest pain take ecg and consult cardiologist.
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What are the symptoms of heart attack? And what are the first aid we have to make? How they cause.

CLINICAL CARDIOLOGY, MD - Consultant Physician
Cardiologist, Surat
Chest pain, chest heaviness are signs of heart problem. There can be other wide range of symptoms. The point is that if at any point you feel that this is a heart problem you should go and see a heart doctor. This is very important. You should see a heart doctor. Generally physicians are not export at dealing with heart problems so you should see a hot Dr. Worries nearby are you should follow the advice given by the heart doctor.
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Mein 26 saal ka hu aaj mujhey chakkar aake kirgaya doctor ne bataiya blood pressure low hogaya. Mujhey kya karna chahiye please salah dijiye.

Ear-Nose-Throat (ENT) Specialist, Vijayawada
U have constitutional hypotendion, so timely food+don't stand at a long time+vertin 8 2/day if necessary
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For what purpose MONIT GTN -2.6 tablets ARE USED FOR? RECENTLY MY FATHER GOT FELT PRESSURE ON HEART FOR SOME TIME AFTER THAT HE FELT NORMAL. DOCTOR AFTER HEARING OUR PROBLEM HE GAVE THIS TABLET IN PRESCRIPTION.

PDDM, MHA, MBBS
General Physician, Nashik
It is used for Angina Pectoris, Cardiac Failure, Cardiopulmonary Oedema, Long-term Treatment Of Healed Reflux Oesophagitis, Moderate To Severe Reflux Oesophagitis, Myocardial Infarction, Oesophageal Spasm, Postoperative Hypertension, Prinzmetal's Angina.
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I am suffering from fever for last 5 days. But there is no improvement in my health. I have tested my blood too. But the report is normal. So tell me what to do in this type of situation?

MD Microbiology
General Physician,
Hi. Please may I know what did you get tested for. Fever might be due to viral infection also. It subsides by itself. Please take healthy food to boost up your immunity. Plus adequate sleep and rest.
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I'm feeling really weak. Body temperature's very high, I faint when I stand up which points that maybe I have low bp. And there a kinda sharp headache at the upper part of head when I stand up. Any cures please?

C.S.C, D.C.H, M.B.B.S
General Physician,
Itis not BP issue and in your age you are anxious and it is the reason . You do meditaion , yoga and exercise weill
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My age is 32 years and past few days my blood pressure is 92/130 .i m 108 kg. Aswell acidity problem should I go for medicine. Every blood report is normal .

MBBS
General Physician, Cuttack
Your bp is high 1. Do regular aerobic exercise like brisk walk for 30 minutes every day 2. Reduce your weight 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. Stop smoking and consumption of alcohol, tobacco, 7. Avoid stress, anxiety, physical and mental exertion 8. Do yoga, meditation, and deep breathing exercise 9. Monitor your bp regularly and consult physician for treatment 10. Hav eadequate sleep for 7-8 hours daily.
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I am Amarjeet singh m suffer from high BP and sugar problem since last 2 year. I took med. Properly but my was not in control pls adv. Me what should I do.

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
At age of 33 years you are suffering from high bp and sugar. Start herbal medicine also. Do meditation. Change your daily diet. Use our diet chart.
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My mother's age is 66. But she has been suffering from joint pain on her left leg. She finds hard to walk. She has also been suffering from hypertension & acidity. please suggest . Whether any protein or calcium supplement is required?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bijapur
Hello lybrate user tell your mom to take regular massage with bala taila before warm bath. Dashamularista 15 ml with equal water 2tms a/m. Tab yogaraj guggulu 2-0-2 a/m for 8wks. Balanced diet should be taken regularly.
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I'm having pain in the upper middle of my chest when I push it slightly please tell the reason.

MBBS
General Physician, Mumbai
Dear lybrateuser, - The pain could be due to muscular & other soft tissue problem - do not exert, bend, lift weight or exercise till pain reduces - apply pain relief gel three times a day - take a pain relief tablet after meals if pain is more.
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I will smoke a lot so that I had a problem in heart so I can not sleep well and good at night so please give me the suggestion for that.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
At 21 you have smoked and caused a heart problem? You must have smoked quite heavily. You have to quit cold turkey because the body and mind will torture you endlessly while attempting a reduction in smoking. The tobacco tar in cigarette smoke lines your lung with huge patches that make that portion dysfunctional. Your oxygen carrying capacity is jeopardized, and breathing is impinged on. But don’t be discouraged because it is not too late even now to reverse all the ill-effects of smoking. I don’t know what other organs could be damaged but do go for a thorough medical check-up to assess the effects of your abuse. Regarding improving your lungs, do a lot of aerobic exercise breathing through your nostrils only. Then there are a lot of deep breathing exercises in Yoga which you can learn too. Deep breathing cleanses your system and lungs and restores it to good health. Deep breathing uses the 80% of the lungs which are not normally used in normal breathing and even when exerting yourself. The greatest effect is in the lungs because this substance is processed through the respiratory system directly through the lung surface. When quitting, you must take one day at a time; though you must give up all smoking at once, and promptly. If you look too far ahead you will get discouraged and will give up. If you sit and count the number of days you have given up, that will also focus too much on achievement. You must focus on the here and now, on that day to be precise. After all quitting is not that easy due to many factors. So even if you fail one day, you must try and try again. Very few people succeed in their first attempt. Your persistence will eventually pay off. The urge to discontinue is hampered by many factors but the worst of them is the conditioning. In fact, these conditions can exist all through the day, unlike other addictions. But your desire to want to stop is the most important factor. It is important to find out about the ill-effects of smoking to have a reason that alarms you about continuing the habit. The information is really scary but true and you must remind yourself about this every day. The nicotine in tobacco smoke stimulates the heartbeat to raise the blood pressure in no time at all. So you must avoid it like the plague: it is just very bad medicine for you. In fact, it is highly toxic too. You will need to stop smoking or consuming any tobacco related items with immediate effect. You should start vigorous exercises, gradually increasing it over a period of time. Do deep breathing exercises every time you feel like smoking (try Yoga), and replace the oral urge with some healthy food substitute to satiate the need. You may also take hard candy or chew gum. If the urge is too strong, then use nicotine gums and nicotine patches, for a little while until the smoking drive reduces, substantially. You may also join Smokers Anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation. Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers for some time i.e. at least for the first 21 days. Above all announce it to everyone that you have quit smoking. Here’s a piece of very good advice: even if you accidentally/willfully take a cigarette, it is not the end of the world – you can start the cessation all over again. You must persevere with the best support until you defeat this addiction. Counseling is very useful in the initial stages and when temptations are at their highest. You could also join twitter2quit program and enjoy its success to give up smoking.
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My uric acid level is 8.2. And my cholesterol has also increased. It is border line high. Please advise.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Masters in Healthcare Services
Ayurveda, Una
Do not take too much proteins as they will contribute to more production of uric acid. For high cholesterol level do walk daily, avoid deep fried and junk food. Add fresh fruits and fresh vegetables in your diet. For borderline cholesterol you do not need any medicine, you can control it by change in diet and lifestyle. You can also consult a nearby dietician and get a diet chart. You can repeat your uric acid and lipid profile after two or three months.
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Sir I am suffering with dry cough from 4 weeks. I have pain in my chest. What should can be done now?

DHMS (Hons.)
Homeopath, Patna
Hello, * avoid, dust, smoke, fire, alcohol, junk food. * drink lukewarm water. * your diet b easily digestible. **homoeo-medicine** @ tuberculinum 200- 6 pills, once a wk= 4 wks only @ bryonia alb 30-6 pills, thrice a day/dly report wkly.
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