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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.

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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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How to solve a problem of a person who is having sugar disease. and heart problem. What are the best medicine.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
How to solve a problem of a person who is having sugar disease. and heart problem. What are the best medicine.
diabetes one has to take anti diabetic drugs or insulin injections as advised, and also observe dietary restrictions, exercise daily for more than 1 h and avoid sweets, deep fried foods, junk food and pastries. Plus maintain weight near normal. For heart disease the the treatment and other guidelines will depend on what exactly is the disease. There is nothing like best medicine, drug requirement will always be based on what is the diagnosis.
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I am 33 yrs. Old. I am struggling to set up businessfor which I have compromise with many odd things. I am depressed since I am in debt and struggling for start ups. I have become regular alcoholic which effects my sleep my diet mental stress heart and head problems. Pls suggest.

DNB Cardiology, MD - General Medicine, MBBS
Cardiologist, Mumbai
I am 33 yrs. Old. I am struggling to set up businessfor which I have compromise with many odd things. I am depressed ...
Hello, the very essence of a successful enterprise, is the person being strong and level headed. There are millions of examples where multiple 1st attempts did not fare well and they ultimately founded one of the biggest company in the world, like ali baba, uber, whatsapp and millions other, however common thing amongst them was one took the easy way out to alcohol. They studied the reason for failure, improved upon the mistake s ultimately to strike gold. All your symptoms are because of alcohol and lack off sleep, a visit to a psychologist is strongly suggested so he can help you before you damage your health and future prospects both. Hoping I could help.
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I have some issue related to myself some times my heart is beating very fast but after some times it's normal pls reply.

MBBS
General Physician, Mumbai
I have some issue related to myself some times my heart is beating very fast but after some times it's normal pls reply.
Dear Lybrateuser, - Your problem could be due to anxiety & stress - do regular exercise like walking, jogging for 20-30 min, do yoga, deep breathing, meditation for 5-10 min daily morning - have a well balanced diet with more of fruits & vegetables - sleep well for at least 7-8 hrs at night to relax your mind & body - destress by reading, listening to music, follow a hobby - if still not much improvement then you may require investigations, consult a doctor.
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Hypertension During Pregnancy - Techniques for Managing it!

MICOG, MS, MBBS
Gynaecologist, Delhi
Hypertension During Pregnancy - Techniques for Managing it!

Hypertension during pregnancy can be a problem for both baby and the mother. Thus it is of utmost importance that during pregnancy a good health should be maintained along with controlled blood pressure and cholesterol levels. With an increase in multiple births and women of older age the risk of hypertension during pregnancy has increased. But if proper care is taken it can be avoided.

Types of Pregnancy Hypertension:
There are three prominent forms of hypertension that can be seen during pregnancy. The pregnant ladies should be aware of the same. These are:

  1. Preeclampsia: This is the most common and serious hypertension during pregnancy. This hypertension can only be controlled by delivering the fetus, which usually involves complications like death of the mother or child. This occurs 20 weeks after pregnancy.
  2. Gestational hypertension: This form is only prevalent during pregnancy and is not a problem for the mother or baby after delivery. This usually occurs in the last leg of the pregnancy
  3. Chronic hypertension: This form forms either prior to the pregnancy or before 20 weeks of the pregnancy.

Management of Pregnancy Hypertension:
Hypertension during pregnancy can be handled by the following:

  1. In case of severe hypertension, blood pressure medication should be continued during pregnancy.
  2. If you are on ACE inhibitor type medication, then the medication is changed to one that is even safe for the baby.
  3. Your doctor might like to monitor you daily and can advise hospitalization for a few days
  4. If medication is missed, it might lead to uncontrolled life threatening hypertension. Thus the medication should not be missed at any time.
  5. In case of mild hypertension and absence of other diseases like diabetes and kidney disorders, the doctor might stop the medication or reduce the dose. Also, being off medicine does not cause any problem in mild hypertension.
  6. Irrespective of the hypertension being mild or severe, the prenatal appointments should not be missed, so that the doctor can monitor you and the baby. So that problems, like rise in blood pressure, poor fetal growth, and signs of preeclampsia can be spotted and steps can be taken for the same.
  7. In case there is some form of hypertension present the prenatal visits and lab tests will be more.
  8. Apart from the usual second trimester ultrasound, there will be periodic ultrasounds in the third trimester to monitor the baby's growth and the amniotic fluid.
  9. Also regular fetal tests and Doppler ultrasounds will be done to track the baby's growth.
  10. Lifestyle changes should be made. Salt intake should be limited, fresh food instead of processed food should be consumed.
  11. If blood pressure is high then doctor might ask you to avoid exercise especially if you never did before pregnancy. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
3044 people found this helpful

Your advice on cashew nuts. I am 65 years old retired army officer and play golf daily which involves brisk walking for about 5 km daily. I am on BP medication. My other physical parameters are good and no complaints. I am very fond of nuts. How many or how many grams cashews can I consume on a daily basis? I am scared of over eating also.

BHMS
Homeopath, Faridabad
Your advice on cashew nuts. I am 65 years old retired army officer and play golf daily which involves brisk walking f...
Hello, the most healthiest of all nuts are almonds, followed by walnuts and pistachios. But one should always include nuts in their diet in a recommended amount. Cashew nuts have a lower fat content than most other nuts and is heart-healthy monounsaturated fats which is considered to be a good fat. One should have 4 to 5 cashew nuts every day.
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I am 62 yr. Male no diabetic. BP 90/130 taking tablet tenormin25 & stamlo 5.i am handicap with leg. I can't walk to long. I have corolstrol problem. I want to maintain LDL &HDL pl. Suggest me medicine for my body.

MBBS, DNB (General Medicine), Certified in Evidence Based Diabetes Management, MNAMS
Internal Medicine Specialist, Kolkata
I am 62 yr. Male no diabetic. BP 90/130 taking tablet tenormin25 & stamlo 5.i am handicap with leg. I can't walk to l...
Thank you for the query. As per the history you have provided, you are hypertensive (BP 130/90 mm of Hg, on Tenormin 25 and Stamlo 5 mg), have hyperlipidemia (raised cholesterol) and non-diabetic. It would be helpful, if you would have posted the reprots of the lipid profile. Itis advisable to maintain your Total cholesterol <200 mg%, LDL <120 mg% and HDL >45 mg%. The Triglyceride level should be <150 mg%. Since you have limited walking capacity, you need to modify on the diet. Reduce the intake of saturated fat (ghee, butter etc) and refined carbohydrate. The Statin (Atorvastatin, Rosuvastatin) group of medications is effective in reducing cholesterol, but should be taken only after consulting your physician. Regards.
3 people found this helpful
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My brother has HDL cholesterol 36mgms/100 ml does it is bad for him . If bad then please tell me the precautions to make it good.

MBBS
General Physician, Mumbai
My brother has HDL cholesterol 36mgms/100 ml does it is bad for him . If bad then please tell me the precautions to m...
It's okay with these values and I will suggest you to concentrate more on ldl cholesterol and triglycerides.
1 person found this helpful
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I have spondylitis n my head always pains bt now a days I am getting chest pain. N also I hve knee joint pain.

CLINICAL CARDIOLOGY, MD - Consultant Physician
Cardiologist, Surat
I have spondylitis n my head always pains bt now a days I am getting chest pain. N also I hve knee joint pain.
Hi. For your age, and considering the joint pain, it is good to get ecg and 2d echo tests done to check whether the chest pain is related to heart or not. These are simple test with no pain or side effects. Consult your joint pain doctor for management of joint pain. Take care.
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4 Ways to Maintain Your Cardiovascular Health

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
4 Ways to Maintain Your Cardiovascular Health

Following a healthy lifestyle that is armed with a well-regulated diet is the most important aspect of combating your cardio-vascular disease. If you think that it is going to be very difficult to achieve, then you will be happy to know that the reality is quite the opposite. You can achieve your goals by following short and simple steps that would help you to reap long-term benefits for protecting your cardio-vascular health.

  1. Try to use the calories consumed: It is very important to know how many calories you are consuming in a span of 24 hours. The calorie and nutritional information given on the food levels are normally based on the 2000 calorie diet. But it is crucial to know that your individual calorie requirement is dependent on numerous factors, including your age, gender as well as level of physical activities. When you are aiming to restrict your weight gain, it is recommended not to eat more than you can use up in a day along with increasing the intensity and amount of physical activity so that it matches the amount of physical activity. You must try to incorporate either 75 minutes of hard training or 150 minutes of moderate exercise in a span of seven days in order to boost healthy weight loss.
  2. Consume a wide array of nutritious items from all food groups: Though you may believe that you are eating a sufficient amount of foods, your body may not be receiving an optimum amount of nutrients it needs for proper functioning. Foods that are considered rich in nutrients must contain sufficient amounts of protein, minerals, whole grains and other variants of nutrients with low calorie content. These foods not only aid in reduction of weight but also trigger lowering of blood pressure and cholesterol levels.
  3. Eat right: You must aim to incorporate fresh fruits and vegetables in your diet besides whole grains, dairy products with low fat contents, legumes and nuts. It is important to stay away from red meat, trans fat, artificially sweetened beverages and sodium. Experts also suggest consuming less of food that has poor nutrient content in order to protect your heart.
  4. Avoid smoking and alcohol: Simply exercising and eating a healthy diet is important, but you should not eliminate the adverse effects of smoking and alcohol consumption, which not only cast an impact on the health of your heart but also cause a variety of cardiovascular and pulmonary diseases. The medications and remedial measures vary greatly among individuals and thus, it is crucial to speak with a doctor for receiving personalized treatments. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
3538 people found this helpful

I am 35 year old I feel problem in my heart, feeling some burning in heart. I also took BP medicine.

BHMS
Homeopath,
I am 35 year old I feel problem in my heart, feeling some burning in heart. I also took BP medicine.
Burning may be due to acute gastric problem also...soo u can take antacids and then see what changes u get.take food in every 4-5 hrs intervals..don't let ur stomach be empty fr long.
2 people found this helpful
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I am diabetes2 patient since last 26 year. At present my blood sugar fasting & P. P. Are 89 & 137 mg/dl & HbA1C is 4.8%, taking glimepiride1 mg od half hour before lunch & Metformin SR 1 gm od after lunch since last 34 months. I am suffering some side effects due to metformin such as excessive gas formation whole day, indication, heavy constipation, rashes & itchiness on back skin, weakness, dizziness & weightless. Hence to minimise above side effects I want to replace any other equivalent medicine in place of Metformin SR, which should be also suitable to me ie a heart's patient whose hearts bare metal standing was done on dt 29-8-13 for which I am taking Ecosprin 75 mg od daily, Atorvastatin10 mg od & Ramipril2.5 mg od on alternate days. Hence please suggest such medicine with potency which have less side effects in place of Metformin SR 1000 mg od. Thanks.

CDIABT, MBBS
Endocrinologist, Mumbai
I am diabetes2 patient since last 26 year. At present my blood sugar fasting & P. P. Are 89 & 137 mg/dl & HbA1C is 4....
Your fasting and pp level are normal. However your hba1c is on a lower side. Did you had a low sugar (less than 70mg/dl) in last 3 months. If yes than your medication needs to be changed as low sugar in a heart patient is dangerous. I will advised you to check your sugar before breakfast, before lunch, before dinner, 2 hours after breakfast, 2 hours after lunch, 2 hours after dinner and at 3 am. Whenever you feel dizziness, hunger, sweating or palpitation than check your blood sugar at that time.
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Once i was playing carrom i remember my hands were shaking and my heart was beating and i was calming myself after this incident i startd concentrating on my heart and trying to stop it. Now i know that was heart's fast beating but i want my subconcious to accept it and want to come out of it.

BHMS
Homeopath, Faridabad
Once i was playing carrom i remember my hands were shaking and my heart was beating and i was calming myself after th...
Hi, It seems to be more of anxiety rather than cardiac complaint. Better visit a nearby doctor or share more details of your whole case o know the cause and the diagnosis of your condition. Here are few asanas which will help you in reducing the anxiety problem. -Sit in the meditation position (cross-legged or heel seat) and put the hands in the lap. The back is straight and the belly relaxed. Stop one minute every thought. Then remain in meditation, thoughts can come and go as they please. All feelings of anger, fear and grief appear and dissolve by themselves. -Dhanurasana: Lie on your stomach with your feet hip-width apart and your arms by the side of your body. Fold your knees and hold your ankles. Breathing in, lift your chest off the ground and pull your legs up and back. Look straight ahead Keep the pose stable while paying attention to your breath. Your body is now taut as a bow. Continue to take long deep breaths as you relax in this pose. But don’t get carried away! Do not overdo the stretch. After 15 -20 seconds, as you exhale, gently bring your legs and chest to the ground. Release the ankles and relax. -Practice Shavasana or Corpse Pose as it looks like a dead body. If practiced correctly and with full efforts, can relax every body part, relaxing not only the body but also the mind: Spread the legs one to two feet apart, the toes are turned outwards, the heels facing each other, a comfortable distance apart. Bring the arms a little away from the body, palms turned upward. Relax the neck and allow it to turn to the side if it is more comfortable. Close the eyes and focus the attention on the body, breathing normally. Begin focusing each body part and relaxing it, then moving on. Keep the mind focused on relaxation, the breath should be normal. Relax the whole body. (The mind and body are deeply connected. If the mind is occupied by thoughts and worries then the shavasana will be unsuccessful. Therefore one has to acquire the stability of the mind along with the stability of the body.) Anuloma involves inhaling through both nostrils together and exhaling each breath alternately between the left and right nostrils. The thumb of the right hand is used to manipulate the right nostril, while the pinky and ring finger are used to control the left nostril. There are many other poses of yoga like Balasan, Setu Bandha Sarvangasan, Uttanasan, Garudasan, Savasana, Triconasana, Viprita Karani, Marjaryasana, Dhyana, Bhujangasana, Anulom-Vilum, Pranayam, etc. Another stress-buster can be getting involved in any of your hobbies (may be a childhood hobby which you used to enjoy a lot!) - dancing, singing, painting, listening to soothing music, playing musical instruments, etc. (Believe me, you would really enjoy doing this alone as well or may be with your friends, kids). Medication: Take Bakson’s Calm Aid tablet/ 1 tablet daily once for 4 weeks. And do practice breathing exercises (Pranayam, Anulom-Vilum) and meditation.
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Hi. My father is 55 years of age. He's suffering from acute pain in his chest, abdomen, back. The pattern of pain is such that it starts from the ribs below armpit towards centre of chest. Sometimes it starts around naval portion. Sometimes it goes on the back. Pain killer meftal spas doesn't work now. His tests are normal including ct, x ray, endoscopy, ultrasound, ECG, ecco etc. I'm confused he's suffering from last 4 months. He has lost 18 KGS of weight. What to do now? Doctors say its gastritis grade 1. But the pain is very strong. And no medicine is working. Suggest me something. Thank you.

CLINICAL CARDIOLOGY, MD - Consultant Physician
Cardiologist, Surat
Hi. My father is 55 years of age.
He's suffering from acute pain in his chest, abdomen, back. The pattern of pain is ...
Hi. Thanks for very well describing your case. As you saud you done ecg and 2d echo tests. You should also do treadmill cardiac stress test. It is a common and simple test. It will tell us whether this pain is related to heart blockages or not. And you should take good medicines for the gastritis. Let me know what are the medicines you are taking now. Take care.
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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 have pain in my right hand what should I do? And also pain in my right side chest what shoshould I do?

MBBS, MBA (Healthcare)
General Physician, Delhi
I have pain in my right hand what should I do? And also pain in my right side chest what shoshould I do?
do x ray cervical spine, cbc, inform report.. do neck exercises. take pan 40 mg one daily for 10 days.
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I am 29 years old Male, I have arthritis and spondylysis. Is there any cure of this? I have regular pain in back and chest. My walking style had also changed.

MBBS
General Physician, Cuttack
I am 29 years old Male, I have arthritis and spondylysis. Is there any cure of this? I have regular pain in back and ...
You have to get yourself thoroughly examined by orthopaedic specialist to find the cause .Take pain killer and do physiotherapy after consulting doctor
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My liquid profile test results as below total cholestral 193, triglycerides 200, hdl 31, ldl 22, vldl 40please say suggestion/medicine.

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Please take cholestrinum - 3x / 10 drops in little water thrice a day for two weeks. Regular walking with exercises at least half an hour in the morning and half an hour at evening. Revert back after two weeks with feedback.
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Not feeling well having fever and have chest pain bp is OK but some times high now even my appetite is also bad has gone.

MBBS
General Physician, Mumbai
Not feeling well having fever and have chest pain bp is OK but some times high now even my appetite is also bad has g...
For fever take tablet paracetamol 650 mg with rantac and Get your blood checked for cbc, mp , widal , sgpt and urine r/m and revert back to us with reports
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I am a male Age 40 and have problem of high bp some time can I use Dr. Reddy hairrootzs.

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
I am a male Age 40 and have problem of high bp some time can I use Dr. Reddy hairrootzs.
Dear lybrate-user, Such medications have ingredients that pump up the blood supply under the skin that feed hair roots. Please check for compatibility with any medication on BP you are taking before starting. Regards.
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