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Dr. R.G. Goyal

Cardiologist, Mumbai

Dr. R.G. Goyal Cardiologist, Mumbai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. R.G. Goyal
Dr. R.G. Goyal is an experienced Cardiologist in Mumbai, Mumbai. He is currently practising at Bombay Hospital & Medical Research Centre in Mumbai, Mumbai. Save your time and book an appointment online with Dr. R.G. Goyal on Lybrate.com.

Find numerous Cardiologists in India from the comfort of your home on Lybrate.com. You will find Cardiologists with more than 27 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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#117, Marine Lines. Landmark: Next To Liberty Cinema, MumbaiMumbai Get Directions
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My father is suffering with cholesterol problem and at same time with sever cough only some times. Recently he is taking medicines to reduce cholesterol. What is the diet and future process to reduce it. And he also had a high blood pressure.

MBBS
General Physician
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My father is suffering with cholesterol problem and at same time with sever cough only some times. Recently he is tak...
He has to eat food with low fat content and has to do exercise regularly on alternate days for lifetime.

Yesterday I fall from bike and from that time its paining in my chest I took a paracetamol but still its paining should I visit a doctor or it will be fine in sometime?

MBBS
General Physician
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Yesterday I fall from bike and from that time its paining in my chest I took a paracetamol but still its paining shou...
For pain take tablet paracetamol 650 mg and also do ice fomentation and get your vital parameters of the body checked from a nearby doctor and follow up with findings.
1 person found this helpful

I am 52 year old person with diabetes and hyper tension. Due sudden death of my father in May, 2015, I also developed symptoms of Chest pain with irritation occasionally. I consulted a senior Cardiologist in Kanpur where at present I am residing. He has undergone at least 06-07 times ECG. Every time it was a normal ECG. But still, I develops chest pain with irritation. The Cardiologist also advised to under CT Angiography test. It was quite normal. Even then some times I develops some Chest pain with irritation without any respiratory problems. Now the same Cardiologist is advising me to undergo Coronary Angiography for further confirmation. My 2D echo test on heart is normal on two occasions. Please advice what to do now and where and whom I should consult.

fellowship in diabetes, Professional Training in Mind Body Medicine, MS, MBBS
Bariatrician
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I am 52 year old person with diabetes and hyper tension. Due sudden death of my father in May, 2015, I also developed...
Follow your cardiologist's advise. And start appropriate drug therapy. In the meanwhile start working on losing at least 20 kg of extra weight by intensive lifestyle modification approach. To achieve weightloss - think long term. Weight loss achieved over short term, always comes back. There is a general approach and a specific approach as per individual patients metabolic profile. Try this general approach for 4 weeks. If this works then continue. If this is not enough then revert for further assessment and customised approach. With customised lifestyle modification approaches, people over 100-150 kg are also losing weight for long term. 1. Do not eat anything sugary or sweet. Zero sweetness in diet. 2. Eat plenty of salad in lunch and dinner along with other foods. 3. Do not drink any liquid calorie like cola or fruit juices. 4. Go for brisk walks or jogging for 45 minutes every day.
1 person found this helpful

Hello my question is. I feel tired on my wake-up everyday sometimes very worse deep breathing after 10 min walk and stretching it become ok not completely .I do workout on evening after that I fell tired till morning and muscle pain on my chest and back .how to get rid of this morning tiredness.

MD, DM - Cardiology, MBBS
Cardiologist
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Hello my question is. I feel tired on my wake-up everyday sometimes very worse deep breathing after 10 min walk and s...
You may be having inadequate or poor quality sleep. Also need to check hemoglobin, thyroid,sugar etc blood tests.

I had 90 % blockage in LAD mid. Stent has been placed 3 and 1/2 years back. Again blockage is found to be around 90%. In homeopathy do you have any treatment for removing blockages.

BHMS, PGDM (Emergency Medical services)
Homeopath
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I had 90 % blockage in LAD mid. Stent has been placed 3 and 1/2 years back. Again blockage is found to be around 90%....
Hi. Homeopathy has Medicines to reduce Cardiac Related Diseases. So surely can have homeopathic medicines without any side effects After detail case study. But you should carry on your previous Tabs like Ecosprin gold or statins etc etc. Rush immediately to nearby Hospital if little chest discomfort or palpitation or breathing difficulty you face any time. Good Day.
6 people found this helpful

C.S.C, D.C.H, M.B.B.S
General Physician
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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

I have had 2 miscarriages in 2009 n 2011 in the past before that I had a daughter who is 11 now. Both the miscarriagestook placebetween thhe 13-17 weeks n the foetus had no heart best. What is the reason for this ? Should I try to conceive again ?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist
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I have had 2 miscarriages in 2009 n 2011 in the past before that I had a daughter who is 11 now. Both the miscarriage...
Hello, before conception, you need to rule out the reasons behind miscarriage. So consult a gynecologist and get a couple of tests done such as tsh prolactin, anti-phospholipid, anti-body and lupus antibody.

I am suffering from dry cough for the last two weak and I have chest pain whenever I cough hard can you suggest what should be done.

Diploma in Hospital Administration, MD - Obstetrtics & Gynaecology, MBBS
General Physician
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I am suffering from dry cough for the last two weak and I have chest pain whenever I cough hard can you suggest what ...
common causes of dry coughs are as follows: Viral infections we know as the common cold and flu. Allergies can also lead to a dry cough. Asthma,Hay fever, an allergy to grass and tree pollen, causes irritation to the eyes and nose and when the throat is affected, a cough results. Sensitivity to other particles such as animal fur, known as allergic rhinitis. Air pollutants can irritate the back of the throat causing a cough. This is the situation seen when non-smokers enter a smoky room. Treatment depends upon the underlying cause of dry cough. Home remedies such as honey soothe the lining of the tissues at the back of the throat. Conventional medicines such as cough suppressants reduce the activity of the cough reflex.

My cholesterol level is very high how can I reduce it pls help me give me some tips.

BHMS
Homeopath
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My cholesterol level is very high how can I reduce it pls help me give me some tips.
Dear lybrate user, cholesterol is naturally produced inside the body of every living animal. Human beings are no exception to that. But when we take mutton, chicken, yellow part of a boiled egg, ghee, butter etc we intake cholesterol from external source. This extra cholesterol from external sources increase the total cholesterol content of human body. You should always keep your cholesterol level within normal limits as high cholesterol serves as a precursor to various cardiac diseases. Avoid the aforesaid food. Walk at least 1 hour in a day without any interval. Also you can take homoeopathic mother tincture fucus vesiculosus q, 30 drops, thrice daily, after meals, in a cup of water.
1 person found this helpful

Is the fluctuation in blood pressure cause heart problems?

PhD (A.M - Integrative Oncology) Scholar, Integrative Oncology (MSKCC N.Y, USA), Doctor Of Natural Medicine (N.D/ N.M.D), Ayurveda (I), Advanced Strategic Management, B.E (Computer Sc. & Engg.)
Alternative Medicine
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Is the fluctuation in blood pressure cause heart problems?
Hi, minor fluctuations would not impact. However, consistently high bp can cause heart problems. Take care and all the very best.
2 people found this helpful

I have so much hair falling. How to reduce heart attack rate? How much water I should drink? If I have stomach then how much time I want to wait for food?

MBBS
General Physician
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I have so much hair falling.
How to reduce heart attack rate?
How much water I should drink? If I have stomach then h...
Hair fall indicates your health is down. One needs 3-4 liters of water in a day. If every thing is right hunger is there and u can eat 2-3 times in a day. Normal heart rate is 72 beats /min.

Dr, how to prevent cardiac arrest and stroke.

MBBS
Cardiologist
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Regular medicine & heart check up is essential. When happens in your presence cardiac ressucitation is needed.
1 person found this helpful

Is the pain in the jaw or throat leading to pain in the back of the ear related to the Heart in any way? What are other symptoms if it is related to heart problem?

MBBS, MD - Community Medicine, diploma clinical cardiology
Cardiologist
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Is the pain in the jaw or throat leading to pain in the back of the ear related to the Heart in any way? What are oth...
Ya it can be a heart pain espacially if it occur during exertion. If you get relief after taking sublingual nitrates again it is more suggestive of heart ailment. Needs further informations and investigations to reach at conclusion.
2 people found this helpful

What are the tips for controlling cholesterol?

MD - Internal Medicine, MBBS
Endocrinologist
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What are the tips for controlling cholesterol?
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,. Cod liver oil. Take anti cholesterol medicines . Cap. Ecosprin gold-10 at night daily.

Pain in centre of chest, after some time it's transfer to same place on back, this process continues, kabhi chest pe, kabhi back pe, what type of trouble is this?

MBBS
General Physician
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Pain in centre of chest, after some time it's transfer to same place on back, this process continues, kabhi chest pe,...
Dear Lybrate user, -From your symptoms you are suffering from hyperacidity -follow some dietary changes & exercise programme for relief -completely avoid fried, spicy & junk food, restrict tea, coffee to 1-2 cups/day, drink it after having biscuits or some snack, have cold milk 2-3 times a day, also avoid alcohol, chew your food well, do not skip any meal, have meals on time, do not lye down immediately after meals, have dinner 2-3 hrs before bedtime -do aerobic exercises like walking for 30 min, also do yoga for good digestion -have 8-10 glasses of water per day -carry on with medication, if not much relief the get upper GI endoscopy done for proper diagnosis, consult a gastroenterologist.
1 person found this helpful

Sometimes I'm feeling chest pain and it moves from chest to back of my body and it hurts while breathing.

MBBS
General Physician
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Sometimes I'm feeling chest pain and it moves from chest to back of my body and it hurts while breathing.
Never ignore chest pain. You have to get one ECG done so that you can rule out any heart related problems.

I am diabetic last 7 years. My age is 41. I do not have any high pressure but have cholesterol. What is best food for me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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I am diabetic last 7 years. My age is 41. I do not have any high pressure but have cholesterol. What is best food for...
Non transfat containing food including olive, mustard oil/ rich greens, proteins, less carbs (lesser than you spend roughly)
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