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Dr. Pratap J Nathani

MBBS, MD , DM

Cardiologist, Mumbai

32 Years Experience
Dr. Pratap J Nathani MBBS, MD , DM Cardiologist, Mumbai
32 Years Experience
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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. Pratap J Nathani
Dr. Pratap J Nathani is a renowned Cardiologist in Sion, Mumbai. He has over 32 years of experience as a Cardiologist. He is a MBBS, MD , DM . He is currently practising at Lokmanya Tilak Municipal Medical College, Mumbai in Sion, Mumbai. Don’t wait in a queue, book an instant appointment online with Dr. Pratap J Nathani on Lybrate.com.

Lybrate.com has a nexus of the most experienced Cardiologists in India. You will find Cardiologists with more than 37 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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Specialty
Education
MBBS - Government Medical College, Aurangabad - 1985
MD - Government Medical College, Aurangabad - 1989
DM - Grant Medical College and JJ Group of Hospital - 1996
Languages spoken
English
Hindi

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Lokmanya Tilak Municipal Medical College, Mumbai

Lokmanya Tilak Municipal Medical College, Mumbai Dr. Babasaheb Ambedkar Road, Sion (West), Mumbai, Maharashtra - 400022Mumbai Get Directions
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I am 53 years old. During my last health checkup I was found to have hypertension. However, tests like EEG, ECG, Tread mill were found OK. My BP varies from 104/64 (taken 2 hour after dinner and consuming 120 ml of scotch) to 190/105 (after exercise). Please inform whether I am alright!

MBBS, DNB (General Medicine)
General Physician, Delhi
Your BP reading varies, it has got increased after exercise, it is normal, you should take, at least 10 readings of your BP, especially in morning, and get back to me
2 people found this helpful
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My mother is 57 year old she is having hypertension, high b. P taking allopathic medicines for B. P and thyoroid. She is short tempered, worries too much. Please suggest meditation or medicine for her.?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Please let me know the bp readings, treatment being taken and is she on thyroxine tablets for hypothyroidism? meditation and pranayama will always be helpful. The seven pranayams such as bhastrika, kapalbhati, bahya, agnisar, anulom vilom, bhramari & udgit done in this sequence along with medication will be highly beneficial.
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My mother is 62 years old and she is suffering from bypass surgery medicines. She is taking medicines from last 4 years. How to remove medicines and go in the normal life? Thanking you. Raman Dhawan.

MBBS, M.S, M. Ch, F.I.A.C.S
Cardiologist, Chennai
Medication is life saving. Reduce sugar and salt. Keep walking. Plenty of vegetables. & fruits. It is not safe to stop. Medicines. They are your security guards protecting your heart from further heat attack.
3 people found this helpful
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I have throat infection, chest congestion, mild dry cough. Can't talk much. What should i do to cure?

BHMS
Homeopath, Delhi
Hello, you can take homoeopathic medicines 1. Antimonium tart. 30 (4 drops in little water) thrice a day for 3 days. 2. Phosphorus 30 (4 drops in little water) thrice a day for 3 days and update. Keep a gap of 15 - 20 minutes in both the medicines.
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Ways to Identify and Treat ANGINA PAIN?

Sr. Fellowship in Electrophysiology & Pacing, M.R.C.P.(U.K.), DM - Cardiology, MD - General Medicine, MBBS
Cardiologist, Delhi
Ways to Identify and Treat ANGINA PAIN?

Angina or angina pectoris is the pain, discomfort or tightness in the chest that occurs when the blood flow to the heart muscle cells is not enough to meet its energy needs. It is not a disease itself but rather a symptom of the coronary heart disease.

What are the different types of angina?

1. Stable angina: It is the commonest form of angina. It can be triggered by stress or physical activity and usually only lasts a few minutes.

2. Unstable angina: It happens when you're resting or aren't very active. The pain is strong and long lasting, and may keep recurring. It may be a signal of an impending heart attack.

3. Variant angina: This might take place when you're asleep or at rest. This sudden tightening or narrowing of the heart's arteries causes a lot of pain.

How u know what your are experiencing is an angina pain?

You might be having angina pain if you suffer from one or more of these symptoms:

- Chest pain
- Heartburn
- Breathlessness
- Nausea
- Dizziness
- Restlessness
- Fatigue
- Pain in your arm, neck, jaw and back
- Numbness or loss of feeling in your arms, shoulders or wrists

Immediate Relief from Angina

If previously advised by a certified doctor, patients can take antiplatelet medicines which are blood thinners and prevent unstable angina. Final treatments include angioplasty (repair of a blocked blood vessel through surgery), insertion of a coronary artery stent (a tube that is used to treat weakened arteries) or a heart bypass surgery for serious complications.

'Consult'.

Tip: 5 Ways to alleviate nighttime heartburn

4731 people found this helpful

I have not been feeling well from last few hours some eight hours. Heartbeat has doubled and I it can be felt when I place my hand.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
At 22 , your problem is just heart beat on a higher side and you are taking homeopathy treatment for it , my suggestion is do yoga and meditation along with going for long walks , heart beat will stabalize with time. if there are no other symptoms , there is no need to get tested.
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C.S.C, D.C.H, M.B.B.S
General Physician,
HEART ATTACK

A heart attack occurs when the flow of blood to the heart is blocked, most often by a build-up of fat, cholesterol and other substances, which form a plaque in the arteries that feed the heart (coronary arteries). The interrupted blood flow can damage or destroy part of the heart muscle.

A heart attack, also called a myocardial infarction, can be fatal, but treatment has improved dramatically over the years. It's crucial to call 911 or emergency medical help if you think you might be having a heart attack.
Common heart attack signs and symptoms include:

Pressure, tightness, pain, or a squeezing or aching sensation in your chest or arms that may spread to your neck, jaw or back
Nausea, indigestion, heartburn or abdominal pain
Shortness of breath
Cold sweat
Fatigue
Lightheadedness or sudden dizziness
Heart attack symptoms vary

Not all people who have heart attacks have the same symptoms or have the same severity of symptoms. Some people have mild pain; others have more severe pain. Some people have no symptoms, while for others, the first sign may be sudden cardiac arrest. However, the more signs and symptoms you have, the greater the likelihood you're having a heart attack.

Some heart attacks strike suddenly, but many people have warning signs and symptoms hours, days or weeks in advance. The earliest warning may be recurrent chest pain (angina) that's triggered by exertion and relieved by rest. Angina is caused by a temporary decrease in blood flow to the heart.

A heart attack differs from a condition in which your heart suddenly stops (sudden cardiac arrest, which occurs when an electrical disturbance disrupts your heart's pumping action and causes blood to stop flowing to the rest of your body). A heart attack can cause cardiac arrest, but it's not the only cause.

When to see a doctor

Act immediately. Some people wait too long because they don't recognize the important signs and symptoms. Take these steps:

Call for emergency medical help. If you suspect you're having a heart attack, don't hesitate. Immediately call 911 or your local emergency number. If you don't have access to emergency medical services, have someone drive you to the nearest hospital.

Drive yourself only if there are no other options. Because your condition can worsen, driving yourself puts you and others at risk.

Take nitroglycerin, if prescribed to you by a doctor. Take it as instructed while awaiting emergency help.
Take aspirin, if recommended. Taking aspirin during a heart attack could reduce heart damage by helping to keep your blood from clotting.

Aspirin can interact with other medications, however, so don't take an aspirin unless your doctor or emergency medical personnel recommend it. Don't delay calling 911 to take an aspirin. Call for emergency help first.

What to do if you see someone having a heart attack

If you encounter someone who is unconscious, first call for emergency medical help. Then begin CPR to keep blood flowing. Push hard and fast on the person's chest ? about 100 compressions a minute. It's not necessary to check the person's airway or deliver rescue breaths unless you've been trained in CPR.
A heart attack occurs when one or more of your coronary arteries become blocked. Over time, a coronary artery can narrow from the buildup of various substances, including cholesterol (atherosclerosis). This condition, known as coronary artery disease, causes most heart attacks.

During a heart attack, one of these plaques can rupture and spill cholesterol and other substances into the bloodstream. A blood clot forms at the site of the rupture. If large enough, the clot can completely block the flow of blood through the coronary artery.

Another cause of a heart attack is a spasm of a coronary artery that shuts down blood flow to part of the heart muscle. Use of tobacco and of illicit drugs, such as cocaine, can cause a life-threatening spasm. A heart attack can also occur due to a tear in the heart artery (spontaneous coronary artery dissection).
Certain factors contribute to the unwanted buildup of fatty deposits (atherosclerosis) that narrows arteries throughout your body. You can improve or eliminate many of these risk factors to reduce your chances of having a first or subsequent heart attack.

Heart attack risk factors include:

Age. Men age 45 or older and women age 55 or older are more likely to have a heart attack than are younger men and women.
Tobacco. Smoking and long-term exposure to secondhand smoke increase the risk of a heart attack.
High blood pressure. Over time, high blood pressure can damage arteries that feed your heart by accelerating atherosclerosis. High blood pressure that occurs with obesity, smoking, high cholesterol or diabetes increases your risk even more.
High blood cholesterol or triglyceride levels. A high level of low-density lipoprotein (LDL) cholesterol (the "bad" cholesterol) is most likely to narrow arteries. A high level of triglycerides, a type of blood fat related to your diet, also ups your risk of heart attack. However, a high level of high-density lipoprotein (HDL) cholesterol (the "good" cholesterol) lowers your risk of heart attack.
Diabetes. Insulin, a hormone secreted by your pancreas, allows your body to use glucose, a form of sugar. Having diabetes ? not producing enough insulin or not responding to insulin properly ? causes your body's blood sugar levels to rise. Diabetes, especially uncontrolled, increases your risk of a heart attack.
Family history of heart attack. If your siblings, parents or grandparents have had early heart attacks (by age 55 for male relatives and by age 65 for female relatives), you may be at increased risk.
Lack of physical activity. An inactive lifestyle contributes to high blood cholesterol levels and obesity. People who get regular aerobic exercise have better cardiovascular fitness, which decreases their overall risk of heart attack. Exercise is also beneficial in lowering high blood pressure.
Obesity. Obesity is associated with high blood cholesterol levels, high triglyceride levels, high blood pressure and diabetes. Losing just 10 percent of your body weight can lower this risk, however.
Stress. You may respond to stress in ways that can increase your risk of a heart attack.
Illegal drug use. Using stimulant drugs, such as cocaine or amphetamines, can trigger a spasm of your coronary arteries that can cause a heart attack.
A history of preeclampsia. This condition causes high blood pressure during pregnancy and increases the lifetime risk of heart disease.
A history of an autoimmune condition, such as rheumatoid arthritis or lupus. Conditions such as rheumatoid arthritis, lupus and other autoimmune conditions can increase your risk of having a heart attack.
Complications

Heart attack complications are often related to the damage done to your heart during a heart attack. This damage can lead to the following conditions:

Abnormal heart rhythms (arrhythmias). If your heart muscle is damaged from a heart attack, electrical "short circuits" can develop, resulting in abnormal heart rhythms, some of which can be serious, even fatal.
Heart failure. The amount of damaged tissue in your heart may be so great that the remaining heart muscle can't do an adequate job of pumping blood out of your heart. Heart failure may be a temporary problem that goes away after your heart, which has been stunned by a heart attack, recovers. However, it can also be a chronic condition resulting from extensive and permanent damage to your heart following your heart attack.
Heart rupture. Areas of heart muscle weakened by a heart attack can rupture, leaving a hole in part of the heart. This rupture is often fatal.
Valve problems. Heart valves damaged during a heart attack may develop severe, life-threatening leakage problems.
TESTS & DIAGNOSIS
----------------------------
Ideally, your doctor should screen you during regular physical exams for risk factors that can lead to a heart attack.

If you're in an emergency setting for symptoms of a heart attack, you'll be asked to describe your symptoms and have your blood pressure, pulse and temperature checked. You'll be hooked up to a heart monitor and will almost immediately have tests to see if you're having a heart attack.

Tests will help check if your signs and symptoms, such as chest pain, indicate a heart attack or another condition. These tests include:

Electrocardiogram (ECG). This first test done to diagnose a heart attack records the electrical activity of your heart via electrodes attached to your skin. Impulses are recorded as waves displayed on a monitor or printed on paper. Because injured heart muscle doesn't conduct electrical impulses normally, the ECG may show that a heart attack has occurred or is in progress.
Blood tests. Certain heart enzymes slowly leak out into your blood if your heart has been damaged by a heart attack. Emergency room doctors will take samples of your blood to test for the presence of these enzymes.
Additional tests

If you've had a heart attack or one is occurring, doctors will take immediate steps to treat your condition. You may also undergo these additional tests:

Chest X-ray. An X-ray image of your chest allows your doctor to check the size of your heart and its blood vessels and to look for fluid in your lungs.
Echocardiogram. During this test, sound waves directed at your heart from a wand like device (transducer) held on your chest bounce off your heart and are processed electronically to provide video images of your heart. An echocardiogram can help identify whether an area of your heart has been damaged by a heart attack and isn't pumping normally or at peak capacity.
Coronary catheterization (angiogram). A liquid dye is injected into the arteries of your heart through a long, thin tube (catheter) that's fed through an artery, usually in your leg or groin, to the arteries in your heart. The dye makes the arteries visible on X-ray, revealing areas of blockage.
Exercise stress test. In the days or weeks after your heart attack, you may also undergo a stress test. Stress tests measure how your heart and blood vessels respond to exertion. You may walk on a treadmill or pedal a stationary bike while attached to an ECG machine. Or you may receive a drug intravenously that stimulates your heart similar to exercise.

Your doctor may also order a nuclear stress test, which is similar to an exercise stress test, but uses an injected dye and special imaging techniques to produce detailed images of your heart while you're exercising. These tests can help determine your long-term treatment.

Cardiac computerized tomography (CT) or magnetic resonance imaging (MRI). These tests can be used to diagnose heart problems, including the extent of damage from heart attacks. In a cardiac CT scan, you lie on a table inside a doughnut-shaped machine. An X-ray tube inside the machine rotates around your body and collects images of your heart and chest.

In a cardiac MRI, you lie on a table inside a long tubelike machine that produces a magnetic field. The magnetic field aligns atomic particles in some of your cells. When radio waves are broadcast toward these aligned particles, they produce signals that vary according to the type of tissue they are. The signals create images of your heart.

10 people found this helpful

My husband have pain in legs, his B. P. Level sometime remains high. Height - 5'8, weight - 90 kg, non diabetic. Please give me the solution.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
As per vital stats given your Husbands ideal weight should be anywhere between 60-74 kgs His Body mass index is 29.85 which is Pre obese ,Treatment is available, safe and without side effects in Biochemic system of medication. Consult me in private.
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I'm taking blood pressure medicines 2 per day I want to know what are the side effects of taking bp medicines and there is any problem for internal organs by taking medicines for life long.

DHMS (Hons.)
Homeopath, Patna
Dear lybrate user, Taking medicine for Bp is essential as they r life saving drugs. There may be 10% side effect in d body while Bp medicines r administered but if not taken on time it may cause 100% damage of the organs. Hence,you need to continue with bp medicine with a second thought. All d best.
2 people found this helpful
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What is the remedy for heart break in a relationship which is very serious. I am 17+

MBBS
General Physician, Mumbai
Get your self involved in some kind of work and take the help of your family members and remember JO BHI HOTA HAI ACCHE K LIYE HI HOTA HAI
2 people found this helpful
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I have dry cough and chest pain since 2 days. Can you suggest some precautions for my problem.

MBBS
General Physician, Cuttack
1. Do warm saline gurgling 3-4 times daily 2. Take viscodyne d syrup 2tsf thrice daily 3. You may have to take antibiotic along with it and carry out investigations including x ray chest after consulting physician, if no relief4. Avoid smoking if you smoke.
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Hi Doctor My total Cholesterol is 225 mg/dl and LDL Cholesterol-Direct is 148 mg/dl what is the reason of this and how to control it. Please suggest me.

BAMS
Ayurveda, Ambala
Dear, these are methods and instructions to reduce cholesterol in body: * avoid butter, ghee & cream in your diet. * eat five leaves of kari patta and five leaves of neem once in a day. * avoid non veg food because it contain high fat content. * do not eat fast food and avoid cold drink. * do running and jogging daily for 15 minutes. Start with 5 minutes then increase time period slowly. Do morning and evening walk daily. * do not drink alcohol it harmful to your liver and disturb your metabolism causes increase in cholesterol. * add kali mirch (black pepper) in your breakfast. * drink 6 to 7 glass of water daily. * take sound sleep in night of 6 to 7 hrs. Do not take stress.
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Hi. I have gastric problem and it directly react with the heart and sometimes makes my heartbeat increase .what is the solution.

DHMS (Hons.)
Homeopath, Patna
Hello, sometimes gastric disorder may produce the symptoms of cardiac disorder. Acidity & gastric disorder  are common now a days, caused due to irregular life style, improper,dietary habits, intake of junk-food, inadequate sleep, sluggishness of liver. Stress,anxiety & depression, persistence of chronic diseases & medicinal aggravation.     *Tk, plenty of water to eliminate toxins, dilute acid in stomach ,regulate metabolism & soften faeces (stool) to b evacuated smoothly to avoid constipation, piles &fissure.     * go for a brisk walk in d morning to restore your blood circulation & to activate peristaltic movement to complete digestion to ease gastric disorder.         •       go for meditation & yoga to nourish your whole body to complete the digestion by stimulating edequate  digestive enzymes and to calm down stress ,being, one of d  main reasons of gastritis & peptic ulcer.         •       your diet be simple, non- irritant, easily digestible ,on time to avoid, indigestion.        •       Consume, apples, carrots, skimmed milk, papaya,bottle gourds (lauki) ,mung- dal,         ✓       Tk Homoeo medicines ,gentle & repaid in administration without any side effect, there of. @ Nux vom 30-6 pills, thrice. @ Carbo veg200-6 pills, thrice.         •       ensure at least 7 hrs of sound sleep in d night.         •       Avoid, caffeine ,nicotine ,alcohol, junk food, citrus fruits, curds, pizza,bargar ,cookies & watching Tv in late night. > Your feedback matters, please. Tk, care, stay fit & fine.
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High to control High blood pressure. I have high blood pressure since last 5 years. Systolic pressure becomes uncontrolled after taking medicine. What to do? Please.

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
Hello, drink grapes, orange, cucumber, carrot, beet home made juice 1/2 times 1 tsp shatawari churan or 2 tablet in a day keep your self cool n stress free stay healthy.
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I am 67 years old suffering from knee pain left leg. Took diacerin 50mg twice daily but my bp shot up from 120/80 to 165/95 within 3 days of taking the drug. I monitored my bp but it didn't came down. Ultimately stopped taking it and my bp came back to 125/85 in 7 days. My knee pain still persists but is controlled by hot water foment action. Can I still start diecerin. I am female.

Advanced Aesthetics
Ayurveda, Gulbarga
Joint pain can be caused by a number of issues, such as osteoarthritis, rheumatoid arthritis, gout, bursitis, tendinitis or a strain, sprain or other injury affecting the ligaments, bursae or tendons surrounding a joint. It can occur in any part of the body but is most common in the knees, shoulders and hips. The pain can range from mild to severe and may be accompanied by swelling and stiffness in one or more joints. Severe joint pain, especially when caused by degenerative conditions like arthritis, needs proper diagnosis and treatment. You should also consult your doctor if your joint pain is accompanied by swelling, redness and tenderness, or lasts for more than three days. But, you can get rid of mild joint pain with the help of natural home remedies. Cayenne cayenne pepper contains a compound called capsaicin with natural analgesic or pain-relieving properties. In a 2010 study published in the journal of the medical association of thailand, researchers found that applying gel containing 0.0125 percent capsaicin helped relieve mild to moderate pain in women suffering from knee osteoarthritis? slightly heat one-half cup of coconut oil. Mix in two tablespoons of cayenne pepper powder. Apply it on the affected area, leave it on for 20 minutes and then rinse it off. Do this a few times a day until you get relief from the pain? alternatively, you can use a capsaicin cream topically on the affected area daily. Note: cayenne may initially cause a burning sensation. Do not apply it on open skin or wounds. Garlic being rich in sulfur and selenium, garlic is beneficial for those suffering from arthritis and joint pain. Sulfur helps relieve joint pain and inflammation and, according to research, selenium may have an antirheumatic effect. Also, arthritic patients tend to have low levels of selenium in the blood? include raw or cooked garlic in your diet. You can safely consume two or three garlic cloves daily. If you are deterred by the smell or taste of garlic, consider taking garlic supplements (follow the directions on the label). You can also fry two garlic cloves in two tablespoons of mustard or sesame oil. When the garlic cloves turn black, turn off the heat and strain the oil. Allow the oil to cool until it is comfortably warm, and then massage it into the skin around affected area. Leave it on for about three hours before washing it off. Do this twice daily until you see improvement for treatment consult privately any queries inform me.
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I am suffering dry cough last 4days and chest pain to dry cough. Please suggest me doctor.

MBBS
General Physician, Cuttack
1. Do warm saline gurgling 3-4 times daily 2. Take viscodyne d syrup 2tsf thrice daily 3. You may have to take antibiotic along with it and if required take x ray chest after consulting physician, if no relief4. Consult me for further advice.
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I eat much spicy food but not outdoor junk food. The problem is I am getting chest pain on left side periodically. Im dreaming that it was an acidity. So please tell me the solution. Thank you.

PGP In Diabetologist, Fellowship in non-invasive Cardiology, MD - Medicine, MBBS
Endocrinologist, Delhi
Yes, you are right. stop taking spicy food and start antacids for few days and see the results. In case of no relief, further tests will be required
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Hi, I am asking this for my dad who is an hypertension patient and has been operated for aneurysm in his aorta. He has diabetes and under medications too. He is an alcoholic person ,recently his alcohol consumption has increased and has an loss of appetite. He is 59 years old. Kindly suggest any deaddiction powders that can be given without his knowledge to curb his alcohol desire. Last year he has done complete medical checkup, if required I will send the reports too.

C.S.C, D.C.H, M.B.B.S
General Physician,
Only strong will power, determination, attending AA meetings and diverting mind when tempted will help you stop alcohol or may need professional help from a psychiatrist or de addiction centre. Try to do meditation and yoga. Read good books and listen to music and if you are believer attend Bhajans Alcohol causes 7 types of cancer, including breast, mouth and bowel cancers. When you drink alcohol, cancer-causing chemicals are formed. Alcohol also affects hormone levels and makes cells even more likely to be damaged by smoking. The less alcohol you drink, the lower the risk of cancer. No type of alcohol is better or worse than another, it is the alcohol itself that leads to the damage, regardless of whether it is in wine, beer or spirits. And drinking and smoking together are even worse for you. Not everyone who drinks alcohol will develop cancer. But on the whole, scientists have found that some cancers are more common in people who drink more alcohol than others. Every year, alcohol causes 4% of cancers .Tips to cut down on alcohol. There are lots of simple ways to cut down on the amount of alcohol you drink. It can help to work out if there are particular times or situations when you tend to have a drink, whether that’s a bad day at work or a weekly pub quiz tradition, and plan what you’ll say and do differently next time. Have more alcohol-free days a week. For liver health it’s best to have at least 2 days off alcohol in a row each week. Try agreeing on certain days with your partner or a friend and help each some wi other and stick to it. If you are planning to drink alcohol, decide on a limit in advance and make sure you don’t go over it. Swap every other alcoholic drink for a soft one – starting with your first drink. Try shandy instead of a pint of beer, or swap ne for soda and have a spritzer. Don’t stock up on beer, wine or spirits at home. Finish one drink before pouring another, because topping up drinks makes it harder to keep track of how much you’ve had and when you planned to stop. Avoid buying drinks in rounds, that way you don’t have to keep pace with anyone. Tell a friend or partner that you’re cutting down on alcohol, they can support you – or even join you.
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