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Dr. Rajiv S Tungare

Cardiologist, Mumbai

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Dr. Rajiv S Tungare Cardiologist, Mumbai
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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. Rajiv S Tungare
Dr. Rajiv S Tungare is a popular Cardiologist in Goregaon East, Mumbai. He is currently associated with Heart And Diabetes Care Centre in Goregaon East, Mumbai. Book an appointment online with Dr. Rajiv S Tungare and consult privately on Lybrate.com.

Find numerous Cardiologists in India from the comfort of your home on Lybrate.com. You will find Cardiologists with more than 38 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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Heart And Diabetes Care Centre

Plot No 104, Gulmohar Complex, Station Road, Near Goregaon East Railway Station, Opposite Anupam Cinema, Goregaon East, MumbaiMumbai Get Directions
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What is main cause for under chest burning after having food like bad cholesterol and What is cure n precaution to be taken?

MBBS, DNB (General Medicine)
Endocrinologist, Delhi
What is main cause for under chest burning after having food like bad cholesterol and What is cure n precaution to be...
Hi lybrate user, your question is excellent and interesting. Foods that have got bad cholesterol or you can call them trans-fatty acids require more water for there digestion. Our stomach is like a vessel and it has got limited capacity. Fatty foods attract a lot of liquids and also require a lot of liquids to be drunk after the food taken. Our stomach bloats up because it is overcapacitated with so much of liquid and food. There is regergitation or reflux back of this liquid-food mixture which causes a lot of discomfort in food pipe and chest. Precautions to be taken is that we should take fatty food in moderation, not drink a lot of liquids with this kind of food, not lie down immediately after this kind of food and most importantly try to walk after food.
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I am 65 male. My blood sugar is coming down since last few months. Now it reached 74. What precaution I have to take to keep the blood sugar level correct. What is the FBS low level ? What medicine I have to take to keep correct level ? My FBS reduced from 100, 90, 85, 80 and now 74. Please advice.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 65 male. My blood sugar is coming down since last few months. Now it reached 74. What precaution I have to take ...
Mr. Lybrate-user, normal blood fasting glucose level is in the range of 70 to 110 mg/100 ml. If a person is non diabetic then there hardly any situation where hypoglycemia occurs. Hence, the levels mentioned by you are absolutely normal. Nothing to worry.
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I am having cold but it feels that it freezes in my head. Whenever I drink or eat something cold, or citrus it strikes. At that time I even can't lower my head as It feel like headache. I can't even drink cold water in summers. Hot water steam with vicks gives some relief but don't cure it. What should I do to cure it permanently. As I don't want to take any high mg medicines?

BHMS, Master of Science in Pharmaceutical Medicine
Homeopath, Mumbai
I am having cold but it feels that it freezes in my head. Whenever I drink or eat something cold, or citrus it strike...
Hello, please take homoeopathic sugar pills of dulcamara 30 and cina 30 potency morning evening (empty stomach) respectively for a week. This medicine is available in globule form in nearest homoeopathic pharmacy. Thank you.
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I am a bp patient and taking bp medicine and my LDL level is 129.8 HDL is within range. So should I start cholesterol medicine?

MBBS, MD-General Medicine, DM - Cardiology
Cardiologist, Secunderabad
I am a bp patient and taking bp medicine and my LDL level is 129.8
HDL is within range. So should I start cholesterol...
No you don't need any cholesterol medicine. But you can continue with diet, exercise, weight control measures. Thank you.
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Please Suggest me the ways to Reduce B.P. As it has in Between upto 130/180. Thanks.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Please Suggest me the ways to Reduce B.P. As it has in Between upto 130/180.
Thanks.
Dear user. Here are 7 lifestyle changes you can make to lower your blood pressure and keep it down. 1. Lose extra pounds and watch your waistline. Blood pressure often increases as weight increases. 2. Exercise regularly. 3. Eat a healthy diet. 4. Reduce sodium in your diet. 5. Include potassium rich fruits and foods in your diet. 6. Limit the amount of alcohol you drink. 7. Do not smoke Take care.
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How can I reduce LDL cholesterol content in my body? Also how can I increase HDL cholesterol.

MBBS
General Physician, Mumbai
How can I reduce LDL cholesterol content in my body? Also how can I increase HDL cholesterol.
Few tips on diet say no to maida items like toast, khaari ,naan ,white bread. Can drink tea but without sugar say no to Buffalo milk and can drink cows milk can eat brown bread can eat sprout's can eat green vegetables, can eat chappati ,bajra ka rotla can eat one katori of rice twice a day with dal to avoid farsan food items can eat fruits say no to coconut water.
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My igf1 is 90 normal range (116-358) is there any concern? M already suffering from tachycardia and bp since I was 17.

MSc Applied Biology, Diploma in Naturopathy
Ayurveda, Delhi
My igf1 is 90 normal range (116-358) is there any concern? M already suffering from tachycardia and bp since I was 17.
Insulin-like growth factor 1 (IGF-1), also called somatomedin C,,...a protein ...IGF-1 (Insulin-like growth factor) is an endocrine hormone that is produced in the liver Maintaining higher IGF-1 levels may be important for some particular patients. IGF-1 protects the brain from aging, reduces risk of stroke and Alzheimer’s disease,25 may help stroke patients recover faster,and prevents osteoporosis.
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I am having small chest pain and I feel like my left arm is paining. What may be the reason. It is not muscular.

MBBS, PG Diploma In Clinical Cosmetology (PGDCC)
Cardiologist, Purba
I am having small chest pain and I feel like my left arm is paining. What may be the reason. It is not muscular.
Severe overwight with chest pain and lt hand radition but at 20 may be cardiac or due nerve from neck. You urgently exclude cardiac by tmt after consulting doctors,
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Having continuous pain in left abdomen above uterus. Can you please suggest. Sonography reports are normal.

MBBS
General Physician, Delhi
Having continuous pain in left abdomen above uterus. Can you please suggest. Sonography reports are normal.
Hi, it seems you are suffering from 1. Gastritis 2. Take an antacid 3-4 tsf 8 hrly 3. Get a blood investigation - liver function test done 4. Avoid fatty, oily meals 5. No fast food, no momos and samosas 6. No tea and coffee 7. Lots of water 8. Walk after meals 9. Eat less at nights 10. No soft drinks, hard drinks and no smoking.
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My age is 29 and I have hypertension if I take my medicine regularly then it is controlled between 130/90 and 140/100. I am suffering from hypertension and anxiety from march 2017. My Tmt ecg and eco was normal. I feel heavy headed everyday. Please suggest what should I do? I am taking nebistar 5 mg in night, nexito plus 5 was also suggest by my doctor but I am not taking it.

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
My age is 29 and I have hypertension if I take my medicine regularly then it is controlled between 130/90 and 140/100...
Hi Normal range of blood pressure is between 90/60 to 140/90, anything above or below is is abnormal. Many factors can affect blood pressure, including: 1) The amount of water and salt you have in your body 2) The condition of your kidneys, nervous system, or blood vessels 3) Your hormone levels You are more likely to be told your blood pressure is too high as you get older. This is because your blood vessels become stiffer as you age. When that happens, your blood pressure goes up. High blood pressure increases your chance of having a stroke, heart attack, heart failure, kidney disease, or early death. DASH stands for Dietary Approaches to Stop Hypertension. It is an eating plan that is based on research studies sponsored by the National Heart, Lung, and Blood Institute (NHLBI). These studies showed that DASH lowers high blood pressure and improves levels of cholesterol. This reduces your risk of getting heart disease. The DASH Diet Emphasizes vegetables, fruits, and fat-free or low-fat dairy products. Includes whole grains, fish, poultry, beans, seeds, nuts, and vegetable oils. Limits sodium, sweets, sugary beverages, and red meats. Along with DASH, other lifestyle changes can help lower your blood pressure. They include staying at a healthy weight, exercising, and not smoking. I read your query, by the information I have in hand my advice to you would be 1) Keep a BP daily record for at least one week 2) Basic tests should be one to rule out cardiac / kidney issues 3) unless any recent evaluation has been done I would advice these test ECG ECHO Lipid Profile TSH KFT  Renal doppler  Get back to me with a detailed history and  old / new records for a better individualized advice.
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Postural Tachycardia Syndrome - All You Need To Know About It?

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
Postural Tachycardia Syndrome - All You Need To Know About It?

Postural Tachycardia Syndrome or POTS, what this condition entails is a sudden and abnormal increase in the heart beat of an individual, causing them difficulty in breathing, dizziness, and even blackouts.
There are some factors that can trigger the situation and stem the sudden rise in the heart beat. Meeting with a medical expert may help bring the situation under control.

What is Postural Tachycardia Syndrome?
Postural Tachycardia Syndrome or POTS is a cardiovascular condition that is caused due to the sudden shift from an upright position to a supine position or vice versa. It is this sudden increase in heartbeat of an individual that is referred to as Tachycardia.

The longer you overlook this condition, the bigger is the trouble you are putting your health in. This is when it becomes extremely important for you to get in touch with a medical expert, who can offer you perfect consultancy, diagnose the causes and also find a result for the same.

What Causes POTS?
According to medical specialists, there are some factors that this condition stems from and it all differs from one person to the other. Some of the most common causes of the condition are-

  1. Joint Hypermobility Syndrome
  2. Faulty Gene
  3. Poisoning
  4. Amyloidosis
  5. Lupus
  6. Diabetes
  7. Sarcoidosis
  8. Siogren’s Syndrome
  9. Cancer

Signs of Postural Tachycardia Syndrome:
There are multiple signs that indicate that an individual is stricken by Postural Tachycardia Syndrome. Some of the more common signs and symptoms include:

  1. Orthostatic Hypotension: Orthostatic Hypotension refers to the sudden increase in the heart beat by at least 30 beats per minute, within or after 10 minutes of rising up from a sitting or lying down position. Though the condition increases the heart rate, it does not trigger any drop or rise in blood pressure. Certain medications used to diminish this effect often extend some side effects, such as lightheadedness, palpitation, difficulty to breath, discomfort in the chest, weakness, heaviness in the chest area, nausea, cognitive difficulties and also stain on the vision.
  2. Effects in Response to Postural Change: Almost one-third of the people with Postural Tachycardia Syndrome are noticed to faint as a result of the increased heartbeat, almost 40 beats minutes, instead of the chance in postural position. Other symptoms under this head include a headache, migraine, disturbance in sleep, fatigue, acrocyanosis or blood pooling in feet, etc.
  3. Ehlers- Danlos Syndrome (EDS): Sometimes POTS is found to coexist in an individual with other conditions, such as EDS. This condition makes an individual prone to dislocation of bones, greater laxity in skin, loose- clicking joints, chronic fatigue, reduced level of tolerance towards any exercise, etc. According to medical specialists, though these are common symptoms of POTS, there might also be other signs. These signs and symptoms differ from one person to the other.

When Should You Consult a Doctor?
The moment you experience a POTS attack or for that matter notice some of the symptoms of the condition, it is time for you to consult a medical expert. The doctor will give you valued consultation, as well as diagnose the condition properly, thus finding the best treatment and suitable medication for you.

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I am 34 year old male civil services student, suffering from sleep problem, when I go to bed it takes 2 to 3 hours in sleeping, feeling restlessness, heart beat can be feel by myself which makes more restlessness.

BHMS
Homeopath, Faridabad
I am 34 year old male civil services student, suffering from sleep problem, when I go to bed it takes 2 to 3 hours in...
Hello, take Arsenic alb 30 Ch , 3 drops once daily. Kali phos 6x , 5 tabs twice daily. Revert me after 15 days.
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What are the symptoms of the low and high sugar and bood pressure and how can we control them.

DHMS (Hons.)
Homeopath, Patna
What are the symptoms of the low and high sugar and bood pressure and how can we control them.
Hi diabetes: hyperglycemia (high glucose level in blood) * glucose level above 130 mg/dl before meal and 180mg/dl two hrs, after meal is -diabetic condition. Unless glucose level reaches 250mg/dl, no symptom of diabetes is produced. Causation:** stress, anxiety, depression, irregular life style, improper intake, paucity of sleep, symptoms. * excessive urination/ excessive thirst/exessive hunger, fatigue/vertigo. Hypoglycemia (low glucose level in blood) when, glucose level goes down to 60ml/dl, is low sugar. Symtoms:# * nervousness/sweating on the back, neck/extreme hunger/nausea/rapid heart rate. Hypertension / high blood pressure * vertigo/weakness/restlessness/rapid heart rate, nausea hypo tension low blood pressure * fatigue,/weakness/ seating. Nervousness/nausea causation:** stress/anxiety/irregular life style, improper intake, paucity of sleep, excessive work pressure. Management:### * one should go for a walk in the morning for an hr. * meditation can b proved much beneficial for diabetes and bp * easily digestible diet be consumed, avoiding junk food. * plenty of water be consumed to eliminate stress, anxiety, depression * over all life style be made comfortable, in both d cases take care.
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Im butchireddy im suffering with breathing problem. Sometimes it blocks my heart upto burp coming. It comes on night also totally it holds my breath. In that time im very hard to take breathe. So please fwd how to rectify thus.

DNB Cardiology, MD - General Medicine, MBBS
Cardiologist, Mumbai
Im butchireddy im suffering with breathing problem. Sometimes it blocks my heart upto burp coming. It comes on night ...
Hello lybrate-user, the symptoms you have described characteristically fits into gerd, which stands for gastroeaophageal reflux disease. Here the stomach acid when you lie flat or after heavy meals reflux back into the food pipe which may cause nausea, burping, breathlessness, feeling of acidic taste in the throat. This deserves a detailed discussion with your doctor. However some important measured you can take is. 1) avoid spicy, oily preserved food. No chocolates, aerated drinks, tea, coffee 2) avoid heavy meals and sleeping immediately after meals at least for one and half hours 3) raise head end of your bed by a already 10-12 inch s. Try using two pillows to sleep 4) take a medicine like sompraz d 40 mg 15 mins before breakfast for 2 weeks at least. Let me know how you feel in 2- 3 days after starting medication and we may evaluate it furthur as I believe that the cause of your breathing issue is because of the stomach.
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My husband has high blood pressure which gives him severe headache sometimes. Doctor has prescribed him medicines also but he is quite reluctant to take it. I failed to convince him. Is really there are some adverse effect. Please suggest.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
My husband has high blood pressure which gives him severe headache sometimes. Doctor has prescribed him medicines als...
He should start taking medicines for bp-------------do not think that you will get used to it but think of the adverse effects high bp can pose to other organs---------------so firstly get your bp down and then find out the reason for this increase in bp, if you do not want to continue with allopathic medicine-------------------myself is a homoeopath and I can help you in this direction-----get your blood tests for cbc, esr, lipid profile, creatinine, urea, sgot/sgpt---------------
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I m getting tired in just for 10 minutes work. I feel some pain into my chest. What should I do?

MBBS
General Physician, Mumbai
I m getting tired in just for 10 minutes work. I feel some pain into my chest. What should I do?
For pain take tablet paracetamol 650 mg and start with Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
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Symptoms Of Heart Attack!

MBBS, Master of Surgery - General Surgery, Magistrar Chirurgiae (Cardio-Thoracic Surgery)
Cardiologist, Faridabad
Symptoms Of Heart Attack!

Heart attack or myocardial infarction mostly occurs when the flow of blood to the heart is blocked due to one or more reasons. The most prominent reason could be high fat or cholesterol that results in plaque build up in the coronary artery. The restricted blood flow has the potential to damage or even destroy the heart muscle. Some of the symptoms that can be helpful when it comes to the identification of a heart attack are listed below.

1. Discomfort in the Chest - Your chest may feel tight and pressured when you are about to be hit by a heart attack. Pain or discomfort in the chest is usually central typically felt behind the sternum, the central bone of chest. It may not be pain, it may be only discomfort, it may only be in upper part of tummy, very commonly confused with a gas problem. It is often accompanied by a painful sensation in the chest or arms. If a chest pain lasts more than 15-20 min it can be assumed to be a heart attack. This aching sensation may even spread to your back, neck or jaw.

2. Feeling of inconvenience - Often before the heart attack, the person may have feelings of nausea, ingestion, abdominal pain or a heartburn.

3. Breathing problems - Another prominent symptom of heart attack is shortness of breath which is accompanied by cold sweat and fatigue.

Emergency Measure:

If you think you are getting a heart attack, you should immediately take one tablet of Aspirin (preferably chew aspirin if possible), 4 tablets of a drug called Clopidogrel, and one tablet of Atorvastatin 80 mg and rush to the nearest possible medical facility as time is very important in the treatment of an acute heart attack. If you wish to discuss about any specific problem, you can consult a Cardiologist.

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I am 40 years old man and I have two stent in my heart in June'2015. What should I eat, drink etc.

MBBS
General Physician, Delhi
I am 40 years old man and I have two stent in my heart in June'2015. What should I eat, drink etc.
First don't ever miss or stop your medicine have plenty of water don't eat anything heavy which is difficult to digest relax and enjoy life.
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In my body triglycerides are high. How these are developed high and what to do next please advice.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
In my body triglycerides are high. How these are developed high and what to do next please advice.
Hello dear High cholesterol can cause atherosclerotic heart disease or narrowed coronary arteries in the heart can cause the symptoms of angina, when theheart muscle is not provided with enough oxygen to function. Decreased blood supply to the brain may be due to narrowed small arteries in the brain or because the larger carotidarteries in the neck may become blocked. This can result in a transient ischmic attack or stroke. Peripheral artery disease describes gradual narrowing of the arteries that supply the legs. During exercise , if the legs do not get enough blood supply, they can develop pain , called claudication . Other arteries in the body may also be affected by plaque buildup causing them to narrow, including the mesenteric arteries to the intestine and the renal arteries to the kidney. Change life style .do meditation,yoga, Go walk daily, do any one physically activity daily i.e.play any game., Avoid fast foods,oily foods,junk foods,alcohol,smoking,fatty foods, non-veg.,avoid stress, use flax oil, omega-3 fatty meal or cap., take .green veg., whole grain. garlic,. Take anti cholesterol medicines .
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Heart Attack - How To Live After It?

Fellowship in Electrophysiology, Fellowship in Interventional Cardiology, DM - Cardiology, MD - Medicine, MBBS
Cardiologist, Delhi
Heart Attack - How To Live After It?

A heart attack makes you rethink and get a double take on life. Once you survive it, you tend to realize how close your brush with death has been and how important your lifestyle choices can be. Most people go on to live a productive life after a heart attack provided they can adhere to making healthy choices. Here's what you can do if you have experienced your first attack and want to change for the better:

  1. Start at the hospital: A person usually stays in the hospital for 3 days after an attack to monitor their condition. This duration increases if you have complications that involve procedures like a bypass surgery. Your first significant change will come in the form of your medication routine. Your existing dosage may be adjusted and you'll possibly be prescribed newer medicines that will treat and control your symptoms. You'll not only need to know the names of all your medicines, but when you have to take them. It's best you know exactly why you are taking each one of them, if there are other more economic alternatives since this may last a lifetime and what side effects they may have.
  2. Maintaining your mental health: Once bitten, twice shy applies for heart attack victims too. Not only do they live in a constant worry about another attack, every small symptom like a harmless muscle pull can trigger the fear factor. You also get into the "heart patient" dependent mode based on how much help you need to recover. Check for support groups and other heart attack survivors in your locality to see how they are coping. Read more about your recovery and try to keep a positive frame of mind.
  3. Go to a cardiac rehab: Many hospitals have a rehabilitation program that you can participate in as an outpatient or you can go to a clinic that specializes in it. Such programs help speed up your recovery. It is run by people who will hand hold you in bringing positive changes in your life to protect and strengthen your heart. You'll learn activities that positively improve heart functions and reduce your chances of developing complications or dying from heart disease. You'll also get benefit from exercises that'll be taught by a certified exercise specialist.
  4. Make a change in your lifestyle: Quit smoking that is an obvious one. You'll now have to lead a more active lifestyle with daily exercise. You'll also need to actively manage your diabetes and obesity. None of these changes can happen in a day. In fact, behavioral scientists suggest that you need to practice a new activity continuously for twenty one days for it to become a habit. If you wish to discuss about any specific problem, you can consult a Cardiologist.
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